Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 monetary support | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (A)
StVincent Hospital and Health Care Center Inc |
350869066 | 3 | Yes | Yes | Yes | 0 | |||
| (B)
StVincent Carmel Hospital Inc |
743107055 | 3 | Yes | Yes | Yes | 0 | |||
| (C)
StVincent Seton Specialty Hospital Inc |
351712001 | 3 | Yes | Yes | Yes | 0 | |||
| (D)
StJoseph Hospital & Health Center Inc |
350992717 | 3 | Yes | Yes | Yes | 0 | |||
| (E)
StVincent Clay Hospital Inc |
352112529 | 3 | Yes | Yes | Yes | 0 | |||
| (F)
StVincent Fishers Hospital Inc |
454243702 | 3 | Yes | Yes | Yes | 0 | |||
| (G)
StVincent Frankfort Hospital Inc |
352099320 | 3 | Yes | Yes | Yes | 0 | |||
| (H)
StVincent Jennings Hospital Inc |
351841606 | 3 | Yes | Yes | Yes | 0 | |||
| (I)
StVincent Madison County Health System Inc |
350876389 | 3 | Yes | Yes | Yes | 0 | |||
| (J)
StVincent Randolph Hospital Inc |
352103153 | 3 | Yes | Yes | Yes | 0 | |||
| (K)
StVincent Williamsport Hospital Inc |
350784551 | 3 | Yes | Yes | Yes | 0 | |||
| (L)
StVincent Salem Hospital Inc |
270847538 | 3 | Yes | Yes | Yes | 0 | |||
| (M)
StVincent Dunn Hospital Inc |
272192831 | 3 | Yes | Yes | Yes | 0 | |||
| (N)
StVincent Medical Group Inc |
272039417 | 9 | Yes | Yes | Yes | 0 | |||
| (O)
StVincent Anderson Regional Hospital Inc |
460877261 | 3 | Yes | Yes | Yes | 0 | |||
| (P)
StVincent Health Wellness and Preventive Care Institute Inc |
461227327 | 9 | Yes | Yes | Yes | 0 | |||
| Total | 0 | ||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.).. | ||||||




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
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| Form 990, Part VI, Section A, line 2 | Vincent Caponi (St.Vincent Health, Inc. CEO/Director) & Ian Worden (St.Vincent Health, Inc. COO) are also directors for St.Vincent Heart Center of Indiana, LLC, which is treated as a partnership for income tax purposes. Vincent Caponi (St.Vincent Health, Inc. CEO/Director) & Marvin White (St.Vincent Health, Inc. CFO) are also directors for Advantage Health Plan, Inc., which is treated as a corporation for income tax purposes. Vincent Caponi (St.Vincent Health, Inc. CEO/Director) & Marvin White (St.Vincent Health, Inc. CFO) are also directors for St.Vincent Health/USP, LLC, which is treated as a partnership for income tax purposes. |
| Form 990, Part VI, Section A, line 4 | The articles and bylaws of St.Vincent Health, Inc. were amended as of July 1, 2013. The following supported organizations were added to the bylaws: St.Vincent Anderson Regional Hospital, Inc., St.Vincent Health, Wellness and Preventive Care Institute, Inc., and St.Vincent Fishers Hospital, Inc. |
| Form 990, Part VI, Section A, line 6 | St.Vincent Health, Inc. has a single corporate member, Ascension Health. |
| Form 990, Part VI, Section A, line 7a | St.Vincent Health, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St.Vincent Health, Inc. |
| Form 990, Part VI, Section A, line 7b | Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluations; debt limits; strategic and financial plans; assets; system policies and procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. |
| 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 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 15b | In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of St.Vincent Health, Inc., included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when their compensation was decided. Compensation determinations of St.Vincent Health, Inc.'s other officers or key employees are made by St.Vincent Health, Inc.'s management. 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. 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. |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VIII, Line 1d: | During the fiscal year, St.Vincent Health, Inc. moved to a centralized bank account for all of their related organizations. The amounts shown on Form 990, Part VIII, Line 1d primarily represent cash transfers from those related organizations into the centralized bank account. |
| Form 990, Part XI, line 9: | FAS 158 pension liability -1,950,879. |
| Part IV, Line 24A: | Tax Exempt Bond Issuance St.Vincent Health, 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 Health, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet. |
| Form 990, Part III, Line 4a, 4b, and 4c: | Community Benefit Programs Such community-focused programs improve access to healthcare, advocate for the poor and vulnerable, promote health through free education and screenings and help to build better communities by improving quality of life. |
| Community Benefit Overview | St. Vincent Health Community Benefit Overview St.Vincent Health, Inc. is a non-profit healthcare system consisting of 22 locally-sponsored ministries (ranging from eight rural, 25-bed hospitals to an urban, flagship, quaternary-level, hospital) serving over 47 counties throughout Central Indiana. Sponsored by Ascension Health, the nation's largest Catholic healthcare system, St.Vincent Health, Inc. (including its sponsored ministries) employs more than 16,000 associates, which include more than 3,000 physicians on medical staff, making St.Vincent Health, Inc. one of the largest healthcare employers in the state. From its inception, the St.Vincent Health, Inc. vision has been to deliver a continuum of holistic, high-quality health services in Central Indiana through its sponsored health care ministries and improve the lives and health of Indiana individuals and communities, with special attention to the poor and vulnerable. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St.Vincent associates and others. Most St.Vincent ministries file individual Form 990s. The St.Vincent Health filing encompasses the health system's corporate-level activities as well as activities of Quality Healthcare Solutions, LLC, a healthcare consulting firm specializing in data coding and quality of care reporting. St.Vincent Health, Inc. invests in resources, training, tools, and other support to assist St.Vincent-sponsored health care ministries in partnering with their communities to provide community benefit. To educate, encourage and empower associates for community engagement, to deploy resources and expertise to facilitate this work, and to track and report community benefit, St.Vincent Health established a Community Development team. These professionals work with leadership and associates at each hospital and with key community partners to develop and support initiatives that address identified community needs and to measure, track and report community benefit. An electronic database has been developed to provide accurate reporting and timely analysis throughout all St.Vincent ministries. This investment empowers the sponsored health ministries to work closely with their communities to assess strengths, needs and challenges through a Community Health Needs Assessment (CHNA) conducted every three years, to develop an Implementation Strategy to address priority needs, and to work together with a wide range of community partners to implement and support solutions that will improve quality of life and build and sustain a healthier community. St.Vincent Health also creates accountability and provides systems for tracking and reporting community benefit to each community, to St.Vincent Health, Inc., and its sponsoring organization, Ascension Health. The CHNA, Implementation Strategy, and Community Benefit Report for each hospital is posted on their websites. Community Health Needs Assessment True community benefit responds to the particular needs and challenges of a specific community, building on its unique strengths and assets. Each hospital, working with St.Vincent Health Community Development specialists, leads a community health needs assessment (CHNA) every 3 years. Using a variety of tools, including surveys, key person interviews, focus groups, secondary data and data analysis professionals, the hospital team identifies community needs and concerns. These are shared with the community at large and a consensus is reached about priorities and available resources. To provide ongoing community input and a basis for collaboration within the community to address health needs, St.Vincent leads or participates in a community roundtable or forum. This group brings together organizations and individuals from throughout the community who share a common interest in improving the community's health status and quality of life and provides expertise in a variety of community dimensions, including public health. Implementation Strategy On completion of each CHNA, the Community Development team works with each hospital to identify those priority needs which they plan to address and to develop an Implementation Strategy to document their goals and strategies for addressing these needs. Supporting Community Benefit Solutions As St.Vincent Health, Inc. ministries come together with their communities to address challenges and implement solutions, St.Vincent Health, Inc. community benefit staff support these efforts in a variety of ways, from sharing best practices, to identifying potential partners, to suggesting additional sources of funding to leverage St.Vincent's commitment, to connecting with other resources available within the health system or community. Support is provided for an array of community benefit programs which include - In-patient and outpatient care available to all, without regard for ability to pay - Full participation in public programs, such as Medicaid - Health education and promotion for members of the public - Medical education - An array of community-building activities which indirectly impact health, including housing, transportation, arts and culture, economic development, and job readiness. Community Benefit Training, Tracking and Reporting St.Vincent's commitment to community benefit includes ongoing associate education and advocating for full integration of community benefit into each department within the organization. Community liaisons conduct field training on a regular basis at each sponsored health ministry. In addition, St.Vincent Health, Inc. hosts periodic community benefit conferences to celebrate this important work and provide education on significant issues. St.Vincent Health, Inc. created a computer-based training module on community benefit that is available on demand to any associate in the St.Vincent Health, Inc. System. St.Vincent Health, Inc. commits to reporting community benefit fully and accurately to state and federal governments, to its sponsor, Ascension Health, and to each of the communities it serves. Thus, educating associates on how to appropriately report and account for community benefit is imperative. St.Vincent Health, Inc. has devised an on-line database that allows departments to enter, quantify and qualify community benefit on an ongoing basis. This database is monitored by St.Vincent Health, Inc. and reports are reviewed quarterly and annually. The program also facilitates custom analysis which allows St.Vincent Health, Inc., as well as individual ministries, to analyze the types, amounts and timing of their community benefit and make comparisons. An annual community benefit report is prepared and distributed by St.Vincent Health, Inc. to its individual ministries, which in turn, are distributed to communities. Annually, the report is published electronically and made available on-line as well as in hard-copy format. St.Vincent Health, Inc. developed toolkits to help leadership disseminate the information within their healthcare ministries and communities. |
| Charity Care and Certain Other Community Benefits at Cost | Rural and Urban Access to Health (RUAH) As part of its commitment to 100% access, eight St.Vincent Health ministries participate in Rural and Urban Access to Health (RUAH), a community based care coordination program. Effective care coordination provides a strategy for addressing certain social determinants of health by assuring barriers to care are addressed and individuals are connected to critical prevention and treatment services. Started in 2000, the program operates in St.Vincent hospitals in Clay, Clinton, Fountain, Howard, Jennings, Madison, Randolph, and Warren counties in conjunction with eight St.Vincent hospitals. In addition, a new Health Access Worker has been embedded in a Hamilton County physician's office, with a focus on Medicaid/Healthy Indiana Plan patients. Central to the program are Health Access Workers who help clients/patients by connecting them with a medical home, assisting with enrollment in public programs for which they qualify, identifying and removing barriers to services, and referring them to other community resources as needed; Medication Assistance Coordinators who connect clients with low- or no-cost medications for which they qualify using a sophisticated database that St.Vincent provides; and Language Access Services which ensures that St.Vincent Health ministries are in compliance with CLAS (Culturally and Linguistically Appropriate Services) standards, and that trained medical interpreters and other language resources are available, ensuring access to care. To date, more than 200 individuals have been certified as medical interpreters through the RUAH-taught Bridging the Gap Medical Interpreter program. RUAH outcomes are measured using the Pathways Model as a means of tracking interventions and improving accountability towards positive measurable changes in patients' lives. Five pathways/protocols are now available: enrollment, medical home, medical referral, pregnancy and social service. In addition, a new Diabetes Check-up and Well Child Visit pathways were developed and piloted. The Pathways identify the evidence-based steps needed to produce a successful outcome. Understanding Poverty The St.Vincent Health Poverty Experience is a half-day simulation designed to help participants understand what it would be like to be a part of a typical poor and vulnerable family trying to survive from week-to-week. The simulation sensitizes participants to the realities of life faced by those unable to provide adequate resources for their families. During the experience, 4060 participants assume the roles of up to 26 different families living in poverty, with a goal of seeking out and managing available resources to ensure basic services for each family member. St.Vincent conducts the poverty experience for a wide-variety of community and government organizations, including schools, city, county and state entities and non-profits. Metropolitan Indianapolis-Central Indiana Area Health Education Center (MICI-AHEC) A healthy Indiana needs healthy communities. It needs healthcare professionals in all areas of the state, from inner cities to rural neighborhoods, prepared to help educate citizens about health problems and issues, and to provide quality health care. The Mission of the Metropolitan Indianapolis-Central Indiana Area Health Education Center (MICI-AHEC) sponsored by SVH is to enhance the quality of and access to health care, improve health care outcomes, reduce health disparities, and address the health workforce needs of medically underserved populations by establishing partnerships between the institutions that train health professionals and the communities that need healthcare professionals the most. MICI-AHEC is one of several Area Health Education Centers in the state of Indiana, coordinated through a state AHEC housed at the Indiana University School of Medicine. In addition to financial support provided by St.Vincent, MICI-AHEC receives various funding through Federal, state and private agencies in support of this critical mission. Check-Up 13 Check-up 13, a partnership between St.Vincent Health and WTHR Channel 13, provides news stories on the 13th of every month that focus on a specific health topic or issue. In conjunction with many of these news "check-ups", St.Vincent offers specific screenings or events that provide further education or health care. Viewers who have health-related concerns or questions can call 800-UCHECK13 to be connected to a St.Vincent Health ministry that can assist in providing answers and appropriate follow-up. Each month's health topics are chosen based on area needs, health-focused observances, and availability of related screenings and education to support the monthly report. This partnership is enabling both organizations to increase awareness of health issues, assist Hoosiers in taking a proactive approach to their health, and improve access to comprehensive health resources. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs directly operated by St.Vincent Health, the corporate office and physician network 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 and 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 | Disaster Relief Each year, St.Vincent Health makes donations of both cash and in-kind contributions of medical supplies and equipment to identified disaster areas. In addition, St.Vincent Health helps to promote and coordinate employee-based donations for Disaster Relief, such as Hurricane Sandy and is a major supporter and donor of the United Way of Central Indiana. St.Vincent STAR Job Readiness Program Job readiness is the foundation of economic stability and empowerment. To meet this need, St.Vincent Health, one of the state's largest employers, created the Special Talents to Achieve and Rise (STAR) Program. Established in 2002, the STAR Program aims to enrich lives and provide job readiness skills to individuals in Marion and surrounding counties who are facing significant barriers to employment, but have a sincere desire to gain and maintain a job. Developed to provide both job readiness and life skills, the STAR Program reaches out to both disadvantaged individuals and those who find themselves in situational stress due to a recent job loss, or an inability to find employment. For many individuals, the program has not only resulted in a job, but has been life-transforming. The STAR Program has helped individuals with a minimal level of education and those with graduate degrees. It has helped those who have never had a job and those who have secured employment but were unable to keep it. It has also helped those who have worked for thirty years in a particular job but find themselves now searching without the knowledge necessary to be competitive in the workplace. In addition to work history diversity, the STAR Program also enjoys diversity in ethnicity and socio-economic levels. Participants are referred to the STAR Program directly through St.Vincent Human Resources, the court system, public assistance workers, shelters, churches, friends, and family. Applicants are screened by STAR Team Members to determine the individual's commitment to the program. Participants meet four days a week, four hours a day for six weeks in a classroom setting, where they gain and/or enhance job readiness and life skills. They learn the importance of positive attitude, punctuality, interviewing techniques, resume building, professionalism, and dressing for success. In addition, St.Vincent works with partners from throughout the community to provide training on how to budget, open a checking account, secure reliable transportation, and provides an outside perspective on what employers are seeking. Following classroom training, students are placed with mentors who are associates in various departments throughout the St.Vincent system. Five sessions of STAR classes were offered in fiscal year 2014. More than 300 STARS have gone on to sustain full-time employment since the program's inception. St.Vincent Danny's Closet of Hope Studies have shown that a professional appearance is a strong influencer in hiring and promotion decisions. Thus it is imperative that those seeking employment, especially those who are overcoming additional employment barriers, have access to appropriate clothing resources. The St.Vincent STAR Job Readiness Program has long worked closely with the local Dress for Success agency to assist women enrolled in the STAR program in obtaining suitable interview and work clothing. Until recently, however, there was no such assistance available for men. Responding to this need among men participating in the STAR program, and recognizing that other local agencies were in need of such a resource, Danny's Closet of Hope was born. Danny's Closet assists men in obtaining adequate clothing for interviewing and employment, and seeks to build confidence and hope for their clients. In addition to serving STAR participants, 55 other organizations in Indianapolis refer their male clients to Danny's Closet by appointment. At these appointments, men are fitted for a new or gently used suit, dress shirt, tie, belt, and dress shoes, and are given new socks, undergarments and a business portfolio. St.Vincent Danny's Closet of Hope is fortunate to have many individual and organizational partners who have cleaned out their closets or held clothing drives, donating gently used professional men's clothing. Danny's Closet has a wonderful partnership with Fabric Care Center in Indianapolis who donates all dry-cleaning services. Through Danny's Closet of Hope, hundreds of Indiana men hoping to gain and maintain employment are experiencing the difference that professional clothing can make in hope, in confidence and in how an employer responds. Danny's Closet has suited over 1,700 men since the ministry's inception in 2007. Community Building Cash and In-kind Contributions St.Vincent Health makes cash and in-kind donations to a variety of community organizations focused on building the community. These take the form of cash donations to outside organizations, the donation of employee time and services to outside organizations and the representation of the organization on community boards and committees working to improve infrastructure for the community. |
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