ST MARYS HEALTH INC DBA ASCENSION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ST MARYS HEALTH INC DBA ASCENSION (EIN 35-0869065)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201321349349300952
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T08:18:34-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	350869065	EIN

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)
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	KIMBERLY A HODGKINSON	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	8124854178	Phone
Date Signed	2013-05-14	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	2013-05-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	TIMOTHY A FLESCH	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	471276586	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.STMARYS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1941	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	DEDICATED TO SPIRITUALLY CENTERED CARE, WHICH IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	4139	TotalNbrEmployees
Total Nbr Volunteers	534	TotalNbrVolunteers
Total Gross UBI	626431	TotalGrossUBI
Net Unrelated Business Txbl Income	-189712	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2585816	ContributionsGrantsPriorYear
Contributions Grants Current Year	2307954	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	415910900	ProgramServiceRevenuePriorYear
Program Service Revenue CY	438394746	ProgramServiceRevenueCY
Investment Income Prior Year	29164557	InvestmentIncomePriorYear
Investment Income Current Year	18374856	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9482897	OtherRevenuePriorYear
Other Revenue Current Year	11772892	OtherRevenueCurrentYear
Total Revenue Prior Year	457144170	TotalRevenuePriorYear
Total Revenue Current Year	470850448	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2075000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2911410	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	195032250	SalariesEtcPriorYear
Salaries Etc Current Year	191033245	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1061702	TotalFundrsngExpCurrentYear
Other Expense Prior Year	219507052	OtherExpensePriorYear
Other Expenses Current Year	209550523	OtherExpensesCurrentYear
Total Expenses Prior Year	416614302	TotalExpensesPriorYear
Total Expenses Current Year	403495178	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	40529868	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	67355270	RevenuesLessExpensesCY
Total Assets BOY	539725133	TotalAssetsBOY
Total Assets EOY	567651870	TotalAssetsEOY
Total Liabilities BOY	215891923	TotalLiabilitiesBOY
Total Liabilities EOY	221969770	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	323833210	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	345682100	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	DEDICATED TO SPIRITUALLY CENTERED CARE, WHICH IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	309651314	Expense
Grants	2911410	Grants
Revenue	446824100	Revenue
Description	ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. (SMMC) PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES SERVING VANDERBURGH AND CONTIGUOUS COUNTIES AND PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2012, SMMC TREATED 17,126 INPATIENTS IN THE COMMUNITY FOR A TOTAL OF 84,243 PATIENT DAYS OF SERVICE. SMMC ALSO PROVIDED SERVICES TO 666,604 OUTPATIENTS, INCLUDING 4,699 INPATIENT SURGERY PATIENTS, 54,167 EMERGENCY ROOM VISITS, 244,264 PHYSICIAN OFFICE VISITS, AND 102,644 CLINIC VISITS. SEE SCHEDULE H AND O FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	37225322	Expense
Description	SMMC PROVIDES A SUBSTANTIAL PORTION OF ITS CORE HEALTH SERVICES TO THE POOR, UNINSURED, OR UNDERINSURED AND HAS PROACTIVELY TAKEN STEPS TO ADDRESS ACCESSIBILITY, AND THE FINANCING, AND DELIVERY OF HEALTHCARE TO THE UNDERSERVED. DURING THE FISCAL YEAR ENDING JUNE 30, 2012, THE UNREIMBURSED COST OF FREE OR DISCOUNTED SERVICES PROVIDED TO PATIENTS WHO ARE DEEMED INDIGENT UNDER STATE, COUNTY, OR HOSPITAL GUIDELINES WAS $37,225,322, WHICH INCLUDED $22,392,733 OF TRADITIONAL FINANCIAL ASSISTANCE AND $14,832,589 IN UNPAID COSTS OF CARE FOR THOSE QUALIFYING FOR MEDICAID OR OTHER PUBLIC PROGRAMS FOR THE POOR. SEE SCHEDULE H AND O FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1235120	Expense
Description	IN ADDITION TO CORE MEDICAL SERVICES, SMMC AND COMMUNITY PARTNERS ASSESS COMMUNITY ASSETS AND NEEDS AND WORK TOGETHER TO ADDRESS ISSUES IMPACTING HEALTH AND QUALITY OF LIFE, WITH SPECIAL EMPHASIS ON THE POOR AND VULNERABLE. IN FISCAL YEAR 2012, SMMC PROVIDED $1,235,120 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, SMMC PROVIDED A TOTAL COMMUNITY BENEFIT OF $38,460,442 IN FISCAL YEAR 2012.) SMMC SERVES AND SUPPORTS ITS COMMUNITY THROUGH SUCH PROGRAMS AS SUPPORT GROUPS, PUBLIC HEALTH SCREENINGS, AND NUTRITION COUNSELING. SEE SCHEDULE H AND O FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	348111756	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	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	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	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	332	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4139	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
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	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	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	1	CompensationProcessCEO
Compensation Process Other	1	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	KIMBERLY A HODGKINSON	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
SISTER XAVIER BALLANCE DC
CHAIR	2.00	X	X	0	0	0
RITA EYKAMP
BOARD MEMBER	2.00	X		0	0	0
MICHAEL HERRELL MD
SECRETARY	2.00	X	X	0	0	0
RONALD D ROMAIN
TREASURER	2.00	X	X	0	0	0
GREG C DONALDSON
BOARD MEMBER	2.00	X		0	0	0
PRASAD V GADE MD
BOARD MEMBER	2.00	X		0	0	0
TERRENCE J KEATING
BOARD MEMBER	2.00	X		0	0	0
MARK LEMOND
BOARD MEMBER	2.00	X		0	0	0
DANIEL SCHENK PHD
BOARD MEMBER	2.00	X		0	0	0
MARIE BUSSING-BURKS
BOARD MEMBER	2.00	X		0	0	0
MICHAEL R HINTON
VICE CHAIR	2.00	X	X	0	0	0
JOSEPH O MURDOCK
BOARD MEMBER	2.00	X		0	0	0
SUSAN HARDWICK
BOARD MEMBER	2.00	X		0	0	0
LAWRENCE J KREMER
BOARD MEMBER	2.00	X		0	0	0
PHILLIP L STIVER MD
BOARD MEMBER	2.00	X		0	0	0
TIMOTHY FLESCH
PRESIDENT/CEO	65.00	X	X	1175690	0	66599
JOHN E POLIN JR MD
PHYSICIAN/BOARD MEMBER	60.00	X		184167	0	58621
SHARON KAZEE
BOARD MEMBER	2.00	X		0	0	0
SISTER SHARON RICHARDT DC
BOARD MEMBER	2.00	X		0	0	0
DARCY ELLISON
SR VP/CNO	65.00			349902	0	85631	X
JOHN GALLAGHER
SR VP/CMO	60.00			446751	0	82264	X
GWEN SANDEFUR
SR VP/SYSTEM DEVELOPMENT	65.00			372781	0	48407	X
MICHAEL S KLUEH
CRO	55.00			204262	0	68352	X
BARBARA K CLAYTON
VP MANAGED CARE	55.00			225337	0	19852	X
GERALD F VOZEL
VP REG OP SERVICES	60.00			209349	0	4768	X
KIMBERLY A HODGKINSON
SR VP/CFO	65.00			193568	0	32726	X
TOM LILLY
SR VP/SUPPORT OPERATIONS	65.00			201305	0	48572	X
MUREENA TURNQUEST-WELLS MD
PHYSICIAN	40.00			623454	0	92154		X
ALLISON R MELTON MD
PHYSICIAN	40.00			583140	0	40043		X
HEATHER L SCHROEDER MD
PHYSICIAN	40.00			631554	0	27354		X
VIJAY K BHASIN MD
PHYSICIAN	40.00			810718	0	28925		X
CHARLES W LACKEY MD
PHYSICIAN	40.00			523736	0	35834		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6735714	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	740102	TotalOtherCompensation
Number Individuals GT100 K	182	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
AMBULATORY CARE CENTER LLC
1125 PROFESSIONAL BLVD	EVANSVILLE	IN	47714	MEDICAL SERVICES	25104686
TRIMEDX
PO BOX 636129	CINCINNATI	OH	45263	HEALTH CARE EQUIPMENT MANAGEMENT	2422182
AIR METHODS CORPORATION
PO BOX 172892	DENVER	CO	802172892	AIR TRANSPORT SERVICES	1449893
OHIO VALLEY HEART CARE INC
901 ST MARYS DRIVE SUITE 300	EVANSVILLE	IN	47714	MEDICAL SERVICES	1110990
ST MARY'S ACUTE DIALYSIS SERVICES
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	MEDICAL SERVICES	1054831

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	50	NumberOfContractorsGT100K
Related Organizations	2275246	RelatedOrganizations
Government Grants	32708	GovernmentGrants
Noncash Contributions	105802	NoncashContributions
Total Contributions	2307954	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OUTPATIENT SERVICE REV	621110	224170819	224170819
INPATIENT SERVICE REV	621110	214223927	214223927

Field	Value	IRS element (for citing)
Total Program Service Revenue	438394746	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	18396621	TotalRevenueColumn
Exclusion	$18,396,621	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	666236	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	402323	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	263913	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	263913	TotalRevenueColumn
Exclusion	$263,913	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	2050	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	23815	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-21765	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-21765	TotalRevenueColumn
Related Or Exempt Function Income	-21765	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA/MISC. SERV	722320	1934889	96977	$1,837,912
LAB SERVICES	621500	681493	144036	$537,457
MGMT/DIRECTOR FEES	561000	500907	336814		164093

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8391690	TotalRevenueColumn
Related Or Exempt Function Income	8287026	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	48604	UnrelatedBusinessRevenue
Exclusion	$56,060	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	11508979	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	470850448	TotalRevenueColumn
Related Or Exempt Function Income	446824100	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	626431	UnrelatedBusinessRevenue
Exclusion	$21,091,963	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2911410	Total
Program Services	2911410	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4053207	Total
Management And General	4053207	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	148396605	Total
Program Services	129356572	ProgramServices
Management And General	18520284	ManagementAndGeneral
Fundraising	519749	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1793201	Total
Program Services	1560085	ProgramServices
Management And General	233116	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	26777346	Total
Program Services	23241236	ProgramServices
Management And General	3481055	ManagementAndGeneral
Fundraising	55055	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10012886	Total
Program Services	8676621	ProgramServices
Management And General	1301675	ManagementAndGeneral
Fundraising	34590	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	347917	Total
Program Services	302688	ProgramServices
Management And General	45229	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	651314	Total
Program Services	566643	ProgramServices
Management And General	84671	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	15737036	Total
Program Services	13691221	ProgramServices
Management And General	2045815	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	104148	Total
Program Services	90573	ProgramServices
Management And General	13539	ManagementAndGeneral
Fundraising	36	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	673333	Total
Program Services	568834	ProgramServices
Management And General	87533	ManagementAndGeneral
Fundraising	16966	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	20984347	Total
Program Services	18246374	ProgramServices
Management And General	2727965	ManagementAndGeneral
Fundraising	10008	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12181068	Total
Program Services	10597127	ProgramServices
Management And General	1583539	ManagementAndGeneral
Fundraising	402	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	8203	Total
Fundraising	8203	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	622441	Total
Program Services	536572	ProgramServices
Management And General	80917	ManagementAndGeneral
Fundraising	4952	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	5152896	Total
Program Services	4483020	ProgramServices
Management And General	669876	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12286434	Total
Program Services	10677229	ProgramServices
Management And General	1609205	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1905223	Total
Program Services	1657544	ProgramServices
Management And General	247679	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	63697559	55416876	8280683
SUPPLIES	61253747	53290760	7962987
COST OF GOODS SOLD	6147614	5348424	799190
PROVIDER TAX EXPENSE	5152896	5152896

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2644347	Total
Program Services	1739051	ProgramServices
Management And General	493555	ManagementAndGeneral
Fundraising	411741	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	403495178	Total
Program Services	348111756	ProgramServices
Management And General	54321720	ManagementAndGeneral
Fundraising	1061702	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	13995795	BOY
EOY	4387544	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	57839011	BOY
EOY	54931619	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1256556	BOY
EOY	957935	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4666428	BOY
EOY	5409364	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3024625	BOY
EOY	2567499	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	348229408	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	260125187	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	85937281	BOY
EOY	88104221	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	69136	BOY
EOY	48701	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	94349	BOY
EOY	33988	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	372841952	BOY
EOY	411210999	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	539725133	BOY
EOY	567651870	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	44283192	BOY
EOY	38839540	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	171608731	BOY
EOY	183130230	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	215891923	BOY
EOY	221969770	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	323833210	BOY
EOY	345682100	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	323833210	BOY
EOY	345682100	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	539725133	BOY
EOY	567651870	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	67355270	ReconcilationRevenueExpenses
Reconcilation Other Changes	-45506380	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$3,479	OtherActivitiesAmount
Total Lobbying Expenditures IIB	3479	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9948022	OtherCostOrOtherBasis
Book Value	9948022	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	162035291	OtherCostOrOtherBasis
Depreciation	121789426	Depreciation
Book Value	40245865	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10511622	OtherCostOrOtherBasis
Depreciation	3592204	Depreciation
Book Value	6919418	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	149689186	OtherCostOrOtherBasis
Depreciation	120807622	Depreciation
Book Value	28881564	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16045287	OtherCostOrOtherBasis
Depreciation	13935935	Depreciation
Book Value	2109352	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	88104221	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
INTERCOMPANY RECEIVABLES	7006432
OTHER RECEIVABLES	4555463
DEFERRED COMPENSATION ASSET	4763812
ESTIMATED SETTLEMENTS FROM THIRD PARTIES	9022863
PHYSICIAN GUARANTEES ASSET	15720718
OTHER CURRENT ASSETS	54231
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE	370087480

Field	Value	IRS element (for citing)
Total Book Value Other Assets	411210999	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (11 entries)

DescriptionDescription	AmountAmount
PENSION LIABILITY	$12,355,766
DEFERRED COMPENSATION	$4,763,812
SELF INSURANCE LIABILITY	$1,090,283
ESTIMATED SETTLEMENT LIABILITY	$5,527,105
AH SAVINGS LIABILITY	$538,775
INTERCOMPANY PAYABLES	$1,587,555
OTHER CURRENT LIABILITIES	$38,705
VALUATION ALLOWANCE	$2,476,423
DEFERRED RENT PAYABLE	$565,750
PHYSICIAN GUARANTEE LIABILITY	$15,720,718
INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE	$138,465,338

Field	Value	IRS element (for citing)
Total Of Amounts	183130230	TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (5 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
NORTH AMERICA	PROGRAM SERVICES	LICENSES, PERMITS	2659
NORTH AMERICA	PROGRAM SERVICES	PATIENT-INSURANCE PROVIDER REFUND	4
NORTH AMERICA	PROGRAM SERVICES	INVENTORY- SURGERY	1650
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	MISC DUES	255
NORTH AMERICA	PROGRAM SERVICES	MEDICAL SUPPLIES	20245

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	24813	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	24813	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22392733	TotalCommunityBenefitExpense
Net Community Benefit Expense	22392733	NetCommunityBenefitExpense
Percent Of Total Expense	0.05550	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58399854	TotalCommunityBenefitExpense
Direct Offsetting Revenue	43567265	DirectOffsettingRevenue
Net Community Benefit Expense	14832589	NetCommunityBenefitExpense
Percent Of Total Expense	0.03680	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	80792587	TotalCommunityBenefitExpense
Direct Offsetting Revenue	43567265	DirectOffsettingRevenue
Net Community Benefit Expense	37225322	NetCommunityBenefitExpense
Percent Of Total Expense	0.09230	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	1025623	PersonsServed
Total Community Benefit Expense	1025623	TotalCommunityBenefitExpense
Direct Offsetting Revenue	493777	DirectOffsettingRevenue
Net Community Benefit Expense	531846	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	406479	TotalCommunityBenefitExpense
Net Community Benefit Expense	406479	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	30486	PersonsServed
Total Community Benefit Expense	296006	TotalCommunityBenefitExpense
Net Community Benefit Expense	296006	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	1056109	PersonsServed
Total Community Benefit Expense	1728108	TotalCommunityBenefitExpense
Direct Offsetting Revenue	493777	DirectOffsettingRevenue
Net Community Benefit Expense	1234331	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	1056109	PersonsServed
Total Community Benefit Expense	82520695	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44061042	DirectOffsettingRevenue
Net Community Benefit Expense	38459653	NetCommunityBenefitExpense
Percent Of Total Expense	0.09530	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	42	PersonsServed
Total Community Building Expense	789	TotalCommunityBuildingExpense
Net Community Building Expense	789	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	42	PersonsServed
Total Community Building Expense	789	TotalCommunityBuildingExpense
Net Community Building Expense	789	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	-$1,792,717	BadDebtExpenseAmount
Amount Attributable To	-179282	AmountAttributableTo
Amount Reimbursed By Medicare	113769315	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	143566924	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-29797609	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 ST MARY'S PERIPHERAL VASCULAR SERVICES MANAGEMENT COMPANY LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	MANAGEMENT	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL CENTER OF EVA INC	BusinessNameLine1

Address Address

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)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL CENTER OF EVA INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	48	NumberOfOtherFacilities

Other Facilities OtherFacilities (48 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ST MARY'S SURGICARE
300 CIRCLE FRONT DRIVE	EVANSVILLE	IN	47715	GENERAL SURGICAL CENTER
ST MARY'S SURGICARE
1125 PROFESSIONAL BLVD	EVANSVILLE	IN	47714	GENERAL SURGICAL CENTER
ST MARY'S PARTNERS IN WOMENS HEALTH
3700 WASHINGTON AVENUE SUITE 2200	EVANSVILLE	IN	47750	OBSTETRICS/GYNECOLOGY
ST MARY'S FOR WOMEN
711 ST MARYS DRIVE	EVANSVILLE	IN	47750	OBSTETRICS/GYNECOLOGY
ST MARY'S NEPHROLOGY ASSOCIATES
1312 PROFESSIONAL DRIVE SUITE 200	EVANSVILLE	IN	47714	SPECIALITY CARE FACILITY
ST MARY'S MATERNAL-FETAL MEDICINE
3700 WASHINGTON AVENUE SUITE 2100A	EVANSVILLE	IN	47750	OBSTETRICS/GYNECOLOGY
ST MARY'S CONVENIENT CARE EAST
10444 SR 66 FRONTAGE ROAD NORTH	NEWBURGH	IN	47630	PRIMARY CARE FACILITY
ST MARY'S NORTHBROOK
3838 N FIRST AVENUE	EVANSVILLE	IN	47710	PRIMARY CARE FACILITY
ST MARY'S REHAB
3900 WASHINGTON AVENUE	EVANSVILLE	IN	47714	INPATIENT REHAB CENTER
ST MARY'S HEBRON PEDIATRICS
7220 E VIRGINIA STREET	EVANSVILLE	IN	47715	PEDIATRICS
ST MARY'S AT HOME
6840 LOGAN DRIVE SUITE E	EVANSVILLE	IN	47711	DURABLE MEDICAL EQUIPMENT SUPPLY
ST MARY'S OUTPATIENT REHAB
1144 WASHINGTON SQUARE	EVANSVILLE	IN	47715	OUTPATIENT REHAB CLINIC
ST MARY'S PHYSICIANS HEALTH GROUP
3801 BELLEMEADE AVENUE SUITE 200C	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY
ST MARY'S WEST SIDE CONNECTION
2345 W FRANKLIN STREET	EVANSVILLE	IN	47712	PRIMARY CARE FACILITY
ST MARY'S PULMONARY CARE
901 ST MARYS DRIVE	EVANSVILLE	IN	47750	SPECIALITY CARE FACILITY
ST MARY'S FOR CHILDREN
3900 WASHINGTON AVENUE	EVANSVILLE	IN	47714	CHILDREN'S HEALTH FACILITY
ST MARY'S CONVENIENT CARE - WEST
5320 WESTON ROAD	EVANSVILLE	IN	47712	PRIMARY CARE FACILITY
ST MARY'S INTEGRITY FAMILY PHYSICIANS
801 ST MARYS DRIVE SUITE 505 E	EVANSVILE	IN	47715	PRIMARY CARE FACILITY
ST MARY'S PHYSICIANS HEALTH GROUP
3801 BELLEMEADE AVENUE SUITE 200E	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY
ST MARY'S OCCMED
2330 LYNCH ROAD	EVANSVILLE	IN	47711	OCCUPATIONAL MEDICINE CLINIC
ST MARY'S PHYSICIANS OFFICES
2522 WATERBRIDGE WAY	EVANSVILLE	IN	47712	PRIMARY CARE FACILITY
ST MARY'S PHYSICIANS HEALTH GROUP
8077 ROSE HILL DRIVE	NEWBURGH	IN	47630	PRIMARY CARE FACILITY
ST MARY'S IM OF DUBOIS COUNTY
751 W NINTH STREET	JASPER	IN	47546	PRIMARY CARE FACILITY
ST MARY'S PHYSICIANS OFFICES
801 ST MARYS DRIVE SUITE 110-E	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY
ST MARY'S OBGYN
7839 S PROFESSIONAL BLVD	FORT BRANCH	IN	47648	OBSTETRICS/GYNECOLOGY
ST MARY'S PHYSICIANS HEALTH GROUP
3801 BELLEMEADE AVENUE SUITE 200B	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY
ST MARY'S SLEEP DISORDERS CENTER
3700 WASHINGTON AVENUE 3RD FLOOR	EVANSVILLE	IN	47714	SPECIALITY CARE FACILITY
ST MARY'S PHYSICIANS HEALTH GROUP
3801 BELLEMEADE AVENUE SUITE 200A	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY
ST MARY'S HUNTINGBURG PHYSICIAN OFFICE
7240 S US 231	HUNTINGBURG	IN	47542	PRIMARY CARE FACILITY
ST MARY'S IMAGING AND LAB
1138 WASHINGTON SQUARE	EVANSVILLE	IN	47715	IMAGING SERVICES/RADIOLOGY
ST MARY'S LYNNVILLE PHYSICIAN OFFICE
12067 SPURGEON ROAD	LYNNVILLE	IN	47619	PRIMARY CARE FACILITY
ST MARY'S ELBERFELD PHYSICIAN OFFICE
110 W SYCAMORE STREET	ELBERFELD	IN	47613	PRIMARY CARE FACILITY
ST MARY'S ROCKPORT PHYSICIAN OFFICE
105 S SECOND STREET	ROCKPORT	IN	47635	PRIMARY CARE FACILITY
ST MARY'S PHYSICIANS HEALTH GROUP
835 S 9TH AVENUE	HAUBSTADT	IN	47639	PRIMARY CARE FACILITY
ST MARY'S PHYSICIAN OFFICE
801 ST MARYS DRIVE SUITE 302-E	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY
ST MARY'S WEST SIDE X-RAY
2345 W FRANKLIN STREET	EVANSVILLE	IN	47712	IMAGING SERVICES/RADIOLOGY
ST MARY'S PHYSICIAN OFFICE
3700 BELLEMEADE AVENUE SUITE 121	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY
ST MARY'S BOONVILLE PHYSICIAN OFFICE
1116 MILLIS AVENUE	BOONVILLE	IN	47601	PRIMARY CARE FACILITY
ST MARY'S WEIGHT MANAGEMENT CENTER
950 S KENMORE	EVANSVILLE	IN	47714	WEIGHT MANAGEMENT FACILITY
JOSLIN DIABETES CENTER
3801 BELLEMEADE AVENUE	EVANSVILLE	IN	47714	DIABETES SERVICE CENTER
ST MARY'S RHEUMATOLOGY CARE
901 ST MARYS DRIVE SUITE 200	EVANSVILLE	IN	47714	SPECIALITY CARE FACILITY
ST MARY'S NORTH POINTE REHAB
2300 LYNCH ROAD	EVANSVILLE	IN	47711	OUTPATIENT REHAB CLINIC
ST MARY'S PARTNERS IN WOMENS HEALTH
2000 N ELM STREET BLDG 2	HENDERSON	KY	42420	OBSTETRICS/GYNECOLOGY
ST MARY'S WOMEN'S WELLNESS CENTER
3801 BELLEMEADE AVENUE SUITE 120	EVANSVILLE	IN	47714	SPECIALITY CARE FACILITY
ST MARY'S PRE-PROCEDURE CLINIC
1140 WASHINGTON AVENUE	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY
ST MARY'S ENDOCRINOLOGY CENTER
3801 BELLEMEADE AVENUE SUITE 110	EVANSVILLE	IN	47714	SPECIALITY CARE FACILITY
ST MARY'S HEART INSTITUTE
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47714	SPECIALITY CARE FACILITY
ST MARY'S PROFESSIONAL BUILDING
1400 PROFESSIONAL BUILDING	EVANSVILLE	IN	47714	PRIMARY CARE FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 MINUMUM, PATIENTS WITH INCOMES ABOVE 200% OF THE FPL BUT NOT EXCEEDING 300% 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. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. PROMOTES THE HEALTH OF ITS COMMUNITIIES 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. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. MEETS REGULARLY WITH LOCAL ORGANIZATIONS IN THE COMMUNITY TO LEARN WHAT RESOURCES ARE AVAILABLE AND PLAN COMMUNITY HEALTH IMPROVEMENT EFFORTS. IN FISCAL YEAR 2012, THESE ORGANIZATIONS INCLUDED: UNITED WAY DAY OF CARING, BACK TO SCHOOL HEALTH BLITZ, LEADERSHIP EVANSVILLE, AND AREA 10 BOARD READINESS TASK FORCE.
PART III, LINE 4: THE ORGANIZATION IS A PART OF THE ST. MARY'S HEALTH SYSTEM OF AMERICA, INC. CONSOLIDATED AUDIT. THE PROVISION FOR BAD DEBT EXPENSE 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 UNCOLLECTIBLE 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 BAD DEBT EXPENSE TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIABLE ACCOUNTS. 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 WITH 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. THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2012 WAS ($5,790,951) AT CHARGES (-$1,792,717 AT COST).
PART III, LINE 8: ASCENSION HEALTH AND RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SURPLUS (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 AND THE FINANCIAL ASSISTANCE PROGRAM IS FOLLOWED.
PART V, SECTION B, LINE 19D: 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. MARY'S MEDICAL CENTER OF EVA, INC.
PART V, SECTION B, LINE 20: 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 13. 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 11).	ST. MARY'S MEDICAL CENTER OF EVA, INC.
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) AS NOTED IN QUESTION 13. 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 11).	ST. MARY'S MEDICAL CENTER OF EVA, INC.
THE FOLLOWING STEPS WERE FOLLOWED AND CONSIDERED REASONABLE EFFORTS FOR PURPOSES OF QUESTION 15:- 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 AS NOTED IN QUESTION 13. 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 11).	PART V, SECTION B, LINE 15:	ST. MARY'S MEDICAL CENTER OF EVA, INC:
THE FOLLOWING STEPS WERE FOLLOWED AND CONSIDERED REASONABLE EFFORTS FOR PURPOSES OF QUESTION 16:- 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 13. 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 11).	PART V, SECTION B, LINE 16:	ST. MARY'S MEDICAL CENTER OF EVA, INC:
PART VI, LINE 2: COMMUNITIES ARE DYNAMIC IN WHICH MULTIPLE FACTORS INTERACT TO IMPACT QUALITY OF LIFE AND HEALTH STATUS. AS PART OF THE ST. MARY'S HEALTH SYSTEM, THE GOAL OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. IS TO WORK WITH ITS COMMUNITY TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS. ASSESSMENTS MAY INCLUDE PRIMARY SURVEY DATA, SECONDARY DATA, FOCUS GROUP INPUT, COMMUNITY LEADERS' SURVEY AND OTHER DATA. RESULTS ARE MADE AVAILABLE TO ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY. THESE NEEDS ASSESSMENTS ARE ALSO UTILIZED IN CREATING THE HOSPITAL'S INTEGRATED STRATEGIC FINANCIAL AND OPERATIONAL PLAN. TO THAT END, ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. HAS BROUGHT TOGETHER A COMMUNITY ROUNDTABLE WITH THE PURPOSE OF DETERMINING THE RESOURCES AND NEEDS, PRIORITIZING ACTION AND WORKING IN PARTNERSHIP TO ADDRESS IDENTIFIED CHALLENGES WITHIN A DESIGNATED AREA SURROUNDING THE HOSPITAL. ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. ALSO IDENTIFIES COMMUNITY HEALTH NEEDS BY EMPLOYING OTHER PUBLIC AGENCY NEEDS ASSESSMENTS SUCH AS WELBORN BAPTIST FOUNDATION AND THE UNITED WAY.
PART VI, LINE 3: ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. COMMUNICATES WITH PATIENTS IN MULTIPLE WAYS TO ENSURE THAT THOSE WHO ARE BILLED FOR SERVICES ARE AWARE OF THE HOSPITAL'S CHARITY CARE PROGRAM AS WELL AS THEIR POTENTIAL ELIGIBILITY FOR LOCAL, STATE OR FEDERAL PROGRAMS. SIGNS ARE PROMINENTLY POSTED IN EACH SERVICE AREA. 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. ALL SELF-PAY PATIENTS RECEIVE A 15% DISCOUNT OFF THE TOP ON ALL CHARGES BEFORE STATEMENTS ARE MAILED.
PART VI, LINE 4: ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. IS LOCATED IN EVANSVILLE, INDIANA AND SERVES VANDERBURGH AND CONTINGUOUS COUNTIES IN SOUTHERN INDIANA AND NORTH-CENTRAL KENTUCKY. THE PRIMARY SERVICE AREA IS DEFINED AS VANDERBURGH, WARRICK AND POSEY COUNTIES. THE POPULATION FOR THE PRIMARY SERVICE AREA WAS 279,998 IN 2012. ALSO THE MEDIAN INCOME FOR THE PRIMARY SERVICE AREA WAS $51,026 FOR 2012 WITH 19% OF CHILDREN BELOW POVERTY LEVEL.
PART VI, LINE 5: TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO ALL PERSON IN THE COMMUNITY, AND IN KEEPING WITH ITS NOT-FOR-PROFIT STATUS, ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC.:- DELIVERS PATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT SERVICES AND URGENT CARE SITES, 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 TO THE POOR AND ELDERLY. APPLICATION EVENTS ARE HELD AS WELL AS FOLLOW UP ASSISTANCE FOR INSURANCE.- HEALTH ACCESS ADVOCATES ("HAA") ARE COMMUNITY BASED STAFF WHOSE PRIMARY ROLE IS TO SIGN CHILDREN UP FOR HOOSIER HEALTHCARE INSURANCE. THEY CAN DO THIS BY ASSISTING FAMILIES IN APPLYING FOR HOOSIER HEALTHCARE INSURANCE HERE IN THE OFFICE, IN THE COMMUNITY, OR AT THE PATIENT'S HOME. DURING THIS PROCESS, THEY CAN ALSO ASSIST FAMILIES WITH BASIC NEEDS SUCH AS FOOD, SHELTER AND CLOTHING. THE ADVOCATES CAN ALSO ASSIST ADULTS WITH APPLYING FOR MEDICAID, HEALTHY INDIANA PLAN, AND OTHER RESOURCES SUCH AS PHARMACEUTICAL APPLICATIONS FOR THOSE WHO QUALIFY. HAA WILL AT TIMES TRANSPORT PATIENTS TO NECESSARY APPOINTMENTS. ADDITIONALLY, HAA PROVIDES ASSISTANCE TO THE LATINO POPULATION BY PROVIDING A BI-LINGUAL ASSOCIATE. THIS ASSOCIATE SPEARHEADS A CERTIFIED MEDICAL INTERPRETER TRAINING PROGRAM THROUGH THE BRIDGING THE GAP PROGRAM. - IS GOVERNED BY A BOARD IN WHICH INDEPENDENT COMMUNITY MEMBERS COMPRISE A MAJORITY- CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS AND HOLDS MEMBERSHIP ON OTHER PUBLIC AGENCY BOARDS TO ENHANCE WELL BEING OF THE COMMUNITY IN PARTNERSHIP PROGRAMS- PROVIDES DENTAL SERVICES FOR PRIMARY SERVICE AREA WITH MOBILE DENTAL FOR KIDS CLINIC- NUTRITION COUNSELING IS PROVIDED TO THE COMMUNITY AND SPECIFICALLY AREA SCHOOLS AND YOUTH GROUPS, SUCH AS FOOD PYRAMID PROGRAMS, STAFF HEALTH FAIR, ETC- COMPLIMENTARY THERAPIES INCLUDING MASSAGES, YOGA CLASSES, STRESS REDUCTION CLASSES AT HOPE RESOURCE CENTER FOR CANCER PATIENTS AND SURVIVORS.- MALL WALKING PROGRAMS AND MONTHLY BLOOD PRESSURE SCREENINGS AT LOCAL MALL- CHRISTMAS PROGRAMS FOR THE POOR: GREAT EXPECTATIONS. AREA FAMILIES ARE IDENTIFIED FROM LOCAL GROUPS SUCH AS UNITED WAY, CHURCHES, AND THE SCHOOL SYSTEMS, AS NEEDING ASSISTANCE WITH CHRISTMAS. ASSOCIATES OF ST. MARY'S GIVE MONIES, FOOD, CLOTHING, TOYS, ETC. TO FAMILIES IN NEED EACH YEAR. - AUTISM VISIT WITH SANTA- WNIN KIDS DAY - MOBILE DENTAL KARE LAB- CPR CLASSES GIVEN AT LOCAL DAYCARES AND SCHOOLS- JOSLIN AND DIABETIC FOOT CLINIC - LECTURES, CLASSES, EXERCISE INSERVICES.- SAFESITTERS EDUCATION FOR TEENAGERS PREPARING TO TAKE CARE OF YOUNG CHILDERN, TODDLERS, AND INFANTS- ST. MARY'S NIGHTS AT CHILDREN'S MUSEUM OF EVANSVILLE.- YOUTH FIRST RETREATS- AMERICAN RED CROSS BLOOD DRIVES- AMBULANCE, REHAB, AND MISC. BILLINGS PAID FOR PATIENTS- PATIENT CARE FOR NON-PROFIT ECHO CLINIC- TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES - MEAL TICKETS FOR PATIENT FAMILIES
PART VI, LINE 6: AS A PART OF ST. MARY'S HEALTH SYSTEM OF AMERICA, INC., ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. IS DEDICATED TO IMPROVING THE HEALTH STATUS AND QUALITY OF LIFE FOR THE COMMUNITIES IT SERVES. WHILE DESIGNATED ASSOCIATES AT ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. DEVOTE ALL OR SIGNIFICANT PORTIONS 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. MARY'S HEALTH COMMUNITY DEVELOPMENT AND SERVICE 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. MARY'S HEALTH IN WHICH ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. PARTICIPATES.
IN	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ST MARY'S OHIO VALLEY HEARTCARE LLC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	273474697	501(C)(3)	2500000	OPERATING GRANT
ST MARY'S PHYSICIAN NETWORK LLC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	205023387	501(C)(3)	360000	OPERATING GRANT
ST MARY'S MEDICAL CENTER FOUNDATION INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	237045370	501(C)(3)	51410	OPERATING GRANT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: ONE PERSON OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC., IS RESPONSIBLE FOR RESEARCHING AND COORDINATING GRANT PROPOSALS. THIS PERSON IS ALSO RESPONSIBLE FOR ENSURING THAT TIMELY REPORTS ARE SENT TO THE GRANTOR. THE CHIEF EXECUTIVE OF THE ENTITY OPERATIONS REVIEWS AND APPROVES ALL THE EXPENDITURES FROM THE GRANT FUNDS, ENSURING THEY ARE WITHIN THE GUIDELINES OF THE GRANT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
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 (15 entries)

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
TIMOTHY FLESCH
482010	0	631246	0	62434	0	39114	0	27485	0	1242289	0	0	0
JOHN E POLIN JR MD
140273	0	2500	0	41394	0	40815	0	17806	0	242788	0	0	0
DARCY ELLISON
234660	0	41424	0	73818	0	62096	0	23535	0	435533	0	0	0
JOHN GALLAGHER
288551	0	81395	0	76805	0	56948	0	25316	0	529015	0	0	0
GWEN SANDEFUR
318830	0	48877	0	5074	0	19559	0	28848	0	421188	0	0	0
MICHAEL S KLUEH
169488	0	27044	0	7730	0	49393	0	18959	0	272614	0	0	0
BARBARA K CLAYTON
154444	0	29278	0	41615	0	3984	0	15868	0	245189	0	0	0
GERALD F VOZEL
180840	0	6543	0	21966	0	0	0	4768	0	214117	0	0	0
KIMBERLY A HODGKINSON
185064	0	0	0	8504	0	2730	0	29996	0	226294	0	0	0
TOM LILLY
157380	0	25150	0	18775	0	24498	0	24074	0	249877	0	0	0
MUREENA TURNQUEST-WELLS MD
506033	0	47865	0	69556	0	66233	0	25921	0	715608	0	0	0
ALLISON R MELTON MD
514981	0	10625	0	57534	0	17158	0	22885	0	623183	0	0	0
HEATHER L SCHROEDER MD
566015	0	9063	0	56476	0	5433	0	21921	0	658908	0	0	0
VIJAY K BHASIN MD
734958	0	0	0	75760	0	5775	0	23150	0	839643	0	0	0
CHARLES W LACKEY MD
419034	0	16667	0	88035	0	30518	0	5316	0	559570	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 4B	ReturnReference
Explanation	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. JOHN T GALLAGHER, MD $73,565 VIJAY K. BHASIN $42,896 DARCY ELLISON $33,078 CHARLES W. LACKEY $41,262	Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	MEDICAL EQUIP AND VEHICLES	Description
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	105802	NoncashContribsRptdF990
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART IV, LINE 24A:	ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. IS A HEALTH FACILITY THAT IS PART OF THE ASCENSION HEALTH SYSTEM. ASCENSION HEALTH IS THE BORROWER FOR TAX-EXEMPT HOSPITAL REVENUE BONDS. ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. HOLDS AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET.
FORM 990, PART VI, SECTION A, LINE 6	ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. HAS A SINGLE CORPORATE MEMBER, ST. MARY'S HEALTH SYSTEM OF AMERICA, INC.
FORM 990, PART VI, SECTION A, LINE 7A	ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. HAS A SINGLE CORPORATE MEMBER, ST. MARY'S HEALTH SYSTEM OF AMERICA, INC. WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC.
FORM 990, PART VI, SECTION A, LINE 7B	ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ST. MARY'S HEALTH SYSTEM OF AMERICA, INC.
FORM 990, PART VI, SECTION B, LINE 11	ST. MARY'S HEALTH SYSTEM OF AMERICA, 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.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION DETERMINATIONS OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC.'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL ARE MADE BY A COMPENSATION COMMITTEE OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. AND/OR ST. MARY'S HEALTH SYSTEM OF AMERICA, 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 MEDICAL OF EVANSVILLE, INC.'S OTHER OFFICERS OR KEY EMPLOYEES ARE MADE BY A COMPENSATION COMMITTEE OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. AND/OR ST. MARY'S HEALTH SYSTEM OF AMERICA, 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 VI, LINE 16B:	ST. MARY'S HEALTH SYSTEM OF AMERICA, INC. AND SUBSIDIARES (ST. MARY'S) JOINT VENTURE OPERATING AGREEMENTS ARE NEGOTIATED WITH OTHER MEMBERS OF THE JOINT VENTURE TO ENSURE THAT ADEQUATE SAFEGUARDS ARE IN PLACE TO PROTECT ST. MARY'S EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH A FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. ST. MARY'S CONTINUALLY ENSURES THAT ITS EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL ST. MARY'S JOINT VENTURES.
FORM 990, PART VII, LINE 1A, COLUMN B:	OFFICERS, DIRECTORS, KEY EMPLOYEES OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. PROVIDE SERVICES TO ST. MARY'S HEALTH SYSTEM OF AMERICA, INC. AND AFFILIATES. HOURS WORKED ARE NOT TRACKED SEPARATELY FOR EACH ENTITY. THEREFORE, HOURS FOR ALL INDIVIDUALS REPORTED ON FORM 990, PART VII, COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS REPRESENT AGGREGATE HOURS WORKED PER WEEK FOR ALL ENTITIES.
FORM 990, PART VII, LINE 1A, COLUMNS D, E, AND F:	OFFICERS OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. PROVIDE SERVICES TO ST. MARY'S HEALTH SYSTEM OF AMERICA, INC. AND ITS AFFILIATES. COMPENSATION IS NOT REPORTED SEPARATELY BY ENTITY. THEREFORE, COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII, COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES REPRESENT COMPENSATION PAID FOR MANAGING ST. MARY'S HEALTH SYSTEM OF AMERICA, INC. AND ALL RELATED ENTITIES.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -24,847,430. BOND REDEMPTION -119,879. NY DEBT OBLIGATION -417,000. PROJECT SYMPHONY -6,871,807. FAS 158 PENSION -20,685,428. ASSET TRANSFER TO ST. MARY'S PHYSICIAN NETWORK, LLC 1,003,071. ASSET TRANSFER TO PRIMARY PHYSICIAN NETWORK, LLC 2,255,093. NET ASSET TRANSFER- ST. MARY'S MEDICAL GROUP 217,000. INTERCOMPANY LOAN TRANSFER - ST. MARY'S PHYSICIAN NETWORK, LLC 3,690,000. INTERCOMPANY LOAN TRANSFER - PRIMARY PHYSICIAN NETWORK, LLC 270,000. TOTAL TO FORM 990, PART XI, LINE 5: -45,506,380.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART I, LINE 6:	THE TOTAL NUMBER OF VOLUNTEERS FOR THIS ORGANIZATION IS 534. THIS CONSISTS OF VOLUNTEERS SERVING ON THE BOARD OF DIRECTORS, AS WELL AS OTHER VOLUNTEERS WHO ARE HIGHLY VISABLE THROUGHOUT THE HOSPITAL. THEY GIVE THEIR TIME AND TALENT TO THE FOLLOWING DEPARTMENTS AND HOSPITAL NEEDS: ST. MARY'S GIFT SHOP, LIBRARY, SAME DAY SURGERY, PATIENT MAIL DELIVERY, PATIENT FLOWER DELIVERY, DIABETIC FOOT CLINIC, SECURITY-SHUTTLE SERVICE, ADMIT/ESCORT SERVICE, PEDIATRICS, RADIOLOGY, HEALTH MATTERS, EMERGENCY ROOM, PATIENT SURVEYS 5 CENTRAL, PATIENT SERVICES/AMBASSADORS, PASTORAL CARE, APOTHECARY, REHAB INSTITUTE, AND PET THERAPY. THE VALUE OF VOLUNTEER SERVICES PROVIDED IN FISCAL YEAR 2012 TO ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. WAS $926,426.
FORM 990, PART III, LINE 4:	AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC HEALTHCARE SYSTEM, ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES, AND SOCIETY AS A WHOLE. THE GOAL OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. IS TO PERPETUATE THE HEALING MISSION OF THE CHURCH. ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. FURTHERS THIS GOAL THROUGH DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY, AND MEDICAL RESEARCH. OUR CONCERN FOR ALL HUMAN LIFE AND DIGNITY OF EACH PERSON LEADS THE ORGANIZATION TO PROVIDE MEDICAL SERVICES TO ALL PEOPLE IN THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED BELOW: ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. IS A 494-BED ACUTE CARE HOSPITAL. ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. SERVICES THE TRI-STATE AREA AROUND SOUTHERN INDIANA, INCLUDING SOUTHEASTERN ILLINOIS, AND NORTHWESTERN KENTUCKY. ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITY. IN ADDITION TO PROVIDING HEALTH CARE SERVICES TO ALL INDIVIDUALS WHO REQUIRE MEDICAL ATTENTION, ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. HAS DEVELOPED THE FOLLOWING PROGRAMS TO HELP ACHIEVE ITS MISSION: ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC. PROVIDES SIGNIFICANT RESOURCES ONLINE FOR PUBLIC USE AND EDUCATION AT WWW.STMARYS.ORG. SUCH ITEMS INCLUDE INFORMATION ON ALLERGIES, ASTHMA, BACK PAIN, CANCER, DIABETES, HEART DISEASE, KIDNEY DISEASE, MEN'S HEALTH, ORTHOPEDIC HEALTH, MENTAL HEALTH, PARENTING, PATIENT SAFETY, PREGNANCY, SENIOR HEALTH, STRESS, STROKE, WEIGHT MANAGEMENT AND WOMEN'S HEALTH. PLEASE VISIT WWW.STMARYS.ORG FOR A FULL LIST OF SERVICES.	COMMUNITY BENEFIT REPORT

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ST MARY'S BREAST CENTER LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	351935526	MAMMOGRAPHY	IN	919860	1477316	SETON
PHYSICIANS' HEALTH GROUP LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	043679294	DISSOLVED	IN	0	0	SMMC
ST MARY'S PHYSICIANS' HEALTH GROUP LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	261356310	PHYSICIAN PRACTICE	IN	-3093234	2385048	SMMC
ST MARY'S AT WORK LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	272085003	DORMANT	IN	0	0	SETON
ST MARY'S MEDICAL GROUP LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	261356310	DORMANT	IN	0	0	SMMC

Form990 Schedule R Part II Form990ScheduleRPartII (15 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	Direct Controlling Entity NADirectControllingEntityNA
ST MARY'S AT HOME INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	351899560	DME/HOME CARE	IN	501(C)(3)	11A, I	SETON	1
ST MARY'S BUILDING CORPORATION
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	237248362	REAL ESTATE	IN	501(C)(2)		SETON	1
ST MARY'S WARRICK EMS INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	205342518	EMS	IN	501(C)(4)		SMHS	1
MEDICAL MANAGEMENT INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	351831570	DORMANT	IN	501(C)(3)	11C, III-FI	SMHS	1
ST MARY'S HEALTH SYSTEM OF AMERICA INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	352057801	HEALTH MINISTRY PARENT	IN	501(C)(3)	11C, III-FI	ASCENSION HEALTH	0
ST MARY'S PHYSICIAN NETWORK LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	205023387	PHYSICIAN PRACTICE	IN	501(C)(3)	9	SMMC	1
PRIMARY PHYSICIAN NETWORK LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	208775914	PHYSICIAN PRACTICE	IN	501(C)(3)	9	SMMC	1
SETON HEALTH CORPORATION OF SOUTHERN INDIANA INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	351679526	INVESTMENT	IN	501(C)(3)	11C, III-FI	SMHS	1
ST MARY'S HOME HEALTH CARE SERVICES INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	351899562	DORMANT	IN	501(C)(3)	11A, I	SETON	1
ST MARY'S MEDICAL CENTER FOUNDATION INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	237045370	FUNDRAISING	IN	501(C)(3)	11A, I	SMMC	1
ST MARY'S WARRICK HOSPITAL FOUNDATION INC
1116 MILLIS AVENUE	BOONVILLE	IN	47601	351961890	FUNDRAISING	IN	501(C)(3)	11A, I	SMW	1
ST MARY'S WARRICK HOSPITAL INC
1116 MILLIS AVENUE	BOONVILLE	IN	47601	351343019	HOSPITAL	IN	501(C)(3)	3	SMHS	1
ST MARY'S OHIO VALLEY HEARTCARE LLC
901 ST MARYS DRIVE	EVANSVILLE	IN	47714	273474697	CARDIOLOGIST SERVICES	IN	501(C)(3)	11A, I	SMMC	1
SVSM INC
2001 W 86TH STREET	INDIANAPOLIS	IN	46260	810607827	HOLDING COMPANY	IN	501(C)(3)	11A, I	SVH	1
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(C)(3)	11A, I		0	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (4 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
AMBULATORY CARE CENTER LLC
1125 PROFESSIONAL BLVD	EVANSVILLE	IN	47714	352006018	OP SURGERY	IN	SETON	RELATED	3892985	4257562	0	0	0.50000
ST MARY'S ACUTE DIALYSIS SERVICES LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	271346179	MANAGEMENT	IN	SETON	RELATED	618570	119625	0	0	0.50000
SETON HEALTH SERVICES LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	270451316	EQUIP RENTAL	IN	SETON	RELATED	28967	140493	0	0	0.50000
ST MARY'S PERIPHERAL VASCULAR SERVICES MANAGEMENT COMPANY LLC
3700 WASHINGTON AVE	EVANSVILLE	IN	47750	205062635	MANAGEMENT	IN	SMOVHC	RELATED	-12633	40241	0	0	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL GROUP INC AND SUB	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3700 WASHINGTON AVE	AddressLine1
City	EVANSVILLE	City
State	IN	State
ZIP Code	47750	ZIPCode

Field	Value	IRS element (for citing)
EIN	352076827	EIN
Primary Activity	INVESTMENT	PrimaryActivity
Legal Domicile State	IN	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	-611983	ShareOfTotalIncome
Share Of EOY Assets	641965	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
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	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	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	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (24 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ST MARY'S WARRICK EMS INC
P	1703996	FMV OF SERVICES OR CASH
ST MARY'S MEDICAL CENTER FOUNDATION INC
C	2275246	FMV OF SERVICES OR CASH
ST MARY'S OHIO VALLEY HEARTCARE LLC
P	815630	FMV OF SERVICES OR CASH
ST MARY'S PERIPHERAL VASCULAR SERVICES MANAGEMENT COMPANY LLC
D	164294	FMV OF SERVICES OR CASH
ST MARY'S MEDICAL CENTER FOUNDATION INC
B	51410	FMV OF SERVICES OR CASH
ST MARY'S PERIPHERAL VASCULAR SERVICES MANAGEMENT COMPANY LLC
L	976978	FMV OF SERVICES OR CASH
ST MARY'S OHIO VALLEY HEARTCARE LLC
L	2290166	FMV OF SERVICES OR CASH
ST MARY'S AT HOME INC
P	5778180	FMV OF SERVICES OR CASH
SETON HEALTH CORPORATION OF SOUTHERN INDIANA INC
P	3078447	FMV OF SERVICES OR CASH
ST MARY'S BUILDING CORPORATION LLC
P	1315738	FMV OF SERVICES OR CASH
ST MARY'S OHIO VALLEY HEARTCARE LLC
O	104450	FMV OF SERVICES OR CASH
ST MARY'S WARRICK HOSPITAL INC
D	83076	FMV OF SERVICES OR CASH
ST MARY'S WARRICK HOSPITAL INC
P	354635	FMV OF SERVICES OR CASH
ASCENSION HEALTH INC
E	6179763	FMV OF SERVICES OR CASH
ST MARY'S BUILDING CORPORATION LLC
J	1312471	FMV OF SERVICES OR CASH
ST MARY'S ACUTE DIALYSIS SERVICES LLC
K	1054831	FMV OF SERVICES OR CASH
AMBULATORY CARE CENTER LLC
K	25104686	FMV OF SERVICES OR CASH
ST MARY'S OHIO VALLEY HEARTCARE LLC
B	2500000	FMV OF SERVICES OR CASH
ASCENSION HEALTH INC
O	35635919	FMV OF SERVICES OR CASH
ASCENSION HEALTH INC
Q	7408686	FMV OF SERVICES OR CASH
ST MARY'S HEALTH SYSTEM OF AMERICA INC
O	9137750	FMV OF SERVICES OR CASH
AMBULATORY CARE CENTER LLC
P	6179999	FMV OF SERVICES OR CASH
ST MARY'S HEALTH SYSTEM OF AMERICA INC
I	214566	FMV OF SERVICES OR CASH
ST MARY'S PHYSICIAN NETWORK LLC
B	360000	FMV OF SERVICES OR CASH