SACRED HEART HEALTH SYSTEM INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SACRED HEART HEALTH SYSTEM INC (EIN 59-0634434)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-11-25
- IRS object ID
- 201403299349300010
- Schema version
- 2012v2.1
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-11-25T10:47:37-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590634434 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacred Heart Health System Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SACR | NameControl |
| Phone | 8504167000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5151 North 9th Avenue | AddressLine1 |
| City | Pensacola | City |
| State | FL | State |
| ZIP Code | 325048721 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | C Susan Cornejo | Name |
| Title | CFO | Title |
| Phone | 8504167000 | Phone |
| Date Signed | 2014-11-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rebecca Lyons | Name |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | Susan Cornejo | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5151 North 9th Avenue | AddressLine1 |
| City | Pensacola | City |
| State | FL | State |
| ZIP Code | 325048721 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 659951480 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.sacred-heart.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1915 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | Provides necessary medical care to the sick and poor regardless of the ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5394 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 1200318 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -92577 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5149555 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 10524683 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 652932176 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 632752709 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10035505 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7648133 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 120399779 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5478101 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 788517015 | TotalRevenuePriorYear |
| Total Revenue Current Year | 656403626 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1897724 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 314253080 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 327380141 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 421380717 | OtherExpensePriorYear |
| Other Expenses Current Year | 322754537 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 735633797 | TotalExpensesPriorYear |
| Total Expenses Current Year | 652032402 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 52883218 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4371224 | RevenuesLessExpensesCY |
| Total Assets BOY | 802343747 | TotalAssetsBOY |
| Total Assets EOY | 829872591 | TotalAssetsEOY |
| Total Liabilities BOY | 353416041 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 384857360 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 448927706 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 445015231 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Sacred Heart Hospital provides necessary medical care to the sick and poor of our community regardless of the ability to pay. Services include inpatient routine and inpatient ancillary support of the healthcare mission of the hospital. Please see the statement of Program Service Accomplishments for further detail on the relationship of activities to the accomplishment of the exempt purpose. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 489121707 | Expense |
| Grants | 1897724 | Grants |
| Revenue | 630737795 | Revenue |
| Description | Sacred Heart Health System provides primary, secondary, and tertiary health care services to residents of the communities it serves. There is special emphasis on service to the poor and those most in need. The System includes the flagship 458 beds medical, surgical acute care hospital in Pensacola, Florida. Housed within the Pensacola facility is the 119 bed Children's Hospital, the only one in Northwest Florida. Sacred Heart Hospital on the Emerald Coast is a 58 bed medical surgical hospital located in Miramar Beach, FL. Sacred Heart Hospital of the Gulf is a 25 bed medical surgical hospital located in Port St. Joe, FL. Sacred Heart Health System together with LHP Hospital Group, Inc. operates 323-bed Bay Medical Sacred Heart located in Panama City, FL.Sacred Heart Health System expands awareness, education and promotion of health by offering healthcare, classes and seminars for the Community. | Description |
| Total Program Service Expense | 489121707 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 408 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 5394 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Susan Cornejo | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8504167000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5151 N 9th Ave | AddressLine1 |
| City | Pensacola | City |
| State | FL | State |
| ZIP Code | 32504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| Eric J Nickelsen | ||||||||||
| Chairman | 1.00 | 0.00 | X | X | 0 | 0 | 0 | |||
| Dudley H Greenhut | ||||||||||
| Vice Chair | 1.00 | 0.00 | X | X | 0 | 0 | 0 | |||
| Richard R Baker | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Michael L Burroughs | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Carol H Carlan | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Gerald J Christie | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Sister Mary Jean Doyle | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Nancy A Fetterman | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Robert A Emmanuel | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Sister Nora Gatto DC | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Sister Lois O'Malley CSJ | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Antonio E Pena MD | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Adelaida B Torres MD | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Ronald P Townsend | ||||||||||
| Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Susan L Davis RN | ||||||||||
| President/CEO | 40.00 | 1.00 | X | X | 0 | 1453449 | 955587 | |||
| Buddy Elmore | ||||||||||
| EVP and CFO | 40.00 | 2.00 | X | 684809 | 0 | 28971 | ||||
| Carol Schmidt | ||||||||||
| COO & President (SHHP) | 40.00 | 0.00 | X | 598765 | 0 | 14037 | ||||
| Carol Whittington | ||||||||||
| VP - Human Resources | 40.00 | 0.00 | X | 470285 | 0 | 27107 | ||||
| James Ward MD | ||||||||||
| Chief Medical Officer | 40.00 | 0.00 | X | 560709 | 0 | 40756 | ||||
| Karen Emmanuel | ||||||||||
| General Counsel | 40.00 | 1.00 | 445435 | 0 | 15598 | X | ||||
| Roger Hall | ||||||||||
| President - SHHEC & SHHG | 1.00 | 0.00 | 483540 | 0 | 23757 | X | ||||
| Peter Heckathorn | ||||||||||
| EVP SHMG | 1.00 | 0.00 | 716981 | 0 | 28597 | X | ||||
| Michael Brown MD | ||||||||||
| Dir of Medical Affairs | 1.00 | 0.00 | 409890 | 0 | 27147 | X | ||||
| Dana N Bledsoe | ||||||||||
| Pres. Child & Wmns Hosp | 40.00 | 0.00 | 435948 | 0 | 27096 | X | ||||
| Joe Henry Stovall III | ||||||||||
| President - SHHP | 40.00 | 0.00 | 242065 | 0 | 19986 | X | ||||
| Michael L Goodman MD | ||||||||||
| Physician | 40.00 | 0.00 | 2264671 | 0 | 35214 | X | ||||
| William J Dobak MD | ||||||||||
| Physician | 40.00 | 0.00 | 1268772 | 0 | 28840 | X | ||||
| Tarek Eldawy MD | ||||||||||
| Physician | 40.00 | 0.00 | 985859 | 0 | 35588 | X | ||||
| Ranjith B Dissanayake MD | ||||||||||
| Physician | 40.00 | 0.00 | 972016 | 0 | 339682 | X | ||||
| Patrick Madden | ||||||||||
| Former President & CEO | 40.00 | 0.00 | 496200 | 0 | 869422 | X | ||||
| Paul P Wang MD | ||||||||||
| Physician | 40.00 | 0.00 | 1003542 | 0 | 31429 | X | ||||
| Laura S Kaiser | ||||||||||
| Former CEO & COO (SHHS) | 0.00 | 0.00 | 418557 | 0 | 7114 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 12458044 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1453449 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2555928 | TotalOtherCompensation |
| Number Individuals GT100 K | 89 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Morrison Management Specialists Inc | |||||
| PO Box 102289 | Atlanta | GA | 303682289 | Food/Environmental Service (Sch O) | 16196824 |
| Greenhut Construction Co | |||||
| 23 South A Street | Pensacola | FL | 32501 | Construction (Sch O) | 9006426 |
| TriMedx LLC | |||||
| PO Box 1627 | Indianapolis | IN | 46206 | Equipment Maintenance | 7719790 |
| AMS Sacred Heart LLC | |||||
| 362 Gulf Breeze Pkwy Suite 116 | Gulf Breeze | FL | 32561 | Anesthesiology Service | 4908327 |
| Mickelson Construction | |||||
| 3475 North S Street | Pensacola | FL | 32505 | Construction (Sch O) | 1581806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 127 | NumberOfContractorsGT100K |
| Government Grants | 5201345 | GovernmentGrants |
| All Other Contributions | 5323338 | AllOtherContributions |
| Total Contributions | 10524683 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Revenue | 621990 | 630209871 | 629010598 | 1199273 |
| Management Services | 541610 | 1407807 | 1407807 | |
| Medical Transportation | 480000 | 1091701 | 1091701 | |
| Education | 611710 | 43330 | 43330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 632752709 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7148977 | TotalRevenueColumn |
| Exclusion | $7,148,977 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3866462 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3039087 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 827375 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 827375 | TotalRevenueColumn |
| Exclusion | $827,375 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1007923 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 508767 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 499156 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 499156 | TotalRevenueColumn |
| Exclusion | $499,156 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| E H R Incentive | 900099 | 3740285 | 3740285 | |
| Cafeteria Rev. | 621990 | 2080149 | $2,080,149 | |
| Unconsolidated Ops | 900099 | -4555926 | -4555926 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3386218 | TotalRevenueColumn |
| Unrelated Business Revenue | 1045 | UnrelatedBusinessRevenue |
| Exclusion | $3,385,173 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4650726 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 656403626 | TotalRevenueColumn |
| Related Or Exempt Function Income | 630737795 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1200318 | UnrelatedBusinessRevenue |
| Exclusion | $13,940,830 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1897724 | Total |
| Program Services | 1897724 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5823863 | Total |
| Management And General | 5823863 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 914757 | Total |
| Management And General | 914757 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262285229 | Total |
| Program Services | 223452371 | ProgramServices |
| Management And General | 38832858 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5215393 | Total |
| Program Services | 622885 | ProgramServices |
| Management And General | 4592508 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36400268 | Total |
| Program Services | 2345716 | ProgramServices |
| Management And General | 34054552 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16740631 | Total |
| Program Services | 13912480 | ProgramServices |
| Management And General | 2828151 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006290 | Total |
| Program Services | 432 | ProgramServices |
| Management And General | 1005858 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49221266 | Total |
| Program Services | 4022710 | ProgramServices |
| Management And General | 45198556 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1535502 | Total |
| Program Services | 36021 | ProgramServices |
| Management And General | 1499481 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1692483 | Total |
| Program Services | 1136984 | ProgramServices |
| Management And General | 555499 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10204234 | Total |
| Program Services | 10204234 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1077486 | Total |
| Program Services | 899767 | ProgramServices |
| Management And General | 177719 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 942654 | Total |
| Program Services | 358035 | ProgramServices |
| Management And General | 584619 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3520150 | Total |
| Management And General | 3520150 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19424129 | Total |
| Program Services | 14220974 | ProgramServices |
| Management And General | 5203155 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2146149 | Total |
| Program Services | 4983898 | ProgramServices |
| Management And General | -2837749 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies | 131380941 | 127842011 | 3538930 | 0 |
| Professional Fees | 29750112 | 23732795 | 6017317 | 0 |
| Rental Expense | 26644583 | 26644583 | 0 | 0 |
| Contract Labor | 7812313 | 5814618 | 1997695 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36396245 | Total |
| Program Services | 26993469 | ProgramServices |
| Management And General | 9402776 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 652032402 | Total |
| Program Services | 489121707 | ProgramServices |
| Management And General | 162910695 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24144490 | BOY |
| EOY | 14920763 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122062096 | BOY |
| EOY | 113785345 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100000 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15753876 | BOY |
| EOY | 17592363 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6418338 | BOY |
| EOY | 3911678 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 632180635 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 346337012 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 264220408 | BOY |
| EOY | 285843623 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 33198682 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5719947 | BOY |
| EOY | 7124701 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 363924592 | BOY |
| EOY | 353495436 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 802343747 | BOY |
| EOY | 829872591 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46536397 | BOY |
| EOY | 51090305 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2427158 | BOY |
| EOY | 7425652 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304452486 | BOY |
| EOY | 326341403 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 353416041 | BOY |
| EOY | 384857360 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 447228932 | BOY |
| EOY | 436348760 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1698774 | BOY |
| EOY | 8666471 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 448927706 | BOY |
| EOY | 445015231 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 802343747 | BOY |
| EOY | 829872591 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4371224 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5135293 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -13418992 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $4,231 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $220,587 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 224818 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | 0 | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Sacred Heart Health System, Inc. engaged consultants to assist in various lobbying activities pertaining to state and federal health care legislation, including healthcare reform. Staff and consultants wrote letters and met personally with state and local legislators on these matters. Sacred Heart Health System, 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. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 36833 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -684 | InvestmentEarningsOrLosses |
| End Of Year Balance | 36149 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 32833 | BeginningOfYearBalance |
| Contributions | 4000 | Contributions |
| End Of Year Balance | 36833 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 29420 | BeginningOfYearBalance |
| Contributions | 3413 | Contributions |
| End Of Year Balance | 32833 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 25094 | BeginningOfYearBalance |
| Contributions | 4326 | Contributions |
| End Of Year Balance | 29420 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22614 | BeginningOfYearBalance |
| Contributions | 2480 | Contributions |
| End Of Year Balance | 25094 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 0 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 7555310 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 48604134 | OtherCostOrOtherBasis |
| Book Value | 56159444 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 20763861 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 349228404 | OtherCostOrOtherBasis |
| Depreciation | 205098808 | Depreciation |
| Book Value | 164893457 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 176169671 | OtherCostOrOtherBasis |
| Depreciation | 141238204 | Depreciation |
| Book Value | 34931467 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29859255 | OtherCostOrOtherBasis |
| Book Value | 29859255 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 285843623 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliates | 142206122 |
| Interest in Investments Held by Ascension Health Alliance | 174911224 |
| Temporarily Restricted Investments | 8252134 |
| Ascension Deferred Compensation | 12516978 |
| Other Misc. Assets | 15608978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 353495436 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Intercompany Debt with Ascension Health Alliance | $114,991,700 |
| Deferred Compensation | $12,516,978 |
| Due to Affiliates | $149,450,592 |
| Retirement Plan Obligation | $13,394,758 |
| Self Insurance Trust | $3,998,953 |
| Other Liabilities | $10,781,787 |
| Third Party Payables | $6,605,040 |
| MOB Liability Accounting Ownership | $11,910,870 |
| AR Credit Balances | $2,690,725 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 326341403 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 1 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14429279 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14429279 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02210 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 98197482 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 80692380 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17505102 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02680 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 112626761 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 80692380 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31934381 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04890 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9536625 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4316331 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5220294 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00800 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 918815 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 918815 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 443670 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 235695 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 207975 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1298323 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1298323 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12197433 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4552026 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7645407 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01170 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 124824194 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 85244406 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 39579788 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06060 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $80,047,601 | BadDebtExpenseAmount |
| Amount Attributable To | 5129547 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 139606080 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 142480577 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2874497 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 4 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Website AddressWebsiteAddress | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Childrens HospitalChildrensHospital | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Sacred Heart Hospital | |||||||||||
| 1 | 5151 N 9th Ave | Pensacola | FL | 32504 | www.sacred-heart.org | X | X | X | X | X | X |
| Sacred Heart on the Emerald Coast | |||||||||||
| 2 | 7800 US Hwy 98 | Miramar Beach | FL | 32550 | www.sacredheartemerald.org | X | X | X | |||
| Sacred Heart Hospital on the Gulf | |||||||||||
| 3 | 3801 E Hwy 98 | Port St Joe | FL | 32456 | www.sacred-heart.org/gulf | X | X | X | |||
| Bay Medical Center | |||||||||||
| 4 | 615 North Bonita Avenue | Panama City | FL | 32401 | www.sacred-heart.org/baymedicalcenter | X | X | X | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Consulting ProcessConsultingProcess | Information GapsInformationGaps | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Participate Community PlanParticipateCommunityPlan | Include Operational PlansIncludeOperationalPlans | Adopt BudgetAdoptBudget | All Needs AddressedAllNeedsAddressed | Organization Incur Excise TaxOrganizationIncurExciseTax | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Average Negotiated RatesAverageNegotiatedRates | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sacred Heart Hospital | ||||||||||||||||||||||||||||||||||||||||||||
| 1 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 1 | 1 | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | 1 | 0 | 1 | X | 0 | 0 |
| Sacred Heart on the Emerald Coast | ||||||||||||||||||||||||||||||||||||||||||||
| 2 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | X | X | X | 1 | 0 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | 1 | 0 | 1 | X | 0 | 0 |
| Sacred Heart Hospital on the Gulf | ||||||||||||||||||||||||||||||||||||||||||||
| 3 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | 1 | 0 | 1 | X | 0 | 0 |
| Bay Medical Center | ||||||||||||||||||||||||||||||||||||||||||||
| 4 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 1 | 1 | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | 1 | 0 | 1 | X | 0 | 0 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 26 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (26 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Sacred Heart Occ Hlth Strategies | ||||
| 6665 Pensacola Blvd | Pensacola | FL | 32505 | Help employers to gain control over healthcare expenses |
| Sacred Heart Pediatric Care Center | ||||
| 1675 Trinity Drive | Pensacola | FL | 32504 | Provides pediatric care regardless of their ability to pay |
| Sacred Heart Cardiac Rehab Center | ||||
| 1601 Airport Blvd | Pensacola | FL | 32501 | To help patients with their cardiopulmonary needs |
| Sacred Heart Pulmonary Rehab Center | ||||
| 1601 Airport Blvd | Pensacola | FL | 32501 | To help patients with their cardiopulmonary needs |
| Seton Center for OBGYN | ||||
| 5045 Carpenters Creek Dr | Pensacola | FL | 32503 | Provide obsterics & gynecological care for all women |
| Outpatient Laboratories | ||||
| 1549 Airport Blvd | Pensacola | FL | 32504 | Provides diagnostic services and monitoring services for children and women |
| Outpatient Rehabilitation Centers | ||||
| 4406 N Davis Hwy | Pensacola | FL | 32503 | To help patients with their physical, occupational and speech |
| Sacred Heart Medical Park-Pace | ||||
| 3754 Hwy 90 | Pace | FL | 32571 | Comprehensive diagnostic and physician services to the Pace and Milton area |
| Sacred Heart Medical Park-Airport | ||||
| 1549 Airport Blvd | Pensacola | FL | 32504 | Comprehensive diagnostic and physician services outside of the hospital |
| Sacred Heart Urgent Care | ||||
| 6665 Pensacola Blvd | Pensacola | FL | 32505 | Provides walk-in care for minor injuries and illnesses seven days a week |
| Laboratory Services | ||||
| 5151 N 9th Ave | Pensacola | FL | 32504 | Laboratory Services |
| Laboratory Services | ||||
| 4511 N Davis Hwy | Pensacola | FL | 32503 | Laboratory Services |
| Laboratory Services | ||||
| 400 Milestone Blvd | Cantonment | FL | 32533 | Laboratory Services |
| Laboratory Services | ||||
| 3754 El Rito Drive | Panama City Beach | FL | 32407 | Laboratory Services |
| Laboratory Services | ||||
| Sorrento Road | Pensacola | FL | 32507 | Laboratory Services |
| Rehab Center | ||||
| 4929 Mobile Hwy | Pensacola | FL | 32526 | Rehabilitation Center |
| Rehab Center | ||||
| 3754 Hwy 90 | Pace | FL | 32571 | Rehabilitation Center |
| Rehab Center | ||||
| 3408 Santa Rosa Dr | Gulf Breeze | FL | 32563 | Rehabilitation Center |
| Rehab Center | ||||
| 13137 Sorrento Road | Pensacola | FL | 32507 | Rehabilitation Center |
| Occupational Health Strategies | ||||
| 4412 N Davis Hwy | Pensacola | FL | 32503 | Occupational Health |
| Ann L Baroco Center for Women's Hlth | ||||
| 5375 N 9th Ave | Pensacola | FL | 32504 | Women's Health Center |
| Sacred Heart Pharmacy | ||||
| 5149 N 9th Ave | Pensacola | FL | 32514 | Pharmacy Services |
| Regional Perinatal Center | ||||
| 5153 N 9th Ave | Pensacola | FL | 32504 | Perinatal Center |
| Surgical Weight Loss Center | ||||
| 5149 N 9th Ave | Pensacola | FL | 32514 | Weight Loss Center |
| Sacred Heart Cancer Center | ||||
| 1545 Airport Blvd | Pensacola | FL | 32504 | Provides the highest standard of cancer care |
| Pace Surgery Center | ||||
| 3754 Hwy 90 | Pace | FL | 32571 | Provides out patient surgery services to the Pace and Milton area |
Form990 Schedule H Part VI Form990ScheduleHPartVI (29 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with the Catholic Health Association ("CHA") guidelines. The organization uses a costing 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. | |
| Part II: Physical Improvements & Housing: SHHS contributed financially to the construction of Habitat for Humanity homes. SHHS held bi-monthly housing orientation sessions which were attended by pre-screen applicants. Applications were received from more than 30 persons with many in various stages of qualifying, actively building or occupying homes. SHHS participated with a coalition of local agencies including the EscaRosa Coalition on the Homeless, Community Action Program, Inc., and the Alfred-Washburn Center, to developing low-income housing solutions, and provided physical improvements to the dwellings of low-income homeowners. Workforce Development: SHHS provided Certified Nursing Assistant training and job placement at SHHS facilities for their own employees as well as individuals from the community at large. Smoking Cessation: Sacred Heart offers (free six week long classes, seven times per year.) "Freedom from Smoking" programs at no cost to help with the physical, psychological and habitual components of nicotine addictions. The System has identified tobacco use and its adverse impact on multiple health indicators as a key contributor to poor health outcomes in the community. Sacred Heart and competitor Baptist have mutually agreed to become tobacco free employers effective January 1, 2014. Other Programs: Improving healthy behaviors is a top priority of the system's CHNA Implementation Strategy. Additionally, health education for the community is provided with regular classes on topics such as stress management, violence prevention, diabetes management, babysitting, CPR, newborn parenting, preparing for joint replacement surgery, surviving after stroke, caregiver training, and coping with cancer. Mentoring Programs: Sacred Heart Health System provides a robust school mentoring program in partnership with the Escambia and Santa Rosa School Districts. Twelve children were provided mentoring on a weekly basis. A particular emphasis is placed on annual science fairs, reading, math and preparation for state standardized testing. Eighty children benefited from tutoring on an episodic basis as they prepared for standardized testing.Recycling: Sacred Heart Health System actively works to reduce its waste stream by recycling cardboard, office paper, tin, aluminum, and plastics. In conjunction by our dietary service partner Touchpoint, the system has eliminated most Styrofoam containers in favor of post-consumer paper products. The system also promotes utilizing less electricity which reduces emissions caused by electrical power generation. A new high efficiency power plant came online at the Pensacola Campus in 2013. Medical Education: Sacred Heart Hospital provides medical education through the following residency programs: FSU college of Medicine Pediatric Residency, FSU College of Medicine OB/GYN Residency, LECOM Internal Medicine Residency, and Sacred Heart Hospital Pharmacy Residency.Sacred Heart also partners with the following medical education institutions to provide onsite training for their students in health related fields: Florida State University College of Medicine, Lake Erie College of Osteopathic Medicine, University of West Florida, Pensacola State College, Virginia Medical College, Jefferson Davis Community College, Pensacola Christian College, and Escambia County School District Health Academy.Women's Health: The Sacred Heart Women's Center provides low-cost OB/GYN services to more than 2,400 uninsured or underinsured patients annually. The center is staffed by 12 full-time medical residents in conjunction with board-certified high-risk pregnancy and gynecologic oncology physicians. 14 residents serve at Sacred Heart Hospital of Pensacola in first, second and third year internal medicine programs. The pediatric program has 24 residents in general and sub specialty fields.Coalition Building: Sacred Heart Health System participates with other community building agencies such as: Bay Area Works, Poverty Solutions of Escambia County, Business Leaders' Network and the Able Trust, United Way, Catholic Charities, and the Pensacola Bay Area Chamber of Commerce for jobs creation, training, and the elimination of generational poverty.Health Screenings: Through Mission in Motion, a mobile health screening service which visits sites that travels throughout Northwest Florida and Southwest Alabama, Sacred Heart provided free health screenings to the poor, children, elderly, and uninsured or under insured. Services for adults include screening for blood pressure, anemia, blood sugar, cholesterol, glaucoma, and osteoporosis screenings. A total of 2,744 adults received health screenings. Services for children include free physical exams by a physician, and screenings for hearing, vision, and blood pressure. A total of 610 children were screened. Children's Health: A Center for Medicaid/Medicare funded 2-year grant was awarded to Sacred Heart Health System in 2011 with the objective of increasing and retaining children under the age of 19 in Florida's CHIP or other sources of public funded health insurance coverage. The grant provides for one-on-one assistance to parents, grandparents and guardians in understanding their options and enrolling in the Florida KidCare program. A community-health worker will be available to help families in Escambia, Santa Rosa, Okaloosa, Walton, Gulf and Franklin Counties. In Walton County for example, 267 families received counseling assistance from trained community based navigators with 213 children being enrolled.Support Groups: Sacred Heart facilitates the meetings of support groups for patients and families coping with the following health problems: obesity, breast cancer, cancer, prostate cancer, children with attention deficit disorders, heart disease, parents of multiples, and osteoporosis. On a monthly basis, Sacred Heart held community blood drives at a variety of Sacred Heart locations to support One Blood, Inc. the regional blood center provider. Camps: Sacred Heart's Miracle Camp hosted overnight, multi-day camping retreats for adults and children who have been diagnosed with chronic and critical illnesses. Camps include the biannual adult Camp Bluebird which served more than 80 persons with various cancers. Pediatric patients with diseases such as cancer, diabetes, arthritis, asthma, and cardiovascular were also served. A camp for overweight and obese children was established in FY13. Helping persons achieve and maintain a healthy weight is a goal selected by members of the healthcare community based on the CHNA. A variety of other day retreats for diseases such as sickle cell anemia are held throughout the year. Over 130 children were served at these camps.Physician Recruitment: Sacred Heart Health System is actively engaged in physician and physician extender recruitment for underserved communities. Physician recruitment includes primary care as well as subspecialty physicians. Recruitment placement is based on unmet community needs, high priority health status indicators, and federally designated manpower shortages. Much of the Health System's service area is rural. Sacred Heart Health System provides registered nurses to provide health services instruction to South Walton County High School Students through the South Walton Institute of Medical Sciences. The associates are responsible to teach, supervise and evaluate assigned students. Instructors provide education and training for approximately 300 students per year. This free service benefits the broader community by training allied health care providers targeted for the medically underserved population in the community. AIDS and HIV Services: Sacred Heart Hospital in Pensacola is proud to work with Lutheran Services to provide the Ryan White Title II Case Management Program, serving those in our community living with AIDS and the HIV virus. Our program is designed to provide comprehensive information and assistance to clients and their families in areas including outpatient medical care, dental care, mental health services, and medications. Thr | |
| Part III, Line 4: 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 Health Ministry 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 Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Health Ministry's policies. The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. The Health Ministry has not experienced material changes in write-off trends and has not materially changed its charity care policy since June 30, 2012. | |
| Part III, Line 8: 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 not be treated as community benefit. The cost to charge ratio method is used in determining the shortfall. | |
| Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply. | |
| Part V, Section B, Line 3: The CHNA process was facilitated by Partnership for a Healthy Community (PFAHC), a nonprofit tax-exempt organization whose mission is to sponsor community health status assessments for the two counties and to support and promote collaborative initiatives that address priority health problems. In addition to PFAHC, Sacred Heart Health System, Baptist Health Care ("BHC"), and Escambia Community Clinics ("ECC"), a federally qualified health center, were lead organizations and funders of the CHNA process. Senior leadership from Sacred Heart, BHC, Florida Department of Health-Escambia County and the University of West Florida also served as members of a PFAHC workgroup that designed the CHNA process, assimilated the results and provided recommendations to the PFAHC Board of Directors.PFAHC's Board of Directors provided oversight and input throughout the development of the assessment and establishment of priority health needs. PFAHC board members include health care providers, business, public health, education, community organizations, and advocates who serve minority, low-income and disadvantaged populations. A list of the PFAHC Board of Directors is provided in Attachment B of CHNA.The results of the assessment were reviewed with the Boards' of the four sponsoring organizations. In December 2012, a Community Forum was also held to share and discuss the results of the assessment with the public. Announcements and invitations to attend the Community Forum were distributed by email from an extensive database that had been developed and used during the previous community health needs assessments conducted by PFAHC, supplemented with additional contacts provided by the sponsoring organizations. Local media were also notified and were present at the Community Forum. Approximately 75 people representing community constituencies attended the Forum. In addition, the Forum was recorded for public viewing on the PFAHC website (www.pfahc.org). A list of organizations represented at the Community Forum is provided in Attachment C of CHNA. | Sacred Heart Hospital |
| Part V, Section B, Line 3: The CHNA process was led by Florida Department of Health - Walton County (WCHD), with active participation by the area's two hospitals, community organizations and private and public agencies which collectively comprise the Walton County Community Health Improvement Partnership (WCHIP). The CHNA process included WCHIP meetings, a community survey, and a Health Summit comprised of Walton County residents and members of the health provider community. More than 100 people representing 50 different community agencies and organizations and the general public participated in various meetings throughout the process. In addition, 92 Walton County residents completed a community survey to provide information about perceptions of the health of the community, its residents, and the health care system. To ensure input from persons with a broad knowledge of the community, email notifications and invitations were sent to more than 270 stakeholders and representatives of the public. Meetings were also announced following Florida public notice requirements and sent to media distribution lists, including local radio, newspaper, and television stations. | Sacred Heart on the Emerald Coast |
| Part V, Section B, Line 3: The CHNA was led by the Florida Department of Health Gulf County (GCHD), in collaboration with SHHG, community organizations and agencies from Gulf County, and interested organizations from neighboring Franklin County. Key participants included: SHHG, Gulf County Emergency Operations Center; Bay, Gulf, and Franklin County Healthy Start Coalitions; Florida Department of Health-Franklin County, Tobacco Prevention Program, Teen Outreach Program, and several faith-based organizations. The CHNA process included focus groups, workshops, a community survey, and several forums with Gulf County residents. To ensure input from persons with a broad knowledge of the community, notices of all meetings were placed in the local newspaper and through radio advertisement. In addition, invitations to meetings and forums where specific organizational input was needed were sent by regular mail, followed by email reminders. Notices were also sent to an extensive distribution list of community leaders and the media. A total of 346 Gulf County residents completed a Community Health Survey about perceptions of the health of the community, its residents, and the health care system. An additional 17 community members participated in focus groups to assess perceptions about health care quality and access. A forum of 27 community representatives identified strengths, weaknesses, opportunities, and threats within the Gulf County health care system. Finally, the CHNA process concluded with a workshop to identify strategic priorities and goals for health improvement activities. The workshop was facilitated by Quad R, a consulting firm experienced in leading community health improvement projects. | Sacred Heart Hospital on the Gulf |
| Part V, Section B, Line 3: The CHNA was facilitated by the Department of Health Bay County staff and Quad R, LLC, a community health improvement consulting firm. Participating agencies included: BMC, Gulf Coast Medical Center, Emerald Coast Rehabilitation Hospital, Florida Department of Health, Department of Health-Bay County, Gulf Coast State College, Florida State University-Panama City, University of Florida/IFAS Extension Bay County, Early Learning Coalition of Northwest Florida, Life Management Center, CARE, Second Chance, WeCare- Mullins Pharmacy, Healthy Start, Bay District Schools, Big Bend Health Council, Bridge Care/Youth in Action, Childrens Medical Services, City of Panama City Community Redevelopment Agency, Covenant Hospice and Homeless and Hunger Coalition of Northwest Florida.The CHNA process included CHTF member interviews, three workshops, and a community survey of BayCounty residents. To ensure input from persons with a broad knowledge of the community, all meetings were publicly noticed and the community survey was publicized in local newspapers, magazines, television and radio. | Bay Medical Center |
| Part V, Section B, Line 4: The needs assessment was conducted with following additional hospital facilities:- Partnership for a Healthy Community- Baptist Health Care - Escambia Community Clinics | Sacred Heart Hospital |
| Part V, Section B, Line 4: The needs assessment was conducted with in collaboration with the Florida Department of Health -Walton County. | Sacred Heart on the Emerald Coast |
| Part V, Section B, Line 4: The CHNA was led by the Florida Department of Health Gulf County (GCHD), in collaboration with SHHG, community organizations and agencies from Gulf County, and interested organizations from neighboring Franklin County. Key participants included: SHHG, Gulf County Emergency Operations Center; Bay, Gulf, and Franklin County Healthy Start Coalitions; Florida Department of Health-Franklin County, Tobacco Prevention Program, Teen Outreach Program, and several faith-based organizations. | Sacred Heart Hospital on the Gulf |
| Part V, Section B, Line 4: Gulf Coast Medical Center | Bay Medical Center |
| Part V, Section B, Line 7: There were three prioritized needs identified in the CHNA, of which Sacred Heart Hospital of Pensacola will not address one need.Sacred Heart Hospital of Pensacola is not directly involved in the Obesity priority because there is already a community coalition of providers focused on childhood obesity and there are other community assets with a mission or the facilities to improve physical activity. Sacred Heart Hospital of Pensacola will, however, continue to be a member of the Community Garden Coalition and maintain a community garden on its campus to improve access to healthy foods for its associates and to donate excess foods to Manna Food Pantries for those who are needy. | Sacred Heart Hospital |
| Part V, Section B, Line 7: There were four prioritized needs identified in the CHNA, of which SHHG will not address two needs. SHHG will not address the Economic Health priority, as that priority is focused on improved efforts by government and economic development organizations to attract funds and jobs to the community to build economic well-being and infrastructure. However, SHHG is a major employer that brought 125 new jobs to the community with its opening and will continue to be an advocate for economic development in the community as appropriate.SHHG will also not address the Social/Mental Health priority. The Florida Department of Health - Gulf County provides mental health counseling services and Life Management Services of Northwest Florida provides outpatient substance abuse services. These community resources will be lead organizations for this priority. SHHG will, however, collaborate to improve awareness of these resources and to advocate for expanded service capabilities in the community. | Sacred Heart Hospital on the Gulf |
| Part V, Section B, Line 7: There were three prioritized needs identified in the CHNA, of which BMC will not address the Healthy Lifestyles Education priority. The Healthy Lifestyles Education Action Plan includes two goals that involve development of a tool kit for youth on hygiene, physical activity, nutrition and bullying for nonprofit organizations, after school programs and childcare facilities, and creation of a resource directory for community organizations serving specific populations (e.g., persons with disabilities). Other CHTF participating agencies have specific knowledge and expertise in these areas and will serve in a lead role and community partner for these initiatives. | Bay Medical Center |
| Part V, Section B, Line 14g: Signs are posted in waiting rooms and at the admissions offices to notify patients that the hospital has a financial assistance policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the financial assistance policy. The policy is provided at the request of the patient. | Sacred Heart Hospital |
| Part V, Section B, Line 14g: Signs are posted in waiting rooms and at the admissions offices to notify patients that the hospital has a financial assistance policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the financial assistance policy. The policy is provided at the request of the patient. | Sacred Heart on the Emerald Coast |
| Part V, Section B, Line 14g: Signs are posted in waiting rooms and at the admissions offices to notify patients that the hospital has a financial assistance policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the financial assistance policy. The policy is provided at the request of the patient. | Sacred Heart Hospital on the Gulf |
| Part V, Section B, Line 14g: Signs are posted in waiting rooms and at the admissions offices to notify patients that the hospital has a financial assistance policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the financial assistance policy. The policy is provided at the request of the patient. | Bay Medical Center |
| Part V, Section B, Line 18e: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy Sacred Heart Health System does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to: - Notifying individuals of the financial assistance policy on admission- Notifying individuals of the financial assistance policy prior to discharge- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy | Sacred Heart Hospital |
| Part V, Section B, Line 18e: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy Sacred Heart Health System does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to: - Notifying individuals of the financial assistance policy on admission- Notifying individuals of the financial assistance policy prior to discharge- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy | Sacred Heart on the Emerald Coast |
| Part V, Section B, Line 18e: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy Sacred Heart Health System does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to: - Notifying individuals of the financial assistance policy on admission- Notifying individuals of the financial assistance policy prior to discharge- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy | Sacred Heart Hospital on the Gulf |
| Part V, Section B, Line 18e: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy Sacred Heart Health System does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to: - Notifying individuals of the financial assistance policy on admission- Notifying individuals of the financial assistance policy prior to discharge- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy | Bay Medical Center |
| Part VI, Line 2: The Comprehensive Community Health Needs Assessment (CHNA) provides the general public as well as policy leaders with data and information on the health status of the population and existing resources to address health issues and was conducted in collaboration with the Partnership for a Healthy Community (Sacred Heart Hospital in Pensacola), the Walton County Health Improvement Partnership and the Florida Department of Health-Walton County (Sacred Heart Hospital on the Emerald Coast), and the Florida Department of Health-Gulf County (Sacred Heart Hospital on the Gulf). The CHNA also contains plans for Sacred Heart Health System to sustain and develop new community benefit programs that address prioritized needs from the study. The community enjoys a rich history of cooperation as Sacred Heart Health System and Baptist Health Care have jointly-sponsored four assessments of Escambia and Santa Rosa Counties in Northwest Florida since 1995. The studies have been widely used by the two competing organizations and many other health care providers in the market area to develop plans for addressing priority health needs. The partnership study conducted by Florida HealthTrac provides current and trended data on 234 health indicators for Escambia County and 233 for Santa Rosa County. The study reports data at county and zip code levels, and includes comparisons to peer counties in the State of Florida, as well as at the national level. The study also incorporates key demographic and socioeconomic data, and data on lifestyle/behavioral risk factors that impact health status. The assessment tool enables Sacred Heart Health System the ability to track community health needs on an annual basis as it is aggregated from various sources within the State of Florida constantly updated in real time. Studies of Walton and Gulf Counties continue to bear evidence of similar health outcomes as those experienced in Escambia and Santa Rosa Counties. Florida ranks near the bottom nationally for public and preventative health funded outlays. Walton County is designated as a primary care health professional shortage population and a medically underserved population for low-income persons. Health priorities for Escambia/Santa Rosa include smoking cessation, attaining and maintaining a healthy weight, and access/care navigation. The priorities for Walton County include healthy behaviors, preventative care and health resource awareness. Gulf County priorities include a healthy economy, health and care management resources, and mental health. | |
| Part VI, Line 3: Financial counselors assist individuals who do not have insurance to qualify for Medicaid, SCHIP, and other programs. Counselors are trained not only in the policy, program and form processes, but also to respond with compassion, understanding and sensitivity toward persons living in poverty. These services are available at established patient encounter locations such as pre-registration, registration, admissions and discharge, or at any other time requested along the continuum of patient care. Further, trained counselors may assist with charity care or discount care based on the patient's personal income, their assets, and the size of their medical services bill. Self-pay patients are granted a 40% discount applied to their total charges. A summary of financial assistance services, policies and programs are found on the health system website, posted predominately in key areas and made available through brochures. A Guide to your Hospital Bill outlines payment and assistance options and it can be found in most areas of the hospital including admitting, emergency department, and diagnostic services. | |
| Part VI, Line 4: Sacred Heart Health System provides primary, secondary, and tertiary health care services to residents of the communities we serve. This includes the greater Pensacola MSA consisting of Escambia and Santa Rosa Counties, and Okaloosa, Walton, Bay, Gulf and Franklin Counties in Northwest Florida and Baldwin and Escambia counties in Southwest Alabama. There is special emphasis on service to the poor and those most in need. The System includes the flagship 458 beds medical, surgical acute care hospital in Pensacola, Florida. Housed within the Pensacola facility is the 119 bed Children's Hospital, the only one in Northwest Florida. Sacred Heart Hospital on the Emerald Coast is a 58 bed medical surgical hospital located in Miramar Beach, Florida. Sacred Heart Hospital of the Gulf is a 25 bed medical surgical hospital located in Port St. Joe, FL. In 2013, Sacred Heart Health System entered into a joint venture with LHP Hospital Group, Inc. to operate 323-bed Bay Medical Sacred Heart located in Panama City, Florida. The regional referral center serves Bay County and surrounding communities. | |
| Part VI, Line 5: Sacred Heart Health System provides many community benefits such as social services, pastoral care, community meeting space, and health education, all at no charge. SHHS has an open medical staff with privileges available to all qualified physicians in the area. The system is governed by a body of SHHS leaders with independent persons, representative of the community, comprising a majority of the board. It also engages in medical or scientific research programs and in the training and education of health care professionals. Other facilities and programs that promote the health of the community include a Pediatric Medical Clinic and a Pediatric Dental Clinic which provide services to low income children, and an adult dental clinic for emergency care. The Seton Center for Obstetrics and Gynecology provides services to low-income women eligible for Medicaid. | |
| Part VI, Line 6: Sacred Heart Health System, Inc. and Subsidiaries (the Health Ministry) is a member of Ascension Health. In December 2011, Ascension Health Alliance became the sole corporate member and parent organization of Ascension Health, a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension Health Alliance serves as the member or shareholder of various other subsidiaries. Ascension Health Alliance, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter as the System.Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province.The Health Ministry's principal operations consist of three nonprofit acute care hospitals: Sacred Heart Hospital located in Pensacola, Florida; Sacred Heart Hospital on the Emerald Coast, located in Destin, Florida; and Sacred Heart Hospital on the Gulf, located in Port St. Joe, Florida. The Health Ministry also owns and operates other health care related entities, including a nursing facility and physicians' medical group. The Health Ministry provides inpatient, outpatient, and emergency care services for residents of northwest Florida. Admitting physicians are primarily practitioners in the local area. The Health Ministry is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health are related to providing health care services.The System 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 that sustains and improves the health of the individuals and communities it serves. In accordance with the System'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. The System 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 living in poverty and community benefit programs. The cost of providing care to persons living in poverty and community benefit programs is estimated by reducing charges foregone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.The amount of traditional charity care provided, determined on the basis of cost, was approximately $14,087 thousand and $17,414 thousand for the years ended June 30, 2013 and 2012, respectively. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| The Nemours Foundation | |||||||
| 10140 Centurion Pkwy N | Jacksonville | FL | 32256 | 590634433 | 501(c)(3) | 1000000 | General Purpose |
| Escambia Community Clinics Inc | |||||||
| 2200 N Palafox St | Pensacola | FL | 32501 | 593105246 | 501(c)(3) | 562500 | General Purpose |
| Destin Charity Wine Auction Foundation | |||||||
| 215 Grand Blvd Ste 101 | Miramar | FL | 32550 | 204475403 | 501(c)(3) | 40000 | General Purpose |
| Hope Medical Clinic | |||||||
| 150 Beach Drive | Destin | FL | 32541 | 263811078 | 501(c)(3) | 39750 | General Purpose |
| Daughters of Charity Fund | |||||||
| 4330 Olive St | St Louis | MO | 63108 | 262695526 | 501(c)(3) | 20000 | General Purpose |
| Hospice Covenant | |||||||
| 5041 N 12 Ave | Pensacola | FL | 32504 | 592208300 | 501(c)(3) | 20000 | General Purpose |
| American Cancer Society Midwest Division | |||||||
| 5401 Corporate Woods Dr 100 | Pensacola | FL | 32504 | 410724036 | 501(c)(3) | 18500 | General Purpose |
| American Heart Association | |||||||
| PO Box 4002900 | Des Moines | IA | 50430 | 135613797 | 501(c)(3) | 18000 | General Purpose |
| Pensacola Blue Wahoos | |||||||
| PO Box 12587 | Pensacola | FL | 32591 | 12000 | General Purpose | ||
| Catholic Charities | |||||||
| 1815 N 6th Ave | Pensacola | FL | 32503 | 593213644 | 501(c)(3) | 10000 | General Purpose |
| Florida Panhandle Breast Cancer Assoc | |||||||
| PO Box 10695 | Pensacola | FL | 32524 | 651204207 | 501(c)(3) | 8000 | General Purpose |
| YMCA of Northwest Florida | |||||||
| 414-8 N Tarragona St | Pensacola | FL | 32501 | 590624465 | 501(c)(3) | 6500 | General Purpose |
| Walton County Chamber-Santa Rosa | |||||||
| 63 South Centre Trail | Santa Rosa | FL | 32459 | 590568662 | 501(c)(6) | 5975 | General Purpose |
| Autism Pensacola Inc | |||||||
| PO Box 30213 | Pensacola | FL | 32503 | 113643957 | 501(c)(3) | 5499 | General Purpose |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 13 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Susan L Davis RN | ||||||||||||||
| President/CEO | 0 | 807402 | 0 | 599993 | 0 | 46054 | 0 | 921992 | 0 | 33595 | 0 | 2409036 | 0 | 104681 |
| Buddy Elmore | ||||||||||||||
| EVP and CFO | 405623 | 0 | 144963 | 0 | 134223 | 0 | 5000 | 0 | 23971 | 0 | 713780 | 0 | 46505 | 0 |
| Carol Schmidt | ||||||||||||||
| COO & President (SHHP) | 228993 | 0 | 209786 | 0 | 159986 | 0 | 4450 | 0 | 9587 | 0 | 612802 | 0 | 101535 | 0 |
| Carol Whittington | ||||||||||||||
| VP - Human Resources | 306561 | 0 | 110311 | 0 | 53413 | 0 | 5000 | 0 | 22107 | 0 | 497392 | 0 | 0 | 0 |
| James Ward MD | ||||||||||||||
| Chief Medical Officer | 354558 | 0 | 125514 | 0 | 80637 | 0 | 5000 | 0 | 35756 | 0 | 601465 | 0 | 30439 | 0 |
| Karen Emmanuel | ||||||||||||||
| General Counsel | 288704 | 0 | 61522 | 0 | 95209 | 0 | 5000 | 0 | 10598 | 0 | 461033 | 0 | 39406 | 0 |
| Roger Hall | ||||||||||||||
| President - SHHEC & SHHG | 284125 | 0 | 95463 | 0 | 103952 | 0 | 5000 | 0 | 18757 | 0 | 507297 | 0 | 43530 | 0 |
| Peter Heckathorn | ||||||||||||||
| EVP SHMG | 391300 | 0 | 139830 | 0 | 185851 | 0 | 5000 | 0 | 23597 | 0 | 745578 | 0 | 75824 | 0 |
| Michael Brown MD | ||||||||||||||
| Dir of Medical Affairs | 280794 | 0 | 60543 | 0 | 68553 | 0 | 5000 | 0 | 22147 | 0 | 437037 | 0 | 37601 | 0 |
| Dana N Bledsoe | ||||||||||||||
| Pres. Child & Wmns Hosp | 303859 | 0 | 109605 | 0 | 22484 | 0 | 4151 | 0 | 22945 | 0 | 463044 | 0 | 0 | 0 |
| Joe Henry Stovall III | ||||||||||||||
| President - SHHP | 124878 | 0 | 110158 | 0 | 7029 | 0 | 2230 | 0 | 17756 | 0 | 262051 | 0 | 0 | 0 |
| Michael L Goodman MD | ||||||||||||||
| Physician | 627509 | 0 | 1630820 | 0 | 6342 | 0 | 5000 | 0 | 30214 | 0 | 2299885 | 0 | 0 | 0 |
| William J Dobak MD | ||||||||||||||
| Physician | 216215 | 0 | 1046506 | 0 | 6051 | 0 | 5000 | 0 | 23840 | 0 | 1297612 | 0 | 0 | 0 |
| Tarek Eldawy MD | ||||||||||||||
| Physician | 368271 | 0 | 614438 | 0 | 3150 | 0 | 5000 | 0 | 30588 | 0 | 1021447 | 0 | 0 | 0 |
| Ranjith B Dissanayake MD | ||||||||||||||
| Physician | 345499 | 0 | 23933 | 0 | 602584 | 0 | 314017 | 0 | 25665 | 0 | 1311698 | 0 | 600874 | 0 |
| Patrick Madden | ||||||||||||||
| Former President & CEO | 0 | 0 | 0 | 0 | 496200 | 0 | 0 | 0 | 869422 | 0 | 1365622 | 0 | 75782 | 0 |
| Paul P Wang MD | ||||||||||||||
| Physician | 621613 | 0 | 380219 | 0 | 1710 | 0 | 0 | 0 | 31429 | 0 | 1034971 | 0 | 0 | 0 |
| Laura S Kaiser | ||||||||||||||
| Former CEO & COO (SHHS) | 158584 | 0 | 0 | 0 | 259973 | 0 | 2165 | 0 | 4949 | 0 | 425671 | 0 | 142948 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Information | Part III | Part I, Line 4a: Severance Payments - Patrick Madden - $421,880 |
| Supplemental Information | Part III | Part I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals receive payment from the supplemental nonqualified retirement plan in the amount as noted: Buddy Elmore - $46,505 Carol Schmidt - $101,535 Karen Emmanuel - $39,406 Roger Hall - $43,530 James Ward - $30,439 Peter Heckathorn - $75,824 Michael Brown - $37,601 Laura Kaiser - $142,948 Patrick Madden - $75,782 Susan Davis - $104,681 Ranjith B. Dissanayake, M.D. - $600,874 The following individuals made contributions to the supplemental nonqualified retirement plan in the amounts as noted: Susan Davis - $900,188 Ranjith B. Dissanayake, M.D. - $349,457 Joe Henry Stovall, III - $36,906 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Greenhut Construction | |||
| A Board Member at SHHS is President | 9538129 | Construction Svc | 0 |
| CNNM LLC | |||
| A Board Member at SHHS is Owner | 279246 | Building Lease | 0 |
| Emmanuel Sheppard and Condon | |||
| A Board Member at SHHS is Partner | 167215 | Legal Services | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule L, Part IV: | Identifier |
| Return Reference | Business Transactions Involving Interested Persons: | ReturnReference |
| Explanation | All transactions reported on Part IV are reported at arms-length for fair market value. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Explanation of Amended Return | Form 990, Box B | This return has been amended for Part VII, Section A, Part VIII, Schedule H, and Schedule J. |
| Form 990, Part VI, Section A, line 2 | Robert Emmanuel and Karen Emanuel have a family relationship. Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Sacred Heart Health System, Inc. entity boards. | |
| Form 990, Part VI, Section A, line 6 | Sacred Heart Health System, Inc. has a single corporate member, Ascension Health. | |
| Form 990, Part VI, Section A, line 7a | Sacred Heart Health System, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the Sacred Heart Health System, Inc. | |
| Form 990, Part VI, Section A, line 7b | Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. | |
| Form 990, Part VI, Section B, line 11 | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. 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, Section B, line 12c | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. | |
| Form 990, Part VI, Section B, line 15 | In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee of Ascension Health reviewed and approved the CEO Compensation. In the review of the compensation, the CEO was compared to other organizations that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when her compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee and the Board of Directors reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to employees who hold the same title in other similar organizations regionally and nationally. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided. | |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. | |
| Form 990, Part VII, Section B: | The payments reported on Form 990, Part VII, Section B for Morrison Management Specialists, Inc., Greenhut Construction, and Mickelson Construction represent amounts for both materials and services. These amounts cannot be separated. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 9: | Deferred Pension Cost 1,272,192. Transfer to/from Affiliates -12,764,956. Transfer to Ascension -765,944. Other Changes in Fund Balance -1,160,284. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | 501(c)(3) | Schedule A, Line 11a | Ascension Health Alliance | 0 |
| Haven of Our Lady of Peace Inc | ||||||||||
| 5151 N 9th Ave | Pensacola | FL | 32504 | 593620346 | Nursing Home | FL | 501(c)(3) | Schedule A, Line 9 | Sacred Heart Health System Inc | 1 |
| Sacred Heart Foundation Inc | ||||||||||
| 5151 N 9th Ave | Pensacola | FL | 32504 | 592436597 | Foundation | FL | 501(c)(3) | Schedule A, Line 7 | Sacred Heart Health System Inc | 1 |
| Sacred Heart Health Ventures Inc | ||||||||||
| 5151 N 9th Ave | Pensacola | FL | 32504 | 571183283 | Serve as controlling entity of subsidiary organizations. | FL | 501(c)(3) | Schedule A, Line 11a | Sacred Heart Health System Inc | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Interventional Rehabilitation Center LLC | ||||||||||||||
| 1549 Airport Blvd Suite 420 | Pensacola | FL | 32503 | 593673361 | Medical Services | FL | Gulf Coast Diversified Inc | N/A | 709661 | -100042 | 0 | 0 | 0.51000 | |
| PET LLC | ||||||||||||||
| 5149 North 9th Ave Suite 124 | Pensacola | FL | 32504 | 593788701 | Medical Services | FL | N/A | |||||||
| Endoscopy Group LLC | ||||||||||||||
| 4810 North Davis HWY | Pensacola | FL | 32503 | 593519881 | Medical Services | FL | Gulf Coast Diversified Inc | N/A | 940945 | 837603 | 0 | 0 | 0.60000 | |
| Gulf Region Radiation Oncology MSO LLC | ||||||||||||||
| 5147 N 9th Ave | Pensacola | FL | 32504 | 261353083 | Medical Management Services | FL | Sacred Heart Health System Inc | Related | 485419 | 7696491 | 0 | 0 | 0.51000 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gulf Coast Diversified Inc | ||||||||||||
| 5154 N 9th Ave | Pensacola | FL | 32507 | 592432798 | Investment | FL | Sacred Heart Health System Inc | C | 3810904 | 14386245 | 1.00000 | 0 |
| Gulf Region Radiation Oncology Centers Inc | ||||||||||||
| 8333 North Davis Hwy | Pensacola | FL | 32514 | 260623827 | Medical Management Services | FL | Sacred Heart Health System Inc | C | 3750403 | 747706 | 0.50000 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Sacred Heart Foundation | ||
| S | 989009 | Cost |
| Sacred Heart Foundation | ||
| Q | 208494 | Cost |
| Haven of Our Lady of Peace Inc | ||
| S | 820457 | Cost |
| Haven of Our Lady of Peace Inc | ||
| O | 6777255 | Cost |
| Ascension Health | ||
| R | 8579984 | Cost |