ST LUKES - ST VINCENTS HEALTHCAREINC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST LUKES - ST VINCENTS HEALTHCAREINC (EIN 26-0479484)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-15
IRS object ID
201631369349300103
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-15T00:00:25-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN260479484EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Luke's-St Vincent's Healthcare IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone9043087300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort RoadAddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKimberly HodgkinsonPersonNm
Person TitleCFO - Health SystemPersonTitleTxt
Signature2016-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebecca LyonsPreparerPersonNm
PTINP01487105PTIN
Phone5137847100PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1St Vincent's Medical Center SouthsideBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Michael H Schatzlein MDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort RoadAddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$185,982,180GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww. jaxhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionRooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1213TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$38,122PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$177,989,075PYProgramServiceRevenueAmt
CY Program Service Revenue$181,394,887CYProgramServiceRevenueAmt
PY Investment Income$3,358,571PYInvestmentIncomeAmt
CY Investment Income$464,274CYInvestmentIncomeAmt
PY Other Revenue$1,094,659PYOtherRevenueAmt
CY Other Revenue$1,061,327CYOtherRevenueAmt
PY Total Revenue$182,480,427PYTotalRevenueAmt
CY Total Revenue$182,920,488CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,849,843PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$54,423,037CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$102,685,544PYOtherExpensesAmt
CY Other Expenses$115,925,195CYOtherExpensesAmt
PY Total Expenses$156,535,387PYTotalExpensesAmt
CY Total Expenses$170,348,232CYTotalExpensesAmt
PY Revenues Less Expenses$25,945,040PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,572,256CYRevenuesLessExpensesAmt
Total Assets BOY$163,805,201TotalAssetsBOYAmt
Total Assets EOY$154,945,119TotalAssetsEOYAmt
Total Liabilities BOY$132,851,821TotalLiabilitiesBOYAmt
Total Liabilities EOY$137,090,425TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$30,953,380NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,854,694NetAssetsOrFundBalancesEOYAmt
MissionRooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$148,027,445ExpenseAmt
Revenue$179,939,169RevenueAmt
DescSt. 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$385,322ExpenseAmt
Revenue$1,455,718RevenueAmt
DescEXEMPT AFFILIATE RENT.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$148,412,767TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1213EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Herb KaminskyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9043087300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort Road Suite 4020AddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MOODY CHISHOLM
PRESIDENT/CEO, EX OFFICIO (THRU 3/20/15)10.0081.00Yes (X)Yes (X)$0$1,617,338$76,903
SIDNEY S SIMMONS II
CHAIRMAN3.003.00Yes (X)Yes (X)$0$0$0
DAVID G KULIK
VICE CHAIRMAN1.005.00Yes (X)Yes (X)$0$0$0
RICARDO MORALES JR
SECRETARY/TREASURER1.001.00Yes (X)Yes (X)$0$0$0
PAUL J CHAPPANO MD
MEMBER1.001.00Yes (X)$0$0$0
CARLA HARRIS
MEMBER1.001.00Yes (X)$0$0$0
RICHARD JONES
MEMBER1.001.00Yes (X)$0$0$0
SR NANCY MURPHY DC
MEMBER1.001.00Yes (X)$0$0$0
SISTER JEAN D RHOADES
MEMBER1.001.00Yes (X)$0$0$0
VAN D ROYAL
MEMBER1.001.00Yes (X)$0$0$0
HELEN D ROWAN
MEMBER1.001.00Yes (X)$0$0$0
KIMBERLY HODGKINSON
CFO40.0040.00Yes (X)$0$424,813$65,276
MICHAEL SCHATZLEIN MD
REGIONAL CEO1.0055.50Yes (X)$0$2,667,403$40,277
KAREN F DARNELL
VP/CHIEF AMBULATORY SERVICE OFFICER (THRU 3/27/15)10.0041.00$0$356,217$74,689Yes (X)
LORRAINE M KEITH
COO/CNO - ST. LUKE'S40.000.00$275,439$0$39,415Yes (X)
JANICE G LIPSKY
SR. VP HR/OD/CHRO40.0040.00$0$297,156$70,698Yes (X)
JOHN MEYER
SR. VP STRATEGIC PLANNING40.0040.00$0$266,210$30,727Yes (X)
JEFFREY MIDDLEBROOKS
GENERAL COUNSEL40.0040.00$0$340,685$45,486Yes (X)
STEVE NAUMAN
INTERIM MNO (thru 11/21/14)40.0040.00$0$393,892$814Yes (X)
DONNIE ROMINE JR
COO/PRESIDENT - RIVERSIDE40.0040.00$0$508,876$73,892Yes (X)
KYLE SANDERS
PRESIDENT - SOUTHSIDE40.000.00$419,462$0$45,704Yes (X)
REBECCA GOLDWASSER
CRNA40.000.00$150,087$0$18,002Yes (X)
CHARLES GRIFFEY
CRNA40.000.00$158,275$0$43,217Yes (X)
JEFFERY SCARMACK
PHARMACIST40.000.00$149,009$0$29,564Yes (X)
JASON WASZAK
PHARMACIST40.000.00$148,259$0$34,400Yes (X)
JILL WENZEL
CRNA40.000.00$144,018$0$31,055Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,444,549TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,872,590TotReportableCompRltdOrgAmt
Total Other Compensation$720,119TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K27IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621990$103,444,149$103,444,149
MEDICARE/MEDICAID621990$73,847,322$73,847,322
EXEMPT AFFILIATES RENT532000$1,455,718$1,455,718
RESEARCH SPONSOR REVENUE621990$297,274$297,274

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,350,424TotalRevenueColumnAmt
Related Or Exempt Func Income$2,350,424RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$181,394,887TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$278,167TotalRevenueColumnAmt
Exclusion-$278,167ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$284,701RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$74,674RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$210,027RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,027TotalRevenueColumnAmt
Exclusion$210,027ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$3,729,459OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,987,018OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$742,441OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$742,441TotalRevenueColumnAmt
Exclusion$742,441ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$80,145GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,145TotalRevenueColumnAmt
Exclusion$80,145ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA SALES722320$720,232$720,232
VENDING SALES722320$50,923$50,923

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$771,155OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$182,920,488TotalRevenueColumnAmt
Related Or Exempt Func Income$181,394,887RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,525,601ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$465,166TotalAmt
Program Services$446,559ProgramServicesAmt
Management And General$18,607ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$45,104,207TotalAmt
Program Services$43,117,762ProgramServicesAmt
Management And General$1,986,445ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,672,527TotalAmt
Program Services$1,598,936ProgramServicesAmt
Management And General$73,591ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,867,845TotalAmt
Program Services$3,697,660ProgramServicesAmt
Management And General$170,185ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,313,292TotalAmt
Program Services$3,167,507ProgramServicesAmt
Management And General$145,785ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,480,269TotalAmt
Program Services$5,239,137ProgramServicesAmt
Management And General$241,132ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,243TotalAmt
Management And General$1,243ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,125,730TotalAmt
Program Services$13,649,207ProgramServicesAmt
Management And General$3,476,523ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$18,233TotalAmt
Program Services$18,233ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$252,490TotalAmt
Program Services$183,306ProgramServicesAmt
Management And General$69,184ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$181,655TotalAmt
Program Services$127,158ProgramServicesAmt
Management And General$54,497ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,980,039TotalAmt
Program Services$2,831,037ProgramServicesAmt
Management And General$149,002ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,764TotalAmt
Program Services$17,823ProgramServicesAmt
Management And General$5,941ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,452TotalAmt
Program Services$9,339ProgramServicesAmt
Management And General$3,113ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,557,333TotalAmt
Program Services$3,450,613ProgramServicesAmt
Management And General$106,720ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$984,676TotalAmt
Program Services$478,553ProgramServicesAmt
Management And General$506,123ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,293,045TotalAmt
Program Services$7,074,254ProgramServicesAmt
Management And General$218,791ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,422,076TotalAmt
Program Services$2,422,076ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$38,881,364$38,686,957$194,407
CORPORATE SERVICES$23,893,990$11,612,479$12,281,511
PROFESSIONAL MEDICAL FEES$7,084,245$5,646,143$1,438,102
EQUIPMENT RENT/MAINT.$2,496,138$2,348,866$147,272

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,236,453TotalAmt
Program Services$2,589,162ProgramServicesAmt
Management And General$647,291ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$170,348,232TotalAmt
Program Services$148,412,767ProgramServicesAmt
Management And General$21,935,465ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,600BOYAmt
EOY$6,550EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,641,197BOYAmt
EOY$26,139,138EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,496,168BOYAmt
EOY$3,626,089EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$254,612BOYAmt
EOY$117,976EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$164,414,354LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$83,172,110LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$86,313,026BOYAmt
EOY$81,242,244EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,403,357BOYAmt
EOY$1,592,678EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,137,327BOYAmt
EOY$3,342,953EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$37,552,914BOYAmt
EOY$38,877,491EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$163,805,201BOYAmt
EOY$154,945,119EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,795,959BOYAmt
EOY$9,816,090EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,055,862BOYAmt
EOY$127,274,335EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$132,851,821BOYAmt
EOY$137,090,425EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,550,023BOYAmt
EOY$16,451,337EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,403,357BOYAmt
EOY$1,403,357EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,953,380BOYAmt
EOY$17,854,694EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$163,805,201BOYAmt
EOY$154,945,119EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,572,256ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$25,670,942OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$0OtherActivitiesAmt
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationSt. 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. However, St. Luke's-St. Vincent's Healthcare, Inc. was not able to determine the amount. 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,487,081OtherCostOrOtherBasisAmt
Book Value$14,487,081BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,590,756OtherCostOrOtherBasisAmt
Depreciation$20,389,869DepreciationAmt
Book Value$50,200,887BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,700OtherCostOrOtherBasisAmt
Depreciation$13,700DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,373,251OtherCostOrOtherBasisAmt
Depreciation$56,358,593DepreciationAmt
Book Value$15,014,658BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,949,566OtherCostOrOtherBasisAmt
Depreciation$6,409,948DepreciationAmt
Book Value$1,539,618BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$81,242,244TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Interest in Investments Held by Ascension Health Alliance$31,992,565
Third Party Settlements$2,363,338
Other Long Term Assets$4,521,588
FieldValueIRS element (for citing)
Total Book Value Other Assets$38,877,491TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Intercompany Debt with Ascension Health Alliance$112,563,854
Pension and Other Post Retirement Liabilities$11,363,855
Self-Insurance Liabilities - NonCurrent$925,842
Valuation Allowance General Reserve Liability$40,810
Estimated Third-Party Payor Settlements$39,717
Intercompany Payables
Deferred Comp Liability AH Plans$247,945
Physician Guarantee LT Liability$2,092,312
FieldValueIRS element (for citing)
Total Liability$127,274,335TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationFROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE ("THE SYSTEM") (WHICH INCLUDE THE ACTIVITY OF ST. LUKE'S-ST. VINCENT'S HEALTHCARE, INC.): THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITION 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, 2015.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,325,024TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,325,024NetCommunityBenefitExpnsAmt
Total Expense0.0371TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,558,822TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,749,957DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,808,865NetCommunityBenefitExpnsAmt
Total Expense0.0693TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$20,883,846TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,749,957DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,133,889NetCommunityBenefitExpnsAmt
Total Expense0.1064TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$361,851TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$361,851NetCommunityBenefitExpnsAmt
Total Expense0.0021TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$183,969TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$183,969NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$545,820TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$545,820NetCommunityBenefitExpnsAmt
Total Expense0.0032TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$21,429,666TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,749,957DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,679,709NetCommunityBenefitExpnsAmt
Total Expense0.1096TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,417TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,417NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$37,417TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,417NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$1,862,452BadDebtExpenseAmt
Bad Debt Expense Attributable$1,916,657BadDebtExpenseAttributableAmt
Reimbursed By Medicare$71,097,366ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$72,945,397CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,848,031MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Luke's- St Vincent's HealthcareBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort Road Suite 4020AddressLine1Txt
CityJacksonvilleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.jaxhealth.comWebsiteAddressTxt
State License4494StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Luke's- St Vincent's HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://stvincentmc.thehcn.net/content/sites/hpcnef/2012_CHNA_REPORT_SOUTHSIDE.pdfOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://assets.thehcn.net/content/sites/hpcnef/CHNA_Southside_111813_20131125144853.pdfStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care2.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care4.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.jaxhealth.com/app/files/public/9379/HOPE-Application-2015.pdfFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - St. Luke's - St. Vincent's Healthcare, Inc.. Nine hospitals [Southern Baptist Hospital of Florida, Inc. (Baptist Medical Center Jacksonville, Baptist Medical Center South, Wolfson Children's Hospital), Baptist Medical Center of the Beaches, Inc., Baptist Medical Center of Nassau, Inc., Mayo Clinic, St. Vincent's Medical Center Riverside, St. Vincent's Medical Center Southside and UF Health)], Four Departments of Health (Florida Departments of Health for Clay County, Duval County, St. John's County and Nassau County) convened with the Health Planning Council of Northeast Florida to facilitate the CHNA. Each hospital agreed on its respective targeted communities. St. Vincent's was tasked with analyzing internal hospital census, existing community benefit programs, as well as secondary data collection. A community health survey was developed and administered to a broad varied range of residents living in the targeted five-county community. The survey contained questions regarding perceived quality of life and health of the community, barriers to health care, use of health care needs and demographic information. The survey included participants from Clay, Duval Nassau and St. John's Counties. The internet panel method was used in order to reach the largest possible number of qualified respondents, Focus groups and round table discussions were another method used to take into account input from the persons who represent the broad interest of community served . The round-table discussions allowed for the identification of the needs and priorities of participants who have the knowledge and expertise to inform the research. Representatives from Clay, Duval, Nassau, Putnam and St. John's Counties gave their input on multiple dimensions of their communities, including the built environment, local economy, barriers to access and motivation for healthy living. For the secondary research, public health related data was gathered from five counties. Each County Health Department provided an assessment that determined public health priorities for the next three to five years. The partnership's CHNA reflects the priorities identified in the health department assessments and its corresponding health improvement plan.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - St. Luke' s - St. Vincent's Healthcare, Inc.. The other hospital facilities with which the reporting hospital facility conducted its CHNA, include: - Baptist Medical Center Jacksonville - Duval County - Baptist Medical Center Beaches - Duval County (specially, Atlantic, Neptune and Jacksonville Beaches) - Baptist Medical Center Nassau - Nassau County - Baptist Medical Center South - Duval County and Northern St. John's county - Brooks Rehabilitation - Duval County and St. John's County - Mayo Clinic - Duval County - St. Vincent's Medical Center Riverside - Duval county, Clay County and Putnam County - Shands Jacksonville Medical Center - Duval County - Wolfson Children's Hospital - Duval County
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - St. Luke's-St. Vincent's Healthcare, Inc. - Part I. OUR THREE PRIORITIES ARE ACCUTE-HEALTH DISPARITIES, PREVENTIVE HEALTHCARE AND BUILT ENVIRONMENT. BELOW ARE THE STRATEGIES THAT WE ARE USING TO ADDRESS THE HEALTH PRIORITIES. ACCUTE-HEALTH DISPARITIES 1. INFANT MORTALITY SVMCR Seton Center nurses will provide community education, targeting pregnant women and women who plan to become pregnant, on the benefits of breastfeeding for mother and infant via classes, Brighter Beginnings program, health fairs, physicians and local community programs. SVMCR will provide Board Certified Lactation Consultants to assist newly delivered mothers in the hospital by providing education on the positive relationship between breast milk and better health for infants. SVMCR Inpatient nurses will encourage and support exclusive breastfeeding which has been shown to improve mother's success by transitioning the nursing model of care. SVMCR Nurses will provide information on community resources available post discharge to include: breastfeeding instruction materials; SVMCR Seton Center post-partum visits and lactation consults at no charge; Seton Center telephone warm line; reliable Web sites; and local support groups. 2. HEART DISEASE St. Vincent's Faith - Community Nursing will reach out to faith-based organizations to provide blood pressure screenings at community health fairs and prevention education to attendees to enhance knowledge and understanding of chronic diseases including hypertension, cardiovascular disease and diabetes with a particular focus on Health Zone 1 in Duval Co. Engage collaboration with both new and existing community partners to develop and implement educational interventions and increase resources especially for those who are underserved or lack access to health care. Develop and facilitate a risk assessment to identify cultural beliefs, attitudes and behaviors that may pose as barriers to adherence. Administer risk assessments to attendees at all community health events. Provide individual and group counseling during events following risk assessments. Provide educational sessions; e.g.: g.: nutrition, food preparation, physical activities and identify health risk behaviors.
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - St. Luke's-St. Vincent's Healthcare, Inc. - Part II. 3. ADULT DIABETES MANAGEMENT St. Vincent's Riverside through St. Vincent's MHOM will equip patients with diabetes in Putnam and Nassau Counties with the tools needed to bring about better health outcomes by providing regularly scheduled lab screenings, treatment, diabetes education, self-management skills, and case management. Provide an opportunity and encourage 100% of Mobile Health Outreach Ministry's patients with diabetes to participate in individual education consultation and DMCP group visits that will enable them to plan healthier meals and learn to monitor personal lab values as well as have a better understanding and awareness of complications related to diabetes. Survey 95% of the DMCP participants before and after each group visit session to determine knowledge and understanding that can impact long-term health outcomes. Conduct yearly Microalbumin, eye exam, foot exam and administer flu and pneumonia vaccines to provide early detection and intervention of complications related to diabetes. 4. ADULT DIABETES INTERVENTION St. Vincent's Mobile Health Outreach Ministry (MHOM) will provide screenings for diabetes and pre-diabetes for 100% of the new patients from Clay, Nassau and Putnam counties who seek its care. Obtain and monitor HbgA1c values on all new patients. St. Vincent's MHOM will participate in local community health fairs in order to identify individuals with pre-diabetes or diabetes. Those clients with abnormal values will receive immediate consultation and follow up communication by a health professional to encourage follow-through and to answer questions. Enroll eligible patients into St. Vincent's MHOM for treatment and follow-up care. 5. PEDIATRIC IMMUNIZATIONS St. Vincent's MHOM staff will work with DCPS's school nurses to identify and refer children who are Tdap non-compliant. During monthly visits to the Duval County Public Schools served by MHOM, staff will assess a child's eligibility and administer the Tdap vaccines when necessary. MHOM staff will attend school events - orientation, open house "Back-to-School" events - to provide information to parents about immunizations and offer opportunities to give those immunizations. MHOM staff will conduct "Back-to-School" events in partnership with community organizations serving local neighborhoods to administer Tdap immunizations to eligible children. (See list under indicator.) St. Vincent's Medical Centers, Riverside and Southside will actively promote and educate those in Clay, Nassau, Putnam and St. Johns Counties about the benefits of receiving these vaccines. St. Vincent's MHOM will offer these vaccines to all eligible clients during primary care clinics and special community health events.
Schedule H, Part V, Section B, Line 11 Facility , 3Facility , 3 - St. Luke's-St. Vincent's Healthcare, Inc. - Part III. PREVENTIVE HEALTHCARE 1. FLORIDA KIDCARE St. Vincent's Medical Centers, Riverside and Southside will actively promote and educate those in Clay, Nassau, Putnam and St. Johns Counties about the benefits of receiving these vaccines St. Vincent's MHOM will offer these vaccines to all eligible clients during primary care clinics and special community health events. - Develop and maintain local partnerships that serve potentially eligible children (schools, early learning centers, Dept. of Children & Families, family-serving non-profits) enabling them to distribute applications and provide enrollment assistance. - Establish guidelines for businesses to be invited to participate in a Business Roundtable discussion of enrollment activities. - Work with Northeast Florida Healthy Start Coalition, Inc. (NEFHSC) and the Northeast Florida KidCare Steering Committee to implement a plan that that will increase Florida KidCare enrollment for local children. - Implement a cooperative relationship with St. Vincent's Mobile Health Outreach Ministry to assist Florida Healthy Kids Enrollment. - Participate in community health fairs, back to school fairs and other events which target potentially eligible families; - Provide direct assistance and enrollment information to families. - Work with St. Vincent's HOPE program to assist patients and their families with the application process for Medicaid, KidCare or other eligible public program. 2. MAMMOGRAPHY St. Vincent's Medical Center Riverside's Breast Health Center and Mobile Mammography, in collaboration with Patient Access Services, will provide access to screening mammographs (including Computer Aided Detection (CAD), and technical and professional components for the service). 3. CHILDHOOD TYPE II DIABETES - Identify risk based on ADA guidelines i.e.: elevated BMI, ancanthosis and family history - Communicate with parent or guardian in writing and/or by telephone the child's risks and potential diabetes complications - Provide referrals to primary care physicians, labs and to KidCare and HOPE as appropriate. - Broaden education by distributing preventive handouts, showing videos and access to appropriate websites
Schedule H, Part V, Section B, Line 11 Facility , 4Facility , 4 - St. Luke's-St. Vincent's Healthcare, Inc. - Part IV. BUILT ENVIRONMENT 1. CHILDHOOD OBESITY Students will be identified using BMI and other clinical data collected during physicals, lab results ordered by St. Vincent's Pediatric Outreach Medical program. Students identified as participants will be referred to Way to Go Kids or Way to Go Families for group education on healthy nutrition and physical activity. A Registered Dietician, Health Educator, a physician and nursing staff will facilitate these specialized educational classes. Provide adult participants with biometric screening during the first and last class visits (blood pressure, hemoglobin A1C and total cholesterol). Provide a joint program for children and their parents that offer a practical application to wellness. Administer to all participants pre and post tests to evaluate knowledge gain. 2. ACCESS TO FOOD - COMMUNITY GARDEN Partner with Second Harvest, the Duval County Health Department, Mayo Hospital, Baptist Health, University of Florida Health, and Brooks Rehabilitation Hospital to develop a 100' X 100' community garden featuring 46 raised beds and 3 in-ground rows translating into a configuration that will feed nearly 200 households. Second Harvest will provide instruction to neighborhood residents on planting, harvesting, storing, and cooking foods grown in the garden. ONE OF THE TOP PRIORITY RISK FACTORS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT-BUILT ENVIRONMENT-WILL NOT BE ADDRESSED DIRECTLY BY HOSPITAL-LED INITIATIVES. THE COMMUNITY HEALTH SURVEY SHOWED THAT MANY RESIDENTS IN THE HOSPITAL SERVICE AREAS DO NOT HAVE PEDESTRIAN PATHS OR GROCERY STORES IN THEIR NEIGHBORHOOD. WALK-ABILITY AND EASE OF ACCESS TO GROCERY STORES CAN BE MAJOR BARRIERS TO REGULAR PARTICIPATION IN PHYSICAL ACTIVITY AND ACCESS TO FRESH FRUITS AND VEGETABLES. THAT SAID, NONE OF THE PARTICIPATING HOSPITAL PARTNERS ARE IN A POSITION TO DIRECTLY IMPACT THESE ISSUES. HOWEVER, ALL OF THE PARTNERS ARE COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORT LOCAL GOVERNMENT AND WELLNESS COALITIONS IN THEIR EFFORTS TO POSITIVELY IMPACT THESE ISSUES. TRANSPORTATION EFFECTS ACCESS TO CARE, PARTICULARLY AMONG THE LOW-INCOME AND MEDICALLY-UNDERSERVED POPULATIONS. OTHER LOCAL ORGANIZATIONS SUCH AS THE AREA AGENCY ON AGING, COUNCIL ON AGING AND LOCAL TRANSPORTATION SYSTEMS ARE ALREADY WORKING TO ADDRESS TRANSPORTATION NEEDS IN THE AREA. THEREFORE, THE PARTICIPATING PARTNERS WILL NOT DIRECTLY ADDRESS THIS ISSUE WITH ANY NEW INITIATIVES.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - St. Luke's-St . Vincent's Healthcare, Inc.. The self-pay discount is calculated based upon the highest paying payer that represents greater than 3% of gross revenue.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 4 Community information - Part ISt. 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 more narrow level, 75% of the primary service area is reviewed by zip code, which is comprised of approximately 100,000 inpatient cases. The zip codes on which St. Luke's-St. Vincent's Medical Center, Inc. focuses are: 32207, 32208, 32210, 32211, 32216, 32217, 32218, 32223, 32224, 32225, 32244, 32246, 32250, 32256, 32257, 32258, 32082, and 32259. The facilities within the area are: - Baptist Medical Center, an acute care not-for-profit facility in Jacksonville with 676 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 54 beds; - Baptist Medical Center South, an acute care not-for-profit facility in Jacksonville with 225 beds; - Ed Fraser 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 302 beds; - Kindred Hospital North Florida, an acute care for-profit facility in Green Cove Springs with 80 beds; - Mayo Clinic Jacksonville, an academic not-for-profit facility in Jacksonville with 249 beds; - Memorial Hospital Jacksonville, an acute care for-profit facility in Jacksonville with 425 beds; - Orange Park Medical Center an acute care for-profit facility in Orange Park with 297 beds; - Riverpoint Behavioral Health, Jacksonville a psychiatric for-profit facility in Jacksonville with 93 beds; - St. Vincent's Medical Center Riverside, an acute care not-for-profit facility in Jacksonville with 528 beds; - Shands Jacksonville Medical Center, an acute care not-for-profit facility in Jacksonville with 695 beds; - Specialty Hospital Jacksonville, an acute care for-profit facility in Jacksonville with 107 beds; - St, Luke's Hospital, an acute care not- for-profit facility in Jacksonville with 311 beds; - Ten Broeck Jacksonville, Wekiva Springs an acute care for-profit facility in Jacksonville with 68 beds.
Schedule H, Part VI, Line 4 Community information - Part IIVarious 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 1,400,000 persons in the region, the significant racial breakdowns are 67% white, 22% African American, and 6% Hispanic. The percentage of non-English speaking populations in the 2000 census in the region was 0.1%. - St. Vincent's Medical Center Southside compares the Jacksonville Metropolitan Statistical Area (MSA) in average household income against the federal poverty percentage finding that in the five county area household incomes ranged from almost $90,000 in St. John's County to $54,000 in Baker County. The percentage of persons below the Federal Poverty Rate ranged from a low of 7.9%in St. John's County to a high of 15.3% in Baker County. The Florida average was 13.3%. 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 of Baker County: Baker County demonstrates the least favorable situation with comparison to the other counties in the state with regards to the following diseases: CAD (deaths), stroke (deaths and hospitalizations), lung cancer (death and smoking rate), prostate cancer (death), skin cancer (death) and diabetes (death, hospitalization and percentage of adults with diabetes). 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: stroke (death and hospitalizations), heart failure (hospitalizations from congestive heart failure), breast and prostate cancers (deaths), cervical cancer (percentage of women 18 years of age and older who received a pap test in the past year), CLRD (asthma hospitalizations), and diabetes (death, hospitalization and amputation). 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 IIIUninsured population in the region: Analysis Health Care Safety Net for Uninsured Persons: The parent company's, St. Vincent's HealthCare (SVHC), website provides information and phone numbers for patients whose incomes are 200% below the 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, St. John's and Volusia. A mobile health unit consists of a physician, nurse practitioner, emergency medical technician and social worker assist 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 4 Community Information - Part IVSt. 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 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 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. 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.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal costs data and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments. The best available data was used to calculate the amounts reported in the table. St. Luke's-St. Vincent's Healthcare, Inc. posts information about availability of charity care in its emergency room and admissions areas. Referrals for charity care are made by the financial specialist, 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 specialist/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 patient may also be referred to the St. Vincent's community outreach programs for continuing assistance in obtaining medical care. 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 along with information about contacting St. Vincent's HealthCare 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 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 applying for assistance programs and insurance enrollment. 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 St. Vincent's HealthCare 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 II Community Building ActivitiesSt. Vincent's HealthCare has been part of Jacksonville for 100 years. 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. 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. With cash and in-kind contributions, St. Luke's-St. Vincent's Healthcare, Inc., 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 sponsors the Parish Nurse 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 $494,000 to 3,000 patients in financial need. These services included medications, clothing, short-term residential and burial expenses. The Mobile Health Outreach Ministry (MHOM) urban/rural program served over 6,600 persona 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 8,400 children in its 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 a free opportunity. 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. Over five hundred shut-ins were provided with a Thanksgiving meal and one hundred community families were assisted at Christmas through the Adopt-a-Family program in partnership. These programs were supported with financial donations from St. Vincent's HealthCare and generous donations of time from St. Vincent's associates. 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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountSt. Luke's-St. Vincent's Healthcare, Inc.'s bad debt allowance percentage is based on the weighted average of six twelve-to-seventeen month historical periods. The percentage is calculated monthly and analyzed for large variances.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologySt, Luke's- St. Vincent's Healthcare Inc. isolates bad debts for patients who have no insurance from the patient accounting records and calculates the cost of those services using RCC's times the charges written off. Last year's methodology was based on bad debt expense. The year was based on bad debt at cost.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteFROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE (WHICH INCLUDE THE ACTIVITY OF ST. LUKE'S-ST. VINCENT'S HEALTHCARE, INC.): 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. THE METHODOLOGY FOR DETERMINING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED WRITE-OFFS ON UNINSURED PATIENT ACCOUNTS HAS REMAINED CONSISTENT WITH THE PRIOR YEAR.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsAscension 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 assistanceThe 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 16b FAP Application website- St. Luke's- St. Vincent's Healthcare: Line 16b URL: http://www.jaxhealth.com/app/files/public/9379/HOPE-Application-2015.pdf;
Schedule H, Part VI, Line 2 Needs assessmentSt. 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/ 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 assistanceSt. Luke's-St. Vincent's Healthcare, Inc. 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 5 Promotion of community healthSt. 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 Jacksonville area 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. With cash and in-kind contributions, St. Vincent's Southside 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. The St. Vincent's HealthCare's 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. It sponsors the Parish Nurse Program which is in 70 congregations in Northeast Florida. This program empowers congregations to care for themselves with health and wellness initiatives trained by RNs. Through cash contributions St. Vincent's Southside has supported the Medical Clinic of the I.M. Sulzbacher Homeless Center; emergency pregnancy services; Catholic Charities; summer camp for special children for the Diocese of St. Augustine; ICARE, a social justice advocacy collaboration of area clergy; Northeast Florida Health Planning Council; the American Cancer Society; the Cancer Society; WeCare Jacksonville; The Way Free Medical Clinic in Green Cove Springs, FL; the Florida Bioethics Network; Brooks College of Health at the University of North Florida and many other organizations whose mission is compatible with St. Vincent's Southside. The Good Samaritan Fund of St. Vincent's disbursed approximately $160,790 to 1,344 patients in financial need. These services included medications, clothing, short-term residential and burial expenses.
Schedule H, Part VI, Line 6 Affiliated health care systemAscension Health Alliance, d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 23 states and the District of Columbia. Ascension and its member organizations are hereafter referred to collectively as the System. Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. St. Vincent's Southside is a wholly owned subsidiary of St. Vincent's Health System, Inc. (SVHS), which is a member of Ascension Health. Ascension Health is 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 System 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 the System'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. The System 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 healthcare 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 living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care. Additional affiliates and members of the St. Vincent's Health System include: St. Vincent's Medical Center, Inc., St. Vincent's Ambulatory Care, Inc., St. Vincent's Physician Enterprise, Inc., Consolidated Pharmacy Services, Inc., St. Vincent's Foundation, Inc., and St. Vincent's Medical Center Clay County, Inc.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MOODY CHISHOLM
PRESIDENT/CEO, EX OFFICIO (THRU 3/20/15)$0$586,968$0$936,973$0$93,397$0$51,820$0$25,083$0$1,694,241$0$81,418
KIMBERLY HODGKINSON
CFO$0$340,748$0$56,917$0$27,148$0$32,788$0$32,488$0$490,089$0$0
MICHAEL SCHATZLEIN MD
REGIONAL CEO$0$932,454$0$1,561,904$0$173,045$0$7,800$0$32,477$0$2,707,680$0$0
KAREN F DARNELL
VP/CHIEF AMBULATORY SERVICE OFFICER (THRU 3/27/15)$0$279,965$0$44,242$0$32,010$0$50,138$0$24,551$0$430,906$0$0
LORRAINE M KEITH
COO/CNO - ST. LUKE'S$225,460$0$27,352$0$22,627$0$29,794$0$9,621$0$314,854$0$0$0
JANICE G LIPSKY
SR. VP HR/OD/CHRO$0$238,338$0$34,592$0$24,226$0$48,098$0$22,600$0$367,854$0$0
JOHN MEYER
SR. VP STRATEGIC PLANNING$0$229,022$0$34,892$0$2,296$0$23,264$0$7,463$0$296,937$0$0
JEFFREY MIDDLEBROOKS
GENERAL COUNSEL$0$292,292$0$45,462$0$2,931$0$25,415$0$20,071$0$386,171$0$0
STEVE NAUMAN
INTERIM MNO (thru 11/21/14)$0$393,862$0$0$0$30$0$0$0$814$0$394,706$0$0
DONNIE ROMINE JR
COO/PRESIDENT - RIVERSIDE$0$405,418$0$99,017$0$4,441$0$51,953$0$21,939$0$582,768$0$0
KYLE SANDERS
PRESIDENT - SOUTHSIDE$321,690$0$95,477$0$2,295$0$25,676$0$20,028$0$465,166$0$0$0
REBECCA GOLDWASSER
CRNA$143,896$0$0$0$6,191$0$0$0$18,002$0$168,089$0$0$0
CHARLES GRIFFEY
CRNA$151,970$0$0$0$6,305$0$27,372$0$15,845$0$201,492$0$0$0
JEFFERY SCARMACK
PHARMACIST$142,132$0$2,495$0$4,382$0$11,347$0$18,217$0$178,573$0$0$0
JASON WASZAK
PHARMACIST$146,485$0$1,695$0$79$0$13,871$0$20,529$0$182,659$0$0$0
JILL WENZEL
CRNA$137,801$0$0$0$6,217$0$20,805$0$10,250$0$175,073$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationAscension Health, a related organization of St. Luke's-St. Vincent's Healthcare, Inc. uses the following to establish the compensation of the organization's 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 paymentSeverance Payments: - Moody Chisholm = $154,131
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executives is reported as compensation on Form 990 Schedule J, Part II Column B in the year paid. The following individual received a payout from Ascension Health's non-qualified retirement plan in the amount as noted: - Moody Chisholm = $81,418

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH FLORIDA ANESTHESIA CONSULTANTSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSee Part VRelationshipDescriptionTxt
Transaction$309,425TransactionAmt
TransactionNORTH FLORIDA ANESTHESIA CONSULTANTS PROVIDE GOODS AND SERVICES TO ST. LUKE'S-ST. VINCENT'S HEALTHCARE INC.TransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV, Column (b) Relationship between interested person and the organizationFormAndLineReferenceDesc
ExplanationNORTH FLORIDA ANESTHESIA CONSULTANTS IS MORE THAN 35% OWNED BY A BOARD MEMBER OF ST. LUKE'S-ST. VINCENT'S HEALTHCARE, INC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part IV, Line 20b Explanation of Financial StatementsThe 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 OFFICIALIN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S 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 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 2 BUSINESS RELATIONSHIPSMANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY RELATED ST. VINCENT'S HEALTH SYSTEM, INC. ENTITIES.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEESIN DETERMINING THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, 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 COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS AND KEY EMPLOYEES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES.
Form 990, Part VI, Line 6 Classes of members or stockholdersSt. 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 bodySt. 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 stockholdersAll decisions that have a material impact to St. Luke's-St. Vincent's Healthcare 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 bodyManagement, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.
Form 990, Part VI, Line 12c Conflict of interest policyOfficers, directors or trustees, and key employees are required to complete a Conflict of Interest Attestation Statement at the time of hiring or when their service begins. Annually, the Corporate Responsibility Officer sends the Conflict of Interest Policy and Attestation Statement to all officers, directors or trustees, and key employees for completion and return within two weeks. Three separate mailings are sent out with two week deadlines to receive a maximum response. The responses from the returned Attestation Statement are organized in a spreadsheet and are carefully reviewed by the Corporate Responsibility Officer, the Chief Legal Officer, and the Chief Executive Officer. A full report is presented to the Audit Committee and any potential conflicts of interest are handled by the committee in an appropriate manner.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section B, Line 1 Independent Contractor ReportingCompensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.
Form 990, Part VIII, Line 2f Other Program Service RevenueOther Miscellaneous Revenue - Total Revenue: 2347150, Related or Exempt Function Revenue: 2347150, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Health Education - Lactation Center - Total Revenue: 2176, Related or Exempt Function Revenue: 2176, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Lactation Revenue - Total Revenue: 119, Related or Exempt Function Revenue: 119, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SeminarsTuition Revenue - Total Revenue: 979, Related or Exempt Function Revenue: 979, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesDietary Purchased Srvcs Labor - Total Expense: 2104033, Program Service Expense: 1676914, Management and General Expenses: 427119, Fundraising Expenses: ; Dietary Purchased Srvcs Other - Total Expense: 1370944, Program Service Expense: 1092642, Management and General Expenses: 278302, Fundraising Expenses: ; Envtl Purchased Srvcs Labor - Total Expense: 1918429, Program Service Expense: 1528988, Management and General Expenses: 389441, Fundraising Expenses: ; Envtl Purchased Srvcs Other - Total Expense: 3435, Program Service Expense: 2738, Management and General Expenses: 697, Fundraising Expenses: ; Envtl Purchased Srvcs Supplies - Total Expense: 414154, Program Service Expense: 330081, Management and General Expenses: 84073, Fundraising Expenses: ; HR Purchased Srvcs Labor - Total Expense: 300, Program Service Expense: 239, Management and General Expenses: 61, Fundraising Expenses: ; Info Sys Purchased Srvcs Labor - Total Expense: 1836, Program Service Expense: 1463, Management and General Expenses: 373, Fundraising Expenses: ; Laundry Purchased Srvcs Labor - Total Expense: 4611, Program Service Expense: 3675, Management and General Expenses: 936, Fundraising Expenses: ; Laundry Purchased Srvcs Other - Total Expense: 748139, Program Service Expense: 596267, Management and General Expenses: 151872, Fundraising Expenses: ; Med Purchased Services Labor - Total Expense: 4572912, Program Service Expense: 3644611, Management and General Expenses: 928301, Fundraising Expenses: ; Other Purchased Services Labor - Total Expense: 127317, Program Service Expense: 101472, Management and General Expenses: 25845, Fundraising Expenses: ; Other Purchased Services Other - Total Expense: 125832, Program Service Expense: 100288, Management and General Expenses: 25544, Fundraising Expenses: ; Other Purchased Srvcs Supplies - Total Expense: 3001, Program Service Expense: 2392, Management and General Expenses: 609, Fundraising Expenses: ; PrintingCopy Center Other - Total Expense: 976, Program Service Expense: 778, Management and General Expenses: 198, Fundraising Expenses: ; Reference Lab Other - Total Expense: 277526, Program Service Expense: 221188, Management and General Expenses: 56338, Fundraising Expenses: ; RepairsMat Purch Srvcs Other - Total Expense: 1503670, Program Service Expense: 1198425, Management and General Expenses: 305245, Fundraising Expenses: ; TriMedx Purchased Srvcs Labor - Total Expense: 2005641, Program Service Expense: 1598496, Management and General Expenses: 407145, Fundraising Expenses: ; TriMedx Purchased Srvcs Other - Total Expense: 1942974, Program Service Expense: 1548550, Management and General Expenses: 394424, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesDue from Affiliates - 125417; Transfer from affiliates - -25985679; Temporary restricted Other - 189320;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO631455998453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
ST VINCENT'S HEALTH SYSTEM INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216593650609PARENT ENTITYFL501(c)(3Type IIASCENSION HEALTHfalse
ST VINCENT'S MEDICAL CENTER INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216590624449HOSPITALFL501(c)(33ST VINCENT'S HEALTH SYSTEM INCYes (true)
ST VINCENT'S AMBULATORY CARE INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216592292041PHYSICIAN PRACTICEFL501(c)(39ST VINCENT'S HEALTH SYSTEM INCYes (true)
ST VINCENT'S FOUNDATION INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216592219923FUND RAISINGFL501(c)(37ST VINCENT'S HEALTH SYSTEM INCYes (true)
ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC
1580 BRANAN FIELD ROADMIDDLEBURGFL32068461523194HOSPITALFL501(c)(33ST VINCENT'S HEALTH SYSTEM INCYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CONSOLIDATED PHARMACY SERVICES INC
4205 BELFORT ROAD SUITE 4020JACKSONVILLEFL32216593398033RETAIL PHARMACY & PATIENT TRANSPORTFLNAC Corporationfalse
ADVANCED PATIENT TRANSPORTATION INC
4205 BELFORT ROAD SUITE 4030JACKSONVILLEFL32216593381444TRANSPORT SERVICESFLNAC Corporationfalse
SETON PHARMACIES
4205 BELFORT ROAD SUITE 4030JACKSONVILLEFL32216593001427RETAIL PHARMACYFLNAC Corporationfalse
ST VINCENT'S STRATEGIC VENTURES INC
4205 BELFORT ROAD SUITE 4015JACKSONVILLEFL32216593133073LEASINGFLNAC Corporationfalse
FAMILY MEDICINE CONDOMINIUM ASSOCIATION INC
1 SHIRCLIFF WAYJACKSONVILLEFM32204261983355CONDOMINIUM ASSOCIATIONFLNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
St Vincent's Health System Inc
J$532,203FMV
St Vincent's Ambulatory Care Inc
J$747,287FMV
St Vincent's Medical Center Inc
J$140,032FMV
St Vincent's Health System Inc
M$8,167,852FMV
St Vincent's Health System Inc
S$23,918,369FMV
St Vincent's Ambulatory Care Inc
S$1,187,034FMV
St Vincent' s Medical Center Inc
S$1,771,397FMV
Consolidated Pharmacy Services Inc
R$135,945FMV
St Vincent's Medical Center - Clay County Inc
R$772,005FMV

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