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ST VINCENTS MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ST VINCENTS MEDICAL CENTER INC (EIN 59-0624449)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201731359349313798
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

FieldValueIRS element (for citing)
Return2017-05-15T20:04:45-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 Monument Circle Suite 4200AddressLine1Txt
CityIndianapolisCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN590624449EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Vincent's Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTVIBusinessNameControlTxt
Phone9043087300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort Road 4020AddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPamela HessPersonNm
Person TitleCFO - Health SystemPersonTitleTxt
Signature2017-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonShawna M JimenezPreparerPersonNm
PTINP01222873PTIN
Phone3174648600PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1St Vincent's Medical Center RiversideBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Tom VanOsdolBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort RoadAddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$473,407,856GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.jaxhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1916FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionRooted 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
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee3244TotalEmployeeCnt
Total Volunteers324TotalVolunteersCnt
Total Gross UBI$2,335,928TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$627,814PYContributionsGrantsAmt
CY Contributions Grants$886,233CYContributionsGrantsAmt
PY Program Service Revenue$438,632,266PYProgramServiceRevenueAmt
CY Program Service Revenue$454,401,312CYProgramServiceRevenueAmt
PY Investment Income-$1,176,223PYInvestmentIncomeAmt
CY Investment Income-$195,738CYInvestmentIncomeAmt
PY Other Revenue$14,263,443PYOtherRevenueAmt
CY Other Revenue$16,590,803CYOtherRevenueAmt
PY Total Revenue$452,347,300PYTotalRevenueAmt
CY Total Revenue$471,682,610CYTotalRevenueAmt
PY Grants And Similar Paid$75,800PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$155,233,312PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$157,632,665CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$264,222,934PYOtherExpensesAmt
CY Other Expenses$255,194,969CYOtherExpensesAmt
PY Total Expenses$419,532,046PYTotalExpensesAmt
CY Total Expenses$412,827,634CYTotalExpensesAmt
PY Revenues Less Expenses$32,815,254PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$58,854,976CYRevenuesLessExpensesAmt
Total Assets BOY$329,914,964TotalAssetsBOYAmt
Total Assets EOY$217,189,796TotalAssetsEOYAmt
Total Liabilities BOY$213,543,743TotalLiabilitiesBOYAmt
Total Liabilities EOY$216,190,655TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$116,371,221NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$999,141NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRooted 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$369,913,734ExpenseAmt
Revenue$457,993,676RevenueAmt
DescSt. Vincent's Healthcare has been a part of Jacksonville for 100 years. St. Vincent's Medical Center, Inc. has welcomed the sick and vulnerable to its doors throughout this time. Please refer to Schedule H for the Community Benefit Report.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,590,378ExpenseAmt
Revenue$4,096,515RevenueAmt
DescRENTALS TO RELATED TAX-EXEMPT ORGANIZATIONS. ALL RELATED EXEMPT ORGANIZATIONS FURTHER THE GOAL OF ST. VINCENT'S MEDICAL CENTER, INC. TO PERPETUATE THE HEALING MINISTRY OF THE CHURCH.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Revenue$196,636RevenueAmt
DescCOMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS. THE MEDICAL CENTER PROVIDES COMMUNITY WELLNESS SCREENINGS AND EDUCATION VIA PARISH NURSE AND SCHOOL NURSE PROGRAMS. ST. VINCENT'S MEDICAL CENTER, INC. SUPPORTS THE COMMUNITY THROUGH ITS PARTICIPATION IN VARIOUS PROGRAMS THAT SERVE THE POOR, THE HOMELESS, THE HANDICAP, THE AFFLICTED, AND OTHERS IN NEED OF SPECIAL CARE. ASSOCIATES OF THE MEDICAL CENTER GIVE OF THEIR TIME, TALENT AND TREASURE TO SUPPORT THESE PROGRAMS. ST. VINCENT'S MEDICAL CENTER, INC. IS RECOGNIZED AS A COMMUNITY LEADER FOR ITS SUPPORT OF ACTIVITIES THAT ALIGN WITH ITS MISSION TO SERVE THE SICK AND THE POOR.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$2,512,124RevenueAmt
DescALL OTHER PROGRAM SERVICES (MEDICARE ARRA INCENTIVES, AETNA GAIN SHARE, OVERNIGHT CENTER)Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$2,512,124TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$371,504,112TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document626IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3244EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Maureen P MartinBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9043087300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort Road Suite 4020AddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID G KULIK
VICE CHAIRMAN1.05.0Yes (X)Yes (X)$0$0$0
RICARDO MORALES JR
SECRETARY/TREASURER1.04.0Yes (X)Yes (X)$0$0$0
SIDNEY S SIMMONS II
CHAIRMAN3.010.0Yes (X)Yes (X)$0$0$0
PAUL J CHAPPANO MD
MEMBER1.04.0Yes (X)$0$0$0
CARLA HARRIS
MEMBER1.04.0Yes (X)$0$0$0
RICHARD JONES
MEMBER1.04.0Yes (X)$0$0$0
SR NANCY MURPHY DC
MEMBER (THRU 12.31.15)1.00Yes (X)$0$0$0
SISTER JEAN D RHOADES
MEMBER1.04.0Yes (X)$0$0$0
HELEN D ROWAN
MEMBER1.04.0Yes (X)$0$0$0
VAN D ROYAL
MEMBER1.04.0Yes (X)$0$0$0
KIMBERLY HODGKINSON
CFO (THRU 6/8/2016)3.051.0Yes (X)$0$371,824$32,068
MICHAEL SCHATZLEIN MD
REGIONAL CEO1.063.5Yes (X)$0$2,906,062$39,144
THOMAS J VANOSDOL
COO - MINISTRY MARKET JACKSONVILLE (STARTED 12/6/2015)3.057.0Yes (X)$0$465,623$46,560
DONALD B CLAYPOOL
PRESIDENT - ACUTE CARE HOSPITALS3.043.0$0$325,449$31,722Yes (X)
JON DEBARDELEBEN
Assoc. General Counsel3.049.0$0$208,908$27,005Yes (X)
GAIL GREEN
CNO (THRU 10.31.2015)40.00$233,608$0$49,117Yes (X)
JANICE G LIPSKY
SR. VP HR/OD/CHRO (THRU 12/4/2015)3.049.0$0$272,949$35,171Yes (X)
DENISE MCKROW
SVP - SUPPORT SERVICES (THRU 10/30/2015)5.049.0$34,479$163,382$29,012Yes (X)
JOHN MEYER III
SR. VP STRATEGIC PLANNING3.049.0$0$246,285$20,869Yes (X)
JEFFREY MIDDLEBROOKS
GENERAL COUNSEL3.049.0$0$157,060$6,626Yes (X)
DONNIE ROMINE JR
COO/ACUTE CARE HOSPITALS (THRU 10/30/2015)5.049.0$64,704$427,494$35,098Yes (X)
MICHELLE ADAMOLEKUN
CHIEF HUMAN RESOURCES OFFICER REGIONAL VP3.023.0$0$249,594$14,528Yes (X)
JOHN CASSANI
PRESIDENT - CLINICAL LEAD (THRU 3/28/16)43.0$0$296,916$37,160Yes (X)
TERESA LOFTIS
VP MSN-CMIO MNSTRY MKT JAX3.049.0$0$172,010$27,443Yes (X)
KENNETH ROTHFIELD
SYS VP/CHIEF MEDICAL OFFICER10.036.0$109,996$315,637$36,906Yes (X)
William Mayher
SVP - Reg Dev & Corp Resp3.049.0$0$190,977$27,313Yes (X)
LARAE BROWN MD
PHYSICIAN40.00$241,620$0$34,396Yes (X)
SONYA DOMINGUEZ MD
PHYSICIAN40.00$241,203$0$47,428Yes (X)
NAICIE MARROW MD
PHYSICIAN40.00$232,959$0$45,638Yes (X)
DAVID A MCINNES
FAMILY MED MEDICAL DIRECTOR40.00$352,447$0$61,132Yes (X)
ROBERT F RASPA MD
PHYSICIAN40.00$198,763$0$30,963Yes (X)
KAREN F DARNELL
FORMER KEY EMPLOYEE (THRU 3/27/2015)10.041.0$0$138,819$16,238Yes (X)
Steve Nauman
Former Key Employee0.00.0$142,814$0$4,677Yes (X)
MOODY CHISHOLM
FORMER OFFICER (THRU 3/20/15)0.00.0$0$680,696$26,723Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,852,592TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,589,684TotReportableCompRltdOrgAmt
Total Other Compensation$762,936TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K59IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ABM HEALTH INC
2310 130th AVE NESUITE B200BELLEVUEWA98005BUILDING MAINTENANCE & FACILITY$4,519,638
CARDIOTHORACIC & VASCULAR SURGICAL
1824 KING STREETSTE 200JACKSONVILLEFL32204SURGICAL$1,734,181
WL GORE & ASSOCIATES INC
PO BOX 2400FLAGSTAFFAZ86003MANUFACTURING$1,538,431
BRASFIELD & GORRIE LLC
3021 7TH AVENUE SBIRMINGHAMAL35233CONSTRUCTION$1,368,464
NORTH FLORIDA ANESTHESIA CONSULTANTS
2135 HERSCHEL STJACKSONVILLEFL32204ANESTHESIA$1,162,586
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$886,233RelatedOrganizationsAmt
Total Contributions$886,233TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicare/Medicaid621900$247,077,369$247,077,369
Net Patient Revenue621990$204,947,745$204,947,745
Exempt Affiliates Rent532000$2,179,562$2,179,562
Radiology School Fees621990$80,339$80,339
Health Education621990$13,164$13,164

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,133TotalRevenueColumnAmt
Related Or Exempt Func Income$103,133RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$454,401,312TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$552,870TotalRevenueColumnAmt
Exclusion-$552,870ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,775,506RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,590,378RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,185,128RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,185,128TotalRevenueColumnAmt
Exclusion$1,185,128ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$492,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$134,868OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$357,132OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$357,132TotalRevenueColumnAmt
Exclusion$357,132ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Reference Laboratory621500$10,221,443$7,885,515$2,335,928
Cafeteria/Vending722320$2,393,897$2,393,897
Parking Fees812930$278,211$278,211

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,512,124TotalRevenueColumnAmt
Related Or Exempt Func Income$2,512,124RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,405,675OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$471,682,610TotalRevenueColumnAmt
Related Or Exempt Func Income$464,798,951RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,335,928UnrelatedBusinessRevenueAmt
Exclusion$3,661,498ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$502,046TotalAmt
Program Services$481,964ProgramServicesAmt
Management And General$20,082ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$127,616,998TotalAmt
Program Services$121,999,842ProgramServicesAmt
Management And General$5,617,156ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,528,076TotalAmt
Program Services$5,284,841ProgramServicesAmt
Management And General$243,235ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,692,880TotalAmt
Program Services$14,046,393ProgramServicesAmt
Management And General$646,487ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,292,665TotalAmt
Program Services$8,883,788ProgramServicesAmt
Management And General$408,877ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,532,868TotalAmt
Program Services$8,157,422ProgramServicesAmt
Management And General$375,446ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,172TotalAmt
Program Services$12,592ProgramServicesAmt
Management And General$580ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,019TotalAmt
Program Services$0ProgramServicesAmt
Management And General$22,019ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,095,960TotalAmt
Program Services$24,783,480ProgramServicesAmt
Management And General$6,312,480ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$241,130TotalAmt
Program Services$241,130ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$104,993TotalAmt
Program Services$95,762ProgramServicesAmt
Management And General$9,231ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$144,250TotalAmt
Program Services$100,975ProgramServicesAmt
Management And General$43,275ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,319,675TotalAmt
Program Services$6,003,691ProgramServicesAmt
Management And General$315,984ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$123,025TotalAmt
Program Services$92,269ProgramServicesAmt
Management And General$30,756ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$206,255TotalAmt
Program Services$154,691ProgramServicesAmt
Management And General$51,564ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,431,774TotalAmt
Program Services$4,298,821ProgramServicesAmt
Management And General$132,953ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$10,396,913TotalAmt
Program Services$5,052,900ProgramServicesAmt
Management And General$5,344,013ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,861,867TotalAmt
Program Services$15,386,011ProgramServicesAmt
Management And General$475,856ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,448,666TotalAmt
Program Services$4,448,666ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$107,664,878$107,557,213$107,665
System Allocation$28,826,358$14,009,610$14,816,748
Outside Purchased Svcs$18,519,041$14,759,676$3,759,365
Equip Rental & Maint.$7,508,336$7,065,344$442,992

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,733,789TotalAmt
Program Services$8,587,031ProgramServicesAmt
Management And General$2,146,758ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$412,827,634TotalAmt
Program Services$371,504,112ProgramServicesAmt
Management And General$41,323,522ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,332,728BOYAmt
EOY$3,114,685EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,654BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,010,253BOYAmt
EOY$64,250,070EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$9,500BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,913,887BOYAmt
EOY$12,180,931EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$754,270BOYAmt
EOY$398,132EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$495,998,523LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$402,394,682LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$95,292,884BOYAmt
EOY$93,603,841EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$33,767,349BOYAmt
EOY$5,724,815EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$14,764,086BOYAmt
EOY$12,951,034EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$112,060,353BOYAmt
EOY$24,966,288EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$329,914,964BOYAmt
EOY$217,189,796EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,082,629BOYAmt
EOY$32,573,589EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,146,393BOYAmt
EOY$120,495EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$185,314,721BOYAmt
EOY$183,496,571EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$213,543,743BOYAmt
EOY$216,190,655EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$108,809,531BOYAmt
EOY-$7,367,594EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,975,962BOYAmt
EOY$7,781,007EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$585,728BOYAmt
EOY$585,728EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$116,371,221BOYAmt
EOY$999,141EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$329,914,964BOYAmt
EOY$217,189,796EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$58,854,976ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,047,023NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$170,180,033OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$0OtherActivitiesAmt
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYSt. Vincent's Medical Center, Inc. had lobbying expenses related to the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. However, St. Vincent's Medical Center, Inc. was not able to determine the amount. St. Vincent's Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYSt. Vincent's Medical Center, Inc. had lobbying expenses related to the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. However, St. Vincent's Medical Center, Inc. was not able to determine the amount. St. Vincent's Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,822,599OtherCostOrOtherBasisAmt
Book Value$12,822,599BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$315,248,541OtherCostOrOtherBasisAmt
Depreciation$254,138,355DepreciationAmt
Book Value$61,110,186BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,431,197OtherCostOrOtherBasisAmt
Depreciation$951,757DepreciationAmt
Book Value$479,440BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$158,248,634OtherCostOrOtherBasisAmt
Depreciation$141,586,876DepreciationAmt
Book Value$16,661,758BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,247,552OtherCostOrOtherBasisAmt
Depreciation$5,717,694DepreciationAmt
Book Value$2,529,858BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$93,603,841TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
Interest in Investments Held by Ascension Health Alliance$117,501
Estimated Third Party Settlements$11,506,247
St. Vincent's Foundation Long Term Receivable$5,927,603
Deposits$357,967
Deferred Compensation AH Plan$1,321,709
Vendor Receivables (Accretive)$2,210,647
Due From Affiliates$3,174,821
Physician Guarantee Long Term Assets$153,376
Lease Receivable$87,845
Other Asset$108,572
FieldValueIRS element (for citing)
Total Book Value Other Assets$24,966,288TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Intercompany Debt with Ascension Health Alliance$139,500,642
Other$5,823,387
Due to Affiliates$23,250,501
Pension and Other Post Retirement Liabilities$8,979,328
Self-Insurance Liabilities$2,034,554
Current Portion of Long-Term Debt$1,853,073
Deferred Compensation Liability AH Plans$1,321,709
Third Party Payor Settlements, Net$700,871
Lease Liability$32,506
FieldValueIRS element (for citing)
Total Liability$183,496,571TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationFROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE ("THE SYSTEM") (WHICH INCLUDE THE ACTIVITY OF ST. VINCENT'S MEDICAL CENTER, INC.): 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,523,405TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,523,405NetCommunityBenefitExpnsAmt
Total Expense0.0254TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,103,902TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,131,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,972,830NetCommunityBenefitExpnsAmt
Total Expense0.0506TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$50,627,307TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,131,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,496,235NetCommunityBenefitExpnsAmt
Total Expense0.0760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,766,868TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,298DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,754,570NetCommunityBenefitExpnsAmt
Total Expense0.0042TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,181,566TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,708,962DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,472,604NetCommunityBenefitExpnsAmt
Total Expense0.0156TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,331,734TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,505DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,324,229NetCommunityBenefitExpnsAmt
Total Expense0.0056TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,704,989TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,704,989NetCommunityBenefitExpnsAmt
Total Expense0.0258TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$24,985,157TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,728,765DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,256,392NetCommunityBenefitExpnsAmt
Total Expense0.0513TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$75,612,464TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,859,837DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,752,627NetCommunityBenefitExpnsAmt
Total Expense0.1273TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,019TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$71,019NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$71,019TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,019NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,169,044BadDebtExpenseAmt
Bad Debt Expense Attributable$2,042,647BadDebtExpenseAttributableAmt
Reimbursed By Medicare$227,946,297ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$211,726,000CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$16,220,297MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Vincent's Medical Center IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort Road Suite 4020AddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.jaxhealth.comWebsiteAddressTxt
State License4376StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Vincent's Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.jaxhealth.com/about-us/community-health-needs-assessment/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.jaxhealth.com/about-us/community-health-needs-assessment/StrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.jaxhealth.com/patients-visitors/Financial-Assistance-Programs/FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - St. Vincent's Medical Center, Inc. d/b/a St. Vincent's Medical Center Riverside. Input from persons representing the broad interests of the community, including individuals with special knowledge of or expertise in public health, was received from 185 individuals through eleven key informant interviews, seventeen focus groups, and four town hall meetings. Interviews included: individuals with special knowledge of or expertise in public health; the local public health department; agencies with current data or information about the health needs of the 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.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - St. Vincent's Medical Center, Inc. d/b/a St. Vincent's Medical Center Riverside. St. Vincent's Medical Center collaborated with other hospital members of the Jacksonville Metropolitan Community Benefit Partnership. The Partnership is comprised of: - Baptist Health - UF Health Jacksonville (then Shands Jacksonville Medical Center) - Wolfson Children's Hospital
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - St. Vincent's Medical Center, Inc. d/b/a St. Vincent's Medical Center Riverside. St. Vincent's Medical Center collaborated with some non-hospital facilities. The Partnership is comprised of: - Brooks Rehabilitation - Clay County Health Department - Duval County Health Department - Mayo Clinic - Nassau County Health Department - Putnam County Health Department - St. Vincent's HealthCare
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - St. Vincent's Medical Center, Inc. d/b/a St. Vincent's Medical Center Riverside. Here, you will find our priorities in the community and the strategies we are using to address these priorities.Increase medical access and quality of care for St. Vincent's HealthCare's Medicare eligible patients in Duval County through Alignment Healthcare. 1. Develop a partnership with Alignment Healthcare to assist older individuals accessing Medicare. 2. Create an advanced clinical model to support Medicare beneficiaries, lower costs and increase the availability of health care for seniors. Improve health outcomes for the patients of St. Vincent's HealthCare who are diagnosed with Diabetes in Duval County through evidence-based activities. 1. Oversee development and adoption of standards and norms for the diagnosis and treatment of diabetes, its complications and risk factors for St. Vincent's HealthCare. 2. Promote and contribute to diabetes screening to reduce the prevalence of diabetes 3. Promote living well with diabetes and disease management via education 4. Advocate for prevention and control of diabetes in vulnerable populations Promote health and wellness for the poor and vulnerable in Duval County with an annual collaborative community-wide initiative, Medical Mission at Home. 1. Coordinating with Ascension Health coordinate an annual Medical Mission at Home. 2. Develop a system wide support team lead by Mission Integration. 3. Establish supportive partnerships from local business, health provides and organizations. 4. Implement an event. Promote infant mortality for parents in Duval County with a safe sleep educational initiative featured at St. Vincent's Riverside Family Birth Place. 1. Educate the staff of St. Vincent's Family Birth Place and physicians on the requirements for safe sleep environments as recognized by Cribs for Kids Program. 2. Gain National Safe Sleep Hospital Certification. 3. Educate and distribute Safe Sleep materials, sleep sacks and (pack-n-plays if there is no safe sleep environment available) to St. Vincent's maternity patients. 4. Promote collaborative partnerships with Florida Department of Children & Families, Healthy Start Coalition, Early Learning Coalition Safe Kids of NEFL, and the county health department. Increase access to mental health support specifically for the uninsured poor (below 250% FPL) in Duval County who are seeking care from St. Vincent's HealthCare. 1. Develop and implement a system to identify potential participants 2. Track those participants and compare date from baseline year of 2015. Augment an evidenced based voluntary nutrition and fitness awareness program for youth 8-11 in Duval County. 1. Develop partnership with Duval County Schools 2. Develop partnerships with local youth organizations 3. Implement a pediatric nutrition and fitness program suitable for afterschool programs, physical education classes, and summer programs within the community. Provide opportunities for smoking cessation for the public in Duval County through a collaborative partnership between St. Vincent's Riverside, Northeast Florida AHEC and other local organizations. 1. Coordinate with AHEC to provide smoking cessation opportunities to the public 2. Conduct 5 classes annually Needs That Will Not Be Addressed 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 2015 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. Communicable Diseases: St. Vincent's will not implement initiatives to address this need at this time. The local children's hospital currently provides resources specifically for youth while various other organizations within the region offer an adult emphasis on this need. 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. Poverty: St. Vincent's HealthCare does not have sufficient resources to provide significant change. There are numerous resources within this areas devoted to this measure including the United Way of Northeast Florida. St. Vincent's HealthCare has not identified an effective intervention to improve poverty on a large scale within the local community but will continue to advocate for the poor and vulnerable, as is our mission. Sexually Transmitted Infections- In accordance with the Ethical and Religious Directives of Catholic Health Care, St. Vincent's HealthCare continues to support sexual abstinence education in 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. No actions were taken during the tax year related to the entities most recently conducted CHNA given the CHNA was adopted at the end of the tax year .
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - St. Vincent's Medical Center, Inc.. The self-pay discount is calculated based upon the highest paying payer that represents greater than 3% of gross revenue.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 4 Community Information - Part IIVarious metrics are reviewed when establishing community outreach programs. The following are examples of the data St. Vincent's collects when determining regional and community needs: St. Vincent's HealthCare compares county population by race against the state. St. Vincent's also compares population by race in each of the zip codes. The findings from the comparison indicate that of the approximately 1,400,000 persons in the region the significant racial breakdowns are 62% white, 30% African American, and 8.6% Hispanic. The percentage of non-English speaking populations in the 2000 census in the region was 0.1% St. Vincent's Medical Center Riverside 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 almost $66,000 in St. John's County to $46,000 in Baker County. The percentage of persons below the Federal Poverty Rate ranged from a low of 9.6% in St. John's County to a high of 18.8% in Baker County. The Florida average was 17.1% 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 and Chronic (BRFSS) disease prevalence in the region. By reviewing FL CHARTS, County Profiles and BRFSS data, along with internal volume and financial data, St. Vincent's 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: CAD (deaths), stroke (deaths and hospitalizations), lung cancer (death and smoking rate), prostate cancer (death), skin cancer (death) and diabetes (death, hospitalization and percentage of adults with diabetes). 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 Duval County: Duval County demonstrates the least favorable situation in comparison to the other counties in the state with regards to the following diseases: stroke (death and hospitalizations), heart failure (hospitalizations from congestive heart failure), breast and prostate cancers (deaths), cervical cancer (percentage of women 18 years of age and older who received a pap test in the past year), CLRD (asthma hospitalizations), and diabetes (death, hospitalization and amputation). 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 IIISt. Vincent's Medical Center Riverside provides several programs to address the needs of under privileged children and mothers. One is the School Nurse Program, which places nurses in schools serving disadvantaged children. These nurses are often the only direct access some of these children have to health care. Another program is the Emergency Pregnancy Service of Jacksonville. St. Vincent's HealthCare provides the operational facilities and approximately 20 percent of the operational funding. This not-for-profit organization serves as a crisis intervention center for medical and social service needs related to pregnancy, as well as providing counseling, education and outreach programs that focus on providing adolescents and others with the skills and knowledge to make responsible choices about their lives. The Seton Center for Women and Children was established to ensure that as many poor expectant mothers as is possible get proper prenatal care. However, the Center cares for mothers and babies of all incomes. The Center provides information to expectant parents on childbirth, breastfeeding and new infant care giving. It also offers infant health screening which includes a full assessment and examination of the baby and examination of the mother. The St. Vincent's Auxiliary began 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 at who have no other assistance available to them. Reach Out and Read is a program facilitated by the Family Medicine Center (FMC) on the St. Vincent's Medical Center Riverside campus. This program gives age appropriate books to impoverished children when they visit a pediatrician at the FMC. Books are given to children from 6 months until 5 years of age. Books and literacy at an early age build a vital foundation of development.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE 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. St. Vincent's Medical Center Riverside posts information about availability of charity care in its emergency room and admissions areas. Referrals for charity care are made by the financial specialist, patient accounting personnel, social work personnel, collection agency personnel, physicians and community members. All patients potentially eligible for charity care status are screened by the financial specialist/collection representatives for assistance through federal, state, county and other social service programs. The financial specialists/collection representatives work collaboratively with other health care members to explore alternative financial resources for the patients. The Charity Care policy is available to patients upon request and provided the patient does not qualify for any funded program. Medicaid patients upon exhaustion of benefits will automatically qualify for charity care allowance as long as they remain eligible for Medicaid. The patient may also be referred to the St. Vincent's community outreach programs for continuing assistance in obtaining medical care. Patients will be denied charity based on non-compliance with attempts to obtain insurance for eligibility coverage though other programs (i.e., Medicaid-eligible individuals who have failed to keep required appointments with their case worker). Patients should be screened prior to sending to Florida Department of Children and Family Services to determine if they qualify for Medicaid. Patients can be selected for presumptive charity care by using an electronic screening process. Information about the charity care policy is included in the patient bills indicating financial assistance is available along with information about contacting St. Vincent's HealthCare to seek assistance. We do not provide the "criteria" within the bills themselves. Any uninsured patient or patient requesting assistance is referred to a patient financial advocate to assist with resolving the bill with St. Vincent's HealthCare. This process includes assisting the patient with filing an application for any government sponsored health care program. All patient financial services areas maintain a list of available translators for any non-English speaking patients. There are all bi-lingual associates in the patient financial services department and are available as needed to assist with non-English speaking patients. All registration staff is trained and responsible for completing an initial financial assistance screening application that is used for assessing the patient's family financial situation. The financial assistance screening application is then forwarded to a patient financial advocate who will review and assist the patient with applying for assistance programs and insurance enrollment. The collection agencies used by St. Vincent's HealthCare are required to follow St. Vincent's policies regarding patient notification about the availability of financial assistance. Those patients who indicate an inability to pay for their services are referred back to St. Vincent's HealthCare to apply for charity care. In addition to this process, open accounts are routinely screened using computer software tools for potential charity care qualified patients. Any patient with family income less that 200% of Federal Poverty Guidelines will qualify for 100% Charity Care write-off.
Schedule H, Part II Community Building ActivitiesSt. 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: Financial support for the Riverside Fine Arts Association (RFA), Jacksonville Farmer's Market and donation of space to Riverside Avondale Preservation (RAP). Riverside Fine Arts has a community program to take classical music to lower income schools, engaging the children with live music. RFA brings the arts to the children, expanding their worlds. The Jacksonville Farmer's Market, located 2 miles from the Riverside medical center campus, provides vital access to fresh fruits and vegetables in an area labelled a food desert by the Duval County Food Summit. The neighborhood market is supported as a community resource to keep valuable food and nutrition programs within a disadvantaged community that desperately needs access. As a regional employer St. Vincent's does not neglect the neighborhood in which it resides. Over the past seven years RAP has spearheaded a major rehabilitation project with street and landscaping resulting in lower vacancy and crime rates. St. Vincent's HealthCare strives to support the community in which it resides to encourage new growth. St. Vincent's HealthCare also provides financial support and expertise for the Jacksonville Area Chamber of Commerce and the Clay County Chamber of Commerce. The Chambers 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. Following our Mission, St. Vincent's supports a number of organizations working with poor and vulnerable youth. The Boselli Foundation provides children living in at-risk neighborhoods enrichment and remedial education. In FY16, a restricted donation was given to Gateway Girl Scouts to support girls in disadvantaged troops have access to more scouting opportunities. Northshore Elementary, a public school in a low socioeconomic area, was supported for the development and implementation of STEM educational program. These various non-profits ensure children have safe school programs that develop them academically and personally to live healthy lives. Many shelters, transitional and permanent, housing the most vulnerable in our community were supported as providing safe spaces for the indigent in our community. Among them, Community Connections provides transitional housing for children and parents, as well as social programs to support families reestablishing themselves as productive members of society. Among the programs offered are child care, career training, and family counseling services. These services provide children stability to continue their education during times of insecurity and crisis within the family structure. The Sulzbacher Center, a homeless shelter, offering various resources and health care and dental services was supported with financial and the expertise of a health care professional.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountSt. Vincent's Medical Center, Inc.'s bad debt allowance percentage is based on the weighted average of six twelve-to-seventeen month historical periods. The percentage is calculated monthly and analyzed for large variances.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThere is no change in methodology. St. Vincent's Medical Center, Inc. isolates bad debts for patients who have no insurance from the patient accounting records and calculates the cost of those services in a similar manner to how charity cost is calculated, using RCC's times the charges written off.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteFrom the consolidated audited financial statements of Ascension Health Alliance (which includes the activity of St. Vincent's Medical Center, Inc.): The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Sytesm follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. The methodology for determining the allowance for doubtful accounts and related write-offs of uninsured patient accounts has remained consistent with the prior year.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsA 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 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 assistanceThe organization does have a written debt collection policy and charity care policy (financial assistance). Patients without insurance are interviewed face-to-face to determine if they qualify for any third party payers or governmental programs. Patient statements contain messages requesting the patients to contact the organization should they need assistance with their debt. Patients that do not request assistance or provide the information necessary to qualify for financial assistance will follow a routine collection methodology.
Schedule H, Part V, Section B, Line 16b FAP Application website- St. Vincent's Medical Center, Inc.: Line 16b URL: http://www.jaxhealth.com/patients-visitors/Financial-Assistance-Programs/;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to the CHNAs reported in Part V, Section B, we also have an active Mobile Health Outreach Mission (MHOM). This mission provides free medical services to the residents of Northeast Florida, who are un-served and underserved. 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, St. John's and Volusia. A mobile health unit consists of a physician, nurse practitioner, emergency medical technician and social worker assistance to assist in providing care. Examples of care provided to this population are: immunizations, health screenings, physicals, laboratory, diagnostic testing, dental care, 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceSt. Vincent's Medical Center Riverside posts information about availability of charity care in its emergency room and admissions areas. Referrals for charity care are made by Financial Specialists, Patient Accounting personnel, social work personnel, collection agency personnel, physicians and community members. All patients potentially eligible for charity care status are screened by the financial specialists/collection representatives for assistance through federal, state, county and other social service programs. The financial specialists/collection representatives work collaboratively with other health care members to explore alternative financial resources for the patients. The Charity Care Policy is available to patients upon request and provided the patient does not qualify for any funded program. Medicaid patients upon exhaustion of benefits will automatically qualify for charity care allowance as long as they remain eligible for Medicaid. The Hospital Outreach Eligibility Program (HOPE) was created to improve access to healthcare for the poor and vulnerable. Information about the program is available, not only at St. Vincent's Medical Center Riverside, but also in physician offices, on the website, on the medical clinic vans and at various locations throughout the community. HOPE staff works to provide this service to the entire community, not just patients likely to use St. Vincent's Healthcare. Staff participate in neighborhood and community-wide enrollment fairs and health screenings in which, not only are patients who come to St. Vincent's Medical Center Riverside screened, but persons throughout the community are screened to determine eligibility for insurance. Programs for which HOPE staff works diligently to enroll include Medicaid, Florida KidCare, charity programs, other state and federally funded programs including Medicare, COBRA, and HCRA. Patients will be denied charity based on non-compliance with attempts to obtain insurance for eligibility coverage though other programs (i.e. Medicaid-eligible individuals who have failed to keep required appointments with their case worker). Patients should be screened prior to sending to Florida Department of Children and Family Services to determine if they qualify for Medicaid. Patients can be selected for presumptive charity care by using an electronic screening process. Information about the Charity Care Policy is included in the patient bills indicating financial assistance is available and information about contacting the Hospital to seek assistance. We do not provide the criteria within the bills themselves. Any uninsured patient or patient requesting assistance is referred to a patient financial advocate to assist with resolving the bill with the Hospital. This process includes assisting the patient with filing an application for any government sponsored health care program. All patient financial services areas maintain a list of available translators for any non-English speaking patients. There are all bi-lingual associates in the patient financial services department and are available as needed to assist with non-English speaking patients. All registration staff is trained and responsible for completing an initial financial assistance screening application that is used for assessing the patient's family's financial situation. The financial assistance screening application is then forwarded to a patient financial advocate who will review and assist the patient with the process. The collection agencies used by St. Vincent's HealthCare are required to follow St. Vincent's policies regarding patient notification about the availability of financial assistance. Those patients who indicate an inability to pay for their services are referred back to the Hospital to apply for charity care. In addition to this process, open accounts are routinely screened using computer software tools for potential charity care qualified patients. Any patient with family income less that 200% of Federal Poverty Guidelines will qualify for 100% charity care write-off.
Schedule H, Part VI, Line 4 Community informationSt. Vincent's HealthCare 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 more narrow level 75% of the primary service area (PSA) is reviewed by zip code which is comprised of approximately 100,000 inpatient cases. The zip codes on which St. Vincent's Medical Center focuses in Duval County, Jacksonville are: 32204, 32205 , 32206, 32207, 32208, 32209, 32210, 32218, 32219, 32220, 32221, 32222, 32234, 32244, 32254; in Clay County, Florida are: 32003,32043, 32065, 32068, 32073; in Nassau County, Florida are: 32034, 32011; and in Baker County, Florida are: 32040 and 32063. The facilities within the area are: -Baptist Medical Center, an acute care not-for-profit facility in Jacksonville with 676 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 54 beds; -Baptist Medical Center South, an acute care not-for-profit facility in Jacksonville with 225 beds; -Ed Fraser 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 302 beds; -Kindred Hospital North Florida, an acute care for-profit facility in Green Cove Springs with 80 beds; -Mayo Clinic Jacksonville, an academic not-for-profit facility in Jacksonville with 249 beds; -Memorial Hospital Jacksonville, an acute care for-profit facility in Jacksonville with 425 beds; -Orange Park Medical Center, an acute care for-profit facility in Orange Park with 297 beds; -Riverpoint Behavioral Health, a psychiatric for-profit facility in Jacksonville with 93 beds; -St. Vincent's Medical Center, an acute care not-for-profit facility in Jacksonville with 528 beds; -Shands Jacksonville Medical Center, an acute care not-for-profit facility in Jacksonville with 695 beds; -Specialty Hospital Jacksonville, an acute care for-profit facility in Jacksonville with 107 beds; -St. Luke's Hospital, an acute care not-for-profit facility in Jacksonville with 311 beds; -Ten Broeck Jacksonville, Wekiva Springs, a psychiatric for-profit facility in Jacksonville with 68 beds.
Schedule H, Part VI, Line 5 Promotion of community healthSt. Vincent's HealthCare has been part of Jacksonville for over 100 years. St. Vincent's Medical Center Riverside 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 Benefit Programs. St. Vincent's HealthCare 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 St. Vincent's HealthCare are persons who live and work in the Northeast Florida region who, by virtue of their continuing service to the community, are acutely aware of the social and health needs of the region. These individuals along with members of the medical staff are committed to the Mission Statement and its call to provide high quality health care for all who come to its doors. As well, St. Vincent's leadership takes an active role in the community by serving on community boards to share expertise and health care knowledge. With cash and in-kind contributions, St. Vincent's Medical Center Riverside and, in some instances, in partnership with other organizations is able to offer a variety of opportunities which are no or low cost to the community. St. Vincent's does this as part of its mission to provide care for all, especially the poor and vulnerable of the community. It maintains a primary care residency program along with podiatry and pharmacy residencies. It sponsors the Faith Community Nursing program which is in 70 congregations in Northeast Florida and the Seton Center for Women and Children. It maintains a primary care residency program along with podiatry and pharmacy residencies. The Mike Davidson Family Overnight Center is a 16-bed overnight center for patients who must be in the medical center for early morning procedures, but may live too far away and require overnight residence. Families can also stay at the overnight center to be close to patients who are having medical emergencies, such as being admitted in the ICUs or babies in the NICU. The Good Samaritan Fund of St. Vincent's Medical Center Riverside disbursed approximately $380,000 to patients in financial need. These services included medications, transportation, clothing, short-term residential and burial expenses. The Mobile Health Outreach Ministry (MHOM) urban/rural program served over 6,000 persons in its primary care program 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 served approximately 9,900 children in its school-year and summer programs. All were provided without cost to the patient. The St. Vincent's HealthCare's website, 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. Kids Together Against Cancer (KTAC) is a support group for children of a parent diagnosed with cancer. This program allows children and their families to connect with their health providers and better understand treatment plan options. Art therapy programs are offered in partnership with the Cummer Museum, located close to the St. Vincent's Medical Center Riverside campus. This group is free to all. The Faith Community Nursing program, formerly called the Parish Nurse program, is a small team of employed nurses that maintain supportive relationships with 70 faith congregations, of multiple faith backgrounds, to train medical professionals in each congregation to serve their ministries with health services and education. St. Vincent's Medical Center Riverside gives space without cost to community health organizations such as Vision Is Priceless, Emergency Pregnancy Services, American Cancer Society and The Diocesan Center for Family Life, as well as various community groups that use the medical center for community meeting space.
Schedule H, Part VI, Line 6 Affiliated health care systemSt. Vincent's Medical Center, Inc. (the Medical Center) is a wholly owned subsidiary of St. Vincent's Health System, Inc. (SVHS), which is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central, and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Sisters of St. Joseph of Carondelet (CSJ). 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 Internal Revenue Service (IRS). ADDITIONAL AFFILIATES AND MEMBERS OF THE ST. VINCENT'S HEALTH SYSTEM INCLUDE: ST. LUKE'S-ST. VINCENT'S HEALTHCARE, ST. VINCENT'S HEALTHCARE, 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 reportFL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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
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
KAREN F DARNELL
FORMER KEY EMPLOYEE (THRU 3/27/2015)$0$116,233$0$0$0$22,587$0$3,455$0$12,783$0$155,057$0$0
Steve Nauman
Former Key Employee$142,599$0$0$0$215$0$4,019$0$658$0$147,491$0$0$0
DONALD B CLAYPOOL
PRESIDENT - ACUTE CARE HOSPITALS$0$308,229$0$15,000$0$2,220$0$8,440$0$23,282$0$357,171$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
GAIL GREEN
CNO (THRU 10.31.2015)$196,143$0$0$0$37,465$0$30,035$0$19,082$0$282,725$0$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)$26,705$122,008$0$0$7,773$41,374$853$3,839$3,756$20,565$39,088$187,786$0$0
JOHN MEYER III
SR. VP STRATEGIC PLANNING$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
DONNIE ROMINE JR
COO/ACUTE CARE HOSPITALS (THRU 10/30/2015)$64,008$366,622$0$0$696$60,872$1,846$8,307$3,856$21,088$70,406$456,889$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
JOHN CASSANI
PRESIDENT - CLINICAL LEAD (THRU 3/28/16)$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
KENNETH ROTHFIELD
SYS VP/CHIEF MEDICAL OFFICER$56,755$312,154$30,000$0$23,241$3,483$1,298$9,086$3,773$22,749$115,067$347,472$0$22,625
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
LARAE BROWN MD
PHYSICIAN$234,993$0$6,325$0$302$0$13,269$0$21,128$0$276,017$0$0$0
SONYA DOMINGUEZ MD
PHYSICIAN$238,328$0$2,596$0$278$0$23,463$0$23,965$0$288,631$0$0$0
NAICIE MARROW MD
PHYSICIAN$230,967$0$1,694$0$298$0$24,798$0$20,839$0$278,597$0$0$0
DAVID A MCINNES
FAMILY MED MEDICAL DIRECTOR$350,606$0$0$0$1,841$0$31,950$0$29,182$0$413,578$0$0$0
ROBERT F RASPA MD
PHYSICIAN$197,933$0$0$0$829$0$28,736$0$2,228$0$229,726$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationAscension Health, a related organization of St. Vincent's Medical Center, Inc., uses the following to establish the compensation of the organization's 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 paymentTHE 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 planEligible 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 Kenneth Rothfield - $22,625

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
NORTH FLORIDA SURGEONS
THE PRESIDENT OF NORTH FLORIDA SURGEONS IS A BOARD MEMBER OF SVMC$862,094NORTH FLORIDA SURGEONS PROVIDE HEALTHCARE SERVICES TO ST. VINCENT'S MEDICAL CENTER, INC.false
North Florida Anesthesia Consultants
North Florida Anesthesia Consultants is more than 35% owned by a board member of SVMC$1,162,586NORTH FLORIDA ANESTHESIA CONSULTANTS PROVIDE GOODS AND SERVICES TO ST. VINCENT'S MEDICAL CENTER, INC.false

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCASH ACCOUNTS TRANSFERRED TO PARENT COMPANY'S BALANCE SHEETAssetsDistriOrExpnssPaidDesc
Distribution2016-07-01DistributionDt
Fair Market Value Of Asset$105,614,851FairMarketValueOfAssetAmt
Method Of FMV DeterminationACTUAL COST (CASH)MethodOfFMVDeterminationTxt
EIN593650609EIN
PersonST VINCENT'S HEALTH SYSTEM INCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 BELFORT ROADAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2Ind
Employee Of Successor2falseEmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2falseReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1 Doing Business as:St. Vincent's Family Medical Center Consolidated Laboratory Services.
Form 990, Part III, Line 4d Description of other program services(Expenses $ including grants of $)(Revenue $ 2,512,124) ALL OTHER PROGRAM SERVICES (MEDICARE ARRA INCENTIVES, AETNA GAIN SHARE, OVERNIGHT CENTER)
Form 990, Part IV, Line 20b Explanation of Financial StatementsThe activity of St. Vincent's Medical Center, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent's Medical Center, 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, Inc.
Form 990, Part VI, Line 15 COMPENSATIONIN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT'S MEDICAL CENTER, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS, PERFORMED BY ST. VINCENT'S HEALTH SYSTEM, INC., A RELATED ORGANIZATION WHO PAID THE OTHER OFFICERS AND KEY EMPLOYEES, 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 OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION 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 stockholdersSt. Vincent's Medical Center, 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 bodySt. Vincent's Medical Center, 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 Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to St. Vincent's Medical Center, 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 bodyManagement, 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 policyOfficers 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 or 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 responses 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 publicThe organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 2f Other Program Service RevenueLactation Revenue - Total Revenue: 103, Related or Exempt Function Revenue: 103, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Pharmacy Srvcs Rev NonEmployee - Total Revenue: 22294, Related or Exempt Function Revenue: 22294, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Research Sponsor Revenue - Total Revenue: 63043, Related or Exempt Function Revenue: 63043, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Retail Sales Revenue Taxable - Total Revenue: 11729, Related or Exempt Function Revenue: 11729, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Seminar Tuition Revenue - Total Revenue: 5964, Related or Exempt Function Revenue: 5964, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Revenues - Total Revenue: 117168, Related or Exempt Function Revenue: 117168, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medicare ARRA Incentives - Total Revenue: 2024080, Related or Exempt Function Revenue: 2024080, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; AETNA Gain Share - Total Revenue: 258930, Related or Exempt Function Revenue: 258930, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Overnigth Center - Total Revenue: 111946, Related or Exempt Function Revenue: 111946, 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 balancesTRANSFER TO/FROM AFFILIATES - -XXX-XX-XXXX; NET ASSETS RELEASED FROM RESTRICTIONS - 1192293; DEFERRED PENSION COST - -8066036;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT'S FIRST CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 SHIRCLIFF WAYAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32204ZIPCd
FieldValueIRS element (for citing)
EIN274273517EIN
Primary ActivitiesHEALTHCARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT'S MEDICAL CENTER INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO631455998453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
ST VINCENT'S HEALTH SYSTEM INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216593650609PARENT ENTITYFL501(c)(3Type IIASCENSION HEALTHfalse
ST LUKE'S-ST VINCENT'S HEALTHCARE INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216260479484HOSPITALFL501(c)(33ST VINCENT'S HEALTH SYSTEM INCYes (true)
ST VINCENT'S AMBULATORY CARE INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216592292041PHYSICIAN PRACTICEFL501(c)(39ST VINCENT'S HEALTH SYSTEM INCYes (true)
ST VINCENT'S FOUNDATION INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216592219923FUND RAISINGFL501(c)(37ST VINCENT'S HEALTH SYSTEM INCYes (true)
ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC
1580 BRANAN FIELD ROADMIDDLEBURGFL32068461523194HOSPITALFL501(c)(33ST VINCENT'S HEALTH SYSTEM INCYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
CONSOLIDATED PHARMACY SERVICES INC
4205 BELFORT ROAD SUITE 4030JACKSONVILLEFL32216593398033RETAIL PHARMACY & PATIENT TRANSPORTFLNAC Corporationfalse
ADVANCED PATIENT TRANSPORTATION INC
4205 BELFORT ROAD SUITE 4030JACKSONVILLEFL32216593381444TRANSPORT SERVICESFLNAC Corporationfalse
SETON PHARMACIES
4205 BELFORT ROAD SUITE 4030JACKSONVILLEFL32216593001427RETAIL PHARMACYFLNAC Corporationfalse
ST VINCENT'S STRATEGIC VENTURES INC
4205 BELFORT ROAD SUITE 4015JACKSONVILLEFL32216593133073LEASINGFLNAC Corporationfalse
FAMILY MEDICINE CONDOMINIUM ASSOCIATION INC
3 SHIRCLIFF WAYJACKSONVILLEFL32204261983355CONDOMINIUM ASSOCIATIONFLST VINCENT'S MEDICAL CENTER INCC CorporationYes (true)$2,104$27,794
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST VINCENT'S FOUNDATION INC
C$886,233FMV
ST VINCENT'S HEALTH SYSTEM INC
J$1,782,282FMV
ST VINCENT'S AMBULATORY CARE INC
J$397,280FMV
ST LUKE'S-ST VINCENT'S HEALTHCARE INC
K$140,032FMV
ST VINCENT'S HEALTH SYSTEM INC
K$276,126FMV
ST VINCENT'S HEALTH SYSTEM INC
M$23,803,231FMV
CONSOLIDATED PHARMACY SERVICES INC
R$2,585,419FMV
ST VINCENT'S HEALTH SYSTEM INC
R$105,614,851FMV
ST VINCENT'S AMBULATORY CARE INC
R$2,522,008FMV
ST VINCENT'S FOUNDATION INC
R$920,869FMV
FIRST COAST PRIMARY CARE
S$1,297,537FMV
ST LUKE'S-ST VINCENT'S HEALTHCARE INC
S$7,205,993FMV
ACCOUNTABLE CARE
S$3,091,085FMV
ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC
S$28,954,087FMV
ASCENSION HEALTH
S$60,028FMV