ST VINCENTS AMBULATORY CARE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ST VINCENTS AMBULATORY CARE INC (EIN 59-2292041)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201711359349312491
- Schema version
- 2015v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T18:02:14-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592292041 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Vincent's Ambulatory Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STVI | BusinessNameControlTxt |
| Phone | 9043087300 | 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 | Pamela Hess | PersonNm |
| Person Title | CFO - HEALTH SYSTEM | PersonTitleTxt |
| Signature | 2017-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tom VanOsdol | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4205 Belfort Road | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $73,097,002 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JAXHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 775 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,063,420 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,138,466 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $65,707,399 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $67,763,992 | CYProgramServiceRevenueAmt |
| PY Investment Income | $36,392 | PYInvestmentIncomeAmt |
| CY Investment Income | -$208,358 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,077,272 | PYOtherRevenueAmt |
| CY Other Revenue | $3,874,973 | CYOtherRevenueAmt |
| PY Total Revenue | $69,884,483 | PYTotalRevenueAmt |
| CY Total Revenue | $72,569,073 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $79,290,932 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $89,040,637 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,450,874 | PYOtherExpensesAmt |
| CY Other Expenses | $20,579,897 | CYOtherExpensesAmt |
| PY Total Expenses | $102,741,806 | PYTotalExpensesAmt |
| CY Total Expenses | $109,620,534 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$32,857,323 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$37,051,461 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,879,116 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,620,930 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $78,804,097 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,073,217 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$31,924,981 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,452,287 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $100,231,613 | ExpenseAmt |
| Revenue | $70,090,291 | RevenueAmt |
| Desc | ST. VINCENT'S AMBULATORY CARE, INC. PROVIDES QUALITY OUT-PATIENT CARE IN THE FIELDS OF NEUROSCIENCE, CARDIOLOGY, OBSTETRICS/GYNECOLOGY, AND GENERAL SURGERY TO THE RESIDENTS OF NE FLORIDA AND SE GEORGIA. ST. VINCENT'S AMBULATORY CARE, INC. HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBIILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED AND THE UNDERSERVED. APPROXIMATELY 54% OF THE VALUE OF SERVICES WERE RENDERED TO PATIENTS UNDER THE MEDICARE PROGRAM AND APPROXIMATELY 5% OF THE SERVICES PROVIDED TO PATIENTS UNDER THE MEDICAID PROGRAM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,545,201 | ExpenseAmt |
| Revenue | $1,545,201 | RevenueAmt |
| Desc | MOBILE HEALTH OUTREACH PROVIDES QUALITY OUT-PATIENT CARE TO THE RESIDENTS OF NE FLORIDA AND SE GEORGIA. MOBILE HEALTH OUTREACH HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE INDIGENT AND MIGRANT POPULATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,489 | ExpenseAmt |
| Revenue | $21,489 | RevenueAmt |
| Desc | ST. VINCENT'S ("SV") P.A.T.H. PROGRAM PROVIDES QUALITY OUT-PATIENT CARE TO THE RESIDENTS OF NE FLORIDA AND SE GEORGIA. SV'S P.A.T.H. HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED AND UNDERSERVED. SV'S P.A.T.H. SERVICES INCLUDE PRIMARY CARE, PRESCRIPTION ASSISTANCE, RN HEALTH COACHING/EDUCATION, CASE MANAGEMENT, AND PREVENTIVE CARE SCREENINGS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $101,798,303 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| 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 | Yes (true) | 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 | false | OperateHospitalInd |
| 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 | 50 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 775 | 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 | false | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (true) | 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 | MAUREEN P MARTIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9043087300 | PhoneNum |
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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| KAREN F DARNELL | ||||||||||
| VP/ CHIEF AMBULATORY SERVICE OFFICER (THRU 3/27/15) | 10.0 | 41.0 | Yes (X) | Yes (X) | $0 | $138,819 | $16,238 | |||
| DAVID G KULIK | ||||||||||
| VICE CHAIRMAN | 1.0 | 5.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICARDO MORALES JR | ||||||||||
| SECRETARY/TREASURER | 1.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DONNIE ROMINE JR | ||||||||||
| COO/ACUTE CARE HOSPITALS (THRU 10/30/2015) | 3.0 | 51.0 | Yes (X) | Yes (X) | $0 | $492,198 | $35,098 | |||
| SIDNEY S SIMMONS II | ||||||||||
| CHAIRMAN | 1.0 | 12.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PAUL J CHAPPANO MD | ||||||||||
| MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| CARLA HARRIS | ||||||||||
| MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD JONES | ||||||||||
| MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER JEAN D RHOADES | ||||||||||
| MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| HELEN D ROWAN | ||||||||||
| MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| VAN D ROYAL | ||||||||||
| MEMBER | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| KIMBERLY HODGKINSON | ||||||||||
| CFO (THRU 6.8.2016) | 3.0 | 51.0 | Yes (X) | $0 | $371,824 | $32,068 | ||||
| MICHAEL SCHATZLEIN MD | ||||||||||
| REGIONAL CEO | 1.0 | 63.5 | Yes (X) | $0 | $2,906,062 | $39,144 | ||||
| THOMAS J VANOSDOL | ||||||||||
| COO - MINISTRY MARKET JACKSONVILLE (STARTED 12/6/2015) | 3.0 | 57.0 | Yes (X) | $0 | $465,623 | $46,560 | ||||
| JON DEBARDELEBEN | ||||||||||
| Assoc. General Counsel | 3.0 | 49.0 | $0 | $208,908 | $27,005 | Yes (X) | ||||
| JANICE G LIPSKY | ||||||||||
| SR. VP HR/OD/CHRO (THRU 12/4/2015) | 3.0 | 49.0 | $0 | $272,949 | $35,171 | Yes (X) | ||||
| DENISE MCKROW | ||||||||||
| SVP - SUPPORT SERVICES (THRU 10/30/2015) | 3.0 | 51.0 | $0 | $197,861 | $29,012 | Yes (X) | ||||
| JOHN MEYER III | ||||||||||
| CSMO - MINISTRY MARKET JACKSONVILLE | 3.0 | 49.0 | $0 | $246,285 | $20,869 | Yes (X) | ||||
| JEFFREY MIDDLEBROOKS | ||||||||||
| GENERAL COUNSEL | 3.0 | 49.0 | $0 | $157,060 | $6,626 | Yes (X) | ||||
| KYLE SANDERS | ||||||||||
| PRESIDENT POPULATION HEALTH & CARE CONTINUUM | 3.0 | 40.0 | $0 | $333,149 | $31,085 | Yes (X) | ||||
| MICHELLE ADAMOLEKUN | ||||||||||
| CHIEF HUMAN RESOURCES OFFICER REGIONAL VP | 3.0 | 23.0 | $0 | $249,594 | $14,528 | Yes (X) | ||||
| ESTRELLITA HOWARD REDMON MD | ||||||||||
| VP - CLINICAL INTEGRATION | 20.0 | 23.0 | $0 | $289,349 | $30,027 | Yes (X) | ||||
| JOHN CASSANI | ||||||||||
| PRESIDENT - CLINICAL LEAD (THRU 3/28/2016) | 3.0 | 40.0 | $0 | $296,916 | $37,160 | Yes (X) | ||||
| TERESA LOFTIS | ||||||||||
| VP MSN-CMIO MNSTRY MKT JAX | 3.0 | 49.0 | $0 | $172,010 | $27,443 | Yes (X) | ||||
| William Mayher | ||||||||||
| SVP - Reg Dev & Corp Resp | 3.0 | 49.0 | $0 | $190,977 | $27,313 | Yes (X) | ||||
| ALI CHAHLAVI MD | ||||||||||
| PHYSICIAN | 40.0 | 1.0 | $2,858,063 | $0 | $29,901 | Yes (X) | ||||
| ERIC GABRIEL MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $1,826,888 | $0 | $29,472 | Yes (X) | ||||
| SAMER GARAS MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $1,552,458 | $0 | $34,886 | Yes (X) | ||||
| MARIANO MIKULIC MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $1,470,718 | $0 | $30,233 | Yes (X) | ||||
| ASHUTOSH PRADHAN MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $1,397,317 | $0 | $35,916 | Yes (X) | ||||
| MOODY CHISHOLM | ||||||||||
| FORMER OFFICER (THRU 3/20/15) | 0.0 | 0.0 | $0 | $680,696 | $26,723 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,105,444 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,670,278 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $642,478 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 134 | 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 (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BRASFIELD & GORRIE LLC | |||||
| 3021 7th Ave S | Birmingham | AL | 35233 | Construction Services | $676,522 |
| Joseph David Ruggiero | |||||
| 2035 Professional Center Dr | Orange Park | FL | 32073 | Medical Services | $79,104 |
| Theraic Enterprises of Jacksonville LLC | |||||
| 6321 Daniels Parkway Ste 200 | Fort Myers | FL | 33912 | Investment Fees | $56,054 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $1,138,466 | RelatedOrganizationsAmt |
| Total Contributions | $1,138,466 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicaid/Medicare | 621990 | $39,527,618 | $39,527,618 |
| Net Patient Services | 621990 | $27,772,793 | $27,772,793 |
| SV PATH | 621990 | $21,097 | $21,097 |
| Mobile Health Outreach | 621990 | $390,884 | $390,884 |
| EKG Reading Revenue | 621990 | $51,600 | $51,600 |
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 | $67,763,992 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,355 | TotalRevenueColumnAmt |
| Exclusion | -$1,355 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $71,788 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $320,926 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$249,138 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$249,138 | TotalRevenueColumnAmt |
| Exclusion | -$249,138 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $207,003 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$207,003 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$207,003 | TotalRevenueColumnAmt |
| Exclusion | -$207,003 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Incentive Payments | 621990 | $3,098,333 | $3,098,333 | |
| MEDICAL RECORDS | 621990 | $231,122 | $231,122 | |
| On-Call/Medical Director Income | 621990 | $794,656 | $794,656 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| 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) |
|---|---|---|
| Other Revenue Total | $4,124,111 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,569,073 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,656,981 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$226,374 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,430,669 | TotalAmt |
| Program Services | $75,935,720 | ProgramServicesAmt |
| Management And General | $3,494,949 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,164,961 | TotalAmt |
| Program Services | $2,069,703 | ProgramServicesAmt |
| Management And General | $95,258 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,863,402 | TotalAmt |
| Program Services | $3,693,412 | ProgramServicesAmt |
| Management And General | $169,990 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,581,605 | TotalAmt |
| Program Services | $3,424,014 | ProgramServicesAmt |
| Management And General | $157,591 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,864 | TotalAmt |
| Program Services | $135,622 | ProgramServicesAmt |
| Management And General | $6,242 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,573 | TotalAmt |
| Program Services | $4,372 | ProgramServicesAmt |
| Management And General | $201 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173 | TotalAmt |
| Management And General | $173 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,869,182 | TotalAmt |
| Program Services | $3,096,724 | ProgramServicesAmt |
| Management And General | $772,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,537 | TotalAmt |
| Program Services | $39,537 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,396 | TotalAmt |
| Program Services | $148,656 | ProgramServicesAmt |
| Management And General | $233,740 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$480,747 | TotalAmt |
| Program Services | -$336,523 | ProgramServicesAmt |
| Management And General | -$144,224 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,104,094 | TotalAmt |
| Program Services | $1,194,392 | ProgramServicesAmt |
| Management And General | $909,702 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,653 | TotalAmt |
| Program Services | $109,990 | ProgramServicesAmt |
| Management And General | $36,663 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,266 | TotalAmt |
| Program Services | $180,199 | ProgramServicesAmt |
| Management And General | $60,067 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $685,410 | TotalAmt |
| Program Services | $658,942 | ProgramServicesAmt |
| Management And General | $26,468 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,683,647 | TotalAmt |
| Program Services | $2,683,647 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $3,271,674 | $3,255,316 | $16,358 |
| Rental & Maintenance | $2,978,759 | $2,803,012 | $175,747 |
| System Allocation | $1,700,698 | $826,539 | $874,159 |
| Shared Services | $1,182,851 | $574,866 | $607,985 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,628,867 | TotalAmt |
| Program Services | $1,300,163 | ProgramServicesAmt |
| Management And General | $328,704 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,620,534 | TotalAmt |
| Program Services | $101,798,303 | ProgramServicesAmt |
| Management And General | $7,822,231 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,090,228 | BOYAmt |
| EOY | $3,130,626 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,256,286 | BOYAmt |
| EOY | $5,149,092 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,767 | BOYAmt |
| EOY | $133,018 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,497,549 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,035,909 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,078,752 | BOYAmt |
| EOY | $5,461,640 | 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 | $1,319,141 | BOYAmt |
| EOY | $1,615,881 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,909,942 | BOYAmt |
| EOY | $6,130,673 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,879,116 | BOYAmt |
| EOY | $21,620,930 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,333,607 | BOYAmt |
| EOY | $8,468,092 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,518 | BOYAmt |
| EOY | $2,103,227 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,430,972 | BOYAmt |
| EOY | $13,501,898 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,804,097 | BOYAmt |
| EOY | $24,073,217 | EOYAmt |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$31,924,981 | BOYAmt |
| EOY | -$2,452,287 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$31,924,981 | BOYAmt |
| EOY | -$2,452,287 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,879,116 | BOYAmt |
| EOY | $21,620,930 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$37,051,461 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$8,725 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$760,769 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $67,293,649 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $402,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,544,933 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,161,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,063,420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,138,466 | CurrentTaxYearAmt |
| Total | $5,310,817 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,373,306 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,739,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,281,581 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,710,618 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $71,656,981 | CurrentTaxYearAmt |
| Total | $275,761,588 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,775,306 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,284,035 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,443,579 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $69,774,038 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $72,795,447 | CurrentTaxYearAmt |
| Total | $281,072,405 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $402,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $402,000 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $402,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $402,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $280,670,405 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $329,739 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $336,387 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $436,579 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $168,771 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,433 | CurrentTaxYearAmt |
| Total | $1,341,909 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $329,739 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $336,387 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $436,579 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $168,771 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,433 | CurrentTaxYearAmt |
| Total | $1,341,909 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51,666 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $344,622 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,865 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $149,416 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $231,122 | CurrentTaxYearAmt |
| Total | $955,691 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46,156,711 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,965,044 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $48,059,023 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,092,225 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,097,002 | CurrentTaxYearAmt |
| Total | $283,370,005 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9905 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9869 | PublicSupportPY509Pct |
| Investment Income CY | 0.0047 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0077 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - MISCELLANEOUS INCOME / MEDICAL RECORDS, COLUMN A - 51666.0, COLUMN B - 344622.0, COLUMN C - 178865.0, COLUMN D - 149416.0, COLUMN E - 231122.0, COLUMN F - 955691.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $140,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,038,154 | OtherCostOrOtherBasisAmt |
| Book Value | $2,178,154 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,171,744 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,807,421 | DepreciationAmt |
| Book Value | $1,364,323 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,052,350 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,141,691 | DepreciationAmt |
| Book Value | $910,659 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,378,290 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,735,632 | DepreciationAmt |
| Book Value | $642,658 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,717,011 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,351,165 | DepreciationAmt |
| Book Value | $365,846 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,461,640 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| deposits | $7,691 |
| AH deferred compensation | $5,329,740 |
| Interest in Investments Held by Ascension Health Alliance | |
| FICA Recoup | |
| AR IntraCompany with HM and with System Office | $632,434 |
| Other Assets | $58,205 |
| Other Receivables | $102,603 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,130,673 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| AP InterCompany Between HMs | $2,651,248 |
| Ascension deferred compensation liabiliity | $5,329,740 |
| General Professional Liability payable | $2,463,601 |
| AH Savings Plan Liability | $873,741 |
| Current Portion General Professional Liability | |
| Current Portion Workers Comp | $47,231 |
| Accrued Real Estate Tax | $27,802 |
| Accrued Sales Tax | $220 |
| Pension Plan Liability | $2,104,623 |
| Deposit Liability | $3,692 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,501,898 | 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 | FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. VINCENT'S HEALTH SYSTEM, INC. ( WHICH INCLUDE THE ACTIVITY OF ST. VINCENT'S AMBULATORY CARE, INC.) The member healthcare entities of the System are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3) or Section 501(c)(2), and their related income is exempt from federal income tax under Section 501(a). The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2016. At June 30, 2015, the System has deferred tax assets of approximately $354,000 and $326,000 for federal and state income tax purposes primarily related to net operating loss carryforwards for the years ended June 30, 2015 and 2014, respectively. A valuation allowance of approximately $344,000 and $322,000 was recorded due to the uncertainty regarding use of the deferred tax assets for the years ended June 30, 2016 and 2015, respectively. | ExplanationTxt |
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 (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MOODY CHISHOLM | ||||||||||||||
| FORMER OFFICER (THRU 3/20/15) | $0 | $144,240 | $0 | $0 | $0 | $536,455 | $0 | $3,231 | $0 | $23,492 | $0 | $707,419 | $0 | $0 |
| KAREN F DARNELL | ||||||||||||||
| VP/ CHIEF AMBULATORY SERVICE OFFICER (THRU 3/27/15) | $0 | $116,233 | $0 | $0 | $0 | $22,587 | $0 | $3,455 | $0 | $12,783 | $0 | $155,057 | $0 | $0 |
| DONNIE ROMINE JR | ||||||||||||||
| COO/ACUTE CARE HOSPITALS (THRU 10/30/2015) | $0 | $430,630 | $0 | $0 | $0 | $61,568 | $0 | $10,153 | $0 | $24,945 | $0 | $527,296 | $0 | $0 |
| KIMBERLY HODGKINSON | ||||||||||||||
| CFO (THRU 6.8.2016) | $0 | $367,829 | $0 | $0 | $0 | $3,995 | $0 | $10,446 | $0 | $21,622 | $0 | $403,891 | $0 | $0 |
| MICHAEL SCHATZLEIN MD | ||||||||||||||
| REGIONAL CEO | $0 | $960,751 | $0 | $1,660,416 | $0 | $284,896 | $0 | $7,950 | $0 | $31,194 | $0 | $2,945,206 | $0 | $0 |
| THOMAS J VANOSDOL | ||||||||||||||
| COO - MINISTRY MARKET JACKSONVILLE (STARTED 12/6/2015) | $0 | $336,754 | $0 | $125,195 | $0 | $3,674 | $0 | $16,041 | $0 | $30,519 | $0 | $512,183 | $0 | $0 |
| JON DEBARDELEBEN | ||||||||||||||
| Assoc. General Counsel | $0 | $208,571 | $0 | $0 | $0 | $337 | $0 | $6,148 | $0 | $20,857 | $0 | $235,913 | $0 | $0 |
| JANICE G LIPSKY | ||||||||||||||
| SR. VP HR/OD/CHRO (THRU 12/4/2015) | $0 | $234,493 | $0 | $0 | $0 | $38,456 | $0 | $7,124 | $0 | $28,047 | $0 | $308,119 | $0 | $5,079 |
| DENISE MCKROW | ||||||||||||||
| SVP - SUPPORT SERVICES (THRU 10/30/2015) | $0 | $148,713 | $0 | $0 | $0 | $49,147 | $0 | $4,692 | $0 | $24,320 | $0 | $226,873 | $0 | $0 |
| JOHN MEYER III | ||||||||||||||
| CSMO - MINISTRY MARKET JACKSONVILLE | $0 | $244,961 | $0 | $0 | $0 | $1,323 | $0 | $2,068 | $0 | $18,801 | $0 | $267,154 | $0 | $0 |
| JEFFREY MIDDLEBROOKS | ||||||||||||||
| GENERAL COUNSEL | $0 | $109,960 | $0 | $11,240 | $0 | $35,859 | $0 | $4,544 | $0 | $2,082 | $0 | $163,686 | $0 | $0 |
| KYLE SANDERS | ||||||||||||||
| PRESIDENT POPULATION HEALTH & CARE CONTINUUM | $0 | $330,823 | $0 | $0 | $0 | $2,326 | $0 | $8,286 | $0 | $22,799 | $0 | $364,234 | $0 | $0 |
| MICHELLE ADAMOLEKUN | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER REGIONAL VP | $0 | $186,433 | $0 | $34,617 | $0 | $28,545 | $0 | $11,086 | $0 | $3,443 | $0 | $264,122 | $0 | $0 |
| ESTRELLITA HOWARD REDMON MD | ||||||||||||||
| VP - CLINICAL INTEGRATION | $0 | $283,621 | $0 | $0 | $0 | $5,728 | $0 | $6,357 | $0 | $23,670 | $0 | $319,377 | $0 | $0 |
| JOHN CASSANI | ||||||||||||||
| PRESIDENT - CLINICAL LEAD (THRU 3/28/2016) | $0 | $264,771 | $0 | $25,000 | $0 | $7,145 | $0 | $6,663 | $0 | $30,497 | $0 | $334,076 | $0 | $0 |
| TERESA LOFTIS | ||||||||||||||
| VP MSN-CMIO MNSTRY MKT JAX | $0 | $170,818 | $0 | $0 | $0 | $1,191 | $0 | $4,983 | $0 | $22,460 | $0 | $199,452 | $0 | $0 |
| William Mayher | ||||||||||||||
| SVP - Reg Dev & Corp Resp | $0 | $189,478 | $0 | $0 | $0 | $1,499 | $0 | $5,625 | $0 | $21,688 | $0 | $218,290 | $0 | $0 |
| ALI CHAHLAVI MD | ||||||||||||||
| PHYSICIAN | $2,021,442 | $0 | $835,351 | $0 | $1,269 | $0 | $6,500 | $0 | $23,401 | $0 | $2,887,963 | $0 | $0 | $0 |
| ERIC GABRIEL MD | ||||||||||||||
| PHYSICIAN | $1,468,803 | $0 | $355,334 | $0 | $2,751 | $0 | $6,625 | $0 | $22,847 | $0 | $1,856,361 | $0 | $0 | $0 |
| SAMER GARAS MD | ||||||||||||||
| PHYSICIAN | $544,007 | $0 | $1,007,546 | $0 | $905 | $0 | $6,625 | $0 | $28,261 | $0 | $1,587,344 | $0 | $0 | $0 |
| MARIANO MIKULIC MD | ||||||||||||||
| PHYSICIAN | $556,212 | $0 | $913,187 | $0 | $1,319 | $0 | $6,500 | $0 | $23,733 | $0 | $1,500,950 | $0 | $0 | $0 |
| ASHUTOSH PRADHAN MD | ||||||||||||||
| PHYSICIAN | $1,000,919 | $0 | $395,172 | $0 | $1,227 | $0 | $6,625 | $0 | $29,291 | $0 | $1,433,233 | $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 AMBULATORY CARE, INC. USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: -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 INDIVIDUALS RECEIVED SEVERENCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2015: MOODY CHISHOLM - $455,785 JANICE G LIPSKY - $9,769 DENISE MCKROW - $24,884 DONNIE ROMINE, JR - $56,808 |
| 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 executives is reported as compensation on Form 990 Schedule J Part II Column B in the year paid. The following individual received a payout from Ascension Health's nonqualified retirement plan in the amount as noted: Janice G Lipsky- $5,079 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 CEO COMPENSATION | IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT'S AMBULATORY CARE, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING THE COMPENSATION OF OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS, PERFORMED BY ST. VINCENT'S HEALTH SYSTEM, INC., A RELATED ORGANIZATION WHO PAID THE OTHER OFFICERS, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS 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 BOARD MINUTES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | ST. VINCENT'S AMBULATORY CARE, 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 AMBULATORY CARE, 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 AMBULATORY CARE, 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 AMBULATORY CARE, INC. 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 | MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. MANAGEMENT PRESENTS THE FORM TO THE BOARD, OR A DESIGNATED COMMITTEE, TO REVIEW. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS QUESTIONS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST ATTESTATION STATEMENT AT THE TIME OF HIRING OR WHEN THEIR SERVICE BEGINS. ANNUALLY, THE CORPORATE RESPONSIBILITY OFFICER SENDS THE CONFLICT OF INTEREST POLICY AND ATTESTATION STATEMENT TO ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES FOR COMPLETION AND RETURN WITHIN TWO WEEKS. THREE SEPARATE MAILINGS ARE SENT OUT WITH TWO WEEK DEADLINES TO RECEIVE A MAXIMUM RESPONSE. THE RESPONSE FROM THE RETURNED ATTESTATION STATEMENT ARE ORGANIZED IN A SPREADSHEET AND ARE CAREFULLY REVIEWED BY THE CORPORATE RESPONSIBILITY OFFICER, THE CHIEF LEGAL OFFICER, AND THE CHIEF EXECUTIVE OFFICER. A FULL REPORT IS PRESENTED TO THE AUDIT COMMITTEE AND ANY POTENTIAL CONFLICTS OF INTEREST ARE HANDLED BY THE COMMITTEE IN AN APPROPRIATE MANNER. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Deferred Pension Costs - -1874307; Transfer from Affiliates - 69167956; |
| FROM 990 PART III COMMUNITY BENEFIT REPORT | This report illustrates the significant degree St. Vincent's Ambulatory Care Inc., ("ACI"), positively contributes to the health status of its' patients and their families in the Northeast Florida and Southeast Georgia communities. ACI is a subsidiary of St. Vincent's HealthCare, a multi-entity health care network that provides essential health services to its community. As a member of Ascension Health, the nation's largest not-for-profit Catholic healthcare system, St. Vincent's HealthCare continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of St. Vincent's HealthCare is to perpetuate the healing mission of the Catholic Church. St. Vincent's HealthCare furthers this goal through delivery of patient services, care to the elderly and indigent, and patient education and health awareness programs for the community. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. In order to fully portray the breadth of our contribution, ACI's community benefit information is described below: Organizational Commitment to Providing Community Benefit: ACI is comprised of three main branches, the Ambulatory Care Specialty practices, the Primary Care practices and the Mobile Health Outreach Ministry (MHOM). ACI contains over 200 physicians specializing in Cardiology, Neurosurgery, Neurology, Infectious Disease, Obstetrics & Gynecology, General Surgery, ENT, Pulmonology/Critical Care, Sleep Medicine and Rheumatology. These providers see patients in 50 different locations, many of them rural markets with limited access to health care. Furthermore, physicians travel 1 to 2 hours to outlying clinics in Georgia daily to serve these patients. Additionally, ACI offers Cardiac Research opportunities providing free medical care to patients who are eligible for study. The Mobile Health Outreach Ministry (MHOM) utilizes five mobile medical clinics that deliver medical care to neighborhoods and communities that lack access to medical care. These fully staffed doctors' offices-on-wheels provide acute and preventive services that include pediatric care, dentistry, and adult medical services. Their unique delivery model is the only one of its kind in the Northeast Florida region that provides free medical care to the area's poor and vulnerable. The MHOM regularly visits middle and high schools located in the lower socioeconomic areas to provide physicals and screenings to children. Additionally, the MHOM vehicles in partnership with local Departments of Health, make scheduled visits to the outlying rural communities to provide primary care and secondary care, to those who lack access to medical care. As a direct result of poor access to care these rural markets experience a higher risk of heart disease high blood pressure, diabetes, and obesity, as well as transforming minor health issues into degenerative more complicated and costly diseases. ACI provides these services to support St. Vincent's HealthCare's mission of service to all persons with special attention to those who are poor and vulnerable. Operations and governance: - St. Vincent's Ambulatory Care has an extensive operations and support team. - ACI recently formed a physician governance council which provides monthly reports to St. Vincent's HealthCare Board of Directors. - ACI is subject to all federal and state regulations including CMS, OBRA and OSHA. - ACI participates in Medicaid Medicare CHAMPUS, Tricare, and/or other government-based health care sponsored health care programs Unreimbursed Services Provided to the Elderly and the Poor: In the spirit of principles adopted by Ascension Health, St. Vincent's ACI has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of ambulatory specialty care to all persons, especially the uninsured and the underserved. During the fiscal year ending June 30, 2016, approximately 54% of the values of services rendered were to elderly patients under the Medicare program, and approximately 5% of the services were provided to patients under the Medicaid or Charity program. The data below indicates the importance of success to critically needed free medical care provided by St. Vincent's MHOM between July 2015 and June 2016. - More than 16,000 free adult and pediatric patient services were provided, including patient visits health screenings, and case management, as well as outreach services such as delivering food, clothing and critically important medications to the needy. Included among those services are: - Over 2,000 patient visits and case management were completed through our Rural Outreach Ministry. - Over 3,700 patient visits and case management were provided by the Urban Outreach Ministry (Duval, Clay and Nassau counties). - Almost 10,000 patient visits and case management were provided through the Pediatric Outreach Ministry, which includes over 3,040 school and sports physicals and 472 immunizations. - More than 1,800 nutritional and dietary services that include classes, counseling and fitness training have been provided to children helping to reduce obesity and chronic diseases such as diabetes and heart disease associated. Patient Services: ACI Specialty Practices offer outpatient clinics, surgery, procedures, neurological testing, specialized surgeries aimed to treat cancer patients, sleep studies, radiology, infusions, pulmonary function testing, hearing assessments, obstetric care and deliveries, non- invasive cardiac testing and inpatient care. Additionally, ACI offers Cardiac Research, which provides procedures, tests, medications and care to patients at no charge. Cardiology offers specialized programs aimed at reducing hospital re-admissions. The physicians have learned innovative medical procedures, often the first in the country that will extend patient's lives or their ability to function in their day to day activities. The MHOM also provides the community with valuable health screenings, education, referrals and medications. If a patient is diagnosed or needs additional screening or follow-up care, the MHOM connects that patient with charity services within St. Vincent's HealthCare or other local non-profits to provide additional specialty services. Summary: St. Vincent's Ambulatory Care Inc., furthers its charitable purposes by providing a broad array of medical services with an innovative delivery method to those who are in need of healthcare education and outreach services. ACI provides essential care to the community and offers appropriate charity services to those eligible residents who are unable to pay for their own care. ACI provides care and education to the elderly and infirm that has challenges accessing services in order to improve the overall status of our patients and our community. The care of these people who are so in need of support is the founding mission of the Daughters of Charity. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 MEDICAL CENTER CLAY COUNTY INC | ||||||||||
| 1580 BRANAN FIELD ROAD | MIDDLEBURG | FL | 32068 | 461523194 | 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 | 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 | false |
| SETON PHARMACY INC | |||||||||
| 4205 BELFORT ROAD SUITE 4030 | JACKSONVILLE | FL | 32216 | 593001427 | RETAIL PHARMACY | FL | NA | C Corporation | false |
| FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC | |||||||||
| 1 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 261983355 | CONDOMINIUM ASSOCIATION | FL | NA | C Corporation | false |
| St Vincent's Strategic Ventures Inc | |||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 33213 | 593133073 | LEASING | FL | NA | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST VINCENT'S FOUNDATION INC | ||
| C | $1,138,466 | FMV |
| ST LUKE'S-ST VINCENT'S HEALTHCARE INC | ||
| K | $753,344 | FMV |
| ST VINCENT'S HEALTH SYSTEM INC | ||
| K | $481,928 | FMV |
| ST VINCENT'S MEDICAL CENTER INC | ||
| K | $397,280 | FMV |
| ST VINCENT'S HEALTH SYSTEM INC | ||
| M | $1,619,771 | FMV |
| ST LUKE'S-ST VINCENT'S HEALTHCARE INC | ||
| R | $2,202,323 | FMV |
| ST VINCENT'S HEALTH SYSTEM INC | ||
| R | $3,065,936 | FMV |
| ACCOUNTABLE CARE INC | ||
| R | $697,488 | FMV |
| CONSOLIDATED PHARMACY SERVICES INC | ||
| S | $209,706 | FMV |
| FIRST COAST PRIMARY CARE | ||
| S | $844,611 | FMV |
| ST VINCENT'S FOUNDATION INC | ||
| S | $1,322,291 | FMV |
| ST VINCENT'S MEDICAL CENTER INC | ||
| S | $2,522,008 | FMV |
| ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC | ||
| S | $385,556 | FMV |