ST MARYS OHIO VALLEY HEARTCARE LLC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS OHIO VALLEY HEARTCARE LLC (EIN 27-3474697)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201431349349305633
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T14:32:01-05:00 | 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 | 273474697 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S OHIO VALLEY HEARTCARE LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 8124854178 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVENUE | AddressLine1 |
| City | EVANSVILLE | City |
| State | IN | State |
| ZIP Code | 47750 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN L ZABROWSKI | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 8124854178 | 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 | 2014-05-12 | 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 | KEITH JEWELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVENUE | AddressLine1 |
| City | EVANSVILLE | City |
| State | IN | State |
| ZIP Code | 47750 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11670237 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STMARYS.ORG | WebSite |
| Type Of Organization Other | X | TypeOfOrganizationOther |
| Type Of Org Other Description | LLC | TypeOfOrgOtherDescription |
| Year Formation | 2011 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | ST. MARY'S OHIO VALLEY HEARTCARE, LLC IS DEDICATED TO PROVIDING CARDIAC PATIENTS AND THEIR FAMILIES WITH EXCELLENCE IN THE PREVENTION, TREATMENT, AND DIAGNOSIS OF HEART DISEASE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 90 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2500000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4605000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7516141 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6614248 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10126 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1587 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2499725 | OtherRevenuePriorYear |
| Other Revenue Current Year | 449402 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12525992 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11670237 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9558361 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9399171 | 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 | 4463864 | OtherExpensePriorYear |
| Other Expenses Current Year | 3147759 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14022225 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12546930 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1496233 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -876693 | RevenuesLessExpensesCY |
| Total Assets BOY | 1305250 | TotalAssetsBOY |
| Total Assets EOY | 845613 | TotalAssetsEOY |
| Total Liabilities BOY | 880424 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1321474 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 424826 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -475861 | NetAssetsOrFundBalancesEOY |
| Mission Description | ST. MARY'S OHIO VALLEY HEARTCARE, LLC IS DEDICATED TO PROVIDING CARDIAC PATIENTS AND THEIR FAMILIES WITH EXCELLENCE IN THE PREVENTION, TREATMENT, AND DIAGNOSIS OF HEART DISEASE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5980092 | Expense |
| Revenue | 7063650 | Revenue |
| Description | ST. MARY'S OHIO VALLEY HEARTCARE, LLC HAS ESTABLISHED A STRATEGIC RELATIONSHIP WITH ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. TO OFFER CENTRALIZED DELIVERY OF OUTPATIENT CARDIAC CARE IN ADDITION TO INPATIENT SURGICAL PROCEDURES. ALSO, ST. MARY'S OHIO VALLEY HEARTCARE, LLC, CONTINUES TO TREAT BOTH ADULT AND PEDIATRIC CARDIAC PATIENTS WITH ON-SITE HIGH-TECH EQUIPMENT LOCATED ON THE ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC.'S CAMPUS. NO ONE IS REFUSED NEEDED MEDICAL ATTENTION DUE TO INABILITY TO PAY FOR SERVICES. ST. MARY'S OHIO VALLEY HEARTCARE, LLC IS PART OF ASCENSION HEALTH AND FOLLOWS THE CHARITY CARE POLICIES OF ST. MARY'S HEALTH, INC. | Description |
| Total Program Service Expense | 5980092 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 0 | 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 | 0 | Hospital |
| 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 | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 90 | 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | 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 | 0 | LocalChapters |
| 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| 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 | JOHN L ZABROWSKI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8124854178 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVENUE | AddressLine1 |
| City | EVANSVILLE | City |
| State | IN | State |
| ZIP Code | 47750 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| PHILLIP BEHRENS MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 704931 | 0 | 86445 | ||
| ELIZABETH BUTLER MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 649408 | 0 | 17401 | ||
| PHILIP CASINO MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 699591 | 0 | 86954 | ||
| DAVID CURTIS MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 463998 | 0 | 55344 | ||
| JANICE ERNEST | ||||||||
| VICE CHAIR/SECRETARY/TREASURER | 1.00 | 61.00 | X | 0 | 226052 | 99254 | X | |
| TIMOTHY FLESCH | ||||||||
| CEO/PRESIDENT/CHAIR | 1.00 | 65.20 | X | 0 | 1704596 | 63161 | X | |
| SUZETTE HERSHMAN | ||||||||
| BOARD MEMBER | 1.00 | 63.00 | X | 0 | 105603 | 31175 | ||
| DEEPA KUMBAR MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 202118 | 0 | 40679 | ||
| WAJEEHUDDIN MOHAMMED MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 863494 | 0 | 82970 | ||
| UMANG PATEL MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 741670 | 0 | 84099 | ||
| ASIM REHMAN MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 866879 | 0 | 89527 | ||
| ASEM RIMAWI MD | ||||||||
| BOARD MEMBER | 55.00 | 0.00 | X | 463920 | 0 | 62842 | ||
| RITA FRANCE | ||||||||
| OFFICE ADMINISTRATION | 40.00 | 0.00 | 113342 | 0 | 9338 | X | ||
| CLAUDIA MERKLEY | ||||||||
| OFFICE ADMINISTRATION | 40.00 | 0.00 | 114256 | 0 | 9193 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5883607 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2036251 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 818382 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COMPHEALTH INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | MEDICAL SERVICES | 947608 |
| DUKE REALTY | |||||
| 75 REMITTANCE DRIVE SUITE 3205 | CHICAGO | IL | 60675 | RENT | 554597 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | MEDICAL SERVICES | 545285 |
| MED-WRITE INC | |||||
| 515 AIRPORT RD 111 | CHATTANOOGA | TN | 37421 | BILLING SERVICES | 357467 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 4605000 | RelatedOrganizations |
| Total Contributions | 4605000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 6614248 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6614248 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6614248 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1587 | TotalRevenueColumn |
| Exclusion | $1,587 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAL DIRECTOR FEES | 561000 | 179750 | 179750 |
| EHR INCENTIVE | 900099 | 144000 | 144000 |
| EKG READINGS | 621500 | 107320 | 107320 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18332 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18332 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 449402 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11670237 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7063650 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,587 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6262270 | Total |
| Management And General | 6262270 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2044004 | Total |
| Program Services | 2044004 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750816 | Total |
| Program Services | 667944 | ProgramServices |
| Management And General | 82872 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342081 | Total |
| Program Services | 304324 | ProgramServices |
| Management And General | 37757 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 242 | Total |
| Program Services | 215 | ProgramServices |
| Management And General | 27 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1417175 | Total |
| Program Services | 1417175 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4076 | Total |
| Program Services | 3626 | ProgramServices |
| Management And General | 450 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100810 | Total |
| Program Services | 89781 | ProgramServices |
| Management And General | 11029 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279465 | Total |
| Program Services | 248619 | ProgramServices |
| Management And General | 30846 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 940771 | Total |
| Program Services | 836933 | ProgramServices |
| Management And General | 103838 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14835 | Total |
| Program Services | 13198 | ProgramServices |
| Management And General | 1637 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15174 | Total |
| Program Services | 13499 | ProgramServices |
| Management And General | 1675 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25503 | Total |
| Program Services | 22688 | ProgramServices |
| Management And General | 2815 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25312 | Total |
| Program Services | 22518 | ProgramServices |
| Management And General | 2794 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS AND MAINTENENCE | 81986 | 72937 | 9049 |
| MEDICAL SUPPLIES | 63211 | 63211 | |
| PURCHASED SERVICES | 61499 | 54711 | 6788 |
| EQUIPMENT RENTAL | 40142 | 35711 | 4431 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77558 | Total |
| Program Services | 68998 | ProgramServices |
| Management And General | 8560 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12546930 | Total |
| Program Services | 5980092 | ProgramServices |
| Management And General | 6566838 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 326998 | BOY |
| EOY | 317591 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 642641 | BOY |
| EOY | 385095 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188383 | BOY |
| EOY | 23637 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24193 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72948 | BOY |
| EOY | 59221 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1029147 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1001938 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49951 | BOY |
| EOY | 27209 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136 | BOY |
| EOY | 7875 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 24985 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1305250 | BOY |
| EOY | 845613 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 819704 | BOY |
| EOY | 1055977 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 148553 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60720 | BOY |
| EOY | 116944 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 880424 | BOY |
| EOY | 1321474 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 424826 | BOY |
| EOY | -475861 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 424826 | BOY |
| EOY | -475861 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1305250 | BOY |
| EOY | 845613 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -876693 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -389 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -23605 | 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 | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S MEDICAL CENTER OF EVANSVILLE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350869065 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
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 D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1029147 | OtherCostOrOtherBasis |
| Depreciation | 1001938 | Depreciation |
| Book Value | 27209 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 27209 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITY | $4,800 |
| AH SAVINGS PLAN LIABILITY | $112,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 116944 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILLIP BEHRENS MD | ||||||||||||||
| BOARD MEMBER | 606995 | 0 | 87472 | 0 | 10464 | 0 | 61723 | 0 | 24722 | 0 | 791376 | 0 | 0 | 0 |
| ELIZABETH BUTLER MD | ||||||||||||||
| BOARD MEMBER | 554087 | 0 | 68698 | 0 | 26623 | 0 | 5000 | 0 | 12401 | 0 | 666809 | 0 | 0 | 0 |
| PHILIP CASINO MD | ||||||||||||||
| BOARD MEMBER | 510388 | 0 | 168931 | 0 | 20272 | 0 | 61301 | 0 | 25653 | 0 | 786545 | 0 | 0 | 0 |
| DAVID CURTIS MD | ||||||||||||||
| BOARD MEMBER | 278180 | 0 | 166705 | 0 | 19113 | 0 | 42096 | 0 | 13248 | 0 | 519342 | 0 | 0 | 0 |
| JANICE ERNEST | ||||||||||||||
| VICE CHAIR/SECRETARY/TREASURER | 0 | 196275 | 0 | 25756 | 0 | 4021 | 0 | 80214 | 0 | 19040 | 0 | 325306 | 0 | 0 |
| TIMOTHY FLESCH | ||||||||||||||
| CEO/PRESIDENT/CHAIR | 0 | 519605 | 0 | 1157134 | 0 | 27857 | 0 | 37143 | 0 | 26018 | 0 | 1767757 | 0 | 0 |
| DEEPA KUMBAR MD | ||||||||||||||
| BOARD MEMBER | 184036 | 0 | 0 | 0 | 18082 | 0 | 21959 | 0 | 18720 | 0 | 242797 | 0 | 0 | 0 |
| WAJEEHUDDIN MOHAMMED MD | ||||||||||||||
| BOARD MEMBER | 575314 | 0 | 269390 | 0 | 18790 | 0 | 73425 | 0 | 9545 | 0 | 946464 | 0 | 0 | 0 |
| UMANG PATEL MD | ||||||||||||||
| BOARD MEMBER | 503003 | 0 | 219877 | 0 | 18790 | 0 | 64397 | 0 | 19702 | 0 | 825769 | 0 | 0 | 0 |
| ASIM REHMAN MD | ||||||||||||||
| BOARD MEMBER | 616452 | 0 | 248067 | 0 | 2360 | 0 | 74065 | 0 | 15462 | 0 | 956406 | 0 | 0 | 0 |
| ASEM RIMAWI MD | ||||||||||||||
| BOARD MEMBER | 324222 | 0 | 138322 | 0 | 1376 | 0 | 42533 | 0 | 20309 | 0 | 526762 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | PART III | PART I, LINE 3: ST. MARY'S HEALTH, INC., A RELATED ORGANIZATION OF ST. MARY'S OHIO VALLEY HEARTCARE, LLC, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| SUPPLEMENTAL INFORMATION | PART III | 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(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. 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 (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | EFFECTIVE JULY 1, 2012, ST. MARY'S MEDICAL GROUP, LLC REPLACED ST. MARY'S HEALTH, INC. AS THE SOLE MEMBER OF ST. MARY'S OHIO VALLEY HEARTCARE, LLC. ST. MARY'S HEALTH, INC. IS THE SOLE MEMBER OF ST. MARY'S MEDICAL GROUP, LLC. | |
| FORM 990, PART VI, SECTION A, LINE 6 | ST. MARY'S OHIO VALLEY HEARTCARE, LLC HAS A SINGLE CORPORATE MEMBER, ST. MARY'S MEDICAL GROUP, LLC, WHOSE SOLE MEMBER IS ST. MARY'S HEALTH, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | ST. MARY'S OHIO VALLEY HEARTCARE, LLC HAS A SINGLE CORPORATE MEMBER, ST. MARY'S MEDICAL GROUP, LLC, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. MARY'S OHIO VALLEY HEARTCARE, LLC. | |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. MARY'S OHIO VALLEY HEARTCARE, LLC'S FINANCIAL INFORMATION OR COPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ST. MARY'S MEDICAL GROUP, LLC. | |
| FORM 990, PART VI, SECTION B, LINE 11 | ST. MARY'S HEALTH, INC.'S FINANCE COMMITTEE REVIEWS THE FORM 990 IN MARCH UPON RECEIVING DIRECTION FROM ITS TAX PREPARER. THE FORM 990 IS THEN SENT TO THE GOVERNING BODY IN APRIL TO ALLOW FOR A THOROUGH REVIEW BY THE GOVERNING BODY PRIOR TO THE FILING DATE OF MAY 15TH. THE GOVERNING BODY WILL REVIEW THE FORM 990 VIA A SECURE WEB-BASED PORTAL AND ASK ANY QUESTIONS REGARDING THE FORM 990. ANY QUESTIONS AND RESPONSES WILL BE POSTED TO THE WEB-BASED PORTAL BEFORE THE RETURN IS FILED. ALL QUESTIONS AND RESPONSES WILL BE REVIEWED AND DISCLOSED IN THE MEETING MINUTES OF THE NEXT BOARD MEETING FOLLOWING THE REVIEW OF THE FORM 990. | |
| FORM 990, PART VI, 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 COMMITTEES 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. | |
| COMPENSATION DETERMINATIONS OF ST. MARY'S OHIO VALLEY HEARTCARE, LLC'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL ARE MADE BY A COMPENSATION COMMITTEE OF ST. MARY'S 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 EXECUTIVE COMMITTEE OF THE ST. MARY'S HEALTH SYSTEM BOARD REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT WERE 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. MARY'S OHIO VALLEY HEARTCARE, LLC'S OTHER OFFICERS OR KEY EMPLOYEES ARE MADE BY A COMPENSATION COMMITTEE OF ST. MARY'S 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 EXECUTIVE COMMITTEE OF THE ST. MARY'S HEALTH SYSTEM BOARD 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. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. | ||
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. | |
| FORM 990, PART IX, LINE 11G | MEDICAL FEES: PROGRAM SERVICE EXPENSES 1,417,175. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,417,175. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | FAS 158 PENSION LIABILITY 588. ASSET TRANSFER TO ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. -24,193. | CHANGES IN NET ASSETS OR FUND BALANCES: |
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 SETON SPECIALTY HOSPITAL INC | ||||||||||
| 8050 TOWNSHIP LINE ROAD | INDIANAPOLIS | IN | 46260 | 351712001 | LONG TERM CARE 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 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 | 0 | 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 | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST MARY'S HEALTH INC | ||
| P | 489056 | FMV OF SERVICES OR CASH |
| ST MARY'S MEDICAL CENTER OF EVANSVILLE INC | ||
| C | 4605000 | FMV OF SERVICES OR CASH |
| ST MARY'S MEDICAL CENTER OF EVANSVILLE INC | ||
| P | 2492502 | FMV OF SERVICES OR CASH |
| ST MARY'S MEDICAL CENTER OF EVANSVILLE INC | ||
| Q | 79750 | FMV OF SERVICES OR CASH |