TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) J Albert Smith Jr Chair	.50	X	X	0	0
(2) James G Sinclair Vice Chair	.50	X	X	0	0
(3) Gilbert F Viets Secretary	.50	X	X	0	0
(4) Sister Virginia Delaney Director	.50	X		0	0
(5) Charles J Garcia Director	.50	X		0	0
(6) Malcolm Bell Herring MD Director	.50	X		0	0
(7) Needham Richard Hurst Director	.50	X		0	0
(8) Michael B Mason Director	.50	X		0	0
(9) Sister Theresa Peck DC Director	.50	X		0	0
(10) Robert J Robison MD Director	.50	X		0	0
(11) Susan W Brooks Director	.50	X		0	0
(12) Ronald L Young II MD Director - Physician	40.00	X		106,667	8,160
(13) Vincent C Caponi Ex Officio - CEO St.Vincent	40.00	X	X	1,954,469	561,279
(14) D Kyle DeFur Director - President SVHHC	40.00	X	X	472,447	28,077
(15) James L Nevin MD Director - President Medical Staff	40.00	X		0	0
(16) Thomas M Cook CFO	40.00		X	37,182	1,082
(17) Ian G Worden COO	40.00		X	605,646	43,348

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Jeffrey P Williams Former CFO	40.00	X			223,819	12,836
(19) Darcy K Burthay CNO/COO	40.00		X		382,562	27,492
(20) Anne F Coleman Administrator	40.00		X		287,175	45,193
(21) Martha L Durall Executive Director	40.00		X		207,406	46,688
(22) Gary A Fammartino System Executive	40.00		X		226,715	51,271
(23) Joanne M Hilden VP Medical Affairs	40.00		X		408,022	41,574
(24) Jon D Rahman Senior VP - CMO	40.00		X		414,466	66,155
(25) Daniel R LeGrand CMO	40.00		X		407,803	59,047
(26) Robert M Lubitz VP Research Academic Affai	40.00		X		339,136	41,976
(27) Joseph F Bellflower Physician	40.00			X	673,692	33,669
(28) James E Sumners Physician	40.00			X	671,377	60,668
(29) Michael F Kaveney Physician	40.00			X	627,557	29,689
(30) William P Didelot Physician	40.00			X	605,779	31,262
(31) Adam K Hiett Physician	40.00			X	532,091	47,496

(A) Name and business address	(B) Description of services	(C) Compensation
Mid America Clinical Labs 2560 N Shadeland Avenue Indianapolis,IN46219	Lab services	15,576,359
Naab Road Surgery Center 8260 Naab Road Indianapolis,IN46260	Surgical services	14,654,577
Surgery Center of Indianapolis 12188 N Meridian Ste 150 Carmel,IN46032	Surgical services	9,701,559
Hall Render Killian Heath & Lyman PSC 39778 Treasury Center Chicago,IL606949700	Legal services	8,918,404
Infectious Disease of Indiana 12302 Hancock St Carmel,IN46032	Infectious disease treatment & infusion	4,904,406
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 97

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	153,953,554	153,953,554
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	6,357,682		6,357,682
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	339,655,424	293,275,136	46,380,288
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	21,612,215	18,661,045	2,951,170
9	Other employee benefits .......	56,117,953	48,454,990	7,662,963
10	Payroll taxes ...........	20,047,829	17,310,278	2,737,551
11	Fees for services (non-employees):
a	Management ......	44,375,410	38,315,903	6,059,507
b	Legal .........	1,866,827	1,611,910	254,917
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	1,813,871	1,566,185	247,686
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......	61,919,744	53,464,541	8,455,203
15	Royalties ..
16	Occupancy ...........	23,445,953	20,244,385	3,201,568
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	3,269,348	2,822,915	446,433
20	Interest ...........	7,230,666	6,243,311	987,355
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	34,014,774	29,370,023	4,644,751
23	Insurance ..............	4,194,842	4,194,842
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	Supplies	150,826,291	130,230,810	20,595,481
b	Community benefit	105,168,178	105,168,178
c	Miscellaneous	52,017,776	44,914,698	7,103,078
d	Purchased services	48,027,989	41,469,719	6,558,270
e	Corporate expense	34,245,932	29,569,616	4,676,316
f	All other expenses	21,336,127	18,422,657	2,913,470
25	Total functional expenses. Add lines 1 through 24f	1,191,498,385	1,059,264,696	132,233,689	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........		1
2	Savings and temporary cash investments .......	18,430,602	2	36,354,382
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	129,921,751	4	147,171,442
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	12,805,454	8	10,495,204
9	Prepaid expenses and deferred charges ............	7,332,449	9	3,125,146
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	730,749,899
b	Less: accumulated depreciation. .....	10b	493,198,461	245,638,785	10c	237,551,438
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......	52,915,514	12	54,192,927
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	775,161,061	15	896,558,236
16	Total assets. Add lines 1 through 15 (must equal line 34)...	1,242,205,616	16	1,385,448,775
	17	Accounts payable and accrued expenses .	101,680,331	17	107,460,582
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	286,977,564	25	211,971,629
26	Total liabilities. Add lines 17 through 25.....	388,657,895	26	319,432,211
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	851,062,272	27	1,062,709,308
28	Temporarily restricted net assets .....	2,475,449	28	3,297,256
29	Permanently restricted net assets .....	10,000	29	10,000
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	853,547,721	33	1,066,016,564
34	Total liabilities and net assets/fund balances .....	1,242,205,616	34	1,385,448,775

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization StVincent Hospital and Health Care Center Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization StVincent Hospital and Health Care Center Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

16,850

Total. lines 1c through 1i ...................................

16,850

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Explanation of Other Lobbying Activities:	Part II-B, Line 1i:	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	21,406,834		21,406,834
b	Buildings ................	427,439,200	277,075,612	150,363,588
c	Leasehold improvements ............	10,721,735	9,239,130	1,482,605
d	Equipment ................	266,312,905	206,883,719	59,429,186
e	Other .................	4,869,225		4,869,225
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				237,551,438

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Health System Depository Account				839,153,050
(2) Donor restricted funds				3,307,256
(3) AH Deferred compensation				344,720
(4) Other assets				44,507,250
(5) Intercompany receivables				9,245,960




Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				896,558,236

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
Intercompany debt to Ascension Health		174,651,520
Other long term debt		3,311,155
Deferred Gain on MOB Sale - Indpls.		1,130,829
Deferred compensation		344,720
Guarantee liability		212,442
Due to third party payors		14,479,413
Other		12,400,660
Self insurance liability		2,921,579
Savings plan liability		1,159,375
Intercompany liability		1,359,936
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		211,971,629
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..		24,726,418		24,726,418	2.080 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .		50,853,240		50,853,240	4.270 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....		75,579,658		75,579,658	6.350 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	65,081	264,636		264,636	0.020 %
f Health professions education (from Worksheet 5) ..	1,710	33,192,396	4,200,022	28,992,374	2.430 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)		181,466	57,155	124,311	0.010 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	13,094	138,913		138,913	0.010 %
jTotal Other Benefits ...	79,885	33,777,411	4,257,177	29,520,234	2.470 %
kTotal. Add lines 7d and 7j. ..	79,885	109,357,069	4,257,177	105,099,892	8.820 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	200	37,868	37,868	0 %
2	Economic development
3	Community support	1,901	30,238	30,238	0 %
4	Environmental improvements		80	80	0 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	40	100	100	0 %
8	Workforce development
9	Other
10	Total	2,141	68,286	68,286

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

19,535,891

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

5,860,767

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

250,406,294

Enter Medicare allowable costs of care relating to payments on line 5.....

320,051,165

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-69,644,871

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 The Surgery Center of Indianapolis LLC	Surgery Center	40.000 %	49.980 %
22 Naab Road Surgery Center LLC	Surgery Center	40.000 %	60.000 %
33 Terre Haute Surgical Center LLC	Surgery Center	27.140 %	51.660 %
44 Women's Physician Surgery Center LLC	Surgery Center	40.000 %	60.000 %
55 Fishers Ambulatory Surgery Center LLC	Surgery Center	81.000 %	14.000 %
66 Indiana Orthopaedic Hospital LLC	Orthopaedic Hospital	20.000 %	80.000 %
77 Breast MRI Leasing Company LLC	Imaging Center	50.000 %	50.000 %
88 Neuro Oncology Equipment LLC	Stereotatctic Radio Surgery Services	50.000 %	50.000 %
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?5 Name and address		Other (Describe)
1	StVincent Hospital & Health Care Center 2001 West 86th Street Indianapolis,IN46260	X	X		X	X	X	X
2	StVincent Stress Center 8401 Harcourt Road Indianapolis,IN46260	X
3	StVincent Women's Hospital 8111 Township Line Road Indianapolis,IN46260	X	X					X
4	StVincent Medical Center Northeast 13914 Southeastern Parkway Fishers,IN46037	X						X
5	Peyton Manning Children's Hospital 2001 West 86th Street Indianapolis,IN46260	X	X	X				X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:StVincent Hospital & Health Care Center

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:StVincent Stress Center

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:StVincent Women's Hospital

Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:StVincent Medical Center Northeast

Line Number of Hospital Facility (from Schedule H, Part V, Section A):4

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:Peyton Manning Children's Hospital

Line Number of Hospital Facility (from Schedule H, Part V, Section A):5

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		Part I, Line 3c: The organization provides medically necessary care to all patients, regardless of race, color, creed, ethnic origin, gender, disability or economic status. The hospital uses a percentage of federal poverty level (FPL) to determine free and discounted care. At a minimum, patients with income less than or equal to 200% of the FPL, which may be adjusted for cost of living utilizing the local wage index compared to the national wage index, will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, patients with incomes above 200% of the FPL but not exceeding 400% of the FPL, subject to adjustments for cost of living utilizing the local wage index compared to national wage index, will receive a discount on the services provided to them.
		Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
		Part II: While most of SVHHCC's community benefit activities directly impact the health of its communities, SVHHCC 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 2011, SVHHCC's community building activities included: Hope for the Holidays, Back Pack Attack and United Way Day of Caring.
		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 2011 was $56,477,948 at charges ($19,535,891 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 Hospital & Health Care Center (SVHHCC) 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 SVHHCC section) is available at http://www.stvincent.org.
		Part VI, Line 2: Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. As part of the St.Vincent Health System, the goal of SVHHCC 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, SVHHCC brought together a community roundtable with the purpose of determining the assets and needs, prioritizing action and working in partnership to address identified challenges within a designated area surrounding the hospital. This effort ultimately developed into the 2008 Crooked Creek Quality of Life Plan that today is driving the work of many community organizations toward improving the lives of residents of Marion County.
		Part VI, Line 3: SVHHCC 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 Hospital & Health Care Center (SVHHCC) is located in Indianapolis, Indiana and serves Marion and contiguous counties, in Central Indiana. Marion County is the largest county in the state with a population of 903,393. Marion County's median household income is below national average. The county has followed suit with the United States as a whole with job cuts and the unemployment rate increasing. Food pantries and homeless shelters are being utilized more because of the rough economy.
		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 Hospital & Health Care Center:- 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- participates in medical and scientific research- 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, SVHHCC is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at SVHHCC 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 SVHHCC participates.
Reports Filed With States	Part VI, Line 7	IN

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
StVincent Hospital and Health Care Center Inc

Employer identification number
35-0869066

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Archdiocese of Indianapolis - Holy Family Shelter30 East Palmer Street Indianapolis,IN46225	35-1018460	501(c)(3)	50,000	General support
(2) Covering Kids & Families of Indiana Inc2951 East 38th Street Indianapolis,IN46205	61-1520892	501(c)(3)	30,000	General support
(3) Gennesaret Free Clinic Inc615 N Alabama Street Indianapolis,IN462041414	35-1776518	501(c)(3)	20,000	General support
(4) The Julian Center Inc2011 N Meridian Street Indianapolis,IN46202	35-1346514	501(c)(3)	15,000	General support
(5) Neighborhood Christian Legal Clinic3333 N Meridian Street Suite 201 Indianapolis,IN46208	35-1916572	501(c)(3)	10,000	General support
(6) Fay Biccard Glick Neighborhood Center at Crooked Creek2990 W 71st Street Indianapolis,IN46268	35-1738809	501(c)(3)	52,000	General support
(7) Jewish Federation dba Elder Source6705 Hoover Road Indianapolis,IN46260	35-0888017	501(c)(3)	10,000	General support
(8) Horizon House Inc1033 E Washington Road Indianapolis,IN46202	35-1759503	501(c)(3)	20,000	General support
(9) Archdiocese of Indianapolis - A Promise to Keep30 East Palmer Street Indianapolis,IN46225	35-1018460	501(c)(3)	20,000	General support
(10) Morning Dove Therapeutic Riding Inc7440 W 96th Street Zionsville,IN46077	35-2056736	501(c)(3)	35,000	General support
(11) Indianapolis Medical Society Foundation - Project Health631 E New York Street Indianapolis,IN462023706	35-1810091	501(c)(3)	30,000	General support
(12) YMCA of Greater Indianapolis - Pike615 N Alabama Street Indianapolis,IN46204	35-0868211	501(c)(3)	35,000	General support
(13) BABE Store442 N 10th Street Noblesville,IN46060	35-2006040	501(c)(3)	64,827	General support
(14) Ascension HealthPO Box 45998 St Louis,MO63145	31-1662309	501(c)(3)	58,414,036	Net assets transferred for operating expenses
(15) StVincent Hospital Foundation Inc10330 N Meridian St Suite 430N Indianapolis,IN46290	35-6088862	501(c)(3)	1,566,182	Operating grant
(16) StVincent Health Inc10330 N Meridian St Suite 430N Indianapolis,IN46290	35-2052591	501(c)(3)	28,600,000	General support for Physician Network group and Quality Healthcare Solutions
(17) StVincent Medical Group Inc8425 Harcourt Road Indianapolis,IN46260	27-2039417	501(c)(3)	64,927,022	Operating grant

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Procedure for Monitoring Grants in the U.S.:	Part I, Line 2:	Schedule I, Part I, Line 2: The finance committee ensures that funds are distributed appropriately according to Ascension Health's strategic business plan and consistent with corporate policies and procedures.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Vincent C Caponi	(i) (ii)	852,293 0	1,102,176 0	0 0	544,497 0	16,782 0	2,515,748 0	0 0
(2) D Kyle DeFur	(i) (ii)	410,075 0	62,372 0	0 0	6,125 0	21,952 0	500,524 0	0 0
(3) Ian G Worden	(i) (ii)	526,971 0	78,675 0	0 0	31,814 0	11,534 0	648,994 0	0 0
(4) Jeffrey P Williams	(i) (ii)	223,819 0	0 0	0 0	3,321 0	9,515 0	236,655 0	0 0
(5) Darcy K Burthay	(i) (ii)	349,614 0	32,948 0	0 0	21,997 0	5,495 0	410,054 0	0 0
(6) Anne F Coleman	(i) (ii)	243,476 0	43,699 0	0 0	24,438 0	20,755 0	332,368 0	0 0
(7) Martha L Durall	(i) (ii)	187,077 0	20,329 0	0 0	30,376 0	16,312 0	254,094 0	0 0
(8) Gary A Fammartino	(i) (ii)	207,141 0	19,574 0	0 0	26,015 0	25,256 0	277,986 0	0 0
(9) Joanne M Hilden	(i) (ii)	369,342 0	38,680 0	0 0	21,808 0	19,766 0	449,596 0	0 0
(10) Jon D Rahman	(i) (ii)	357,235 0	57,231 0	0 0	48,681 0	17,474 0	480,621 0	0 0
(11) Daniel R LeGrand	(i) (ii)	369,109 0	38,694 0	0 0	34,585 0	24,462 0	466,850 0	0 0
(12) Robert M Lubitz	(i) (ii)	308,602 0	30,534 0	0 0	22,486 0	19,490 0	381,112 0	0 0
(13) Joseph F Bellflower	(i) (ii)	617,793 0	55,899 0	0 0	14,681 0	18,988 0	707,361 0	0 0
(14) James E Sumners	(i) (ii)	658,770 0	12,607 0	0 0	37,405 0	23,263 0	732,045 0	0 0
(15) Michael F Kaveney	(i) (ii)	600,557 0	27,000 0	0 0	12,722 0	16,967 0	657,246 0	0 0
(16) William P Didelot	(i) (ii)	597,530 0	8,249 0	0 0	14,146 0	17,116 0	637,041 0	0 0
(17) Adam K Hiett	(i) (ii)	406,363 0	125,728 0	0 0	26,328 0	21,168 0	579,587 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	Part I, Line 1a	St.Vincent Hospital & Health Care Center, Inc. paid for cell phone usage for nineteen of the officers/directors, key employees, and highest compensated employees listed in Part VII. St.Vincent Hospital & Health Care Center, Inc. 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 Hospital & Health Care Center, Inc. "grossed up" the above applicable non-business expenses and included in the employees' W-2 as additional taxable compensation. St.Vincent Hospital & Health Care Center, Inc. utilized charter travel during the fiscal year for one of the officer/directors. It is not common practice to utilize charter travel, but on a few occasions in FY 2011 it was necessary due to limited flight times and urgency of system-wide meetings.
	Part I, Line 4b	The following individuals participated in, or received payment from a supplemental non-qualified retirement plan: Joseph F Bellflower - $16,500 Vincent C Caponi - $16,500 William P Didelot - $14,976 Martha L Durall - $16,500 Adam K Hiett - $16,500 Robert M Lubitz - $16,492 Jon D Rahman - $16,500 James E Sumners - $16,500 Ian G Worden - $16,500

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Identifier	Return Reference	Explanation
Form 990, Part VI, Section A, line 6		St.Vincent Hospital & Health Care Center, Inc. has a single corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section A, line 7a		St.Vincent Hospital & Health Care Center, Inc. has a single corporate member, St.Vincent Health, Inc. who has the ability to elect members to the governing body of St.Vincent Hospital & Health Care Center, Inc.
Form 990, Part VI, Section A, line 7b		All decisions that have a material impact to St.Vincent Hospital & Health Care Center, 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.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized gains on investments: 60,542,605.
Total Number of Volunteers	Part I, Line 6	The total number of volunteers for the organization is 275. 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.
Tax Exempt Bond Issuance	Part IV, Line 24A	St.Vincent Hospital & Health Care Center, 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 Hospital & Health Care Center, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet.
Community Benefit Report	Form 990, Part III, Line 4a, 4b and 4c	Other key services include: Digestive Health, Diabetes Care, Center for Healthy Aging, Center for Joint Replacement, Breast Care Services, Mental Health Services , Surgery Services, Sports Medicine, Emergency Departments (Adult and Pediatric), and Primary Health Care. 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 Hospital & Health Care Center (SVHHCC) 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 SVHHCC 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, SVHHCC associates and others. Community benefit is not the work of a single department or group within SVHHCC, 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		Community Assessment During 2009, an internal multi-disciplinary group of St.Vincent associates embarked on a community assessment analysis in order to determine the most pressing health-related needs in the Indianapolis area. To complete this effort, the group reviewed information that was available nationally, from the State of Indiana, locally and from the neighborhood surrounding the St.Vincent Indianapolis campus. In all, the group studied thirteen assessments from dependable sources. Working with key community stakeholders, the group unraveled the complex information that had been collected and participated in the analysis of information and issues identification. From this vast effort, a community focused plan prescribed work to be done in the next few years to meet the growing health care needs of the Indianapolis area. Areas identified include: - Overweight and obesity; - Tobacco cessation; - Children's health, and - Access to healthcare and healthcare services To address each of these areas of concern, the group developed a vision that all could embrace and a plan that will guide the community benefit activities for the next three years. With sustained commitment from the leadership of St.Vincent, many programs are now being implemented and enhanced to assure that the health of the community is better in years to come. The following is a non-exhaustive list of Community Benefit programs that St.Vincent sponsored in 2011. 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 assist patients in determining eligibility and in completing necessary documentation. Public Program Participation and Enrollment Outreach St.Vincent participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP) and Medicare and assists patients and families in enrolling for programs for which they are eligible. Per Catholic Healthcare Association guidelines and St.Vincent Health's conservative approach, Medicare shortfall is not included as community benefit. Specific eligibility outreach programs sponsored by St.Vincent in 2011 include: - Hoosier Healthwise Enrollment and Outreach The Hoosier Healthwise Outreach Team partnered with community organizations to help enroll citizens in Hoosier Healthwise, Healthy Indiana Plan (HIP), Medicaid Disability, Presumptive Eligibility, and St.Vincent Advantage. In fiscal year 2011, the Outreach team touched the lives of 8,500 families and completed 2,850 enrollment applications for eligible individuals and families. St.Vincent provided office space, equipment and supplies as well as full-time coordination and supervision of this important outreach. Health and Hospital Corporation's Covering Kids program provided enrollment staff. St.Vincent funds 50% of the salary costs for three enrollment outreach workers through an annual grant award to Covering Kids. - Qualified Medicare Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB) St.Vincent's QMB/SLMB team worked with more than 2,123 seniors either by mail or phone, completing over 137 applications with patients who were struggling with the financial burden of Medicare deductibles and co-payments during FY 2011. Their premium was subtracted from their Social Security checks in the amount of anywhere from $96.00 to $150.00 per month. The seniors were Social Security recipients and Medicare beneficiaries of modest means who paid all or some of Medicare's cost sharing amounts (i.e. premiums, deductibles, and co-payments). To qualify, it was imperative that the individuals were eligible for Medicare and met certain income guidelines which change annually. The QMB/SLMB team assists seniors with completing the application to allow them to be refunded the amount they are paying for Medicare B and the government then begins to pick up the cost. - Senior Health Insurance Information Program (SHIIP) SHIIP is a partnership between St.Vincent and the Indiana Department of Insurance and five trained volunteer counselors. The program has been in existence for nine years. In fiscal year 2011, the counselors provided free and unbiased information to 792 seniors with questions regarding Medicare, Medicare Supplements, HMOs, Managed Care Plans, Medicaid and long-term care programs. Joshua Max Simon Primary Care Center The St.Vincent Joshua Max Simon Primary Care Center provides full-service care for the entire family on a sliding fee scale, based on need. There were 71,365 patient visits in fiscal year 2011, and more than 110,000 visits were recorded including nurse visits, pharmacy, and financial counseling visits. Approximately 95 percent of these patients were uninsured/underinsured or were eligible for public programs, such as Medicaid. Approximately 50 percent of all visits were by patients with limited English proficiency (including many Eastern European, Latino and Burmese immigrants). Primary and preventive care was provided through family medicine, internal medicine, womens health, and pediatric clinics. Specialty care, such as general surgery, dermatology, sports medicine, and orthopedics were available, as well as ancillary services including lab, X-ray, pharmacy, financial counseling, legal counseling, parenting classes, and full-time medical interpretation. BABE Store Bed And Britches, Etc. (BABE) is a community-based program that offers incentives in the form of coupons to parents who seek medical, educational and nutritional services for themselves and their children. Families earn coupons for seeking prenatal care, well baby care, immunizations, parenting and childbirth education classes, WIC nutrition education, care coordination, and other services. Families then redeem the coupons at BABE stores for new or gently-used infant and maternity clothing, cribs, car seats, and other baby supplies. During fiscal year 2011, 2,879 families were served through the two B.A.B.E. stores sponsored by St.Vincent. Bereavement Services Losing a loved one can be extremely distressing for family members. St.Vincent Hospice Bereavement Services works with families both before and after the passing of a loved one, helping them cope with their grief. The St.Vincent bereavement team reviews individual care plans, conducting support phone calls and home visits, and sending out mailings and a bereavement newsletter each month. Support groups are provided based on age or relationship to the loved one. Road to Healing offers support for the ones left behind shortly after the loss. A Daughter's Grief, Widow's Grief, and Safe Haven (parents who have lost a child) focus on the specific relationship one might have had with the loved one. Other support groups include Journey through Grief and the Lunch Bunch Socialization Group. Project Snowflake is designed for children, offering kids ages 6 to 16 years an individual experience. The Dove's Journey is a summer family workshop series for grieving families with children ages 4 to 17 years of age. Hospice also provides an Art Counseling Program, using drawing and painting to help grieving persons work through their emotional pain. During fiscal year 2011, 100 families were served through the St.Vincent Hospice Bereavement Services Department. Car Seat Safety Inspections St.Vincent Women's Hospital offers car seat inspections at the Indianapolis campus. Inspections are completed by appointment and are free of charge unless it is determined that a replacement seat is needed. Replacement seats are available at cost and can be provided at no cost with proof of financial need. In addition to the funding provided by St.Vincent, a grant from the Automotive Safety Program supports this program. During fiscal year 2011, over 200 families were provided car seat safety inspections by St.Vincent.
		St.Vincent Center for Cancer Care The St.Vincent Center for Cancer Care devotes key resources to providing cancer prevention, lifestyle education, and early detection through screenings to the central Indiana community. Working with a variety of community organizations, including many specifically targeting the underserved, the St.Vincent Center for Cancer Care has been active in scheduling or participating in health fairs and other community events that educate participants about cancer risk factors, healthier lifestyles and the importance of screening/early detection, including providing opportunities for low/no cost screenings. St.Vincent is also committed to ensuring a continuum of care for those who are found to need additional diagnostic testing or treatment. A key initiative of the St.Vincent Center for Cancer Care is the mobile screening van. In 2011, more than 1,153 women who were uninsured/underinsured received screening mammograms aboard the St.Vincent Mobile Screening Van. The screenings were provided at no charge through a grant from the Susan G. Komen for the Cure Indianapolis Affiliate. The mobile mammography program allows St.Vincent to overcome key economic, cultural, geographic, and transportation barriers that block access to recommended screenings, early detection, and peace of mind. St.Vincent coordinates care to ensure that 100% of screened women who require additional diagnostic testing (approximately 20% of women screened), or need treatment, will have access to a continuum of care. The Center for Cancer Care also deploys the mobile screening van in partnership with community groups throughout the area to provide cancer awareness, prevention and healthy lifestyle education along with a variety of free screenings. Center of Hope The St.Vincent Indianapolis Center of Hope provides expert treatment, advocacy, legal services coordination, and evidence collection and preservation for victims of sexual assault and domestic violence with a full-time forensic nurse examiner (FNE) available around the clock to see victims of violent crimes, such as sexual assault, child sexual abuse, domestic violence, elder abuse and attempted homicide and physical assault. A dedicated and private examination room is provided for these vulnerable patients, and specialized equipment has been purchased to collect and preserve evidence to assist in the successful prosecution of perpetrators. The St.Vincent Indianapolis Center of Hope coordinator, who provides oversight for all three locations and other Center of Hope staff, works closely with law enforcement, the judicial system and mental health and social service agencies to help victims access the services they need, and to provide expert testimony that assists in securing convictions. The Center of Hope is also actively involved in educating the community, health professionals, and other law enforcement and advocacy workers about issues related to sexual assault and domestic violence. In addition to the support provided by St.Vincent, the Center of Hope receives funding through grants from the Indiana Criminal Justice Institute. The Child Protection Center and Child Protection Team More than 90,000 cases of child abuse are reported in Indiana each year. The St.Vincent Child Protection Center at Peyton Manning Children's Hospital provides a multi-disciplinary team comprised of experts dedicated to child abuse assessment, intervention services and community education. These professionals include social workers, physicians, and nursing staff. The team works with primary care providers, other health professionals, community agencies and law enforcement professionals to ensure the safety and health of children suspected of being abused or neglected. The team also works with schools and youth groups throughout the state to prepare adult youth leaders to recognize and respond proactively to protect children. In addition to funding provided by St.Vincent, the Child Protection Center has be supported by the Daughters of Charity, the Crosser Family Foundation, Duke Energy, Inc. and Peyton Manning Children's Hospital license plate funding. In addition to the medically-based child abuse assessment and intervention services, provided by the Peyton Manning Child Protection Center at St.Vincent, the Center has become a leader in child abuse prevention training in Indiana. The team endorses The Stewards of Children Program, a nationally-recognized, adult-focused child sexual abuse prevention training program for adult youth leaders. In the past year, The Child Protection Team has trained approximately 500 St.Vincent associates and community members using The Stewards of Children curriculum. The Child Protection team is also working with several Indiana School Corporations to provide Stewards of Children training. The Child Protection Team at Peyton Manning Children's Hospital hopes that by connecting with associates and community members at each St.Vincent community, a safer world will be created for hundreds of thousands of Indiana's children. Crisis Intervention Training In 2009, the St.Vincent Stress Center began offering a Crisis Intervention Training for law enforcement officers. Through this program, the Stress Center has continued to provide general mental illness education and suicide prevention education. Mental health professionals and others in the community also give instruction on de-escalation techniques and psychopharmacology. The courses are offered free for law enforcement officers. Approximately 60 officers from Marion, Boone and Hamilton Counties go through the training every year. Diabetes Classes The St.Vincent Diabetes Center's team of specialists includes certified diabetes educators who help individuals balance their diabetes care with their lifestyle needs. Understanding as much as possible about diabetes and its management is the key to gaining control and managing this chronic condition. Both group and individualized instruction on the self-management of diabetes help those with diabetes learn to live an active, healthy lifestyle, despite the challenges of their condition. In fiscal year 2011, the educators met with and served 933 people with diabetes in the outpatient setting. Fishers Safety Day St.Vincent Medical Center Northeast partnered with the Fishers Fire Department to host the Fishers Safety Day in September. The Fishers Safety Day is an event free to the community that provides hundreds of kids and parents the opportunity to learn about health and safety topics including fire safety, emergency response, health and fitness and seat belt safety through live demonstrations, hands-on learning, and interactive displays. Last year, over 500 community members attended Fishers Safety Day. Fresh Start Parenting Program The St.Vincent Fresh Start to Life Prenatal Education Program provides health education, counseling and support for under-insured and uninsured women throughout Central Indiana. The program evaluates the most at-risk women based on household income, language barriers, health knowledge and access to transportation. Those at the greatest risk based on these criteria were chosen for the Prenatal Education Program, which served over 301 women in fiscal year 2011. Health Fairs and Screenings St.Vincent participated in, facilitated, sponsored and promoted approximately 200 health screenings and health fairs during fiscal year 2011. Fairs and screenings were held in conjunction with schools; community, state and national organizations; local and state government agencies; and were held at a variety of conferences and community events. These events provided invaluable health education, prevention and screenings for thousands of Hoosiers across the state free of charge. Health/Healing/Wellness Support Groups and Camps St.Vincent sponsors a wide variety of support groups to help both patients and families cope with significant health challenges, family issues, bereavement or grief issues and other mental health concerns. Groups often target particular age brackets to ensure that the unique challenges facing children, teens, adults and seniors are addressed. St.Vincent provides expert facilitation, meeting coordination, materials and meeting space for each. In addition, St.Vincent partners with other community organizations to sponsor and participate in camps for youth who are dealing with specific health and wellness-related challenges. These include CHAMP Camp, a summer camping experience for children who are developmentally disabled and Camp Healing Tree, a retreat designed for youth who are grieving the loss of a loved one such as a parent or sibling.
		HIV Care Coordination HIV Care coordination services provide access to health coverage, patient assistance programs, and other basic needs. The program is coordinated by a licensed clinical social worker who offers individual, group and family counseling and facilitates a weekly support group for HIV-diagnosed patients and their families. International Pediatric Heart Surgery Project The International Pediatric Heart Surgery Project was founded as part of The Children's Heart Center and St.Vincent's commitment to fulfilling the mission of advocacy and care of the poor. Through this effort, St.Vincent provided $500,000 in fiscal year 2011 for life-saving heart surgery for children from impoverished areas, such as Bolivia, Kosovo, Mongolia, Honduras, Kenya, and Haiti. These countries have minimal health care available for the treatment of congenital heart disease and without surgery these children would not survive. There is no charge to the child's family. The cardiothoracic surgeon and physicians of the Children's Heart Center, as well as pediatric anesthesiologists, intensivists, and other members of Peyton Manning Children's Hospital at St.Vincent donate their skills and time in caring for these children. Since the first patient arrived in February 2000, the program has provided life saving care for 95 children. This program works with individual volunteers, local church congregations, and organizations such as Samaritan's Purse in order to coordinate and provide transportation, visas, host families, and interpreter services. The lives of those who have had the opportunity to assist in caring for these children have been touched forever. Junior Achievement Camps The Junior Achievement programs help prepare young people for the real world by showing them how to generate wealth and effectively manage it, how to create jobs which make their communities more robust, and how to apply entrepreneurial thinking to the workplace. Students put these lessons into action and learn the value of contributing to their communities. Counselors from the St.Vincent Stress Center were asked to give presentations at all of the summer camps to the attending students on stress management, coping skills, and healthy lifestyles. Lifetime Individual Fitness & Eating Program (LIFE for Kids) Obesity among children has become a national epidemic, particularly in Indiana where estimates of childhood obesity are between 20-40%. Life-threatening conditions such as heart disease and type 2 diabetes are also increasing among this population. LIFE for Kids is a yearlong weight management program especially designed for children and adolescents. This program was introduced in 2007 to promote healthy eating and physical activity and exercise through integrated education and counseling from a multi-disciplinary team that includes a physician, dietitian, behavior therapist, exercise physiologist and registered nurse. The LIFE program offers scholarships to those unable to pay for the program. Medical Education St.Vincent Hospital, in affiliation with the Indiana University School of Medicine, is a teaching hospital for future professionals in the healthcare field. St.Vincent Hospital provides a broad range of graduate, undergraduate, and continuing education opportunities to physicians, residents, and medical students through training programs in Internal Medicine, Family Medicine, Obstetrics/Gynecology, Pediatrics, and Transitional Medicine, and through continuing medical education. Over 140 interns and residents participate in these programs each year, and over 300 IU medical students come to St.Vincent for patient-focused education. In addition, St.Vincent provides opportunities for residents and interns to serve the poor in underserved areas of Indiana, as well as in underdeveloped countries. Residents can participate in urban, rural, or international medicine rotations in which they receive a broader perspective on medicine that enhances their capacities as physicians both professionally and spiritually. Medical Research St.Vincent contributes funds and personnel to advance medical care. The Research & Regulatory Affairs Department assists physicians and healthcare providers in developing new medical procedures, finding innovative uses for existing technologies and participating in clinical trial programs in order to provide patients and their families with cutting edge technologies and pharmaceuticals. Research is being conducted in cardiovascular, cancer, neurological, gastrointestinal and orthopedic treatments as well as in additional specialty areas. Medical Social Services The Medical Social Services Department of St.Vincent provides psychosocial services to patients and their families to maximize social functioning and to empower patients and their families. The medical social workers are all licensed social workers with master's degrees. The social workers connect patients and their families to services and in many cases can provide direct assistance for temporary food, clothing, shelter and transportation needs. Through the work of the department, in 2011, 711 community agencies were utilized to assist 20,407 patients and their families with achieving their optimal level of health. Out of the Darkness Community Walk For the 6th year in a row, St.Vincent Stress Center was a platinum sponsor of the American Foundation for Suicide Prevention Out of Darkness Community Walk, which promotes awareness, education, prevention, and intervention for suicide and depression disorders. Stress Center associates continue to play an integral role in holding this event. Associates lead the committee that organizes the walk, and the Stress Center executive director has been an opening ceremony speaker for each year of the event. In fiscal year 2011, the Out of Darkness Community Walk took place on September 11th. Over 1,000 walkers support the event, which raised over $60,000. Project 18 Project 18, a partnership between St.Vincent, Peyton Manning, Ball State University, and Marsh Supermarkets, provides a hands-on, 18- week curriculum targeting 3rd - 5th graders and their families focused on healthy nutrition and physical activity. More than 320 registered schools within 68 Indiana counties and 106 cities competed in the Project 18 Challenge to win a visit from Peyton Manning and $2,500 toward their health and wellness programs in the second Project 18 School Health and Wellness Challenge. Qualifying schools completed a 500-word essay and a three-subject curriculum on nutrition, physical and holistic health, with pre- and post- assessments to gauge how much children learned. The winning school measured students' body mass index and students kept daily diet, exercise and emotion journals. Students also completed pre- and post- tests to measure increased knowledge in fitness, nutrition and holistic health. Other activities included a Marsh Grocery store scavenger hunt for healthy food options, student posters on health and wellness, and student pledges to focus on nutrition and physical activity. Over the course of the Project 18 challenge, students showed a 35% increase in their post lesson scores, a significant achievement. Center for Perinatal Loss St.Vincent Women's Center for Perinatal Loss consists of three programs. The Resolve Through Sharing Program assists families experiencing an infant loss with their grief journey by providing ongoing emotional and spiritual support through telephone contact, literature, counseling and support group meetings. The Perinatal Hospice Program offers support to families during, at the time of, and following the birth and death of their babies born with fatal anomalies. The Perinatal Loss Evaluation Program helps families deal with the pain and trauma experienced with the loss of an infant. Through this program, families are assisted in discovering the cause of their baby's stillbirth or neonatal death as they go through their grief journey. School and Community Asthma Program Asthma can be a frightening, debilitating, even life-threatening condition, especially for children and their families. Peyton Manning Children's Hospital (PMCH) believes that providing quality information about asthma and its treatment can empower children and families to better manage the condition, enabling them to participate more fully in a wide range of activities. The PMCH School and Community Asthma Program offers free asthma classes for parents, students and teachers in conjunction with St.Vincent Children's Hospital and the Asthma Alliance of Indianapolis. In fiscal year 2011, the program served 5,000 children and families at over 100 schools and communities.
		School Health and Wellness In order to enhance the health of our communities, Peyton Manning Children's Hospital at St.Vincent has entered into a collaborative agreement with local school districts and in some school systems, Learning Well, Inc. to establish health centers in 31 area schools; 11 Washington Township Schools, 7 Archdiocesan inner-city schools, 8 Zionsville Community Schools, and 5 Beech Grove Community Schools. Through these partnerships, Peyton Manning Children's Hospital at St.Vincent employs and trains school health personnel, including RNs, LPNs, Certified nurse assistants, and Emergency Medical Technicians, to work in local elementary, middle and high schools, allowing for consistent health practices across the school systems. In addition to staffing school health clinics, Peyton Manning Children's Hospital at St.Vincent also employs a school wellness coordinator who works closely with schools in Marion and Hamilton counties to provide health education, physical fitness testing, wellness consulting, organizing health and safety fairs and other wellness activities in over 150 schools. A full-time Peyton Manning Children's Hospital school wellness coordinator works closely with school administration, faculty, and students to share and coordinate available resources. Geist Half Marathon & 5 K St.Vincent Medical Center Northeast served as the lead sponsor of the 2011 St.Vincent Geist Half Marathon & 5k, with financial and volunteer commitment. Over 1,700 youth participated in the St.Vincent Geist Half Marathon school program, which was created to inspire health and wellness in children who live around Geist Reservoir. Geist Half Marathon, Inc. funds the Health & Wellness Grant Program designed to fund healthy initiatives for schools in Marion, Hancock, and Hamilton counties. St.Vincent Medical Center Northeast provided financial and volunteer support for this health and wellness initiative. Sports Performance Outreach St.Vincent provides sports medicine services at 18 high schools, 16 middle schools and several youth sports organizations. Over 22,000 youth were served with Outreach athletic training services, sports physicals and injury management advice during fiscal year 2011. Speakers Bureau To accommodate the numerous requests for professionals to present health promotion education throughout the community, St.Vincent sponsors a Speakers Bureau and coordinates presentations to a multitude of organizations and agencies. 338-KIDS and 338-4HER Lines The (317)338-KIDS line is a direct link to the Peyton Manning Children's Hospital at St.Vincent and its exclusive 24-hour emergency nurse advice line. This phone line helps parents address health-related problems their child may be having. It provides information about health, wellness, and preventative care. St.Vincent Women's Hospital encourages women to ask questions regarding any health issues, and is dedicated to assisting them in receiving the help they need. Women across Central Indiana are able to call 24 hours a day, seven days a week. By calling 317-338-4HER (4437) day or night, individuals are able to reach a health professional who can answer questions or connect them with a doctor, nurse, or other professional who will advise them on their health issues. St.Vincent Stress Center Education/Support Mental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older, about one in four adults, suffer from a diagnosable mental disorder in a given year. Recent statistics suggest roughly seven of every one hundred people suffer depression after age 18 at some point in their lives. Depression results in more absenteeism than almost any other physical disorder and costs American employers more than $51 billion per year in absenteeism and lost productivity, not including high medical and pharmaceutical bills. The St.Vincent Stress Center provides long-term recovery from depression by addressing the underlying relationship causes of depression. During fiscal year 2011, the St.Vincent Stress Center of Indiana staff spent over 59 hours of time counseling over 890 students and teachers in 14 schools. Women's Health and Wellness St.Vincent Medical Center Northeast initiated a free women's health and wellness event this past January that offered over 200 women free health screenings and educational programs. Staff at St.Vincent Medical Center Northeast offered free screenings for cholesterol/glucose, bone density, balance, skin analysis, skin cancer, hearing, sleep disorders, and stroke. Participants also received free seminars and demonstrations on stress management, weight loss, heart healthy cooking, and skin care. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs operated by the hospital, St.Vincent 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. Back Pack Attack Eighty-three percent of Indianapolis Public School families cannot afford the basic school supplies their children need requiring many teachers to spend their own money to operate their classrooms. St.Vincent has joined with other local partners to participate in the Back Pack Attack Program. The program provides school supplies to over 16,000 children. There are several designated days to hand out back packs to the children. Also, a teacher is given a container full of school supplies to use throughout the year. Hope for the Holidays Each year, St.Vincent associates reach into their own pockets to purchase Christmas gift items for families in need. Staff are able to match the family's needs with participating departments during their work time, making it also a gift of time from St.Vincent. In FY 2011, 385 individuals were helped through this program. Reach Out and Read Early Literacy Program Reach Out and Read is a national early literacy program designed to take advantage of the access pediatricians have to children who are in their critical early years (6 months to 5 years) of cognitive and language development. Across Indiana, physician-based sites distribute more than 100,000 new books a year reaching thousands of Hoosier children and their families. In the state of Indiana, physicians and nurses have been trained in the program, including the healthcare professionals at the St.Vincent Primary Care Center. United Way Day of Caring St.Vincent associates are given time off work to participate in the United Way Day of Caring making this community wide effort a gift of time, effort and skills by participating organizations. Unity Development Center and After School Program The St.Vincent Unity Development Center (UDC) offers Kids With a Mission (KWAM), an after-school program that provides a fun, safe, learning atmosphere. During 2011, KWAM served approximately 55 students in K-6th grades who attend a school in the service community. As part of KWAM, youth were offered homework assistance, character education, field trips, Project SEED, Arts with A Heart, Indianapolis Children's Choir/Sounds Sensation classes, and more. Snacks and free transportation were provided. UDC also provided a Brother2Brother and Sister2Sister mentoring program that focused on instilling morals and values for approximately 20 students (middle to high school age). UDC also partners with 100 Black Men of Indianapolis, Inc. to provide a Summer Academy to children in K-8th grades who reside in Marion County for a minimal charge. The Academy prides itself on offering participants educational, cultural, and leisure activities to which they may not otherwise be exposed. Some activities included reading and math enhancement, field trips, community service projects, and cultural activities. In fiscal year 2011, approximately 134 children attended the seven-week program.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

StVincent Hospital and Health Care Center Inc

Employer identification number

35-0869066

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) CIHS Newco LLC 8425 Harcourt Road Indianapolis,IN46260 35-2174403	Land holding company	IN	787,753	5,903,010	Central Indiana Health System Cardiac Services Inc
(2) Endoscopy Center LLC 3755 E 82nd St Ste 270 Indianapolis,IN46240 32-0029881	Endoscopy center	IN	873,755	90,669	StVincent Carmel Hospital Inc
(3) StJoseph Primary Care LLC 1907 W Sycamore Street Kokomo,IN46901 74-2979291	Physician practices	IN	2,350,871	850,379	StJoseph Hospital & Health Center Inc
(4) Quality Healthcare Solutions LLC 8425 Harcourt Road Indianapolis,IN46260 27-2818049	Health care consulting	IN	16,091,347	28,977,876	StVincent Health Inc
(5) StVincent Physician Network LLC 10330 N Meridian Ste 300 Indianapolis,IN46290 20-1338729	Physician practices	IN	69,212,649	19,206,791	StVincent Health Inc

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Ascension Health PO Box 45998 St Louis,MO63145 31-1662309	National health system	MO	501(C)(3)	11A, I	N/A		No
(2) Central Indiana Health System Cardiac Services Inc 2001 W 86th Street Indianapolis,IN46260 35-1869951	Freestanding outpatient center	IN	501(C)(3)	11C, III-FI	StVincent Hospital & Health Care Center Inc	Yes
(3) Jubilee Partnerships Inc 2301 N Park Avenue Indianapolis,IN46205 35-2060765	Outreach activities	IN	501(C)(3)	1	StVincent Hospital & Health Care Center Inc	Yes
(4) Rehabilitation Hospital of Indiana Inc 4141 Shore Drive Indianapolis,IN46254 35-1786005	Rehabilitation hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(5) StJohn's Foundation Inc 2015 Jackson Street Anderson,IN46016 35-2053693	Supporting organization	IN	501(C)(3)	11A, I	StVincent Madison County Health System Inc	Yes
(6) StJoseph Hospital & Health Center Inc 1907 W Sycamore Street Kokomo,IN46901 35-0992717	Hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(7) StJoseph Foundation of Kokomo Indiana Inc 1907 W Sycamore Street Kokomo,IN46901 23-7313206	Supporting organization	IN	501(C)(3)	11A, I	StJoseph Hospital & Health Center Inc	Yes
(8) StVincent Carmel Hospital Inc 13500 N Meridian Street Carmel,IN46032 74-3107055	Hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(9) StVincent Clay Hospital Inc 1206 E National Avenue Brazil,IN47834 35-2112529	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(10) StVincent Dunn Hospital Inc 1600 23rd Street Bedford,IN47421 27-2192831	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(11) StVincent Frankfort Hospital Inc 1300 S Jackson Frankfort,IN46041 35-2099320	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(12) StVincent Frankfort Hospital Foundation Inc 1300 S Jackson Frankfort,IN46041 35-1531734	Supporting organization	IN	501(C)(3)	11A, I	StVincent Frankfort Hospital Inc	Yes
(13) StVincent Health Inc 8425 Harcourt Road Indianapolis,IN46260 35-2052591	Parent company	IN	501(C)(3)	11C, III-FI	Ascension Health		No
(14) StVincent Hospital Foundation Inc 10330 N Meridian Street Ste 430N Indianapolis,IN46290 35-6088862	Supporting organization	IN	501(C)(3)	11A, I	StVincent Hospital & Health Care Center Inc	Yes
(15) StVincent Jennings Hospital Inc 301 Henry Street North Vernon,IN47265 35-1841606	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(16) StVincent Madison County Health System Inc 1331 South A Street Elwood,IN46036 35-0876389	Hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(17) StVincent Medical Group Inc 8425 Harcourt Road Indianapolis,IN46260 27-2039417	Physician professional services	IN	501(C)(3)	9	StVincent Health Inc	Yes
(18) StVincent Mercy Hospital Foundation Inc 1331 South A Street Elwood,IN46036 31-1066871	Supporting organization	IN	501(C)(3)	11A, I	StVincent Madison County Health System Inc	Yes
(19) StVincent New Hope Inc 8450 N Payne Road Indianapolis,IN46260 35-1733591	Intermediate care facility	IN	501(C)(3)	9	StVincent Health Inc	Yes
(20) StVincent Pediatric Rehab Center Inc 1707 W 86th Street Indianapolis,IN46260 35-2048898	Specialty hospital	IN	501(C)(3)	3	StVincent Hospital & Health Care Center Inc	Yes
(21) StVincent Randolph Hospital Inc 473 Greenville Avenue Winchester,IN47394 35-2103153	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(22) StVincent Randolph Hospital Foundation Inc 473 Greenville Avenue Winchester,IN47394 35-2133006	Supporting organization	IN	501(C)(3)	11A, I	StVincent Randolph Hospital Inc	Yes
(23) StVincent Salem Hospital Inc 911 N Shelby Street Salem,IN47167 27-0847538	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(24) StVincent Seton Specialty Hospital Inc 8050 Township Line Road Indianapolis,IN46260 35-1712001	Long term care hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(25) StVincent Williamsport Hospital Inc 412 N Monroe Street Williamsport,IN47993 35-0784551	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	Yes
(26) StVincent Williamsport Hospital Foundation Inc 412 N Monroe Street Williamsport,IN47993 74-3130159	Supporting organization	IN	501(C)(3)	11A, I	StVincent Williamsport Hospital Inc	Yes
(27) SVSM Inc 2001 W 86th Street Indianapolis,IN46260 81-0607827	Holding company	IN	501(C)(3)	11A, I	StVincent Health Inc	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Breast MRI Leasing Company LLC 10330 N Meridian St Ste 430N Indianapolis,IN46290 42-6662493	Sale and rental services	IN	StVincent Hospital & Health Care Center Inc	Related	121,068	65,456		No			No	50.000 %
(2) Care Group Cardiovascular Management LLC 8333 Naab Road Ste 200 Indianapolis,IN46960 22-3937477	Management of cardiovascular service lines	IN	Central Indiana Health System Cardiac Services Inc	Related	219,289			No			No	0 %
(3) Carmel Ambulatory Surgery Center LLC 13421 Old Meridian St Ste 150 Carmel,IN46032 32-0014795	Ambulatory surgery center	IN	StVincent Carmel Inc	Related	5,760,736	1,334,486		No			No	45.000 %
(4) Chartwell Midwest Indiana LLC 8040 Castleway Drive Indianapolis,IN46250 35-1985233	Home care IV/infusion services	IN	StVincent Hospital & Health Care Center Inc	Related	21,300			No			No	0 %
(5) Cooperative Managed Care Services LLC 6602 E 75th Street Suite 300 Indianapolis,IN46250 35-1999227	Case management	IN	StVincent Hospital & Health Care Center Inc	Unrelated	122,350	1,421,132		No			No	50.000 %
(6) Endoscopy Center LLC 13421 Old Meridian St Ste 150 Carmel,IN46032 32-0029881	Endoscopy center	IN	StVincent Carmel Inc	Related	873,755	220,530		No			No	60.000 %
(7) Fishers Ambulatory Surgery Center LLC 136914 E State Road 238 Fishers,IN46037 26-2001288	Ambulatory surgery center	IN	StVincent Hospital & Health Care Center Inc	Related	-277,774	532,587		No			No	80.000 %
(8) Hancock Physician Network LLC 801 N State Street Greenfield,IN46140 35-2051598	Primary care physician practices	IN	StVincent Hospital & Health Care Center Inc	Related	-2,365,413	1,101,907		No			No	50.000 %
(9) HRH SVH Real Estate Development Co LLC 10330 N Meridian St Ste 430N Indianapolis,IN46290 27-2933470	Real estate holding	IN	StVincent Hospital & Health Care Center Inc	Related	3,131	3,131		No			No	100.000 %
(10) Lafayette Heart Program Holding LLC 11515 W Dragoon Trail Mishawaka,IN46544 38-3750811	Cardiac care services	IN	Central Indiana Health System Cardiac Services Inc	Related		7,800,000		No			No	49.000 %
(11) Meridian Heights Associates LLC 6100 W 96th Street Ste 250 Indianapolis,IN46278 26-4020296	Real estate holding	IN	StVincent Carmel Inc	Related	-497,691	2,030,813		No			No	50.000 %
(12) Neuro Oncology Equipment LLC 10330 N Meridian St Ste 430N Indianapolis,IN46290 74-3103803	Sale and rental services	IN	StVincent Hospital & Health Care Center Inc	Related	312,355	271,453		No			No	50.000 %
(13) Northside Cardiac Cath Lab Partnership 2001 W 86th Street Indianapolis,IN46260 35-1854388	Outpatient cath lab	IN	Central Indiana Health System Cardiac Services Inc	Related	59,307			No			No	6.820 %
(14) Saint John's Ambulatory Surgery Center LLC 2015 Jackson Street Anderson,IN46016 01-0822977	Surgery center	IN	StVincent Madison County Health System Inc	Related	-18,650			No			No	0 %
(15) StVincent Heart Center of Indiana LLC 10580 N Meridian Street Indianapolis,IN46290 36-4492612	Heart hospital	IN	Central Indiana Health System Cardiac Services Inc	Related	15,885,142	27,774,130		No			No	74.040 %
(16) StVincent Northwest Radiology LLC 5756 W 71st Street Indianapolis,IN46278 35-2047427	MRI facilities	IN	StVincent Hospital & Health Care Center Inc	Related	-8,834			No			No	0 %
(17) The Care Labs LLC 2001 W 86th Street Indianapolis,IN46260 35-1854352	Outpatient vascular lab	IN	Central Indiana Health System Cardiac Services Inc	Related	158,226	663		No			No	35.080 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Ascension Health	B	58,414,036	Fair market value
(2) StJoseph Hospital & Health Center Inc	C	4,000,000	Fair market value
(3) StVincent Hospital Foundation Inc	C	3,811,686	Fair market value
(4) StVincent Hospital Foundation Inc	B	1,566,182	Fair market value
(5) StVincent Carmel Hospital Inc	C	18,915,883	Fair market value
(6) StVincent Health Inc	B	28,600,000	Fair market value
(7) StVincent Madison County Health System Inc	C	2,500,000	Fair market value
(8) StVincent Seton Specialty Hospital Inc	C	1,600,000	Fair market value
(9) StVincent Health Inc	C	76,904,107	Fair market value
(10) StVincent Medical Group Inc	B	64,927,022	Fair market value

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	11
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	7,577
6	Total number of volunteers (estimate if necessary) ....	6	275
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,555,040
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-924,967

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	15,149,499	108,237,655
9	Program service revenue (Part VIII, line 2g) .........	1,034,336,598	1,140,748,839
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	101,703,883	80,070,300
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	13,144,997	14,367,829
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,164,334,977	1,343,424,623
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	61,392,307	153,953,554
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	421,865,822	443,791,103
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	539,349,115	593,753,728
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,022,607,244	1,191,498,385
19	Revenue less expenses. Subtract line 18 from line 12......	141,727,733	151,926,238
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	1,242,205,616	1,385,448,775
21	Total liabilities (Part X, line 26)............	388,657,895	319,432,211
22	Net assets or fund balances. Subtract line 21 from line 20 .....	853,547,721	1,066,016,564

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 954,096,518 including grants of $ 153,953,554 ) (Revenue $ 1,152,534,311 )
	St.Vincent Hospital & Health Care Center (SVHHCC) is a 935-bed hospital campus serving Marion and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. SVHHCC provided services through these Centers of Excellence: Cancer Care, Neuroscience, Heart Center, Orthopedics, Peyton Manning Children's Hospital, Women's Hospital, Spine Center, Bariatrics, Stress Center, and SVMCNE. During fiscal year 2011, SVHHCC treated 34,270 adults and children for a total of 191,322 inpatient days of service. The hospital also provided services for 893,832 outpatient visits, including 139,908 outpatient surgeries and 70,856 emergency room and minor care visits. See Schedule O for a non-exhaustive list of community benefit programs and descriptions.

4b	(Code: ) (Expenses $ 75,579,658 including grants of $ ) (Revenue $ )
	St.Vincent Hospital & Health Care Center (SVHHCC) 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, 2011, the unreimbursed cost of free or discounted services provided to patients who were deemed indigent under state, county, or hospital guidelines was $75,579,658, which included $24,726,418 of traditional charity care and $50,853,240 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.

4c	(Code: ) (Expenses $ 29,588,520 including grants of $ ) (Revenue $ )
	In addition to core medical services, SVHHCC 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 2011, SVHHCC provided $29,588,520 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, SVHHCC provided a total community benefit of $105,168,178 in fiscal year 2011.) SVHHCC serves and supports its community through such programs as diabetes classes, Primary Care Center, Resolve Through Sharing Grief Support Group, health fairs and screenings. See Schedule O for a non-exhaustive list of community benefit programs and descriptions.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 1,059,264,696

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	9,184,011	0	1,236,962

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		107,731,676
e	Government grants (contributions)1e		201,063

f	All other contributions, gifts, grants, and similar amounts not included above1f		304,916
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			108,237,655
			Business Code
2a	Net patient revenue		621,990	840,729,730	840,729,730
b	Net Medicare/Medicaid		621,990	300,019,109	300,019,109
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,140,748,839
3	Investment income (including dividends, interest
	and other similar amounts).....			80,532,983	11,785,472	109,519	68,637,992
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	2,575,876
b	Less: rental expenses
c	Rental income or (loss)	2,575,876
d	Net rental income or (loss).......			2,575,876			2,575,876
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses		462,683
c	Gain or (loss)		-462,683
d	Net gain or (loss)..........			-462,683			-462,683
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Pharmacy revenue		621,990	5,653,331			5,653,331
b	Cafeteria revenue		722,210	3,384,383			3,384,383
c	Hotel & Conference rev		721,000	1,445,521		1,445,521
d	All other revenue ....			1,308,718			1,308,718
e	Total. Add lines 11a–11d ......			11,791,953
12	Total revenue. See Instructions....			1,343,424,623	1,152,534,311	1,555,040	81,097,617


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........				1
2	Savings and temporary cash investments .......			18,430,602	2	36,354,382
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			129,921,751	4	147,171,442
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			12,805,454	8	10,495,204
9	Prepaid expenses and deferred charges ............			7,332,449	9	3,125,146
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	730,749,899
b	Less: accumulated depreciation. .....	10b	493,198,461	245,638,785	10c	237,551,438
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......			52,915,514	12	54,192,927
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			775,161,061	15	896,558,236
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,242,205,616	16	1,385,448,775
17	Accounts payable and accrued expenses .			101,680,331	17	107,460,582
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			286,977,564	25	211,971,629
26	Total liabilities. Add lines 17 through 25.....			388,657,895	26	319,432,211
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			851,062,272	27	1,062,709,308
28	Temporarily restricted net assets .....			2,475,449	28	3,297,256
29	Permanently restricted net assets .....			10,000	29	10,000
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			853,547,721	33	1,066,016,564
34	Total liabilities and net assets/fund balances .....			1,242,205,616	34	1,385,448,775