ST VINCENTS MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ST VINCENTS MEDICAL CENTER INC (EIN 59-0624449)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-11
IRS object ID: 201901319349300805
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-11T10:06:02-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590624449	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STVI	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4205 Belfort Road 4020	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32216	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2019-05-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Medical Center Riverside	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Thomas J VanOsdol	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Shircliff Way	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32204	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$494,813,566	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	See Schedule O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1916	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	To improve the health and well-being of all people in the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3126	TotalEmployeeCnt
Total Volunteers	338	TotalVolunteersCnt
Total Gross UBI	$2,336,722	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$436,279	PYContributionsGrantsAmt
CY Contributions Grants	$1,880,240	CYContributionsGrantsAmt
PY Program Service Revenue	$469,868,250	PYProgramServiceRevenueAmt
CY Program Service Revenue	$484,921,628	CYProgramServiceRevenueAmt
PY Investment Income	$271,620	PYInvestmentIncomeAmt
CY Investment Income	$164,412	CYInvestmentIncomeAmt
PY Other Revenue	$6,301,735	PYOtherRevenueAmt
CY Other Revenue	$6,974,471	CYOtherRevenueAmt
PY Total Revenue	$476,877,884	PYTotalRevenueAmt
CY Total Revenue	$493,940,751	CYTotalRevenueAmt
PY Grants And Similar Paid	$391,982	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$135,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$154,103,352	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$158,044,661	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$49	CYTotalFundraisingExpenseAmt
PY Other Expenses	$278,675,059	PYOtherExpensesAmt
CY Other Expenses	$268,687,824	CYOtherExpensesAmt
PY Total Expenses	$433,170,393	PYTotalExpensesAmt
CY Total Expenses	$426,867,485	CYTotalExpensesAmt
PY Revenues Less Expenses	$43,707,491	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$67,073,266	CYRevenuesLessExpensesAmt
Total Assets BOY	$216,724,124	TotalAssetsBOYAmt
Total Assets EOY	$209,630,551	TotalAssetsEOYAmt
Total Liabilities BOY	$359,130,125	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$331,561,766	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$142,406,001	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$121,931,215	NetAssetsOrFundBalancesEOYAmt
Mission	Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$321,067,679	ExpenseAmt
Grant	$135,000	GrantAmt
Revenue	$484,782,344	RevenueAmt
Desc	St. Vincent's Medical Center, Inc. is a 479-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Vincent's Medical Center, Inc. treated 22,940 adults and children for a total of 104,455 patient days of service. The hospital also provided services for 111,526 outpatient visits, which included 8,585 outpatient surgeries and 63,395 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Desc
Total Program Service Expenses	$321,067,679	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	255	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3126	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARA OBRIEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3147338070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11775 BORMAN DRIVE	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
THOMAS J VANOSDOL
CEO, MINISTRY MARKET	0.0	50.0	Yes (X)	Yes (X)	$0	$926,860	$45,050
PAUL J CHAPPANO MD
CHAIRMAN	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID G KULIK
VICE CHAIRMAN	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD JONES
SECRETARY/TREASURER	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL BOYLAN
MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
WILLIAM CODY MD
MEMBER	46.0	4.0	Yes (X)		$115,142	$0	$27,788
AUBREY EDGE
MEMBER (START 7/2017)	1.0	3.0	Yes (X)		$0	$0	$0
JOHN FALCONETTI
MEMBER (START 7/2017)	1.0	4.0	Yes (X)		$0	$0	$0
CARLA HARRIS
MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
THOMAS R MCGEHEE JR
MEMBER (START 7/2017)	1.0	4.0	Yes (X)		$0	$0	$0
HELEN D ROWAN
MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
VAN D ROYAL
MEMBER	1.0	3.0	Yes (X)		$0	$0	$0
SISTER MARY WALZ DC
MEMBER (START 7/2017)	1.0	3.0	Yes (X)		$0	$0	$0
C SUSAN CORNEJO
CFO, GULF COAST MINISTRY MARKET (START 6/2018)	6.0	44.0		Yes (X)	$0	$703,672	$37,265
PAMELA M HESS
CFO, JACKSONVILLE MINISTRY MARKET (END 6/2018)	26.0	29.0		Yes (X)	$0	$688,053	$35,645
MICHELLE ADAMOLEKUN
CHRO, MINISTRY MARKET (END 2/2018)	16.0	39.0			$0	$429,273	$36,215	Yes (X)
DONALD B CLAYPOOL
PRESIDENT, ACUTE CARE HOSPITALS (END 7/2017)	31.0	24.0			$0	$572,529	$38,444	Yes (X)
FRANK H GILBERSTADT MD
CCO, MINISTRY MARKET	29.0	26.0			$0	$722,234	$40,598	Yes (X)
LORRAINE M KEITH
CNO, MINISTRY MARKET	30.0	25.0			$0	$332,773	$19,310	Yes (X)
TERESA LOFTIS
CMIO, MINISTRY MARKET	27.0	28.0			$0	$311,099	$39,733	Yes (X)
JEFFREY MATHISON
CHIEF MEDICAL OFFICER (START 3/2018)	30.0	25.0			$0	$0	$0	Yes (X)
WILLIAM R MAYHER
COO, MINISTRY MARKET	27.0	28.0			$0	$233,523	$39,119	Yes (X)
JOHN D MEYER III
CSMO, MINISTRY MARKET	27.0	28.0			$0	$471,398	$26,977	Yes (X)
JEFFREY H MIDDLEBROOK
CLO, REGIONAL	5.0	50.0			$0	$537,561	$35,064	Yes (X)
KENNETH ROTHFIELD
CHIEF MEDICAL OFFICER (END 8/2017)	30.0	25.0			$0	$383,680	$34,492	Yes (X)
TRACY B WILLIAMS
COO - Acute Care Hospitals	29.0	26.0			$0	$346,258	$46,122	Yes (X)
SONYA J DOMINGUEZ MD
PHYSICIAN	54.0	1.0			$248,981	$0	$44,620		Yes (X)
TODD D FRACKE
RADIATION PHYSICIST	55.0	0			$217,507	$0	$25,401		Yes (X)
NAICIE ARIEL MARROW MD
PHYSICIAN	55.0	0			$226,751	$0	$41,981		Yes (X)
DAVID A MCINNES MD
MEDICAL DIRECTOR, FAMILY MEDICINE	55.0	0			$411,126	$0	$48,211		Yes (X)
ROBERT F RASPA MD
PHYSICIAN	55.0	0			$211,398	$0	$20,059		Yes (X)
JOHN J CASSANI
FORMER KEY EMPLOYEE (END 3/2016)	0.0	0.0			$0	$110,840	$2,128			Yes (X)
MICHAEL H SCHATZLEIN MD
FORMER OFFICER (END 12/2016)	0.0	0.0			$0	$1,051,835	$11,195			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,430,905	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,821,589	TotReportableCompRltdOrgAmt
Total Other Compensation	$695,416	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	79	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
ST VINCENTS OUTPATIENT IMAGINIG
1642 WESTGATE CIR STE 202	BRENTWOOD	TN	37027	MEDICAL SERVICES	$3,290,902
CARDIOTHORACIC & VASCULAR SURGICAL
1824 KING STREET	JACKSONVILLE	FL	32204	SURGICAL SERVICES	$2,655,550	STE 200
THE CENTER FOR WOUND HEALING INC
220 WHITE PLAINS RD 4TH FL	TARRYTOWN	NY	10591	MEDICAL SERVICES	$1,146,185
ARUP LABORATORIES
500 S CHIPETA WAY	SALT LAKE CITY	UT	84108	LABORATORY SERVICES	$1,020,719
QUEST DIAGNOSTICS LLC
12436 COLLECTION CENTER DR	CHICAGO	IL	60693	LABORATORY SERVICES	$858,046

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,880,190	RelatedOrganizationsAmt
All Other Contributions	$50	AllOtherContributionsAmt
Noncash Contributions	$97,515	NoncashContributionsAmt
Total Contributions	$1,880,240	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue	621990	$481,057,915	$478,721,193	$2,336,722
Rental Income from Affiliates	531120	$1,569,096	$1,569,096
Services to Affiliates	561000	$2,069,510	$2,069,510
Pharmacy Revenue	446110	$57,019	$57,019
Shared Savings Revenue	900099	$178,649	$178,649

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$10,561	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$10,561	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$484,921,628	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$164,614	TotalRevenueColumnAmt
Exclusion	$164,614	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,930,525	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$872,613	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,057,912	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,057,912	TotalRevenueColumnAmt
Exclusion	$2,057,912	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$202	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$202	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$202	TotalRevenueColumnAmt
Exclusion	-$202	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Vending Revenue	722514	$2,402,691	$2,402,691
Research Revenue	900099	$449,128		$449,128
Parking Revenue	812930	$285,976	$285,976

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,778,764	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,748,310	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$30,454	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,916,559	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$493,940,751	TotalRevenueColumnAmt
Related Or Exempt Func Income	$484,782,344	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,336,722	UnrelatedBusinessRevenueAmt
Exclusion	$4,941,445	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$135,000	TotalAmt
Program Services	$135,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$142,930	TotalAmt
Program Services	$134,354	ProgramServicesAmt
Management And General	$8,576	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$127,463,295	TotalAmt
Program Services	$119,788,269	ProgramServicesAmt
Management And General	$7,675,026	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,782,824	TotalAmt
Program Services	$5,434,619	ProgramServicesAmt
Management And General	$348,205	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,562,723	TotalAmt
Program Services	$14,625,634	ProgramServicesAmt
Management And General	$937,089	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,092,889	TotalAmt
Program Services	$8,545,375	ProgramServicesAmt
Management And General	$547,514	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$448,795	TotalAmt
Program Services	$423,651	ProgramServicesAmt
Management And General	$25,144	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,030	TotalAmt
Management And General	$3,030	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$25,203	TotalAmt
Management And General	$25,203	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,206	TotalAmt
Management And General	$3,206	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,106,117	TotalAmt
Program Services	$13,996,242	ProgramServicesAmt
Management And General	$109,875	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$70,430	TotalAmt
Program Services	$64,762	ProgramServicesAmt
Management And General	$5,668	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,220,796	TotalAmt
Program Services	$669,335	ProgramServicesAmt
Management And General	$551,461	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$306,713	TotalAmt
Program Services	$270,578	ProgramServicesAmt
Management And General	$36,135	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,884,860	TotalAmt
Program Services	$1,843,736	ProgramServicesAmt
Management And General	$5,041,124	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$205,662	TotalAmt
Program Services	$185,710	ProgramServicesAmt
Management And General	$19,952	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$63,496	TotalAmt
Program Services	$409,496	ProgramServicesAmt
Management And General	-$346,000	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,967,248	TotalAmt
Management And General	$8,967,248	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,069,444	TotalAmt
Program Services	$7,759,043	ProgramServicesAmt
Management And General	$6,310,401	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,796,394	TotalAmt
Program Services	$514,682	ProgramServicesAmt
Management And General	$4,281,712	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$111,417,773	$110,657,277	$760,489	$7
Purchased Services	$47,057,071	$19,270,094	$27,786,977
Corporate Overhead	$41,958,404		$41,958,404
Provider Tax	$5,813,194	$5,813,194

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,269,988	TotalAmt
Program Services	$10,526,628	ProgramServicesAmt
Management And General	$743,318	ManagementAndGeneralAmt
Fundraising	$42	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$426,867,485	TotalAmt
Program Services	$321,067,679	ProgramServicesAmt
Management And General	$105,799,757	ManagementAndGeneralAmt
Fundraising	$49	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,889,928	BOYAmt
EOY	$8,158	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,532,369	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$66,649,668	BOYAmt
EOY	$69,667,587	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,836,200	BOYAmt
EOY	$12,645,665	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$414,228	BOYAmt
EOY	$208,649	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$514,911,017	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$416,835,686	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,870,606	BOYAmt
EOY	$98,075,331	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$117,391	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	-$158,584	BOYAmt
EOY	-$169,180	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,853,663	BOYAmt
EOY	$8,815,858	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,368,415	BOYAmt
EOY	$17,728,723	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$216,724,124	BOYAmt
EOY	$209,630,551	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,164,195	BOYAmt
EOY	$32,121,515	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$53,217	BOYAmt
EOY	$39,368	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$329,912,713	BOYAmt
EOY	$299,400,883	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$359,130,125	BOYAmt
EOY	$331,561,766	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$149,079,541	BOYAmt
EOY	-$130,690,651	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,087,812	BOYAmt
EOY	$8,173,708	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$585,728	BOYAmt
EOY	$585,728	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$142,406,001	BOYAmt
EOY	-$121,931,215	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$216,724,124	BOYAmt
EOY	$209,630,551	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$67,073,266	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$46,598,480	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,206	OtherActivitiesAmt
Total Lobbying Expenditures	$3,206	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,922,356	OtherCostOrOtherBasisAmt
Book Value	$5,922,356	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$322,094,678	OtherCostOrOtherBasisAmt
Depreciation	$266,332,392	DepreciationAmt
Book Value	$55,762,286	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,402,352	OtherCostOrOtherBasisAmt
Depreciation	$1,054,995	DepreciationAmt
Book Value	$347,357	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,080,764	OtherCostOrOtherBasisAmt
Depreciation	$143,356,637	DepreciationAmt
Book Value	$22,724,127	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,410,867	OtherCostOrOtherBasisAmt
Depreciation	$6,091,662	DepreciationAmt
Book Value	$13,319,205	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$98,075,331	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt
Other Asset
Misc Long Term Assets
board designated investments
Other Miscellaneous Asssets	$214,777
Due from Affiliates	$3,570,849
Other Receivables	$1,031,972
Deferred Compensation/Retirement/Pension Asset
Physician Guarantee Asset	$191,059
Beneficial Interest in Foundation	$10,407,428
Estimated 3rd Party Payor Settlements	$1,736,958
Donor Restricted Assets	$575,680

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$17,728,723	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
Lease Liability	$17,003
Savings Plan Liability
Other Misc Current Liabilities	-$576
Due to Affiliates	$41,842,228
Deferred Compensation/Retirement/Pension Liability
Estimated 3rd Party Payor Settlement	$3,173,116
Physician Guarantee Liability	$26,673
Recovery Tail Liability	$4,157,885
Accrued Tax Liability	$301,972
Debt with Ascension Health Alliance	$246,005,334
JV Interest Liability	$3,877,248

Field	Value	IRS element (for citing)
Total Liability	$299,400,883	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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, 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,848,884	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,848,884	NetCommunityBenefitExpnsAmt
Total Expense	0.0254	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,336,980	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,710,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,626,400	NetCommunityBenefitExpnsAmt
Total Expense	0.0366	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$49,185,864	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,710,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,475,284	NetCommunityBenefitExpnsAmt
Total Expense	0.0620	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,602,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,602,458	NetCommunityBenefitExpnsAmt
Total Expense	0.0038	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,123,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,123,084	NetCommunityBenefitExpnsAmt
Total Expense	0.0143	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,612,681	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,612,681	NetCommunityBenefitExpnsAmt
Total Expense	0.0061	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,338,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,338,223	NetCommunityBenefitExpnsAmt
Total Expense	0.0242	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$59,524,087	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,710,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,813,507	NetCommunityBenefitExpnsAmt
Total Expense	0.0862	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$6,288,347	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,282,278	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$230,264,684	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$254,218,464	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,953,780	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Medical Center Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4205 Belfort Road Suite 4020	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32216	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://healthcare.ascension.org/Locations/Florida/FLJAC/Jacksonville-St-Vincents-Medical-Center-Riv	WebsiteAddressTxt
State License	4376	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://healthcare.ascension.org/-/media/Healthcare/Markets/Florida/Documents/StVincents/2016-St_Vin	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://healthcare.ascension.org/-/media/Healthcare/Markets/Florida/Documents/StVincents/2016-St_Vin	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PT VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PT VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PT VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	To better target 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 programs and resources; addressing disparities of subgroups; availability of evidence-based practices; 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 - St. Vincent's Medical Center, Inc. d/b/a St. Vincent's Medical Center Riverside. INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, WAS RECEIVED FROM 185 INDIVIDUALS THROUGH ELEVEN KEY INFORMANT INTERVIEWS, SEVENTEEN FOCUS GROUPS, AND FOUR TOWN HALL MEETINGS. COMMUNITY INPUT WAS GATHERED FROM MARCH THROUGH JUNE 2015. INTERVIEWS INCLUDED: INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; THE LOCAL PUBLIC HEALTH DEPARTMENT; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH NEEDS OF THE COMMUNITY; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS. DUVAL COUNTY DEPARTMENT OF HEALTH STAFF, WORKING UNDER SUBCONTRACT WITH VERITE, CONDUCTED AND SUMMARIZED RESULTS FROM THE KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS. PARTICIPANTS INCLUDED: CITY OF JACKSONVILLE DISABLED SERVICES, PHYSICIANS AND NURSES FROM PRIVATE PRACTICES, HISPANIC MINISTRIES SOCIAL SERVICES STAFF, UNIVERSITY OF NORTH FLORIDA, NEMOURS, SULZBACHER CENTER, NORTHWEST JACKSONVILLE COMMUNITY DEVELOPMENT CORPORATION, JACKSONVILLE FIRE & RESCUE DEPARTMENT, DOH-DUVAL, PRIVATE PRACTICE AND DOH DUVAL STAFF.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - St. Vincent's Medical Center, Inc. d/b/a St. Vincent's Medical Center Riverside. St. Vincent's Medical Center collaborated with other hospital members of the Jacksonville Metropolitan Community Benefit Partnership. The Partnership is comprised of: - Baptist Health - UF Health Jacksonville (then Shands Jacksonville Medical Center) - Wolfson Children's Hospital
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - St. Vincent's Medical Center, Inc. d/b/a St. Vincent's Medical Center Riverside. St. Vincent's Medical Center collaborated with some non-hospital facilities. The Partnership is comprised of: - Brooks Rehabilitation - Clay County Health Department - Duval County Health Department - Mayo Clinic - Nassau County Health Department - Putnam County Health Department - St. Vincent's HealthCare
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St. Vincent's Medical Center, Inc. d/b/a St. Vincent's Medical Center Riverside. HERE, YOU WILL FIND OUR PRIORITIES IN THE COMMUNITY AND THE STRATEGIES WE ARE USING TO ADDRESS THESE PRIORITIES. INCREASE MEDICAL ACCESS AND QUALITY OF CARE FOR ST. VINCENT'S HEALTHCARE'S MEDICARE ELIGIBLE PATIENTS IN DUVAL COUNTY THROUGH ALIGNMENT HEALTHCARE. 1. DEVELOP A PARTNERSHIP WITH ALIGNMENT HEALTHCARE TO ASSIST OLDER INDIVIDUALS ACCESSING MEDICARE. 2. CREATE AN ADVANCED CLINICAL MODEL TO SUPPORT MEDICARE BENEFICIARIES, LOWER COSTS AND INCREASE THE AVAILABILITY OF HEALTH CARE FOR SENIORS. IMPROVE HEALTH OUTCOMES FOR THE PATIENTS OF ST. VINCENT'S HEALTHCARE WHO ARE DIAGNOSED WITH DIABETES IN DUVAL COUNTY THROUGH EVIDENCE-BASED ACTIVITIES. 1. OVERSEE DEVELOPMENT AND ADOPTION OF STANDARDS AND NORMS FOR THE DIAGNOSIS AND TREATMENT OF DIABETES, ITS COMPLICATIONS AND RISK FACTORS FOR ST. VINCENT'S HEALTHCARE. 2. PROMOTE AND CONTRIBUTE TO DIABETES SCREENING TO REDUCE THE PREVALENCE OF DIABETES 3. PROMOTE LIVING WELL WITH DIABETES AND DISEASE MANAGEMENT VIA EDUCATION 4. ADVOCATE FOR PREVENTION AND CONTROL OF DIABETES IN VULNERABLE POPULATIONS PROMOTE HEALTH AND WELLNESS FOR THE POOR AND VULNERABLE IN DUVAL COUNTY WITH AN ANNUAL COLLABORATIVE COMMUNITY-WIDE INITIATIVE, MEDICAL MISSION AT HOME. 1. COORDINATING WITH ASCENSION HEALTH COORDINATE AN ANNUAL MEDICAL MISSION AT HOME. 2. DEVELOP A SYSTEM WIDE SUPPORT TEAM LEAD BY MISSION INTEGRATION. 3. ESTABLISH SUPPORTIVE PARTNERSHIPS FROM LOCAL BUSINESS, HEALTH PROVIDERS AND ORGANIZATIONS. 4. IMPLEMENT AN EVENT. PROMOTE INFANT MORTALITY FOR PARENTS IN DUVAL COUNTY WITH A SAFE SLEEP EDUCATIONAL INITIATIVE FEATURED AT ST. VINCENT'S RIVERSIDE FAMILY BIRTH PLACE. 1. EDUCATE THE STAFF OF ST. VINCENT'S FAMILY BIRTH PLACE AND PHYSICIANS ON THE REQUIREMENTS FOR SAFE SLEEP ENVIRONMENTS AS RECOGNIZED BY CRIBS FOR KIDS PROGRAM. 2. GAIN NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION. 3. EDUCATE AND DISTRIBUTE SAFE SLEEP MATERIALS, SLEEP SACKS AND (PACK-N-PLAYS IF THERE IS NO SAFE SLEEP ENVIRONMENT AVAILABLE) TO ST. VINCENT'S MATERNITY PATIENTS. 4. PROMOTE COLLABORATIVE PARTNERSHIPS WITH FLORIDA DEPARTMENT OF CHILDREN & FAMILIES, HEALTHY START COALITION, EARLY LEARNING COALITION SAFE KIDS OF NEFL, AND THE COUNTY HEALTH DEPARTMENT. INCREASE ACCESS TO MENTAL HEALTH SUPPORT SPECIFICALLY FOR THE UNINSURED POOR (BELOW 250% FPL) IN DUVAL COUNTY WHO ARE SEEKING CARE FROM ST. VINCENT'S HEALTHCARE. 1. DEVELOP AND IMPLEMENT A SYSTEM TO IDENTIFY POTENTIAL PARTICIPANTS 2. TRACK THOSE PARTICIPANTS AND COMPARE DATE FROM BASELINE YEAR OF 2015. AUGMENT AN EVIDENCED BASED VOLUNTARY NUTRITION AND FITNESS AWARENESS PROGRAM FOR YOUTH 8-11 IN DUVAL COUNTY. 1. DEVELOP PARTNERSHIP WITH DUVAL COUNTY SCHOOLS 2. DEVELOP PARTNERSHIPS WITH LOCAL YOUTH ORGANIZATIONS 3. IMPLEMENT A PEDIATRIC NUTRITION AND FITNESS PROGRAM SUITABLE FOR AFTERSCHOOL PROGRAMS, PHYSICAL EDUCATION CLASSES, AND SUMMER PROGRAMS WITHIN THE COMMUNITY. PROVIDE OPPORTUNITIES FOR SMOKING CESSATION FOR THE PUBLIC IN DUVAL COUNTY THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN ST. VINCENT'S RIVERSIDE, NORTHEAST FLORIDA AHEC AND OTHER LOCAL ORGANIZATIONS. 1. COORDINATE WITH AHEC TO PROVIDE SMOKING CESSATION OPPORTUNITIES TO THE PUBLIC 2. CONDUCT 5 CLASSES ANNUALLY NEEDS THAT WILL NOT BE ADDRESSED ST. VINCENT'S HEALTHCARE IS COMMITTED TO OUR MISSION AND TO THE COMMUNITY, HOWEVER, NO ENTITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENTED BY THE 2015 CHNA. THE FOLLOWING ARE THOSE WE BELIEVE ARE EITHER NOT SUPPORTED BY OUR MISSION OR THAT RESOURCES ARE NOT CURRENTLY AVAILABLE TO ADEQUATELY ADDRESS. CANCER: ST. VINCENT'S HEALTHCARE LACKS RESOURCES IN THE ABILITY TO PROVIDE LARGE-SCALE CANCER SERVICES WITHIN THE NORTHEAST FLORIDA AREAS BUT WILL CONTINUE TO SUPPORT LOCAL ORGANIZATIONS THAT OFFER CANCER SERVICES TO THE COMMUNITY. COMMUNICABLE DISEASES: ST. VINCENT'S WILL NOT IMPLEMENT INITIATIVES TO ADDRESS THIS NEED AT THIS TIME. THE LOCAL CHILDREN'S HOSPITAL CURRENTLY PROVIDES RESOURCES SPECIFICALLY FOR YOUTH WHILE VARIOUS OTHER ORGANIZATIONS WITHIN THE REGION OFFER AN ADULT EMPHASIS ON THIS NEED. DENTAL CARE: DENTAL CARE IS CURRENTLY NOT A MEDICAL SERVICE PROVIDED BY ST. VINCENT'S HEALTHCARE. WE WILL CONTINUE TO SEEK ADDITIONAL OPPORTUNITIES TO EXPAND DENTAL SERVICES TO THOSE MOST IN NEED. POVERTY: ST. VINCENT'S HEALTHCARE DOES NOT HAVE SUFFICIENT RESOURCES TO PROVIDE SIGNIFICANT CHANGE. THERE ARE NUMEROUS RESOURCES WITHIN THIS AREA DEVOTED TO THIS MEASURE INCLUDING THE UNITED WAY OF NORTHEAST FLORIDA. ST. VINCENT'S HEALTHCARE HAS NOT IDENTIFIED AN EFFECTIVE INTERVENTION TO IMPROVE POVERTY ON A LARGE SCALE WITHIN THE LOCAL COMMUNITY BUT WILL CONTINUE TO ADVOCATE FOR THE POOR AND VULNERABLE, AS IS OUR MISSION. SEXUALLY TRANSMITTED INFECTIONS- IN ACCORDANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES OF CATHOLIC HEALTH CARE, ST. VINCENT'S HEALTHCARE CONTINUES TO SUPPORT SEXUAL ABSTINENCE EDUCATION IN THE COMMUNITY. TRANSPORTATION: CURRENTLY, ST. VINCENT'S HEALTHCARE LACKS CAPACITY TO IMPROVE THE OVERALL PUBLIC TRANSPORTATION SYSTEM WITHIN THE NORTHEAST FLORIDA AREA. WE WILL CONTINUE TO PARTNER WITH LOCAL TRANSPORTATION AUTHORITIES TO ADVOCATE FOR THE IMPROVEMENT OF SERVICES, ESPECIALLY THOSE MOST IN NEED THAT RELY ON PUBLIC TRANSPORTATION. ACTIONS TAKEN DURING THE 2018 TAX YEAR: - ACCESS -MOBILE HEALTH OUTREACH MINISTRY EXCEEDED THEIR ANNUAL GOAL, WITH THE USE OF 5 MOBILE HEALTH UNITS (3 ARE MEDICAL UNITS, 1 IS A COMBINATION MEDICAL/VISION UNIT, AND 1 IS A DENTAL UNIT) 15,060 FREE SERVICES WERE PROVIDED FOR ACUTE AND PRIMARY CARE WITHIN THE IMPOVERISHED AND INDIGENT COMMUNITY OF DUVAL COUNTY. - DIABETES - THE COMPREHENSIVE DIABETIC PROGRAM MET GOAL FOR NUMBER OF PATIENTS IN PROGRAM, RETENTION RATE, HGBA1C CONTROLLED, EYE EXAM, AND NEPHROPATHY SCREENING RATE. THE CONTINUE TO WORK ON MEETING GOAL FOR BP<140/90. - OBESITY/NUTRITION/LIFESTYLE - EXCEEDED GOAL FOR NUMBER OF PARTICIPANTS IN MOMENTUM EXERCISE AND WELLNESS PROGRAM ENGAGING STUDENTS IN DUVAL COUNTY MIDDLE SCHOOLS.

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Supplemental Information Detail SupplementalInformationDetail (21 entries)

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Schedule H, Part VI, Line 4 Community Information - Part II	VARIOUS METRICS ARE REVIEWED WHEN ESTABLISHING COMMUNITY OUTREACH PROGRAMS. THE FOLLOWING ARE EXAMPLES OF THE DATA ST. VINCENT'S COLLECTS WHEN DETERMINING REGIONAL AND COMMUNITY NEEDS: -ST. VINCENT'S HEALTHCARE COMPARES COUNTY POPULATION BY RACE AGAINST THE STATE. ST. VINCENT'S ALSO COMPARES POPULATION BY RACE IN EACH OF THE ZIP CODES. THE FINDINGS FROM THE COMPARISON INDICATE THAT OF THE APPROXIMATELY 1,500,000 PERSONS IN THE 5 COUNTY REGION THE SIGNIFICANT RACIAL BREAKDOWNS ARE 69% WHITE, 23% AFRICAN AMERICAN, AND 9% HISPANIC. THE PERCENTAGE OF POPULATION THAT DID NOT SPEAK ENGLISH WELL OR NOT AT ALL WAS 1.7%. ST. VINCENT'S MEDICAL CENTER RIVERSIDE COMPARES THE JACKSONVILLE METROPOLITAN STATISTICAL AREA (MSA) IN MEDIAN HOUSEHOLD INCOME AGAINST THE FEDERAL POVERTY PERCENTAGE FINDING THAT IN THE FIVE COUNTY AREA HOUSEHOLD INCOMES RANGED FROM $50,500 IN BAKER COUNTY TO $67,700 IN ST. JOHNS COUNTY. THE PERCENTAGE OF PERSONS BELOW THE FEDERAL POVERTY RATE RANGED FROM A LOW OF 10.1% IN ST. JOHNS COUNTY TO A HIGH OF 15.9% IN BAKER COUNTY. THE FLORIDA AVERAGE WAS 15.1%. FLORIDA CHARTS TABLES WHICH ARE PROVIDED BY THE FLORIDA DEPARTMENT OF HEALTH, OFFICE OF PLANNING, EVALUATION AND DATA ANALYSIS ARE UTILIZED TO DETERMINE BEHAVIORAL RISK FACTORS AND CHRONIC (BRFSS) DISEASE PREVALENCE IN THE REGION. BY REVIEWING FL CHARTS, COUNTY PROFILES AND BRFSS DATA, ALONG WITH INTERNAL VOLUME AND FINANCIAL DATA, ST. VINCENT'S IS ABLE TO DETERMINE AREAS OF NEED AND CHRONIC DISEASE PREVALENCE IN RELATION TO BEHAVIORAL RISK FACTORS. THE ANALYSIS BELOW IS AN EXAMPLE OF THE DATA OFTEN COMPILED FROM THE RESOURCES MENTIONED ABOVE. ANALYSIS FOR BAKER COUNTY: BAKER COUNTY DEMONSTRATES THE LEAST FAVORABLE SITUATION WITH COMPARISON TO THE OTHER COUNTIES IN THE STATE WITH REGARDS TO THE FOLLOWING DISEASES: PREMATURE DEATH, % OF ADULT SMOKING, ADULT OBESITY, TEEN BIRTH RATES, PREVENTABLE HOSPITAL STAYS, AND ALCOHOL-IMPAIRED DRIVING DEATHS IN COUNTY HEALTH RANKINGS. THIS COUNTY HAS THE LEAST FAVORABLE SITUATION IN COMPARISON TO ALL COUNTIES ON THE FOLLOWING MEASURES IN THE BEHAVIORAL RISK FACTORS (BRFSS) DATA: PERCENTAGE OF ADULTS WHO MEET VIGOROUS PHYSICAL ACTIVITY RECOMMENDATIONS, PERCENTAGE OF ADULTS WHO ENGAGE IN NO LEISURE-TIME PHYSICAL ACTIVITY, PERCENTAGE OF ADULTS WHO EAT AT LEAST 5 SERVINGS OF FRUITS AND VEGETABLES A DAY, AND THE PERCENTAGE OF ADULTS WHO ARE OBESE. ANALYSIS OF DUVAL COUNTY: DUVAL COUNTY DEMONSTRATES THE LEAST FAVORABLE SITUATION IN COMPARISON TO THE OTHER COUNTIES IN THE STATE WITH REGARDS TO THE FOLLOWING DISEASES: NUMBER OF POOR HEALTH DAYS PER MONTH, POOR MENTAL HEALTH DAYS PER MONTH, SEXUALLY TRANSMITTED INFECTIONS, PERCENTAGE OF UNINSURED AND NUMBER OF CHILDREN IN POVERTY IN COUNTY HEATH RANKINGS. ON THE BEHAVIORAL RISK FACTORS (BRFSS) DATA DUVAL HAS ONE MEASURE IN THE LEAST FAVORABLE SITUATION WHICH IS THE PERCENTAGE OF ADULTS WHO MEET MODERATE PHYSICAL ACTIVITY RECOMMENDATIONS.
Schedule H, Part VI, Line 4 Community Information - Part III	UNINSURED POPULATION IN THE REGION: ANALYSIS HEALTH CARE SAFETY NET FOR UNINSURED PERSONS: THE PARENT ORGANIZATION ST. VINCENT'S HEALTHCARE (SVHC) WEBSITE PROVIDES INFORMATION AND PHONE NUMBERS TO THE HOPE PROGRAM, TO EMPOWER ALL PATIENTS WHO NEED ACCESS TO HEALTH CARE ENROLLMENT OR FEDERAL ASSISTANCE PROGRAMS. THERE IS A SPECIAL FOCUS ON ENGAGING PATIENTS WHO ARE 200% AT OR BELOW FEDERAL POVERTY LEVEL. FINANCIAL COUNSELORS ARE AVAILABLE TO DECIDE WHETHER A PATIENT QUALIFIES FOR CHARITY CARE. PATIENTS WHO DO NOT HAVE INSURANCE ARE ELIGIBLE FOR DISCOUNTS ON THEIR BILL WHEN THEY AGREE TO A PAYMENT PLAN; THIS SERVICE IS ALSO PROVIDED BY THE FINANCIAL COUNSELORS. THE SVHC WEBSITE CONTAINS A WEALTH OF INFORMATION ON SERVICES WHICH ST VINCENT'S MEDICAL CENTER RIVERSIDE (SVMCR) PROVIDES TO THE LESS FORTUNATE. SVMCR HAS AN ACTIVE MOBILE HEALTH OUTREACH MISSION (MHOM). THIS MISSION PROVIDES FREE MEDICAL SERVICES TO THE RESIDENTS OF NORTHEAST FLORIDA, WHO ARE UN-SERVED AND UNDERSERVED. THIS MISSION MAINLY SEES MIGRANT/RURAL FARM WORKERS AND THEIR FAMILIES AND ALSO POOR INNER CITY FAMILIES IN THE FOLLOWING COUNTIES: CLAY, DUVAL, NASSAU, PUTNAM, AND ST. JOHNS. A MOBILE HEALTH UNIT CONSISTS OF CLINICIANS FROM A VARIETY OF SPECIALTIES, INCLUDING PHYSICIANS, ARNPS, RNS, MEDICAL ASSISTANTS, EMT/PARAMEDICS AND CASE MANAGERS TO ASSIST IN PROVIDING CARE. EXAMPLES OF CARE PROVIDED TO THIS POPULATION ARE: IMMUNIZATIONS, HEALTH SCREENINGS, PHYSICALS, LABORATORY, DIAGNOSTIC TESTING, DENTAL CARE, VISION SCREENINGS, CASE MANAGEMENT, HEALTH EDUCATION AND DISPENSING OF FREE MEDICATION. MHOM CASE MANAGEMENT WORKS WITH PATIENTS IN NEED TO GAIN ACCESS TO SERVICES OR SPECIALIST NOT PROVIDED BY THEIR MOBILE CLINICS. PATIENTS ARE CONNECTED WITH APPROPRIATE RESOURCES FOR FOLLOW UP CARE. ST. VINCENT'S MEDICAL CENTER RIVERSIDE PROVIDES SEVERAL PROGRAMS TO ADDRESS THE NEEDS OF UNDER PRIVILEGED CHILDREN AND MOTHERS. ONE IS THE SCHOOL NURSE PROGRAM, WHICH PLACES NURSES IN SCHOOLS SERVING DISADVANTAGED CHILDREN. THESE NURSES ARE OFTEN THE ONLY DIRECT ACCESS SOME OF THESE CHILDREN HAVE TO HEALTH CARE. ANOTHER PROGRAM IS THE EMERGENCY PREGNANCY SERVICE OF JACKSONVILLE. ST. VINCENT'S HEALTHCARE PROVIDES THE OPERATIONAL FACILITIES AND APPROXIMATELY 20% OF THE OPERATIONAL FUNDING. THIS NOT-FOR-PROFIT ORGANIZATION SERVES AS A CRISIS INTERVENTION CENTER FOR MEDICAL AND SOCIAL SERVICE NEEDS RELATED TO PREGNANCY, AS WELL AS PROVIDING COUNSELING, EDUCATION AND OUTREACH PROGRAMS THAT FOCUS ON PROVIDING ADOLESCENTS AND OTHERS WITH THE SKILLS AND KNOWLEDGE TO MAKE RESPONSIBLE CHOICES ABOUT THEIR LIVES. THE SETON CENTER FOR WOMEN AND CHILDREN WAS ESTABLISHED TO ENSURE THAT AS MANY POOR EXPECTANT MOTHERS AS IS POSSIBLE GET PROPER PRENATAL CARE. HOWEVER, THE CENTER CARES FOR MOTHERS AND BABIES OF ALL INCOMES. THE CENTER PROVIDES INFORMATION TO EXPECTANT PARENTS ON CHILDBIRTH, BREASTFEEDING AND NEW INFANT CARE GIVING. IT ALSO OFFERS INFANT HEALTH SCREENING WHICH INCLUDES A FULL ASSESSMENT AND EXAMINATION OF THE BABY AND EXAMINATION OF THE MOTHER. THE ST. VINCENT'S AUXILIARY BEGAN THE GOOD SAMARITAN FUND TO HELP THOSE LESS FORTUNATE BY PROVIDING SUPPORT BEYOND THE EXCELLENT MEDICAL CARE PROVIDED AT ST. VINCENT'S HEALTHCARE. MANY OF ST. VINCENT'S PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIPTION MEDICATIONS, FUNERAL EXPENSES AND OTHER CRITICAL NEEDS. THE GOOD SAMARITAN FUND PAYS FOR THESE ITEMS FOR PATIENTS AT WHO HAVE NO OTHER ASSISTANCE AVAILABLE TO THEM. REACH OUT AND READ IS A PROGRAM FACILITATED BY THE FAMILY MEDICINE CENTER (FMC) ON THE ST. VINCENT'S MEDICAL CENTER RIVERSIDE CAMPUS AND SUPPORTED BY ALL ST. VINCENT'S PRIMARY CARE FAMILY MEDICINE OFFICES. THIS PROGRAM GIVES AGE APPROPRIATE BOOKS TO IMPOVERISHED CHILDREN WHEN THEY VISIT A PEDIATRICIAN AT THE FMC. BOOKS ARE GIVEN TO CHILDREN FROM 6 MONTHS UNTIL 5 YEARS OF AGE. BOOKS AND LITERACY AT AN EARLY AGE BUILD A VITAL FOUNDATION OF DEVELOPMENT. PROMOTION OF COMMUNITY HEALTH: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.). ST. VINCENT'S HEALTHCARE HAS BEEN PART OF JACKSONVILLE FOR OVER 100 YEARS. ST. VINCENT'S MEDICAL CENTER RIVERSIDE HAS WELCOMED THE SICK AND VULNERABLE TO ITS DOORS THROUGHOUT. IN ITS MISSION STATEMENT, ST. VINCENT'S PROCLAIMS THAT IT PROVIDES CARE TO ALL, BUT WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. THIS IS THE EMPHASIS IT EMPLOYS IN ITS COMMUNITY BENEFIT PROGRAMS. ST. VINCENT'S HEALTHCARE HAS A MEDICAL STAFF OPEN TO ALL QUALIFIED PHYSICIANS IN THE NORTHEAST FLORIDA AREA. THE MAJORITY OF THE DEDICATED MEMBERS OF THE BOARD OF DIRECTORS OF ST. VINCENT'S HEALTHCARE ARE PERSONS WHO LIVE AND WORK IN THE REGION WHO, BY VIRTUE OF THEIR CONTINUING SERVICE TO THE COMMUNITY, ARE ACUTELY AWARE OF THE SOCIAL AND HEALTH NEEDS OF THE REGION. THESE INDIVIDUALS ALONG WITH MEMBERS OF THE MEDICAL STAFF ARE COMMITTED TO THE MISSION STATEMENT AND ITS CALL TO PROVIDE HIGH QUALITY HEALTH CARE FOR ALL WHO COME TO ITS DOORS. AS WELL, ST. VINCENT'S LEADERSHIP TAKES AN ACTIVE ROLE IN THE COMMUNITY BY SERVING ON COMMUNITY BOARDS TO SHARE EXPERTISE AND HEALTH CARE KNOWLEDGE. WITH CASH AND IN-KIND CONTRIBUTIONS, ST. VINCENT'S MEDICAL CENTER RIVERSIDE AND, IN SOME INSTANCES, IN PARTNERSHIP WITH OTHER ORGANIZATIONS, OFFERS A VARIETY OF OPPORTUNITIES WHICH ARE NO OR LOW COST TO THE COMMUNITY. ST. VINCENT'S DOES THIS AS PART OF ITS MISSION TO PROVIDE CARE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE OF THE COMMUNITY. IT MAINTAINS A PRIMARY CARE RESIDENCY PROGRAM ALONG WITH PODIATRY AND PHARMACY RESIDENCIES. THE GOOD SAMARITAN FUND OF ST. VINCENT'S HEALTHCARE DISBURSED APPROXIMATELY $600,000 TO PATIENTS AND FAMILIES IN NEED. THESE SERVICES INCLUDED MEDICATIONS, TRANSPORTATION, CLOTHING, SHORT-TERM RESIDENTIAL AND BURIAL EXPENSES. THE MOBILE HEALTH OUTREACH MINISTRY (MHOM) URBAN/RURAL PROGRAM PROVIDED OVER 9,000 VISITS IN ITS PRIMARY CARE AND DENTAL PROGRAMS IN THE FIVE COUNTIES OF NORTHEAST FLORIDA. IT PROVIDED COUNTLESS HEALTH SCREENINGS AND IMMUNIZATION WHICH ARE NOT INCLUDED IN THE ABOVE COUNT. THE MHOM PEDIATRIC PROGRAM PROVIDED APPROXIMATELY 8,700 SERVICES TO CHILDREN DURING THE SCHOOL-YEAR AND SUMMER PROGRAMS. ALL WERE PROVIDED WITHOUT COST TO THE PATIENT. THE ST. VINCENT'S HEALTHCARE'S WEBSITE, JAXHEALTH.COM, IS AN ENCYCLOPEDIA WITH WELLNESS TOOLS FOR THE COMMUNITY TO GAIN INFORMATION TO LIVE A HEALTHIER LIFE STYLE. VARIOUS SEMINARS AND EDUCATIONAL OPPORTUNITIES, FACILITATED BY HEALTH CARE PROVIDERS AND SUBJECT MATTER EXPERTS ON DIFFERENT TOPICS RELATED TO HEALTH, WELLNESS, AND AGING AND ARE OPEN TO THE PUBLIC, WITH A SPECIAL EMPHASIS TO ENGAGE THE ELDERLY, TO ENHANCE THEIR HEALTH CARE KNOWLEDGE. THIS IS A FREELY ACCESSIBLE TO THE PUBLIC. KIDS TOGETHER AGAINST CANCER (KTAC) IS A SUPPORT GROUP FOR CHILDREN OF A PARENT DIAGNOSED WITH CANCER. THIS PROGRAM ALLOWS CHILDREN AND THEIR FAMILIES TO CONNECT WITH THEIR HEALTH PROVIDERS AND BETTER UNDERSTAND TREATMENT PLAN OPTIONS. ART THERAPY PROGRAMS ARE OFFERED IN PARTNERSHIP WITH THE CUMMER MUSEUM, LOCATED CLOSE TO THE ST. VINCENT'S MEDICAL CENTER RIVERSIDE CAMPUS. THIS GROUP IS FREE TO ALL. THE FAITH COMMUNITY NURSING PROGRAM, FORMERLY CALLED THE PARISH NURSE PROGRAM, IS A SMALL TEAM OF EMPLOYED NURSES THAT MAINTAIN SUPPORTIVE RELATIONSHIPS WITH 232 FAITH CONGREGATIONS, OF MULTIPLE FAITH BACKGROUNDS, TO TRAIN MEDICAL PROFESSIONALS IN EACH CONGREGATION TO SERVE THEIR MINISTRIES WITH HEALTH SERVICES AND EDUCATION. THEY PROVIDE EDUCATION, RESOURCES, AND EXPERTISE TO COMMUNITY ORGANIZATIONS, AT NO COST, TO SUPPORT A HOLISTIC VIEW OF HEALTH AND WELLNESS.
Schedule H, Part V, Section B, Line 16a THE FAP WAS WIDELY AVAILABLE ON WEBSITE	https://healthcare.ascension.org/Locations/Florida/FLJAC/Jacksonville-St-Vincents-Medical-Center-Riverside/Financial-Assistance
Schedule H, Part V, Section B, Line 16b THE FAP APPLICATION WAS WIDELY AVAILABLE ON WEBSITE	https://healthcare.ascension.org/Locations/Florida/FLJAC/Jacksonville-St-Vincents-Medical-Center-Riverside/Financial-Assistance
Schedule H, Part V, Section B, Line 16c A PLAIN LANGUAGE SUMMARY OF THE FAP WEBSITE	https://healthcare.ascension.org/Locations/Florida/FLJAC/Jacksonville-St-Vincents-Medical-Center-Riverside/Financial-Assistance
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 HEALTHCARE HAS BEEN PART OF JACKSONVILLE FOR OVER A CENTURY. IT HAS WELCOMED THE SICK AND VULNERABLE TO ITS DOORS THROUGHOUT THIS TIME. IN ITS MISSION STATEMENT, ST. VINCENT'S PROCLAIMS THAT IT PROVIDES CARE TO ALL, BUT WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. THIS IS THE EMPHASIS IT EMPLOYS IN ITS COMMUNITY BUILDING PROGRAMS. IT USES MULTIPLE TOOLS TO DETERMINE COMMUNITY NEED INCLUDING DATA COLLECTION FROM THE HEALTH PLANNING COUNCIL, AGENCY FOR HEALTHCARE ADMINISTRATION, COUNTY HEALTH DEPARTMENTS, THE FLORIDA DEPARTMENT OF HEALTH, LIVE ESTIMATES VIA THOMPSON REUTERS, INPATIENT AND OUTPATIENT UTILIZATION RATES AND STATE INPATIENT/OUTPATIENT DATA ALLOWS ST. VINCENT'S TO PARTICIPATE IN THE FOLLOWING PROGRAMS: MANY AREAS IN NORTHEAST FLORIDA HAVE BEEN IDENTIFIED AS A FOOD DESERT BY THE DUVAL COUNTY FOOD SUMMIT. ST. VINCENT'S PROVIDES FINANCIAL SUPPORT TO VARIOUS ORGANIZATIONS THAT SERVE THE MOST AT RISK ADULTS AND CHILDREN, PARTICULARLY AROUND ACCESS TO FOOD. CLARA WHITE MISSION, AGING TRUE, AND HUNGER FIGHT ALL PROVIDE FOOD, IN VARIOUS WAYS AND MEANS, TO THE PEOPLE OF OUR COMMUNITY. CLARA WHITE PROVIDES COMMUNITY GARDENS AND PROVIDES JOB TRAINING IN RESTAURANT AND CATERING OPPORTUNITIES. AGING TRUE IS THE PROVIDER OF ALL MEALS ON WHEELS SERVICES IN DUVAL COUNTY, DELIVERING NUTRITIOUS MEALS TO THE HOMES OF THE ELDERLY AND DISABLED. HUNGER FIGHT PROVIDES THOUSANDS OF SELF STABLE MEAL BAGS TO LOCAL AND INTERNATIONAL COMMUNITIES, WITH AN EMPHASIS POST DISASTER, OF A HIGHLY NUTRITIONAL MEAL THAT CAN BE MADE USING MINIMAL RESOURCES. ST. VINCENT'S HEALTHCARE ALSO PROVIDES FINANCIAL SUPPORT AND EXPERTISE FOR THE JACKSONVILLE AREA CHAMBER OF COMMERCE AND THE CLAY COUNTY CHAMBER OF COMMERCE. THE CHAMBERS OBJECTIVES ARE TO DRIVE BUSINESS IN THE REGION WITH EMPHASIS ON INITIATIVES FOR THE UN/UNDER EMPLOYED IN THE AREA THROUGH THEIR CAREER ACADEMIES AND YOUTH SUMMER INITIATIVES. ST. VINCENT'S SUPPORTS PREPARATION FOR ALL MEMBERS OF THE COMMUNITY FOR ENTERING AND REMAINING IN THE WORKFORCE. FOLLOWING OUR MISSION, ST. VINCENT'S SUPPORTS MANY ORGANIZATIONS WORKING WITH POOR AND VULNERABLE YOUTH AND THEIR FAMILIES. THE TOM COUGHLIN JAY FUND IS A LOCAL NON-PROFIT ORGANIZATION THAT HELPS FAMILIES WITH CHILDREN BATTLING CANCER THROUGH FINANCIAL AND EMOTIONAL SUPPORT. SIMILARLY, DELIVER THE DREAM SUPPORTS FAMILIES WITH CHILDREN UNDERGOING CRISIS OR CHRONIC ILLNESS TO REGAIN STRENGTH AND MEND SPIRITS. ST. VINCENT'S ALSO SUPPORTED THE BOYS AND GIRLS CLUB OF NORTHEAST FLORIDA TO PROVIDE SAFE AFTERSCHOOL PROGRAMS AND ACTIVITIES TO AT RISK YOUTH. THESE VARIOUS NON-PROFITS ENSURE CHILDREN AND THEIR FAMILIES ARE PROVIDED FOR IN A HOLISTIC CAREGIVING MODEL TO SUPPORT HEALTHY LIVES. HOUSING, AS PERMEANT AND TRANSITIONAL, WAS SUPPORTED FOR THE MOST VULNERABLE IN OUR COMMUNITY. ST. VINCENT'S SPONSORED HABIJAX, HABITAT FOR HUMANITY NONPROFIT, WITH FINANCIAL AND VOLUNTEER SUPPORT. HABIJAX ENABLES THE IMPOVERISHED A CHANCE TO PURCHASE A HOUSE, USING A MODEL THAT REQUIRE FINANCIAL AND PERSONAL INVESTED DURING THE BUILDING PROCESS. THE SULZBACHER CENTER, A HOMELESS SHELTER AND CLINIC, OFFERS VARIOUS RESOURCES INCLUDING HEALTH CARE AND DENTAL SERVICES WAS SUPPORTED WITH FINANCIAL AND IN-KIND DONATION.
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 THE PATIENT 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 POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2018 WAS $36,990,279 AT CHARGES, ($6,288,347 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT EXPENSE IS LOCATED ON PAGE 21.
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 EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. 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 MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION 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. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED.
Schedule H, Part V, Section B, Line 16a FAP website	- St. Vincent's Medical Center, Inc.: Line 16a URL: SEE PT VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- St. Vincent's Medical Center, Inc.: Line 16b URL: SEE PT VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- St. Vincent's Medical Center, Inc.: Line 16c URL: SEE PT VI;
Schedule H, Part VI, Line 2 Needs assessment	In addition to the CHNAs reported in Part V, Section B, we also have an active Mobile Health Outreach Mission (MHOM). This mission provides free medical services to the residents of Northeast Florida, who are un-served and underserved. This mission mainly sees migrant/rural farm workers and their families and also poor inner city families in the following counties: Clay, Duval, Nassau, Putnam, St. John's and Volusia. A mobile health unit consists of a physician, nurse practitioner, emergency medical technician and social worker assistance to assist in providing care. Examples of care provided to this population are: immunizations, health screenings, physicals, laboratory, diagnostic testing, dental care, case management, health education and dispensing of free medication. MHOM case management works with patients in need to gain access to services or specialist not provided by their mobile clinics. Patients are connected with appropriate resources for follow up care.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	St. Vincent's Medical Center Riverside posts information about availability of charity care in its emergency room and admissions areas. Referrals for charity care are made by Financial Specialists, Patient Accounting personnel, social work personnel, collection agency personnel, physicians and community members. All patients potentially eligible for charity care status are screened by the financial specialists/collection representatives for assistance through federal, state, county and other social service programs. The financial specialists/collection representatives work collaboratively with other health care members to explore alternative financial resources for the patients. The Charity Care Policy is available to patients upon request and provided the patient does not qualify for any funded program. Medicaid patients upon exhaustion of benefits will automatically qualify for charity care allowance as long as they remain eligible for Medicaid.The Hospital Outreach Eligibility Program (HOPE) was created to improve access to healthcare for the poor and vulnerable. Information about the program is available, not only at St. Vincent's Medical Center Riverside, but also in physician offices, on the website, on the medical clinic vans and at various locations throughout the community. HOPE staff works to provide this service to the entire community, not just patients likely to use St. Vincent's Healthcare. Staff participate in neighborhood and community-wide enrollment fairs and health screenings in which, not only are patients who come to St. Vincent's Medical Center Riverside screened, but persons throughout the community are screened to determine eligibility for insurance. Programs for which HOPE staff works diligently to enroll include Medicaid, Florida KidCare, charity programs, other state and federally funded programs including Medicare, COBRA, and HCRA. Patients will be denied charity based on non-compliance with attempts to obtain insurance for eligibility coverage though other programs (i.e. Medicaid-eligible individuals who have failed to keep required appointments with their case worker). Patients should be screened prior to sending to Florida Department of Children and Family Services to determine if they qualify for Medicaid. Patients can be selected for presumptive charity care by using an electronic screening process. Information about the Charity Care Policy is included in the patient bills indicating financial assistance is available and information about contacting the Hospital to seek assistance. We do not provide the criteria within the bills themselves. Any uninsured patient or patient requesting assistance is referred to a patient financial advocate to assist with resolving the bill with the Hospital. This process includes assisting the patient with filing an application for any government sponsored health care program. All patient financial services areas maintain a list of available translators for any non-English speaking patients. There are all bi-lingual associates in the patient financial services department and are available as needed to assist with non-English speaking patients. All registration staff is trained and responsible for completing an initial financial assistance screening application that is used for assessing the patient's family's financial situation. The financial assistance screening application is then forwarded to a patient financial advocate who will review and assist the patient with the process. The collection agencies used by St. Vincent's HealthCare are required to follow St. Vincent's policies regarding patient notification about the availability of financial assistance. Those patients who indicate an inability to pay for their services are referred back to the Hospital to apply for charity care. In addition to this process, open accounts are routinely screened using computer software tools for potential charity care qualified patients. Any patient with family income less that 200% of Federal Poverty Guidelines will qualify for 100% charity care write-off.
Schedule H, Part VI, Line 4 Community information	ST. VINCENT'S HEALTHCARE LOOKS AT THE COMMUNITY IT SERVES IN TWO WAYS. ON A REGIONAL LEVEL, FIVE COUNTIES FALL INTO THE OVERALL PLANNING REGION: DUVAL, CLAY, NASSAU, BAKER, AND ST. JOHN'S. ON A NARROWER LEVEL 75% OF THE PRIMARY SERVICE AREA (PSA) IS REVIEWED BY ZIP CODE WHICH IS COMPRISED OF APPROXIMATELY 160,000 INPATIENT CASES. ST. VINCENT'S MEDICAL CENTER RIVERSIDE FOCUS ARE: 32011, 32040, 32046, 32063, 32065, 32068, 32073, 32082, 32204, 32205, 32206, 32207, 32208, 32209, 32210, 32211, 32215, 32216, 32217, 32218, 32219, 32220, 32221, 32222, 32223, 32224, 32225, 32233, 32234, 32244, 32246, 32250, 32254, 32256, 32257, 32258, 32259, 32277 THE FACILITIES WITHIN THE AREA ARE: - BAPTIST MEDICAL CENTER - JACKSONVILLE, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 489 BEDS; - WOLFSON CHILDREN'S HOSPITAL, AN ACUTE CARE NOT-FOR-PROFIT CHILDREN'S FACILITY IN JACKSONVILLE WITH 202 BEDS; - BAPTIST MEDICAL CENTER BEACHES, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE BEACH WITH 146 BEDS; - BAPTIST MEDICAL CENTER NASSAU, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN FERNANDINA BEACH WITH 62 BEDS; - BAPTIST MEDICAL CENTER SOUTH, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 269 BEDS; - ED FRASER MEMORIAL HOSPITAL, AN ACUTE CARE NOT- FOR-PROFIT FACILITY IN MACCLENNY WITH 25 BEDS; - FLAGLER HOSPITAL, AN ACUTE CARE NOT- FOR-PROFIT FACILITY IN ST. AUGUSTINE WITH 335 BEDS; - KINDRED HOSPITAL - NORTH FLORIDA, A LONG-TERM CARE FOR-PROFIT FACILITY IN GREEN COVE SPRINGS WITH 80 BEDS; - MAYO CLINIC JACKSONVILLE, AN ACADEMIC ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 304 BEDS; - MEMORIAL HOSPITAL JACKSONVILLE, AN ACUTE CARE FOR-PROFIT FACILITY IN JACKSONVILLE WITH 418 BEDS; - ORANGE PARK MEDICAL CENTER, AN ACUTE CARE FOR-PROFIT FACILITY IN ORANGE PARK WITH 317 BEDS; - RIVER POINT BEHAVIORAL HEALTH, JACKSONVILLE A PSYCHIATRIC FOR-PROFIT FACILITY IN JACKSONVILLE WITH 84 BEDS; - ST. VINCENT'S MEDICAL CENTER RIVERSIDE, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 528 BEDS; - ST. VINCENT'S MEDICAL CENTER SOUTHSIDE, AN ACUTE CARE NOT- FOR-PROFIT FACILITY IN JACKSONVILLE WITH 309 BEDS; - ST. VINCENT'S MEDICAL CENTER CLAY COUNTY, AN ACUTE CARE NOT- FOR-PROFIT FACILITY IN JACKSONVILLE WITH 106 BEDS - UF HEALTH JACKSONVILLE, AN ACADEMIC ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 609 BEDS; - UF HEALTH NORTH, AN ACUTE CARE NOT-FOR-PROFIT FACILITY IN JACKSONVILLE WITH 92 BEDS - CURAHEALTH JACKSONVILLE, A LONG-TERM CARE FOR-PROFIT FACILITY IN JACKSONVILLE WITH 107 BEDS; - WEKIVA SPRINGS, A PSYCHIATRIC AND SUBSTANCE ABUSE FOR-PROFIT FACILITY IN JACKSONVILLE WITH 120 BEDS
Schedule H, Part VI, Line 5 Promotion of community health	ST. VINCENT'S HEALTHCARE HAS BEEN PART OF JACKSONVILLE FOR OVER 100 YEARS. ST. VINCENT'S MEDICAL CENTER RIVERSIDE HAS WELCOMED THE SICK AND VULNERABLE TO ITS DOORS THROUGHOUT. IN ITS MISSION STATEMENT, ST. VINCENT'S PROCLAIMS THAT IT PROVIDES CARE TO ALL, BUT WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. THIS IS THE EMPHASIS IT EMPLOYS IN ITS COMMUNITY BENEFIT PROGRAMS. ST. VINCENT'S HEALTHCARE HAS A MEDICAL STAFF OPEN TO ALL QUALIFIED PHYSICIANS IN THE NORTHEAST FLORIDA AREA. THE MAJORITY OF THE DEDICATED MEMBERS OF THE BOARD OF DIRECTORS OF ST. VINCENT'S HEALTHCARE ARE PERSONS WHO LIVE AND WORK IN THE NORTHEAST FLORIDA REGION WHO, BY VIRTUE OF THEIR CONTINUING SERVICE TO THE COMMUNITY, ARE ACUTELY AWARE OF THE SOCIAL AND HEALTH NEEDS OF THE REGION. THESE INDIVIDUALS ALONG WITH MEMBERS OF THE MEDICAL STAFF ARE COMMITTED TO THE MISSION STATEMENT AND ITS CALL TO PROVIDE HIGH QUALITY HEALTH CARE FOR ALL WHO COME TO ITS DOORS. AS WELL, ST. VINCENT'S LEADERSHIP TAKES AN ACTIVE ROLE IN THE COMMUNITY BY SERVING ON COMMUNITY BOARDS TO SHARE EXPERTISE AND HEALTH CARE KNOWLEDGE. WITH CASH AND IN-KIND CONTRIBUTIONS, ST. VINCENT'S MEDICAL CENTER RIVERSIDE AND, IN SOME INSTANCES, IN PARTNERSHIP WITH OTHER ORGANIZATIONS IS ABLE TO OFFER A VARIETY OF OPPORTUNITIES WHICH ARE NO OR LOW COST TO THE COMMUNITY. ST. VINCENT'S DOES THIS AS PART OF ITS MISSION TO PROVIDE CARE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE OF THE COMMUNITY. IT MAINTAINS A PRIMARY CARE RESIDENCY PROGRAM ALONG WITH PODIATRY AND PHARMACY RESIDENCIES. IT SPONSORS THE FAITH COMMUNITY NURSING PROGRAM WHICH IS IN 70 CONGREGATIONS IN NORTHEAST FLORIDA AND THE SETON CENTER FOR WOMEN AND CHILDREN. IT MAINTAINS A PRIMARY CARE RESIDENCY PROGRAM ALONG WITH PODIATRY AND PHARMACY RESIDENCIES. THE MIKE DAVIDSON FAMILY OVERNIGHT CENTER IS A 16-BED OVERNIGHT CENTER FOR PATIENTS WHO MUST BE IN THE MEDICAL CENTER FOR EARLY MORNING PROCEDURES, BUT MAY LIVE TOO FAR AWAY AND REQUIRE OVERNIGHT RESIDENCE. FAMILIES CAN ALSO STAY AT THE OVERNIGHT CENTER TO BE CLOSE TO PATIENTS WHO ARE HAVING MEDICAL EMERGENCIES, SUCH AS BEING ADMITTED IN THE ICUS OR BABIES IN THE NICU. THE GOOD SAMARITAN FUND OF ST. VINCENT'S MEDICAL CENTER RIVERSIDE DISBURSED APPROXIMATELY $380,000 TO PATIENTS IN FINANCIAL NEED. THESE SERVICES INCLUDED MEDICATIONS, TRANSPORTATION, CLOTHING, SHORT-TERM RESIDENTIAL AND BURIAL EXPENSES. THE MOBILE HEALTH OUTREACH MINISTRY (MHOM) URBAN/RURAL PROGRAM SERVED OVER 6,000 PERSONS IN ITS PRIMARY CARE PROGRAM IN THE FIVE COUNTIES OF NORTHEAST FLORIDA. IT PROVIDED COUNTLESS HEALTH SCREENINGS AND IMMUNIZATION WHICH ARE NOT INCLUDED IN THE ABOVE COUNT. THE MHOM PEDIATRIC PROGRAM SERVED APPROXIMATELY 9,900 CHILDREN IN ITS SCHOOL-YEAR AND SUMMER PROGRAMS. ALL WERE PROVIDED WITHOUT COST TO THE PATIENT. THE ST. VINCENT'S HEALTHCARE'S WEBSITE, JAXHEALTH.COM, IS AN ENCYCLOPEDIA WITH WELLNESS TOOLS FOR THE COMMUNITY TO GAIN INFORMATION TO LIVE A HEALTHIER LIFE STYLE. VARIOUS SEMINARS AND EDUCATIONAL OPPORTUNITIES, FACILITATED BY HEALTH CARE PROVIDERS AND SUBJECT MATTER EXPERTS ON DIFFERENT TOPICS RELATED TO HEALTH, WELLNESS, AND AGING AND ARE OPEN TO THE PUBLIC, WITH A SPECIAL EMPHASIS TO ENGAGE THE ELDERLY, TO ENHANCE THEIR HEALTH CARE KNOWLEDGE. KIDS TOGETHER AGAINST CANCER (KTAC) IS A SUPPORT GROUP FOR CHILDREN OF A PARENT DIAGNOSED WITH CANCER. THIS PROGRAM ALLOWS CHILDREN AND THEIR FAMILIES TO CONNECT WITH THEIR HEALTH PROVIDERS AND BETTER UNDERSTAND TREATMENT PLAN OPTIONS. ART THERAPY PROGRAMS ARE OFFERED IN PARTNERSHIP WITH THE CUMMER MUSEUM, LOCATED CLOSE TO THE ST. VINCENT'S MEDICAL CENTER RIVERSIDE CAMPUS. THIS GROUP IS FREE TO ALL. THE FAITH COMMUNITY NURSING PROGRAM, FORMERLY CALLED THE PARISH NURSE PROGRAM, IS A SMALL TEAM OF EMPLOYED NURSES THAT MAINTAIN SUPPORTIVE RELATIONSHIPS WITH 70 FAITH CONGREGATIONS, OF MULTIPLE FAITH BACKGROUNDS, TO TRAIN MEDICAL PROFESSIONALS IN EACH CONGREGATION TO SERVE THEIR MINISTRIES WITH HEALTH SERVICES AND EDUCATION. ST. VINCENT'S MEDICAL CENTER RIVERSIDE GIVES SPACE WITHOUT COST TO COMMUNITY HEALTH ORGANIZATIONS SUCH AS VISION IS PRICELESS, EMERGENCY PREGNANCY SERVICES, AMERICAN CANCER SOCIETY AND THE DIOCESAN CENTER FOR FAMILY LIFE, AS WELL AS VARIOUS COMMUNITY GROUPS THAT USE THE MEDICAL CENTER FOR COMMUNITY MEETING SPACE.
Schedule H, Part VI, Line 6 Affiliated health care system	ST. VINCENT'S MEDICAL CENTER, INC. (THE MEDICAL CENTER) IS A WHOLLY OWNED SUBSIDIARY OF ST. VINCENT'S HEALTH SYSTEM, INC. (SVHS), WHICH IS A MEMBER OF ASCENSION HEALTH. ASCENSION HEALTH IS A CATHOLIC, NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTH CARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 20 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION HEALTH IS SPONSORED BY THE NORTHEAST, SOUTHEAST, EAST CENTRAL, AND WEST CENTRAL PROVINCES OF THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, THE CONGREGATION OF ST. JOSEPH, AND THE SISTERS OF ST. JOSEPH OF CARONDELET (CSJ). THE MEDICAL CENTER, LOCATED IN JACKSONVILLE, FLORIDA, IS A NONPROFIT ACUTE CARE HOSPITAL. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF NORTHEAST FLORIDA AND SOUTHEAST GEORGIA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. THE MEDICAL CENTER IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH AND ITS SPONSORED ORGANIZATIONS ARE RELATED TO PROVIDING HEALTH CARE SERVICES. MISSION: ASCENSION HEALTH DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH ASCENSION HEALTH'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ASCENSION HEALTH USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS WHO ARE POOR AND COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS CALCULATED IN COMPLIANCE WITH GUIDELINES ESTABLISHED BY BOTH THE CATHOLIC HEALTH ASSOCIATION (CHA) AND THE INTERNAL REVENUE SERVICE (IRS). ADDITIONAL AFFILIATES AND MEMBERS OF THE ST. VINCENT'S HEALTH SYSTEM INCLUDE: ST. LUKE'S-ST. VINCENT'S HEALTHCARE, ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC., ST. VINCENT'S AMBULATORY CARE, INC., ST. VINCENT'S PHYSICIAN'S ENTERPRISE INC., CONSOLIDATED PHARMACY SERVICES, INC. AND ST. VINCENT'S FOUNDATION, INC.
Schedule H, Part VI, Line 7 State filing of community benefit report	FL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SISTERS OF ST FRANCIS XAVIER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2585 OAK STREET	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32204	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	201499617	RecipientEIN
IRC Section	501C3	IRCSectionDesc
Cash Grant	$135,000	CashGrantAmt
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	St. Vincent's Medical Center Riverside provides only direct charitable contributions. Therefore, no monitoring of charitable contributions is performed.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS J VANOSDOL
CEO, MINISTRY MARKET	$0	$555,860	$0	$301,615	$0	$69,385	$0	$17,550	$0	$27,500	$0	$971,910	$0	$0
MICHAEL H SCHATZLEIN MD
FORMER OFFICER (END 12/2016)	$0	$37,007	$0	$0	$0	$1,014,828	$0	$1,704	$0	$9,491	$0	$1,063,029	$0	$0
C SUSAN CORNEJO
CFO, GULF COAST MINISTRY MARKET (START 6/2018)	$0	$401,722	$0	$248,229	$0	$53,721	$0	$16,200	$0	$21,065	$0	$740,937	$0	$0
PAMELA M HESS
CFO, JACKSONVILLE MINISTRY MARKET (END 6/2018)	$0	$325,338	$0	$104,808	$0	$257,907	$0	$16,200	$0	$19,445	$0	$723,699	$0	$0
JOHN J CASSANI
FORMER KEY EMPLOYEE (END 3/2016)	$0	$2,186	$0	$0	$0	$108,655	$0	$0	$0	$2,128	$0	$112,968	$0	$0
MICHELLE ADAMOLEKUN
CHRO, MINISTRY MARKET (END 2/2018)	$0	$248,838	$0	$141,041	$0	$39,395	$0	$16,171	$0	$20,045	$0	$465,489	$0	$0
DONALD B CLAYPOOL
PRESIDENT, ACUTE CARE HOSPITALS (END 7/2017)	$0	$266,526	$0	$50,244	$0	$255,759	$0	$14,850	$0	$23,594	$0	$610,973	$0	$0
FRANK H GILBERSTADT MD
CCO, MINISTRY MARKET	$0	$431,924	$0	$233,148	$0	$57,162	$0	$13,500	$0	$27,098	$0	$762,832	$0	$0
LORRAINE M KEITH
CNO, MINISTRY MARKET	$0	$264,190	$0	$33,708	$0	$34,875	$0	$15,640	$0	$3,670	$0	$352,083	$0	$0
TERESA LOFTIS
CMIO, MINISTRY MARKET	$0	$201,566	$0	$94,202	$0	$15,331	$0	$15,419	$0	$24,315	$0	$350,833	$0	$0
WILLIAM R MAYHER
COO, MINISTRY MARKET	$0	$189,345	$0	$24,804	$0	$19,374	$0	$13,207	$0	$25,912	$0	$272,642	$0	$0
JOHN D MEYER III
CSMO, MINISTRY MARKET	$0	$263,158	$0	$166,595	$0	$41,645	$0	$17,220	$0	$9,756	$0	$498,375	$0	$0
JEFFREY H MIDDLEBROOK
CLO, REGIONAL	$0	$333,538	$0	$138,824	$0	$65,198	$0	$9,658	$0	$25,406	$0	$572,625	$0	$0
KENNETH ROTHFIELD
CHIEF MEDICAL OFFICER (END 8/2017)	$0	$251,360	$0	$49,659	$0	$82,661	$0	$14,468	$0	$20,024	$0	$418,172	$0	$0
TRACY B WILLIAMS
COO - Acute Care Hospitals	$0	$283,313	$0	$37,524	$0	$25,421	$0	$15,852	$0	$30,271	$0	$392,381	$0	$0
SONYA J DOMINGUEZ MD
PHYSICIAN	$240,984	$0	$7,260	$0	$736	$0	$15,431	$0	$29,189	$0	$293,601	$0	$0	$0
TODD D FRACKE
RADIATION PHYSICIST	$210,624	$0	$0	$0	$6,883	$0	$8,022	$0	$17,378	$0	$242,908	$0	$0	$0
NAICIE ARIEL MARROW MD
PHYSICIAN	$208,633	$0	$17,725	$0	$393	$0	$10,853	$0	$31,127	$0	$268,731	$0	$0	$0
DAVID A MCINNES MD
MEDICAL DIRECTOR, FAMILY MEDICINE	$368,024	$0	$37,463	$0	$5,639	$0	$17,550	$0	$30,661	$0	$459,338	$0	$0	$0
ROBERT F RASPA MD
PHYSICIAN	$205,450	$0	$3,065	$0	$2,883	$0	$13,683	$0	$6,376	$0	$231,457	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, a related organization of St. Vincent's Medical Center, Inc., uses the following to establish the compensation of the organization's President & CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee.
Schedule J, Part I, Line 4a Severance or change-of-control payment	The following individual(s) received severance payments from the organization or a related organization: John J. Cassani - $105,134 Michael H Schatzlein, MD - $961,539
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 payment from the supplemental nonqualified retirement plan in the current year.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	COMPUTER EQUIPMENT	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$97,515	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - COMPUTER EQUIPMENT NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 Doing Business as:	St. Vincent's Family Medical Center Consolidated Laboratory Services.
Form 990, Part IV, Line 20b Explanation of Financial Statements	The activity of St. Vincent's Medical Center, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent's Medical Center, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Vincent's Medical Center, Inc.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT'S MEDICAL CENTER, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT & CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY ST. VINCENT'S HEALTH SYSTEM, INC., A RELATED ORGANIZATION OF ST. VINCENT'S MEDICAL CENTER, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES 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 MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
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 INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS 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	Income from Joint Ventures - Total Revenue: -10596, Related or Exempt Function Revenue: -10596, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: 35, Related or Exempt Function Revenue: 35, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Education Revenue - Total Revenue: 37251, Related or Exempt Function Revenue: 37251, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Escheatment Revenue - Total Revenue: 13791, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 13791; Late Penalty Fees - Total Revenue: 16663, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 16663; Miscellaneous Expense - Total Revenue: 1711059, Related or Exempt Function Revenue: 1711059, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS WITH ALPHA FUND - -48685095; CHANGE IN VALUE OF INTEREST IN ST. VINCENT'S FOUNDATION - 2086615;
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant	St. Vincent's Medical Center, Inc. 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, Header Website	https://healthcare.ascension.org/Locations/Florida/FLJAC/Jacksonville-St-Vincents-Medical-Center-Riverside

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998	ST LOUIS	MO	631455998	453358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA	false
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	false
ST VINCENT'S HEALTH SYSTEM INC
4205 BELFORT ROAD SUITE 4020	JACKSONVILLE	FL	32216	593650609	PARENT ENTITY	FL	501(c)(3)	Type II	ASCENSION HEALTH	false
ST LUKE'S-ST VINCENT'S HEALTHCARE INC
4205 BELFORT ROAD SUITE 4020	JACKSONVILLE	FL	32216	260479484	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes (true)
ST VINCENT'S FOUNDATION INC
4205 BELFORT ROAD SUITE 4020	JACKSONVILLE	FL	32216	592219923	FUND RAISING	FL	501(c)(3)	7	ST VINCENT'S HEALTH SYSTEM INC	Yes (true)
ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC
4205 BELFORT ROAD SUITE 4020	JACKSONVILLE	FL	32216	461523194	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
CONSOLIDATED PHARMACY SERVICES INC
4205 BELFORT ROAD SUITE 4030	JACKSONVILLE	FL	32216	593398033	RETAIL PHARMACY & PATIENT TRANSPORT	FL	NA	C Corporation	Yes (true)
ADVANCED PATIENT TRANSPORTATION INC
4205 BELFORT ROAD SUITE 4030	JACKSONVILLE	FL	32216	593381444	TRANSPORT SERVICES	FL	NA	C Corporation	Yes (true)
SETON PHARMACY INC
4205 BELFORT ROAD SUITE 4030	JACKSONVILLE	FL	32216	593001427	RETAIL PHARMACY	FL	NA	C Corporation	Yes (true)
FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC
1 SHIRCLIFF WAY	JACKSONVILLE	FL	32204	261983355	CONDOMINIUM ASSOCIATION	FL	ST VINCENT'S MEDICAL CENTER INC	C Corporation	Yes (true)	$148,559	$11,254	0.6872
St Vincent's Strategic Ventures Inc
4205 Belfort Road Suite 4030	Jacksonville	FL	33213	593133073	LEASING	FL	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CONSOLIDATED PHARMACY SERVICES INC
P	$56,398	FAIR MARKET VALUE
CONSOLIDATED PHARMACY SERVICES INC
Q	$2,580,118	FAIR MARKET VALUE
CONSOLIDATED PHARMACY SERVICES INC
R	$413,120	FAIR MARKET VALUE
ST LUKE'S-ST VINCENT'S HEALTHCARE INC
K	$154,633	FAIR MARKET VALUE
ST LUKE'S-ST VINCENT'S HEALTHCARE INC
L	$1,053,598	FAIR MARKET VALUE
ST LUKE'S-ST VINCENT'S HEALTHCARE INC
Q	$167,563	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION INC
C	$1,782,676	FAIR MARKET VALUE
ST VINCENT'S MEDICAL CENTER-CLAY COUNTY Inc
L	$1,277,695	FAIR MARKET VALUE
ST VINCENT'S MEDICAL CENTER-CLAY COUNTY Inc
Q	$242,673	FAIR MARKET VALUE
ST VINCENT'S MEDICAL CENTER-CLAY COUNTY Inc
P	$69,119	FAIR MARKET VALUE