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. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
StVincent New Hope Inc
Employer identification number
35-1733591
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
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).
f
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
..................................................
g
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
No
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)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(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?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
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).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
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..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
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
......................
b
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
.....................
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
..................................................
b
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
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
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.") .
43,929
241,762
73,439
69,944
165,677
594,751
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......
17,273,464
18,878,010
20,553,552
21,577,220
21,733,766
100,016,012
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.
17,317,393
19,119,772
20,626,991
21,647,164
21,899,443
100,610,763
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
100,610,763
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...
17,317,393
19,119,772
20,626,991
21,647,164
21,899,443
100,610,763
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
90,640
42,610
-1,372
132,875
41,249
306,002
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
90,640
42,610
-1,372
132,875
41,249
306,002
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.).
17,408,033
19,162,382
20,625,619
21,780,039
21,940,692
100,916,765
14
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.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
99.700 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
99.680 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0.300 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
0.320 %
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
..........
b
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
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
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 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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
StVincent New Hope Inc
Employer identification number
35-1733591
Identifier
Return Reference
Explanation
Form 990, Part VI, Section A, line 6
St.Vincent New Hope, Inc. has a single corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section A, line 7a
St.Vincent New Hope, Inc. has a single corporate member, St.Vincent Health, Inc. who has the ability to elect members to the governing body of St.Vincent New Hope, Inc.
Form 990, Part VI, Section A, line 7b
All decisions that have a material impact to St.Vincent New Hope, 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.
Form 990, Part VII, Section A
The average hours per week that was devoted to related organizations during the year: Katherine Humphreys - 40 hours
Changes in Net Assets or Fund Balances:
Form 990, Part XI, line 5:
Net unrealized losses on investments: -227. FAS 158 deferred pension adjustment 1,378,841. Total to Form 990, Part XI, Line 5: 1,378,614.
Total Number of Volunteers
Part I, Line 6
The total number of volunteers for the organization is 75. This consists of volunteers participating in multiple areas throughout the organization such as care givers and chaperones.
Tax Exempt Bond Issuance
Part IV, Line 24A
St.Vincent New Hope, 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 New Hope, 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
St.Vincent New Hope is part of St.Vincent Health, a non-profit healthcare system consisting of 20 locally-sponsored ministries serving over serving 47 counties throughout Central Indiana. Sponsored by Ascension Health, the nation's largest Catholic healthcare system, St.Vincent Health is one of the largest healthcare employers in the state. As part of St.Vincent Health, the St.Vincent New Hope vision is to deliver a continuum of holistic, high-quality services to individuals with developmental disabilities, closed-head injuries, and spinal cord injuries and improve the lives and health status of these vulnerable individuals. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St.Vincent New Hope associates and others. Community benefit is not the work of a single department or group within St.Vincent New Hope, but is part of the St.Vincent mission and cultural fabric. It is initiated and implemented at all levels of the organization.
Client Services Individuals served by St.Vincent New Hope are part of the Medicaid system. They are served in the following settings: Group Homes St.Vincent New Hope serves clients in the group home program, a residential alternative. These homes serve individuals with multiple disabilities or traumatic brain injuries, or both. Four to eight clients live in each home located in residential areas throughout the greater Indianapolis area. Each home offers a structured environment, providing training in self-care, self-direction, social skills and personal independence. Clients participate in day programs or competitive employment and are encouraged to actively pursue interest in the community. Supported Living St.Vincent New Hope also serves clients in the community based living program. St.Vincent New Hope has been a provider of supported living services since 1993. Supported living provides people with disabilities the individualized help they need to live successfully in a home of their choice. Individual support plans are developed with professionals, the client and family, as well as individuals integrated into community neighborhoods. Services provided to clients include transportation, case management, personal assistance, day habilitation, therapies and supported employment. Family and Community Services St.Vincent New Hope serves some clients in the family home. The Family and Community Program provides support services within the child's or young adult's home and community. Offerings include individualized assistance with all aspects of the child's or young adult's life including independent living skills, community connections, and follow through on therapy or educational goals. Home Based Counseling Program The Community Outreach Program provides home-based counseling, case management, supervised visitation and case aid services to families involved in the Child Welfare or Juvenile Justice System. Families referred to us through the Department of Child Services or the Juvenile Court work with a home-based therapist and case manager to address problem issues including parenting, relationships, substance abuse and domestic violence. Supervised visitation is provided for parents and children and case aid services are available for further instruction in housekeeping, nutrition and parenting. Day Services Program The Day Services Program is designed to provide social recreational activities to adults with high support needs. Individuals participate in activities of their choice which include cooking, gardening, crafts, art classes, literature class and community outings. This program provides services to 60 individuals. In fiscal year 2011, the program incorporated the services of a Canine Companion Facility dog to enhance the activities and experiences available to day services participants. IndyGo Open Door IndyGo Open Door is an extension of the city bus service. Instead of running fixed routes on a regular schedule throughout the city, the Open Door service goes into neighborhoods to the address or destination of each passenger, providing curb-to-curb service. Because most individuals served by St.Vincent New Hope have extremely limited funds for personal expenses, St.Vincent New Hope pays all or most of the cost for these trips and employs an associate to arrange and manage the program for St.Vincent New Hope residents. St.Vincent New Hope riders are able to enjoy a variety of outings such as attending the church of their choice, day programs such as Noble Crossroads or St.Vincent New Hope Day Service, library visits, the zoo, movies and others. Each year, St.Vincent New Hope residents account for more than 20,000 rides. In addition, through IndyGo's generous donation of a used van, now painted bright blue and dubbed the Blueberry, St.Vincent Day Service participants are now enjoying a variety of community outings. Purple Melodies The ultimate goal of Purple Melodies is to enable individuals served by New Hope to have fun with music, develop appreciation for music, and be motivated enough to practice and play on their own. The classes enhance the quality of life of the individuals served and give them something meaningful to do with their time. A variety of music programs have been offered, including Keyboarding, Shake, Rattle and Roll Rhythm Class, Bell Choir, and Singing/Karaoke class, taught by an instructor who customizes each program for the individuals enrolled. Now in its third year, many students have progressed in skill level as well as behavior. St.Vincent has received funding towards this program from several different partners, including the Daughters of Charity, in addition to St.Vincent New Hope's in-kind support. Artistic Expression The Artistic Expression program is an 11-year collaboration with the Indianapolis Art Center, which provides meaningful opportunities for personal expression, skill development, creative growth, socialization and community integration for St.Vincent New Hope's residents. As the parent of one of the individuals served expressed "My thirty-seven-year-old son has a rare neurological condition which severely limits his activities. However, he has found satisfaction and a sense of accomplishment in the art classes." In addition to media-specific classes in painting, ceramics, etc, participants have the opportunity to tour special art exhibits, view video presentations, meet visiting artists and work on joint projects. At the end of each series of classes, participants can display their work in an exhibition which they help design in conjunction with staff and which is open to the public. St.Vincent New Hope has attracted funding from several community partners in support of the Artistic Expression program, in addition to St.Vincent's ongoing commitment to program development and coordination. St.Vincent New Hope also operates a music outreach program called Purple Melodies. Spreading Our Wings As a strong advocate for individuals with disabilities, St.Vincent New Hope is committed to social inclusion as a way of benefiting both individuals served by St.Vincent New Hope and the community as a whole. St.Vincent New Hope believes that people with disabilities have a right to a daily rhythm of life similar to that of the general population and should have valued social roles and the opportunity to become active members of the community. This involvement, in turn, enriches the community, and fosters greater understanding and appreciation of the unique value that each person can offer. Many of the individuals served by St.Vincent New Hope face financial challenges which would make it difficult or impossible for them to participate in many community activities. Through the Spreading Our Wings Program, residents are able to access movie tickets, swimming passes, museum passes, zoo trips, bowling passes, park admissions and passes to other cultural and community events in conjunction with their assistants or caregivers. As one of St.Vincent New Hope's skill trainers explained "Without these opportunities, the individuals we work with would not be able to get out and enjoy the things that most of us take for granted!" Over the years, funding for Spreading Our Wings has been provided by St.Vincent as well as by community partners.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.