2018-05-15T16:05:08-05:00 2017-06-30 990 2016-07-01 592292041 St Vincent's Ambulatory Care Inc STVI 3147338000 4205 Belfort Road 4020 Jacksonville FL 32216 Tonya Mershon Tax Officer 2017-09-27 2016 2022-09-23 18:48:47Z Tom VanOsdol 1 SHIRCLIFF WAY JACKSONVILLE FL 32204 72246793 false 0928 X WWW.JAXHEALTH.COM X 1983 FL To improve the health and well-being of all people in the communities we serve. 12 0 849 9 0 0 1138466 1115702 67763992 67220952 -208358 -8267 3874973 3469133 72569073 71797520 0 0 0 89040637 93600796 0 0 0 20579897 26283037 109620534 119883833 -37051461 -48086313 21620930 39782175 24073217 35288015 -2452287 4494160 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. false false 110826088 69028830 ST. VINCENT'S AMBULATORY CARE, INC. PROVIDES QUALITY OUT-PATIENT CARE IN THE FIELDS OF NEUROSCIENCE, CARDIOLOGY, OBSTETRICS/GYNECOLOGY, AND GENERAL SURGERY TO THE RESIDENTS OF NE FLORIDA AND SE GEORGIA. ST. VINCENT'S AMBULATORY CARE, INC. HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBIILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED AND THE UNDERSERVED. APPROXIMATELY 54% OF THE VALUE OF SERVICES WERE RENDERED TO PATIENTS UNDER THE MEDICARE PROGRAM AND APPROXIMATELY 5% OF THE SERVICES PROVIDED TO PATIENTS UNDER THE MEDICAID PROGRAM. 1548423 1548423 MOBILE HEALTH OUTREACH PROVIDES QUALITY OUT-PATIENT CARE TO THE RESIDENTS OF NE FLORIDA AND SE GEORGIA. MOBILE HEALTH OUTREACH HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE INDIGENT AND MIGRANT POPULATION. 29988 29988 ST. VINCENT'S ("SV") P.A.T.H. PROGRAM PROVIDES QUALITY OUT-PATIENT CARE TO THE RESIDENTS OF NE FLORIDA AND SE GEORGIA. SV'S P.A.T.H. HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED AND UNDERSERVED. SV'S P.A.T.H. SERVICES INCLUDE PRIMARY CARE, PRESCRIPTION ASSISTANCE, RN HEALTH COACHING/EDUCATION, CASE MANAGEMENT, AND PREVENTIVE CARE SCREENINGS. 112404499 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 69 0 true 849 true false false false false false false false false false false X 12 0 false false true false true true true true true false false false true true true true true false false false X Kara Mathe 9043087300 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE FL 32216 ESTRELLITA REDMON MD AMG Clinical Dyad Leader / Board President 30.0 25.0 X X 0 466618 33002 DAVID G KULIK VICE CHAIRMAN (END 1/2017) 1.0 5.0 X X 0 0 0 KYLE E SANDERS AMG Administrative Dyad Leader 30.0 25.0 X X 0 538451 37857 THOMAS J VANOSDOL INTERIM PRESIDENT & CEO 7.0 48.0 X X 0 731746 44269 WILLIAM CODY MD CHAIRMAN (START 2/2017) 1.0 54.0 X X 0 149933 28315 PAUL J CHAPPANO MD CHAIRMAN (END 1/2017) 1.0 4.0 X X 0 0 0 SONYA J DOMINGUEZ MD VICE CHAIRMAN (START 2/2017) 1.0 54.0 X X 0 257582 42079 RICHARD JONES SECRETARY/TREASURER (END 1/2017) 1.0 4.0 X X 0 0 0 Samer Garas MD MEMBER (START 2/2017) 1.0 0 X 1526319 0 45221 FRANK H GILBERSTADT MD MEMBER (START 2/2017) 1.0 54.0 X 0 546654 34156 CARLA HARRIS MEMBER (END 1/2017) 1.0 4.0 X 0 0 0 Wesley Mills MD MEMBER (START 2/2017) 1.0 0 X 288780 0 24097 RICARDO MORALES JR MEMBER (END 9/2016) 1.0 4.0 X 0 0 0 Ashutosh Pradhan MD MEMBER (START 2/2017) 1.0 0 X 1467492 0 49706 SISTER JEAN D RHOADES MEMBER (END 1/2017) 1.0 4.0 X 0 0 0 HELEN D ROWAN MEMBER (END 1/2017) 1.0 4.0 X 0 0 0 VAN D ROYAL MEMBER (END 1/2017) 1.0 4.0 X 0 0 0 SIDNEY S SIMMONS II MEMBER (END 9/2016) 1.0 4.0 X 0 0 0 Markus Sonntag MD MEMBER (START 2/2017) 1.0 0 X 191661 0 37948 Maymon Thint MD MEMBER (START 2/2017) 1.0 0 X 262135 0 35846 Deborah Weyer MD MEMBER (START 2/2017) 1.0 0 X 219045 0 28405 PAMELA M HESS CFO-Mnstry Mkt Jacksonville 7.0 48.0 X 0 413439 36631 MICHAEL H SCHATZLEIN MD REGIONAL CEO (END 12/2016) 1.0 49.0 X 0 3128428 37373 MICHELLE ADAMOLEKUN CHIEF HUMAN RESOURCES OFFICER REGIONAL VP 7.0 48.0 X 0 418829 20226 JOHN J CASSANI VP, CLINICAL LEAD (END 3/2016) 3.0 53.0 X 0 488155 26057 TERESA LOFTIS VP Msn-CMIO Mnstry Mkt JAX 7.0 48.0 X 0 304707 37635 WILLIAM R MAYHER SVP - Reg Dev & Corp Resp 7.0 48.0 X 0 264903 38151 JOHN D MEYER III CSMO-Mnstry Mkt Jacksonville 7.0 48.0 X 0 463974 39721 JEFFREY H MIDDLEBROOKS MEMBER (START 2/2017) 7.0 48.0 X 0 476627 33342 ABDALLAH KAFROUNI MD MEDICAL DIRECTOR, SPECIALTIES 55.0 0 X 656159 0 47583 WILLIE PENNICK MD MEDICAL DIRECTOR, PRIMARY CARE 55.0 0 X 291241 0 36583 ALI CHAHLAVI MD PHYSICIAN 54.0 1.0 X 3333908 0 62339 ERIC GABRIEL MD PHYSICIAN 55.0 0 X 1888078 0 53865 MARIANO B MIKULIC MD PHYSICIAN 55.0 0 X 1591148 0 47572 ERIC W NOTTMEIER MD PHYSICIAN 55.0 0 X 1252874 0 48569 SAUMIL R OZA MD PHYSICIAN 55.0 0 X 1272504 0 40199 JANICE G LIPSKY FORMER KEY EMPLOYEE (END 12/2015) 0.0 0.0 X 0 242643 15284 DENISE MCKROW FORMER KEY EMPLOYEE (END 10/2015) 0.0 0.0 X 0 157065 12630 MOODY CHISHOLM FORMER OFFICER (END 3/2015) 0.0 0.0 X 0 514219 0 KIMBERLY HODGKINSON FORMER OFFICER (END 6/2016) 0.0 0.0 X 0 177153 14511 DONNIE L ROMINE JR FORMER OFFICER (END 10/2015) 0.0 0.0 X 0 579018 4228 14241344 10320144 1093400 143 true true false MAYO CLINIC 200 1ST STREET SW ROCHESTER MN 55905 MEDICAL SERVICES 183117 NEWVENTURE OF JACKSONVILLE INC 8130 BAYMEADOWS CIRCLE W 306 JACKSONVILLE FL 32256 COMMERCIAL CLEANING SERVICES 143931 THERAIC ENTERPRISES OF JACKSONVILLE LLC 6321 DANIELS PARKWAY SUITE 200 FORT MEYERS FL 33912 INVESTMENT FEES 135003 JAMES D BAKER III MD PA 2 SHIRCLIFF WAY SUITE 415 JACKSONVILLE FL 32204 PHYSICIAN SERVICES 132660 MED-LINK STAFFING INC 163 HAMPTON POINT DRIVE SUITE 3 SAINT AUGUSTINE FL 320923060 STAFFING SERVICES 104631 5 1115702 1115702 Medicare/Medicaid 621990 42788176 42788176 Net Patient Service Revenue 621990 23957443 23957443 Mobile Health Outreach 621990 472078 472078 EKG Reading Revenue 621990 3255 3255 0 0 0 0 67220952 15385 15385 356655 425621 -68966 0 -68966 -68966 0 23652 0 -23652 -23652 -23652 Incentive Payments 900099 2621853 2621853 Medical Records 900099 151810 151810 ON-CALL/MEDICAL DIRECTOR INCOME 900099 764436 764436 0 0 0 0 3538099 71797520 70607241 0 74577 5208221 5208221 78230697 79475654 -1244957 1561668 1585711 -24043 4454998 4458174 -3176 4145212 3962823 182389 675 645 30 8361 7993 368 555086 442404 112682 0 53585 53585 971655 768542 203113 12263 8584 3679 5183971 4924772 259199 403096 302322 100774 39056 29292 9764 1055385 1023723 31662 1634372 1634372 Purchased services 6628920 5283249 1345671 Medical Supplies 5966117 5936286 29831 Intra/Intercompany Other Operating Expense 1886863 917015 969848 Minor Equipment 584734 550235 34499 1298898 1039118 259780 0 119883833 112404499 7479334 0 3130626 6993506 5149092 5486761 0 0 0 0 453086 133018 217262 23139881 7804775 5461640 15335106 0 0 1615881 1806952 6130673 9489502 21620930 39782175 8468092 11698903 2103227 966610 0 13501898 22622502 24073217 35288015 X -2452287 4494140 0 20 -2452287 4494160 21620930 39782175 X -48086313 760768 54271992 X false true X true false X 1544933 1161998 1063420 1138466 1115702 6024519 43739102 46281581 68710618 71656981 70607241 300995523 0 0 0 45284035 47443579 69774038 72795447 71722943 307020042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 307020042 336387 436579 168771 70433 372040 1384210 0 336387 436579 168771 70433 372040 1384210 0 344622 178865 149416 231122 151810 1055835 45965044 48059023 70092225 73097002 72246793 309460087 0.9921 0.9905 0.0045 0.0047 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS INCOME / MEDICAL RECORDS, COLUMN A - 344622.0, COLUMN B - 178865.0, COLUMN C - 149416.0, COLUMN D - 231122.0, COLUMN E - 151810.0, COLUMN F - 1055835.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2038154 2038154 6603795 2573744 4030051 2897769 1313554 1584215 6035874 3846647 2189227 5564289 70830 5493459 15335106 Deposits AH deferred compensation 5329740 AR IntraCompany with HM and with System Office 3059958 Other Assets 763990 Other Receivables 335814 9489502 AP InterCompany Between HMs 14270033 Ascension deferred compensation liabiliity 5329740 General Professional Liability payable AH Savings Plan Liability 774259 Current Portion Workers Comp Accrued Real Estate Tax Accrued Sales Tax Deposit Liability Misc Current Liabilities 3693 Other Taxes Payable 32111 Pension and Other Post retirement Liability 1948901 Recovery Tail Liability 263765 22622502 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2017. true true false false false false false false false ESTRELLITA REDMON MD AMG Clinical Dyad Leader / Board President 0 356515 0 88945 0 21158 0 13250 0 19752 0 499620 0 0 KYLE E SANDERS AMG Administrative Dyad Leader 0 368965 0 131554 0 37932 0 14575 0 23282 0 576308 0 0 THOMAS J VANOSDOL INTERIM PRESIDENT & CEO 0 435581 0 196664 0 99501 0 15900 0 28369 0 776015 0 0 WILLIAM CODY MD CHAIRMAN (START 2/2017) 0 147098 0 0 0 2835 0 9421 0 18894 0 178248 0 0 SONYA J DOMINGUEZ MD VICE CHAIRMAN (START 2/2017) 0 249435 0 7656 0 491 0 15953 0 26126 0 299661 0 0 Samer Garas MD MEMBER (START 2/2017) 501260 0 1023371 0 1688 0 15900 0 29321 0 1571540 0 0 0 FRANK H GILBERSTADT MD MEMBER (START 2/2017) 0 422811 0 96644 0 27199 0 13250 0 20906 0 580810 0 0 Wesley Mills MD MEMBER (START 2/2017) 191931 0 96237 0 612 0 10816 0 13281 0 312877 0 0 0 Ashutosh Pradhan MD MEMBER (START 2/2017) 1094975 0 371377 0 1140 0 14575 0 35131 0 1517198 0 0 0 Markus Sonntag MD MEMBER (START 2/2017) 168087 0 23196 0 378 0 10755 0 27193 0 229609 0 0 0 Maymon Thint MD MEMBER (START 2/2017) 181290 0 79929 0 916 0 12329 0 23517 0 297981 0 0 0 Deborah Weyer MD MEMBER (START 2/2017) 170486 0 47284 0 1275 0 10010 0 18395 0 247450 0 0 0 MOODY CHISHOLM FORMER OFFICER (END 3/2015) 0 0 0 0 0 514219 0 0 0 0 0 514219 0 0 KIMBERLY HODGKINSON FORMER OFFICER (END 6/2016) 0 175306 0 0 0 1847 0 4327 0 10184 0 191664 0 0 DONNIE L ROMINE JR FORMER OFFICER (END 10/2015) 0 0 0 0 0 579018 0 0 0 4228 0 583246 0 0 PAMELA M HESS CFO-Mnstry Mkt Jacksonville 0 299889 0 61995 0 51555 0 15900 0 20731 0 450070 0 0 MICHAEL H SCHATZLEIN MD REGIONAL CEO (END 12/2016) 0 980084 0 1692000 0 456344 0 14575 0 22798 0 3165801 0 0 JANICE G LIPSKY FORMER KEY EMPLOYEE (END 12/2015) 0 0 0 0 0 242643 0 0 0 15284 0 257927 0 0 DENISE MCKROW FORMER KEY EMPLOYEE (END 10/2015) 0 0 0 0 0 157065 0 0 0 12630 0 169695 0 0 MICHELLE ADAMOLEKUN CHIEF HUMAN RESOURCES OFFICER REGIONAL VP 0 254379 0 117659 0 46791 0 14575 0 5651 0 439055 0 0 JOHN J CASSANI VP, CLINICAL LEAD (END 3/2016) 0 98053 0 87995 0 302107 0 3154 0 22903 0 514212 0 0 TERESA LOFTIS VP Msn-CMIO Mnstry Mkt JAX 0 202011 0 94646 0 8050 0 15786 0 21849 0 342342 0 0 WILLIAM R MAYHER SVP - Reg Dev & Corp Resp 0 188407 0 59808 0 16688 0 14880 0 23271 0 303054 0 0 JOHN D MEYER III CSMO-Mnstry Mkt Jacksonville 0 260564 0 167395 0 36015 0 17225 0 22496 0 503695 0 0 JEFFREY H MIDDLEBROOKS MEMBER (START 2/2017) 0 304983 0 139478 0 32166 0 8806 0 24536 0 509969 0 0 ABDALLAH KAFROUNI MD MEDICAL DIRECTOR, SPECIALTIES 487482 0 167794 0 883 0 10394 0 37189 0 703742 0 0 0 WILLIE PENNICK MD MEDICAL DIRECTOR, PRIMARY CARE 244556 0 44348 0 2337 0 12246 0 24337 0 327824 0 0 0 ALI CHAHLAVI MD PHYSICIAN 2470406 0 861792 0 1710 0 13250 0 49089 0 3396247 0 0 0 ERIC GABRIEL MD PHYSICIAN 1441104 0 444352 0 2622 0 14575 0 39290 0 1941943 0 0 0 MARIANO B MIKULIC MD PHYSICIAN 542473 0 1046086 0 2589 0 15900 0 31672 0 1638720 0 0 0 ERIC W NOTTMEIER MD PHYSICIAN 1048454 0 202710 0 1710 0 13250 0 35319 0 1301443 0 0 0 SAUMIL R OZA MD PHYSICIAN 479870 0 791621 0 1013 0 13250 0 26949 0 1312703 0 0 0 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 AMBULATORY CARE, INC. USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: -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 - $279,866 Moody Chisholm - $514,219 Janice G. Lipsky - $239,720 Denise McKrow - $155,996 Donnie L Romine, Jr. - $396,213 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions. Form 990, Part 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 Ambulatory Care, 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, THE PROCESS PERFORMED BY ASCENSION MEDICAL GROUP, LLC, A RELATED ORGANIZATION OF ST. VINCENT'S AMBULATORY CARE, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ST. VINCENT'S HEALTH SYSTEM, INC. 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 4 Significant changes to organizational documents THE ARTICLES OF INCORPORATION FOR ST. VINCENT'S AMBULATORY CARE, INC. WERE AMENDED FOR A CHANGE IN CORPORATE MEMBERSHIP. THE SINGLE CORPORATE MEMBER CHANGED FROM ST. VINCENT'S HEALTH SYSTEM, INC. TO ASCENSION MEDICAL GROUP, LLC. Form 990, Part VI, Line 6 Classes of members or stockholders ST. VINCENT'S AMBULATORY CARE, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION MEDICAL GROUP, LLC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ST. VINCENT'S AMBULATORY CARE, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION MEDICAL GROUP, LLC WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. VINCENT'S AMBULATORY CARE, 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 AMBULATORY CARE, INC.'S FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ASCENSION MEDICAL GROUP, LLC. 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 XI, Line 9 Other changes in net assets or fund balances Deferred Pension Costs - -316301; Transfer from Affiliates - 54588293; Form 990, Part XII, Line 2b audit of financial statements The activity of St. Vincent's Ambulatory Care, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent's Ambulatory Care, Inc. is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Vincent's Ambulatory Care, Inc. Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant St. Vincent's Ambulatory Care, 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. 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 VINCENT'S MEDICAL CENTER INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE FL 32216 590624449 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true 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 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 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 true CONSOLIDATED PHARMACY SERVICES INC 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE FL 32216 593398033 RETAIL PHARMACY & PATIENT TRANSPORT FL NA C Corporation true ADVANCED PATIENT TRANSPORTATION INC 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE FL 32216 593381444 TRANSPORT SERVICES FL NA C Corporation true SETON PHARMACY INC 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE FL 32216 593001427 RETAIL PHARMACY FL NA C Corporation true FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC 1 SHIRCLIFF WAY JACKSONVILLE FL 32204 261983355 CONDOMINIUM ASSOCIATION FL NA C Corporation true St Vincent's Strategic Ventures Inc 4205 Belfort Road Suite 4030 Jacksonville FL 33213 593133073 LEASING FL NA C Corporation true false false true false false false false false false true true false true false false false false true true CONSOLIDATED PHARMACY SERVICES INC Q 57117 FMV ST LUKE'S HOSPITAL K 1031830 FMV ST LUKE'S HOSPITAL O 105511 FMV ST LUKE'S HOSPITAL P 131657 FMV ST LUKE'S HOSPITAL R 138119 FMV ST VINCENT'S FOUNDATION INC C 1115702 FMV ST VINCENT'S FOUNDATION INC O 240125 FMV ST VINCENT'S FOUNDATION INC P 1091140 FMV ST VINCENT'S FOUNDATION INC S 401769 FMV ST VINCENT'S MEDICAL CENTER INC K 1065351 FMV ST VINCENT'S MEDICAL CENTER INC L 586308 FMV ST VINCENT'S MEDICAL CENTER INC M 906320 FMV ST VINCENT'S MEDICAL CENTER INC O 1682829 FMV ST VINCENT'S MEDICAL CENTER INC P 3267278 FMV ST VINCENT'S MEDICAL CENTER INC Q 646256 FMV ST VINCENT'S MEDICAL CENTER INC S 486032 FMV ST VINCENT'S MEDICAL CENTER INC R 3177636 FMV ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC R 1372767 FMV Schedule R, Part II St. Vincent's Ambulatory Care, Inc. Due to a corporate reorganization during FY 2017, the sole corporate member of St. Vincent's Ambulatory Care, Inc. changed from St. Vincent's Health System, Inc. to Ascension Medical Group, a disregarded entity of Ascension Health, EIN 31-1662309. At that time, St. Vincent's Ambulatory Care, Inc. ceased to be a member of the Ascension Jacksonville group.