ASCENSION LIVING ST CATHERINE LABOURE PLACE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ASCENSION LIVING ST CATHERINE LABOURE PLACE (EIN 59-1878316)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201411349349302261
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T09:43:51-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591878316 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Catherine's Laboure Manor Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STCA | NameControl |
| Phone | 9043087300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4205 Belfort Road No 4015 | AddressLine1 |
| City | Jacksonville | City |
| State | FL | State |
| ZIP Code | 32216 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kimberly Hodgkinson | Name |
| Title | CFO - Health System | Title |
| Phone | 9043087300 | Phone |
| Date Signed | 2014-05-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rebecca Lyons | Name |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | Phone |
| Date Prepared | 2014-05-05 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Moody L Chisholm | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Shircliff Way | AddressLine1 |
| City | Jacksonville | City |
| State | FL | State |
| ZIP Code | 32204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 25510694 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.jaxhealth.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1979 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | Short-term respite care & long-term 24-hour nursing care or hospice care. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 360 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 34294 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 119170 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 24874054 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 24932628 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 438878 | InvestmentIncomePriorYear |
| Investment Income Current Year | 422274 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 44803 | OtherRevenuePriorYear |
| Other Revenue Current Year | 36622 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 25392029 | TotalRevenuePriorYear |
| Total Revenue Current Year | 25510694 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 11448710 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11670982 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 10337000 | OtherExpensePriorYear |
| Other Expenses Current Year | 11203767 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21785710 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22874749 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3606319 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2635945 | RevenuesLessExpensesCY |
| Total Assets BOY | 24024694 | TotalAssetsBOY |
| Total Assets EOY | 22954807 | TotalAssetsEOY |
| Total Liabilities BOY | 18591394 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 18161935 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5433300 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4792872 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Rooted 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 21312976 | Expense |
| Revenue | 24932628 | Revenue |
| Description | St. Catherine's Laboure Manor, Inc. provides quality skilled nursing services to the elderly and infirm, regardless of race, religion, national origin, or ability to pay. St. Catherine's Laboure Manor, Inc. has taken proactive steps to address those issues that will affect the accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured and the underserved. Approximately 40% of the value of services rendered were to elderly patients under the Medicare program and approximately 37% were under the Medicaid program. See Schedule O for complete Community Benefit Report. | Description |
| Total Program Service Expense | 21312976 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 360 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Herb Kaminsky | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9043087300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4205 Belfort Road Suite 4030 | AddressLine1 |
| City | Jacksonville | City |
| State | FL | State |
| ZIP Code | 32216 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| C Daniel Rice | ||||||||||
| Chairman | 3.00 | 3.00 | X | X | 0 | 0 | 0 | |||
| Sidney S Simmons II | ||||||||||
| Vice Chairman | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |||
| Richard Mullaney | ||||||||||
| Secretary/Treasurer | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |||
| Paul J Chappano MD | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Gary R Chartrand | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Dudley Greenhut | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| David G Kulik | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Ricardo Morales Jr | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Sr Nancy Murphy DC | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Sr Elyse Staab DC | ||||||||||
| Member | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Moody Chisholm | ||||||||||
| President/CEO, Ex-officio | 40.00 | 40.00 | X | X | 0 | 1158135 | 55827 | |||
| Mark Doyle | ||||||||||
| CFO | 40.00 | 40.00 | X | 0 | 477538 | 82397 | ||||
| Maureen F Gartland | ||||||||||
| Vice President | 40.00 | 0.00 | X | 183823 | 0 | 24178 | ||||
| Phil C Perry | ||||||||||
| CMO | 40.00 | 40.00 | 0 | 458819 | 36260 | X | ||||
| Karen F Darnell | ||||||||||
| VP/Chief Ambulatory Services Officer | 40.00 | 40.00 | 0 | 323407 | 37679 | X | ||||
| Janice G Lipsky | ||||||||||
| Sr. VP HR/OD/CHRO | 40.00 | 40.00 | 0 | 287156 | 52598 | X | ||||
| John Meyer | ||||||||||
| Sr. VP Strategic Planning | 40.00 | 40.00 | 0 | 262692 | 45614 | X | ||||
| Jeffery Middlebrooks | ||||||||||
| General Counsel (Start 7/12) | 40.00 | 40.00 | 0 | 172941 | 4865 | X | ||||
| Donnie Romine Jr | ||||||||||
| COO | 40.00 | 40.00 | 0 | 372395 | 106497 | X | ||||
| Teresa Butts | ||||||||||
| Assistant Administrator | 40.00 | 0.00 | 102577 | 0 | 11012 | X | ||||
| Gene K Miyamoto | ||||||||||
| Former COO (end 6/12) | 0.00 | 0.00 | 0 | 396767 | 19103 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 286400 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3909850 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 476030 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Touchpoint Support Services | |||||
| PO Box 102289 | Atlanta | GA | 303682289 | Food Services | 2400541 |
| Rehabcare Group - SRS Division | |||||
| PO Box 503534 | St Louis | MO | 631503534 | Rehabiliation Services | 1980950 |
| ABM | |||||
| 355 Hopping Brook Rd | Holliston | MA | 01746 | Maintenance Services | 298729 |
| Arbor Medical Staffing | |||||
| 2727 Mayhan Drive MS14 | Palm Coast | FL | 32135 | Temporary Staffing | 138264 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 102875 | RelatedOrganizations |
| All Other Contributions | 16295 | AllOtherContributions |
| Total Contributions | 119170 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medicare/Medicaid | 621990 | 19198123 | 19198123 |
| Net Patient Services | 621990 | 5734505 | 5734505 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 24932628 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 422274 | TotalRevenueColumn |
| Exclusion | $422,274 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Beauty/Barber Shop | 812900 | 31194 | $31,194 |
| Cafeteria Revenue | 722210 | 5428 | $5,428 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 36622 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25510694 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24932628 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $458,896 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 208001 | Total |
| Program Services | 195521 | ProgramServices |
| Management And General | 12480 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8892080 | Total |
| Program Services | 8375330 | ProgramServices |
| Management And General | 516750 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61144 | Total |
| Program Services | 58209 | ProgramServices |
| Management And General | 2935 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1751742 | Total |
| Program Services | 1743612 | ProgramServices |
| Management And General | 8130 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 758015 | Total |
| Program Services | 700027 | ProgramServices |
| Management And General | 57988 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115057 | Total |
| Management And General | 115057 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7551 | Total |
| Program Services | 7551 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2591310 | Total |
| Program Services | 2573271 | ProgramServices |
| Management And General | 18039 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 848152 | Total |
| Program Services | 746750 | ProgramServices |
| Management And General | 101402 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15147 | Total |
| Program Services | 3685 | ProgramServices |
| Management And General | 11462 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 513176 | Total |
| Program Services | 487517 | ProgramServices |
| Management And General | 25659 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 670465 | Total |
| Program Services | 636942 | ProgramServices |
| Management And General | 33523 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88431 | Total |
| Program Services | 82059 | ProgramServices |
| Management And General | 6372 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Prof. Medical Fees | 2075537 | 2059578 | 15959 |
| Cost Containment Assess | 1520699 | 1520699 | |
| Corporate Services | 528260 | 105652 | 422608 |
| Maintenance Service | 178000 | 160200 | 17800 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2051982 | Total |
| Program Services | 1856373 | ProgramServices |
| Management And General | 195609 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22874749 | Total |
| Program Services | 21312976 | ProgramServices |
| Management And General | 1561773 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 850 | BOY |
| EOY | 850 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10149549 | BOY |
| EOY | 219011 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2274622 | BOY |
| EOY | 2210974 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4340 | BOY |
| EOY | 25490 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5998 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 22838462 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13633723 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9807980 | BOY |
| EOY | 9204739 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1787353 | BOY |
| EOY | 11287745 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24024694 | BOY |
| EOY | 22954807 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1986632 | BOY |
| EOY | 1875412 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16604762 | BOY |
| EOY | 16286523 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18591394 | BOY |
| EOY | 18161935 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5266954 | BOY |
| EOY | 4703257 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166346 | BOY |
| EOY | 89615 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5433300 | BOY |
| EOY | 4792872 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24024694 | BOY |
| EOY | 22954807 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2635945 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 325964 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -3602337 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| General Explanation | Schedule A, Part IV, Supplemental Information: Schedule A, Part I: Reason for Public Charity Status: St. Catherine's Laboure Manor, Inc. is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however it is not a hospital as defined by Form 990, Schedule H Instructions. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4799652 | OtherCostOrOtherBasis |
| Book Value | 4799652 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5838154 | OtherCostOrOtherBasis |
| Depreciation | 4361743 | Depreciation |
| Book Value | 1476411 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2889814 | OtherCostOrOtherBasis |
| Depreciation | 2534110 | Depreciation |
| Book Value | 355704 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9310842 | OtherCostOrOtherBasis |
| Depreciation | 6737870 | Depreciation |
| Book Value | 2572972 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9204739 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Estimated Third-Party Payor Settlements | 287313 |
| Investment of Net Assets of Related Foundation | 89615 |
| Recievable from Related Foundation | 1336141 |
| Other Miscellaneous Long Term Assets | 66418 |
| Patient Trust Accounts | 42738 |
| Interest in Investments Held by Ascension Health Alliance | 9465520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 11287745 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| AR Credit Balances | $119,237 |
| Estimated Settlements to Third Party Payors | $320,888 |
| AH Savings Plan Liability | $54,800 |
| AP Intercompany between Health Ministries | $776,922 |
| Resident or Patient Trust Fund ST | $36,244 |
| Intercompany Debt to Ascension Health Alliance | $14,761,278 |
| SITF System Sponsored | $103,617 |
| Pension Plan Liability | $113,537 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16286523 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | From the consolidated financial statements of St. Vincent's Health System, Inc. (which include the activity of St. Catherine's Laboure Manor, Inc.): 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Moody Chisholm | ||||||||||||||
| President/CEO, Ex-officio | 0 | 610753 | 0 | 417376 | 0 | 130006 | 0 | 39022 | 0 | 16805 | 0 | 1213962 | 0 | 0 |
| Mark Doyle | ||||||||||||||
| CFO | 0 | 390112 | 0 | 83118 | 0 | 4308 | 0 | 78085 | 0 | 4312 | 0 | 559935 | 0 | 0 |
| Maureen F Gartland | ||||||||||||||
| Vice President | 149344 | 0 | 24586 | 0 | 9893 | 0 | 8982 | 0 | 15196 | 0 | 208001 | 0 | 0 | 0 |
| Phil C Perry | ||||||||||||||
| CMO | 0 | 351820 | 0 | 76093 | 0 | 30906 | 0 | 23500 | 0 | 12760 | 0 | 495079 | 0 | 0 |
| Karen F Darnell | ||||||||||||||
| VP/Chief Ambulatory Services Officer | 0 | 252976 | 0 | 51510 | 0 | 18921 | 0 | 22000 | 0 | 15679 | 0 | 361086 | 0 | 0 |
| Janice G Lipsky | ||||||||||||||
| Sr. VP HR/OD/CHRO | 0 | 216316 | 0 | 53204 | 0 | 17636 | 0 | 36000 | 0 | 16598 | 0 | 339754 | 0 | 0 |
| John Meyer | ||||||||||||||
| Sr. VP Strategic Planning | 0 | 213014 | 0 | 47103 | 0 | 2575 | 0 | 40114 | 0 | 5500 | 0 | 308306 | 0 | 0 |
| Jeffery Middlebrooks | ||||||||||||||
| General Counsel (Start 7/12) | 0 | 142869 | 0 | 28839 | 0 | 1233 | 0 | 0 | 0 | 4865 | 0 | 177806 | 0 | 0 |
| Donnie Romine Jr | ||||||||||||||
| COO | 0 | 217439 | 0 | 151448 | 0 | 3508 | 0 | 89987 | 0 | 16510 | 0 | 478892 | 0 | 0 |
| Gene K Miyamoto | ||||||||||||||
| Former COO (end 6/12) | 0 | 198230 | 0 | 0 | 0 | 198537 | 0 | 19103 | 0 | 0 | 0 | 415870 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 3 | St. Vincent's Health System, Inc., a related organization of St. Catherine's Laboure Manor, 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 III | Part I, Line 4a, Severance Payments: Gene K. Miyamoto - $194,741 | Supplemental Information |
| Part III | 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 related organizations (St. Vincent's Health System, Inc. and St. Vincent's Medical Center, Inc.) contributed to the nonqualified supplemental retirement plan as follows: Mark Doyle - $44,575 John Meyer - $17,032 Donnie L. Romine - $51,455 Gene K. Miyamoto - $8,092 | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | St. Catherine's Laboure Manor, Inc. has a single corporate member, St. Vincent's Health System, Inc. | |
| Form 990, Part VI, Section A, line 7a | St. Catherine's Laboure Manor, 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. Catherine's Laboure Manor, Inc. | |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to St. Catherine's Laboure Manor, Inc. 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 A, line 8b | There are no separate committees that have the authority to act on behalf of the governing body for St. Catherine's Laboure Manor, Inc. | |
| Form 990, Part VI, Section B, line 11 | Management, 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 and answer any questions. 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 12c | Officers, 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 15 | In determining the compensation of the organization's CEO, the process, performed by St. Vincent's Health System, Inc. (a related organization who paid the CEO), 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 hospitals 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. The individual was not present when his compensation was decided. In determining the compensation of other officers or key employees of the organization, the process, performed by St. Vincent's Health System, Inc. (a related organization who paid the other officers or key employees), 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 19 | The organization will provide any documents open to public inspection upon request. | |
| Form 990, Part XI, line 9: | Transfer to Affiliates -3,544,787. Temporary Restricted Released for Operations -93,026. Unrestricted Defined Pension Cost -56,319. Transfer Restricted Contributions used Property 91,795. | Changes in Net Assets or Fund Balances: |
| Form 990, Part III, Line 4a: | This report illustrates the significant degree to which St. Catherine's Laboure Manor, Inc. contributes to the positive health status of the residents of Jacksonville, Florida and surrounding communities. St. Catherine's Laboure Manor, Inc. ("SCLM") is a subsidiary of St. Vincent's HealthCare, a multi entity health care network that provides essential health services to its community. As a member of Ascension Health, the nation's largest not-for-profit Catholic healthcare system, St. Vincent's HealthCare continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of St. Vincent's HealthCare is to perpetuate the healing mission of the Catholic Church. St. Vincent's HealthCare furthers this goal through delivery of patient services that includes, care to the elderly and indigent. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. In order to portray the full breadth of our contribution, our community benefit information is described below: Organizational Commitment to Providing Community Benefit SCLM is a 240 bed nursing home serving the residents of Northeast Florida and Southeast Georgia. One of the largest long-term nursing facilities in Jacksonville, SCLM's offers many of the services residents need in a home-like atmosphere. Services include a 60-bed Special Care Unit for Alzheimer's and Dementia residents, dental and pharmacy services, a library, a beauty/barber shop, and chapel services. Supporting St. Vincent's HealthCare's mission of service to all persons with special attention to those who are poor and vulnerable, SCLM's is uniquely suited to care for those in need of short-term respite care, long-term care, 24-hour care or hospice care. Staff is prepared to meet the physical, emotional, and spiritual needs of residents through SCLM's wide range of services. Operations and Governance - SCLM has a governing body composed of community representatives and officials of St. Vincent's HealthCare. - SCLM is subject to all federal and state regulations including CMS, OBRA and OSHA. - SCLM participates in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-based health care sponsored health care programs. Unreimbursed Services Provided to the Elderly and the Poor In the spirit of the principles adopted by Ascension Health, SCLM has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of nursing home services to all persons, especially the uninsured and the underserved. During the fiscal year ending June 30, 2013, approximately 40% of the values of services rendered were to elderly patients under the Medicare program, and approximately 37% of the services were provided to patients under the Medicaid program. Patient Services SCLM operates an Alzheimer/Dementia unit designed to meet the specialized needs of these residents. The combination of interior design and specialized training of its staff enables SCLM's to provide a responsive and secure living environment for up to 60 residents with memory impairments. The Alzheimer/Dementia unit offers a secure and private garden to provide patients access to safe outdoor activities, as well as specialized activity programs and a family support group. The facility and staff have been recognized by CMS for the skilled and caring ministry of its residents and was awarded recognition as a Four Star nursing home care facility in the state of Florida. During the fiscal year ended June 30, 2013, SCLM provided over 84,000 days of residential care. SCLM activities program is designed to meet residents' needs and abilities. Staff members schedule many special events throughout the year including several family nights and programs featuring special guests to entertain our patients and residents. The patients and residents especially enjoy visits from Body & Soul: The Art of Healing. This unique group of professional performers and artists from Jacksonville promotes the arts and healing to diminish the stresses that occur in the healthcare and extended care environment experience. Monthly group and room performances held at SCLM feature instrumental, vocal and theatrical performances that enhance the quality of life for patients, residents, family, friends, and healthcare providers while expanding the arts within the Jacksonville community. SCLM also has a charitable relationship with the Sisters of St. Francis Xavier, an order of Catholic Nuns from Myanmar. The Sister's work daily at SCLM is to provide clinical care with special focus on reverence for the spirit and dignity of each resident. Their presence alone has a calming effect for residents that are often vulnerable, allowing them to build a trusting relationship with residents in various stages of health care needs. Summary SCLM furthers its charitable purposes by providing a broad array of services to meet the healthcare and residential needs of those unable to care for themselves. We provide essential services to the community and provide appropriate charity services to those residents who are not able to pay for their own needs, and present education information classes and activities to the community in order to improve the overall status of the elderly. The care of this vulnerable population is the founding mission of the Daughters of Charity. | Community Benefit Report: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | Ascension Health Alliance | 0 |
| St Vincent's Health System Inc | ||||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 32216 | 593650609 | Parent Entity | FL | Section 501(c)(3) | Schedule A, Line 11b | Ascension Health | 0 |
| St Vincent's Medical Center Inc | ||||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 32216 | 590624449 | Hospital | FL | Section 501(c)(3) | Schedule A, Line 3 | St Vincent's Health System Inc | 1 |
| St Luke's-St Vincent's Healthcare Inc | ||||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 32216 | 260479484 | Hospital | FL | Section 501(c)(3) | Schedule A, Line 3 | St Vincent's Health System Inc | 1 |
| St Vincent's Ambulatory Care Inc | ||||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 32216 | 592292041 | Physician Practice | FL | Section 501(c)(3) | Schedule A, Line 9 | St Vincent's Health System Inc | 1 |
| St Vincent's Foundation Inc | ||||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 32216 | 592219923 | Fund Raising | FL | Section 501(c)(3) | Schedule A, Line 7 | St Vincent's Health System Inc | 1 |
| St Vincent's Medical Center Clay County Inc | ||||||||||
| 1580 Branan Field Road | Middleburg | FL | 32068 | 461523194 | Hospital | FL | Section 501(c)(3) | Schedule A, Line 3 | St Vincent's Health System Inc | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Consolidated Pharmacy Services Inc | |||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 32216 | 593398033 | Retail Pharmacy & Patient Transport | FL | N/A | C | 0 |
| First Coast Primary Care | |||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 32216 | 205746243 | Primary Care | FL | N/A | C | 0 |
| St Vincent's Physician Enterprise Inc | |||||||||
| 4205 Belfort Road Suite 4030 | Jacksonville | FL | 32216 | 271927603 | Primary Care | FL | N/A | C | 0 |
| Family Medicine Condominium Association Inc | |||||||||
| 1 Shircliff Way | Jacksonville | FL | 32204 | 261983355 | Condominium Association | FL | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| St Vincent's Foundation Inc | ||
| C | 102875 | FMV |
| St Vincent's Health System Inc | ||
| M | 321133 | FMV |
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