ACENSION ST VINCENT SOUTH SIDE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ACENSION ST VINCENT SOUTH SIDE (EIN 46-1523194)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-11
IRS object ID: 201911319349300216
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-11T10:06:45-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	461523194	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Medical Center-Clay County Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STVI	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4205 Belfort Road 4020	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32216	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2019-05-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Thomas J VanOsdol	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Shircliff Way	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32204	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$118,115,350	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2012	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	To improve the health and well-being of all people in the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	735	TotalEmployeeCnt
Total Volunteers	319	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,714	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,196,861	PYContributionsGrantsAmt
CY Contributions Grants	$1,706,499	CYContributionsGrantsAmt
PY Program Service Revenue	$98,243,932	PYProgramServiceRevenueAmt
CY Program Service Revenue	$115,384,718	CYProgramServiceRevenueAmt
PY Investment Income	$21,397	PYInvestmentIncomeAmt
CY Investment Income	$32,655	CYInvestmentIncomeAmt
PY Other Revenue	$506,879	PYOtherRevenueAmt
CY Other Revenue	$985,746	CYOtherRevenueAmt
PY Total Revenue	$105,969,069	PYTotalRevenueAmt
CY Total Revenue	$118,109,618	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$33,494,523	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$35,615,543	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$51,426,297	PYOtherExpensesAmt
CY Other Expenses	$55,633,406	CYOtherExpensesAmt
PY Total Expenses	$84,920,820	PYTotalExpensesAmt
CY Total Expenses	$91,248,949	CYTotalExpensesAmt
PY Revenues Less Expenses	$21,048,249	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$26,860,669	CYRevenuesLessExpensesAmt
Total Assets BOY	$110,136,473	TotalAssetsBOYAmt
Total Assets EOY	$104,582,548	TotalAssetsEOYAmt
Total Liabilities BOY	$17,466,724	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$16,710,943	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$92,669,749	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$87,871,605	NetAssetsOrFundBalancesEOYAmt
Mission	Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$72,970,721	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$115,385,418	RevenueAmt
Desc	St. Vincent's Medical Center-Clay County is a 94-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Vincent's Medical Center-Clay County treated 7,149 adults and children for a total of 24,302 patient days of service. The hospital also provided services for 52,479 outpatient visits, which included 2,384 outpatient surgeries and 46,621 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Desc
Total Program Service Expenses	$72,970,721	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	112	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	735	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARA OBRIEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3147338070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11775 BORMAN DRIVE	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
THOMAS J VANOSDOL
CEO, MINISTRY MARKET	0.0	50.0	Yes (X)	Yes (X)	$0	$926,860	$45,050
PAUL J CHAPPANO MD
CHAIRMAN	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID G KULIK
VICE CHAIRMAN	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD JONES
SECRETARY/TREASURER	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL BOYLAN
MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
WILLIAM CODY MD
MEMBER	1.0	49.0	Yes (X)		$0	$115,142	$27,788
AUBREY EDGE
MEMBER (START 7/2017)	1.0	3.0	Yes (X)		$0	$0	$0
JOHN FALCONETTI
MEMBER (START 7/2017)	1.0	4.0	Yes (X)		$0	$0	$0
CARLA HARRIS
MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
THOMAS R MCGEHEE JR
MEMBER (START 7/2017)	1.0	4.0	Yes (X)		$0	$0	$0
HELEN D ROWAN
MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
VAN D ROYAL
MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
SISTER MARY WALZ DC
MEMBER (START 7/2017)	1.0	3.0	Yes (X)		$0	$0	$0
C SUSAN CORNEJO
CFO, GULF COAST MINISTRY MARKET (START 6/2018)	5.0	45.0		Yes (X)	$0	$703,672	$37,265
PAMELA M HESS
CFO, JACKSONVILLE MINISTRY MARKET (END 6/2018)	5.0	50.0		Yes (X)	$0	$688,053	$35,645
MICHELLE ADAMOLEKUN
CHRO, MINISTRY MARKET (END 2/2018)	5.0	50.0			$0	$429,273	$36,215	Yes (X)
DONALD B CLAYPOOL
PRESIDENT, ACUTE CARE HOSPITALS (END 7/2017)	12.0	43.0			$0	$572,529	$38,444	Yes (X)
FRANK H GILBERSTADT MD
CCO, MINISTRY MARKET	6.0	49.0			$0	$722,234	$40,598	Yes (X)
LORRAINE M KEITH
CNO, MINISTRY MARKET	6.0	49.0			$0	$332,773	$19,310	Yes (X)
TERESA LOFTIS
CMIO, MINISTRY MARKET	5.0	50.0			$0	$311,099	$39,733	Yes (X)
JAMES P MACHADO
President - Clay	55.0	0			$309,611	$0	$39,014	Yes (X)
JEFFREY MATHISON
CHIEF MEDICAL OFFICER (START 3/2018)	6.0	49.0			$0	$0	$0	Yes (X)
WILLIAM R MAYHER
COO, MINISTRY MARKET	5.0	50.0			$0	$233,523	$39,119	Yes (X)
JOHN D MEYER III
CSMO, MINISTRY MARKET	5.0	50.0			$0	$471,398	$26,977	Yes (X)
JEFFREY H MIDDLEBROOK
CLO, REGIONAL	5.0	50.0			$0	$537,561	$35,064	Yes (X)
KENNETH ROTHFIELD
CHIEF MEDICAL OFFICER (END 8/2017)	6.0	49.0			$0	$383,680	$34,492	Yes (X)
TRACY B WILLIAMS
COO - Acute Care Hospitals	6.0	49.0			$0	$346,258	$46,122	Yes (X)
JEANINE F HUMPHREYS
PHARMACIST	55.0	0			$144,226	$0	$19,225		Yes (X)
GEORGE M KELBERT
RN ANESTHETIST	55.0	0			$154,476	$0	$36,246		Yes (X)
ELIZABETH M SANTIAGO
DIRECTORY, PHARMCY	55.0	0			$147,511	$0	$26,424		Yes (X)
WENDY SLABAUGH
RN ANESTHETIST	55.0	0			$141,936	$0	$18,624		Yes (X)
DANICE WEBSTER
RN ANESTHETIST	55.0	0			$142,047	$0	$15,833		Yes (X)
RENE AUGUSTA GROSDIDIER
FORMER KEY EMPLOYEE (END 4/2017)	0.0	0			$144,065	$0	$4,149			Yes (X)
MICHAEL H SCHATZLEIN MD
FORMER OFFICER (END 12/2016)	0.0	0.0			$0	$1,051,835	$11,195			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,183,872	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,825,890	TotReportableCompRltdOrgAmt
Total Other Compensation	$672,533	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
BRASFIELD & GORRIE LLC
3021 7TH AVE S	BIRMINGHAM	AL	35233	CONSTRUCTION SERVICES	$3,328,985
ST VINCENTS OUTPATIENT IMAGINIG
1642 WESTGATE CIR STE 202	BRENTWOOD	TN	37027	MEDICAL SERVICES	$978,630
THE CENTER FOR WOUND HEALING INC
445 HAMILTON AVE	WHITE PLAINS	NV	106011829	MEDICAL SERVICES	$558,540	SUITE 800
PEDIATRIX MEDICAL SVCS
PO BOX 281034	ATLANTA	GA	30384	MEDICAL SERVICES	$558,333
NORTH FLORIDA ANESTHESIA CONSULTANTS
2165 HERSCHEL ST	JACKSONVILLE	FL	32204	ANESTHESIA SERVICES	$299,400

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,706,499	RelatedOrganizationsAmt
Total Contributions	$1,706,499	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621990	$115,383,823	$115,383,823
Services to Affiliates	561000	$895	$895

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$115,384,718	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,655	TotalRevenueColumnAmt
Exclusion	$32,655	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$117	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$117	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$117	TotalRevenueColumnAmt
Exclusion	$117	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$55,556	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$5,732	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,824	TotalRevenueColumnAmt
Exclusion	$49,824	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Vending Revenue	722514	$469,344	$469,344
Education Revenue	611430	$700		$700
Escheatment Revenue	900099	$5,385	$5,385

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$460,376	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$460,376	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$935,805	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$118,109,618	TotalRevenueColumnAmt
Related Or Exempt Func Income	$115,385,418	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,017,701	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$348,625	TotalAmt
Program Services	$313,763	ProgramServicesAmt
Management And General	$34,862	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$28,975,705	TotalAmt
Program Services	$26,161,005	ProgramServicesAmt
Management And General	$2,814,700	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,242,198	TotalAmt
Program Services	$1,121,524	ProgramServicesAmt
Management And General	$120,674	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,956,690	TotalAmt
Program Services	$2,669,467	ProgramServicesAmt
Management And General	$287,223	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,092,325	TotalAmt
Program Services	$1,889,013	ProgramServicesAmt
Management And General	$203,312	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,255	TotalAmt
Program Services	$3,855	ProgramServicesAmt
Management And General	$400	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,237	TotalAmt
Management And General	$4,237	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$628	TotalAmt
Management And General	$628	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,213,078	TotalAmt
Program Services	$1,676,717	ProgramServicesAmt
Management And General	$3,536,361	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$14,729	TotalAmt
Program Services	$7,109	ProgramServicesAmt
Management And General	$7,620	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$110,568	TotalAmt
Program Services	$72,818	ProgramServicesAmt
Management And General	$37,750	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$99,021	TotalAmt
Program Services	$88,896	ProgramServicesAmt
Management And General	$10,125	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$812,372	TotalAmt
Program Services	$700,859	ProgramServicesAmt
Management And General	$111,513	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$19,210	TotalAmt
Program Services	$12,653	ProgramServicesAmt
Management And General	$6,557	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,333	TotalAmt
Program Services	$11,229	ProgramServicesAmt
Management And General	-$7,896	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,036,746	TotalAmt
Program Services	$7,742,660	ProgramServicesAmt
Management And General	$294,086	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$529,504	TotalAmt
Management And General	$529,504	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$18,324,114	$18,084,077	$240,037
PURCHASED SERVICES	$10,032,792	$4,375,987	$5,656,805
OVERHEAD ALLOCATION	$8,492,691	$4,246,000	$4,246,691
PROVIDER TAX	$1,192,001	$1,192,001

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,744,127	TotalAmt
Program Services	$2,601,088	ProgramServicesAmt
Management And General	$143,039	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$91,248,949	TotalAmt
Program Services	$72,970,721	ProgramServicesAmt
Management And General	$18,278,228	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,126	BOYAmt
EOY	$2,035	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,111,927	BOYAmt
EOY	$12,548,858	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,065,304	BOYAmt
EOY	$2,251,477	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$107,561	BOYAmt
EOY	$26,071	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$122,444,939	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$35,220,681	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$92,130,017	BOYAmt
EOY	$87,224,258	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$62,482	BOYAmt
EOY	$7,714	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,657,056	BOYAmt
EOY	$2,522,135	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,136,473	BOYAmt
EOY	$104,582,548	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,028,036	BOYAmt
EOY	$6,544,394	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,438,688	BOYAmt
EOY	$10,166,549	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,466,724	BOYAmt
EOY	$16,710,943	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$92,298,660	BOYAmt
EOY	$86,954,406	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$371,089	BOYAmt
EOY	$917,199	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$92,669,749	BOYAmt
EOY	$87,871,605	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$110,136,473	BOYAmt
EOY	$104,582,548	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$26,860,669	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$31,658,813	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$628	OtherActivitiesAmt
Total Lobbying Expenditures	$628	TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 are specifically allocable to lobbying. St. Vincent's Medical Center-Clay County, Inc. does not participate in or intervene in (including the publishing or distributing or 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 are specifically allocable to lobbying. St. Vincent's Medical Center-Clay County, Inc. does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,969,852	OtherCostOrOtherBasisAmt
Book Value	$6,969,852	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,470,320	OtherCostOrOtherBasisAmt
Depreciation	$16,266,339	DepreciationAmt
Book Value	$60,203,981	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,916	OtherCostOrOtherBasisAmt
Depreciation	$2,770	DepreciationAmt
Book Value	$146	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,683,916	OtherCostOrOtherBasisAmt
Depreciation	$14,413,409	DepreciationAmt
Book Value	$11,270,507	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,317,935	OtherCostOrOtherBasisAmt
Depreciation	$4,538,163	DepreciationAmt
Book Value	$8,779,772	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$87,224,258	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Due to Affiliates	$8,279,071
Deferred Compensation/Retirement/Pension Liability
Other Miscellaneous Liabilities	$716,320
Savings Plan Liability
Estimated 3rd Party Payor Settlement	$509,988
Physician Guarantee Liability	$98,853
Recovery Tail Liability	$562,264
Accrued Tax Liability	$53

Field	Value	IRS element (for citing)
Total Liability	$10,166,549	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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, 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,714,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,714,351	NetCommunityBenefitExpnsAmt
Total Expense	0.0297	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,992,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,924,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,068,377	NetCommunityBenefitExpnsAmt
Total Expense	0.0555	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,706,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,924,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,782,728	NetCommunityBenefitExpnsAmt
Total Expense	0.0853	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$117,674	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$117,674	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$186,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$186,849	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$304,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$304,523	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,011,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,924,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,087,251	NetCommunityBenefitExpnsAmt
Total Expense	0.0886	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,190,840	BadDebtExpenseAmt
Bad Debt Expense Attributable	$934,910	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$45,508,261	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$46,373,541	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$865,280	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4205 BELFORT ROAD SUITE 4020	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32216	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://healthcare.ascension.org/Locations/Florida/FLJAC/Middleburg-St-Vincents-Medical-Center-Clay-	WebsiteAddressTxt
State License	4515	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://healthcare.ascension.org/Locations/Florida/FLJAC/Middleburg-St-Vincents-Medical-Center-Clay-	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://healthcare.ascension.org/Locations/Florida/FLJAC/Middleburg-St-Vincents-Medical-Center-Clay-	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PT VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PT VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PT VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 - ST. VINCENT'S MEDICAL CENTER CLAY COUNTY. INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, WAS RECEIVED FROM 185 INDIVIDUALS THROUGH ELEVEN KEY INFORMANT INTERVIEWS, SEVENTEEN FOCUS GROUPS, AND FOUR TOWN HALL MEETINGS. COMMUNITY INPUT WAS GATHERED FROM MARCH THROUGH JUNE 2015. INTERVIEWS INCLUDED: INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; THE LOCAL PUBLIC HEALTH DEPARTMENT; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS O FHTE COMMUNITY; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS. DUVAL COUNTY DEPARTMENT OF HEALTH STAFF, WORKING UNDER SUBCONTRACT WITH VERITE, CONDUCTED AND SUMMARIZED RESULTS FROM THE KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS. PARTICIPANTS INCLUDED: DOH-CLAY, CLAY COUNTY LITERACY COOLITION, AND THE WAY CLINIC.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - ST. VINCENT'S MEDICAL CENTER CLAY COUNTY. ST. VINCENT'S MEDICAL CENTER CLAY COUNTY COLLABORATED WITH OTHER HOSPITAL FACILITIES WITHIN THE ST. VINCENT'S HEALTHCARE SYSTEM, AND ALSO WITH THE OTHER HOSPITAL MEMBERS OF THE JACKSONVILLE METROPOLITAN COMMUNITY BENEFIT PARTNERSHIP. THE PARTNERSHIP IS COMPRISED OF LEADERS FROM BAPTIST HEALTH, BROOKS REHABILITATION, THE CLAY COUNTY HEALTH DEPARTMENT, THE DUVAL COUNTY HEALTH DEPARTMENT, MAYO CLINIC, THE NASSAU COUNTY HEALTH DEPARTMENT, THE PUTNAM COUNTY HEALTH DEPARTMENT, UF HEALTH JACKSONVILLE (THEN SHANDS JACKSONVILLE MEDICAL CENTER), ST. VINCENT'S HEALTHCARE, AND WOLFSON CHILDREN'S HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST. VINCENT'S MEDICAL CENTER CLAY COUNTY. IN 2015, HOSPITAL MEMBERS OF THE PARTNERSHIP INITIATED A SECOND CHNA. THROUGH THIS WORK, EACH HOSPITAL MEMBER DEVELOPED AND PUBLISHED A 2016 CHNA REPORT. THE CHNAS WERE CONDUCTED TO IDENTIFY PRIORITY HEALTH NEEDS WITHIN EACH COMMUNITY SERVED BY EACH HOSPITAL, AND TO INFORM DEVELOPMENT OF IMPLEMENTATION STRATEGIES TO ADDRESS IDENTIFIED NEEDS. THE CHNAS ALSO WERE CONDUCTED TO RESPOND TO FEDERAL REGULATORY REQUIREMENTS. ST. VINCENT'S HEALTHCARE REVIEWED THE RESULTS OF THE 2016 CHNA AND UTILIZED SPECIFIC CRITERIA FOR SELECTION OF THE NEEDS THAT ARE MOST COMPATIBLE WITH OUR MISSION. THOSE INCLUDED: AVAILABLE RESOURCES AND COMPETENCIES, THE ACTUAL IMPACT THE HOSPITAL MIGHT HAVE ON DESIGNATED NEEDS, THE VALUE STAKEHOLDERS PLACED UPON THE NEED AND COMMUNITY SUPPORT OF THE NEED. THE PRIORITIZED NEEDS SELECTED ARE: - ACCESS - UTILIZING ST. VINCENT'S MOBILE HEALTH OUTREACH MINISTRY, PROVIDE ACUTE AND PRIMARY CARE AIMED SPECIFICALLY TO THE IMPOVERISHED AND INDIGENT IN CLAY COUNTY. - DIABETES - DEVELOP THE COMPREHENSIVE DIABETIC PROGRAM TO IMPROVE AND HEALTH THROUGH SURVEILLANCE, PREVENTION, AND CONTROL OF DIABETES AND ITS COMPLICATIONS. - MATERNAL AND CHILD HEALTH - INCREASE ACCESS TO MATERNITY SERVICES WITH A FOCUS ON INCREASING MEDICAID PATIENTS. - OBESITY/NUTRITION/LIFESTYLE - ENCOURAGE AND EDUCATE MIDDLE SCHOOL STUDENTS AGES 9-14 ABOUT EXERCISE AND WELLNESS. ST. VINCENT'S HEALTHCARE IS COMMITTED TO OUR MISSION AND TO THE COMMUNITY; HOWEVER, NO ENTITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENTED BY THE 2016 CHNA. THE FOLLOWING ARE THOSE WE BELIEVE ARE EITHER NOT SUPPORTED BY OUR MISSION OR THAT RESOURCES ARE NOT CURRENTLY AVAILABLE TO ADEQUATELY ADDRESS. - CANCER - ST. VINCENT'S HEALTHCARE LACKS RESOURCES IN THE ABILITY TO PROVIDE LARGE-SCALE CANCER SERVICES WITHIN THE NORTHEAST FLORIDA AREAS BUT WILL CONTINUE TO SUPPORT LOCAL ORGANIZATIONS THAT OFFER CANCER SERVICES TO THE COMMUNITY. - DENTAL CARE- DENTAL CARE IS CURRENTLY NOT A MEDICAL SERVICE PROVIDED BY ST. VINCENT'S HEALTHCARE. WE WILL CONTINUE TO SEEK ADDITIONAL OPPORTUNITIES TO EXPAND DENTAL SERVICES TO THOSE MOST IN NEED. - MENTAL HEALTH - ST. VINCENT'S LACKS RESOURCES IN THE ABILITY TO PROVIDE EFFECTIVE MENTAL HEALTH SERVICES WITHIN THE CLAY COUNTY AREA. WE WILL CONTINUE TO ADVOCATE FOR SERVICES TO THE POOR AND VULNERABLE THROUGH IN-KIND AND FINANCIAL DONATIONS TO LOCAL ORGANIZATIONS WHO OFFER THESE SERVICES TO THE COMMUNITY. - TRANSPORTATION- CURRENTLY, ST. VINCENT'S HEALTHCARE LACKS CAPACITY TO IMPROVE THE OVERALL PUBLIC TRANSPORTATION SYSTEM WITHIN THE NORTHEAST FLORIDA AREA. WE WILL CONTINUE TO PARTNER WITH LOCAL TRANSPORTATION AUTHORITIES TO ADVOCATE FOR THE IMPROVEMENT OF SERVICES, ESPECIALLY THOSE MOST IN NEED THAT RELY ON PUBLIC TRANSPORTATION. ACTIONS TAKEN DURING THE 2018 TAX YEAR: - ACCESS -MOBILE HEALTH OUTREACH MINISTRY EXCEEDED THEIR ANNUAL GOAL, BY HOSTING 50 CLINICS, SEEING 529 PATIENTS FOR ACUTE AND PRIMARY CARE WITHIN THE IMPOVERISHED AND INDIGENT COMMUNITY OF CLAY COUNTY. - DIABETES - THE COMPREHENSIVE DIABETIC PROGRAM MET GOAL FOR NUMBER OF PATIENTS IN PROGRAM, RETENTION RATE, HGBA1C CONTROLLED, EYE EXAM, AND NEPHROPATHY SCREENING RATE. THE CONTINUE TO WORK ON MEETING GOAL FOR BP<140/90. - MATERNAL AND CHILD HEALTH - INCREASED NUMBER OF MEDICAID DELIVERIES AT CLAY COUNTY CAMPUS. - OBESITY/NUTRITION/LIFESTYLE - EXCEEDED GOAL FOR NUMBER OF PARTICIPANTS IN MOMENTUM EXERCISE AND WELLNESS PROGRAM ENGAGING STUDENTS IN CLAY COUNTY MIDDLE SCHOOLS.

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Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 4 Community Information - Part II	VARIOUS METRICS ARE REVIEWED WHEN ESTABLISHING COMMUNITY OUTREACH PROGRAMS, THE FOLLOWING ARE EXAMPLES OF THE DATA CLAY COUNTY COLLECTS WHEN DETERMINING REGIONAL AND COMMUNITY NEEDS: ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. COMPARES COUNTY POPULATION BY RACE AGAINST THE STATE, ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. ALSO COMPARES POPULATION BY RACE IN EACH OF THE ZIP CODES. THE FINDINGS FROM THE COMPARISON INDICATE THAT OF THE APPROXIMATELY 1,500,000 PERSONS IN THE 5 COUNTY REGION THE SIGNIFICANT RACIAL BREAKDOWNS ARE 69% WHITE, 23% AFRICAN AMERICAN, AND 9% HISPANIC. THE PERCENTAGE OF POPULATION THAT DID NOT SPEAK ENGLISH WELL OR NOT AT ALL WAS 1.7%. ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. COMPARES THE JACKSONVILLE METROPOLITAN STATISTICAL AREA (MSA) IN AVERAGE HOUSEHOLD INCOME AGAINST THE FEDERAL POVERTY PERCENTAGE FINDING THAT IN THE FIVE COUNTY AREA HOUSEHOLD INCOMES RANGED FROM $50,500 IN BAKER COUNTY TO $67,700 IN ST. JOHNS COUNTY. THE PERCENTAGE OF PERSONS BELOW THE FEDERAL POVERTY RATE RANGED FROM A LOW OF 10.1% IN ST. JOHNS COUNTY TO A HIGH OF 15.9% IN BAKER COUNTY. THE FLORIDA AVERAGE WAS 15.1%. FLORIDA CHARTS TABLES WHICH ARE PROVIDED BY THE FLORIDA DEPARTMENT OF HEALTH, OFFICE OF PLANNING, EVALUATION AND DATA ANALYSIS ARE UTILIZED TO DETERMINE BEHAVIORAL RISK FACTORS (BRFSS) AND CHRONIC DISEASE PREVALENCE IN THE REGION. BY REVIEWING FL CHARTS, COUNTY PROFILES AND BRFSS DATA, ALONG WITH INTERNAL VOLUME AND FINANCIAL DATA, ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. IS ABLE TO DETERMINE AREAS OF NEED AND CHRONIC DISEASE PREVALENCE IN RELATION TO BEHAVIORAL RISK FACTORS. THE ANALYSIS BELOW IS AN EXAMPLE OF THE DATA OFTEN COMPILED FROM THE RESOURCES MENTIONED ABOVE. ANALYSIS FOR BAKER COUNTY: BAKER COUNTY DEMONSTRATES THE LEAST FAVORABLE SITUATION WITH COMPARISON TO THE OTHER COUNTIES IN THE STATE WITH REGARDS TO THE FOLLOWING DISEASES: PREMATURE DEATH, % OF ADULT SMOKING, ADULT OBESITY, TEEN BIRTH RATES, PREVENTABLE HOSPITAL STAYS, AND ALCOHOL-IMPAIRED DRIVING DEATHS IN COUNTY HEALTH RANKINGS. THIS COUNTY HAS THE LEAST FAVORABLE SITUATION IN COMPARISON TO ALL COUNTIES ON THE FOLLOWING MEASURES IN THE BEHAVIORAL RISK FACTORS (BRFSS) DATA: PERCENTAGE OF ADULTS WHO MEET VIGOROUS PHYSICAL ACTIVITY RECOMMENDATIONS, PERCENTAGE OF ADULTS WHO ENGAGE IN NO LEISURE-TIME PHYSICAL ACTIVITY, PERCENTAGE OF ADULTS WHO EAT AT LEAST 5 SERVINGS OF FRUITS AND VEGETABLES A DAY, AND THE PERCENTAGE OF ADULTS WHO ARE OBESE. ANALYSIS OF CLAY COUNTY: CLAY COUNTY DEMONSTRATES THE LEAST FAVORABLE SITUATION IN COMPARISON TO THE OTHER COUNTIES IN THE STATE WITH REGARDS TO THE FOLLOWING INDICATORS: COULD NOT SEE A DOCTOR IN THE PAST YEAR DUE TO COST, ADULTS WHO ENGAGE IN BINGE DRINKING, ADULTS WHO REPORTED A MAJORITY OF POOR MENTAL HEALTH DAYS IN THE PREVIOUS MONTH. ON THE BEHAVIORAL RISK FACTORS (BRFSS) DATA DUVAL HAS ONE MEASURE IN THE LEAST FAVORABLE SITUATION WHICH IS THE PERCENTAGE OF ADULTS WHO MEET MODERATE PHYSICAL ACTIVITY RECOMMENDATIONS.
Schedule H, Part VI, Line 4 Community Information - Part III	UNINSURED POPULATION IN THE REGION: ANALYSIS HEALTH CARE SAFETY NET FOR UNINSURED PERSONS: THE PARENT ORGANIZATION ST. VINCENT'S HEALTHCARE (SVHC) WEBSITE PROVIDES INFORMATION AND PHONE NUMBERS TO THE HOPE PROGRAM, TO EMPOWER ALL PATIENTS WHO NEED ACCESS TO HEALTH CARE ENROLLMENT OR FEDERAL ASSISTANCE PROGRAMS. THERE IS A SPECIAL FOCUS ON ENGAGING PATIENTS WHO ARE 250% AT OR BELOW FEDERAL POVERTY LEVEL. FINANCIAL COUNSELORS ARE AVAILABLE TO DECIDE WHETHER A PATIENT QUALIFIES FOR CHARITY CARE. PATIENTS WHO DO NOT HAVE INSURANCE ARE ELIGIBLE FOR DISCOUNTS ON THEIR BILL WHEN THEY AGREE TO A PAYMENT PLAN; THIS SERVICE IS ALSO PROVIDED BY THE FINANCIAL COUNSELORS. THE SVHC WEBSITE CONTAINS A WEALTH OF INFORMATION ON SERVICES WHICH ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. PROVIDES TO THE LESS FORTUNATE. IT HAS AN ACTIVE MOBILE HEALTH OUTREACH MISSION (MHOM). THIS MISSION PROVIDES FREE MEDICAL SERVICES TO THE RESIDENTS OF NORTHEAST FLORIDA, WHO ARE UN-SERVED AND UNDER-SERVED. THIS MISSION MAINLY SEES MIGRANT/RURAL FARM WORKERS AND THEIR FAMILIES AND ALSO POOR INNER CITY FAMILIES IN THE FOLLOWING COUNTIES: CLAY, DUVAL, NASSAU, PUTNAM, AND ST. JOHNS. A MOBILE HEALTH UNIT CONSISTS OF CLINICIANS FROM A VARIETY OF SPECIALTIES, INCLUDING PHYSICIANS, ARNPS, RNS, MEDICAL ASSISTANTS, EMT/PARAMEDICS AND CASE MANAGERS TO ASSIST IN PROVIDING CARE. EXAMPLES OF CARE PROVIDED TO THIS POPULATION ARE: IMMUNIZATIONS, HEALTH SCREENINGS, PHYSICALS, LABORATORY, DIAGNOSTIC TESTING, DENTAL CARE, VISION SCREENING, CASE MANAGEMENT, HEALTH EDUCATION AND DISPENSING OF FREE MEDICATION. MHOM CASE MANAGEMENT WORKS WITH PATIENTS IN NEED TO GAIN ACCESS TO SERVICES OR SPECIALIST NOT PROVIDED BY THEIR MOBILE CLINICS. PATIENTS ARE CONNECTED WITH APPROPRIATE RESOURCES FOR FOLLOW UP CARE. CARE MANAGEMENT MANAGES THE GOOD SAMARITAN FUND TO HELP THOSE LESS FORTUNATE BY PROVIDING SUPPORT BEYOND THE EXCELLENT MEDICAL CARE PROVIDED AT ST. VINCENT'S HEALTHCARE. MANY OF ST. VINCENT'S PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIPTION MEDICATIONS, FUNERAL EXPENSES AND OTHER CRITICAL NEEDS. THE GOOD SAMARITAN FUND PAYS FOR THESE ITEMS FOR PATIENTS WHO HAVE NO OTHER ASSISTANCE AVAILABLE TO THEM.
Schedule H, Part V, Section B, Line 16a THE FAP WAS WIDELY AVAILABLE ON WEBSITE	https://healthcare.ascension.org/Locations/Florida/FLJAC/Middleburg-St-Vincents-Medical-Center-Clay-County/Financial-Assistance
Schedule H, Part V, Section B, Line 16b THE FAP APPLICATION WAS WIDELY AVAILABLE ON WEBSITE	https://healthcare.ascension.org/Locations/Florida/FLJAC/Middleburg-St-Vincents-Medical-Center-Clay-County/Financial-Assistance
Schedule H, Part V, Section B, Line 16c A PLAIN LANGUAGE SUMMARY OF THE FAP WEBSITE	https://healthcare.ascension.org/Locations/Florida/FLJAC/Middleburg-St-Vincents-Medical-Center-Clay-County/Financial-Assistance
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	ST. VINCENT'S HEALTHCARE HAS BEEN PART OF JACKSONVILLE FOR OVER 100 YEARS. IT HAS WELCOMED THE SICK AND VULNERABLE TO ITS DOORS THROUGHOUT. IN ITS MISSION STATEMENT, ST. VINCENT'S PROCLAIMS THAT IT PROVIDES CARE TO ALL, BUT WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. THIS IS THE EMPHASIS IT EMPLOYS IN ITS COMMUNITY BUILDING PROGRAMS. IT USES MULTIPLE TOOLS TO DETERMINE COMMUNITY NEED INCLUDING DATA COLLECTION FROM THE HEALTH PLANNING COUNCIL, AGENCY FOR HEALTHCARE ADMINISTRATION, COUNTY HEALTH DEPARTMENTS, THE FLORIDA DEPARTMENT OF HEALTH, LIVE ESTIMATES VIA THOMPSON REUTERS, INPATIENT AND OUTPATIENT UTILIZATION RATES AND STATE INPATIENT/OUTPATIENT DATA ALLOWS ST. VINCENT'S TO PARTICIPATE IN THE FOLLOWING PROGRAMS: FOLLOWING OUR MISSION, ST. VINCENT'S SUPPORTS A NUMBER OF ORGANIZATIONS WORKING WITH POOR AND VULNERABLE YOUTH. JP HALL CHILDREN'S CHARITY AWARDS ANNUAL SCHOLARSHIPS FOR DISADVANTAGED HIGH SCHOOL SENIORS TO ATTEND COLLEGE. EACH CHRISTMAS, JP HALL ALSO GIVES HUNDREDS OF THOUSANDS OF TOYS TO IMPOVERISHED CHILDREN TO SPREAD JOY AND THE SPIRIT OF GIVING. QUIGLEY HOUSE PROVIDES SAFE HOUSING AND RESOURCES FOR WOMEN AND CHILDREN, LEAVING DOMESTIC VIOLENCE. AMONG THE PROGRAMS OFFERED ARE CRISIS INTERVENTION, COUNSELING, AND EDUCATION. ST. VINCENT'S SUPPORTS MANY ORGANIZATIONS FOCUSED ON IMPROVING THE HEALTH OF THE DISADVANTAGED IN CLAY COUNTY. THE WAY FREE CLINIC PROVIDES FREE AND CHARITABLE HEALTH CARE SERVICES TO THE UNDERSERVED WITH AN EMPHASIS ON THE HISPANIC COMMUNITY. INCLUDING SUPPORTING VISION IS PRICELESS, WHO IN CONJUNCTION WITH THE WAY FREE CLINIC, PROVIDES FREE VISION SCREENINGS TO THE UNINSURED IN CLAY COUNTY. ST. VINCENT'S HEALTHCARE ALSO PROVIDES FINANCIAL SUPPORT AND EXPERTISE FOR THE CLAY COUNTY CHAMBER OF COMMERCE AND CLAY COUNTY ECONOMIC DEVELOPMENT LUNCHEON. THE CHAMBER'S OBJECTIVES ARE TO DRIVE BUSINESS IN THE REGION WITH EMPHASIS ON INITIATIVES FOR THE UN/UNDER EMPLOYED IN THE AREA THROUGH THEIR CAREER ACADEMIES AND YOUTH SUMMER INITIATIVES. ST. VINCENT'S SUPPORTS PREPARATION FOR ALL MEMBERS OF THE COMMUNITY FOR ENTERING AND REMAINING IN THE WORKFORCE.
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 2018 WAS $15,648,859 AT CHARGES, ($2,190,840 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 21.
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 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. 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.
Schedule H, Part V, Section B, Line 16a FAP website	- ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC.: Line 16a URL: SEE PT VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC.: Line 16b URL: SEE PT VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC.: Line 16c URL: SEE PT VI;
Schedule H, Part VI, Line 2 Needs assessment	St. Vincent's Medical Center Clay-County, Inc. uses multiple tools to determine community need. A copy is available for download on the company's website http://www.jaxhealth.com/about-us/community-health-needs-assessment/. IN ADDITION to the CHNA process, the following tools are used: data from the Health Planning Council, Agency for Healthcare Administration, County Health Departments, The Florida Department of Health, live estimates via Thomson Reuters, Inpatient and outpatient utilization rates, and state inpatient/outpatient discharge data (FHA).
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	The website of the parent organization, St. Vincent's HealthCare (SVHC), provides information and phone numbers to the HOPE program, to empower all patients who need access to health care enrollment or federal assistance programs. There is a special focus on engaging patients who are 250% at or below Federal Poverty Level. Financial counselors are available to decide whether a patient qualifies for charity care. Patients who do not have insurance are eligible for discounts on their bill when they agree to a payment plan; this service is also provided by the financial counselors. The website contains a wealth of information on services which St. Vincent's Medical Center-Clay County, Inc. provides to the less fortunate.
Schedule H, Part VI, Line 4 Community information	ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. LOOKS AT THE COMMUNITY IT SERVES IN TWO WAYS. ON A REGIONAL LEVEL, FIVE COUNTIES FALL INTO THE OVERALL PLANNING REGION: DUVAL, CLAY, NASSAU, BAKER, AND ST. JOHN'S. ON A NARROWER LEVEL, 75% OF THE PRIMARY SERVICE AREA IS REVIEWED BY ZIP CODE, WHICH IS COMPRISED OF APPROXIMATELY 30,000 INPATIENT CASES. THE ZIP CODES ON WHICH ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. FOCUSES ON ARE: 32043, 32065, 32068, 32073, 32234, 32244, AND 32656. THE FACILITIES WITHIN THE AREA ARE: - BAPTIST MEDICAL CENTER - JACKSONVILLE, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 489 BEDS; - WOLFSON CHILDREN'S HOSPITAL, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 202 BEDS; - BAPTIST MEDICAL CENTER BEACHES AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE BEACH WITH 146 BEDS; - BAPTIST MEDICAL CENTER NASSAU, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN FERNANDINA BEACH WITH 62 BEDS; - BAPTIST MEDICAL CENTER SOUTH, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 269 BEDS; - ED FRASER MEMORIAL HOSPITAL, AN ACUTE CARE NOT- FOR-PROFIT FACILITY IN MACCLENNY WITH 25 BEDS; - FLAGLER HOSPITAL, AN ACUTE CARE NOT- FOR-PROFIT FACILITY IN ST. AUGUSTINE WITH 335 BEDS; - KINDRED HOSPITAL - NORTH FLORIDA, A LONG-TERM CARE FOR-PROFIT FACILITY IN GREEN COVE SPRINGS WITH 80 BEDS; - MAYO CLINIC JACKSONVILLE, AN ACADEMIC ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 304 BEDS; - MEMORIAL HOSPITAL JACKSONVILLE, AN ACUTE CARE FOR-PROFIT FACILITY IN JACKSONVILLE WITH 418 BEDS; - ORANGE PARK MEDICAL CENTER, AN ACUTE CARE FOR-PROFIT FACILITY IN ORANGE PARK WITH 317 BEDS; - RIVER POINT BEHAVIORAL HEALTH, JACKSONVILLE A PSYCHIATRIC FOR-PROFIT FACILITY IN JACKSONVILLE WITH 84 BEDS; - ST. VINCENT'S MEDICAL CENTER RIVERSIDE, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 528 BEDS; - ST. VINCENT'S MEDICAL CENTER SOUTHSIDE, AN ACUTE CARE NOT- FOR-PROFIT FACILITY IN JACKSONVILLE WITH 309 BEDS; - ST. VINCENT'S MEDICAL CENTER CLAY COUNTY, AN ACUTE CARE NOT- FOR-PROFIT FACILITY IN JACKSONVILLE WITH 106 BEDS - UF HEALTH JACKSONVILLE, AN ACADEMIC ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 609 BEDS; - UF HEALTH NORTH, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 92 BEDS - CURAHEALTH JACKSONVILLE, A LONG-TERM CARE FOR-PROFIT FACILITY IN JACKSONVILLE WITH 107 BEDS; - WEKIVA SPRINGS A PSYCHIATRIC AND SUBSTANCE ABUSE FOR-PROFIT FACILITY IN JACKSONVILLE WITH 120 BEDS.
Schedule H, Part VI, Line 5 Promotion of community health	ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. IS THE NEWEST HOSPITAL IN THE ST. VINCENT'S UMBRELLA, OPENING IN FALL 2013. LIKE ITS OTHER ST. VINCENT'S HEALTHCARE HOSPITAL CAMPUSES, ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. WELCOMES THE SICK AND VULNERABLE TO ITS DOORS. IN ITS MISSION STATEMENT, ST. VINCENT'S HEALTHCARE PROCLAIMS THAT IT PROVIDES CARE TO ALL, BUT WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. THIS IS THE EMPHASIS ST. VINCENT'S MEDICAL CENTER- CLAY COUNTY, INC. USES IN ITS COMMUNITY BENEFIT PROGRAMS. ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. HAS A MEDICAL STAFF OPEN TO ALL QUALIFIED PHYSICIANS IN THE NORTHEAST FLORIDA AREA. THE MAJORITY OF THE DEDICATED MEMBERS OF THE BOARD OF DIRECTORS OF PARENT ORGANIZATION, ST. VINCENT'S HEALTHCARE, ARE PERSONS WHO LIVE AND WORK IN THE REGION AND WHO BY VIRTUE OF THEIR CONTINUOUS SERVICE TO THE COMMUNITY, ARE ACUTELY AWARE OF THE SOCIAL AND HEALTH NEEDS OF THE REGION. THESE INDIVIDUALS ALONG WITH THE MEMBERS OF THE MEDICAL STAFF ARE COMMITTED TO THE MISSION STATEMENT AND ITS CALL TO PROVIDE HEALTHCARE FOR ALL WHO COME TO ITS DOORS. THE WEBSITE, WWW.JAXHEALTH.COM, IS AN ENCYCLOPEDIA WITH WELLNESS TOOLS FOR THE COMMUNITY TO GAIN INFORMATION TO LIVE A HEALTHIER LIFE STYLE. VARIOUS SEMINARS AND EDUCATIONAL OPPORTUNITIES, FACILITATED BY HEALTH CARE PROVIDERS AND SUBJECT MATTER EXPERTS ON DIFFERENT TOPICS RELATED TO HEALTH, WELLNESS, AND AGING AND ARE OPEN TO THE PUBLIC, WITH A SPECIAL EMPHASIS TO ENGAGE THE ELDERLY, TO ENHANCE THEIR HEALTH CARE KNOWLEDGE. THE CLAY COUNTY CAMPUS ALSO ALLOWS VARIOUS COMMUNITY GROUPS TO USE THE HOSPITAL, FREE OF CHARGE, AS A CENTRAL MEETING LOCATION FOR THE BENEFIT OF THE COMMUNITY. THE MOBILE HEALTH OUTREACH MINISTRY (MHOM) URBAN/RURAL PROGRAM PROVIDED OVER 9,000 VISITS IN ITS PRIMARY CARE AND DENTAL PROGRAMS IN THE FIVE COUNTIES OF NORTHEAST FLORIDA. IT PROVIDED COUNTLESS HEALTH SCREENINGS AND IMMUNIZATION WHICH ARE NOT INCLUDED IN THE ABOVE COUNT. THE MHOM PEDIATRIC PROGRAM PROVIDED APPROXIMATELY 8,700 SERVICES TO CHILDREN DURING THE SCHOOL -YEAR AND SUMMER PROGRAMS. ALL WERE PROVIDED WITHOUT COST TO THE PATIENT. THE FAITH COMMUNITY NURSING PROGRAM, FORMERLY CALLED THE PARISH NURSE PROGRAM, IS A SMALL TEAM OF EMPLOYED NURSES THAT MAINTAIN SUPPORTIVE RELATIONSHIPS WITH 232 FAITH CONGREGATIONS, OF MULTIPLE FAITH BACKGROUNDS, TO TRAIN MEDICAL PROFESSIONALS IN EACH CONGREGATION TO SERVE THEIR MINISTRIES WITH HEALTH SERVICES AND EDUCATION. THEY PROVIDE EDUCATION, RESOURCES, AND EXPERTISE TO COMMUNITY ORGANIZATIONS, AT NO COST, TO SUPPORT A HOLISTIC VIEW OF HEALTH AND WELLNESS.
Schedule H, Part VI, Line 6 Affiliated health care system	ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. IS AN AFFILIATE OF ST. VINCENT'S HEALTH SYSTEM AND ASCENSION HEALTH. ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC.'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. 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. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OFASCENSION 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. The Medical Center, located in Jacksonville, Florida, is a nonprofit acute care hospital. The Medical Center provides inpatient, outpatient, and emergency care services for the residents of Northeast Florida and Southeast Georgia. Admitting physicians are primarily practitioners in the local area. The Medical Center is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services. Mission: Ascension Health 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 Ascension Health'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. Ascension Health 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 health care 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 who are poor and community benefit programs. The cost of providing care of persons living in poverty and community benefit programs is estimated using internal cost data and is calculated in compliance with guidelines established by both the Catholic Health Association (CHA) and the and the Internal Revenue Service (IRS). AFFILIATES AND MEMBERS OF THE ST. VINCENT'S HEALTH SYSTEM INCLUDE: ST. LUKE'S-ST. VINCENT'S HEALTHCARE, ST. VINCENT'S MEDICAL CENTER, INC., ST. VINCENT'S AMBULATORY CARE, INC., ST. VINCENT'S PHYSICIAN'S ENTERPRISE INC., CONSOLIDATED PHARMACY SERVICES, INC. AND ST. VINCENT'S FOUNDATION, INC.
Schedule H, Part VI, Line 7 State filing of community benefit report	FL

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS J VANOSDOL
CEO, MINISTRY MARKET	$0	$555,860	$0	$301,615	$0	$69,385	$0	$17,550	$0	$27,500	$0	$971,910	$0	$0
MICHAEL H SCHATZLEIN MD
FORMER OFFICER (END 12/2016)	$0	$37,007	$0	$0	$0	$1,014,828	$0	$1,704	$0	$9,491	$0	$1,063,029	$0	$0
C SUSAN CORNEJO
CFO, GULF COAST MINISTRY MARKET (START 6/2018)	$0	$401,722	$0	$248,229	$0	$53,721	$0	$16,200	$0	$21,065	$0	$740,937	$0	$0
PAMELA M HESS
CFO, JACKSONVILLE MINISTRY MARKET (END 6/2018)	$0	$325,338	$0	$104,808	$0	$257,907	$0	$16,200	$0	$19,445	$0	$723,699	$0	$0
RENE AUGUSTA GROSDIDIER
FORMER KEY EMPLOYEE (END 4/2017)	$52,615	$0	$0	$0	$91,450	$0	$1,637	$0	$2,512	$0	$148,215	$0	$0	$0
MICHELLE ADAMOLEKUN
CHRO, MINISTRY MARKET (END 2/2018)	$0	$248,838	$0	$141,041	$0	$39,395	$0	$16,171	$0	$20,045	$0	$465,489	$0	$0
DONALD B CLAYPOOL
PRESIDENT, ACUTE CARE HOSPITALS (END 7/2017)	$0	$266,526	$0	$50,244	$0	$255,759	$0	$14,850	$0	$23,594	$0	$610,973	$0	$0
FRANK H GILBERSTADT MD
CCO, MINISTRY MARKET	$0	$431,924	$0	$233,148	$0	$57,162	$0	$13,500	$0	$27,098	$0	$762,832	$0	$0
LORRAINE M KEITH
CNO, MINISTRY MARKET	$0	$264,190	$0	$33,708	$0	$34,875	$0	$15,640	$0	$3,670	$0	$352,083	$0	$0
TERESA LOFTIS
CMIO, MINISTRY MARKET	$0	$201,566	$0	$94,202	$0	$15,331	$0	$15,419	$0	$24,315	$0	$350,833	$0	$0
JAMES P MACHADO
President - Clay	$240,774	$0	$31,800	$0	$37,037	$0	$10,881	$0	$28,133	$0	$348,625	$0	$0	$0
WILLIAM R MAYHER
COO, MINISTRY MARKET	$0	$189,345	$0	$24,804	$0	$19,374	$0	$13,207	$0	$25,912	$0	$272,642	$0	$0
JOHN D MEYER III
CSMO, MINISTRY MARKET	$0	$263,158	$0	$166,595	$0	$41,645	$0	$17,220	$0	$9,756	$0	$498,375	$0	$0
JEFFREY H MIDDLEBROOK
CLO, REGIONAL	$0	$333,538	$0	$138,824	$0	$65,198	$0	$9,658	$0	$25,406	$0	$572,625	$0	$0
KENNETH ROTHFIELD
CHIEF MEDICAL OFFICER (END 8/2017)	$0	$251,360	$0	$49,659	$0	$82,661	$0	$14,468	$0	$20,024	$0	$418,172	$0	$0
TRACY B WILLIAMS
COO - Acute Care Hospitals	$0	$283,313	$0	$37,524	$0	$25,421	$0	$15,852	$0	$30,271	$0	$392,381	$0	$0
JEANINE F HUMPHREYS
PHARMACIST	$143,782	$0	$0	$0	$444	$0	$9,531	$0	$9,695	$0	$163,451	$0	$0	$0
GEORGE M KELBERT
RN ANESTHETIST	$151,342	$0	$2,628	$0	$506	$0	$8,976	$0	$27,270	$0	$190,722	$0	$0	$0
ELIZABETH M SANTIAGO
DIRECTORY, PHARMCY	$144,228	$0	$2,144	$0	$1,140	$0	$8,646	$0	$17,778	$0	$173,935	$0	$0	$0
WENDY SLABAUGH
RN ANESTHETIST	$141,790	$0	$0	$0	$146	$0	$7,245	$0	$11,379	$0	$160,560	$0	$0	$0
DANICE WEBSTER
RN ANESTHETIST	$141,969	$0	$0	$0	$78	$0	$7,104	$0	$8,729	$0	$157,880	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, a related organization of St. Vincent's Medical Center - Clay County, Inc., uses the following to establish the compensation of the organization's President & CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee.
Schedule J, Part I, Line 4a Severance or change-of-control payment	The following individual(s) received severance payments from the organization or a related organization: Rene' Augusta Grosdidier - $82,503 Michael H Schatzlein, MD - $961,539
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. 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 individuals received payment from the supplemental nonqualified retirement plan in the current year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 20b Explanation of Financial Statements	The activity of St. Vincent's Medical Center Clay-County, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent's Medical Center Clay-County, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Vincent's Medical Center Clay-County, Inc.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, 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 PRESIDENT & 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 HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY ST. VINCENT'S HEALTH SYSTEM, INC., A RELATED ORGANIZATION OF ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE 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 MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	St. Vincent's Medical Center-Clay County, Inc, has a single corporate member, St. Vincent's Health System, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St. Vincent's Medical Center-Clay County, Inc. has a single corporate member, St. Vincent's Health System, Inc., who has the ability to elect members to the governing body of St. Vincent's Medical Center-Clay County, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to St. Vincent's Medical Center-Clay County, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System, Inc.
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
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 committees 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 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A Related Entities	The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Miscellaneous Revenue - Total Revenue: 460376, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 460376;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN VALUE OF INTEREST IN ST. VINCENT'S FOUNDATION - 546110; Transfers with Alpha Fund - -32204923;
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant	St. Vincent's Medical Center-Clay County, Inc. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.
FORM 990, PAGE 1, ITEM J ENTITY WEBSITE	https://healthcare.ascension.org/Locations/Florida/FLJAC/Middleburg-St-Vincents-Medical-Center-Clay-County

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998	ST LOUIS	MO	631455998	453358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA	false
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	false
ST VINCENT'S HEALTH SYSTEM INC
4205 BELFORT ROAD SUITE 4020	JACKSONVILLE	FL	32216	593650609	PARENT ENTITY	FL	501(c)(3)	Type II	ASCENSION HEALTH	false
ST VINCENT'S MEDICAL CENTER INC
4205 BELFORT ROAD SUITE 4020	JACKSONVILLE	FL	32216	590624449	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes (true)
ST LUKE'S-ST VINCENT'S HEALTHCARE INC
4205 BELFORT ROAD SUITE 4020	JACKSONVILLE	FL	32216	260479484	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes (true)
ST VINCENT'S FOUNDATION INC
4205 BELFORT ROAD SUITE 4020	JACKSONVILLE	FL	32216	592219923	FUND RAISING	FL	501(c)(3)	7	ST VINCENT'S HEALTH SYSTEM INC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CONSOLIDATED PHARMACY SERVICES INC
4205 BELFORT ROAD SUITE 4030	JACKSONVILLE	FL	32216	593398033	RETAIL PHARMACY & PATIENT TRANSPORT	FL	NA	C Corporation	Yes (true)
ADVANCED PATIENT TRANSPORTATION INC
4205 BELFORT ROAD SUITE 4030	JACKSONVILLE	FL	32216	593381444	TRANSPORT SERVICES	FL	NA	C Corporation	Yes (true)
SETON PHARMACY INC
4205 BELFORT ROAD SUITE 4030	JACKSONVILLE	FL	32216	593001427	RETAIL PHARMACY	FL	NA	C Corporation	Yes (true)
FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC
1 SHIRCLIFF WAY	JACKSONVILLE	FL	32204	261983355	CONDOMINIUM ASSOCIATION	FL	NA	C Corporation	Yes (true)
St Vincent's Strategic Ventures Inc
4205 Belfort Road Suite 4030	Jacksonville	FL	33213	593133073	LEASING	FL	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST VINCENT'S FOUNDATION INC
C	$1,706,499	FAIR MARKET VALUE
ST VINCENT'S MEDICAL CENTER INC
M	$1,277,695	FAIR MARKET VALUE
ST VINCENT'S MEDICAL CENTER INC
Q	$69,119	FAIR MARKET VALUE
ST VINCENT'S MEDICAL CENTER INC
P	$242,673	FAIR MARKET VALUE