4A (Expenses $ 142527659 including grants of $ 277826) (Revenue $ 200733457)
St. Vincent Anderson Regional Hospital, Inc. is a 147-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2022, St. Vincent Anderson Regional Hospital, Inc. treated 5,711 adults and children for a total of 32,917 patient days of service. The hospital also provided services for 212,888 outpatient visits, which included 5,521 outpatient surgeries and 26,715 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - Ascension St. Vincent Anderson. Recognizing its vital importance to understanding the health needs and assets of the community, Ascension St. Vincent Anderson consulted with a range of public health and social service providers that represent the broad interests of residents of Madison County. Multiple methods were used to gather community input, including community input meetings, a hospital input meeting with hospital staff, and key informant interviews. A summary of the process and results is outlined below. A community input meeting was conducted by Verite Healthcare Consulting in June 2021 to gather feedback on the health needs and assets of Madison County. More than fifty individuals were asked to participate in the Madison County community input meetings and thirty-one both attended and completed a survey to identify significant community needs. Organizations that have a fundamental understanding of Madison County's health needs, specifically among those who are medically underserved, low-income and minority populations, were invited to attend. The organizations invited were as follows: Alexandria Community Center, Madison County Community Foundation, Alexandria Community School Corporation, Madison County Council of Government, Alternatives Incorporated, Madison County Sheriff, Anderson Community Schools, Madison County Triad, Anderson Housing Authority, Madison Minority Health Coalition, Anderson Preparatory Academy, Meridian Health Services, Anderson University, NAACP - Madison County, Ascension St. Vincent Board of Directors, Office of Rep. Bob Cherry, Ascension St. Vincent Board of Director,s Office of Rep. Terri Austin, Ascension St. Vincent Foundation, Office of Senator Mike Gaskill, Aspire Indiana Health, Office of Senator Tim Lanane, Bridges of Hope, Operation Love, Buckskin Bikes, Purdue Extension, Community Hospital Anderson Foundation Board, Purdue Polytechnic Anderson, Corporation for Economic Development, Salvation Army, East Central Indiana CASA, Second Harvest, Elwood Chamber of Commerce, Sheriff Chaplain, Elwood Community Schools, South Madison Community Schools First Church of the Nazarene, The Christian Center, Frankton-Lapel Community Schools, The Impact Center, Holy Cross School, The Jane Pauley Community Health Center, Intersect, Inc., United Way of Madison County, Ivy Tech Anderson, Victoria Guild, Leadership Academy of Madison County, YMCA of Madison County Madison County, Chamber of Commerce, and YWCA of Central Indiana Additionally, a hospital input meeting also was conducted in November 2021 to gather feedback from hospital staff on the health needs and assets of Madison County. Ten individuals participated. These staff included discharge planners, community navigators, social workers, primary care providers, administrators, and others. Finally, an interview was conducted with a local public health department representative to obtain subject-matter expertise regarding health needs in Madison County. Questions focused, first, on identifying and discussing health issues in the community before the COVID-19 pandemic began. Questions then focused on the pandemic's impacts and on what has been learned about the community's health given those impacts. The individuals and organizations invited to participate represented a variety of vulnerable populations, which included individuals who are medically underserved, living in poverty, struggling to meet basic needs, experiencing addiction, seeking government assistance, victims of domestic violence and/or neglect, senior citizens, and/or experiencing racial/ethnic health disparities. Additionally, the Madison County Public Health Department represented the needs of these vulnerable populations via their public health expertise.

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - Ascension St. Vincent Anderson. During its most recent CHNA, Ascension St. Vincent Anderson collaborated with other Indiana health systems to collect primary data through online community input meetings and key stakeholder interviews. These health systems include IU Health, Community Health Network, Riverview Health, and the Rehabilitation Hospital of Indiana. Ascension St. Vincent Anderson also collaborated with other hospitals that are members of Ascension St. Vincent.

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - Ascension St. Vincent Anderson - Part 1. As a result of Ascension St. Vincent Anderson's most recent CHNA, the following needs were identified as significant in the community: substance abuse, mental health, food security, poverty, access to health services and chronic health conditions. The hospital's FY20-22 implementation strategy addresses the prioritized health needs of mental health and food security, with the addition of the system-wide health improvement priority of access to health services, through the following system-wide health improvement priority strategies: 1) Access to Health Services - The goal of the initiative is to increase the number of people enrolled in Medicare or Medicare Savings programs. This will be accomplished through an evidence-based strategy called Pathways, which is utilized by the hospital's health advocates, who educate people interested in these programs about their options and assist with the application and submission process. The SMART objective is as follows: By June 30, 2022, the hospital will increase its FY20 baseline number of enrollments for the Medicare and Medicare Savings Program by 2.5%. During FY22, the hospital dedicated $26,196 in community benefit to this initiative and assisted 13 people with obtaining Medicare and/or Medicare Savings insurance (FY20 baseline = 5, FY22 goal =6, FY22 goal - achieved). 2) Food Security - The goal of the initiative aligns with the Healthy People 2020 goal to eliminate very low food security among children. The strategy focuses on encouraging schools and/or school districts to adopt a school-wide or district wide policy designed to increase student availability and participation in the scientifically supported school breakfast program. The target population are schools with less than 70% of students who eat free or reduced-price lunch also eating breakfast at school. To accomplish this, the system partnered with the national organization, No Kid Hungry, and other local organizations to launch the initiative. The hospital works with a food service director of a school and/or districts to support breakfast after the bell models and/or universal free school meal options. The SMART objective is as follows: The hospital will partner with a school and/or a school district to increase the percentage of students who eat free/reduced-priced lunch also eating breakfast in the School Breakfast Program by 2% from the baseline established at the beginning of FY21 until the end of FY22 (June 30, 2022). However, due to the unanticipated, significant impact COVID-19 had on schools, the scope of the initiative was expanded to include all school nutrition programs, in addition to the school breakfast program. Consequently, during FY22, Ascension St. Vincent Anderson dedicated $8,885 in community benefit to this initiative by supporting Holy Cross through the purchase of healthy snacks and exploring the implementation of the breakfast in the classroom model and through their support of Valley Grove Elementary through food for the school pantry, weekend feeding program, and student snacks. 3) Mental Health - The goal of the initiative is to increase the number of community members that are trained in the evidence-based Mental Health First Aid (MHFA) curriculum to identify individuals who are experiencing mental health /substance issues. The strategy consists of the hospital offering at least one MHFA training to the community at no charge during the reporting year. The target population is community members who want to be trained as MFHA ""first aiders"". To accomplish this, the hospital works with certified MHFA instructors and local community mental health and service organizations. The SMART objective is as follows: By June 30, 2022, the hospital will increase the number of community members trained to identify individuals experiencing mental health /substance issues by the end of FY 2022. During FY22, Ascension St. Vincent Anderson Hospital was unable to complete the goal due to competing demands, including the increased demands resulting from the COVID-19 pandemic. Addressing Needs in Current CHNA Cycle (FY23-25) In Ascension St. Vincent Anderson most recent CHNA, the following were identified as significant needs in the community: Access to Care; COVID-19 Pandemic; Maternal, Infant, and Child Health; Mental Health Status and Access to Mental Health Services; Obesity, Physical Inactivity, and Associated Chronic Diseases; Services for Seniors; Social Determinants of Health, including: Poverty, Affordable Housing, Food Insecurity, and Transportation; Smoking and Tobacco Use; and Substance Use Disorders and Overdoses. The FY2023-2025 Implementation Strategy specifically addresses Access to Care, Mental Health, and Substance Use Disorders, in following ways: Access to Care - The goal of the initiative is to increase access to comprehensive, high-quality health care services (Healthy People 2030). The hospital will do this through various strategies, which includes the evidence-based approach called Pathways, utilized by the hospital's health advocates, to assist individuals access various health, human, and social services. Specifically, the hospital will focus on increasing the proportion of people with a usual primary care provider by doing the following: 1) increasing the number of patients established with a medical home by 2.0% each year, amongst individuals who complete a Medical Home Pathway, from baseline established in FY2023, and 2) increasing the number of self-pay/charity Emergency Department patients connected with a provider by 5.0%, from baseline established in FY2023. Also, the hospital will focus on increasing the proportion of people with health insurance by 5.0% each year, amongst individuals who complete an enrollment pathway, from baseline established in FY2023. Finally, in an effort to work collaboratively with community groups and organizations, the hospital will strengthen community engagement by supporting coalitions and implementing partners to improve access to care. Mental Health - The goal of the initiative is to improve mental health (Healthy People 2030). The strategy is based on the HP2030 Mental Health and Mental Disorders objective: Reduce the suicide rate (MHMD-01). The hospital will collaborate with the Ascension St. Vincent Stress Center, to offer at least one QPR (Question, Persuade, Refer) training to the community at no charge by the end of the implementation strategy cycle. The target population will include community members, first responders, educators, students, and faith-based organizations. Additionally, this initiative includes a community engagement objective. The hospital will strengthen community engagement to expand the reach of evidence-based programs, advocacy, and/or services through financial support, facilitation, and/or promotion to improve mental health. Substance Use Disorders - The goal of this initiative to reduce misuse of drugs and alcohol (Healthy People 2030). The strategy is based on the HP2030 Substance Use objective to increase the proportion of people with substance use disorder who got treatment in the past year (SU-01). To do so, the hospital will develop a process to partner with community providers to enhance care coordination for persons with mental health and substance use disorder. Collaborators will include community crisis support centers, community halfway houses, first responders, and emergency departments. Additionally, this initiative includes a community engagement objective. The hospital will strengthen community engagement to expand the reach of evidence-based programs, advocacy, and/or services through financial support, facilitation, and/or promotion to reduce the misuse of drugs of alcohol."

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - Ascension St. Vincent Anderson - Part 2. Ascension St. Vincent Anderson is committed to improving community health by directly, and indirectly, addressing community needs. However, certain factors impact the hospital's ability to fully address all the identified needs. The needs listed below are not included in the Ascension St. Vincent Anderson's implementation strategy for the following reasons: COVID-19 Pandemic - The hospital, together with Ascension Medical Group (AMG), a physician-led provider organization, continues to provide treatment for community members diagnosed with COVID-19, as it has done since the beginning of the pandemic. As federal, state, and local authorities are providing leadership for prevention and surveillance activities, the hospital will not directly address the COVID-19 pandemic in the current Implementation Strategy. Maternal, Infant, and Child Health - The hospital, together with AMG, provides health care services to pregnant women, infants, and children. Additionally, the hospital does address this need in various ways including participation in statewide committees and local community coalitions, offering support groups, and/or providing community education. The hospital will remain committed to partnering with community groups to address maternal, infant, and child health -and will continue to seek opportunities to do so. As federal, state, and local authorities, as well as community-based organizations, have focused efforts to improve maternal, infant, and child health, the hospital will not directly address this need in the current Implementation Strategy. Obesity, Physical Inactivity, and Associated Chronic Disease - The hospital, together with AMG, provides education on various health topics related to obesity, physical inactivity, and associated chronic disease through health fairs and screenings, health education, wellness programs, lectures, school health education programs, and/or community support groups. Additionally, the hospital remains committed to partnering with community groups to address these identified health needs and will continue to seek opportunities to do so. As federal, state, and local authorities, as well as community-based organizations, are working to reduce this need, the hospital will not directly address this need in their current Implementation Strategy. Senior Services - The hospital, together with AMG, works collaboratively with the Ascension St. Vincent - Center for Healthy Aging to support older adults as they cope with complex health problems that can be associated with aging. Additionally, the hospital remains committed to partnering with community groups to address these identified health needs and will continue to seek opportunities to do so. As federal, state, and local authorities, as well as community-based organizations, are working to address needs of seniors, the hospital will not directly address this need in the current Implementation Strategy. Social Determinants of Health, including poverty, affordable housing, food insecurity, and transportation - The hospital, together with AMG, screens patients for needs related to social determinants of health. Moreover, supporting services and referrals are provided by Community Health Workers in the Ascension St. Vincent Health Access Department, to meet needs, such as transportation and housing. Additionally, the hospital remains committed to partnering with community groups to address needs related social determinants of health and will continue to seek opportunities to do so. As federal, state, and local authorities, as well as community-based organizations, are working to reduce this need, the hospital will not directly address this need in the current Implementation Strategy. Smoking and Tobacco Use - The hospital, together with AMG, screens patients for tobacco use and promotes the use of the evidence-based state tobacco cessation quitline (1-800-Quit-Now). Additionally, the hospital remains committed to partnering with community groups to address this identified health issue and will continue to seek opportunities to do so. As federal, state, and local authorities, as well as community-based organizations, are working to reduce smoking and tobacco use, the hospital will not directly address this need in the current Implementation Strategy. While these needs are not the focus of this Implementation Strategy, Ascension St. Vincent Anderson may consider investing resources in these areas as appropriate, depending on opportunities to leverage organizational assets in partnership with local communities and organizations. Also, this report does not encompass a complete inventory of everything Ascension St. Vincent Anderson does to support health within the community.

Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG
"IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance if such Patient is deemed to have sufficient assets to pay pursuant to an ""Asset Test."" The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC."

Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE
THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER 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 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 the root causes of health problems, ultimately influence and improve health status. Examples of community building activities include physical improvement and housing, economic development, community support, environmental improvements, leadership development and leadership training for community members, coalition building, advocacy for community health improvements and safety, and workforce development. During FY22, there were no community building activities to report. All reported activities qualify as community benefit and are described in the narrative under Schedule H Part I Line 7.

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 2022 was $11,688,036 at charges, ($2,922,009 at cost).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS.

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 GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. 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 A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES.

Schedule H, Part V, Section B, Line 16a FAP website
- Ascension St. Vincent Anderson: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
- Ascension St. Vincent Anderson: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- Ascension St. Vincent Anderson: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part VI, Line 4 Community information
St. Vincent Anderson Regional Hospital services Madison County Indiana as its primary service area. The total population of the county primary service area is estimated to be 130,365 residents in calendar year 2022 and is expected to increase by approximately 1.0% to 131,648 residents in five years. The median household income of the primary service area is $51,476. Approximately 12.1% of the service area residents live below the poverty line. Within the primary service area, there are no federally designated medically underserved areas. There are 2 of other acute care hospitals located within the primary service area.

Schedule H, Part VI, Line 5 Promotion of community health
St. Vincent Anderson Regional Hospital's governing body is comprised of persons representing diverse aspects and interests of the community. Many members of St. Vincent Anderson Regional Hospital's governing body reside in the organization's primary service area and who are neither employees nor independent contractors of the organization, nor family members thereof. St. Vincent Anderson Regional Hospital extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties. St. Vincent Anderson Regional Hospital applies surplus funds to fund improvements in patient care.

Schedule H, Part VI, Line 2 Needs assessment
St. Vincent Anderson Regional Hospital, Inc. uses internal and external data and reports from third parties, including government sources, to assess the healthcare needs of the communities we serve. These reports provide key information about health, socioeconomic, demographic factors that identify areas of need and inform our strategies that help to meet those needs of our community. These reports include, but are not limited to: Sg2 Healthcare Intelligence, The Advisory Board, IQVIA for healthcare claims datasets, 3d Health, Indiana Hospital Association, and internal data. St. Vincent Anderson Regional Hospital, Inc. utilizes information from these secondary sources to develop programs and provide appropriate services needed throughout the region. In addition, St. Vincent Anderson Regional Hospital, Inc. considers the health care needs of the overall community when evaluating internal financial and operational decisions.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
St. Vincent Anderson Regional Hospital, Inc. IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; St. Vincent Anderson Regional Hospital, Inc. PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE UP TO 400% OF THE FEDERAL POVERTY LEVEL. St. Vincent Anderson Regional Hospital, Inc. WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/financial-assistance/indiana St. Vincent Anderson Regional Hospital, Inc. MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. St. Vincent Anderson Regional Hospital, Inc. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. St. Vincent Anderson Regional Hospital, Inc. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.

Schedule H, Part VI, Line 6 Affiliated health care system
St. Vincent Anderson Regional Hospital, Inc. is a member of Ascension. 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 19 of the United States and the District of Columbia. Ascension is sponsored by Ascension Sponsor, a public juridic person. The participating entities of Ascension Sponsors 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. St. Vincent Anderson Regional Hospital, Inc. operates a hospital facility in Madison County Indiana and is part of Ascension St. Vincent which also owns and operates other healthcare related entities, including Ascension St. Vincent Indianapolis Hospital. The health system provides inpatient, outpatient, and emergency care services for residents of Indiana.