ST VINCENTS HEALTH SYSTEM INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST VINCENTS HEALTH SYSTEM INC (EIN 59-3650609)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201421349349302357
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T09:44:31-05:00 | 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 | 593650609 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Vincent's Health System Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STVI | NameControl |
| Phone | 9043087300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4205 Belfort Road No 4015 | AddressLine1 |
| City | Jacksonville | City |
| State | FL | State |
| ZIP Code | 32216 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kimberly Hodgkinson | Name |
| Title | CFO - Health System | Title |
| Phone | 9043087300 | Phone |
| Date Signed | 2014-05-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rebecca Lyons | Name |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | Phone |
| Date Prepared | 2014-05-05 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Vincent's HealthCare | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Moody L Chisholm | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Shircliff Way | AddressLine1 |
| City | Jacksonville | City |
| State | FL | State |
| ZIP Code | 32204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 66865460 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.jaxhealth.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | Commitment to accept and serve poor and vulnerable patients regardless of their ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 352 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 128424 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2836723 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 61469897 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 63405133 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 396599 | InvestmentIncomePriorYear |
| Investment Income Current Year | -4315 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1957014 | OtherRevenuePriorYear |
| Other Revenue Current Year | 386815 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 63951934 | TotalRevenuePriorYear |
| Total Revenue Current Year | 66624356 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 517837 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1579060 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19269525 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 18890182 | 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 | 42067359 | OtherExpensePriorYear |
| Other Expenses Current Year | 44550751 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61854721 | TotalExpensesPriorYear |
| Total Expenses Current Year | 65019993 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2097213 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1604363 | RevenuesLessExpensesCY |
| Total Assets BOY | 82424959 | TotalAssetsBOY |
| Total Assets EOY | 209202859 | TotalAssetsEOY |
| Total Liabilities BOY | 12928793 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 55047554 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 69496166 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 154155305 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | St. Vincent's Health System, Inc. directs its activities to spiritually centered holistic care which sustains and improves the health of the individual and community. Its mission of service to those that are poor and vulnerable is a commitment to accept patients regardless of their ability to pay. The Health Ministry uses four categories to identify the resources utilized for the care of persons who are poor and community benefit programs. Traditional charity care includes the cost of services provided to persons unable to pay for services; unpaid cost of public programs for persons covered under public programs for the poor; costs of other programs for the poor are designed to serve the poor in a myriad of services; community benefit programs are services for all, not just the poor. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 62757688 | Expense |
| Grants | 1579060 | Grants |
| Revenue | 63405133 | Revenue |
| Description | St. Vincent's Health System, Inc. provides administrative and managerial services for St. Vincent's Medical Center, a 312 bed nonprofit acute care hospital; St. Luke's-St. Vincent's Healthcare, a 162 bed nonprofit acute care hospital; St. Catherine's Laboure Manor, Inc., a 240 bed nursing home; St. Vincent's Ambulatory Care, Inc. neurosurgery, neurology, and cardiology specialty practices; St. Vincent's Physician Enterprise, Inc., a taxable entity that provides primary care services and First Coast Primary Care, a physician office network for the provision of quality accessible outpatient care. The entities of St. Vincent's Health System, Inc. provide health care services for the residents of northeast Florida and southeast Georgia. St. Vincent's Health System, Inc. seeks to improve the physical, mental, social and spiritual health status of its surrounding community. | Description |
| Total Program Service Expense | 62757688 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 1 | 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 | 0 | Hospital |
| 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 | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | 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 | 52 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 352 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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 | Herb Kaminsky | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9043087300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4205 Belfort Road Suite 4015 | AddressLine1 |
| City | Jacksonville | City |
| State | FL | State |
| ZIP Code | 32216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| C Daniel Rice | ||||||||||
| Chairman | 3.00 | 3.00 | X | X | 0 | 0 | 0 | |||
| Sidney S Simmons II | ||||||||||
| Vice Chairman | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |||
| Richard Mullaney | ||||||||||
| Secretary/Treasurer | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |||
| Paul J Chappano MD | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Gary R Chartrand | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Dudley Greenhut | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| David G Kulik | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Ricardo Morales Jr | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Sr Nancy Murphy DC | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Sr Elyse Staab DC | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Moody Chisholm | ||||||||||
| President/CEO, Ex-Officio | 40.00 | 40.00 | X | X | 1158135 | 0 | 55827 | |||
| Mark Doyle | ||||||||||
| CFO | 40.00 | 40.00 | X | 477538 | 0 | 82397 | ||||
| Phil C Perry | ||||||||||
| CMO | 40.00 | 40.00 | 0 | 458819 | 36260 | X | ||||
| Karen F Darnell | ||||||||||
| VP/Chief Ambulatory Service Officer | 40.00 | 40.00 | 0 | 323407 | 37679 | X | ||||
| Janice G Lipsky | ||||||||||
| Sr. VP HR/OD/CHRO | 40.00 | 40.00 | 287156 | 0 | 52598 | X | ||||
| John Meyer | ||||||||||
| Sr. VP Strategic Planning | 40.00 | 40.00 | 262692 | 0 | 45614 | X | ||||
| Jeffery Middlebrooks | ||||||||||
| General Counsel (start 7/12) | 40.00 | 40.00 | 172941 | 0 | 4865 | X | ||||
| Donnie L Romine Jr | ||||||||||
| COO | 40.00 | 40.00 | 0 | 372395 | 106497 | X | ||||
| David G Pringle | ||||||||||
| EVP Mission Integration | 40.00 | 40.00 | 230811 | 0 | 68814 | X | ||||
| Sarath Degala | ||||||||||
| VP Revenue Cycle | 40.00 | 0.00 | 204308 | 0 | 26696 | X | ||||
| William Mayher | ||||||||||
| VP Reg Dev | 40.00 | 0.00 | 214975 | 0 | 27935 | X | ||||
| James Sapp | ||||||||||
| VP Managed Care | 40.00 | 0.00 | 259449 | 0 | 39575 | X | ||||
| Jon Debardeleben | ||||||||||
| Assoc. General Counsel | 40.00 | 0.00 | 167154 | 0 | 32158 | X | ||||
| Kevin Hammonds | ||||||||||
| System Director | 40.00 | 0.00 | 170299 | 0 | 20285 | X | ||||
| Kaye Lunsford | ||||||||||
| Director HR | 40.00 | 0.00 | 133022 | 0 | 36201 | X | ||||
| Christopher Bayer | ||||||||||
| System Director | 40.00 | 0.00 | 160150 | 0 | 25081 | X | ||||
| Carol Tannenbaum | ||||||||||
| System Director | 40.00 | 0.00 | 156057 | 0 | 18905 | X | ||||
| Gene K Miyamoto | ||||||||||
| Former COO (end 6/12) | 0.00 | 0.00 | 0 | 396767 | 19103 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4054687 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1551388 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 736490 | TotalOtherCompensation |
| Number Individuals GT100 K | 33 | 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 |
|---|---|---|---|---|---|
| UHS Building SOLS Inc | |||||
| 367 South Gulph Road | King of Prussia | PA | 19406 | Construction Services (Sch O) | 25944428 |
| Cerner Corporation | |||||
| PO Box 412702 | Kansas City | MO | 641412702 | Healthcare Software Solution | 2825627 |
| Brown Parker and Demarinis | |||||
| 3333 South Congress Avenue | DelRay Beach | FL | 33445 | Advertising Services | 2382000 |
| CDW LLC | |||||
| 75 Remittance Drive Suite 1515 | Chicago | IL | 606751515 | Computer Equipment | 1173250 |
| The AG Mauro Company of Florida Inc | |||||
| 1105 Sand Pond Road | Lake Mary | FL | 32746 | Manufacturer & Installer of Doors&Frames | 505215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Related Organizations | 2836723 | RelatedOrganizations |
| Total Contributions | 2836723 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Management Fees | 561110 | 63132941 | 63132941 |
| Exempt Affiliate Rent | 532000 | 266917 | 266917 |
| Health Education Fees | 611710 | 5275 | 5275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 63405133 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 393653 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 236789 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 156864 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 156864 | TotalRevenueColumn |
| Exclusion | $156,864 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4315 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -4315 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4315 | TotalRevenueColumn |
| Exclusion | -$4,315 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Debt Settlement | 900099 | 211742 | $211,742 |
| Wellness Fitness Fees | 713940 | 10290 | $10,290 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7919 | TotalRevenueColumn |
| Exclusion | $7,919 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 229951 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66624356 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63405133 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $382,500 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1579060 | Total |
| Program Services | 1579060 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3672326 | Total |
| Program Services | 3341817 | ProgramServices |
| Management And General | 330509 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10878743 | Total |
| Program Services | 9931961 | ProgramServices |
| Management And General | 946782 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 596416 | Total |
| Program Services | 596416 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2431002 | Total |
| Program Services | 2397660 | ProgramServices |
| Management And General | 33342 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1311695 | Total |
| Program Services | 1311695 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 551530 | Total |
| Program Services | 551530 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169770 | Total |
| Program Services | 169770 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4972447 | Total |
| Program Services | 4416076 | ProgramServices |
| Management And General | 556371 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3240742 | Total |
| Program Services | 3235486 | ProgramServices |
| Management And General | 5256 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1144358 | Total |
| Program Services | 1084095 | ProgramServices |
| Management And General | 60263 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29377080 | Total |
| Program Services | 29377080 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3125093 | Total |
| Program Services | 3121339 | ProgramServices |
| Management And General | 3754 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302874 | Total |
| Program Services | 334671 | ProgramServices |
| Management And General | -31797 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -1162225 | Total |
| Program Services | -1162225 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2264390 | Total |
| Program Services | 2264390 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 552775 | Total |
| Program Services | 551457 | ProgramServices |
| Management And General | 1318 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25061 | Total |
| Program Services | 25061 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Recruiting | 290368 | 290368 | |
| Bank Fees | 141748 | 141748 | |
| Licenses and Permits | 109805 | 97255 | 12550 |
| Bad Debt | -174357 | -174357 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -380708 | Total |
| Program Services | -724665 | ProgramServices |
| Management And General | 343957 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65019993 | Total |
| Program Services | 62757688 | ProgramServices |
| Management And General | 2262305 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87849 | BOY |
| EOY | 906141 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10816646 | BOY |
| EOY | 10376172 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220009 | BOY |
| EOY | 200224 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 28615 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 73839576 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4846232 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25163236 | BOY |
| EOY | 68993344 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394438 | BOY |
| EOY | 11593282 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45742781 | BOY |
| EOY | 117105081 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82424959 | BOY |
| EOY | 209202859 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9773906 | BOY |
| EOY | 8890053 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3154887 | BOY |
| EOY | 46157501 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12928793 | BOY |
| EOY | 55047554 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62619724 | BOY |
| EOY | 148410651 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6876442 | BOY |
| EOY | 5744654 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69496166 | BOY |
| EOY | 154155305 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82424959 | BOY |
| EOY | 209202859 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1604363 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 346036 | ReconciliationUnrealizedInvest |
| Reconcilation Invest Expenses | -61053 | ReconcilationInvestExpenses |
| Reconcilation Other Changes | 82769793 | 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 | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (5 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | AmountAmount |
|---|---|---|---|
| St Vincent's Medical Center | |||
| 590624449 | 3 - Hospital | 1 | $49,380,075 |
| St Catherine's Laboure Manor | |||
| 591878316 | 3 - Hospital | 1 | $452,515 |
| St Vincent's Ambulatory Care | |||
| 592292041 | 9 | 1 | $2,952,369 |
| St Luke's-St Vincent's Healthcare | |||
| 260479484 | 3 - Hospital | 1 | $12,539,580 |
| St Vincent's Medical Center Clay County | |||
| 461523194 | 3 - Hospital | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 5 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 65324539 | SumOfAmounts |
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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8725136 | OtherCostOrOtherBasis |
| Book Value | 8725136 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4877230 | OtherCostOrOtherBasis |
| Depreciation | 1597147 | Depreciation |
| Book Value | 3280083 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2889391 | OtherCostOrOtherBasis |
| Depreciation | 2693306 | Depreciation |
| Book Value | 196085 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 57347819 | OtherCostOrOtherBasis |
| Depreciation | 555779 | Depreciation |
| Book Value | 56792040 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 68993344 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliates | 93984943 |
| CSV Officers' Life Insurance | 718448 |
| Deferred Compensation Asset | 824575 |
| Interest in Investments Held by Ascension Health Alliance | 4481079 |
| Investment in Unconsolidated Subsidiaries | 490229 |
| Merger/Acquisition Costs | 16561201 |
| Other | 44606 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 117105081 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliates | $45,584,408 |
| Pension Payable | -$301,714 |
| Deferred Compensation Liability | $824,575 |
| Other | $50,232 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 46157501 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | From the consolidated financial statements of St. Vincent's Health System, Inc.: The Health Ministry accounts for uncertainty in income tax positions by appyling a recognition threshold and measurement attribute for financial statement recognition and measurement of tax position taken or expected to be taken in a tax return. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Way Free Medical Clinic | |||||||
| 479 Houston Street | Green Cove Springs | FL | 32043 | 760828154 | 501(c)(3) | 10000 | General Support |
| Sulzbacher Center | |||||||
| 611 East Adams Street | Jacksonville | FL | 32202 | 593229898 | 501(c)(3) | 30000 | General Support |
| St Luke's Catholic Church | |||||||
| 1606 Blanding Blvd | Middleburg | FL | 32068 | 592398919 | 501(c)(3) | 80000 | Sponsorship |
| Ronald McDonald House | |||||||
| 824 Childrens Way | Jacksonville | FL | 32207 | 592625008 | 501(c)(3) | 15000 | General Support |
| Duval County Health Department | |||||||
| 900 University Blvd North 505 | Jacksonville | FL | 32211 | Gov't Entity | 55955 | General Support | |
| Emergency Pregnancy Services | |||||||
| 1637 King Street | Jacksonville | FL | 32204 | 591728078 | 501(c)(3) | 28000 | General Support |
| Jacksonville Community Council Inc | |||||||
| 2434 Atlantic Blvd | Jacksonville | FL | 32207 | 591163905 | 501(c)(3) | 25000 | General Support |
| Florida Catholic Conference | |||||||
| 201 West Park Avenue | Tallahassee | FL | 32301 | 591232887 | 501(c)(3) | 12881 | General Support |
| We Care Jacksonville | |||||||
| 900 University Boulevard North | Jacksonville | FL | 32221 | 593431724 | 501(c)(3) | 10000 | General Support |
| Health Planning Council of Northeast Florida | |||||||
| 100 N Laura Street | Jacksonville | FL | 32202 | 592247189 | 501(c)(3) | 20542 | General Support |
| National Council of the United States Society of St Vincent De Paul Inc | |||||||
| 58 Progress Parkway | Maryland Heights | MO | 63043 | 135562362 | 501(c)(3) | 10000 | General Support |
| Clay County Chamber of Commerce | |||||||
| 1734 Kingsley Avenue | Orange Park | FL | 32073 | 590549602 | 501(c)(6) | 13000 | General Support |
| Concert on the Green | |||||||
| PO Box 9000 | Fleming Island | FL | 32006 | 593170544 | 501(c)(3) | 8500 | General Support |
| National Kidney Foundation of FL | |||||||
| 1040 Woodcock Road Suite 119 | Orlando | FL | 32803 | 592190073 | 501(c)(3) | 10000 | General Support |
| St Vincent's Medical Center Inc | |||||||
| 4205 Belfort Road | Jacksonville | FL | 32216 | 590624449 | 501(c)(3) | 829513 | General Support |
| St Vincent's Foundation Inc | |||||||
| 4205 Belfort Road Suite 4015 | Jacksonville | FL | 32216 | 592219923 | 501(c)(3) | 85828 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 14 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: St. Vincent's Health System, Inc. provides only direct charitable contributions. Therefore, no monitoring of charitable contributions is performed. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Moody Chisholm | ||||||||||||||
| President/CEO, Ex-Officio | 610753 | 0 | 417376 | 0 | 130006 | 0 | 39022 | 0 | 16805 | 0 | 1213962 | 0 | 0 | 0 |
| Mark Doyle | ||||||||||||||
| CFO | 390112 | 0 | 83118 | 0 | 4308 | 0 | 78085 | 0 | 4312 | 0 | 559935 | 0 | 0 | 0 |
| Phil C Perry | ||||||||||||||
| CMO | 0 | 351820 | 0 | 76093 | 0 | 30906 | 0 | 23500 | 0 | 12760 | 0 | 495079 | 0 | 0 |
| Karen F Darnell | ||||||||||||||
| VP/Chief Ambulatory Service Officer | 0 | 252976 | 0 | 51510 | 0 | 18921 | 0 | 22000 | 0 | 15679 | 0 | 361086 | 0 | 0 |
| Janice G Lipsky | ||||||||||||||
| Sr. VP HR/OD/CHRO | 216316 | 0 | 53204 | 0 | 17636 | 0 | 36000 | 0 | 16598 | 0 | 339754 | 0 | 0 | 0 |
| John Meyer | ||||||||||||||
| Sr. VP Strategic Planning | 213014 | 0 | 47103 | 0 | 2575 | 0 | 40114 | 0 | 5500 | 0 | 308306 | 0 | 0 | 0 |
| Jeffery Middlebrooks | ||||||||||||||
| General Counsel (start 7/12) | 142869 | 0 | 28839 | 0 | 1233 | 0 | 0 | 0 | 4865 | 0 | 177806 | 0 | 0 | 0 |
| Donnie L Romine Jr | ||||||||||||||
| COO | 0 | 217439 | 0 | 151448 | 0 | 3508 | 0 | 89987 | 0 | 16510 | 0 | 478892 | 0 | 0 |
| David G Pringle | ||||||||||||||
| EVP Mission Integration | 178356 | 0 | 43152 | 0 | 9303 | 0 | 53854 | 0 | 14960 | 0 | 299625 | 0 | 0 | 0 |
| Sarath Degala | ||||||||||||||
| VP Revenue Cycle | 166457 | 0 | 36831 | 0 | 1020 | 0 | 18223 | 0 | 8473 | 0 | 231004 | 0 | 0 | 0 |
| William Mayher | ||||||||||||||
| VP Reg Dev | 171178 | 0 | 41437 | 0 | 2360 | 0 | 25521 | 0 | 2414 | 0 | 242910 | 0 | 0 | 0 |
| James Sapp | ||||||||||||||
| VP Managed Care | 210346 | 0 | 45272 | 0 | 3831 | 0 | 26715 | 0 | 12860 | 0 | 299024 | 0 | 0 | 0 |
| Jon Debardeleben | ||||||||||||||
| Assoc. General Counsel | 166406 | 0 | 0 | 0 | 748 | 0 | 16984 | 0 | 15174 | 0 | 199312 | 0 | 0 | 0 |
| Kevin Hammonds | ||||||||||||||
| System Director | 160766 | 0 | 8921 | 0 | 612 | 0 | 2942 | 0 | 17343 | 0 | 190584 | 0 | 0 | 0 |
| Kaye Lunsford | ||||||||||||||
| Director HR | 124444 | 0 | 7378 | 0 | 1200 | 0 | 20500 | 0 | 15701 | 0 | 169223 | 0 | 0 | 0 |
| Christopher Bayer | ||||||||||||||
| System Director | 150599 | 0 | 8711 | 0 | 840 | 0 | 8238 | 0 | 16843 | 0 | 185231 | 0 | 0 | 0 |
| Carol Tannenbaum | ||||||||||||||
| System Director | 146076 | 0 | 8711 | 0 | 1270 | 0 | 13000 | 0 | 5905 | 0 | 174962 | 0 | 0 | 0 |
| Gene K Miyamoto | ||||||||||||||
| Former COO (end 6/12) | 0 | 198230 | 0 | 0 | 0 | 198537 | 0 | 19103 | 0 | 0 | 0 | 415870 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Information | Part III | Part I, Line 4a, Severance Payment: Gene K. Miyamoto - $194,741 |
| 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 executives is reported as compensation on Form 990 Schedule J, Part II, Column B in the year paid. The organization contributed to the nonqualified supplemental retirement plan as follows: Mark Doyle - $44,575 David G. Pringle - $18,236 Sarath Degala - $5,500 William Mayher - $8,521 James Sapp - $14,572 John Meyer - $17,032 St. Vincent's Medical Center, Inc. (related entity) contributed to the nonqualified supplemental retirement plan as follows: Donnie L. Romine - $51,455 Gene K. Miyamoto - $8,092 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Community Benefit Report: | Form 990, Part III, Line 4a: | This report illustrates the significant degree St. Vincent's Health System contributes to the positive health status of the residents of Jacksonville, Florida and surrounding communities. As a member of Ascension Health, the nation's largest not-for-profit Catholic healthcare system, St. Vincent's Health System continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. Our goal is to perpetuate the healing mission of the Catholic Church. We further this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community, and medical research. St. Vincent's Health System core values include: Service of the Poor, Reverence, Wisdom, Creativity, Dedication and Integrity drive our concern for all human life and calls us to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. In order to fully portray the expansive breadth of our contribution, the community benefit information is described below. Organizational Commitment to Providing Community Benefit St. Vincent's Health System provides administrative and managerial services for St. Vincent's Medical Center, Inc., a 528-bed nonprofit acute care hospital; St. Luke's-Vincent's Healthcare, a 313-bed nonprofit acute care hospital; St. Catherine Laboure Manor, Inc. a 240-bed nursing home; St. Vincent's Ambulatory Care's neurosurgery, neurology, cardiology specialty practices, and general surgery and ob-gyn practices; and St. Vincent's Primary Care (formerly know as First Coast Primary Care) and St. Vincent's Physician Enterprise, physician office networks for the provision of quality, accessible outpatient care. The entities of St. Vincent's Health System provide health care services for the residents of Northeast Florida and Southeast Georgia. St. Vincent's seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, St. Vincent's Health System has developed many programs to fulfill our mission: Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. To provide for those who are poor and vulnerable, St. Vincent's Health System has supported not-for-profit organizations across the community whose missions align with St. Vincent's Health System. Among the agencies it has financially supported are I.M. Sulzbacher Center for the Homeless, Hubbard House for abused persons, Community Connections, which provides shelter for homeless families, The Way Free Medical Clinic, We Care, Volunteers in Medicine, and the City Rescue Mission - all provide services for the homeless and indigent. St. Vincent's Mobile Health Outreach Ministry is an internal program that utilizes mobile clinics to deliver direct access to medical care, both acute and preventive, to the men, women and children who lack medical access regardless of their ability to pay. These clinics target remote, rural and inner city areas where medical access is unavailable. St. Vincent's Health System also supports many Community Benefit programs with particular emphasize on education. The Bayley Fund School Nurse program supports school nurse positions from the Duval Department of Health to work in local schools. Faith Community Nursing provides nurses to engage local faith community leaders in their ministries. Seton Center for Women and Children provides childbirth education and resources. Summary St. Vincent's Health System provides essential health improvement services to the community, trains and recruits healthcare professionals to serve the needs of the broader community, provides appropriate charity services to those patients who are unable to pay for their own healthcare needs, provides services to other organizations that facilitate quality services to their patients or constituents, and presents educational information classes and activities to the community in order to improve its overall health status. St. Vincent's Health System has truly made a difference in the lives of people in Northeast Florida and Southeast Georgia, especially delivering health care in innovative ways to communities that lack access to quality health services. |
| Form 990, Part VI, Section A, line 6 | St. Vincent's Health System, Inc. has a single corporate member, Ascension Health. | |
| Form 990, Part VI, Section A, line 7a | St. Vincent's Health System, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Vincent's 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. Management presents the Form to the Board, or a designated committee, to review. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. | |
| Form 990, Part VI, Section B, line 12c | Officers, directors or trustees, and key employees are required to complete a Conflict of Interest Attestation Statement at the time of hiring or when their service begins. Annually, the Corporate Responsibility Officer sends the Conflict of Interest Policy and Attestation Statement to all officers, directors or trustees, and key employees for completion and return within two weeks. Three separate mailings are sent out with two week deadlines to receive a maximum response. The responses from the returned Attestation Statement are organized in a spreadsheet and are carefully reviewed by the Corporate Responsibility Officer, the Chief Legal Officer, and the Chief Executive Officer. A full report is presented to the Audit Committee and any potential conflicts of interest are handled by the Committee in an appropriate manner. | |
| Form 990, Part VI, Section B, line 15 | In determining the 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 reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining the 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 reviewed and approved the compensation. In the review of the compensation, the other officers or key employees were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. | |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. | |
| Form 990, Part VII, Section B: | Compensation amount paid to UHS Building Sols, Inc. includes both construction services and materials. There is no easy way to breakout these amounts to only report services in Form 990, Part VII, Section B. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 9: | Transfers from Affiliates 69,491,974. Deferred Pension Costs -59,147. Investments in Subsidiaries 18,204,361. Transfer to Ascension Health -1,601,235. Symphony Non-Recurring Expenses -3,266,160. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 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 | Section 501(c)(3) | Schedule A, Line 11a | Ascension Health Alliance | 0 |
| St Vincent's Medical Center Inc | ||||||||||
| 4205 Belfort Road Suite 4015 | Jacksonville | FL | 32216 | 590624449 | Hospital | FL | Section 501(c)(3) | Schedule A, Line 3 | St Vincent's Health System Inc | 1 |
| St Luke's-St Vincent's Healthcare Inc | ||||||||||
| 4205 Belfort Road Suite 4015 | Jacksonville | FL | 32216 | 260479484 | Hospital | FL | Section 501(c)(3) | Schedule A, Line 3 | St Vincent's Health System Inc | 1 |
| St Vincent's Ambulatory Care Inc | ||||||||||
| 4205 Belfort Road Suite 4015 | Jacksonville | FL | 32216 | 592292041 | Physician Practice | FL | Section 501(c)(3) | Schedule A, Line 9 | St Vincent's Health System Inc | 1 |
| St Vincent's Foundation Inc | ||||||||||
| 4205 Belfort Road Suite 4015 | Jacksonville | FL | 32216 | 592219923 | Fund Raising | FL | Section 501(c)(3) | Schedule A, Line 7 | St Vincent's Health System Inc | 1 |
| St Catherine's Laboure Manor Inc | ||||||||||
| 4205 Belfort Road Suite 4015 | Jacksonville | FL | 32216 | 591878316 | Nursing Home | FL | Section 501(c)(3) | Schedule A, Line 3 | St Vincent's Health System Inc | 1 |
| St Vincent's Medical Center Clay County Inc | ||||||||||
| 1580 Branan Field Road | Middleburg | FL | 32068 | 461523194 | Hospital | FL | Section 501(c)(3) | Schedule A, Line 3 | St Vincent's Health System Inc | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Consolidated Pharmacy Services Inc | |||||||||||||
| 4205 Belfort Road Suite 4015 | Jacksonville | FL | 32216 | 593398033 | Retail Pharmacy & Patient Transport | FL | St Vincent's Health System Inc | C | 6179661 | 3133748 | 1.00000 | 0 | |
| St Vincent's Physician Enterprise Inc | |||||||||||||
| 4205 Belfort Road Suite 4015 | Jacksonville | FL | 32216 | 271927603 | Primary Care | FL | St Vincent's Health System Inc | C | 4045548 | 2026210 | 1.00000 | 0 | |
| Family Medicine Condominium Association Inc | |||||||||||||
| 1 Shircliff Way | Jacksonville | FL | 32204 | 261983355 | Condominium Association | FL | C | 0 | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | 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 | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Ascension Health | ||
| S | 1601235 | FMV |
| St Vincent's Medical Center Inc | ||
| I | 732502 | FMV |
| St Vincent's Ambulatory Care Inc | ||
| L | 982290 | FMV |
| St Vincent's Medical Center Inc | ||
| L | 13922065 | FMV |
| St Catherine's Laboure Manor Inc | ||
| L | 321133 | FMV |
| St Luke's-St Vincent's Healthcare | ||
| L | 3589135 | FMV |
| St Vincent's Foundation Inc | ||
| C | 2836723 | FMV |
| St Vincent's Medical Center Inc | ||
| B | 829513 | FMV |
| St Vincent's Foundation Inc | ||
| B | 85828 | FMV |
| St Vincent's Ambulatory Care Inc | ||
| J | 67379 | FMV |
| St Luke's-St Vincent's Healthcare | ||
| J | 163720 | FMV |
| St Vincent's Medical Center Inc | ||
| Q | 41930156 | FMV |
| St Vincent's Ambulatory Care Inc | ||
| Q | 5573525 | FMV |
| Consolidated Pharmacy Services Inc | ||
| Q | 77020 | FMV |
| St Vincent's Ambulatory Care Inc | ||
| R | 32786654 | FMV |
| St Luke's-St Vincent's Healthcare | ||
| R | 1325345 | FMV |
| Consolidated Pharmacy Services Inc | ||
| R | 316689 | FMV |
| First Coast Primary Care | ||
| R | 1724298 | FMV |
| St Vincent's Physician Enterprise Inc | ||
| R | 1995384 | FMV |