2026-05-12T20:17:10+00:00 2025-06-30 990 2024-07-01 590624449 St Vincent's Medical Center Inc STVI 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Jennifer Richter ASSOCIATE VICE PRESIDENT, TAX 3147338000 2026-05-13 2024 2025-03-06 01:10:19Z See Schedule O SCOTT KASHMAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 494000369 false 0928 X See Schedule O X 1916 FL To improve the health and well-being of all people in the communities we serve. 11 7 2272 144 0 9275743 677456 438751153 487451879 8046 0 5717854 4896788 453752796 493026123 89000 108679 0 0 141821549 144646532 0 0 0 310149377 318143769 452059926 462898980 1692870 30127143 323461525 312625580 319493751 302924637 3967774 9700943 ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. false false 338562188 108679 488761317 The filing organization is a part of the Ascension Catholic Health Ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. St. Vincent's Medical Center, Inc. is a 284-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2025, St. Vincent's Medical Center, Inc. treated 14,245 adults and children for a total of 69,259 patient days of service. The hospital also provided services for 187,294 outpatient visits, which included 7,029 outpatient surgeries and 54,932 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 338562188 true true false true false false false false false false true false true false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false false true true true true false false true 167 0 true 2272 true false false false false false false false false false false false false X 11 7 false false false false true true true true true false false false false true true true true true false false true true X JOHN WINSTEL 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 BRYAN JAMES WALRATH EX-OFFICIO/DIRECTOR 0.0 50.0 X X 0 550459 42167 GERALD WEEDON SECRETARY/TREASURER 1.0 2.0 X X 0 0 0 SCOTT KASHMAN EX-OFFICIO/DIRECTOR/PRESIDENT 50.0 0.0 X X 746913 0 53940 THOMAS R MCGEHEE JR CHAIR 1.0 2.0 X X 0 0 0 CORY MATTHEW DARLING EX-OFFICIO/DIRECTOR 0.0 50.0 X 0 317362 45545 JENNIFER KNIGHT DIRECTOR 1.0 2.0 X 0 0 0 JEREMIAH BLOCKER DIRECTOR 1.0 2.0 X 0 0 0 JIM BUSH DIRECTOR 1.0 2.0 X 0 0 0 KEVIN RINKS EX-OFFICIO/DIRECTOR 0.0 50.0 X 0 433860 48881 LILLIA LORIZ DIRECTOR 1.0 2.0 X 0 0 0 SISTER CATHERINE KELLY DIRECTOR (END 5/2025) 1.0 2.0 X 0 0 0 STEVEN SIEGEL DIRECTOR 1.0 2.0 X 0 0 0 JALIMA TRANK CFO, MINISTRY MARKET 0.0 50.0 X 0 974871 28859 STORMY DULOVICH RN CHIEF NURSING OFFICER 50.0 0 X 290239 0 42236 THU PHAN CHIEF OPERATING OFFICER 50.0 0 X 333156 0 44880 CHRISTOPHER WATSON MD PHYSICIAN 50.0 0 X 293305 0 27007 DANIELLE CARTER MD PHYSICIAN 50.0 0 X 330253 0 22309 DAVID A MCINNES MD DIRECTOR, PHYSICIAN RESIDENT/STUDENT PROGRAM 50.0 0 X 505626 0 58517 SONYA J DOMINGUEZ MD PHYSICIAN 50.0 0 X 283808 0 52179 TODD D FRACKE PHYSICIST SUPERVISOR (END 8/2024) 50.0 0 X 254277 0 15766 COBA SUSAN CORNEJO FORMER OFFICER (END 6/2020) 0.0 50.0 X 0 1369888 63669 JENNIFER R MORTON FORMER KEY EMPLOYEE (END 12/2023) 0.0 50.0 X 0 294159 27720 STEPHAN F QUIRICONI FORMER OFFICER (END 11/2022) 0.0 0.0 X 0 215092 0 3037577 4155691 573675 182 true true false HNI MEDICAL SERVICES OF FLORIDA LLC 7500 RIALTO BLVD BLDG 1 STE 140 AUSTIN TX 78735 MEDICAL SERVICES 4012134 GRESHAM SMITH 222 2ND AVE S STE 1400 NASHVILLE TN 372012373 CONSTRUCTION SERVICES 3396299 CARDIOTHORACIC & VASCULAR SURGICAL 1824 KING ST STE 200 JACKSONVILLE FL 32204 MEDICAL SERVICES 2742904 NORTH FLORIDA ANESTHESIA CONSULTANTS PO BOX 744883 ATLANTA GA 30374 MEDICAL SERVICES 2193885 BRASFIELD & GORRIE LLC 3021 7TH AVE S BIRMINGHAM AL 35233 CONSTRUCTION SERVICES 1887061 15 0 0 0 666020 9961 1475 677456 Net Patient Service Revenue 621990 477801011 477801011 Value Based Revenue 531120 6858908 6858908 Income from Joint Ventures 621990 1024084 1024084 Rental Income from Affiliates 531120 994413 994413 Services to Affiliates 900099 484772 484772 288691 288691 0 0 487451879 0 0 0 0 0 0 2640382 0 974246 0 1666136 0 1666136 1666136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 1797581 1797581 Research Revenues 541700 1193774 1193774 Education Revenue 611430 70659 70659 168638 45005 0 123633 3230652 493026123 488761317 0 3587350 108679 108679 0 0 1511364 1511364 117349767 108684435 8665332 4317341 3998540 318801 12943643 11987860 955783 8524417 7803831 720586 610508 610508 5000 5000 21934 21934 19842 19842 16642184 7953768 8688416 0 132118 26288 105830 1045611 378148 667463 147429 -7774 155203 6140781 5621689 519092 206700 162865 43835 125520 121155 4365 18471028 16909636 1561392 122893 32801 90092 Medical Supplies 110241784 109958712 283072 Purchased Services 75688175 39447087 36241088 Management Fee to Affiliate 55093794 55093794 Provider Tax 11588855 11588855 21839613 13785613 8054000 0 462898980 338562188 124336792 0 7292 7292 3791 3791 0 0 97777264 68583140 0 0 0 0 0 0 10455192 10391062 384 13946 546910884 363159356 175558092 183751528 0 0 0 18223439 18364662 8363929 23121183 13072142 8388976 323461525 312625580 25851209 23223865 0 0 10415 4110 0 0 0 0 0 0 0 0 0 0 293632127 279696662 319493751 302924637 X 3967774 9700943 0 0 0 0 0 0 0 0 3967774 9700943 323461525 312625580 X 30127143 4509 -24398483 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 19842 19842 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that are specifically allocable to lobbying. THE FILING ORGANIZATION 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. 0 8071916 8071916 0 385863336 260041996 125821340 0 1079916 891181 188735 0 122513338 97443571 25069767 0 29382378 4782608 24599770 183751528 Equity Investment in Cancer Specialists LLC 18364662 C 18364662 0 Federal Income Taxes 0 Long term Operating Lease Liability 1525041 Security Deposit 3692 Due to Affiliates 52380322 Estimated 3rd Party Payor Settlement 2514257 Recovery Tail Liability 4216205 Accrued State Healthcare Tax Liability Debt with Ascension Health Alliance 218331917 Accrued Sales & Use Tax Liability 6088 MEDICARE ADVANCE PAYMENTS Insurance Advanced Payments Other Miscellaneous Liabilities 719140 Valuation Allowance Liability 279696662 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2025. true true X true X 250 true X 6074270 6074270 0.01312 32876562 25492862 7383700 0.01595 0 0.0 0 0 38950832 25492862 13457970 0.02907 5 600 752175 752175 0.00162 3 5656 7150848 7150848 0.01545 0 0.0 0 0.0 2 37 37020 37020 0.00008 10 6293 7940043 0 7940043 0.01715 10 6293 46890875 25492862 21398013 0.04623 0 0.0 1 2 4955 4955 0.00001 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 2 4955 0 4955 0.00001 false 5433279 0 106711389 95038469 11672920 X true true 1 1 Ascension St Vincent's Riverside 1 SHIRCLIFF WAY Jacksonville FL 32204 https://healthcare.ascension.org/locations/florida/fljac/jacksonville-ascension-st-vincents-riversid 4376 X X X Ascension St Vincent's Riverside 1 false false true X X X X X X X X X 24 true true false true X https://healthcare.ascension.org/CHNA X true 24 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER ALIGN COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING EVIDENCE-BASED PRACTICES, PROGRAMS AND RESOURCES; ADDRESSING DIFFERENCES OF SUBGROUPS AND ENABLING MORE ACCESS TO HEALTHCARE; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Ascension St. Vincent's Riverside. To obtain community input for St. Vincent's Medical Center, Inc.'s most recent CHNA (tax year 2024), the hospital collaborated with the Jacksonville Nonprofit Hospital Partnership, a comprehensive network of nonprofit hospitals and health systems serving Northeast Florida, including Baptist Health/Wolfson Children's Hospital, Brooks Rehabilitation, Mayo Clinic Florida, Ascension St. Vincent's, and UF Health. The CHNA assessment process incorporated input from individuals and organizations representing a broad range of community perspectives, including: public health practice and research; individuals who are medically underserved, low income, or considered among the populations served by the hospital; and the broader community at large and those who represent the broad interests of the community served. A variety of primary data methods were utilized to gather comprehensive community input across Duval County. This mixed methods approach is considered a preferred practice for needs assessments because it allows for the greatest understanding of community needs from the broadest range of perspectives. The methods included: *Eighty-nine (89) group listening sessions with local service providers *Seven (7) individual key stakeholder interviews with community and organizational leaders *Thirty (30) community conversations with residents who have lived experience of health-related needs and barriers to care The Jacksonville Nonprofit Hospital Partnership collaborated with service providers and community-based organizations that directly engage with vulnerable populations to ensure that voices of medically underserved, low-income, and minority populations were meaningfully included. These partners helped identify and convene participants representing individuals who are low income, living with chronic disease, experiencing homelessness, veterans, and others who are under-resourced or face barriers to accessing health and social services. The organizations that participated include: *Ability Housing *Agape Health and Wellness Center, Inc. *Ascension St. Vincent's St. Johns *Baptist Medical Center - Beaches *Baptist Medical Center - Clay *Baptist Medical Center - Jacksonville *Baptist Medical Center - Nassau *Baptist Medical Center - South *Barnabas Center *Blue Zones *Brooks Rehabilitation *Center for Independent Living Jax *Challenge Enterprise / Food for Clay *Changing Homelessness, Inc. (CHI) *City of Jacksonville *Clay County (Board of County Commissioners) *Council on Aging of St. Johns County *Daniel Memorial Baptist Church *Duval County Public Schools *ElderSource *Family Promise *Family Support Services (FSS) *First Coast News *First Coast YMCA *Flagler Health *Florida Department of Health - Baker *Florida Department of Health - Nassau *Homeless Veteran Reintegration Program (HVRP) *Hubbard House *Impact Church & Revitalize Arlington *Jacksonville Housing Authority (JHA) *Jacksonville Speech & Hearing Center *Jacksonville Transportation Authority *Jax Care Connect *Jewish Family and Community Services *Lift Jax *Local Initiative Support Corporation (LISC) *Mayo Clinic in Florida *Micah's Place *Nassau County Council on Aging *Northeast Florida Healthy Start *Northeast Florida Women Veterans *Presbyterian Social Ministries, Inc. (PSM) *Starting Point Behavioral Health *Sulzbacher *THE PLAYERS Center for Child Health *The Way Clinic *The Women's Center of Jacksonville *UF Health Jacksonville *UF Health Jacksonville - Urban Health Alliance *Vision is Priceless *Volunteers in Medicine *Volunteers of America of Florida *Walmart Health *WeCare Jax Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Ascension St. Vincent's Riverside. Ascension St. Vincent's Riverside collaborated with other hospital members of the Jacksonville Nonprofit Hospital Partnership on the tax year 2024 CHNA. The Partnership includes: Baptist Health/Wolfson Children's Hospital Brooks Rehabilitation Mayo Clinic Florida St. Luke's-St. Vincent's Healthcare (Ascension St. Vincent's Southside) St. Vincent's Health System (Ascension St. Vincent's St. Johns County) St. Vincent's Medical Center Clay County (Ascension St. Vincent's Clay County) UF Health Jacksonville UF Health St. Johns Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Ascension St. Vincent's Riverside. St. Vincent's Medical Center, Inc. completed its prior CHNA (tax year 2021) on June 30, 2022, by which the following significant health needs were identified for Duval County: *Access to care *Chronic disease: obesity *Mental/behavioral health *Social determinants of health: income St. Vincent's Medical Center, Inc.'s 2021 (tax year) CHNA implementation strategy specifically addressed access to care ASCENSION ST. VINCENT'S RIVERSIDE IS COMMITTED TO IMPROVING COMMUNITY HEALTH BY DIRECTLY, AND INDIRECTLY, ADDRESSING COMMUNITY NEEDS. HOWEVER, CERTAIN FACTORS IMPACT ASCENSION ST. VINCENT'S RIVERSIDE'S ABILITY TO FULLY ADDRESS ALL OF THE IDENTIFIED NEEDS. THE NEEDS LISTED BELOW ARE NOT INCLUDED IN THE 2021 IMPLEMENTATION STRATEGY: CHRONIC DISEASE, MENTAL/BEHAVIORAL HEALTH, AND OTHER DETERMINANTS OF HEALTH. THESE NEEDS WILL NOT BE ADDRESSED WITHIN THE IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES, BUT THE HEALTH SYSTEM CONTINUES TO SUPPORT OTHER INITIATIVES IMPROVING THESE NEEDS OUTSIDE OF THE IMPLEMENTATION STRATEGY FOR THE POOR AND VULNERABLE WITHIN THE COMMUNITY. Highlights reflecting consequential efforts of the implementation strategy between July 1, 2022 through June 30, 2025 (tax years 2022-2024) are outlined below. *Strategy 1: Improve access to care by increasing the overall percentage of virtual care visits of Ascension Medical Group (AMG) patients, as compared to the total number of AMG patient visits, over three years. Status: Ongoing. Hospital teams did, and will continue to, train and support Ascension Medical Group providers and teams on increasing access for patients appropriate for telehealth appointments, allowing those who have difficulty with transportation, mobility, or child care to connect with a medical provider in primary and specialty care. These efforts were focused on both Ascension Medical Group patients as well as those who are medically under-resourced, resulting in 4.8% of patients being seen virtually. Although this is less than the anticipated goal of 13%, it still reflects thousands of patients receiving virtual visits. *Strategy 2: Increase access to care through care continuity by connecting emergency department patients who do not have a provider (i.e., unattached patients) through the ED Concierge Program. Status: Ongoing. The hospital team did, and will continue to, implement the ED (emergency department) Concierge Program in partnership with Care Continuity. By connecting emergency department patients without a primary care provider to an outpatient provider for continuity of care, the program addresses barriers to accessing care through the identification and resolution of issues related to social determinants of health. Over 6,600 patients were offered assistance throughout the year, of which 547 were connected to a provider. St. Vincent's Medical Center, Inc. completed its most recent CHNA (tax year 2024) on June 30, 2025, by which the following significant health needs were identified for Duval County: *Access to care *Housing *Mental Health *Food Environment Following the completion of the 2024 (tax year) CHNA, significant needs were further narrowed down to prioritized needs that St. Vincent's Medical Center, Inc. will address within the 2024 (tax year) CHNA implementation strategy. To arrive at the prioritized needs, members from St. Vincent's Medical Center, Inc. leadership and Community Benefit teams reviewed the findings from the 2024 (tax year) CHNA, assessed community interest and local momentum, and reflected on the following criteria: ability to leverage existing organizational assets, resources, and areas of expertise; alignment with the hospital's mission, values, and strategic priorities; and potential to positively impact a significant number of people within the community. This prioritization approach ensured that the selected priorities reflect both data-informed insights and the values of the communities served. St. Vincent's Medical Center, Inc. selected the prioritized needs outlined below for its 2024 (tax year) CHNA implementation strategy. *Access to care - This need was selected because the ability to obtain timely, affordable, and quality healthcare is essential to improving physical, mental, and social well-being. When individuals face barriers to care, such as cost or limited availability of services, they are more likely to delay diagnosis, miss preventive services, and experience worsening of chronic conditions, which can lead to poorer health outcomes and increased healthcare costs. *Food Environment - This need was selected because access to nutritious, affordable food is a key driver of health outcomes and wellbeing. In Northeast Florida, many communities experience high rates of food insecurity and limited access to healthy food options. Poor food environments contribute to chronic conditions such as diabetes, hypertension, and obesity. As the 2024 (tax year) CHNA was approved at the end of the fiscal year, no consequential actions have yet been taken on the implementation strategy during this reporting year. St. Vincent's Medical Center, Inc. is committed to improving community health by directly, and indirectly, addressing community needs. However, certain factors impact St. Vincent's Medical Center, Inc.'s ability to fully address all of the identified needs. The needs, with rationale, listed below are not addressed in the hospital's 2024 (tax year) CHNA implementation strategy: *Mental Health - This need was not selected because a number of specialized organizations in the community are already leading efforts to expand access to mental health services. *Housing - This need was not selected because addressing housing cost burden and homelessness falls within the core expertise of several dedicated community organizations that are actively engaged in this work. 0 Schedule H, Part I, Line 3c Factors other than FPG IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A PATIENT MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE IF SUCH PATIENT IS DEEMED TO HAVE SUFFICIENT ASSETS TO PAY PURSUANT TO AN "ASSET TEST." THE ASSET TEST INVOLVES A SUBSTANTIVE ASSESSMENT OF A PATIENT'S ABILITY TO PAY BASED ON THE CATEGORIES OF ASSETS MEASURED IN THE FAP APPLICATION. A PATIENT WITH SUCH ASSETS THAT EXCEED 250% OF SUCH PATIENT'S FPL AMOUNT MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC. Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities St. Vincent's Medical Center, Inc. allocated community building dollars towards economic development initiatives that directly promoted the health and well-being of the community served. By addressing economic instability, a key social determinant of health, these initiatives support long-term health improvements and contribute to the overall well-being of the population. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from patients who do not qualify for charity care have been exhausted, the corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the corporation's and medicare policies. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 18-20, OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT FOR TAX PURPOSES, BUT IS REPORTED AS SUCH ON OUR AUDITED FINANCIAL STATEMENTS. THE AMOUNTS REPORTED ON SCHEDULE H, PART III INCLUDE ONLY TRADITIONAL MEDICARE AS REFLECTED IN OUR 6/30/25 COST REPORT. IN ADDITION TO TRADITIONAL MEDICARE, OTHER SERVICES ARE PROVIDED TO THE MEDICARE POPULATION AT A LOSS, INCLUDING BUT NOT LIMITED TO MEDICARE ADVANTAGE, OUTPATIENT LAB AND REHABILITATION SERVICES, AND OUTPATIENT MAMMOGRAPHY. THE TOTAL MEDICARE SHORTFALL/SURPLUS FOR THIS TAX YEAR INCLUDING ALL MEDICARE SERVICES IS ($40,881,362). Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ST VINCENT'S MEDICAL CENTER, inc. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. QUALIFYING PATIENT ACCOUNTS THAT ARE STILL OPEN AND BEING PURSUED AS WELL AS ANY NEW BALANCES FOR THE NEXT SIX (6) MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT SUBMITS AN APPLICATION AND IS PENDING A DECISION AND / OR QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES OR UNTIL THEIR APPLICATION IS DENIED IF THEY WERE DEEMED INELIGIBLE. Schedule H, Part V, Section B, Line 16a FAP website - Ascension St. Vincent's Riverside: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Ascension St. Vincent's Riverside: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Ascension St. Vincent's Riverside: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment ST. VINCENT'S MEDICAL CENTER, INC. USES INTERNAL AND EXTERNAL DATA AND REPORTS FROM THIRD PARTIES, INCLUDING GOVERNMENT SOURCES, TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. THESE REPORTS PROVIDE KEY INFORMATION ABOUT HEALTH, SOCIOECONOMIC, DEMOGRAPHIC FACTORS THAT IDENTIFY AREAS OF NEED AND INFORM OUR STRATEGIES THAT HELP TO MEET THOSE NEEDS OF OUR COMMUNITY. THESE REPORTS INCLUDE, BUT ARE NOT LIMITED TO: SG2 HEALTHCARE INTELLIGENCE, CLARIFY FOR HEALTHCARE CLAIMS DATASETS, 3D HEALTH, FLORIDA DEPARTMENT OF HEALTH, AND INTERNAL DATA. ST. VINCENT'S MEDICAL CENTER, INC. UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE APPROPRIATE SERVICES NEEDED THROUGHOUT THE REGION. IN ADDITION, ST. VINCENT'S MEDICAL CENTER, INC. CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance St. Vincent's Medical Center, inC. IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, St. Vincent's Medical Center, iNC. HOSPITAL'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; St. Vincent's Medical Center, iNC. HOSPITAL PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE AS NOTED IN SCHEDULE H. St. Vincent's Medical Center, inC. WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/locations/florida/fljac/jacksonville-ascension-st-vincents-riverside/financial-assistance St. Vincent's Medical Center, inC. MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. St. Vincent's Medical Center, inC. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. ST VINCENT'S MEDICAL CENTER, Inc. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS, OFFERING COPIES OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AT REGISTRATION AND INCLUDED INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO APPLY ON ALL PATIENT BILLING STATEMENTS. Schedule H, Part VI, Line 4 Community information ST. VINCENT'S MEDICAL CENTER, INC. SERVICES NORTHEAST FLORIDA WITH A 2-COUNTY (DUVAL AND CLAY) PRIMARY SERVICE AREA. THE TOTAL POPULATION OF THE 2-COUNTY PRIMARY SERVICE AREA IS ESTIMATED TO BE 1,290,227 RESIDENTS IN CALENDAR 2025 AND IS EXPECTED TO INCREASE BY APPROXIMATELY 4.1% TO 1,344,197 RESIDENTS IN FIVE YEARS. THE MEDIAN HOUSEHOLD INCOME OF THE 2-COUNTY PRIMARY SERVICE AREA IS $$76,465 BASED ON 2025 ESRI DEMOGRAPHICS DATA. APPROXIMATELY 13.3% OF THE SERVICE AREA RESIDENTS LIVE BELOW THE POVERTY LINE, WITH 23.6% WITHOUT ANY FORM OF INSURANCE OR ENROLLED IN MEDICAID. WITHIN THE 2-COUNTY PRIMARY SERVICE AREA, THERE ARE TWO COUNTIES DESIGNATED AS PARTIALLY MEDICALLY UNDERSERVED. THERE ARE 9 OTHER ACUTE CARE HOSPITALS LOCATED WITHIN THE PRIMARY SERVICE AREA. Schedule H, Part VI, Line 5 Promotion of community health ST. VINCENT'S MEDICAL CENTER INC.'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIFFERENT ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ST. VINCENT'S MEDICAL CENTER, INC.'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. ST. VINCENT'S MEDICAL CENTER, INC. EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ST. VINCENT'S MEDICAL CENTER, INC. APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY INFORMATION REPORTED HEREIN RELATE TO THE TAX YEAR ENDED JUNE 30, 2025. Schedule H, Part VI, Line 6 Affiliated health care system ST. VINCENT'S MEDICAL CENTER, INC. IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSORS ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ST. VINCENT'S MEDICAL CENTER, INC. OPERATES A HOSPITAL FACILITY IN DUVAL COUNTY FLORIDA AND IS PART OF ASCENSION FLORIDA WHICH ALSO OWNS AND OPERATES OTHER HEALTHCARE RELATED ENTITIES, INCLUDING ST. LUKE'S, ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC, ST. VINCENT'S ST. JOHNS COUNTY, AND SACRED HEART. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHEAST FLORIDA. Schedule H, Part VI, Line 7 State filing of community benefit report FL true HABITAT FOR HUMANITY OF JACKSONVILLE INC 40 E ADAMS STREET SUITE 200 JACKSONVILLE FL 32202 592880071 501(C)(3) 87500 PROVIDE AFFORDABLE HOUSING FOR LOW INCOME FAMILIES IN JACKSONVILLE 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds GRANTS THAT ARE GIVEN TO ORGANIZATIONS OUTSIDE OF OUR RELATED SYSTEM OR FOR THE BENEFIT OF INDIVIDUALS ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF THE ASCENSION HEALTH SYSTEM OVERALL. WHEN GRANTS ARE GIVEN TO RELATED TAX EXEMPT ORGANIZATIONS NO MONITORING IS DONE BECAUSE THOSE ORGANIZATIONS HAVE THE SAME MISSION AND EXEMPT PURPOSES AS THE FILING ORGANIZATION. X true true true true false false false false false false false BRYAN JAMES WALRATH EX-OFFICIO/DIRECTOR 0 313785 0 148500 0 88174 0 8448 0 33719 0 592626 0 0 SCOTT KASHMAN EX-OFFICIO/DIRECTOR/PRESIDENT 460685 0 202229 0 83999 0 17250 0 36690 0 800853 0 0 0 CORY MATTHEW DARLING EX-OFFICIO/DIRECTOR 0 241545 0 75000 0 817 0 14253 0 31292 0 362907 0 0 KEVIN RINKS EX-OFFICIO/DIRECTOR 0 281015 0 135000 0 17845 0 15740 0 33141 0 482741 0 0 COBA SUSAN CORNEJO FORMER OFFICER (END 6/2020) 0 525756 0 737100 0 107032 0 22425 0 41244 0 1433557 0 0 STEPHAN F QUIRICONI FORMER OFFICER (END 11/2022) 0 0 0 0 0 215092 0 0 0 0 0 215092 0 0 JALIMA TRANK CFO, MINISTRY MARKET 0 516950 0 381874 0 76047 0 17250 0 11609 0 1003730 0 0 JENNIFER R MORTON FORMER KEY EMPLOYEE (END 12/2023) 0 225655 0 68016 0 488 0 17763 0 9957 0 321879 0 0 THU PHAN CHIEF OPERATING OFFICER 252725 0 49151 0 31280 0 14250 0 30630 0 378036 0 0 0 STORMY DULOVICH RN CHIEF NURSING OFFICER 215523 0 31438 0 43278 0 12966 0 29270 0 332475 0 0 0 DANIELLE CARTER MD PHYSICIAN 256674 0 71133 0 2446 0 18950 0 3359 0 352562 0 0 0 SONYA J DOMINGUEZ MD PHYSICIAN 276369 0 4308 0 3131 0 17656 0 34523 0 335987 0 0 0 DAVID A MCINNES MD DIRECTOR, PHYSICIAN RESIDENT/STUDENT PROGRAM 419790 0 69379 0 16457 0 22425 0 36092 0 564143 0 0 0 TODD D FRACKE PHYSICIST SUPERVISOR (END 8/2024) 171133 0 0 0 83144 0 2547 0 13219 0 270043 0 0 0 CHRISTOPHER WATSON MD PHYSICIAN 219933 0 71133 0 2239 0 14118 0 12889 0 320312 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Todd D. Fracke received gross-up payments that were treated as taxable compensation to the individual. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization DURING CALENDAR YEAR 2024: Stephan F. Quiriconi: $209,423 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF THE FILING ORGANIZATION IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE FILING ORGANIZATION IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE FILING ORGANIZATION. Form 990, Part IV, Line 24a TAX EXEMPT BONDS THE ORGANIZATION IS PART OF ASCENSION HEALTH SYSTEM. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION, IS A MISSOURI NONPROFIT CORPORATION. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH. ASCENSION HEALTH ALLIANCE IS EITHER THE BORROWER FOR, OR SECURES, TAX EXEMPT HOSPITAL REVENUE BONDS. THE ORGANIZATION MAY HOLD AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH ALLIANCE, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET. Form 990, Part VI, Line 15a & 15B - Process For Determining Compensation THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 6 Classes of members or stockholders St. Vincent's Medical Center, Inc. has a single corporate member, St. Vincent's Health System, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. Vincent's Medical Center, Inc. has a single corporate member St. Vincent's Health System, Inc., who has the ability to elect members to the governing body of St. Vincent's Medical Center Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Vincent's Medical Center, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities THE ORGANIZATION UTILIZES AN AFFILIATE AS THE COMMON PAY AGENT. EMPLOYEES REPORTED IN PART VII MAY HAVE DUTIES THAT IMPACT MULTIPLE RELATED ENTITIES. TOTAL AVERAGE HOURS WORKED AND COMPENSATION AND BENEFITS PAID ARE REPORTED. IN DOING SO, IF AVAILABLE, A COMMON LAW EMPLOYER ANALYSIS IS USED TO DETERMINE WHETHER THE HOURS AND COMPENSATION/BENEFITS ARE REPORTABLE AS ATTRIBUTABLE DIRECTLY TO THE FILING ORGANIZATION OR ANOTHER ENTITY; OTHERWISE, THE BEST AVAILABLE INFORMATION HAS BEEN USED AS THE BASIS FOR ALLOCATIONS UTILIZED IN THE REPORTING. Form 990, Part VIII, Line 2f Other Program Service Revenue Billing Service Revenue - Total Revenue: 197920, Related or Exempt Function Revenue: 197920, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Interest Income from Patient Accounts - Total Revenue: 47402, Related or Exempt Function Revenue: 47402, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Pharmacy Revenue - Total Revenue: 43369, Related or Exempt Function Revenue: 43369, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Parking Revenue - Total Revenue: 9110, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 9110; Late Penalty Fees - Total Revenue: 4694, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4694; Escheatment Revenue - Total Revenue: 2128, Related or Exempt Function Revenue: 2128, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Fees - Total Revenue: 56, Related or Exempt Function Revenue: 56, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 152650, Related or Exempt Function Revenue: 42821, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 109829; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS WITH AFFILIATES - -24398483; Total - -24398483; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. FORM 990, PAGE 1 - ITEM J ENTITY WEBSITE https://healthcare.ascension.org/Locations/Florida/FLJAC/Jacksonville-Ascension-St-Vincents-Riverside FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 1 SHIRCLIFF WAY, JACKSONVILLE, FLORIDA 32204. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. FORM 990, PAGE 1 - BOX C DOING BUSINESS AS Ascension St. Vincent's Riverside Ascension St. Vincent's Riverside Family Medicine Center Consolidated Laboratory Services St. Vincent's Family Medicine Center St. Vincent's Medical Center Riverside St. Vincent's Vein Institute The Residence at River House Ascension St. Vincent's Pregnancy Resource Center - Riverside Optimal Imaging - Mandarin Optimal Imaging - Orange Park Optimal Imaging - Riverside Optimal Imaging - St. Johns Optimal Imaging - St. Johns County Optimal Imaging - Town Center Optimal Imaging - Westside St Vincent's Accountable Care Organization LLC 1 Shircliff Way Suite 1302 Jacksonville FL 32204 462835831 Accountable Care Organization FL 6569075 81745 St Vincent's Medical Center Inc AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true ALEXIAN BROTHERS AMBULATORY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 BEHAVIORAL HEALTH HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BONAVENTURE HOUSE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 OUTPATIENT COMMUNITY MENTAL HEALTH SERVICES IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS COMMUNITY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS FOR WHICH IT IS A MEMBER IL 501(c)(3) Type III-FI ASCENSION HEALTH true ALEXIAN BROTHERS HOSPITAL NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS MEDICAL CARE GROUP NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true ALEXIAN BROTHERS OF SAN JOSE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 ACUTE CARE HOSPITAL (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true ALEXIAN BROTHERS SENIOR MINISTRIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS SERVICES INC 3040 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 431295333 HUD HOUSING MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SPECIALTY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 35233 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS ALLEGAN FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY One Ford Place-5F Detroit MI 48202 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 HEALTH CARE MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EASTWOOD BEHAVIORAL HEALTH One Ford Place-5F Detroit MI 48202 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION One Ford Place-5F Detroit MI 48202 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL One Ford Place-5F Detroit MI 48202 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION LIVING ST VINCENT PACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 872516723 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL One Ford Place-5F Detroit MI 48202 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS One Ford Place-5F Detroit MI 48202 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN One Ford Place-5F Detroit MI 48202 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED 615 N MICHIGAN ST SOUTH BEND IN 46601 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN One Ford Place-5F Detroit MI 48202 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG One Ford Place-5F Detroit MI 48202 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MICHIGAN HOME OFFICE (FKA BORGESS AMBULATORY CARE CORPORATION) C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 PARENT COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION One Ford Place-5F Detroit MI 48202 383526629 FUNDRAISING MI 501(c)(3) 7 ASCENSION PROVIDENCE HOSPITAL true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL One Ford Place-5F Detroit MI 48202 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION One Ford Place-5F Detroit MI 48202 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL One Ford Place-5F Detroit MI 48202 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL One Ford Place-5F Detroit MI 48202 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SETON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH One Ford Place-5F Detroit MI 48202 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION One Ford Place-5F Detroit MI 48202 202961579 FUNDRAISING MI 501(c)(3) 7 ASCENSION ST JOHN HOSPITAL true ASCENSION ST JOHN HOSPITAL One Ford Place-5F Detroit MI 48202 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH HOSPITAL true ASCENSION ST JOSEPH HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 382246366 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA IL 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI ASCENSION SETON FOUNDATION true BORGESS HEALTH ALLIANCE INC 615 N MICHIGAN ST SOUTH BEND IN 46601 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) 10 ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC 4635 WEST COLLEGE AVENUE APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 10 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true FIELD NEUROSCIENCES INSTITUTE 4000 WELLNESS DRIVE MIDLAND MI 48670 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES One Ford Place-5F Detroit MI 48202 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER One Ford Place-5F Detroit MI 48202 382317364 CONVALESCENT CENTER MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM One Ford Place-5F Detroit MI 48202 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM INC true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION 207 N CATHERINE STREET ROOM 205 MOBILE AL 36604 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 7 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM INC true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM INC true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true SAVELLI PROPERTIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN One Ford Place-5F Detroit MI 48202 382820107 SOCIAL WELFARE MI 501(c)(4) ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 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