TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MICHAEL B MASON CHAIR	0.2 ................. 0.2	X	X	0	0	0
(2) MOIRA CARLSTEDT VICE CHAIR	0.2 ................. 0.2	X	X	0	0	0
(3) NEEDHAM RICHARD HURST SECRETARY	0.2 ................. 0.2	X	X	0	0	0
(4) JONATHAN NALLI EX-OFFICIO/SYSTEM CEO	0.2 ................. 41.0	X	X	1,451,152	0	50,024
(5) AARON J FELDMAN MD DIRECTOR - PRES. SVHHC	40.0 ................. 1.2	X	X	851,595	0	32,968
(6) KEVIN BOWER DIRECTOR	0.2 ................. 0.2	X		0	0	0
(7) CHARLES J GARCIA DIRECTOR	0.2 ................. 0.2	X		0	0	0
(8) SANFORD GARNER DIRECTOR	0.2 ................. 0.2	X		0	0	0
(9) RICHARD GATES MD DIRECTOR - PRES. MED. STAFF	40.0 ................. 0.2	X		141,740	23,410	0
(10) MALCOLM BELL HERRING MD DIRECTOR	0.2 ................. 0.2	X		0	0	0
(11) ANN LATHROP DIRECTOR	0.2 ................. 0.2	X		0	0	0
(12) DEBORAH A LAWRENCE DIRECTOR	0.2 ................. 0.2	X		0	0	0
(13) SISTER THERESA SULLIVAN DC DIRECTOR	0.2 ................. 0.2	X		0	0	0
(14) MICHAEL HALL DIRECTOR	0.2 ................. 0.2	X		0	0	0
(15) INGRID E MASON MD DIRECTOR	0.2 ................. 0.2	X		0	0	0
(16) RICHARD K FREEMAN MD CMO INDPLS HOSPITAL REGION	40.0 ................. 1.0		X	521,935	193,241	44,788
(17) MARY MYERS CNO	40.0 ................. 0		X	351,985	0	38,608

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CHERYL HARMON CFO-MINISTRY MARKET INDIANA	20.0 .......................23.0	X				398,347	29,909
(19) ERICA L WEHRMEISTER COO - INDPLS	40.0 .......................0	X				378,522	38,957
(20) NICETA C BRADBURN EXECUTIVE DIRECTOR-MEDICAL-INDPLS	40.0 .......................0		X			437,272	37,331
(21) ANNE F COLEMAN ADMINISTRATOR - WOMEN'S	40.0 .......................0		X			385,851	48,228
(22) HAROLD ALLAN BIVINS JR MD PHYSICIAN	40.0 .......................0			X		1,157,776	48,352
(23) VINCENT C CAPONI SR VP-ASCENSION	0.0 .......................40.0			X		5,274,008	57,240
(24) JAMES E SUMNERS DIRECTOR-CLINICAL MEDICINE-INDPLS	40.0 .......................0			X		878,584	50,414
(25) MICHAEL J CALLAHAN MD PHYSICIAN	40.0 .......................0			X		704,811	48,590
(26) HUBERT FORNALIK MD PHYSICIAN	40.0 .......................0			X		727,972	44,742
(27) JULIE M CARMICHAEL FORMER OFFICER	0.0 .......................0.0				X	429,459	16,407
(28) THOMAS M COOK FORMER OFFICER	0.0 .......................0				X	271,446	19,180
(29) IAN G WORDEN FORMER OFFICER	0.0 .......................0.0				X	289,650	1,004
(30) D KYLE DEFUR FORMER OFFICER	0.0 .......................0				X	282,538	15,567

(A) Name and business address	(B) Description of services	(C) Compensation
Mid America Clinical Laboratories PO Box 642263 Pittsburgh,PA15264	LAB SERVICES	15,556,636
Surgery Center of Indianapolis 2007 N Capitol Ave Indianapolis,IN46202	medical services	15,330,676
ORTHOPAEDICS INDIANAPOLIS PC 10601 N Meridian St STE 200 Indianapolis,IN46290	medical services	6,754,722
INFECTIOUS DISEASE OF INDIANA PSC 12302 Hancock St Carmel,IN46032	medical services	5,027,296
NORTHSIDE ANESTHESIA SERVICES LLC 450 E 96th Street Ste 200 Indianapolis,IN46240	anesthesia services	4,915,027
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 62

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

ST VINCENT 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 described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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. See section 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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. If the organization did not check a 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- 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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

ST VINCENT 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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC		Employer identification number 35-0869066

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC			Employer identification number 35-0869066
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(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) (2015)

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- 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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

ST VINCENT 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 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 function 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

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)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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? ...................................................................................................................

Yes

12,827

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

12,827

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

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

Section 162(e) nondeductible 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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ST VINCENT 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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on 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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on 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	Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	1,745,252	9,827,236		11,572,488
b	Buildings		483,082,908	368,954,225	114,128,683
c	Leasehold improvements		10,890,261	10,326,479	563,782
d	Equipment ...		247,153,568	193,492,789	53,660,779
e	Other ...		8,555,870	0	8,555,870
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					188,481,602

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)THE SURGERY CENTER OF INDIANAPOLIS, LLC	2,129,961	C
(2)HANCOCK HEALTH NETWORK, LLC	1,663,858	C
(3)NEURO ONCOLOGY EQUIPMENT, LLC	702,123	C
(4)BREAST MRI LEASING COMPANY, LLC	34,806	C
(5)MID AMERICA CLINICAL LABORATORIES, LLC	10,048,209	C
(6)WITHAM ST.VINCENT CANCER INSTITUTE, LLC	189,244	C
(7)INDIANA ORTHOPAEDIC HOSPITAL, LLC	59,229,926	C
(8)WOMEN'S SERVICES MANAGEMENT, LLC	18,752	C
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	74,016,879

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Interest in investments held by Ascension Health Alliance				529,426,859
(2) Donor restricted funds				4,562,665
(3) Other assets				544,234
(4) INTERCOMPANY RECEIVABLES				59,344,555
(5) Physician Guarantee				4,946,139
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				598,824,452

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Intercompany debt with Ascension Health Alliance	166,329,821
Guarantee liability	71,069
Due to third party payors	37,873,159
Other
Self insurance liability	5,855,557
Savings plan liability	4,084,271
INTERCOMPANY PAYABLES	132,417,994
Physician guarantee	4,946,139
PENSION LIABILITY	8,466,384
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	360,044,394
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2016.

Schedule D (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC

Employer identification number

35-0869066

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Sub-Saharan Africa	0	0	Grantmaking	15,200
















3a	Sub-total .....	0	0		15,200
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		15,200

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
Sub-Saharan Africa	General Support	5,080	Check
Sub-Saharan Africa	General Support	10,120	Cash

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	2
3	Enter total number of other organizations or entities .......................	0

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds	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 F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	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 F (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC

Employer identification number

35-0869066

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			26,731,075		26,731,075	2.55 %
b	Medicaid (from Worksheet 3, column a) . . . . .			221,994,668	150,131,333	71,863,335	6.84 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	248,725,743	150,131,333	98,594,410	9.39 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	26	19,761	2,958,387	8,000	2,950,387	0.28 %
f	Health professions education (from Worksheet 5) . . .	4	958	28,273,800	5,782,127	22,491,673	2.14 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .	1	750	761,235	156,324	604,911	0.06 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	5	5,340	560,851		560,851	0.05 %
j	Total. Other Benefits . .	36	26,809	32,554,273	5,946,451	26,607,822	2.53 %
k	Total. Add lines 7d and 7j .	36	26,809	281,280,016	156,077,784	125,202,232	11.92 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1	2	100,358		100,358	0.01 %
2	Economic development	1	1	186		186	0 %
3	Community support	1	4,406	34,293		34,293	0 %
4	Environmental improvements	1	100	746		746	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building	1	12	168		168	0 %
7	Community health improvement advocacy	1	407	1,802		1,802	0 %
8	Workforce development	1	1,168	2,047		2,047	0 %
9	Other					0	0 %
10	Total	7	6,096	139,600	0	139,600	0.01 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

12,286,627

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

3,685,988

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

266,480,164

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

362,246,551

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

-95,766,387

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1THE SURGERY CENTER OF INDIANAPOLIS LLC	SURGERY CENTER	40 %	49.98 %
2INDIANA ORTHOPAEDIC HOSPITAL LLC	ORTHOPAEDIC HOSPITAL	20 %	80 %
3BREAST MRI LEASING COMPANY LLC	IMAGING CENTER	50 %	50 %
4NEURO ONCOLOGY EQUIPMENT LLC	STEREOTACTIC RADIO SURGERY SERVICES	50 %	50 %
5WOMEN'S SERVICES MANAGEMENT LLC	MANAGEMENT COMPANY	5 %	95 %
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?4 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)									Facility reporting group
1	St Vincent Hospital and Health Care Center Inc 2001 West 86th Street Indianapolis,IN46260 http://www.stvincent.org 14-005075-1	X	X		X	X	X	X	A
2	St Vincent Women's Hospital 8111 Township Line Road Indianapolis,IN46260 http://www.stvincent.org 14-005075-1	X	X					X	A
3	St Vincent Stress Center 8401 Harcourt Road Indianapolis,IN46260 http://www.stvincent.org 14-005075-1	X							A
4	Peyton Manning Children's Hospital 2001 West 86th Street Indianapolis,IN46260 http://peytonmanning.stvincent.org/ 14-005075-1	X	X	X				X	A

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): http://www.stvincent.org/how-we-are-different/community-assessment

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): http://www.stvincent.org/how-we-are-different/community-assessment

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0% and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - FACILITY A 1, A 2, A 3, AND A 4. In conducting its CHNA, the hospital facility took into account input from representatives of the community as well as those with special knowledge or expertise in public health. These included About Special Kids, Inc., Alliance for Health Promotion/Health by Design, Archdiocese of Indianapolis, Central Indiana's Area Agency on Aging, Covering Kids and Families, Crooked Creek Community Development Corporation, Gennesaret Free Clinic, Holy Family Shelter, Indiana Minority Health Coalition, Indiana State Department of Health, Indianapolis OASIS, The Julian Center, Leukemia & Lymphoma Society, Little Red Door Cancer Agency, Marion County Health Department, National Alliance of Mental Illness Indiana, and YMCA of Greater Indianapolis.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - FACILITY A 1, A 2, A 3, AND A 4. The hospital conducted its CHNA in conjunction with another St. Vincent Hospital, St. Vincent Seton Specialty that resides in Marion County.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY A 1, A 2, A 3, AND A 4 - Part I. Implementation Strategy Using the CHNA completed in fiscal year 2013, the hospital developed a 2014-2016 Implementation Strategy to address priority community health needs. These strategies include: 1. Obesity (Nutrition & Exercise) - Strategy/Action Step - St. Vincent staff will offer three one-hour educational presentations regarding healthy food choices and/or fitness at the Crooked Creek Farmer's Market. Indicators of Success - The hospital presented information about fruits and vegetables in season and provided a sample of a salsa made with relevant ingredients at the Crooked Creek Farmer's Market. The market did not operate in the summer of 2015. Strategy/Action Step - St. Vincent staff will be informed of volunteer opportunities available at Crooked Creek Farmer's Market via weekly reminders, from May-October, in the online newsletter sent to the St.Vincent Indianapolis system. Indicators of Success -A notice was posted encouraging associates to work, and/or attend, the Famer's Market, via the intranet for St.Vincent associates. Additionally, St.Vincent supported the efforts by making 2,500 color flyers to distribute in the Crooked Creek neighborhood, focusing mainly on low-income housing. Strategy/Action Step - As a partnership with Pike Township Schools and as part of their award of a PEP Grant, Peyton Manning Children's Hospital will coordinate a week-long summer camp geared to students in grades 3-5 for 2012, 2013 and 2014. Indicators of Success - The camp occurred every year for the three years of Pike's PEP grant, with the number of campers increasing each year. In 2012, 31 students attended camp; in 2013, 77 students attended camp and in 2014, 80 students attended camp. Camp was offered daily for one week from 8 am - 12:30 pm. The goals were to provide campers with 2-3 physical activities daily as well as a nutrition lesson, breakfast, snack and lunch. Strategy/Action Step - To better serve our Spanish-speaking population, the L.I.F.E (Lifetime Individual Fitness & Eating) program will develop a healthy cookbook in Spanish featuring traditional Hispanic dishes. Indicators of Success - The L.I.F.E Program is no longer in existence at SV Indianapolis. However, St. Vincent Indianapolis dedicated significant funding and staff to work with one inner city Archdiocesan school per year. The focus is to identify gaps in implementation of the wellness policy components and help to fill those gaps to improve implementation. During FY15, the focus was St. Phillip Neri and during FY16, the focus was Central Catholic. Strategy/Action Step - Provide at least 30 educational presentations regarding nutrition and 30 educational presentations a year regarding physical activity to youth, K-12. Indicators of Success - During FY14, approximately 38 nutrition presentations and 55 physical activity presentations were provided to school-aged children. During FY15, the School Wellness Coordinator offered 32 nutrition presentations and 35 physical activities. During FY16, she offered 38 presentations for nutrition education and 37 presentations focused on physical activity at local schools. 2. Access to Healthcare Strategy/Action Step - Each of the 3 outreach workers will complete at least 55 applications for assistance a month. Indicators of Success - During FY14 and FY15, St. Vincent continued to partner with Covering Kids and Families of Central Indiana to provide enrollment opportunities for the community. The CKF staff completed at least 60 applications per month. They also average 32 hours of onsite coverage at the Primary Care Center to assist individuals with the enrollment process. However, during FY16, this partnership ceased. To continue to assist the community with enrollment, two new Health Access Worker positions were created through St. Vincent Indianapolis. Strategy/Action Step - Each of the 3 outreach workers will make at least 10 outreach efforts a month by visiting community centers, such as shelters, unemployment offices, and LaPlaza (resource center for Hispanic community). Indicators of Success - During FY14 and FY15, the outreach workers completed 10-12 community events/month, however, as previously mentioned, the partnership between Covering Kids and St. Vincent ceased in FY16. 3. Behavioral Health Strategy/Action Step - Representative(s) from St. Vincent Stress Center will meet with at least 5 district representatives in the State House and Senate to discuss behavioral health issues. Indicators of Success - During FY14, the Stress Center's Community outreach position was eliminated. However, the Executive Director has completed the following regarding advocacy: 1) contacted legislators via phone and in writing to discuss the impact and importance of behavioral health issues and legislation, 2) attends the IHA (Indiana Hospital Association) Psych Council meetings where all proposed and pending legislative issues pertaining to behavioral care are discussed and action plans are developed for grass roots initiatives, 3) serves as the Executive Sponsor of the hospital's Magnet Program Shared Governance Legislative Council, 4) participated in initial planning meetings and discussion with Public Safety Director, Mayor and others to work on solutions to the community impact of drastic increase in heroin use. St. Vincent Indianapolis was one of six local hospitals to work with the Department of Public Safety to offer support services to first responders and their families at no charge. During FY15, a community forum was conducted by Indianapolis Public Safety Director and the Stress Center on 9/15/14 to discuss heroin in our community. An Associate represents St. Vincent Stress Center on the state-wide task force on neonatal abstinence syndrome (Senate bill 408). An Associate was interviewed on 7/9/14 by Rafael Sanchez regarding the heroin issue and was broadcast on 10/15/14 on Channels 6 and 13 multiple times. An associate represents St. Vincent Stress Center on the state-wide initiative on "Zero Teen Suicide," started in January 2015. EMS Director and an Associate conducted a community forum on the heroin issue at the Phoenix Theater on 6/15/15. During FY16, SV Stress Center served as a member of the statewide Neonatal Abstinence Syndrome committee. The Stress Center continues to participate in the Director of Public Safety's initiative to develop an EAP program for public safety employees, providing counseling to these employees at no charge. Additionally, the Executive Director advocated to state legislators regarding tele-prescribing (HR2646) and with U.S. Senators regarding mental health reform (SB2680) and is partnering with Community Health regarding "Zero Teen Suicide" program. SV Stress Center also is a member of the newly formed Indianapolis Coalition for Patient Safety, which is focused on additions.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - FACILITY A 1, A 2, A 3, AND A 4 - Part I. 4. Cancer Care (lung, breast, colon) Strategy/Action Step - A BCCP (Breast and Cervical Cancer Program) will be established at our Flagship hospital to support the financial needs of our underserved, high-risk populations and ensure the completion of appropriate screenings and recommended follow-ups for detected Breast Cancers. Indicators of Success - The organization applied for and was granted status as a BCCP provider in the state of Indiana. Unfortunately, recent work force restructuring, and the subsequent elimination of key clerical positions, has prohibited the organization from moving forward due to complex approval processes and excessive paperwork required during a patient's screening and diagnostic phases of care. To ensure that the financial needs of our underserved, high risk populations continue to be supported and to ensure the completion of appropriate screenings and recommended follow-ups, the organization has set up a Breast Care fund through the St. Vincent Foundation. This fund enables the Mobile Screening Program to offer free mammograms to women, throughout the community, identified as uninsured or underinsured. Leaders of the Mobile Screening Program have also worked with Financial Services to develop a program that supports women requiring further imaging. Although the organization was not able to move forward with plans to integrate BCCP into existing screening programs, since November 24, 2014, St. Vincent has provided an additional 476 women free screening mammograms on the St. Vincent Mobile Screening Van. Additionally, St. Vincent has provided an additional 6 educational offerings, focused on the prevention and early detection of colon cancer, reaching 395 underserved, high-risk and/or elderly individuals. Strategy/Action Step - At least 5 colon cancer educational presentations will be offered each fiscal year to underserved, high-risk and/or elderly populations related to the prevention and early detection of Colon Cancer, with promotional efforts at locations such as the United Soccer Alliance of Indiana, which includes a large Hispanic population and large African American church communities within Central Indiana. Indicators of Success - During FY14 and FY15, colon cancer educational sessions have been provided to underserved, high risk and/or elderly populations at Purpose of Life Ministries, the Raphael Health Center, a Crooked Creek Hispanic Community Event, a CNO Financial Health Fair, an Angie's List Health Fair, and the Ivy Tech Health Fair. Education was also offered to the broader community through our March Check-up 13 program, a public health program offered in collaboration with WTHR-TV. During FY16, A total of 5 educational presentations were offered to the underserved, high-risk and elderly populations related to the prevention and early detection of Colon Cancer. Educational presentations were made in conjunction with health events with the following community partners: American Cancer Society, Ivy Tech College, Raphael Health Center, Shalom Health Center (which has a large Hispanic population) and CNO Financial. Strategy/Action Step - At least 5 free fecal blood screenings events will be offered each fiscal year to underserved, high risk and/or elderly populations in central Indiana related to the prevention and early detection of Colon Cancer. Indicators of Success - During FY14 and FY15, two hundred and twenty-one individuals identified as underserved, high risk and/or elderly, during screening events were offered free fecal blood screening by St.Vincent Cancer Care. Free screenings were also offered through the March Check-up 13 program to individuals identified at high risk for colon cancer and/or greater than 50 years of age. During FY16, A total of 7 free colon/FOBT screenings were offered to the underserved, high risk and elderly populations related to the prevention and early detection of Colon Cancer. Screenings were offered during special health events with the following partners: American Cancer Society, Dell Webb Retirement Community, St. Thomas Catholic Church, Raphael Health Center, Shalom Health Center (which has a large Hispanic population), and Turning Point Church (which has a large African-American population). We also partnered with the SV-marketing department and WTHR-14 to offer free FOBT screenings during Colon Cancer Awareness Month. Strategy/Action Step - Train at least 1 existing associate to become a tobacco cessation counselor each year for a total of 11 counselors on staff and increase the number of participants completing the program during a 3-year time frame by 5% or a total of 126 individuals. Indicators of Success - The Tobacco Management Center, which is part of Medication Management Services, now has met its goal of training additional staff for a total of 11 counselors who have been trained in the Mayo Clinic method to offer individual and group tobacco cessation services. By the end of FY16, the Tobacco Management Center has served 113 individuals in the 3 year cycle.
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - FACILITY A 1, A 2, A 3, AND A 4 - Part II. The St. Vincent FY 2017-2019 Implementation Strategy specifically addresses the following three System Wide Health Improvement Priorities: 1) Access to Health Services St Vincent Indianapolis will use the RUAH Pathway Program to increase its reported number of completed pathways (i.e., verification from FSSA) in FY 2015 by 5% each year for FYs 2017-2019. Achieving this goal will contribute to the percentage of people who have health insurance in Marion County. Specific action steps include the following: HAW assesses for eligibility and educates individuals about coverage options; HAW submits application and works through any issues or delays; and HAW verifies eligibility in order to complete the Pathway. 2) Exercise, Nutrition & Weight St. Vincent Indianapolis will partner with a school and a food source to provide eligible students with a weekend backpack of nutritious food throughout the school year in order to reduce the school's number of families in FY 2018 who are food insecure (based on survey responses) by 5% at the end of FY 2019 (June 30, 2019). (NOTE: FY 2017 is the planning year for the program.) Specific action steps include the following: complete the Weekend Feeding Program Preparation Checklist; meet with all stakeholders to determine program logistics; plan the specifics of the program's protocol; make final preparations for the program's "go live" date in FY 2018; and distribute and collect surveys, enter survey data into software at the beginning and end of the school year (twice a year in FY 2018 and FY 2019). 3) Behavioral Health St. Vincent Indianapolis will offer Rx for Change training at no charge to anyone who works in a health care setting to increase the proportion of training participants who screen and refer to the Indiana Tobacco Quitline by 10% by the end of FY 2019 (June 30, 2019). Achieving this goal will contribute to the percentage of tobacco users who have been screened and referred to the Indiana Tobacco Quitline. Specific action steps include the following: complete the Provider Training Checklist - Action Step #1; plan at least two Rx for Change trainings in the community in FY 2018 and ensure continuing education credits are available, if applicable (See Provider Training Checklist - Action Step #2); develop a strategy to promote trainings to the community; promote and offer at least two Rx for Change trainings at no charge to the community in FY 2018; enter FY 2018 baseline survey data into database within two weeks of each training; for FY 2019 - Repeat Action Steps #2-4 to plan, develop, and promote and offer at least two Rx for Change trainings at no charge to the community in FY 2019; and enter FY 2019 baseline survey data into database within two weeks of each training. Needs That Will Not Be Addressed The hospital is committed to improving community health by directly, and indirectly, addressing prioritized health needs. However, certain factors impact the hospital's ability to fully address all priority health needs. The needs listed below are not included in the hospital's implementation strategy plan for the following reasons: Transportation - This identified health need is not being monitored and evaluated in the Implementation Strategy due to limitations within the hospital's financials and human resources. However, St. Vincent Indianapolis supports the efforts of Health by Design and other organizations that are focusing on this issue. Social Environment - This identified health need is not being monitored and evaluated in the Implementation Strategy due to limitations within the hospital's financials and human resources. However, St. Vincent Indianapolis supports organizations that focus on housing, homelessness, domestic violence and other organizations that focus on this issue. Maternal, Fetal & Infant Health - This issue is being addressed in the Access to Health Services priority.
Schedule H, Part V, Section B, Line 22 Facility A, 1	Facility A, 1 - FACILITY A 1, A 2, A 3, AND A 4. The discount was determined by reviewing the lowest discount provided to managed care payers that comprise at least 3% of our volume with an added prompt pay discount to the highest paid discount provided to our managed care payers.

Schedule H (Form 990) 2015

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN DETERMINING ELIGIBILITY	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.
Schedule H, Part II 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. Crooked Creek Neighborhood Partnerships The neighborhood surrounding the St. Vincent Hospital and Health Care Center campus, Crooked Creek is one of the largest culturally and economically diverse neighborhoods in the city of Indianapolis. St. Vincent Hospital and Health Care Center was instrumental in founding the Crooked Creek Community Development Corporation (CDC) whose mission is to improve housing, public infrastructure, and commercial areas for all who live, work, and visit the northwest Indianapolis community. Hope for the Holidays Each year, St. Vincent associates reach into their own pockets to purchase Christmas gift items for families in need. During their work time, department associates contact families, create needs list, collect donations, shop for items, wrap gifts and deliver food and packages to these families. In FY16 St. Vincent sponsored 79 households and touched the lives of 219 individuals. Poverty Experience The St.Vincent 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, 40-60 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. During fiscal year 2016, simulations included programs for Archdiocese of Indianapolis staff, Mother Theodore Catholic Academies, Providence Cristo Rey High School staff, and St. Simon's 7th grade class. St. Vincent STAR Job Readiness Program 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. 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. Participants meet for six weeks in a classroom setting, where they gain and/or enhance job readiness and life skills. Following classroom training, students are placed with mentors throughout various departments in St. Vincent Hospital and Health Care Center including patient registration, food services, and housekeeping. Five series of STAR classes were offered in fiscal year 2016. More than 343 STARS have gone on to sustain employment since the program's inception. Tools for Schools Mother Theodore Catholic Academies serves economically challenged families, with over 90% of the school families being unable to afford basic school supplies. St. Vincent runs a 3-week campaign during the summer to collect supplies to benefit these schools. Associates then deliver these supplies to be sorted and distributed to students in need at the Catholic Center. During fiscal year 2016, over 800 children were served with 15,000 school supplies collected. Community Building Cash and In-Kind Contribution The hospital makes cash and in-kind donations to a variety of community organizations focused on building the community and improving quality of life. 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 infrastructure for the community.
Schedule H, Part VI COMMUNITY BENEFIT OVERVIEW	St. Vincent Hospital and Health Care Center is part of St. Vincent Health, a non-profit healthcare system consisting of 20 locally-sponsored ministries serving over 57 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 Hospital and Health Care Center vision is to deliver a continuum of holistic, high-quality health services and improve the lives and health of Indiana individuals and communities, with special attention to the poor and vulnerable. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St. Vincent Hospital and Health Care Center associates and others. Working with its partners, and utilizing the CHNA completed every three years, St. Vincent Hospital and Health Care Center is committed to addressing community health needs and developing and executing an implementation strategy to meet identified needs to improve health outcomes within the community. Community benefit is not the work of a single department or group within St. Vincent Hospital and Health Care Center, but is part of the St. Vincent mission and cultural fabric. The hospital leadership team provides direction and resources in developing and executing the Implementation Strategy in conjunction with the St. Vincent Health Community Development & Health Improvement Department, but associates at all levels of the organization contribute to community benefit and health improvement.
Schedule H, Part VI CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST - PART I	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 or equal to 200% of the Federal Poverty level (FPL) will be eligible for 100% charity care write off on that portion of the charges for services for which the patient is responsible following payment by an insurer, if any. At a minimum, patients with incomes above 200% of the FPL, but not exceeding 400% of the FPL, will receive a sliding scale discount on that portion of the charges for services provided for which the patient is responsible following payment by an insurer, if any. A patient eligible for the sliding scale discount will not be charged more than the calculated AGB (amounts generally billed) charges. Patients with demonstrated financial needs with income greater than 400% of the FPL may be eligible for consideration under a "Means Test" for some discount of their charges for services from the organization based on a substantive assessment of their ability to pay. Maximum owed by any patient per episode of care or account is 10% of gross household income. Hospital financial counselors and health access workers assist patients in determining eligibility and in completing necessary documentation. St. Vincent Hospital and Health Care Center is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Community Health Needs Assessment True community benefit responds to the particular needs and challenges of the community, building on its unique strengths and assets. The hospital leads a community health needs assessment every 3 years. Using a variety of tools, including surveys, key person interviews, focus groups, secondary data, and data analysis professionals, the team identifies community issues and concerns. These are shared with the community at large, and a consensus is reached about priorities and available resources. To provide 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 individuals and organizations from throughout the community who share a common interest in improving health status and quality of life and provide expertise in a variety of community areas including public health. Obesity (nutrition and physical activity), access to healthcare, behavior health, and cancer care (lung, breast and colon) have all been identified as key community needs. Public Program Participation and Enrollment Outreach St. Vincent Hospital and Health Care Center 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. 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 2016, the Outreach team touched the lives of 2,640 families (during the first 6 months). 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 community funding award to Covering Kids and Families of Central Indiana. 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 66,258 patient visits in fiscal year 2016, and more than 100,000 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, women's health, pediatric, surgical and podiatric 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.
Schedule H, Part VI CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST - PART II	B.A.B.E. Store Bed And Britches, Etc. (B.A.B.E.) is a community-based program that offers incentives in the form of coupons to parents who seek medical, education 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 2016, there were 2,580 families served through our B.A.B.E. store located in the Pecar Health Center sponsored by St. Vincent Women's Hospital. Also during fiscal year 2016, a new location for the B.A.B.E. store opened within the Joshua Max Simon Primary Care Center. During the first month of opening, 46 families were served. Bereavement Services Losing a newborn can be extremely distressing for family members. St. Vincent Women's Hospital provides support group for bereavement. Services are provided for families 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 supportive phone calls and sending out grief education materials. St. Vincent Cancer Care St. Vincent Cancer Care devotes key resources to providing education about cancer prevention, healthy lifestyles and the importance of early detection through screenings to central Indiana communities. Working with a variety of community organizations, including many specifically targeting the underserved, St. Vincent Cancer Care has been an active participant in health fairs and other community events that educate members of the community about cancer risk factors, healthier lifestyles and the importance of screening/early detection, including providing opportunities for oral, colorectal, skin, gynecological, and breast cancer screenings offered at no cost. St. Vincent is also committed to ensuring a continuum of care for those who are found to need additional diagnostic testing or treatment. The Child Protection Team The Child Protection Team was established in 2008 to provide a continuum of services for Indiana's most vulnerable children. As a member of Ascension Health, the Child Protection Team offers evidenced-based professional education to youth service providers in the area of child abuse prevention and intervention. The Child Protection Team is grateful for the ongoing support of The Crosser Family Foundation and Peyton Manning Children's Hospital license plate sales. The Child Protection Team has worked with The Canadian Centre for Child Protection to bring The Commit to Kids Program to Indiana, which assists youth serving organizations with staff training and policy recommendations to ensure that children are protected from possible sexual abuse. The Child Protection Team has also partnered with The Children's Bureau and the National Center for Shaken Baby Syndrome to bring The Period of Purple Crying Program to parents and caregivers of infants, which is designed to prevent Shaken Baby Syndrome by providing education on the frustrating features of normal infant crying that can lead to shaking or abuse. As part of St Vincent's child health advocacy mission, the Child Protection Team is continually seeking to provide a wide range of services with a compassionate approach to healing and preventative interventions to support Indiana's children and families. Comprehensive Counseling Services The St. Vincent Stress Center is a key partner in a confidential service, accessible through a 24-hour hotline, designed to supplement existing counseling options already available to Indianapolis Department of Public Safety first responders. A collaboration between six local hospital systems and the Indy Public Safety Foundation formed what is known as "Comprehensive Counseling Services". Counseling is now available to public safety personnel and their spouses, partners, significant others, children, and other household members. Comprehensive Counseling Services offers assistance for a number of issues including, but not limited to, coping with stress and change; family, marital, and significant other relationships; child, adolescent and parenting issues; depression and/or anxiety; and alcohol and drug abuse issues. Food Security According to Feeding America, 19.4% of the population in Marion County is considered food insecure, and therefore, struggle with the ability to provide enough food for every person in the household to have an active, healthy life. St. Vincent Hospital and Health Care Center has addressed food insecurity in a variety of ways, including donations of staff time and funds to Gleaners Food Bank, which serves central Indiana. With the understanding that food insecurity exists within every community, the hospital completed its first Pack Away Hunger event during fiscal year 2016. During this event, 55 associates assembled 16,000 meals to be distributed locally and internationally. Additionally, staff worked at the International Disaster Emergency Services assembling meals for Afghanistan villages. Health Fairs and Screenings St. Vincent Hospital and Health Care Center participated in, facilitated, sponsored or promoted numerous health fairs and screening. During fiscal year 2016, 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.
Schedule H, Part VI CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST - PART III	Healing and Wellness Support Groups St. Vincent Hospital and Health Care Center 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 Hospital and Health Care Center provides expert facilitation, meeting coordination, materials and meeting space for each support group. Health Professions Clinical Training In an effort to prepare future healthcare professionals, St. Vincent Hospital and Health Care Center offers a variety of clinical settings and internships to undergraduate and vocational allied health professionals from Ball State, Chamberlain College of Nursing, Depauw University, Franklin College, Indiana State University, Indiana University, Ivy Tech, Marian University, Purdue University, University of Evansville, and University of Indianapolis. St. Vincent Hospital and Health Care Center provides these students experience in clinical settings with the following programs/departments: Education and Development, Sports Medicine, Physical Therapy, Respiratory Therapy, Nursing, and Pharmacy. During fiscal year 2016, the St. Vincent Stress Center staff worked with surrounding universities in mentoring and training students in the healthcare field. College students from Indiana Wesleyan, Ball State, University of Indianapolis, IUPUI, and Indiana University were provided valuable on site experiences in their fields of study. Nursing, social work, and psychology students have gained a broader knowledge base to continue and complete their degrees. Medical Mission at Home St. Vincent is committed to providing care and support to those who might not otherwise have access to healthcare on a regular basis. That is why St. Vincent sponsored their inaugural Medical Mission at Home during fiscal year 2016. This event provides basic healthcare to the community, at no charge. Services included physical exams, wellness services, sports physicals, foot washing, mammograms, assistance with choosing and enrolling in a health insurance plan, referrals to community services and food from the food pantry. Over 100 associates worked this event to serve 116 individuals. Medical Supplies Donations St. Vincent made donations of medical supplies throughout the year by supporting mission trips through local churches to Haiti, Ghana, Nicaragua, Ecuador, Dominican Republic and Guatemala. Additionally, donations were made to local organizations, such as Hospital Sisters Mission Outreach, for world-wide distribution of life-saving medical supplies and equipment. Medical Education St. Vincent Hospital and Health Care Center, in affiliation with the Indiana University School of Medicine and Marian University College of Osteopathic Medicine, is a teaching hospital for future physicians. St. Vincent Hospital and Health Care Center provides a broad range of graduate, undergraduate, and continuing education opportunities to physicians, residents, medical students and physician assistant students through training programs in Internal Medicine, Family Medicine, Obstetrics/Gynecology, Pediatrics, General Surgery and Transitional Medicine, and through continuing medical education. Over 180 interns and residents train in these programs each year, and over 100 medical students come to St. Vincent for clinical rotations each month. Residents participate in urban, rural, or international medicine rotations to gain a broader medical perspective which enhances their professional and spiritual understanding. Medical Research St. Vincent contributes funds and personnel to advance medical care. The Office of Research and Clinical Trials 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 clinical 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. During fiscal year 2016, through the work of the department, 912 community agencies were utilized to assist 25,452 patients and their families with achieving their optimal level of health. Out of the Darkness Community Walk For the 11th year in a row, St.Vincent Stress Center was a 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 this event. During FY16, there were over 3,000 walkers who raised $199,153.
Schedule H, Part VI CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST - PART IV	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 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 School and Community Asthma Program offers free asthma classes for parents, students and teachers in conjunction with Peyton Manning Children's Hospital at St. Vincent and the Asthma Alliance of Indianapolis. School Health and Wellness 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 school administration, faculty, and students to share and coordinate available resources in schools in Marion and surrounding counties, providing health education, physical fitness testing, wellness consulting, organizing health and safety fairs and other wellness activities in many schools. Sports Performance Outreach St. Vincent Sports Performance provides sports medicine services at high schools, middle schools and several youth sports organizations. During fiscal year 2016, SVSP provided free ImPACT (Immediate Post-Concussion Assessment and Cognitive Test) baselines for approximately 1,500 athletes around the state. Additionally, during fiscal year 2016, SVSP provided vocational training to students from University of Indianapolis and Franklin University to help prepare future healthcare professionals. Parish Nursing Parish nurses provide health education, counseling, and health advocacy for their congregation. St. Vincent provides scholarships to registered nurses who wish to complete a parish nurse certification course. All denominations are supported by the parish nursing program which provides educational materials and health supplies to the faith communities they serve. A parish nurse program coordinator, employed by St. Vincent, provides oversight for the program and ensures parish nurses receive ongoing professional education. During fiscal year 2016, St. Vincent offered two educational/networking sessions to parish nurses, sponsored two individuals to attend the National Association of School Nurses Conference and provided an associate with a scholarship to pursue her Parish Nurse Certification through Indiana Wesleyan. Tobacco Management Center The Tobacco Management Center (TMC) is a hospital-based, nurse/pharmacist-driven smoking cessation program offered to the community which offers resources and individualized counseling. With the understanding that a variety of cessation methods should be offered to individuals to increase their chances of success; the TMC expanded their services in 2014 to offer a group cessation program. Both individualized and group programs utilize the Mayo Clinic's Nicotine Dependence Center model for treating tobacco dependence. During fiscal year 2016, the TMC offered 4 group cessation series, with 20 individuals completing the program, at no charge. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve health status and quality of life within the community.
Schedule H, Part V, Section B HOSPITAL FACILITIES IN REPORTING GROUP A	A 1 - ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC. A 2 - ST. VINCENT WOMEN'S HOSPITAL A 3 - ST. VINCENT STRESS CENTER A 4 - PEYTON MANNING CHILDREN'S HOSPITAL
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2016 was $43,853,485 at charges, ($12,286,627 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 18.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part VI, Line 2 Needs assessment	Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. In addition to the formal CHNA conducted every 3 years, St. Vincent Hospital and Health Care Center helps to lead a community roundtable called whose purpose is to assess needs within the community, prioritize action and work in partnership to address identified challenges. The coalition works closely with its member organizations which come from multiple sectors of the community, including local government, business, education, faith communities, public health, health care providers and other social and human service organizations. In addition, the coalition works closely with other coalitions as well as the local and state health departments to stay abreast of changing needs within the community and to identify evidence-based and promising practices to address these needs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	St. Vincent Hospital and Health Care Center communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's financial assistance 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.
Schedule H, Part VI, Line 4 Community information	St. Vincent Hospital and Health Care Center campus is located on the northwest side of Indianapolis in a neighborhood known as Crooked Creek (zip codes=46260, 46268, 46228), one of the most racially and economically diverse neighborhoods in Indianapolis, with a population of approximately 73,447 residents. St. Vincent Hospital and Health Care Center serves Marion and the surrounding counties in Central Indiana. Marion County is the largest county in the state, with a population of 939,020. When including the Metropolitan Statistical Area (MSA), the population of Indianapolis is approximately 1.76 million. The median age is 34.3 years old. Race consists primarily of two categories, Caucasian (65.8%) and African American (28.0%). The Hispanic population is 10%. The poverty rate is 21.3%. The median household income is $42,700.
Schedule H, Part VI, Line 5 Promotion of community health	St. Vincent Hospital and Health Care Center promotes the health of its communities by striving to improve the quality of life within the community. Research has established that factors such as economic status, employment, housing, education level, and built environment can all be powerful social determinants of health. Additionally, helping to create greater capacity within the community to address a broad range of quality of life issues also impacts health. St. Vincent Hospital and Health Care Center meets regularly with local organizations in the community to learn what resources are available and plan community health improvement efforts. In fiscal year 2016, these organizations included Crooked Creek Community Development & Health Improvement Corporation, United Way, Indiana Youth Institute, Holy Family Shelter, Fay Biccard Glick Neighborhood Center, Marian University, and many others.
Schedule H, Part VI, Line 6 Affiliated health care system	As part of St. Vincent Health, St. Vincent Hospital and Health Care Center is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Vincent Hospital and Health Care Center 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 & Health Improvement associates and other support 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 St. Vincent Hospital and Health Care Center participates. As part of St. Vincent Health, St. Vincent Hospital and Health Care Center is a member of Ascension Health Alliance ("The System"). Ascension Health Alliance d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. SPONSORSHIP: ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. MISSION: THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. - COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE.

Schedule H (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- 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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
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Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
ST VINCENT 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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) ARCHDIOCESE OF INDIANAPOLIS 30 EAST PALMER STREET INDIANAPOLIS,IN46225	35-1018460	501(C)(3)	90,730	GENERAL SUPPORT
(2) BROOKE'S PLACE FOR GRIEVING YOUNG PEOPLE INC 50 EAST 91ST STREET INDIANAPOLIS,IN46240	35-2045122	501(C)(3)	20,040	GENERAL SUPPORT
(3) GENNESARET FREE CLINIC INC 615 N ALABAMA STREET INDIANAPOLIS,IN462041414	35-1776518	501(C)(3)	20,040	GENERAL SUPPORT
(4) HORIZON HOUSE INC 1033 E WASHINGTON ROAD INDIANAPOLIS,IN46202	35-1759503	501(C)(3)	30,040	GENERAL SUPPORT
(5) THE JULIAN CENTER INC 2011 N MERIDIAN STREET INDIANAPOLIS,IN46202	35-1346514	501(C)(3)	18,040	GENERAL SUPPORT
(6) MORNING DOVE THERAPEUTIC RIDING INC 7440 W 96TH STREET ZIONSVILLE,IN46077	35-2056736	501(C)(3)	41,540	GENERAL SUPPORT
(7) NEIGHBORHOOD CHRISTIAN LEGAL CLINIC 3333 N MERIDIAN STREET SUITE 201 INDIANAPOLIS,IN46208	35-1916572	501(C)(3)	20,040	GENERAL SUPPORT
(8) YMCA OF GREATER INDIANAPOLIS - PIKE 615 N ALABAMA STREET INDIANAPOLIS,IN46204	35-0868211	501(C)(3)	15,040	GENERAL SUPPORT
(9) BABE STORE 942 N 10TH STREET NOBLESVILLE,IN46060	35-2006040	501(C)(3)	34,706	GENERAL SUPPORT
(10) ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC 8333 NAAB ROAD SUITE 301 INDIANAPOLIS,IN46260	46-1227327	501(c)(3)	55,543	GENERAL SUPPORT
(11) HEALTH & HOSPITAL CORPORATION 3838 North Rural Street Indianapolis,IN46205			99,553	GENERAL SUPPORT
(12) STVINCENT HOSPITAL FOUNDATION INC 10330 N MERIDIAN STREET SUITE 430N INDIANAPOLIS,IN46290	35-6088862	501(c)(3)	1,691,018	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	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) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- 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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ST VINCENT 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 on 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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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? ................

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1D KYLE DEFUR FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	282,538 ------------- 0	0 ------------- 0	15,567 ------------- 0	298,105 ------------- 0	0 ------------- 0
2JONATHAN NALLI EX-OFFICIO/SYSTEM CEO	(i) (ii)	852,923 ------------- 0	484,151 ------------- 0	114,078 ------------- 0	13,250 ------------- 0	36,774 ------------- 0	1,501,176 ------------- 0	0 ------------- 0
3AARON J FELDMAN MD DIRECTOR - PRES. SVHHC	(i) (ii)	508,982 ------------- 0	335,257 ------------- 0	7,356 ------------- 0	11,806 ------------- 0	21,162 ------------- 0	884,563 ------------- 0	0 ------------- 0
4RICHARD GATES MD DIRECTOR - PRES. MED. STAFF	(i) (ii)	141,740 ------------- 23,410	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	141,740 ------------- 23,410	0 ------------- 0
5JULIE M CARMICHAEL FORMER OFFICER	(i) (ii)	175,777 ------------- 0	108,369 ------------- 0	145,313 ------------- 0	4,990 ------------- 0	11,417 ------------- 0	445,866 ------------- 0	0 ------------- 0
6THOMAS M COOK FORMER OFFICER	(i) (ii)	168,399 ------------- 0	0 ------------- 0	103,047 ------------- 0	9,381 ------------- 0	9,799 ------------- 0	290,626 ------------- 0	0 ------------- 0
7IAN G WORDEN FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	289,650 ------------- 0	0 ------------- 0	1,004 ------------- 0	290,654 ------------- 0	0 ------------- 0
8RICHARD K FREEMAN MD CMO INDPLS HOSPITAL REGION	(i) (ii)	426,066 ------------- 131,634	94,861 ------------- 61,328	1,008 ------------- 279	10,481 ------------- 2,769	24,312 ------------- 7,226	556,728 ------------- 203,236	0 ------------- 0
9MARY MYERS CNO	(i) (ii)	277,952 ------------- 0	72,510 ------------- 0	1,523 ------------- 0	13,250 ------------- 0	25,358 ------------- 0	390,593 ------------- 0	0 ------------- 0
10CHERYL HARMON CFO-MINISTRY MARKET INDIANA	(i) (ii)	332,853 ------------- 0	60,000 ------------- 0	5,494 ------------- 0	12,593 ------------- 0	17,316 ------------- 0	428,256 ------------- 0	0 ------------- 0
11ERICA L WEHRMEISTER COO - INDPLS	(i) (ii)	285,432 ------------- 0	92,510 ------------- 0	580 ------------- 0	13,250 ------------- 0	25,707 ------------- 0	417,479 ------------- 0	0 ------------- 0
12NICETA C BRADBURN EXECUTIVE DIRECTOR-MEDICAL-INDPLS	(i) (ii)	347,654 ------------- 0	84,995 ------------- 0	4,623 ------------- 0	17,225 ------------- 0	20,106 ------------- 0	474,603 ------------- 0	0 ------------- 0
13ANNE F COLEMAN ADMINISTRATOR - WOMEN'S	(i) (ii)	285,841 ------------- 0	99,333 ------------- 0	677 ------------- 0	17,225 ------------- 0	31,003 ------------- 0	434,079 ------------- 0	0 ------------- 0
14HAROLD ALLAN BIVINS JR MD PHYSICIAN	(i) (ii)	457,342 ------------- 0	699,278 ------------- 0	1,156 ------------- 0	13,250 ------------- 0	35,102 ------------- 0	1,206,128 ------------- 0	0 ------------- 0
15VINCENT C CAPONI SR VP-ASCENSION	(i) (ii)	906,248 ------------- 0	1,322,246 ------------- 0	3,045,514 ------------- 0	17,075 ------------- 0	40,165 ------------- 0	5,331,248 ------------- 0	0 ------------- 0
16JAMES E SUMNERS DIRECTOR-CLINICAL MEDICINE-INDPLS	(i) (ii)	780,489 ------------- 0	90,000 ------------- 0	8,095 ------------- 0	15,900 ------------- 0	34,514 ------------- 0	928,998 ------------- 0	0 ------------- 0
17MICHAEL J CALLAHAN MD PHYSICIAN	(i) (ii)	516,734 ------------- 0	187,500 ------------- 0	577 ------------- 0	15,875 ------------- 0	32,715 ------------- 0	753,401 ------------- 0	0 ------------- 0
18HUBERT FORNALIK MD PHYSICIAN	(i) (ii)	502,972 ------------- 0	225,000 ------------- 0	0 ------------- 0	14,425 ------------- 0	30,317 ------------- 0	772,714 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	St.Vincent Hospital and Health Care Center, Inc. included imputed income for eight of the listed officers/directors and highest compensated employees in Part VII. St.Vincent Hospital and Health Care Center, Inc. "grossed up" applicable non-business expenses and included in the employees' W-2 as additional taxable compensation.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, a related organization of St.Vincent Hospital and Health Care Center, Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: - Compensation committee - Independent compensation consultant - Compensation survey or study - Approval by the board or compensation committee
Schedule J, Part I, Line 4a Severance or change-of-control payment	The following individuals received severance payments from the organization or a related organization during the calendar year 2015: Julie M Carmichael - $142,919 Ian G Worden - $289,650 D Kyle DeFur - $282,538 Thomas M Cook - $102,308
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Eligible executives participate in various non-qualified deferred compensation plans organized under Code Section 457(f). The exact purpose of each plan varies but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year.

Schedule J (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- 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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC

Employer identification number

35-0869066

Return Reference	Explanation
Form 990, Part IV, Line 24a Tax Exempt Bond Issuance	St. Vincent Hospital and 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 and Health Care Center, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet.
Form 990, Part IV, Line 20b Audited Financial Statements	The activity of St. Vincent Hospital and Health Care Center, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent Hospital and Health Care Center, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Vincent Hospital and Health Care Center, Inc.
Form 990, Part VI, Line 6 Classes of members or stockholders	St.Vincent Hospital and Health Care Center, Inc. has a single corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St.Vincent Hospital and 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 and Health Care Center, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to St.Vincent Hospital and 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, Line 11b Review of form 990 by governing body	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, Line 12c Conflict of interest policy	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, Line 15b Process to establish compensation of other employees	In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of St.Vincent Hospital and Health Care Center, 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 Hospital and Health Care Center, Inc.'s other officers or key employees are made by St.Vincent Hospital and Health Care 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, Line 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	HOTEL & CONFERENCE REVENUE - Total Revenue: 2237767, Related or Exempt Function Revenue: , Unrelated Business Revenue: 2237767, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; GIFT SHOP REVENUE - Total Revenue: 736001, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 736001;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATES - -XXX-XX-XXXX; TRANSFER TO NON-CONTROLLING INTEREST - -9390134; OTHER - 334142;

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ST VINCENT 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 (if applicable) 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

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 entity?
(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 ALLIANCE PO BOX 45998 ST LOUIS,MO63145 45-3358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	NA		No
(2)ASCENSION HEALTH PO BOX 45998 ST LOUIS,MO63145 31-1662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	ASCENSION HEALTH ALLIANCE		No
(3)CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC 2001 W 86TH STREET INDIANAPOLIS,IN46260 35-1869951	FREESTANDING OUTPATIENT CENTER	IN	501(c)(3	Type III-FI	ST VINCENT HOSPITAL AND 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	ST VINCENT HEALTH INC	Yes
(5)SVH REAL ESTATE INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS,IN46290 20-5002285	REAL ESTATE HOLDING COMPANY	IN	501(c)(3	Type III-FI	ST VINCENT HEALTH INC	Yes
(6)ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC 1907 W SYCAMORE STREET KOKOMO,IN46901 23-7313206	SUPPORTING ORGANIZATION	IN	501(c)(3	Type I	ST JOSEPH HOSPITAL & HEALTH CENTER INC	Yes
(7)ST JOSEPH HOSPITAL & HEALTH CENTER INC 1907 W SYCAMORE STREET KOKOMO,IN46901 35-0992717	HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(8)ST VINCENT ANDERSON REGIONAL HOSPITAL INC 2015 JACKSON STREET ANDERSON,IN46016 46-0877261	HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(9)ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC 2015 JACKSON STREET ANDERSON,IN46016 35-2053693	SUPPORTING ORGANIZATION	IN	501(c)(3	Type I	ST VINCENT ANDERSON REGIONAL HOSPITAL INC	Yes
(10)ST VINCENT CARMEL HOSPITAL INC 13500 N MERIDIAN STREET CARMEL,IN46032 74-3107055	HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(11)ST VINCENT CLAY HOSPITAL INC 1206 E NATIONAL AVENUE BRAZIL,IN47834 35-2112529	CRITICAL ACCESS HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(12)ST VINCENT DUNN HOSPITAL INC 1600 23RD STREET BEDFORD,IN47421 27-2192831	CRITICAL ACCESS HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(13)ST VINCENT FISHERS HOSPITAL INC 13861 OLIO ROAD FISHERS,IN46037 45-4243702	HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(14)ST VINCENT FRANKFORT HOSPITAL INC 1300 S JACKSON FRANKFORT,IN46041 35-2099320	CRITICAL ACCESS HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(15)ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC 1300 S JACKSON FRANKFORT,IN46041 35-1531734	SUPPORTING ORGANIZATION	IN	501(c)(3	Type I	ST VINCENT FRANKFORT HOSPITAL INC	Yes
(16)ST VINCENT HEALTH INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS,IN46290 35-2052591	PARENT COMPANY	IN	501(c)(3	Type III-FI	ASCENSION HEALTH		No
(17)ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC 8333 NAAB ROAD STE 301 INDIANAPOLIS,IN46260 46-1227327	HEALTH AND WELLNESS SERVICES	IN	501(c)(3	9	ST VINCENT HEALTH INC	Yes
(18)ST VINCENT HOSPITAL FOUNDATION INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS,IN46290 35-6088862	SUPPORTING ORGANIZATION	IN	501(c)(3	Type I	ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC	Yes
(19)ST VINCENT JENNINGS HOSPITAL INC 301 HENRY STREET NORTH VERNON,IN47265 35-1841606	CRITICAL ACCESS HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(20)ST VINCENT MADISON COUNTY HEALTH SYSTEM INC 1331 SOUTH A STREET ELWOOD,IN46036 35-0876389	HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(21)ST VINCENT MEDICAL GROUP INC 8425 HARCOURT ROAD INDIANAPOLIS,IN46260 27-2039417	PHYSICIAN PROFESSIONAL SERVICES	IN	501(c)(3	9	ST VINCENT HEALTH INC	Yes
(22)ST VINCENT MERCY HOSPITAL FOUNDATION INC 1331 SOUTH A STREET ELWOOD,IN46036 31-1066871	SUPPORTING ORGANIZATION	IN	501(c)(3	Type I	ST VINCENT MADISON COUNTY HEALTH SYSTEM INC	Yes
(23)ST VINCENT RANDOLPH HOSPITAL INC 473 GREENVILLE AVENUE WINCHESTER,IN47394 35-2103153	CRITICAL ACCESS HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(24)ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC 473 GREENVILLE AVENUE WINCHESTER,IN47394 35-2133006	SUPPORTING ORGANIZATION	IN	501(c)(3	Type I	ST VINCENT RANDOLPH HOSPITAL INC	Yes
(25)ST VINCENT RAS INC 10330 N MERIDIAN STREET STE 400N INDIANAPOLIS,IN46290 47-1289091	RETAIL AMBULATORY SERVICES	IN	501(c)(3	9	ST VINCENT HEALTH INC	Yes
(26)ST VINCENT SALEM HOSPITAL INC 911 N SHELBY STREET SALEM,IN47167 27-0847538	CRITICAL ACCESS HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(27)ST VINCENT SETON SPECIALTY HOSPITAL INC 8050 TOWNSHIP LINE RD INDIANAPOLIS,IN46260 35-1712001	LONG TERM CARE HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(28)ST VINCENT WILLIAMSPORT HOSPITAL INC 412 N MONROE STREET WILLIAMSPORT,IN47993 35-0784551	CRITICAL ACCESS HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes
(29)ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC 412 N MONROE STREET WILLIAMSPORT,IN47993 74-3130159	SUPPORTING ORGANIZATION	IN	501(c)(3	Type I	ST VINCENT WILLIAMSPORT HOSPITAL INC	Yes
(30)ST MARY'S AT HOME INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1899560	DME/HOME CARE	IN	501(c)(3	Type I	ST MARY'S HEALTH INC	Yes
(31)ST MARY'S BUILDING CORPORATION 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 23-7248362	REAL ESTATE HOLDING COMPANY	IN	501(c)(2		ST MARY'S HEALTH INC	Yes
(32)ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 20-5342518	AMBULANCE SERVICES	IN	501(c)(4		ST MARY'S HEALTH SERVICES INC	Yes
(33)ST MARY'S HEALTH SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1679526	INVESTMENT SERVICES	IN	501(c)(3	Type III-FI	ST MARY'S HEALTH INC	Yes
(34)ST MARY'S CARE PARTNERS INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1899562	TAX-EXEMPT AFFILIATE REIMBURSEMENTS	IN	501(c)(3	Type I	ST MARY'S HEALTH INC	Yes
(35)ST MARY'S HEALTH FOUNDATION INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 23-7045370	SUPPORTING ORGANIZATION	IN	501(c)(3	Type I	ST MARY'S HEALTH INC	Yes
(36)ST MARY'S WARRICK HOSPITAL INC 1116 MILLIS AVENUE BOONVILLE,IN47601 35-1343019	HOSPITAL	IN	501(c)(3	3	ST MARY'S HEALTH INC	Yes
(37)ST MARY'S OHIO VALLEY HEARTCARE LLC 901 ST MARYS DRIVE EVANSVILLE,IN47714 27-3474697	DORMANT	IN	501(c)(3	Type I	ST MARY'S HEALTH INC	Yes
(38)ST MARY'S MEDICAL GROUP LLC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 26-1356310	PHYSICIAN PROFESSIONAL SERVICES	IN	501(c)(3	9	ST MARY'S HEALTH INC	Yes
(39)PRIMARY PHYSICIAN NETWORK LLC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 20-8775914	DORMANT	IN	501(c)(3	9	ST MARY'S HEALTH INC	Yes
(40)ST MARY'S HEALTH INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-0869065	HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ENDOSCOPY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL,IN46032 32-0029881	ENDOSCOPY CENTER	IN	NA	N/A								0 %
(2) STVINCENT HEART CENTER OF INDIANA LLC 10580 N MERIDIAN STREET INDIANAPOLIS,IN46290 36-4492612	HEART HOSPITAL	IN	NA	N/A								0 %
(3) CARMEL AMBULATORY SURGERY CENTER LLC 13421 OLD MERIDIAN ST STE 150 CARMEL,IN46032 32-0014795	AMBULATORY SURGERY CENTER	IN	NA	N/A								0 %
(4) NAAB ROAD SURGERY CENTER LLC 8260 NAAB ROAD STE 100 INDIANAPOLIS,IN46260 35-1991390	AMBULATORY SURGERY CENTER	IN	STVINCENT HOSPITAL AND HEALTH CARE CENTER INC	Related	13,260,979	7,041,243		No		Yes		51 %
(5) TRI-STATE COMMUNITY CLINICS LLC 8601 N KENTUCKY AVENUE SUITE J EVANSVILLE,IN47711 27-0885968	PRIMARY CARE PHYSICIAN PRACTICES	IN	NA	N/A								0 %

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) ST MARY'S MEDICAL GROUP INC 3700 WASHINGTON AVE EVANSVILLE,IN47750 35-2076827	INVESTMENT	IN	NA	C Corporation			Yes

Schedule R (Form 990) 2015

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

Yes

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

Yes

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

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

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

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

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) STVINCENT HOSPITAL FOUNDATION INC	C	4,699,511	FAIR MARKET VALUE
(2) STVINCENT HOSPITAL FOUNDATION INC	B	1,691,018	FAIR MARKET VALUE
(3) STVINCENT MEDICAL GROUP INC	R	9,600,000	FAIR MARKET VALUE
(4) ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC	B	55,543	FAIR MARKET VALUE

Schedule R (Form 990) 2015

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

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

1	Briefly describe the organization’s mission or most significant activities: St. Vincent Hospital and Health Care Center is 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	12
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	7,747
6	Total number of volunteers (estimate if necessary) .............	6	495
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,580,515
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	302,053

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,631,099	5,062,541
9	Program service revenue (Part VIII, line 2g) .........	1,179,699,521	1,193,259,799
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	16,362,690	2,721,539
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	24,542,410	27,478,850
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,224,235,720	1,228,522,729
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	478,490	2,279,805
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)	448,389,946	447,303,438
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–24e)....	584,945,423	600,607,899
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,033,813,859	1,050,191,142
19	Revenue less expenses. Subtract line 18 from line 12.......	190,421,861	178,331,587
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,103,587,536	1,186,963,748
21	Total liabilities (Part X, line 26).............	323,668,536	433,128,973
22	Net assets or fund balances. Subtract line 21 from line 20.....	779,919,000	753,834,775

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 937,377,634 including grants of $ 2,279,805 ) (Revenue $ 1,206,647,684 )
	St. Vincent Hospital and 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 major service lines or centers: Cancer Care, Neuroscience, Orthopedics, Heart Center, Peyton Manning Children's Hospital, Women's Hospital, and Stress Center. During fiscal year 2016, SVHHCC treated 32,920 adults and children for a total of 202,083 patient days of service. The hospital also provided services for 748,490 outpatient visits, including 19,483 outpatient surgeries and 72,823 Emergency Room Visits. 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. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses937,377,634

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	14,934,643	216,651	622,309

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,699,511
e	Government grants (contributions)		1e	363,016

f	All other contributions, gifts, grants, and similar amounts not included above		1f	14

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		5,062,541

			Business Code
2a	Net patient revenue	621990	822,622,088	822,622,088
b	Net Medicare/Medicaid revenue	621990	370,637,711	370,637,711
c
d
e
f	All other program service revenue.			0	0	0	0
g Total.Add lines 2a–2f.....			1,193,259,799

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			2,694,626			2,694,626
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,469,136
b	Less: rental expenses
c	Rental income or (loss)	0	1,469,136
d	Net rental income or (loss)......			1,469,136			1,469,136
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	249,626
b	Less: cost or other basis and sales expenses	222,713
c	Gain or (loss)	26,913	0
d	Net gain or (loss).....			26,913			26,913
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..
Business Code			Miscellaneous Revenue
11a	Joint venture revenue		900099	13,730,633	13,387,885	342,748
b	Pharmacy revenue		621990	6,007,429			6,007,429
c	Cafeteria revenue		722514	3,297,884			3,297,884
d	All other revenue ....			2,973,768	0	2,237,767	736,001
e	Total. Add lines 11a–11d ......			26,009,714
12	Total revenue. See Instructions......			1,228,522,729	1,206,647,684	2,580,515	14,231,989

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	2,264,605	2,264,605
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	15,200	15,200
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	5,229,217		5,229,217
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	352,007,386	315,511,612	36,495,774
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,339,870	5,682,559	657,311
9	Other employee benefits .......	62,480,175	56,002,293	6,477,882
10	Payroll taxes ...........	21,246,790	19,043,944	2,202,846
11	Fees for services (non-employees):
a	Management ......	42,747,883	38,315,825	4,432,058
b	Legal .........	1,538,676	1,379,148	159,528
c	Accounting ...........	4,430		4,430
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,266,385	2,927,729	338,656	0
12	Advertising and promotion ....
13	Office expenses .......	3,003,957	2,692,510	311,447
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	13,923,549	12,479,969	1,443,580
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,554,794	2,289,916	264,878
20	Interest ...........	5,216,442	4,675,607	540,835
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	30,463,520	27,305,093	3,158,427
23	Insurance ...	5,053,282	5,053,282
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	176,012,965	157,764,117	18,248,848
b	CORPORATE EXPENSE	125,936,919	112,879,905	13,057,014
c	PURCHASED SERVICES	100,171,309	89,785,648	10,385,661
d	PROVIDER TAX EXPENSE	42,802,254	38,364,559	4,437,695
e	All other expenses	47,911,534	42,944,113	4,967,421	0
25	Total functional expenses. Add lines 1 through 24e	1,050,191,142	937,377,634	112,813,508	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			7,546,701	2	9,243,320
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			206,397,447	4	233,782,231
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			19,317,481	8	17,244,336
9	Prepaid expenses and deferred charges ......			5,595,378	9	2,198,407
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	761,255,095
b	Less: accumulated depreciation	10b	572,773,493	187,105,754	10c	188,481,602
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			3,269,507	12	3,775,342
13	Investments—program-related. See Part IV, line 11 ..			54,468,706	13	74,016,879
14	Intangible assets ...............			59,073,254	14	59,397,179
15	Other assets. See Part IV, line 11 ...........			560,813,308	15	598,824,452
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,103,587,536	16	1,186,963,748

17	Accounts payable and accrued expenses .....	68,621,287	17	73,084,579
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	Loans and other 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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	255,047,249	25	360,044,394
26	Total liabilities. Add lines 17 through 25..	323,668,536	26	433,128,973

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	775,557,365	27	749,272,110
28	Temporarily restricted net assets ...........	4,361,635	28	4,562,665
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	779,919,000	33	753,834,775
34	Total liabilities and net assets/fund balances ........	1,103,587,536	34	1,186,963,748

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No