2014-05-14T17:49:27-05:00 2013-06-30 861065772 Deloitte Tax LLP 111 Monument Circle Suite 2000 Indianapolis IN 462045108 990 2012-07-01 351712001 StVincent Seton Specialty Hospital Inc STVI 3174158357 8071 Township Line Road No 200 Indianapolis IN 46260 Peter H Alexander 3174158354 2014-05-14 1 Shawna M Jimenez P01222873 3174648600 2014-04-30 2012 2015-11-30 17:44:51Z Peter H Alexander 8071 Township Line Road No 200 Indianapolis IN 46260 63751166 0 X www.stvincent.org X 1987 IN We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind. 6 4 501 4 0 0 46302 36444 58753209 60624401 2764449 2964650 124948 114304 61688908 63739799 0 194 0 0 30387036 28971306 0 0 0 19548670 23360942 49935706 52332442 11753202 11407357 86802537 100840340 7879907 8394084 78922630 92446256 X 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. 0 0 43869236 194 60624401 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. 2301916 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. 30212 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. 46201364 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 40 0 1 501 1 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 IN X David M Girten CFO 3174158357 8071 Township Line Road Ste 200 Indianapolis IN 46260 George D Martin 0.20 0.00 X X 0 0 0 Ronald E Rosenberg 0.20 0.00 X X 0 0 0 Deborah A Lawrence 0.20 0.00 X X 0 0 0 David J Handel 0.20 0.00 X 0 0 0 David A Heimansohn MD 0.20 40.00 X 0 976999 42413 Alan D Snell MD 0.20 40.00 X 0 339986 59893 Peter H Alexander 40.00 0.00 X 324693 0 75362 David M Girten 40.00 0.00 X 215207 0 64041 Troy T Reiff 40.00 0.00 X 188716 0 37892 Melanie G Holt 40.00 0.00 X 179276 0 23799 Merly S Shaw 40.00 0.00 X 176846 0 43606 Rita Bianchi 40.00 0.00 X 147864 0 20259 Theresa M Anderson 40.00 0.00 X 171074 0 50726 Sepideh S Crawford 40.00 0.00 X 218602 0 35894 Cynthia L Overton 40.00 0.00 X 149556 0 20177 1771834 1316985 474062 27 0 1 0 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 7 2000 34444 36444 Net Medicare/Medicaid 621990 38113870 38113870 Net patient revenue 621990 22510531 22510531 60624401 2974920 2974920 1097 11367 -10270 -10270 -10270 Cafeteria revenue 722210 114304 114304 114304 63739799 60624401 0 3078954 194 194 1108986 1108986 21749176 19511911 2237265 115656 103759 11897 4496596 4034054 462542 1500892 1346503 154389 664740 596362 68378 104568 93812 10756 14790 13269 1521 790 709 81 442620 397090 45530 847784 760577 87207 169263 151852 17411 15125 13569 1556 1155967 1037058 118909 69317 69317 Supplies 5867052 5263538 603514 Purchased services 4570945 4100755 470190 Community benefit 2332128 2332128 Contract labor 2135702 1916013 219689 4970151 4458894 511257 52332442 46201364 6131078 0 2337632 855452 11285974 8792846 548972 512162 12187 12187 24256079 10404462 14577826 13851617 58039946 76816076 86802537 100840340 4674168 4339434 3205739 4054650 7879907 8394084 X 78909689 92427888 12941 18368 78922630 92446256 86802537 100840340 11407357 2116269 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1935 1935 0 Explanation of Lobbying Activities: Part II-B, Line 1: 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. 847629 847629 16872481 5817856 11054625 3157 1605 1552 6437859 4585001 1852858 94953 94953 13851617 Receivable from third party payors 565649 Donor restricted funds 18368 Interest in investments held by Ascension Health Alliance 76219048 Other assets 13011 76816076 Payables to third party programs 1639749 Intercompany payables 1589938 Other liabilities 392436 Intercompany debt with Ascension Health Alliance 432527 4054650 1 1 X 1 X 1 X 1 1 1 0 1 1 488691 488691 0.00930 2301457 488232 1813225 0.03460 2790148 488232 2301916 0.04390 42 10450 10450 0.00020 6209 15630 25 15605 0.00030 20195 4157 4157 0.00010 26446 30237 25 30212 0.00060 26446 2820385 488257 2332128 0.04450 3695 77254 77254 0.00150 3695 77254 77254 0.00150 0 126623 37987 35213539 37035973 -1822434 X 1 1 2 1 StVincent Seton - Indianapolis

8071 Township Line Road Indianapolis IN 46260

https://www.stvincent.org/St-Vincent-S X 2 StVincent Seton - Lafayette

1501 Hartford Street Lafayette IN 47904

https://www.stvincent.org/St-Vincent-S X 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 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. Schedule H, Part III, Line 2: 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 3: 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. 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. 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 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 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 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 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 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 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 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 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 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). Part V, Section B, Line 5: St.Vincent Seton - Indianapolis: 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/. Part V, Section B, Line 5: 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---Lafayette/. Part V, Section B, Line 16: St.Vincent Seton - Indianapolis: 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). Part V, Section B, Line 16: St.Vincent Seton - Lafayette: 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). Part V, Section B, Line 17: St.Vincent Seton - Indianapolis: 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). Part V, Section B, Line 17: St.Vincent Seton - Lafayette: 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). Part V, Section B, Line 18: St.Vincent Seton - Indianapolis: 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 Part V, Section B, Line 18: St.Vincent Seton - Lafayette: 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 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. Reports Filed With States Part VI, Line 7 IN Community Benefit Report Form 990, Part III, Line 4a, 4b and 4c: 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. Community Benefit Overview 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 Report 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 Building Activities Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status.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. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 David A Heimansohn MD 0 474576 0 484200 0 18223 0 20874 0 21539 0 1019412 0 0 Alan D Snell MD 0 257683 0 48370 0 33933 0 41423 0 18470 0 399879 0 0 Peter H Alexander 239364 0 67389 0 17940 0 56835 0 18527 0 400055 0 0 0 David M Girten 151040 0 26246 0 37921 0 54123 0 9918 0 279248 0 0 0 Troy T Reiff 162192 0 26137 0 387 0 18836 0 19056 0 226608 0 0 0 Melanie G Holt 149185 0 23185 0 6906 0 17152 0 6647 0 203075 0 0 0 Merly S Shaw 165813 0 1291 0 9742 0 31389 0 12217 0 220452 0 0 0 Rita Bianchi 138346 0 1290 0 8228 0 14105 0 6154 0 168123 0 0 0 Theresa M Anderson 140208 0 17015 0 13851 0 26440 0 24286 0 221800 0 0 0 Sepideh S Crawford 207600 0 1291 0 9711 0 17560 0 18334 0 254496 0 0 0 Cynthia L Overton 126809 0 16434 0 6313 0 17183 0 2994 0 169733 0 0 0 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. 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. Tax Exempt Bond Issuance 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. 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 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 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0