2011-05-13T10:49:28-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 260479484 St Luke's-St Vincent's Healthcare dba St Luke's Hospital STLU 9043087300 2565 Park Street Jacksonville FL 32204 Brian T Regan 9043087300 2011-05-13 1 5137847100 2009 2016-02-24 21:20:13Z Moody L Chisholm 1 Shircliff Way Jacksonville FL 32204 104972280 0 0928 X www.jaxhealth.com X 2007 FL Spiritually centered care which sustains & improves the health of the community. 13 12 1174 117 0 0 31247 31432 85008524 103533976 102904 71960 91148 510204 85233823 104147572 29400 1200 0 39368797 40231726 0 0 85874959 84962681 125273156 125195607 -40039333 -21048035 134977295 127298275 136576873 136898407 -1599578 -9600132 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 who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. 0 0 118924351 1200 103144166 The goal of St. Luke's Hospital is to perpetuate the healing mission of the Church. St. Luke's Hospital furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community. 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 patients race, creed, national origin, economic status, or ability to pay. St. Luke's Hospital is a 313 bed nonprofit acute care hospital. The Hospital provides health care services for the residents of Northeast Florida and Southeast Georgia. St. Luke's Hospital seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In the spirit of principles adopted by Ascension Health, St. Luke's Hospital has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured and the underserved. During the year ended June 30, 2010, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underserved totaled $10,742,000. St. Luke's Hospital provides a substantial portion of its services to the elderly and poor. During the year ended June 30, 2010, approximately 45% of the value of services rendered were to elderly patients under the Medicare program, and approximately 3% of the services were provided to patients who were deemed indigent under state, county, or St. Luke's Hospital guidelines. St. Luke's Hospital provided 35,000 days of acute inpatient care and 3,000 days of newborn care. 24,000 patients received emergency room treatments. There were 600 catheterizations/interventions provided by the Cardiac program of the Hospital. Some services provided at the Hospital operate at a loss in order to ensure that all services are available to meet community health care needs. These include labor and delivery and emergency medicine. 332200 389810 Medical Staff Fees and Exempt Affiliate Rents. 119256551 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 61 0 1 1174 1 0 0 0 0 0 0 0 0 0 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X Joye A Strickland 9043087300 2565 Park Street Jacksonville FL 32204 James Patrick Thorton 3.00 X X 0 0 0 Fred D Franklin Jr 1.00 X X 0 0 0 Paul Chappano MD 1.00 X 0 0 0 Gary R Chartrand 1.00 X 0 0 0 Sr Mary Frances 1.00 X 0 0 0 David G Kulik 1.00 X 0 0 0 Ricardo Morales Jr 1.00 X 0 0 0 Richard Mullaney 1.00 X 0 0 0 Sr Nancy Murphy 1.00 X 0 0 0 C Daniel Rice 1.00 X 0 0 0 Sidney S Simmons II 1.00 X 0 0 0 Sr Elyse Staab 1.00 X 0 0 0 Scott A Whalen Sch O 40.00 X X 0 701260 48732 Howard Watts Sch O 40.00 X X 0 0 0 Moody Chisholm Sch O 40.00 X X 0 0 0 Brian T Regan Sch O 40.00 X 0 0 0 Gene K Miyamoto Sch O 40.00 X 0 388616 51406 Laurie S Teppert Sch O 40.00 X 0 281757 50052 Janice G Lipsky Sch O 40.00 X 0 212104 63165 Phil C Perry MD Sch O 40.00 X 0 347455 53539 Karen F Darnell Sch O 40.00 X 0 212269 52551 Margaret L Mortensen 40.00 X 0 193635 44453 Randall W Hartley 40.00 X 219467 0 31900 Dale E Younkman 40.00 X 153200 0 29404 Donald Fisher 40.00 X 154732 0 10009 Jill C Wenzel 40.00 X 128378 0 25896 Rebecca s Goldwasser 40.00 X 141133 0 20985 Russel S Avera 40.00 X 140769 0 18301 James M Corrigan 0.00 X 0 877517 0 John J Maher 0.00 X 0 540349 0 Ronald J Roberson 0.00 X 0 261090 0 Daniel C Curran 0.00 X 0 331128 0 Michael D Holmes 0.00 X 302966 0 0 1240645 4347180 500393 27 1 1 0 Healthcare Svcs Inc dba Accretive Healt 401 N MI Ave Ste 2700 Chicago IL 60611 Patient Accounting 3991256 Sodexho Marriott Services PO Box 536922 Atlanta GA 30353 Food Services 2831618 Brooks Rehab Hospital 3599 University Blvd South Jacksonville FL 32216 Skilled Nursing 1357139 Diagnostic Imaging PA PO Box 956129 Duluth GA 30095 Imaging Services 750130 North Florida Anesthesia Consulting PO Box 861113 Orlando FL 32886 Medical Services 607120 16 31432 31432 Net Patient Revenue 621990 103144166 103144166 Exempt Affiliates Rent 532000 360310 360310 Medical Staff Fees 621990 29500 29500 103533976 71960 71960 559975 756489 -196514 -196514 -196514 91083 68219 22864 22864 Cafeteria Sales 722320 384522 384522 Other 621990 299332 299332 683854 104147572 103533976 0 582164 1200 1200 247220 197776 49444 31514664 30171334 1343330 1459204 1395217 63987 4697815 4491111 206704 2312823 2211059 101764 4141 3924 217 128604 128604 10194447 9362786 831661 5047 5047 334994 301769 33225 3388862 3219418 169444 19334 14500 4834 7285 5464 1821 3868076 3752033 116043 9521397 9235754 285643 719005 705722 13283 Medical Supplies 20411060 20303840 107220 0 Bad Debt 15119709 15119709 0 0 Corporate Services 12868418 10587970 2280448 0 Equipment Rent/Maint 3415337 3213953 201384 0 SNU Management Services 1506139 1506139 0 0 3450826 3450826 125195607 119256551 5939056 0 127447 132841 12568159 12451246 2226721 1698059 108811 156251 155069251 50646343 110044034 104422908 5040611 5217113 4861512 3219857 134977295 127298275 6297178 10394528 130279695 126503879 136576873 136898407 X -6640189 -14817245 5040611 5217113 -1599578 -9600132 134977295 127298275 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6235 6235 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 14487081 14487081 74244730 9243442 65001288 44686450 34569887 10116563 21650990 6833014 14817976 104422908 Estimated Third-Party Payor Settlements 3591642 Due to Affiliates 2803290 Pension and Other Post Retirement Liabilities 282218 Self-Insurance Liabilities 621685 Other 1590020 Intercompany Debt to Ascension Health 117615024 126503879 104147572 125195607 -21048035 13047481 13047481 -8000554 Part X: Description of Uncertain Tax Positions Under FIN 48: Per the financial statements of St. Vincent's Health System, Inc. (which includes St. Luke's-St. Vincent's Healthcare), there is no current year ASC 740 (FKA FIN 48) footnote. Part XI, Line 8 - Other Adjustments: Change in Interest in Net Assets Related Foundation: 365523. Transfers from Sponsor and Other Affiliates, Net: 12794299. Other: -112341. 1 1 X 1 X 1 X 1 1 1 0 1 1 2578079 2578079 0.02060 8533310 4090600 4442710 0.03550 11111389 4090600 7020789 0.05610 649635 311162 338473 0.00270 71624 71624 0.00060 721259 311162 410097 0.00330 11832648 4401762 7430886 0.05940 5412 5412 0.00000 8055 8055 0.00010 539 539 0.00000 1286 1286 0.00000 2201 2201 0.00000 17493 17493 0.00010 1 4469386 1930376 33164857 46922862 -13758005 X 1 1 St Luke's-St Vincent's Healthcare

4201 Belfort Road Jacksonville FL 32216

X X X 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. Luke's Hospital 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 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. Patients may also be referred to St. Vincent's Health System's 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 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 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. Luke's are required to follow St. Luke'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 I, Line 7f: The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $15,119,709. Part III, Line 4: The provision for bad debts 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 uncollectible 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 bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing 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 System'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 charity care policy (financial assistance). Patients without insurance are interviewed face-to-face to determine if they qualify for any third party payers or governmental programs. Patient statements contain messages requesting the patients to contact the organization should they need assistance with their debt. Patients that do not request assistance or provide the information necessary to qualify for financial assistance will follow a routine collection methodology. Part V: One Skilled Nursing Unit. Part VI, Line 2: St. Luke's Hospital (St. Luke's) uses multiple tools to determine community need. 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. See Schedule H, Part VI, Line 4 disclosure for additional information. Part VI, Line 3: Patients without insurance are interviewed face-to-face to determine if they qualify for any third party payers or governmental programs. If we are unable to interview the patient in person, telephone contact is made to discuss the patient's financial situation and ability to pay for services. Patient statements contain messages requesting the patients to contact the organization should they need assistance with their debt. Part VI, Line 4: St. Luke's 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. Luke's Hospital focuses in Duval County, Jacksonville are 32202, 32204, 32205, 32206, 32207, 32208, 32209, 32210, 32211, 32211, 32211, 32216, 32217, 32218, 32219, 32220, 32221, 32222, 32224, 32234, 32244, 32254; 32256; in Clay County, Florida are 32073, 32068, 32065, 32043; in Nassau County, Florida are 32034, 32011; and in Baker County, Florida are 32063.The facilities within the area are:-Baptist Medical Center, an acute care not-for-profit facility in Jacksonville with 619 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 196 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 214 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 252 beds; -St. Vincent's Medical Center, 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 639 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 294 beds; -Ten Broeck Hospital, Jacksonville a psychiatric for-profit facility in Jacksonville with 99 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. Luke's collects when determining regional and community needs:-St. Luke's Hospital (SLH) compares county population by race against the state. SLH also compares population by race in each of the zip codes. The findings from the comparison indicate that of the 1,361,599 persons in the region the significant racial breakdowns are 67% white, 22% black African American, and 6% Hispanic. The percentage of non-English speaking populations in the 2000 census in the region was 0.1%.-St. Luke's 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. Johns County to $58,000 in Baker County. The percentage of persons below the Federal Poverty Rate ranged from a low of 7.9% in St. Johns County to a high of 15.3% in Baker County. The Florida average was 13.3%Florida CHARTS tables which are provided by the Florida Department of Health, Office of Planning, Evaluation and Data Analysis are utilized to determine Behavioral Risk Factors and Chronic (BRFSS) disease prevalence in the region. By reviewing FL CHARTS, County Profiles and BRFSS data, along with internal volume and financial data, St. Lukes is able to determine areas of need and chronic disease prevalence in relation to behavioral risk factors. The analysis below is an example of the data often compiled from the resources mentioned above. Analysis for Baker County:Baker County demonstrates the least favorable situation with comparison to the other counties in the state with regards to the following diseases: 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:All county service areas except for Nassau county rank in the first quartile which is the most favorable. However, this data is from 2007 may be inaccurate due to the economic downturn. It is anticipated that population with health insurance has declined. The parent company St. Vincent's HealthCare (SVHC) website provides information and phone numbers for patients whose incomes are 200% below the federal property level. Financial counselors are available to decide whether a patient qualifies for charity care. Patients who do not have insurance are eligible for discounts on their bill when they agree to a payment plan; this service is also provided by the financial counselors. The SVHC website contains a wealth of information on services which SVHC provides to the less fortunate. The Seton Center for Women and Infants' Health 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 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. Part VI, Line 5: Economic Development:Cash support for the Park and King Merchants Association. As a regional employer St. Luke's supports the work of maintaining the neighborhoods in which its facilities reside. Over the past seven years the organization has spearheaded a major rehabilitation project with street and landscaping resulting in lower vacancy and crime rates.Cash support for the Jacksonville Area Chamber of Commerce and the Clay County Chamber of Commerce. The Chambers' objective is to drive business in the region with emphasis on initiatives for the un/under employed in the are through its Career Academies and Youth Summer Initiatives. St. Luke's supports preparation for all members of the community to enter and remain in the workforce.Community Support:Cash support for organizations such as the Children's Chorus, Girl Scouts and Boys and Girls Club, The Bridge 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 be forgotten and drop out of school. Through their various programs they ensure that children are safe after school and in an environment that fosters learning.For instance, Community Connections provides housing for the homeless. The Bridge serves children and adolescents with holistic program in an impoverished, crime-ridden section of the city. St. Luke's works with the Bridge as a partner in its "Tipping the Scale" Mentoring program. It provides mentors for students who come to the campus biweekly. The mentor generally remains with the student though three years of high school. The program's success is marked by its graduation rate of 80% in a population that is often the first in the family to graduate from high school. Girl Scouts of Gateway works with adults to promote leadership development and social conscience in the girls it serves by helping the girls to discover these attributes for themselves though a comprehensive program. The Boys and Girls Clubs work with children, especially those from low income areas to realize their potential through established programs. The Children's Chorus presents a special activity for children by developing high quality choral music education to children with special emphasis on those from diverse backgrounds. St. Luke's supports the scholarship program so that the children from lower income areas can participate.St. Lukes funds for Both Bishop Kenny and Bishop John Snyder High Schools are used for scholarships to ensure that quality Catholic education is available to area residents, especially for those whose incomes are not great enough to pay the full tuition.Lumen Entertainment provides eight-to-life educational materials for use by high schoolers. It does this as its mission to encourage respect for life from conception to natural death. Environmental Improvements:Cash Support for Greenscape. Greenscape promotes the environment through the planting and protection of trees which is part of the air quality initiative.Leadership Development:Cash support for Leadership Jacksonville and Leadership Clay. Both organization's provide a training program for emerging leaders to support community needs as defined though Quality of Life Indicators developed by the Jacksonville Community Council and for Clay County its study groups. The purpose of each organization is to build a cadre of leaders capable of addressing community needs.Coalition Building:Cash support for the Northeast Florida Health Planning Council. These dollars are being leveraged with other provider dollars to initiate and support a community health assessment tool for a seven county area called the Northeast Florida Community Dashboard.On-Site Tax Preparation is provided via a coalition with United Way, duPont Fund and IRS for free tax preparation at St. Luke's Hospital for the low and moderate income earners. Service is available to associates and the community. Part VI, Line 6: St. Vincent's HealthCare has been part of Jacksonville for over 94 years. St. Luke's Hospital has been part of the system for two years and, like its older sibling St. Vincent's Medical Center, welcomes the sick and vulnerable to its doors. In its Mission Statement St. Luke's proclaims that it provides care to all, but with special attention to the poor and vulnerable. This is the emphasis St. Luke's uses in its Community Building Programs. St. Luke's has a medical staff open to all qualified physicians in the Jacksonville 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 continuing service to the community, are acutely aware of the social and health needs of the greater Jacksonville area. These individuals along with members of the medical staff are committed to the Mission Statement and its call to provide health care for all who come to our doors.St. Luke's, and in some instances, in partnership with other organizations offers a variety of opportunities which are no cost to the community:-The Good Samaritan Fund of St. Vincent's, St. Luke's and St. Catherine Labour Manor disbursed $313,490 to 2,474 patients in financial need-St. Vincent's HealthCare sponsors the non-profit organization called Run For Their Lives to assist in raise funds for local crisis pregnancy centers through a local run/walk-St. Vincent's HealthCare has a partnership with Northeast Health Education Center and provides free 6 week smoking cessation program-Website: Provides a health encyclopedia with wellness tools for the community to gain information to live a healthier life style-Health Link is a free nurse advice line, which may also assist with physician referrals if needed-Remember Me is perinatal bereavement support group for those who have experienced a loss of a baby at any stage. This group is free to all-There are ten trips to Haiti each year in which medical personnel and other volunteers are part of the assistance given to the people of that country. Part VI, Line 7: Organizational Structure:St. Luke's Hospital (the Hospital) 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 Hospital, located in Jacksonville, Florida, is a nonprofit acute care hospital. The Hospital provides inpatient, outpatient, and emergency care services for the residents of northeast Florida and southeast Georgia. Admitting physicians are primarily practitioners in the local area. The Hospital is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services.Mission:Ascension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Healths mission of service to those who are poor and vulnerable, 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 who are poor 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 represents the unpaid cost of services provided to persons covered by public programs for the poor. -Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable 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 poor, 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 who are poor and community benefit programs is estimated using internal cost data.Additional affiliates and members of the St. Vincent's Health System include: St. Vincent's Medical Center, Inc., St. Catherine's Laboure Manor, Inc., St. Vincent's Ambulatory Care, Inc., First Coast Primary Care, Inc., Consolidated Pharmacy Services, Inc. and St. Vincent's Foundation, Inc. 1 1 0 0 0 0 0 0 0 Scott A Whalen (Sch O) 0 251987 0 118420 0 330853 0 45250 0 3482 0 749992 0 0 Gene K Miyamoto (Sch O) 0 366375 0 0 0 22241 0 29500 0 21906 0 440022 0 0 Laurie S Teppert (Sch O) 0 270096 0 0 0 11661 0 30125 0 19927 0 331809 0 0 Janice G Lipsky (Sch O) 0 200504 0 0 0 11600 0 47975 0 15190 0 275269 0 0 Phil C Perry MD (Sch O) 0 335343 0 0 0 12112 0 34973 0 18566 0 400994 0 0 Karen F Darnell (Sch O) 0 205996 0 0 0 6273 0 34533 0 18018 0 264820 0 0 Margaret L Mortensen 0 187813 0 0 0 5822 0 28311 0 16142 0 238088 0 0 Randall W Hartley 208644 0 0 0 10823 0 27753 0 4147 0 251367 0 0 0 Dale E Younkman 150558 0 2500 0 142 0 11329 0 18075 0 182604 0 0 0 Donald Fisher 154441 0 0 0 291 0 4684 0 5325 0 164741 0 0 0 Jill C Wenzel 123248 0 5000 0 130 0 20835 0 5061 0 154274 0 0 0 Rebecca s Goldwasser 136099 0 5000 0 34 0 4376 0 16609 0 162118 0 0 0 Russel S Avera 135735 0 5000 0 34 0 4291 0 14010 0 159070 0 0 0 James M Corrigan 0 0 0 0 0 877517 0 0 0 0 0 877517 0 0 John J Maher 0 0 0 0 0 540349 0 0 0 0 0 540349 0 0 Ronald J Roberson 0 248765 0 0 0 12325 0 0 0 0 0 261090 0 0 Daniel C Curran 0 0 0 0 0 331128 0 0 0 0 0 331128 0 0 Michael D Holmes 0 0 0 0 302966 0 0 0 0 0 302966 0 0 0 Part I, Line 4a Severance Payments: Scott A. Whalen - $179,328 John J. Maher - $538,027 Daniel C. Curran - $331,128 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. Payments from supplemental nonqualified retirement plan: James M. Corrigan - $183,605 Supplemental Information Part III Part I, Line 3: St. Vincent's Health System, Inc., a related organization of St. Luke's-St. Vincent's Healthcare, uses the following to establish the compensation of the organization's CEO: - Compensation committee, - Independent compensation consultant, - Written employment contract, - Compensation survey or study, and - Approval of board or compensation committee Supplemental Information Part III Part II: Moody Chisholm, President & CEO, has no reportable compensation from St. Vincent's Health System, Inc. on Form 990, Part VII, Section A or Schedule J, Part II as he did not begin employment until February of 2010 and the Form 990 reports compensation on a calendar year basis for 2009. Howard Watts, Interim President & CEO, was paid by an unrelated organization for his services to St. Vincent's Health System, Inc. as the President & CEO. The compensation was paid to Howard Watts by Hunter & Associates. Hunter & Associates received total payments from St. Vincent's Health System, Inc. of $515,962 for FY2010. Brain Regan, Interim CFO, was paid by an unrelated organization for his services to St. Vincent's Health System, Inc. as the Interim CFO. The compensation was paid to Brian Regan by Brian T. Regan Consulting. Brian Regan T. Consulting received total payments from St. Vincent's Health System, Inc. of $1,076,251 for FY2010. Form 990, Part VI, Section A, line 6 St. Luke's-St. Vincent's Healthcare has a single corporate member, St. Vincent's Health System, Inc. Form 990, Part VI, Section A, line 7a St. 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 7b All 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 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. 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 perfomed 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 other organizations in the area that 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 compensations, the other officers or key employees of the organization were compared to other hospitals' employees in the area that 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 VII, Section A: Explanation of Hours for Officers and Key Employees: Officers and key employees of St. Luke's-St. Vincent's Healthcare provide services to St. Vincent's Health System, Inc. and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, all officer and key employee hours (as noted with reference to Schedule O) reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggredate hours worked per week for all entities. Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A St Vincent's Health System Inc 1 Shircliff Way Jacksonville FL 32204 593650609 Parent Entity FL Section 501(c)(3) Schedule A, Line 11b Ascension Health St Vincent's Medical Center Inc 1 Shircliff Way Jacksonville FL 32204 590624449 Hospital FL Section 501(c)(3) Schedule A, Line 3 St Vincent's Health System Inc St Vincent's Ambulatory Care Inc 2565 Park Street Jacksonville FL 32204 592292041 Physician Practice FL Section 501(c)(3) Schedule A, Line 3 st Vincent's Health System Inc St Vincent's Foundation Inc 1 Shircliff Way Jacksonville FL 32204 592219923 Fund Raising FL Section 501(c)(3) Schedule A, Line 7 St Vincent's Health System Inc St Catherine's Laboure Manor 2565 Park Street Jacksonville FL 32204 591878316 Nursing Home FL Section 501(c)(3) Schedule A, Line 3 st Vincent's Health System Inc Consolidated Pharmacy Services Inc 2565 Park Street Jacksonville FL 32204 593398033 Retail Pharmacy & Patient Transport FL N/A C First Coast Primary Care 2565 Park Street Jacksonville FL 32204 205746243 Primary Care FL N/A C Family Medicine Condominium Association Inc 1 Shircliff Way Jacksonville FL 32204 Condominium Association FL N/A C 0 0 1 0 0 0 0 0 1 0 0 1 0 0 1 0 1 1 St Vincent's Ambulatory Care Inc I 95211 St Vincent's Medical Center Inc I 82780 St Vincent's Health System Inc I 123420 First Coast Primary Care Inc I 65870 St Vincent's Health System Inc L 3720655 St Vincent's Foundation Inc L 524393 St Vincent's Health System Inc O 8186457 St Vincent's Health System Inc Q 12100000 Ascension Health Q 334336 St Vincent's Health System Inc R 24907112