ST LUKES - ST VINCENTS HEALTHCAREINC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ST LUKES - ST VINCENTS HEALTHCAREINC (EIN 26-0479484)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-14
IRS object ID
201531349349301523
Schema version
2013v4.0
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)
Return2015-05-14T08:54:12-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN260479484EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Luke's-St Vincent's Healthcare IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone9044506001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort Road No 4015AddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32216ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKimberly HodgkinsonPersonNm
Person TitleCFO - Health SystemPersonTitleTxt
Phone9043087300PhoneNum
Signature2015-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebecca LyonsPreparerPersonNm
PTINP01487105PTIN
Phone5137847100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1St Vincent's Medical Center SouthsideBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerMoody L ChisholmPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Shircliff WayAddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$182,578,253GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.jaxhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionSpiritually centered care which sustains & improves the health of the community.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1170TotalEmployeeCnt
Total Volunteers124TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,157,398PYContributionsGrantsAmt
CY Contributions Grants$38,122CYContributionsGrantsAmt
PY Program Service Revenue$173,334,831PYProgramServiceRevenueAmt
CY Program Service Revenue$177,989,075CYProgramServiceRevenueAmt
PY Investment Income$1,882,279PYInvestmentIncomeAmt
CY Investment Income$3,358,571CYInvestmentIncomeAmt
PY Other Revenue$1,343,914PYOtherRevenueAmt
CY Other Revenue$1,094,659CYOtherRevenueAmt
PY Total Revenue$179,718,422PYTotalRevenueAmt
CY Total Revenue$182,480,427CYTotalRevenueAmt
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$59,075,055PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$53,849,843CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$104,800,622PYOtherExpensesAmt
CY Other Expenses$102,685,544CYOtherExpensesAmt
PY Total Expenses$163,875,677PYTotalExpensesAmt
CY Total Expenses$156,535,387CYTotalExpensesAmt
PY Revenues Less Expenses$15,842,745PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$25,945,040CYRevenuesLessExpensesAmt
Total Assets BOY$201,505,467TotalAssetsBOYAmt
Total Assets EOY$163,805,201TotalAssetsEOYAmt
Total Liabilities BOY$162,679,132TotalLiabilitiesBOYAmt
Total Liabilities EOY$132,851,821TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,826,335NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,953,380NetAssetsOrFundBalancesEOYAmt
MissionSt. Vincent's Health System, Inc. is a not-for-profit, philanthropic organization established in 1982 that is committed to enhancing the current and future healthcare needs of Jacksonville and the surrounding area.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$148,654,927ExpenseAmt
Revenue$176,704,859RevenueAmt
DescPlease refer to Schedule H for the Community Benefit Report.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$343,312ExpenseAmt
Revenue$1,284,216RevenueAmt
DescExempt Affiliate Rent.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Revenue$0RevenueAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$148,998,239TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1170EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Herb KaminskyBusinessNameLine1
FieldValueIRS element (for citing)
Phone9044506001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort Road Suite 4030AddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32216ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Sidney S Simmons II
Chairman3.003.00Yes (X)Yes (X)$0$0$0
C Daniel Rice
Chairman (end 6/14)3.003.00Yes (X)Yes (X)$0$0$0
David G Kulik
Vice Chairman1.001.00Yes (X)Yes (X)$0$0$0
Richard Mullaney
Secretary/Treasurer1.001.00Yes (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
Gary R Chartrand
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
Sr Elyse Staab DC
Member1.001.00Yes (X)$0$0$0
Moody Chisholm
President/CEO, Ex-Officio40.0040.00Yes (X)Yes (X)$0$1,617,338$90,819
Kimberly Hodgkinson
CFO (start 1/14)40.0040.00Yes (X)$0$424,813$77,309
Mark Doyle
CFO (end 9/13)40.000.00Yes (X)$0$128,182$0
Donnie Romine Jr
COO/President - Riverside40.0040.00$0$508,876$81,728Yes (X)
Karen F Darnell
VP/Chief Ambulatory Service Officer40.0040.00$0$356,217$85,105Yes (X)
Janice G Lipsky
Sr. VP HR/OD/CHRO40.0040.00$0$297,156$89,170Yes (X)
John Meyer
Sr. VP Strategic Planning40.0040.00$0$266,210$34,964Yes (X)
Jeffrey Middlebrooks
General Counsel40.0040.00$0$340,685$48,102Yes (X)
Kyle Sanders
President - Southside40.000.00$0$402,103$57,895Yes (X)
Lorraine M Keith
COO/CNO - St. Luke's40.000.00$252,439$0$57,840Yes (X)
Steve Nauman
Interim CMO40.0040.00$0$393,892$0Yes (X)
Charles Griffey
CRNA40.000.00$135,275$0$41,140Yes (X)
Jason Waszak
Pharmacist40.000.00$139,011$0$35,311Yes (X)
Rebecca Goldwasser
CRNA40.000.00$150,087$0$18,167Yes (X)
Jeffery Scarmack
Pharmacist40.000.00$141,161$0$30,166Yes (X)
Jill Wenzel
CRNA40.000.00$127,508$0$31,073Yes (X)
Phil C Perry
Former CMO (end 4/14)40.0040.00$0$149,428$31,140Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$945,481TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,884,900TotReportableCompRltdOrgAmt
Total Other Compensation$809,929TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K62IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K68CntrctRcvdGreaterThan100KCnt
Related Organizations$38,122RelatedOrganizationsAmt
Total Contributions$38,122TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue621990$102,189,326$102,189,326
Medicare/Medicaid621990$72,653,819$72,653,819
ARRA Revenue900099$1,796,784$1,796,784
Exempt Affiliates Rent532000$1,284,216$1,284,216

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,930TotalRevenueColumnAmt
Related Or Exempt Func Income$64,930RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$177,989,075TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,358,549TotalRevenueColumnAmt
Exclusion$3,358,549ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$407,443RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$95,516RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$311,927RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$311,927TotalRevenueColumnAmt
Exclusion$311,927ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$22OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$22OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$22TotalRevenueColumnAmt
Exclusion$22ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$77,832GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,310CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,522TotalRevenueColumnAmt
Exclusion$75,522ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCafeteria SalesDesc
Business722320BusinessCd
Total Revenue Column$707,210TotalRevenueColumnAmt
Exclusion$707,210ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$707,210OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$182,480,427TotalRevenueColumnAmt
Related Or Exempt Func Income$177,989,075RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,453,230ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$310,279TotalAmt
Program Services$297,868ProgramServicesAmt
Management And General$12,411ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,606,299TotalAmt
Program Services$41,692,946ProgramServicesAmt
Management And General$1,913,353ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,543,247TotalAmt
Program Services$6,255,344ProgramServicesAmt
Management And General$287,903ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,390,018TotalAmt
Program Services$3,240,857ProgramServicesAmt
Management And General$149,161ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$65,440TotalAmt
Management And General$65,440ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,464,285TotalAmt
Program Services$11,846,398ProgramServicesAmt
Management And General$1,617,887ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$39,759TotalAmt
Program Services$39,759ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$286,046TotalAmt
Program Services$257,441ProgramServicesAmt
Management And General$28,605ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$137,063TotalAmt
Program Services$116,504ProgramServicesAmt
Management And General$20,559ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,102,185TotalAmt
Program Services$6,816,481ProgramServicesAmt
Management And General$285,704ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,843TotalAmt
Program Services$21,632ProgramServicesAmt
Management And General$7,211ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$25,025TotalAmt
Program Services$18,769ProgramServicesAmt
Management And General$6,256ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,675,202TotalAmt
Program Services$3,564,945ProgramServicesAmt
Management And General$110,257ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,951,604TotalAmt
Program Services$7,713,055ProgramServicesAmt
Management And General$238,549ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,651,103TotalAmt
Program Services$1,651,103ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$37,516,383$37,346,410$169,973
Corporate Services$15,905,520$13,519,692$2,385,828
Professional Med. Fees$12,370,859$12,370,859
Equipment Rent/Maint.$1,252,625$1,178,764$73,861

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,213,602TotalAmt
Program Services$1,049,412ProgramServicesAmt
Management And General$164,190ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$156,535,387TotalAmt
Program Services$148,998,239ProgramServicesAmt
Management And General$7,537,148ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,083BOYAmt
EOY$6,600EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,219,697BOYAmt
EOY$29,641,197EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,365,862BOYAmt
EOY$3,496,168EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$110,564BOYAmt
EOY$254,612EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$160,916,880LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$74,603,854LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$89,856,070BOYAmt
EOY$86,313,026EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,406,203BOYAmt
EOY$1,403,357EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,787,387BOYAmt
EOY$5,137,327EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$74,755,601BOYAmt
EOY$37,552,914EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$201,505,467BOYAmt
EOY$163,805,201EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,252,559BOYAmt
EOY$11,795,959EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$150,426,573BOYAmt
EOY$121,055,862EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$162,679,132BOYAmt
EOY$132,851,821EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,420,132BOYAmt
EOY$29,550,023EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,406,203BOYAmt
EOY$1,403,357EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,826,335BOYAmt
EOY$30,953,380EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$201,505,467BOYAmt
EOY$163,805,201EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$25,945,040ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,846NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$33,815,149OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Other ActivitiesYes (1)OtherActivitiesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationSt. Luke's-St. Vincent's Healthcare, Inc. had lobbying expenses related to the portion of dues paid to national and state hospital addociations 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$70,346,892OtherCostOrOtherBasisAmt
Depreciation$18,089,382DepreciationAmt
Book Value$52,257,510BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,989,295OtherCostOrOtherBasisAmt
Depreciation$48,023,443DepreciationAmt
Book Value$7,965,852BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,093,612OtherCostOrOtherBasisAmt
Depreciation$8,491,029DepreciationAmt
Book Value$11,602,583BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$86,313,026TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Interest in Investments Held by Ascension Health Alliance$32,305,708
Third Party Settlements$3,784,148
Other Long Term Assets$1,463,058
FieldValueIRS element (for citing)
Total Book Value Other Assets$37,552,914TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Intercompany Debt with Ascension Health Alliance$114,234,365
Pension and Other Post Retirement Liabilities$5,243,760
Self-Insurance Liabilities - NonCurrent$914,395
Other$305,530
Estimated Third-Party Payor Settlements$240,518
Intercompany Payables$117,294
FieldValueIRS element (for citing)
Total Liability$121,055,862TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationFrom the consolidated financial statements of St. Vincent's Health System, Inc. (which include the activity of St. Luke's-St. Vincent's Healthcare, Inc.): The member health care entities of the Health Ministry are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3) or 501(c)(2), and their related income is exempt from federal income tax under Section 501(a). The Health Ministry has three taxable corporations, CPS, First Coast, and SVPE. These entities file U.S. and Florida income tax returns. The Health Ministry accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. At June 30, 2014, the Health Ministry's taxable corporations had net operating loss carryforwards of approximately $49,865,000, which will expire beginning in 2015 through 2025. Deferred taxes have been provided for these amounts, resulting in a net deferred tax asset of approximately $19,447,000 and $16,460,000 at June 30, 2014 and 2013. A full valuation allowance has been provided at both June 30, 2014 and 2013, to offset the deferred tax asset since the Health Ministry has determined that it is more likely than not that the benefit of the net operating loss carryforwards will not be realized in future years.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,140,183TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,140,183NetCommunityBenefitExpnsAmt
Total Expense0.03920TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,986,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,829,275DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,157,487NetCommunityBenefitExpnsAmt
Total Expense0.05850TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,126,945TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,829,275DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,297,670NetCommunityBenefitExpnsAmt
Total Expense0.09770TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,824TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$146,824NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$133,593TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$133,593NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$280,417TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$280,417NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,407,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,829,275DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,578,087NetCommunityBenefitExpnsAmt
Total Expense0.09950TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,285TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,285NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,285TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,285NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$10,650,972BadDebtExpenseAmt
Bad Debt Expense Attributable$1,835,124BadDebtExpenseAttributableAmt
Reimbursed By Medicare$69,137,131ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$68,279,623CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$857,508MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)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 HealthcareBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14205 Belfort Road Suite 4030AddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32216ZIPCode
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 Healthcare IncBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)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 (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Facility InformationOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Facility InformationOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
ResidencyYes (X)ResidencyInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
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 (1)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
St. Luke's-St. Vincent's Healthcare, Inc.Part V, Section B, Line 3: 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 roundtable 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. Johns 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.
St. Luke's-St. Vincent's Healthcare, Inc.Part V, Section B, Line 4: 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. Johns County- Brooks Rehabilitation - Duval County and St. Johns County- Mayo Clinic - Duval County- St. Vincent's Medical Center Riverside - Duval County, Clay County and Putnam County- St. Vincent's Medical Center Southside - Duval County- Shands Jacksonville Medical Center - Duval County- Wolfson Children's Hospital - Duval County
St. Luke's-St. Vincent's Healthcare, Inc.Part V, Section B, Line 5d: The CHNA of the hospital facility can be located at the following web address: http://www.jaxhealth.com/about-us/community-health-needs-assessment/Part V, Section B, Line 5b:St. Luke's-St. Vincent's Healthcare CHNA was also posted on the Health Communities Institute's website: http://assets.thehcn.net/content/sites/hpcnef/2012_CHNA_REPORT_FINAL.pdf
St. Luke's-St. Vincent's Healthcare, Inc.Part V, Section B, Line 7: 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.
St. Luke's-St. Vincent's Healthcare, Inc.Part V, Section B, Line 14g: A summary of the financial assistance policy is posted on the hospital facility's website, emergency rooms or waiting rooms, admission offices, and available upon request.
St. Luke's-St. Vincent's Healthcare, Inc.Part V, Section B, Line 20d: The self-pay discount is calculated based upon the highest paying payor that represents greater than 3% of gross revenue.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments. The best available data was used to calculate the amounts reported in the table.St. Vincent's Medical Center Southside (SVMCS) 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.Patients will be denied charity based on non-compliance with attempts to obtain insurance for eligibility coverage through 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. Patients may also be referred to St. Vincent's community outreach programs for continuing care.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 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 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 Southside are required to follow St. Vincent's HealthCare'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.
Part II, Community Building Activities:St. Vincent's HealthCare has been part of Jacksonville for over 95 years. St. Vincent's Medical Center Southside has been part of the system for over five years. It has welcomed the sick and vulnerable to its doors. In its Mission Statement, St. Vincent's Southside proclaims that it provides care to all, but with special attention to the poor and vulnerable. This is the emphasis it employs in its Community Building Programs. It uses multiple tools to determine community need including data collection from the Health Planning Council, Agency for Healthcare Administration, county health departments, The Florida Department of Health, live estimates via Thompson Reuters, inpatient and outpatient utilization rates and state inpatient/outpatient data allows St. Vincent's to participate in the following programs:Cash support for the Jacksonville Area Chamber of Commerce and the Clay County Chamber of Commerce: The Chambers' objectives are to drive business in the region with emphasis on initiatives for the un/under employed in the area through their Career Academies and Youth Summer Initiatives. St. Vincent's Medical Center Southside supports preparation for all members of the community for entering and remaining in the workforce. This is especially important in an area with over 10.5% unemployment.Cash support for organizations such as the Boys and Girls Club: The Boselli Foundation and Community Connections, these organizations are devoted to assisting young people into becoming educated and active members of the community. Each of these organizations works with low income at risk students; students as identified by zip codes with the lowest incomes. These are the children who are the most likely to drop out of school and society. Through their various programs they ensure that children are safe after school and in an environment that fosters learning.The Boselli Foundation and The Boys and Girls Clubs work with children, especially those from low income areas to realize their potential through established programs. They provide afterschool mentoring and academic enrichment programs to engage and sustain children in developing in the joys of learning. They promote a safe environment for children, providing structure and creating trust. Community Connections provides housing for the homeless. They work to provide safe, clean housing for children and parents, as well as social programs to support families reestablishing themselves as productive members of society. Among the programs offered are child care, career training, and family counseling services. These services provide children stability to continue their education during times of insecurity and crisis within the family structure.
Part III, Line 2:St. 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.
Part III, Line 3:St. 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 in a similar manner to how charity cost is calculated, using RCC's times the charges written off.
Part III, Line 4:From the consolidated audited financial statements of St. Vincent's Health System and subsidiaries (which include the activity of St. Luke's-St. Vincent's Healthcare):The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care 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 Health Ministry 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 Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Health Ministry's policies.
Part III, Line 8:Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Part III, Line 9b:The organization does have a written debt collection policy and Carity 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 routing collection methodology.
Part VI, Line 2:St. Vincent's Medical Center Southside 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.
Part VI, Line 3:St. Vincent's Southside 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 health care. Information about the program is available, not only at St. Vincent's Medical Center Southside 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 participates in neighborhood and community-wide enrollment fairs and health screenings in which, not only are patients who come to SVMCS 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.
Part VI, Line 4:St. Vincent's HealthCare looks at the community it serves in two ways. On a regional level, five counties fall into the overall planning region: Duval, Clay, Nassau, Baker, and St. John's. On a more narrow level, 75% of the primary service area is reviewed by zip code, which is comprised of approximately 90,000 inpatient cases.The zip codes on which St. Vincent's Southside focuses in Duval County, Jacksonville are: 32207, 32208, 32210, 32211, 32216, 32217, 32218, 32223, 32224, 32225, 32244, 32246, 32250, 32256, 32257 and 32258; in St. John's County, Florida are: 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.Various metrics are reviewed when establishing community outreach programs. The following are examples of the data St. Vincent's collects when determining regional and community needs:- St. Vincent's HealthCare compares county population by race against the state. St. Vincent's also compares population by race in each of the zip codes. The findings from the comparison indicate that of the approximately 1,400,000 persons in the region the significant racial breakdowns are 66% 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 chart 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 Southside 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.Uninsured 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, jaxhealth.com, contains a wealth of information on services which St. Vincent's Medical Center Southside (SVMCS) provides to the less fortunate. SVMCS has an active Mobile Health Outreach Mission (MHOM). This mission provides free medical services to the residents of Northeast Florida, who are un-served and underserved. This mission mainly sees migrant/rural farm workers and their families and also poor inner city families in the following counties: Clay, Duval, Nassau, Putnam, 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. St. Vincent's Medical Center Southside provides several programs to address the needs of under privileged children and mothers. One is the School Nurse Program, which places nurses in schools serving disadvantaged children. These nurses are often the only direct access some of these children have to health care. The Seton Center for Women and Children was established to ensure that as many poor expectant mothers as is possible get proper prenatal care. However, the Center cares for mothers and babies of all incomes. The Center provides information to expectant parents on childbirth, breastfeeding and new infant care giving. It also offers infant health screening which includes a full assessment and examination of the baby and examination of the mother.Care Management manages 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.
Part VI, Line 5:St. Vincent's Medical Center Southside (formerly St. Luke's Hospital) is the oldest private hospital in the state of Florida. During its 138 years of operation the facility has been in five locations and has been 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 Medical Center 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 Medical Center 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 Medical Center Southside.The Good Samaritan Fund of St. Vincent's disbursed approximately $232,000 to 2,500 patients in financial need. These services included medications, clothing, short-term residential and burial expenses.
Part VI, Line 6:St. Vincent's Health System, Inc. and subsidiaries (the "Health Ministry") is a member of Ascension Health. In December 2011, Ascension Health Alliance, doing business as Ascension, became 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 health care facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension serves as the member or shareholder of various other subsidiaries. Ascension, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter 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 American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi U.S./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 a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central, and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Sisters of St. Joseph of Carondelet (CSJ). The Health Ministry, located in Jacksonville, Florida, is a nonprofit acute care hospital. The Health Ministry provides inpatient, outpatient, and emergency care services for the residents of Northeast Florida and Southern Georgia. Admitting physicians are primarily practitioners in the local area. The Health Ministry is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health are related to providing health care services.The Health Ministry includes the following subsidiaries:- St. Vincent's Medical Center, Inc. ("Riverside") a nonprofit, acute care medical center. Riverside provides inpatient, outpatient, and emergency care services. Admitting physicians are primarily practitioners in the local area.- St. Luke'sSt. Vincent's Health, Inc. ("Southside") a nonprofit, acute care medical center. Southside provides inpatient, outpatient, and emergency care services. Admitting physicians are primarily practitioners in the local area.- St. Vincent's Medical Center, Inc. Clay County ("Clay County") a nonprofit, acute care medical center. Clay County provides inpatient, outpatient, and emergency care services. Admitting physicians are primarily practitioners in the local area. Clay County began operations in October 2013.- St. Catherines Laboure Manor, Inc. ("Nursing Home") a nonprofit, skilled nursing facility.- St. Vincent's Ambulatory Care, Inc. ("Ambulatory Care") a nonprofit, specialty physician practice that provides neurosurgery, neurology, and cardiology services.- St. Vincent's Foundation, Inc. ("Foundation") a nonprofit organization that supports the activities of the acute facilities and the Nursing Home through various fund raising activities.- St. Vincent's Physician Enterprise, Inc. ("SVPE") a taxable entity that provides primary care services.- First Coast Primary Care, Inc. ("First Coast") a taxable entity that provides primary care services.- Consolidated Pharmacy Services, Inc. ("CPS") a taxable entity that provides retail pharmaceutical services and ambulance transportation services.Mission:Ascension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons. - Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons who are poor and community benefit programs. The cost of providing care of persons living in poverty and community benefit programs is estimated using internal cost data and is calculated in compliance with guidelines established by both the Catholic Health Association (CHA) and the Internal Revenue Service (IRS).Additional affiliates and members of the St. Vincent's Health System include: St. Vincent's Medical Center, Inc., St. Catherines Laboure Manor, Inc., St. Vincent's Ambulatory Care, Inc., First Coast Primary Care, Inc., St. Vincent's Physician Enterprise Inc., Consolidated Pharmacy Services, Inc. and St. Vincent's Foundation, Inc., St. Vincent's Medical Center Clay County, Inc.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

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$0$598,917$0$936,973$0$81,448$0$51,820$0$38,999$0$1,708,157$0$0
Kimberly Hodgkinson
CFO (start 1/14)$0$341,831$0$56,917$0$26,065$0$35,315$0$41,994$0$502,122$0$0
Donnie Romine Jr
COO/President - Riverside$0$409,829$0$99,017$0$30$0$51,953$0$29,775$0$590,604$0$0
Karen F Darnell
VP/Chief Ambulatory Service Officer$0$289,980$0$44,242$0$21,995$0$50,138$0$34,967$0$441,322$0$0
Janice G Lipsky
Sr. VP HR/OD/CHRO$0$246,182$0$34,217$0$16,757$0$48,098$0$41,072$0$386,326$0$0
John Meyer
Sr. VP Strategic Planning$0$230,088$0$34,892$0$1,230$0$23,264$0$11,700$0$301,174$0$0
Jeffrey Middlebrooks
General Counsel$0$294,353$0$45,462$0$870$0$25,415$0$22,687$0$388,787$0$0
Kyle Sanders
President - Southside$0$306,596$0$95,477$0$30$0$25,676$0$32,219$0$459,998$0$0
Lorraine M Keith
COO/CNO - St. Luke's$215,495$0$27,352$0$9,592$0$29,794$0$28,046$0$310,279$0$0$0
Steve Nauman
Interim CMO$0$393,892$0$0$0$0$0$0$0$0$0$393,892$0$0
Charles Griffey
CRNA$135,245$0$0$0$30$0$23,000$0$18,140$0$176,415$0$0$0
Jason Waszak
Pharmacist$137,286$0$1,695$0$30$0$13,871$0$21,440$0$174,322$0$0$0
Rebecca Goldwasser
CRNA$150,057$0$0$0$30$0$0$0$18,167$0$168,254$0$0$0
Jeffery Scarmack
Pharmacist$138,636$0$2,495$0$30$0$11,347$0$18,819$0$171,327$0$0$0
Jill Wenzel
CRNA$127,478$0$0$0$30$0$20,805$0$10,268$0$158,581$0$0$0
Phil C Perry
Former CMO (end 4/14)$0$123,555$0$0$0$25,873$0$17,782$0$13,358$0$180,568$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Ascension 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.
Part I, Line 4a, Severance Payments:Mark Doyle - $120,625 Part I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the 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 nonqualified retirement plan in the amount as noted: Kimberly Hodgkinson - $2,527

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1North Florida AnesthesiaBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionSee Part VRelationshipDescriptionTxt
Transaction$270,235TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV:FormAndLineReferenceDesc
ExplanationBusiness Transactions Involving Interested Persons:a) Name: North Florida Anesthesia Consultantsb) Relationship between Interested Person and Organization: North Florida Anesthesia Consultants is more than 35% owned by a board member of St. Luke's-St. Vincent's Healthcare, Inc. c) Amount of Transaction: $270,235d) Description of the Transaction: North Florida Anesthesia Consultants provide goods and services to St. Luke's-St. Vincent's Healthcare, Inc.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Many 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, Section A, line 6St. Luke's-St. Vincent's Healthcare has a single corporate member, St. Vincent's Health System, Inc.
Form 990, Part VI, Section A, line 7aSt. Luke's-St. Vincent's Healthcare 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, Section A, line 7bAll 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, Section B, line 11Management, 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, Section B, line 12cOfficers, 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, Section B, line 15In 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. In 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, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section B:Independent Contractor Reporting: Compensation of independent contractors is paid by and reported on 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 XI, line 9:Unrestricted Deferred Pension Cost Adm by Ascension Health -1,132,416. Transfer to Affiliates -32,682,733.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health Alliance
pO Box 45998St LouisMO631455998453358926National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A0
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11a0Ascension Health Alliance
St Vincent's Health System Inc
4205 Belfort Road Suite 4030JacksonvilleFL32216593650609Parent EntityFLSection 501(c)(3)Schedule A, Line 11b0Ascension Health
St Vincent's Medical Center Inc
4205 Belfort Road Suite 4030JacksonvilleFL32216590624449HospitalFLSection 501(c)(3)Schedule A, Line 3Yes (1)St Vincent's Health System Inc
St Vincent's Ambulatory Care Inc
4205 Belfort Road Suite 4030JacksonvilleFL32216592292041Physician PracticeFLSection 501(c)(3)Schedule A, Line 9Yes (1)St Vincent's Health System Inc
St Vincent's Foundation Inc
4205 Belfort Road Suite 4030JacksonvilleFL32216592219923Fund RaisingFLSection 501(c)(3)Schedule A, Line 7Yes (1)St Vincent's Health System Inc
St Catherines Laboure Manor Inc
4205 Belfort Road Suite 4030JacksonvilleFL32216591878316Nursing HomeFLSection 501(c)(3)Schedule A, Line 3Yes (1)St Vincent's Health System Inc
St Vincent's Medical Center Clay County Inc
1580 Branan Field RoadMiddleburgFL32068461523194HospitalFLSection 501(c)(3)Schedule A, Line 3Yes (1)St Vincent's Health System Inc

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Consolidated Pharmacy Services Inc
4205 Belfort Road Suite 4030JacksonvilleFL32216593398033Retail Pharmacy & Patient TransportFLN/AC0
Advanced Patient Transportation Inc
4205 Belfort Road Suite 4030JacksonvilleFL32216593381444Transport ServicesFLN/AC0
Seton Pharmacies
4205 Belfort Road Suite 4030JacksonvilleFL32216593001427Retail PharmacyFLN/AC0
First Coast Primary Care
4205 Belfort Road Suite 4030JacksonvilleFL32216205746243Primary CareFLN/AC0
Family Medicine Condominium Association Inc
1 Shircliff WayJacksonvilleFL32204261983355Condominium AssociationFLN/AC0
St Vincent's Physician Enterprise Inc
4205 Belfort Road Suite 4030JacksonvilleFL32216271927603Primary CareFLN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
St Vincent's Health System Inc
I$383,584FMV
St Vincent's Ambulatory Care Inc
I$634,678FMV
St Vincent's Medical Center Inc
I$144,407FMV
St Vincent's Health System Inc
M$8,641,076FMV
First Coast Primary Care Inc
S$168,602FMV
St Catherines Laboure Manor Inc
S$361,014FMV
St Vincent's Health System Inc
S$51,384,240FMV
St Vincent's Ambulatory Care Inc
S$1,493,566FMV
St Vincent's Physician Enterprise Inc
S$164,737FMV
Ascension Health
S$10,177,837FMV
St Vincent's Foundation Inc
S$186,982FMV
St Vincent's Medical Center Inc
S$5,671,758FMV
St Vincent's Medical Center Clay County Inc
S$400,504FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.