2011-05-13T15:46:14-05:00 2010-06-30 Deloitte Tax LLP 111 Monument Circle Suite 2000 Indianapolis IN 462045108 990 2009-07-01 352112529 StVincent Clay Hospital Inc STVI 8124422623 1206 East National Avenue Brazil IN 478342718 Jerry R Laue 8124422601 2011-05-13 1 3174648600 2009 2016-02-24 21:20:13Z Jerry R Laue 1206 East National Avenue Brazil IN 478342718 25511926 0 X www.stvincent.org X 2000 IN We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind. 9 6 211 20 0 0 210661 71167 21941272 23428195 -1433576 1773864 -123357 -107615 20595000 25165611 0 0 8378698 9114551 0 0 10705551 10884389 19084249 19998940 1510751 5166671 28424832 34242843 12032200 12691645 16392632 21551198 St.Vincent Clay Hospital is dedicated to providing spiritually-centered, holistic healthcare that sustains and improves the health of those served, with special attention to the poor and vulnerable. Both inpatient and outpatient health services are provided without regard to patient race, creed, national origin, economic status, insurance status or ability to pay. This mission extends well beyond the provision of core medical services to encompass medical and scientific research programs, the training and educating of health care professionals and active support of community-based partnerships and programs to improve health and quality of life. 0 0 14984574 23428195 St.Vincent Clay Hospital (SVCH) is a 25-bed, critical access hospital serving rural Clay and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2010, SVCH treated 723 adults and children for a total of 3,322 inpatient days of service. The hospital also provided services for 40,096 outpatient visits, including 1,333 outpatient surgeries and 11,767 emergency room and minor care visits. See Schedule O for a non-exhaustive list of community benefit programs and descriptions. 2307334 St.Vincent Clay Hospital (SVCH) provides a substantial portion of its core health services to the poor, uninsured or underinsured and has proactively taken steps to address the accessibility, financing, and delivery of healthcare to the underserved. During the fiscal year ending June 30, 2010, the unreimbursed cost of free or discounted services provided to patients who were deemed indigent under state, county, or hospital guidelines was $2,307,334, which included $938,686 of traditional charity care and $1,368,648 in unpaid costs of care for those qualifying for Medicaid or other public programs for the poor. See Schedule O for a non-exhaustive list of community benefit programs and descriptions. 112440 In addition to core medical services, St.Vincent Clay Hospital (SVCH) partners with its community to assess community assets and needs and to work together to address issues impacting health and quality of life, with special emphasis on the poor and vulnerable. In fiscal year 2010, SVCH provided $112,440 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, SVCH provided a total community benefit of $2,419,774 in fiscal year 2010.) SVCH serves and supports its community through such programs as Rural and Urban Access to Health, health careers camp and diabetes education. See Schedule O for a non-exhaustive list of community benefit programs and descriptions. 17404348 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 18 0 1 211 1 0 0 0 0 0 0 0 0 0 9 6 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 IN X Wayne R Knight 8124422623 1206 E National Avenue Brazil IN 478342718 Lynsey B Lunsford 1.00 X X 0 0 0 Craig A Johnson DO 1.00 X X 36226 0 9606 Kirk A Freeman PhD 1.00 X X 0 0 0 Jeffrey A Boyll 1.00 X 0 0 0 Joe A Milner 1.00 X 0 0 0 Katherine Humphreys 1.00 X 0 463480 16705 Mark Thiemann 1.00 X 0 0 0 Jane E Sweeney 1.00 X 0 125062 26561 Jerry R Laue 40.00 X X 0 207132 12367 Wayne Knight 40.00 X 0 188826 19495 Edward J Allison 40.00 X 170204 0 17631 206430 984500 102365 1 0 1 0 Mid America Clinical Labs 2560 N Shadeland Avenue Indianapolis IN 46219 Lab testing 279793 EmCare Inc 7032 Collection Center Drive Chicago IL 60693 Emergency physicians 203820 Indiana Emergency Physicians LLP PO Box 793 Traverse City MI 49685 Emergency physicians 200621 Ameripath Indianapolis LLC 2560 N Shadeland Avenue Indianapolis IN 46219 Medical director fee and blood testing 191480 4 43647 27520 71167 Net patient revenue 621990 12793725 12793725 Net Medicare/Medicaid 621990 10634470 10634470 23428195 1773864 1773864 166308 319490 -153182 -153182 -153182 31455 26825 4630 4630 Cafeteria revenue 722210 40937 40937 40937 25165611 23428195 0 1666249 45832 45832 6894380 5886849 1007531 296857 253475 43382 1420312 1212750 207562 457170 390360 66810 800593 683596 116997 23328 19919 3409 7146 6102 1044 50890 43453 7437 380608 324987 55621 73714 62942 10772 234058 199853 34205 601421 513531 87890 92551 92551 Supplies 2510817 2143891 366926 Community benefit 2419774 2419774 Purchased services 1559322 1331446 227876 Miscellaneous 805405 687705 117700 Equipment rental/mainte 697040 595176 101864 627722 535988 91734 19998940 17404348 2594592 0 7502061 4361450 2056678 2956124 511716 423805 21380 20348 18302346 11391165 7178651 6911181 11154346 19569935 28424832 34242843 1942859 2283329 10089341 10408316 12032200 12691645 X 15332433 20354084 1060199 1197114 16392632 21551198 28424832 34242843 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 810 810 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 2500 2500 8844102 3258298 5585804 317947 293478 24469 8813402 7839389 974013 324395 324395 6911181 Funds restricted by donor 1197114 Health System Depository Account 18044196 Other 328625 19569935 Due to St Vincent Hospital & Health Care, Inc. 506877 Pension liability 542296 Payables to third party programs 1173752 Intercompany debt to Ascension Health 8185391 10408316 Per the financial statements of St.Vincent Health, Inc. (which include the activity of St.Vincent Clay Hospital, Inc.), there is no current year ASC 740 (fka FIN 48) footnote for the current year. Festival of Trees 31455 31455 13276 5567 7982 31455 31455 13276 5567 7982 26825 4630 1 1 X 1 X 1 X 1 1 1 0 1 1 938686 0 938686 0.04690 1368648 0 1368648 0.06840 2307334 2307334 0.11530 4118 101440 0 101440 0.00510 23 5540 0 5540 0.00030 6309 2620 0 2620 0.00010 10450 109600 109600 0.00550 10450 2416934 2416934 0.12080 4 820 0 820 0.00000 8 1900 0 1900 0.00010 1 120 0 120 0.00000 13 2840 2840 0.00010 0 931942 279583 7936026 7857451 78575 X 1 1 StVincent Clay Hospital Inc

1206 E National Avenue Brazil IN 47834

X X X X Part I, Line 3c: The organization provides medically necessary care to all patients, regardless of race, color, creed, ethnic origin, gender, disability or economic status. The hospital uses a percentage of federal poverty level (FPL) to determine free and discounted care. At a minimum, patients with income less than or equal to 200% of the FPL, which may be adjusted for cost of living utilizing the local wage index compared to the national wage index, will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, patients with incomes above 200% of the FPL but not exceeding 400% of the FPL, subject to adjustments for cost of living utilizing the local wage index compared to national wage index, will receive a discount on the services provided to them. Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Part III, Line 4: The organization is a part of the St.Vincent Health System consolidated audit. The provision for bad debts 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 modifications to the provision for bad debts to establish an appropriate allowance for uncollectible 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 within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. The share of the bad debt expense in fiscal year 2010 was $2,758,040 at charges ($931,942 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 shortfall is not treated as community benefit. Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply. St.Vincent Clay Hospital (SVCH) and its related St.Vincent Health affiliates file a Community Benefit report in the state of Indiana. A copy of the full report (including the SVCH section) is available at http://www.stvincent.org/uploadedFiles/Community_Connections/Community_Benefit_Report/SVH_CBR2010nw.pdf Part VI, Line 2: Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. St.Vincent Clay Hospital (SVCH) helps to lead a community roundtable called Step Ahead/Literacy Council whose purpose is to periodically assess assets and needs within the community, prioritize action and work in partnership to address identified challenges. As part of the St.Vincent Health System, the goal of SVCH 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. Part VI, Line 3: St.Vincent Clay Hospital 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, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify. Part VI, Line 4: St.Vincent Clay Hospital (SVCH) is located in Brazil, Indiana which is the county seat and serves Clay and contiguous counties, in west Central Indiana. Clay County has a population of 26,533 and is a very rural county. Almost half of Clay County's population is over the age of 45. Per capita personal income and median household income is lower than the state averages. Loss of jobs has affected Clay County like most of the country. Part VI, Line 5: While most of St.Vincent Clay Hospital's community benefit activities directly impact the health of its communities, SVCH also invests in community building activities that indirectly improve health by improving 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. In fiscal year 2010, SVCH's community-building activities included: the Chamber of Commerce, YMCA, and Rotary Club. Part VI, Line 6: To provide the highest quality healthcare to all persons in the community, and in keeping with its not-for-profit status, St.Vincent Clay Hospital:- delivers patient services, including emergency department services, to all individuals requiring healthcare, without regard to patient race, ethnicity, economic status, insurance status or ability to pay- maintains an open medical staff that allows credentialed physicians to practice at its facilities- trains and educates health care professionals- participates in government-sponsored programs such as Medicaid and Medicare to provide healthcare to the poor and elderly- is governed by a board in which independent persons who are representative of the community comprise a majority. Part VI, Line 7: As part of the St.Vincent Health System, St.Vincent Clay Hospital (SVCH) is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at SVCH devote all or a significant portion of their time to leading and administering local community-based programs and partnerships, associates throughout the organization are active participants in community outreach. They are assisted and supported by designated St.Vincent Health community development 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.Vincent Health in which SVCH participates. IN X 1 1 X X X X 0 0 0 0 0 0 0 0 0 Katherine Humphreys 0 354443 0 109037 0 0 0 6125 0 10580 0 480185 0 0 Jane E Sweeney 0 102494 0 22568 0 0 0 2010 0 24551 0 151623 0 0 Jerry R Laue 0 154652 0 52480 0 0 0 3893 0 8474 0 219499 0 0 Wayne Knight 0 146710 0 42116 0 0 0 4740 0 14755 0 208321 0 0 Edward J Allison 166967 0 3237 0 0 0 4054 0 13577 0 187835 0 0 0 Part I, Line 1a St.Vincent Clay Hospital paid for cell phone usage for four of the listed officers/directors in Part VII. St.Vincent Clay Hospital will only reimburse a business expense when all three (3) of the following IRS requirements are met: 1. The expense must have a business connection (i.e., the expenses must be incurred while performing services on behalf of a SVH Entity); 2. The expense must be adequately substantiated by the Associate within a reasonable period of time; and 3. The Associate must return any excess reimbursement or allowance within a reasonable period of time. St.Vincent Clay Hospital "grossed up" the above applicable non-business expenses and included in the employees' W-2 as additional taxable compensation. Form 990, Part VI, Section A, line 6 St.Vincent Clay Hospital, Inc. has a single corporate member, St.Vincent Health, Inc. Form 990, Part VI, Section A, line 7a St.Vincent Clay Hospital, Inc. has a single corporate member, St.Vincent Health, Inc. who has the ability to elect members to the governing body of St.Vincent Clay Hospital, Inc. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to St.Vincent Clay Hospital, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St.Vincent Health, Inc. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committee with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt purpose. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's CEO, executive director, or top management official, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board, in executive session, reviewed and approved the compensation. In review of the compensation, the CEO, 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. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board, in executive session, reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position. 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. Part XI, Line 2c Audited Financial Statements The financial statements of the hospital were audited on a consolidated basis. An audit committee has been delegated the responsibility to oversee the audited financial statements and the selection of the independent accountants that audited the financial statements. Schedule R, Part V, Line 2 Method for Determining the Value of Services St.Vincent Clay Hospital, Inc. use the following methods to determine the value of related organization transactions: - Fair market value for services and cash - Book value for other assets Part I, Line 6 Total Number of Volunteers The total number of volunteers for the organization is 20. This consists of volunteers participating in multiple areas throughout the hospital such as hospitality services. Some volunteers also participate in the various community service programs that the hospital performs within the community. Part IV, Line 24A Tax Exempt Bond Issuance St.Vincent Clay Hospital, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St.Vincent Clay Hospital, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet. Form 990, Part III, Line 4a, 4b and 4c Community Benefit Report SVCH provides inpatient and ambulatory services including surgery, radiology, cardiology, pulmonology, laboratory, speech, physical and occupational therapies. St.Vincent Clay also maintains a 24-hour, physician-staffed emergency department. Medical specialties available at the facility include orthopedics, oncology, ophthalmology, gastroenterology, and podiatry. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community. Such community-focused programs improve access to healthcare, advocate for the poor and vulnerable, promote health through free education and screenings and help build better communities by improving quality of life. Community Benefit Overview St.Vincent Clay Hospital (SVCH) is part of St.Vincent Health, a non-profit healthcare system consisting of 20 locally-sponsored ministries serving over 47 counties throughout Central Indiana. Sponsored by Ascension Health, the nation's largest Catholic healthcare system, St.Vincent Health is one of the largest healthcare employers in the state. As part of St.Vincent Health, the St.Vincent Clay vision is to deliver a continuum of holistic, high-quality health services and improve the lives and health of Indiana individuals and communities, with special attention to the poor and vulnerable. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St.Vincent Clay associates and others. Community benefit is not the work of a single department or group within St.Vincent Clay, but is part of the St.Vincent mission and cultural fabric. It is initiated and implemented at all levels of the organization, by each ministry, and in every community. Charity Care and Certain Other Community Benefits at Cost Patient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than 200% of the Federal Poverty level (FPL) are eligible for 100% charity care for services. Patients with incomes at or above 200% of the FPL, but not exceeding 400% of the FPL, receive discounted services based on an income-dependent sliding scale. Hospital financial counselors and health access workers assist patients in determining eligibility and in completing necessary documentation. SVCH is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation SVCH participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP) and Medicare and assists patients in enrolling for programs for which they are eligible. Per Catholic Health Association guidelines and St.Vincent Health's conservative approach, Medicare shortfall is not included as community benefit. Community Assessment True community benefit responds to the particular needs and challenges of the community, building on its unique strengths and assets. So in each of its communities, St.Vincent leads or participates in a community roundtable or forum. This group brings together individuals and organizations from throughout the community who share a common interest in improving health status and quality of life. Using a variety of tools, including surveys, key person interviews, focus groups, secondary data, and data analysis professionals, the team identifies community issues and concerns. These are shared with the community at large, and a consensus is reached about priorities and available resources. Previous assessments in Clay County have identified prescription drug abuse as a major concern in the community. During the last fiscal year, St.Vincent Clay Hospital conducted two events to help educate the community about this issue. The hospital hosted a panel discussion to educate the community about prescription drugs. Then, the hospital launched a "drop-off" campaign, providing a site for the safe disposal of expired and unused prescriptions. These events were well-attended, and the efforts will continue. St.Vincent Clay Hospital has also begun work on a new community assessment in conjunction with Indiana State University, which will provide technical support and data analysis. Rural and Urban Access to Health As part of its commitment to 100% access, St.Vincent Clay is one of eight St.Vincent Health ministries that participate in the Rural and Urban Access to Health program. Central to the program is a health access worker who connects the hospital to the community by helping individuals address barriers to health care, and by referring them to other local resources as needed. The health access worker assists individuals with finding a medical home, applying for public programs such as Medicaid, food stamps, and the Healthy Indiana Plan, and in assessing needs so that referrals can be made for other forms of community-based assistance. The health access worker also advocates for clients with service providers and serves as a system navigator. During fiscal year 2010, the health access worker served 906 individuals, and completed 1,962 referrals to public and private programs. Medication Assistance In addition, St.Vincent Clay's Rural and Urban Access to Health program assists patients who meet income guidelines in obtaining free or reduced-cost prescription drugs. St.Vincent Clay provides a medication assistant who works with a sophisticated and continually-updated database to track eligibility and requirements that vary by company and by medication. In 2010, the medication assistant helped patients obtain a total of 524 medications for which the average wholesale price totaled $284,736. Athletic Training SVCH maintains a close relationship with Northview High School. As part of that partnership, the hospital pays for a full-time athletic trainer for the school. The athletic trainer assists athletes in achieving their optimum sports performance by recommending and monitoring proper training routines, preventing injuries, and providing immediate care, treatment, and rehabilitation after athletic trauma. The trainer serves as the liaison between players, coaches, physicians and family and is on-call at all of the sports programs. If more than one player is hurt at the same time, the trainer will prioritize the severity of injury. With her walkie-talkie and cell phone, she is prepared for any emergency. This effort is just one way the hospital exhibits its dedication to making sure the children are safe while they play sports. Diabetes Education Diabetes is a major and growing health concern in Central Indiana. Uncontrolled, it can take a significant toll on health and lives. St.Vincent Clay offers a Diabetic Education class, a six-week course held throughout the year, free of charge. Instructors including a nurse, dietician, physical therapist, and pharmacist focus on problems associated with living with and managing diabetes. The professional team assists diabetics with gaining a better understanding of their disease, teaching them how to adjust their lifestyles and behaviors to develop diabetes self-management skills that will help them live healthier, longer lives. Health Careers Camp St.Vincent Clay is an integral part of the Health Careers vocational program offered at the local high school. The program allows students to choose from a wide range of healthcare fields, and then spend time learning about the opportunities available in that career path. This program is often the first introduction young people have to the vast array of career options available in health care. Students are able to rotate through a variety of health career areas, or focus on a specific field to determine a specialty. The experience has been tremendously positive for both students and hospital staff. Students are truly enjoying their time, and hospital associates are renewed by seeing their profession through the eyes of optimistic and excited high school students. Health Fairs and Screenings SVCH participated in numerous health fairs and screenings throughout fiscal year 2010, including the Cory Apple Festival and Clay County 4H Fair. Blood pressure, cholesterol tests, and others are among the many free or discounted tests offered throughout the year. Materials on health information and preventative services are a vital part of health fairs and screenings. During fiscal year 2010, SVCH served approximately 1,000 people through its participation in these health fairs and screenings. Kindergarten Tours At SVCH, educational tours are given to kindergarteners. The tour gives children an up close and personal look at lab, radiology, emergency department, and dietary. In the laboratory, the children get to see cultures under a microscope. This tour is very educational for the children. They will feel more at ease when visiting the hospital and if they are a patient. In fiscal year 2010, over 700 children received a tour of the hospital. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve health status and quality of life within the community. Community Building Activities Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. YMCA Partnership YMCA of Clay County and SVCH together have formed a new and exciting relationship. Both organizations believe that putting Christian principles into practice through programs that build healthy spirits, minds and bodies will result in a stronger community. Both believe it is important to touch kids' lives with a good foundation and teach important values for them to carry throughout their lives. With the financial support from SVCH, and in conjunction with the "Strong Kids Campaign," the YMCA ensures all children, even those children unable to pay, can participate in its programs. Children from ages 6-13 are offered an opportunity to attend such programs as the YMCA Summer Day Camp. During the summer, more than 150 children enjoy the summer day camp and were able to join their friends in making crafts, recreation, reading, skits, sports, swimming, and tutoring based on the Indiana Academic Standards. 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Type III-FI StVincent Hospital & Health Care Center Inc Jubilee Partnerships Inc 2301 N Park Avenue Indianapolis IN 46205 352060765 Outreach activities IN 501(C)(3) 1-170(b)(1)(A) (i) StVincent Hospital & Health Care Center Inc Rehabiliation Hospital of Indiana Inc 4141 Shore Drive Indianapolis IN 46254 351786005 Rehabiliation hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StJohn's Foundation Inc 2015 Jackson Street Anderson IN 46016 352053693 Supporting organization IN 501(C)(3) 11a - Type I StVincent Madison County Health System Inc StJoseph Hospital & Health Center Inc 1907 W Sycamore Street Kokomo IN 46901 350992717 Hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StJoseph Foundation of Kokomo Indiana Inc 1907 W Sycamore Street Kokomo IN 46901 237313206 Supporting organization IN 501(C)(3) 11a - Type I StJoseph Hospital & Health Center Inc StVincent Carmel Hospital Inc 13500 N Meridian Street Carmel IN 46032 743107055 Hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Dunn Hospital Inc 1600 23rd Street Bedford IN 47421 272192831 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Frankfort Hospital Inc 1300 S Jackson Frankfort IN 46041 352099320 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Frankfort Hospital Foundation Inc 1300 S Jackson Frankfort IN 46041 351531734 Supporting organization IN 501(C)(3) 11a - Type I StVincent Frankfort Hospital Inc StVincent Health Inc 8425 Harcourt Road Indianapolis IN 46260 352052591 Parent company IN 501(C)(3) 11c - Type III-FI Ascension Health StVincent Hosptial and Health Care Center Inc 2001 W 86th Street Indianapolis IN 46260 350869066 Hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Hospital Foundation Inc 10330 N Meridian Street Ste 430N Indianapolis IN 46290 356088862 Supporting organization IN 501(C)(3) 11a - Type I StVincent Hospital & Health Care Center Inc StVincent Jennings Hospital Inc 301 Henry Street North Vernon IN 47265 351841606 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Madison County Health System Inc 1331 South A Street Elwood IN 46036 350876389 Hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Mercy Hospital Foundation Inc 1331 South A Street Elwood IN 46036 311066871 Supporting organization IN 501(C)(3) 11a - Type I StVincent Madison County Health System Inc StVincent New Hope Inc 8450 N Payne Road Indianapolis IN 46260 351733591 Intermediate care facility IN 501(C)(3) 9-509(A)(2) StVincent Health Inc StVincent Pediatric Rehab Center Inc 1707 W 86th Street Indianapolis IN 46260 352048898 Specialty hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Hospital & Health Care Center Inc StVincent Randolph Hospital Inc 473 Greenville Avenue Winchester IN 47394 352103153 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Randolph Hospital Foundation Inc 473 Greenville Avenue Winchester IN 47394 352133006 Supporting organization IN 501(C)(3) 11a - Type I StVincent Randolph Hospital Inc StVincent Salem Hospital Inc 911 N Shelby Street Salem IN 47167 270847538 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Seton Specialty Hosptial Inc 8050 Township Line Road Indianapolis IN 46260 351712001 Long term care hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Williamsport Hospital Inc 412 N Monroe Street Williamsport IN 47993 350784551 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Williamsport Hospital Foundation Inc 412 N Monroe Street Williamsport IN 47993 743130159 Supporting organization IN 501(C)(3) 11a - Type I StVincent Williamsport Hospital Inc SVSM Inc 2001 W 86th Street Indianapolis IN 46260 810607827 Holding company IN 501(C)(3) 11a - Type I StVincent Health Inc Breast MRI Leasing Company LLC 10330 N Meridian St Ste 430N Indianapolis IN 46290 426662493 Sale and rental services IN StVincent Hospital & Health Care Center Inc Related 136848 218454 0 0 Care Group Cardiovascular Management LLC 8333 Naab Road Ste 200 Indianapolis IN 46960 223937477 Management of cardiovascular service lines IN Central Indiana Health System Cardiac Services Inc Related 409512 11161 0 0 Carmel Ambulatory Surgery Center LLC 13421 Old Meridian St Ste 150 Carmel IN 46032 320014795 Ambulatory surgery center IN StVincent Carmel Inc Related 8158050 1859971 0 0 Chartwell Midwest Indiana LLC 8040 Castleway Drive Indianapolis IN 46250 351985233 Home care IV/infusion services IN StVincent Hospital & Health Care Center Inc Related 10943 935037 0 0 Cooperative Managed Care Services LLC 6602 E 75th Street Suite 300 Indianapolis IN 46250 351999227 Case management IN StVincent Hospital & Health Care Center Inc Unrelated 172737 1229461 0 0 Endoscopy Center LLC 13421 Old Meridian St Ste 150 Carmel IN 46032 320029881 Endoscopy center IN StVincent Carmel Inc Related 430889 62541 0 0 Fishers Ambulatory Surgery Center LLC 136914 E State Road 238 Fishers IN 46037 262001288 Ambulatory surgery center IN StVincent Hospital & Health Care Center Inc Related -551635 -717162 0 0 Hancock Physician Network LLC 801 N State Street Greenfield IN 46140 352051598 Primary care physician practices IN StVincent Hospital & Health Care Center Inc Related -1509774 1372790 0 0 HRH SVH Real Estate Development Co LLC 10330 N Meridian St Ste 430N Indianapolis IN 46290 272933470 Real estate holding IN StVincent Hospital & Health Care Center Inc Related 900000 0 0 Indiana Orthopaedic Hospital LLC 8450 Northwest Boulevard Indianapolis IN 46278 470933538 Orthopaedic surgery center IN StVincent Hospital & Health Care Center Inc Related 995841 41008337 0 0 Lafayette Heart Program Holding LLC 11515 W Dragoon Trail Mishawaka IN 46544 383750811 Cardiac care services IN Central Indiana Health System Cardiac Services Inc Related 381027 13832806 0 0 Meridian Heights Associates LLC 6100 W 96th Street Ste 250 Indianapolis IN 46278 264020296 Real estate holding IN StVincent Carmel Inc Related -228039 1877864 0 0 Neuro Oncology Equipment LLC 10330 N Meridian St Ste 430N Indianapolis IN 46290 743103803 Sale and rental services IN StVincent Hospital & Health Care Center Inc Related 597971 174790 0 0 Northside Cardiac Cath Lab Partnership 2001 W 86th Street Indianapolis IN 46260 351854388 Outpatient cath lab IN Central Indiana Health System Cardiac Services Inc Related 120585 -10064 0 0 Saint John's Ambulatory Surgery Center LLC 2015 Jackson Street Anderson IN 46016 010822977 Surgery center IN StVincent Madison County Health System Inc Related 2005053 119083 0 0 StVincent HealthUSP LLC 15305 Dallas Parkway Ste 1600 Addison TX 75001 203749962 Holding company IN StVincent Hospital & Health Care Center Inc Related 286551 339521 0 0 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 18222908 -19189923 0 0 StVincent Northwest Radiology LLC 5756 W 71st Street Indianapolis IN 46278 352047427 MRI facilities IN StVincent Hospital & Health Care Center Inc Related -119686 40582 0 0 The Care Labs LLC 2001 W 86th Street Indianapolis IN 46260 351854352 Outpatient vascular lab IN Central Indiana Health System Cardiac Services Inc Related 442930 72220 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0