ST VINCENT SETON SPECIALTY HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ST VINCENT SETON SPECIALTY HOSPITAL INC (EIN 35-1712001)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201411349349307966
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T17:49:27-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 Monument Circle Suite 2000	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	462045108	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	351712001	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	StVincent Seton Specialty Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STVI	NameControl
Phone	3174158357	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8071 Township Line Road No 200	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	46260	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Peter H Alexander	Name
Title	Administrator	Title
Phone	3174158354	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Shawna M Jimenez	Name
PTIN	P01222873	PTIN
Phone	3174648600	Phone
Date Prepared	2014-04-30	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Peter H Alexander	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	8071 Township Line Road No 200	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	46260	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	63751166	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.stvincent.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1987	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	501	TotalNbrEmployees
Total Nbr Volunteers	4	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	46302	ContributionsGrantsPriorYear
Contributions Grants Current Year	36444	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	58753209	ProgramServiceRevenuePriorYear
Program Service Revenue CY	60624401	ProgramServiceRevenueCY
Investment Income Prior Year	2764449	InvestmentIncomePriorYear
Investment Income Current Year	2964650	InvestmentIncomeCurrentYear
Other Revenue Prior Year	124948	OtherRevenuePriorYear
Other Revenue Current Year	114304	OtherRevenueCurrentYear
Total Revenue Prior Year	61688908	TotalRevenuePriorYear
Total Revenue Current Year	63739799	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	194	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	30387036	SalariesEtcPriorYear
Salaries Etc Current Year	28971306	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	19548670	OtherExpensePriorYear
Other Expenses Current Year	23360942	OtherExpensesCurrentYear
Total Expenses Prior Year	49935706	TotalExpensesPriorYear
Total Expenses Current Year	52332442	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11753202	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11407357	RevenuesLessExpensesCY
Total Assets BOY	86802537	TotalAssetsBOY
Total Assets EOY	100840340	TotalAssetsEOY
Total Liabilities BOY	7879907	TotalLiabilitiesBOY
Total Liabilities EOY	8394084	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	78922630	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	92446256	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	St.Vincent Seton Specialty 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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	43869236	Expense
Grants	194	Grants
Revenue	60624401	Revenue
Description	St.Vincent Seton Specialty Hospital is a 104-bed (Indianapolis 74 beds and Lafayette 30 beds), long term acute care hospital serving primarily Marion, Tippecanoe and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. It is a unique organization that specializes in caring for acute, critically ill and catastrophically injured patients requiring longer hospital stays averaging more than 25 days. During fiscal year 2013, St.Vincent Seton Specialty Hospital treated 875 patients for a total of 28,818 inpatient days of service. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2301916	Expense
Description	During the fiscal year ending June 30, 2013, the unreimbursed cost of free or discounted services provided to patients who were deemed indigent under state, county, or hospital guidelines was $2,301,916 which included $488,691 of traditional charity care and $1,813,225 in unpaid costs of care for those qualifying for Medicaid or other public programs for the poor. (Note that St.Vincent Seton Specialty Hospital also provides a substantial portion of its services to the elderly, but in keeping with Catholic Healthcare Association guidelines, the total of unreimbursed cost of free or discounted services does NOT include $1,822,434 in unpaid costs of care for elderly covered through Medicare.) See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	30212	Expense
Description	In addition to core medical services, St.Vincent Seton Specialty Hospital partners with its community to assess community assets and needs and to work together to address issues impacting health and quality of life, with special emphasis on the poor and vulnerable. In fiscal year 2013, SVSSH provided $30,212 in unbilled services to the poor and to the broader community. (When combined with the costs of free or discounted services for the poor listed in Line 4b, SVSSH provided a total Community Benefit of $2,332,128 in fiscal year 2013.) SVSSH serves and supports its community through such programs as Indiana Veterans' Home, Fay Biccard Glick Neighborhood Center at Crooked Creek, and health fairs. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	46201364	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	40	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	501	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	David M Girten CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3174158357	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8071 Township Line Road Ste 200	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	46260	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
George D Martin
Chair	0.20	0.00	X	X	0	0	0
Ronald E Rosenberg
Vice Chair	0.20	0.00	X	X	0	0	0
Deborah A Lawrence
Secretary/Treasurer	0.20	0.00	X	X	0	0	0
David J Handel
Director	0.20	0.00	X		0	0	0
David A Heimansohn MD
Director	0.20	40.00	X		0	976999	42413
Alan D Snell MD
Director	0.20	40.00	X		0	339986	59893
Peter H Alexander
Administrator	40.00	0.00		X	324693	0	75362
David M Girten
Executive Director Financi	40.00	0.00		X	215207	0	64041
Troy T Reiff
Executive Director Operati	40.00	0.00		X	188716	0	37892
Melanie G Holt
Executive Director Busines	40.00	0.00		X	179276	0	23799
Merly S Shaw
Registered Nurse	40.00	0.00			176846	0	43606	X
Rita Bianchi
Pharmacist	40.00	0.00			147864	0	20259	X
Theresa M Anderson
Site Administrator	40.00	0.00			171074	0	50726	X
Sepideh S Crawford
Pharmacist	40.00	0.00			218602	0	35894	X
Cynthia L Overton
Manager of Pharmacy	40.00	0.00			149556	0	20177	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1771834	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1316985	TotalReportableCompFrmRltdOrgs
Total Other Compensation	474062	TotalOtherCompensation
Number Individuals GT100 K	27	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
South Bend Medical Foundation
530 N Lafayette Blvd	South Bend	IN	46601	Lab services	957191
Fresenius Medical Services
16343 Collections Center Dr	Chicago	IL	60693	Medical services	547972
Insight Investments LLC
Wells Fargo Bank NW	Salt Lake City	UT	84116	Equipment leasing	221696
Franciscan St Elizabeth Health
1501 Hartford Street	Lafayette	IN	47901	Medical services	211467
RuralMetro of Indiana LP
PO Box 11179	Belfast	ME	49154	Ambulance services	172456

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	7	NumberOfContractorsGT100K
Related Organizations	2000	RelatedOrganizations
Government Grants	34444	GovernmentGrants
Total Contributions	36444	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Medicare/Medicaid	621990	38113870	38113870
Net patient revenue	621990	22510531	22510531

Field	Value	IRS element (for citing)
Total Program Service Revenue	60624401	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2974920	TotalRevenueColumn
Exclusion	$2,974,920	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	1097	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	11367	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-10270	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-10270	TotalRevenueColumn
Exclusion	-$10,270	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Cafeteria revenue	Description
Business Code	722210	BusinessCode
Total Revenue Column	114304	TotalRevenueColumn
Exclusion	$114,304	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	114304	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	63739799	TotalRevenueColumn
Related Or Exempt Function Income	60624401	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,078,954	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	194	Total
Program Services	194	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1108986	Total
Management And General	1108986	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	21749176	Total
Program Services	19511911	ProgramServices
Management And General	2237265	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	115656	Total
Program Services	103759	ProgramServices
Management And General	11897	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4496596	Total
Program Services	4034054	ProgramServices
Management And General	462542	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1500892	Total
Program Services	1346503	ProgramServices
Management And General	154389	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	664740	Total
Program Services	596362	ProgramServices
Management And General	68378	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	104568	Total
Program Services	93812	ProgramServices
Management And General	10756	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	14790	Total
Program Services	13269	ProgramServices
Management And General	1521	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	790	Total
Program Services	709	ProgramServices
Management And General	81	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	442620	Total
Program Services	397090	ProgramServices
Management And General	45530	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	847784	Total
Program Services	760577	ProgramServices
Management And General	87207	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	169263	Total
Program Services	151852	ProgramServices
Management And General	17411	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	15125	Total
Program Services	13569	ProgramServices
Management And General	1556	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1155967	Total
Program Services	1037058	ProgramServices
Management And General	118909	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	69317	Total
Program Services	69317	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Supplies	5867052	5263538	603514
Purchased services	4570945	4100755	470190
Community benefit	2332128	2332128
Contract labor	2135702	1916013	219689

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4970151	Total
Program Services	4458894	ProgramServices
Management And General	511257	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	52332442	Total
Program Services	46201364	ProgramServices
Management And General	6131078	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2337632	BOY
EOY	855452	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11285974	BOY
EOY	8792846	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	548972	BOY
EOY	512162	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	12187	BOY
EOY	12187	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	24256079	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	10404462	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	14577826	BOY
EOY	13851617	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	58039946	BOY
EOY	76816076	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	86802537	BOY
EOY	100840340	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4674168	BOY
EOY	4339434	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3205739	BOY
EOY	4054650	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	7879907	BOY
EOY	8394084	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	78909689	BOY
EOY	92427888	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12941	BOY
EOY	18368	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	78922630	BOY
EOY	92446256	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	86802537	BOY
EOY	100840340	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	11407357	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2116269	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$1,935	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1935	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St.Vincent Seton Specialty Hospital, Inc. does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	847629	OtherCostOrOtherBasis
Book Value	847629	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16872481	OtherCostOrOtherBasis
Depreciation	5817856	Depreciation
Book Value	11054625	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3157	OtherCostOrOtherBasis
Depreciation	1605	Depreciation
Book Value	1552	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6437859	OtherCostOrOtherBasis
Depreciation	4585001	Depreciation
Book Value	1852858	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	94953	OtherCostOrOtherBasis
Book Value	94953	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	13851617	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Receivable from third party payors	565649
Donor restricted funds	18368
Interest in investments held by Ascension Health Alliance	76219048
Other assets	13011

Field	Value	IRS element (for citing)
Total Book Value Other Assets	76816076	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Payables to third party programs	$1,639,749
Intercompany payables	$1,589,938
Other liabilities	$392,436
Intercompany debt with Ascension Health Alliance	$432,527

Field	Value	IRS element (for citing)
Total Of Amounts	4054650	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	488691	TotalCommunityBenefitExpense
Net Community Benefit Expense	488691	NetCommunityBenefitExpense
Percent Of Total Expense	0.00930	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2301457	TotalCommunityBenefitExpense
Direct Offsetting Revenue	488232	DirectOffsettingRevenue
Net Community Benefit Expense	1813225	NetCommunityBenefitExpense
Percent Of Total Expense	0.03460	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2790148	TotalCommunityBenefitExpense
Direct Offsetting Revenue	488232	DirectOffsettingRevenue
Net Community Benefit Expense	2301916	NetCommunityBenefitExpense
Percent Of Total Expense	0.04390	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	42	PersonsServed
Total Community Benefit Expense	10450	TotalCommunityBenefitExpense
Net Community Benefit Expense	10450	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	6209	PersonsServed
Total Community Benefit Expense	15630	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25	DirectOffsettingRevenue
Net Community Benefit Expense	15605	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	20195	PersonsServed
Total Community Benefit Expense	4157	TotalCommunityBenefitExpense
Net Community Benefit Expense	4157	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	26446	PersonsServed
Total Community Benefit Expense	30237	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25	DirectOffsettingRevenue
Net Community Benefit Expense	30212	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	26446	PersonsServed
Total Community Benefit Expense	2820385	TotalCommunityBenefitExpense
Direct Offsetting Revenue	488257	DirectOffsettingRevenue
Net Community Benefit Expense	2332128	NetCommunityBenefitExpense
Percent Of Total Expense	0.04450	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	3695	PersonsServed
Total Community Building Expense	77254	TotalCommunityBuildingExpense
Net Community Building Expense	77254	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	3695	PersonsServed
Total Community Building Expense	77254	TotalCommunityBuildingExpense
Net Community Building Expense	77254	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$126,623	BadDebtExpenseAmount
Amount Attributable To	37987	AmountAttributableTo
Amount Reimbursed By Medicare	35213539	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	37035973	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1822434	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital
StVincent Seton - Indianapolis
1	8071 Township Line Road	Indianapolis	IN	46260	https://www.stvincent.org/St-Vincent-S	X
StVincent Seton - Lafayette
2	1501 Hartford Street	Lafayette	IN	47904	https://www.stvincent.org/St-Vincent-S	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
StVincent Seton - Indianapolis
1	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	1	400.000000000000	1	X	X	1	1	X	X	X	1	0	1	X	0	0
StVincent Seton - Lafayette
2	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	1	400.000000000000	1	X	X	1	1	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part VI Form990ScheduleHPartVI (36 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
Part I, Line 3c: The organization provides medically necessary care to all patients, regardless of race, color, creed, ethnic origin, gender, disability or economic status. The hospital uses a percentage of federal poverty level (FPL) to determine free and discounted care. At a minimum, patients with income less than or equal to 200% of the FPL, which may be adjusted for cost of living utilizing the local wage index compared to the national wage index, will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, patients with incomes above 200% of the FPL but not exceeding 400% of the FPL, subject to adjustments for cost of living utilizing the local wage index compared to national wage index, will receive a discount on the services provided to them.
Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Part II: St.Vincent Seton Specialty 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 Seton Specialty Hospital meets regularly with local organizations in the community to learn what resources are available and plan community health improvement efforts. In fiscal year 2013, these organizations included the United Way, Fay Biccard Glick Neighborhood Center, Indiana Kids Environment Coalition, and the Salvation Army.
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 2013 was $376,071 at charges, ($126,623 at cost).	Schedule H, Part III, Line 2:
The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for 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 3:
Part III, Line 4: The organization is part of the St.Vincent Health System's consolidated audit in which the footnote that discusses the bad debt expense is located on page 22.
Part III, Line 8: 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.
Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.
Part V, Section B, Line 3: In conducting its CHNA, the hospital facility (located in both Marion and Tippecanoe counties) took into account input from representatives of the community as well as those with special knowledge or expertise in public health. These included an Indiana-based epidemiologist with extensive experience in public health, the Crooked Creek Community Development Corporation (CDC), IUPUI and Marian University.		St.Vincent Seton - Indianapolis
Part V, Section B, Line 3: In conducting its CHNA, the hospital facility (located in both Marion and Tippecanoe counties) took into account input from representatives of the community as well as those with special knowledge or expertise in public health. These included an Indiana-based epidemiologist with extensive experience in public health, the Crooked Creek Community Development Corporation (CDC), IUPUI and Marian University.		St.Vincent Seton - Lafayette
Part V, Section B, Line 7: Family Support St.Vincent Seton Specialty understands the importance of the family dynamic and therefore, opportunities exist to expand these services. Lung Health Even though this was not chosen as a top priority, educating the community regarding lung health is an ongoing focus. Diabetes Management - This issue is being addressed in the healthy lifestyle/healthy choices priority.Cardiovascular Health This issue is being addressed in the healthy lifestyle/healthy choices priority.		St.Vincent Seton - Indianapolis
Part V, Section B, Line 7: Family Support St.Vincent Seton Specialty understands the importance of the family dynamic and therefore, opportunities exist to expand these services. Lung Health Even though this was not chosen as a top priority, educating the community regarding lung health is an ongoing focus. Diabetes Management - This issue is being addressed in the healthy lifestyle/healthy choices priority.Cardiovascular Health This issue is being addressed in the healthy lifestyle/healthy choices priority.		St.Vincent Seton - Lafayette
Part V, Section B, Line 20d: 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.		St.Vincent Seton - Indianapolis
Part V, Section B, Line 20d: 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.		St.Vincent Seton - Lafayette
Part V, Section B, Line 21: The following steps were followed and considered reasonable efforts followed for purposes of identifying patients eligible for assistance under the facility's FAP:- Notified each individual of the Hospital's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).		St.Vincent Seton - Indianapolis
Part V, Section B, Line 21: The following steps were followed and considered reasonable efforts followed for purposes of identifying patients eligible for assistance under the facility's FAP:- Notified each individual of the Hospital's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).		St.Vincent Seton - Lafayette
Part V, Section B, Line 22: The following steps were followed and considered reasonable efforts followed for purposes of identifying patients eligible for assistance under the facility's FAP:- Notified each individual of the Hospital's Financial Assistance Policy (FAP) as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual.- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).		St.Vincent Seton - Indianapolis
Part V, Section B, Line 22: The following steps were followed and considered reasonable efforts followed for purposes of identifying patients eligible for assistance under the facility's FAP:- Notified each individual of the Hospital's Financial Assistance Policy (FAP) as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual.- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).		St.Vincent Seton - Lafayette
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stvincent.org/St-Vincent-Seton---Indianapolis/.	St.Vincent Seton - Indianapolis:	Part V, Section B, Line 5:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stvincent.org/St-Vincent-Seton---Lafayette/.	St.Vincent Seton - Lafayette:	Part V, Section B, Line 5:
The following steps were followed and considered reasonable efforts for purposes of Question 16:- Notified each individual of the facility's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP by methods as noted in Question 14. This includes, but is not limited to, providing the following:- A brief description of eligibility requirements and assistance provided- Directions on how to access the FAP and application on our website and physical location of application forms- Instructions to obtain free copy of FAP and application by mail- Contact information for an individual/nonprofit organization to assist if the individual has questions- Statement of translations of FAP as well as plain language summaries- Statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).	St.Vincent Seton - Indianapolis:	Part V, Section B, Line 16:
The following steps were followed and considered reasonable efforts for purposes of Question 16:- Notified each individual of the facility's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP by methods as noted in Question 14. This includes, but is not limited to, providing the following:- A brief description of eligibility requirements and assistance provided- Directions on how to access the FAP and application on our website and physical location of application forms- Instructions to obtain free copy of FAP and application by mail- Contact information for an individual/nonprofit organization to assist if the individual has questions- Statement of translations of FAP as well as plain language summaries- Statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).	St.Vincent Seton - Lafayette:	Part V, Section B, Line 16:
The following steps were followed and considered reasonable efforts for purposes of Question 17:- Notified each individual of the Hospital's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).	St.Vincent Seton - Indianapolis:	Part V, Section B, Line 17:
The following steps were followed and considered reasonable efforts for purposes of Question 17:- Notified each individual of the Hospital's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).	St.Vincent Seton - Lafayette:	Part V, Section B, Line 17:
Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St.Vincent Seton Specialty Hospital, Inc. (Indianapolis) does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to:- Notifying individuals of the financial assistance policy on admission- Notifying individuals of the financial assistance policy prior to discharge- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy	St.Vincent Seton - Indianapolis:	Part V, Section B, Line 18:
Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St.Vincent Seton Specialty Hospital, Inc. (Lafayette) does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to:- Notifying individuals of the financial assistance policy on admission- Notifying individuals of the financial assistance policy prior to discharge- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy	St.Vincent Seton - Lafayette:	Part V, Section B, Line 18:
Part VI, Line 2: 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 Seton Specialty Hospital participates in the community groups, Crooked Creek Community Development Corporation in Indianapolis and the HAT (Healthy Active Tippecanoe) in Lafayette, 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 by identifying evidence-based and promising practices to address these needs.
Part VI, Line 3: St.Vincent Seton Specialty Hospital communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's 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.
Part VI, Line 4: St.Vincent Seton Specialty Hospital is located in Indianapolis and Lafayette, Indiana and serves Marion, Tippecanoe and contiguous counties, in northwest and Central Indiana. With the special care that St.Vincent Seton Specialty Hospital performs, the patients come from all over the state of Indiana and even bordering states. St.Vincent Seton Specialty Hospital is for medically complex patients who still need a high level of acute care services.St.Vincent Seton Specialty Indianapolis is located in Marion County, which is the largest county in the state, with a population of 918,977. When including the Metropolitan Statistical Area (MSA), the population of Indianapolis is 1,756,241. The city's population is diverse and younger compared to the state.St.Vincent Seton Specialty Lafayette is located in Tippecanoe County, in northwestern Indiana, and is home to the cities of Lafayette and West Lafayette. The latter houses Purdue University, a top-tier research institution. The large student population accounts for Tippecanoe County's young average age, at 27.6, compared to the state average of 37.1. In fact, in terms of average age, Tippecanoe is the youngest county in Indiana.
Part VI, Line 5: To provide the highest quality healthcare to all persons in the community, and in keeping with its not-for-profit status, St.Vincent Seton Specialty Hospital:- delivers patient services to all individuals requiring healthcare, without regard to patient race, ethnicity, economic status, insurance status or ability to pay- maintains an open medical staff that allows credentialed physicians to practice at its facilities- trains and educates health care professionals- participates in government-sponsored programs such as Medicaid and Medicare to provide healthcare to the poor and elderly- is governed by a board in which independent persons who are representative of the community comprise a majority
Part VI, Line 6: As part of the St.Vincent Health System, St.Vincent Seton Specialty Hospital is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St.Vincent Seton Specialty 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 Health Community Development 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 Health in which St.Vincent Seton Specialty Hospital participates.
IN	Part VI, Line 7	Reports Filed With States
St.Vincent Seton Specialty Hospital provides inpatient health care services that include: adult nursing services, surgical services, radiology, laboratory, pharmacy, endoscopy, electrocardiology, renal dialysis, respiratory therapy, physical therapy, occupational therapy, speech therapy, wound care, and electroencephalography. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community.Such community-focused programs improve access to healthcare, advocate for the poor and vulnerable, promote health through free education and screenings and help to build better communities by improving quality of life.	Form 990, Part III, Line 4a, 4b and 4c:	Community Benefit Report
St.Vincent Seton Specialty Hospital is part of St.Vincent Health, a non-profit healthcare system consisting of 22 locally-sponsored ministries serving over 47 counties throughout Central Indiana. Sponsored by Ascension Health, the nation's largest Catholic healthcare system, St.Vincent Health is one of the largest healthcare employers in the state. As part of St.Vincent Health, the St.Vincent Seton Specialty vision is to deliver a continuum of holistic, high-quality health services and improve the lives and health of Indiana individuals and communities, with special attention to the poor and vulnerable. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St.Vincent Seton Specialty associates and others. Working with its partners, and utilizing the CHNA completed every three years, St.Vincent Seton Specialty 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 Seton Specialty, 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 Health Community Development Department, but associates at all levels of the organization contribute to community benefit and health improvement.		Community Benefit Overview
Patient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than 200% of the Federal Poverty level (FPL) are eligible for 100% charity care for services. Patients with incomes at or above 200% of the FPL, but not exceeding 400% of the FPL, receive discounted services based on an income-dependent sliding scale. Hospital financial counselors and health access workers assist patients in determining eligibility and in completing necessary documentation. St.Vincent Seton Specialty Hospital is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation St.Vincent Seton Specialty Hospital participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP) and Medicare and assists patients in enrolling for programs for which they are eligible. Per Catholic Health Association guidelines and St.Vincent Health's conservative approach, Medicare shortfall is not included as community benefit. Community 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. Healthy Lifestyle/Healthy Choices (Nutrition & Physical Activity) and Quality of Life/Continuum of Care have all been identified as key community needs.Implementation Strategy Using the CHNA completed in 2013, the hospital developed a 2014-2016 Implementation Strategy to address priority community health needs. These strategies include:1. Healthy Lifestyle/Healthy Choices (Nutrition & Physical Activity)Increase individual physical activity and healthy food choices in order to reduce chronic health conditions - Promote Healthy Food Choices at community based locations such as the Crooked Creek Farmer's Market (Marion County) and the Salvation Army family shelter.- In partnership with St.Vincent Indianapolis, staffs offer 3 one-hour educational presentations regarding healthy food choices and/or fitness at the Crooked Creek Farmer's Market.- In partnership with St.Vincent Indianapolis, inform staff of volunteer opportunities available at Crooked Creek Farmers Market via weekly reminders, from May-October, in the online newsletter sent to the St.Vincent Indianapolis System.- Develop list of Healthy Food donations for area food pantries and publish in neighborhood newspapers, church bulletins, and community partner web sites.- Explore partnership with Gleaners Food Bank (Marion County) and Food Finders (Tippecanoe County) to develop strategies to increase healthy food options for low income residents.- Conduct Healthy Food preparation class at community locations such as the Glick Center (Marion County) and Salvation Army family shelter (Tippecanoe County).- Provide Health Education sessions focused on physical activity for seniors at the Crooked Creek Farmer's Market (Indy) and the Glick Center (Marion County); Area IV Agency on Aging (Tippecanoe County) and Lafayette Salvation Army/Veterans Home.- Continue to sponsor and promote the "Senior Games" and "Senior Olympics" in Lafayette, IN (Tippecanoe County).- Develop a Senior Walking Program in partnership with the Glick Center and local area churches (Marion County).2. Quality of Life/Continuum of CareIncrease the number of individuals who are prepared for end of life decisions- Expand "Health Care Decision Day" event to the Glick Center (Marion County) and the Salvation Army and Veterans' Home (Tippecanoe County).- Sponsor panel discussions on the continuum of care including end of life issues.Health Professions Clinical TrainingIn an effort to prepare future healthcare professionals, especially in the area of long-term acute care, St.Vincent Seton Specialty in Indianapolis and Lafayette, in collaboration with area schools, offers a variety of clinical settings and internships for undergraduate and vocational allied health professionals, including nurses and respiratory therapists. Last year students from IUPUI, Ivy Tech, and University of Indianapolis received specialized training from Seton Specialty health professionals.Indiana Veterans' Home Each year associates from St.Vincent Seton Specialty reach out to Indiana Veterans' Home, a landmark facility in West Lafayette that provides nursing and domiciliary care for Hoosier Veterans and their spouses. During fiscal year 2013, associates volunteered to help serve a Thanksgiving lunch at the Veterans' Home. Over 200 Veterans were served. In December, associates coordinated the Christmas dance, providing cookies and ice cream for the event. Community Benefit Cash and In-Kind ContributionsIn addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time and services to outside organizations and the representation of the hospital on community boards and committees working to improve health status and quality of life within the community.		Community Benefit Report
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.Connecting with the Neighborhood Associates from St.Vincent Seton Specialty are involved with Fay Biccard Glick Neighborhood Center at Crooked Creek programs over the course of the year. Associates served snacks and spent time making holiday crafts with children of the Sweet Pickles and Sweet Peas pre-school class. Grover, Seton Specialty's Pet Therapy dog, also entertained the children by performing tricks. In addition, St.Vincent Seton Specialty adopted a family of three from the Crooked Creek neighborhoods as part of our annual Hope for the Holidays event. Associates bought and wrapped Christmas gifts that were delivered to the family. Back Pack Attack Eighty-eight percent of Indianapolis Public School families cannot afford the basic school supplies their children need requiring many teachers to spend their own money to operate their classrooms. St.Vincent has joined with other local partners to participate in the Back Pack Attack Program each year. St.Vincent Seton Specialty associates collected money, gift cards, and school supplies. During fiscal year 2013, Seton Specialty associates were able to contribute 20 back packs, fully stocked with school supplies, to support this cause.Christmas Assistance With the need greater than ever, Seton associates take a major interest in the Lafayette community raising awareness and funds for the Salvation Army Angel Tree program with an annual Chili Cook-Off. The Angel Tree program provides needed support and a special Christmas to children and seniors living in poverty. St.Vincent Seton Specialty associates donated their time to ringing the Salvation Army bell to help raise additional funds. United Way Day of CaringIn partnership with United Way, St.Vincent Seton Specialty associates participated in the Day of Caring event, where organizations give time and resources to community projects. In fiscal year 2013, Seton Specialty associates spent the day at the Christamore House, which is a family and community center. Associates spent their time cleaning the inside of the center and the outside of the building by mowing the lawn and picking up debris. Community Building Cash and In-kind Contributions The hospital makes cash and in-kind donations to a variety of community organizations focused on building the community. These take the form of cash donations to outside organizations, the donation of employee time and services to outside organizations and the representation of the hospital on community boards and committees working to improve infrastructure for the community.		Community Building Activities

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David A Heimansohn MD
Director	0	474576	0	484200	0	18223	0	20874	0	21539	0	1019412	0	0
Alan D Snell MD
Director	0	257683	0	48370	0	33933	0	41423	0	18470	0	399879	0	0
Peter H Alexander
Administrator	239364	0	67389	0	17940	0	56835	0	18527	0	400055	0	0	0
David M Girten
Executive Director Financi	151040	0	26246	0	37921	0	54123	0	9918	0	279248	0	0	0
Troy T Reiff
Executive Director Operati	162192	0	26137	0	387	0	18836	0	19056	0	226608	0	0	0
Melanie G Holt
Executive Director Busines	149185	0	23185	0	6906	0	17152	0	6647	0	203075	0	0	0
Merly S Shaw
Registered Nurse	165813	0	1291	0	9742	0	31389	0	12217	0	220452	0	0	0
Rita Bianchi
Pharmacist	138346	0	1290	0	8228	0	14105	0	6154	0	168123	0	0	0
Theresa M Anderson
Site Administrator	140208	0	17015	0	13851	0	26440	0	24286	0	221800	0	0	0
Sepideh S Crawford
Pharmacist	207600	0	1291	0	9711	0	17560	0	18334	0	254496	0	0	0
Cynthia L Overton
Manager of Pharmacy	126809	0	16434	0	6313	0	17183	0	2994	0	169733	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

St.Vincent Seton Specialty Hospital paid for cell phone usage and deminimus gift for four of the listed officers/directors and highest compensated employees in Part VII. St.Vincent Seton Specialty Hospital will only reimburse a business expense when all three (3) of the following IRS requirements are met: 1. The expense must have a business connection (i.e., the expenses must be incurred while performing services on behalf of a SVH Entity); 2. The expense must be adequately substantiated by the Associate within a reasonable period of time; and 3. The Associate must return any excess reimbursement or allowance within a reasonable period of time. St.Vincent Seton Specialty Hospital "grossed up" the above applicable non-business expenses and included in the employees' W-2 as additional taxable compensation.

Part I, Line 4b

All employees and amounts listed are voluntary deferrals or company contributions to various non-qualified deferred compensation plans organized under Code Section 457(B). 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. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	St.Vincent Seton Specialty Hospital, Inc. has a single corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section A, line 7a	St.Vincent Seton Specialty Hospital, Inc. has a single corporate member, St.Vincent Health, Inc. who has the ability to elect members to the governing body of St.Vincent Seton Specialty Hospital, Inc.
Form 990, Part VI, Section A, line 7b	All decisions that have a material impact to St.Vincent Seton Specialty Hospital, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section B, line 11	Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions.
Form 990, Part VI, Section B, line 12c	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committee with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt purpose.
Form 990, Part VI, Section B, line 15	Compensation determinations of St.Vincent Seton Specialty Hospital, Inc.'s CEO, executive director, or top management official are made by a compensation committee of St.Vincent Seton Specialty Hospital, Inc. and/or St.Vincent Health, Inc. In determining compensation of the organization's CEO, executive director, or top management official, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board, in executive session, reviewed and approved the compensation. In review of the compensation, the CEO was compared to other hospitals in the area that hold the same position. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided. Compensation determinations of St.Vincent Seton Specialty Hospital, Inc.'s other officers or key employees are made by a compensation committee of St.Vincent Seton Specialty Hospital, Inc. and/or St.Vincent Health, Inc. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board, in executive session, reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position.
Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Part IV, Line 24A:	St.Vincent Seton Specialty 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 Seton Specialty Hospital, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet.	Tax Exempt Bond Issuance

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (44 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Ascension Health
PO Box 45998	St Louis	MO	63145	311662309	National health system	MO	501(C)(3)	11A, I	Ascension Health Alliance	0
Central Indiana Health System Cardiac Services Inc
2001 W 86th Street	Indianapolis	IN	46260	351869951	Freestanding outpatient center	IN	501(C)(3)	11C, III-FI	StVincent Hospital & Health Care Center Inc	1
Jubilee Partnerships Inc
2301 N Park Avenue	Indianapolis	IN	46205	352060765	Outreach activities	IN	501(C)(3)	1	StVincent Hospital & Health Care Center Inc	1
Rehabilitation Hospital of Indiana Inc
4141 Shore Drive	Indianapolis	IN	46254	351786005	Rehabilitation hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Anderson Regional Hospital Foundation Inc
2015 Jackson Street	Anderson	IN	46016	352053693	Supporting organization	IN	501(C)(3)	11A, I	StVincent Anderson Regional Hospital Inc	1
StJoseph Hospital & Health Center Inc
1907 W Sycamore Street	Kokomo	IN	46901	350992717	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StJoseph Foundation of Kokomo Indiana Inc
1907 W Sycamore Street	Kokomo	IN	46901	237313206	Supporting organization	IN	501(C)(3)	11A, I	StJoseph Hospital & Health Center Inc	1
StVincent Anderson Regional Hospital Inc
2015 Jackson Street	Anderson	IN	46016	460877261	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Carmel Hospital Inc
13500 N Meridian Street	Carmel	IN	46032	743107055	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Clay Hospital Inc
1206 E National Avenue	Brazil	IN	47834	352112529	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Dunn Hospital Inc
1600 23rd Street	Bedford	IN	47421	272192831	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Fishers Hospital Inc
13861 Olio Road	Fishers	IN	46037	454243702	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Frankfort Hospital Inc
1300 S Jackson	Frankfort	IN	46041	352099320	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Frankfort Hospital Foundation Inc
1300 S Jackson	Frankfort	IN	46041	351531734	Supporting organization	IN	501(C)(3)	11A, I	StVincent Frankfort Hospital Inc	1
StVincent Health Inc
8425 Harcourt Road	Indianapolis	IN	46260	352052591	Parent company	IN	501(C)(3)	11C, III-FI	Ascension Health	0
StVincent 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	StVincent Health Inc	1
StVincent Hospital and Health Care Center Inc
2001 W 86th Street	Indianapolis	IN	46260	350869066	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Hospital Foundation Inc
10330 N Meridian Street Ste 430N	Indianapolis	IN	46290	356088862	Supporting organization	IN	501(C)(3)	11A, I	StVincent Hospital & Health Care Center Inc	1
StVincent Jennings Hospital Inc
301 Henry Street	North Vernon	IN	47265	351841606	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Madison County Health System Inc
1331 South A Street	Elwood	IN	46036	350876389	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Medical Group Inc
8425 Harcourt Road	Indianapolis	IN	46260	272039417	Physician professional services	IN	501(C)(3)	9	StVincent Health Inc	1
StVincent Mercy Hospital Foundation Inc
1331 South A Street	Elwood	IN	46036	311066871	Supporting organization	IN	501(C)(3)	11A, I	StVincent Madison County Health System Inc	1
StVincent New Hope Inc
8450 N Payne Road	Indianapolis	IN	46260	351733591	Intermediate care facility	IN	501(C)(3)	9	StVincent Health Inc	1
StVincent Pediatric Rehab Center Inc
1707 W 86th Street	Indianapolis	IN	46260	352048898	Specialty hospital	IN	501(C)(3)	3	StVincent Hospital & Health Care Center Inc	1
StVincent Randolph Hospital Inc
473 Greenville Avenue	Winchester	IN	47394	352103153	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Randolph Hospital Foundation Inc
473 Greenville Avenue	Winchester	IN	47394	352133006	Supporting organization	IN	501(C)(3)	11A, I	StVincent Randolph Hospital Inc	1
StVincent Salem Hospital Inc
911 N Shelby Street	Salem	IN	47167	270847538	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Williamsport Hospital Inc
412 N Monroe Street	Williamsport	IN	47993	350784551	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Williamsport Hospital Foundation Inc
412 N Monroe Street	Williamsport	IN	47993	743130159	Supporting organization	IN	501(C)(3)	11A, I	StVincent Williamsport Hospital Inc	1
SVSM Inc
2001 W 86th Street	Indianapolis	IN	46260	810607827	Holding company	IN	501(C)(3)	11A, I	StVincent Health Inc	1
St Mary's At Home Inc
3700 Washington Avenue	Evansville	IN	47750	351899560	DME/Home care	IN	501(C)(3)	11A, I	St Mary's Health Services Inc	1
St Mary's Building Corporation
3700 Washington Avenue	Evansville	IN	47750	237248362	Real estate holding company	IN	501(C)(2)		St Mary's Health Services Inc	1
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	1
St Mary's Health Inc
3700 Washington Avenue	Evansville	IN	47750	352057801	Health ministry parent	IN	501(C)(3)	11C, III-FI	StVincent Health Inc	1
St Mary's Physician Network LLC
3700 Washington Avenue	Evansville	IN	47750	205023387	Physician professional services	IN	501(C)(3)	9	St Mary's Medical Group LLC	1
St Mary's Health Services Inc
3700 Washington Avenue	Evansville	IN	47750	351679526	Investment services	IN	501(C)(3)	11C, III-FI	St Mary's Health Inc	1
St Mary's CARE Partners Inc
3700 Washington Avenue	Evansville	IN	47750	351899562	Tax-exempt affiliate reimbursements	IN	501(C)(3)	11A, I	St Mary's Health Inc	1
St Mary's Medical Center Foundation of Evansville Inc
3700 Washington Avenue	Evansville	IN	47750	237045370	Supporting organization	IN	501(C)(3)	11A, I	St Mary's Medical Center of Evansville Inc	1
St Mary's Medical Center of Evansville Inc
3700 Washington Avenue	Evansville	IN	47750	350869065	Hospital	IN	501(C)(3)	3	St Mary's Health Services Inc	1
St Mary's Warrick Hospital Foundation Inc
1116 Millis Avenue	Boonville	IN	47601	351961890	Supporting organization	IN	501(C)(3)	11A, I	St Mary's Warrick Hospital Inc	1
St Mary's Warrick Hospital Inc
1116 Millis Avenue	Boonville	IN	47601	351343019	Hospital	IN	501(C)(3)	3	St Mary's Health Services Inc	1
St Mary's Ohio Valley Heartcare LLC
901 St Marys Drive	Evansville	IN	47714	273474697	Cardiology services	IN	501(C)(3)	11A, I	St Mary's Medical Group LLC	1
St Mary's Physicians' Health Group LLC
3700 Washington Avenue	Evansville	IN	47750	261356310	Physician professional services	IN	501(C)(3)	9	St Mary's Medical Group LLC	1
Primary Physician Network LLC
3700 Washington Avenue	Evansville	IN	47750	208775914	Physician professional services	IN	501(C)(3)	9	St Mary's Medical Group LLC	1

Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Breast MRI Leasing Company LLC
10330 N Meridian St Ste 430N	Indianapolis	IN	46290	426662493	Sale and rental services	IN	StVincent Hospital and Health Care Center Inc	Related	230642	43329	0	1	0.50000
Carmel Ambulatory Surgery Center LLC
13421 Old Meridian St Ste 150	Carmel	IN	46032	320014795	Ambulatory surgery center	IN	StVincent Carmel Hospital Inc	Related	5892459	1896555	0	1	0.45000
Cooperative Managed Care Services LLC
9045 River Road Ste 250	Indianapolis	IN	46240	351999227	Case management	IN	StVincent Hospital and Health Care Center Inc	Unrelated	212659	2119265	0	1	0.50000
Endoscopy Center LLC
13421 Old Meridian St Ste 150	Carmel	IN	46032	320029881	Endoscopy center	IN	StVincent Carmel Hospital Inc	Related	681952	357300	0	0	0.51000
Hancock Physician Network LLC
801 N State Street	Greenfield	IN	46140	352051598	Primary care physician practices	IN	StVincent Hospital and Health Care Center Inc	Related	-2692272	2094475	0	1	0.50000
HCH SVH Cath Lab Services LLC
1000 N 16th Street	New Castle	IN	47362	452087950	Cath lab services	IN	StVincent Health Inc	Related	-229738	1629927	0	1	0.50000
Meridian Heights Associates LLC
6100 W 96th Street Ste 250	Indianapolis	IN	46278	264020296	Real estate holding	IN	StVincent Carmel Hospital Inc	Related		3029284	0	1	0.50000
Neuro Oncology Equipment LLC
10330 N Meridian St Ste 430N	Indianapolis	IN	46290	743103803	Sale and rental services	IN	StVincent Hospital and Health Care Center Inc	Related	151678	1684704	0	1	0.50000
StVincent HealthUSP LLC
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	203749962	Ambulatory surgery center	IN	StVincent Health Inc	Related	136436	387939	0	1	0.50000
StVincent Heart Center of Indiana LLC
10580 N Meridian Street	Indianapolis	IN	46290	364492612	Heart hospital	IN	Central Indiana Health System Cardiac Services Inc	Related	20552234	78811464	0	0	0.74080
Women's Physician Surgery Center LLC
8081 Township Line Road	Indianapolis	IN	46260	352086841	Ambulatory surgery center	IN	StVincent Hospital and Health Care Center Inc	Related	-11530	252917	0	0	0.58900
Ambulatory Care Center LLC
1125 Professional Blvd	Evansville	IN	47714	352006018	OP Surgery	IN	St Mary's Health Services Inc	Related	4879396	4549444	0	1	0.50000
Seton Health Services LLC
3700 Washington Avenue	Evansville	IN	47750	270451316	Equipment rental	IN	St Mary's Health Services Inc	Related	36943	99375	0	1	0.50000
St Mary's Peripheral Vascular Services Management Co LLC
3700 Washington Avenue	Evansville	IN	47750	205062635	Management services	IN	St Mary's Medical Center of Evansville Inc	Related	211137	156690	0	1	0.75000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
SVH Real Estate Inc
8425 Harcourt Road	Indianapolis	IN	46260	205002285	Real estate holding company	IN	StVincent Health Inc	C	2784	2969423	1.00000	1
St Mary's Medical Group Inc
3700 Washington Avenue	Evansville	IN	47750	352076827	Investment	IN	St Mary's Health Services Inc	C	-641423	742	1.00000	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg