443939-Community Benefit Report 2013 - page 8-9

As a non-profit health system, St.Vincent, in
conjunction with its sponsor Ascension Health,
and the Catholic Health Association, takes a
conservative approach in determining what
expendituresandprograms“count”ascommunity
benefit and community building in quantifying
theseactivities for this report.
Community Benefit is generally defined as:
Programs,
services and activities that provide treatment or
directlypromotehealth andhealing in response to
identifiedcommunityneedsanddooneormoreof
the following:
• Improve access tohealth care
•Enhance thehealthof the community
•Advancemedical or healthcareknowledge
• Relieve or reduce the burden of government or
other community efforts
CommunityBenefit Categories
Financial Assistance (Charity Care) –
Financial
Assistance is defined as the net cost of inpatient
and outpatient health care provided to poor and
vulnerable persons who lack the resources to fully
pay for theirmedical care.
Government Sponsored Means-Tested Health
Care –
Government SponsoredMeans-Tested care
is theunpaid cost (shortfall)ofpublicprograms for
poor andvulnerablepersons. This is thenet cost of
care provided to individuals onMedicaid, Hoosier
Healthwise and other public programs. Note that
in keeping with the Catholic Health Association’s
conservative approach to reporting community
benefit,Medicare shortfall isnot included.
Additional CommunityBenefit Services for the
Poor and Vulnerable –
Additional Community
Benefit Services for the Poor and Vulnerable are
defined as the net cost of programs, services
and activities that do not generate a patient bill
and directly affect the health of the poor and
vulnerable whichmay include community health
improvement, health professions education,
subsidized health services, research, and financial
and in-kind contributions.
CommunityBenefit Services for the
Broader Community –
Community Benefit
Services for the Broader Community are defined
as the net cost of programs, services and activities
thatdonot generateapatientbill anddirectlyaffect
the health of the broader community which may
include community health improvement, health
professions education, subsidized health services,
research, andfinancial and in-kind contributions.
CommunityBuilding
In addition to reporting on these Community
Benefitcategories,St.VincentengagesinCommunity
Building, which is defined as the net cost of
programs, services and activities that improve the
quality of life within a community and indirectly
affect thehealthof individuals and communities.
CommunityBenefit
Total Financial Commitment Trend
2010
2011
2012
2013
$175M
$0
$180M
$185M
$190M
$195M
$200M
$205M
$210M
$215M
$220M
$225M
$230M
$235M
$191.3
$197.5
$236.8
$179.2
Total Financial Commitment
Financial Assistance (CharityCare)
$65,876,958
GovernmentMeans-TestedHealthCare
$125,798,756
AdditionalCommunityBenefitServices for thePoorandVulnerable $5,311,192
CommunityBenefit Services for theBroader Community
$38,705,678
Total CommunityBenefit
$235,692,584*
CommunityBuilding
$1,192,824
Total
$236,885,408
*Note that in keepingwith the conservative approachof theCatholicHealth
Association, Medicare shortfall is not included as communitybenefit.
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