2018-05-15T16:04:11-05:00 2017-06-30 990 2016-07-01 260479484 St Luke's-St Vincent's Healthcare Inc STLU 3147338000 4205 Belfort Road 4020 Jacksonville FL 32216 Tonya Mershon Tax Officer 2017-09-27 2016 2022-09-23 18:48:47Z St Vincent's Medical Center Southside Tom VanOsdol 1 Shircliff Way Jacksonville FL 32204 192746113 false 0928 X www. jaxhealth.com X 2007 FL To improve the health and well-being of all people in the communities we serve. 10 8 1206 187 0 0 49607 120270 190329668 190748342 -348764 59536 1211824 1765064 191242335 192693212 52327 0 56898114 55787069 0 0 109605301 111365092 166503415 167204488 24738920 25488724 117649353 118570486 136869460 36498645 -19220107 82071841 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 147146389 52327 191100528 St. Vincent's Medical Center Southside (Formerly St. Luke's Hospital) is the oldest private hospital in the state of Florida. Like its other St. Vincent's Healthcare siblings, it welcomes the sick and vulnerable to its doors. Please refer to Schedule H for the Community Benefit Report. 147146389 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 114 0 true 1206 true false false false false false false false false false false X 10 8 false false false 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 THOMAS J VANOSDOL INTERIM PRESIDENT & CEO 10.0 45.0 X X 0 731746 44269 PAUL J CHAPPANO MD CHAIRMAN 1.0 4.0 X X 0 0 0 DAVID G KULIK VICE CHAIRMAN 1.0 5.0 X X 0 0 0 RICHARD JONES SECRETARY/TREASURER 1.0 4.0 X X 0 0 0 WILLIAM CODY MD MEMBER (START 9/2016) 1.0 54.0 X 0 149933 28315 CARLA HARRIS MEMBER 1.0 4.0 X 0 0 0 RICARDO MORALES JR MEMBER (END 9/2016) 1.0 4.0 X 0 0 0 SISTER JEAN D RHOADES MEMBER 1.0 4.0 X 0 0 0 HELEN D ROWAN MEMBER 1.0 4.0 X 0 0 0 VAN D ROYAL MEMBER 1.0 4.0 X 0 0 0 SIDNEY S SIMMONS II MEMBER (END 9/2016) 1.0 4.0 X 0 0 0 MICHAEL BOYLAN MEMBER (START9/2016) 1.0 3.0 X 0 0 0 PAMELA M HESS CFO-Mnstry Mkt Jacksonville 10.0 45.0 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 10.0 45.0 X 0 418829 20226 DONALD B CLAYPOOL President-Acute Care Hospitals 12.0 43.0 X 0 563320 41739 FRANK H GILBERSTADT MD CCO-Mnstry Mkt Jacksonville 12.0 43.0 X 0 546654 34156 LORRAINE M KEITH System CNO 12.0 43.0 X 379396 0 19219 TERESA LOFTIS VP Msn-CMIO Mnstry Mkt JAX 10.0 45.0 X 0 304707 37635 WILLIAM R MAYHER SVP - Reg Dev & Corp Resp 10.0 45.0 X 0 264903 38151 JOHN D MEYER III CSMO-Mnstry Mkt Jacksonville 10.0 45.0 X 0 463974 39721 JEFFREY H MIDDLEBROOKS GENERAL COUNSEL 10.0 45.0 X 0 476627 33342 KENNETH ROTHFIELD Sys VP/Chief Medical Officer 13.0 42.0 X 0 543498 45842 TRACY B WILLIAMS COO - Acute Care Hospitals 12.0 43.0 X 0 386517 42279 FLORIJAN DARAGJATI Manager - Pharmacy 55.0 0 X 163221 0 14733 CHARLES J GRIFFEY Certified RN Anesthetist 55.0 0 X 167767 0 33247 KYLE E SANDERS AMG Administrative Dyad Leader 0.0 55.0 X 538451 0 37857 STEPHEN SMITH Pharmacist 55.0 0 X 155624 0 36127 JILL C WENZEL Certified RN Anesthetist 55.0 0 X 154887 0 16887 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 DONNIE L ROMINE JR FORMER KEY EMPLOYEE (END 10/2015) 0.0 0.0 X 0 579018 4228 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 STEVEN S NAUMAN FORMER KEY EMPLOYEE (END 11/2014) 0.0 0.0 X 0 137500 0 1559346 10200173 684402 26 true true false GENESIS HEALTH DEVELOPMENT INC PO BOX 47230 JACKSONVILLE FL 32247 REHABILITATION SERVICES 2814091 SYNAPTIC RESOURCES NEURO PROTECTIVE SRV 6817 SOUTHPOINT PKWY STE 701 JACKSONVILLE FL 32216 INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING 446290 NORTH FL SURGEONS PA P O BOX 935 BIRMINGHAM AL 35201 PHYSICIAN SERVICES 381856 NORTH FLORIDA ANESTHESIA CONSULTANTS 2165 HERSCHEL ST JACKSONVILLE FL 32204 ANESTHESIA SERVICES 363298 THE CENTER FOR WOUND HEALING INC 155 WHITE PLAINS RD STE 222 TARRYTOWN NY 10591 MEDICAL SERVICES 299065 14 120270 120270 Net Patient Revenue 621990 111158815 111158815 0 0 Medicare/Medicaid 621990 77535370 77535370 Exempt Affiliates Rent 532000 1361517 1361517 Research Sponsor Revenue 621990 236791 236791 ARRA REVENUE 900099 455849 455849 0 0 0 0 190748342 59541 59541 343982 43502 300480 0 300480 300480 0 5 0 -5 -5 -5 0 0 0 67708 9394 58314 58314 cafeteria/vending revenue 722514 900016 900016 shared savings payments 900099 352186 352186 other revenue 900099 154068 154068 0 0 0 0 1406270 192693212 191100528 0 1472414 52327 52327 398615 398615 45460843 43823270 1637573 1042777 1011608 31169 5518352 5279205 239147 3366482 3218357 148125 12724 12724 14892702 11869483 3023219 0 458007 458007 188770 132139 56631 2669027 2535576 133451 14695 11021 3674 29153 21865 7288 342024 331763 10261 6423666 6230956 192710 2029808 2029808 Medical Supplies 42267591 42056253 211338 Purchased services 18639087 14855352 3783735 Intra/Intercompany Other Operating Expense 18486346 8984365 9501981 Provider Tax Expense 2579447 2579447 2332045 1665587 666458 0 167204488 147146389 20058099 0 4699 4543 0 27289960 28849777 0 0 0 0 3347278 3419358 113421 214699 159078392 81091862 78741600 77986530 0 1602122 2621336 1805777 3928937 6289802 117649353 118570486 12150366 11593009 0 0 124719094 24905636 136869460 36498645 X -20822229 80511290 1602122 1560551 0 -19220107 82071841 117649353 118570486 X 25488724 75803224 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12724 12724 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY St. Luke's-St. Vincent's Healthcare, Inc. had lobbying expenses related to the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. St. Luke's-St. Vincent's Healthcare, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY St. Luke's-St. Vincent's Healthcare, Inc. had lobbying expenses related to the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. St. Luke's-St. Vincent's Healthcare, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 11504099 11504099 88083452 32909072 55174380 13171 13171 0 54588862 44142094 10446768 4888808 4027525 861283 77986530 Interest in Investments Held by Ascension Health Alliance Third Party Settlements Other Misc Long Term Assets 133919 Total Deferred Compensation Asset 247945 Intra/Intercompany AR 2385945 interest in foundation 1635334 Estimated Settlements from Third-Party Payor 1306200 Other Receivables 146813 Physician Receivable 247659 Physician Guarantee Long Term Assets 185987 6289802 Intercompany Debt with Ascension Health Alliance Pension and Other Post Retirement Liabilities Self-Insurance Liabilities - NonCurrent Estimated Third-Party Payor Settlements 448530 Deferred Comp Liability 247945 Physician Guarantee LT Liability 106456 AH Savings Plan Liability 529924 Taxes Payable Intercompany Payables Intra/Intercompany AP 19400628 Pension and Other Post retirement Liability 2796833 Recovery Tax Liability 1368930 Other Liabilities 6390 24905636 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 X true X 250 true X true true true false true true 4594618 4594618 0.0276 15858783 7165103 8693680 0.0523 0 0.0 0 0 20453401 7165103 13288298 0.0799 311752 311752 0.0019 0 0.0 0 0.0 0 0.0 445800 0 445800 0.0027 0 0 757552 0 757552 0.0046 0 0 21210953 7165103 14045850 0.0845 0 0.0 0 0.0 141 141 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 141 0 141 0.0000 false 1519470 1066305 75325272 74356676 968596 X true true 1 1 St Luke's- St Vincent's Healthcare 4205 Belfort Road Suite 4020 Jacksonville FL 32216 www.jaxhealth.com 4494 X X X St Luke's- St Vincent's Healthcare 1 false false true X X X X X X X X X 15 true true false true X http://www.jaxhealth.com/about-us/community-health-needs-assessment/ X true 15 true http://www.jaxhealth.com/about-us/community-health-needs-assessment/ false true X 250.0 400.0 X X X X true true X X X X true X https://www.jaxhealth.com/patients-visitors/Financial-Assistance-Programs/ X https://www.jaxhealth.com/patients-visitors/Financial-Assistance-Programs/ X https://www.jaxhealth.com/patients-visitors/Financial-Assistance-Programs/ X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Luke's-St. Vincent's HealthCare, Inc.. Input from persons representing the broad interests of the community, including individuals with special knowledge of 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. Luke's-St. Vincent's HealthCare, Inc.. St. Luke's-St. Vincent's HealthCare, collaborated with other hospital facilities within the St. Vincent's HealthCare system, and also with the other hospital members of the Jacksonville Metropolitan Community Benefit Partnership. The Partnership is comprised of leaders from Baptist Health, Brooks Rehabilitation, the Clay County Health Department, the Duval County Health Department, Mayo Clinic, the Nassau County Health Department, the Putnam County Health Department, UF Health Jacksonville (then Shands Jacksonville Medical Center), St. Vincent's HealthCare, and Wolfson Children's Hospital. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. Luke's-St. Vincent's Healthcare, Inc.. In 2014, hospital members of the Partnership initiated a second CHNA. Through this work, each hospital member developed and published a 2015 CHNA report. The CHNAs were conducted to identify priority health needs within each community served by each hospital, and to inform development of implementation strategies to address identified needs. The CHNAs also were conducted to respond to federal regulatory requirements. St. Vincent's HealthCare reviewed the results of the 2015 CHNA and utilized specific criteria for selection of the needs that are most compatible with our mission. Those included: available resources and competencies, the actual impact the hospital might have on designated needs, the value stakeholders placed upon the need and community support of the need. The prioritized needs selected are: - Access - increase medical access and quality of care for St. Vincent's Healthcare's Medicare eligible patients in Duval County through Alignment Healthcare. - Diabetes - Improve health outcomes for individuals diagnosed with Diabetes in Duval County through evidence-based activities. - Health Disparities - Promote health and wellness for the poor and vulnerable in Duval County with a collaborative community-wide initiative, Medical Mission at Home. - Maternal and Child Health - Promote infant mortality for parents in Duval County with a safe sleep educational initiative featured at St. Vincent's Southside Family Birth Place. - Mental Health - Increase access to mental health support specifically for the uninsured poor (below 250% FPL) in Duval County who are seeking care at St. Vincent's HealthCare. - Obesity/Nutrition/Lifestyle - Augment an evidenced based voluntary nutrition and fitness awareness program for youth 8-11 in Duval County Schools. - Smoking - Provide opportunities for smoking cessation for the public in Duval County 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 areas 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. In FY2017, SVHC continued to make progress on CHNA Implementation plan goals around the Prioritized Significant Identified Needs of; Access to Health Care Services, Diabetes, Health Disparities, Maternal & Child Health, Mental Health, Smoking, and Obesity/Nutrition/Lifestyle. 0 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 what did not speak English well or not at all was 1.7% - St. Vincent's Medical Center Southside 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 (BRFSS) and Chronic disease prevalence in the region. By reviewing FL CHARTS, County Profiles and BRFSS data, along with internal volume and financial data, St. Vincent's Medical Center, Inc. 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. 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 250% 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. Luke's-St. Vincent's Healthcare, Inc. provides to the less fortunate. St. Vincent's Medical Center, Inc. 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 under-served. 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 screening, 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 4 Community Information - Part III St. Vincent's Medical Center Southside 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 impoverished expectant mothers get access to 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 caregiving. 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 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 family physician. 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. Schedule H, Part V, Section B, Line 17 Billing and Collection Policy During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization. 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. St. Luke's-St. Vincent's Healthcare, Inc. 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 Benefit 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 2017 was $10,012,121 at charges, ($1,519,470 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 19. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization does have a written debt collection policy and Charity Care Policy (financial assistance). Patients without insurance are interviewed face-to-face to determine if they qualify for any third party payers or governmental programs. Patient statements contain messages requesting the patients to contact the organization should they need assistance with their debt. Patients that do not request assistance or provide the information necessary to qualify for financial assistance will follow a routine collection methodology. Schedule H, Part V, Section B, Line 16a FAP website - St. Luke's- St. Vincent's Healthcare: Line 16a URL: https://www.jaxhealth.com/patients-visitors/Financial-Assistance-Programs/; Schedule H, Part V, Section B, Line 16b FAP Application website - St. Luke's- St. Vincent's Healthcare: Line 16b URL: https://www.jaxhealth.com/patients-visitors/Financial-Assistance-Programs/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. Luke's- St. Vincent's Healthcare: Line 16c URL: https://www.jaxhealth.com/patients-visitors/Financial-Assistance-Programs/; Schedule H, Part VI, Line 2 Needs assessment St. Luke's-St. Vincent's HealthCare, Inc. uses multiple tools to determine community need. It has conducted a formal Community Health Needs Assessment, and has begun its implementation plan. A copy is available for download on the company's website http://www.jaxhealth.com/about-us/community-health-needs-assessment/ IN addition to the CHNA process, Currently the following tools are used: data from the Health Planning Council, Agency for Healthcare Administration, county health departments, The Florida Department of Health, live estimates via Thomson Reuters Inpatient and outpatient utilization rates and State Inpatient/ Outpatient discharge data. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 250% 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. 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 is reviewed by zip code, which is comprised of approximately 160,000 inpatient cases. The zip codes on which St. Vincent's Medical Center Southside 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 Medical Center Southside (formerly St. Luke's Hospital) is the oldest private hospital in the state of Florida. During its 139 years of operation, the facility has been in five locations and has been in its current locale since the mid-1980s. St. Luke's joined St. Vincent's HealthCare in 2008. Like its other St. Vincent's HealthCare sibling St. Vincent's Medical Center Riverside, St. Vincent's Medical Center Southside welcomes the sick and vulnerable to its doors. 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 St. Vincent's Southside uses in its community benefit programs. St. Vincent's Southside 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 parent organization, St. Vincent's Healthcare, are persons who live and work in the region and who, by virtue of their continuous service to the community, are acutely aware of the social and health needs of the Northeast Florida region. These individuals along with the members of the medical staff are committed to the Mission Statement and its call to provide high quality healthcare 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. Luke's-St. Vincent's Healthcare, Inc., 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. Luke's - St. Vincent's Healthcare disbursed approximately $600,000 to patients and families in need within our health system. 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 website, www.jaxhealth.com, is an encyclopedia with wellness tools for the community to gain information to live a healthier lifestyle. St. Vincent's Medical Center Southside promotes regular radio programming presented by healthcare professionals promoting prevention and wellness. Lunch and Learns is a series of talks given by health care providers and subject matter experts on different topics related to health and wellness and are open to the public, with a special emphasis to engage the elderly, to enhance their health care knowledge. This is 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 of Art & Gardens, 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 VI, Line 6 Affiliated health care system St. Luke's-St. Vincent's Healthcare, Inc. (SL-SV) 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). SL-SV, located in Jacksonville, Florida, is a nonprofit acute care hospital. SL-SV 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). AFFILIATES AND MEMBERS OF THE ST. VINCENT'S HEALTH SYSTEM INCLUDE: ST. LUKE'S-ST. VINCENT'S HEALTHCARE, ST. VINCENT'S medical center, inc., ST. VINCENT'S AMBULATORY CARE, INC., st, vincent's medical center -clay county,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 true MEDHSARE INTERNATIONAL INC 3240 CLIFTON SPRINGS ROAD DECATUR GA 30034 582433968 501(C)(3) 52327 BOOK MEDICAL EQUIPMENT GENERAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ST. LUKE'S-ST. VINCENT'S HEALTHCARE, INC. PROVIDES ONLY DIRECT CHARITABLE CONTRIBUTIONS. THEREFORE, NO MONITORING OF CHARITABLE CONTRIBUTIONS IS PERFORMED. true true false false false false false false false THOMAS J VANOSDOL INTERIM PRESIDENT & CEO 0 435581 0 196664 0 99501 0 15900 0 28369 0 776015 0 0 WILLIAM CODY MD MEMBER (START 9/2016) 0 147098 0 0 0 2835 0 9421 0 18894 0 178248 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 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 DONNIE L ROMINE JR FORMER KEY EMPLOYEE (END 10/2015) 0 0 0 0 0 579018 0 0 0 4228 0 583246 0 0 STEVEN S NAUMAN FORMER KEY EMPLOYEE (END 11/2014) 0 137500 0 0 0 0 0 0 0 0 0 137500 0 0 MICHELLE ADAMOLEKUN CHIEF HUMAN RESOURCES OFFICER REGIONAL VP 0 254379 0 117659 0 46791 0 14575 0 5651 0 439055 0 0 DONALD B CLAYPOOL President-Acute Care Hospitals 0 385431 0 150219 0 27670 0 13250 0 28489 0 605059 0 0 FRANK H GILBERSTADT MD CCO-Mnstry Mkt Jacksonville 0 422811 0 96644 0 27199 0 13250 0 20906 0 580810 0 0 LORRAINE M KEITH System CNO 264141 0 81277 0 33978 0 15390 0 3829 0 398615 0 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 GENERAL COUNSEL 0 304983 0 139478 0 32166 0 8806 0 24536 0 509969 0 0 KENNETH ROTHFIELD Sys VP/Chief Medical Officer 0 381546 0 115015 0 46937 0 14575 0 31267 0 589340 0 15503 TRACY B WILLIAMS COO - Acute Care Hospitals 0 283170 0 90478 0 12869 0 13552 0 28727 0 428796 0 0 FLORIJAN DARAGJATI Manager - Pharmacy 157810 0 5160 0 251 0 8997 0 5736 0 177954 0 0 0 CHARLES J GRIFFEY Certified RN Anesthetist 154763 0 3660 0 9344 0 9177 0 24070 0 201014 0 0 0 KYLE E SANDERS AMG Administrative Dyad Leader 368965 0 131554 0 37932 0 14575 0 23282 0 576308 0 0 0 STEPHEN SMITH Pharmacist 149182 0 0 0 6442 0 9614 0 26513 0 191751 0 0 0 JILL C WENZEL Certified RN Anesthetist 146370 0 2201 0 6316 0 7511 0 9376 0 171774 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. Luke's-St. Vincent's Healthcare, 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: 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. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted: Kenneth Rothfield - $15,503 Form 990, Part IV, Line 20b Explanation of Financial Statements THE ACTIVITY OF ST. LUKE'S-ST. VINCENT'S HEALTHCARE, INC. IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ST. LUKE'S-ST. VINCENT'S HEALTHCARE, INC. IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ST. LUKE'S-ST. VINCENT'S HEALTHCARE, 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. Luke's-St. Vincent's Healthcare, 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 ST. VINCENT'S HEALTH SYSTEM, INC., A RELATED ORGANIZATION OF ST. LUKE'S-ST. VINCENT'S HEALTHCARE, 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 6 Classes of members or stockholders St. Luke's-St. Vincent's Healthcare, 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. Luke's-St. Vincent's Healthcare, 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. Luke's-St. Vincent's Healthcare. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Luke's-St. Vincent's Healthcare 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 XI, Line 9 Other changes in net assets or fund balances FAS 158 PENSION ADJUSTMENT - -448546; TRANSFERS WITH ALPHA FUND - 94506515; Temporary restricted Other - 83125; TRANSFERS WITH AFFILIATES - -18337870; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant St. Luke's-St. Vincent's Healthcare, 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 VINCENT'S AMBULATORY CARE INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE FL 32216 592292041 PHYSICIAN PRACTICE FL 501(c)(3) 10 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 true true false true true true true true CONSOLIDATED PHARMACY SERVICES INC Q 83804 FMV CONSOLIDATED PHARMACY SERVICES INC R 60648 FMV ST VINCENT'S AMBULATORY CARE INC J 1031830 FMV ST VINCENT'S AMBULATORY CARE INC L 131657 FMV ST VINCENT'S AMBULATORY CARE INC M 105511 FMV ST VINCENT'S AMBULATORY CARE INC S 138119 FMV ST VINCENT'S FOUNDATION INC C 120270 FMV ST VINCENT'S FOUNDATION INC P 76973 FMV ST VINCENT'S FOUNDATION INC Q 1050971 FMV ST VINCENT'S FOUNDATION INC S 114690 FMV ST VINCENT'S MEDICAL CENTER INC J 182466 FMV ST VINCENT'S MEDICAL CENTER INC L 365655 FMV ST VINCENT'S MEDICAL CENTER INC M 229998 FMV ST VINCENT'S MEDICAL CENTER INC Q 594851 FMV ST VINCENT'S MEDICAL CENTER INC R 1772885 FMV ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC P 117577 FMV ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC S 895238 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.