TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) SIDNEY S SIMMONS II CHAIRMAN	3.00 .......................3.00	X	X		0	0	0
(2) DAVID G KULIK VICE CHAIRMAN	1.00 .......................1.00	X	X		0	0	0
(3) RICARDO MORALES JR SECRETARY/TREASURER	1.00 .......................1.00	X	X		0	0	0
(4) MOODY CHISHOLM PRESIDENT/CEO, EX-OFFICIO (THRU 3/20/15)	10.00 .......................81.00	X	X		0	1,617,338	76,903
(5) PAUL J CHAPPANO MD MEMBER	1.00 .......................1.00	X			0	0	0
(6) CARLA HARRIS MEMBER	1.00 .......................1.00	X			0	0	0
(7) RICHARD JONES MEMBER	1.00 .......................1.00	X			0	0	0
(8) SR NANCY MURPHY DC MEMBER	1.00 .......................1.00	X			0	0	0
(9) SISTER JEAN D RHOADES MEMBER	1.00 .......................1.00	X			0	0	0
(10) VAN D ROYAL MEMBER	1.00 .......................1.00	X			0	0	0
(11) HELEN D ROWAN MEMBER	1.00 .......................1.00	X			0	0	0
(12) KIMBERLY HODGKINSON CFO	40.00 .......................40.00		X		0	424,813	65,276
(13) MICHAEL SCHATZLEIN MD REGIONAL CEO	1.00 .......................55.50		X		0	2,667,403	40,277
(14) KAREN F DARNELL VP/CHIEF AMBULATORY SERVICE OFFICER (THRU 3/27/15)	10.00 .......................41.00			X	0	356,217	74,689
(15) GAIL GREEN CNO	40.00 .......................40.00			X	253,160	0	47,607
(16) JANICE G LIPSKY SR. VP HR/OD/CHRO	40.00 .......................40.00			X	0	297,156	70,698
(17) DENISE MCKROW VP SUPPORT SERVICES	40.00 .......................0.00			X	215,569	0	49,137

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	75,800	75,800
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	1,575,464	1,512,444	63,020
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	125,754,301	120,214,811	5,539,490
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,842,481	5,585,412	257,069
9	Other employee benefits .......	12,786,626	12,224,014	562,612
10	Payroll taxes ...........	9,274,440	8,866,365	408,075
11	Fees for services (non-employees):
a	Management ......	9,105,061	8,704,438	400,623
b	Legal .........	0	0	0
c	Accounting ...........	25,302		25,302
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	32,934,934	26,215,118	6,719,816	0
12	Advertising and promotion ....	278,016	278,016
13	Office expenses .......	1,196,511	1,138,786	57,725
14	Information technology ......	198,516	138,961	59,555
15	Royalties ..
16	Occupancy ...........	5,745,284	5,458,020	287,264
17	Travel ............	44,239	33,179	11,060
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	177,544	133,158	44,386
20	Interest ...........	4,524,644	4,388,905	135,739
21	Payments to affiliates .......	2,340,778	1,137,618	1,203,160
22	Depreciation, depletion, and amortization .....	16,276,911	15,788,604	488,307
23	Insurance ..............	4,228,055	4,228,055	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	102,768,660	102,665,891	102,769
b	System Allocation	48,631,689	23,635,001	24,996,688
c	Outside Purchased Svcs	20,545,434	16,374,711	4,170,723
d	Equip Rental & Maint.	7,131,694	6,710,924	420,770
e	All other expenses	8,069,662	6,440,570	1,629,092	0
25	Total functional expenses. Add lines 1 through 24e	419,532,046	371,948,801	47,583,245	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	56,841	1	566,655
2	Savings and temporary cash investments .........	2,080,454	2	1,766,073
3	Pledges and grants receivable, net ...........	73,956	3	9,654
4	Accounts receivable, net .............	66,123,561	4	60,203,873
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6
7	Notes and loans receivable, net .............	19,479	7	9,500
8	Inventories for sale or use ..............	10,086,235	8	10,913,887
9	Prepaid expenses and deferred charges ..........	817,096	9	909,036
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	490,159,473
b	Less: accumulated depreciation .....	10b	394,866,589	98,910,722	10c	95,292,884
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	0	12
13	Investments—program-related. See Part IV, line 11 .....	33,131,573	13	33,767,349
14	Intangible assets ...............	17,359,171	14	14,764,086
15	Other assets. See Part IV, line 11 ...........	104,316,454	15	111,711,967
16	Total assets. Add lines 1 through 15 (must equal line 34)......	332,975,542	16	329,914,964
	17	Accounts payable and accrued expenses .........	24,860,021	17	26,082,629
18	Grants payable .................	0	18	0
19	Deferred revenue ................	1,714,691	19	2,146,393
20	Tax-exempt bond liabilities .............	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	194,870,391	25	185,314,721
26	Total liabilities. Add lines 17 through 25.........	221,445,103	26	213,543,743
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	103,867,435	27	108,809,531
28	Temporarily restricted net assets ...........	7,077,276	28	6,975,962
29	Permanently restricted net assets ...........	585,728	29	585,728
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund .....	0	31	0
32	Retained earnings, endowment, accumulated income, or other funds	0	32	0
33	Total net assets or fund balances ...........	111,530,439	33	116,371,221
34	Total liabilities and net assets/fund balances ........	332,975,542	34	329,914,964

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization St Vincent's Medical Center Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization St Vincent's Medical Center Inc

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
St Vincent's Medical Center Inc

Employer identification number

59-0624449

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	St. Vincent's Medical Center, Inc. had lobbying expenses related to the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. However, St. Vincent's Medical Center, Inc. was not able to determine the amount. St. Vincent's Medical Center, 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.

Return Reference

Explanation

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

St. Vincent's Medical Center, Inc. had lobbying expenses related to the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. However, St. Vincent's Medical Center, Inc. was not able to determine the amount. St. Vincent's Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	6,032,905		6,032,905
b	Buildings ................	193,624,705	155,983,300	37,641,405
c	Leasehold improvements ............	1,434,789	865,852	568,937
d	Equipment ................	157,547,025	141,758,250	15,788,775
e	Other .................	131,520,049	96,259,187	35,260,862
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				95,292,884

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Assets Limited as to Use and Other Long Term Investments	33,863,489	C
(2) SV Home Health JV	-96,140	C







Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	33,767,349

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Interest in Investments Held by Ascension Health Alliance				73,333,679
(2) Estimated Third Party Settlements				15,214,066
(3) St. Vincent's Foundation Long Term Receivable				9,078,443
(4) Deposits				2,290,157
(5) Deferred Compensation AH Plan				1,321,709
(6) Vendor Receivables (Accretive)				835,250
(7) Due From Affiliates				9,109,974
(8) Physician Guarantee Long Term Assets				397,891
(9) Other Asset				130,798
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				111,711,967

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
Intercompany Debt with Ascension Health Alliance		141,367,731
Other		6,175,066
Due to Affiliates		26,533,275
Pension and Other Post Retirement Liabilities		3,920,964
Self-Insurance Liabilities		3,369,688
Current Portion of Long-Term Debt		1,766,073
Deferred Compensation Liability AH Plans		1,321,709
Third Party Payor Settlements, Net		860,215

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		185,314,721
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE ("THE SYSTEM") (WHICH INCLUDE THE ACTIVITY OF ST. VINCENT'S MEDICAL CENTER, INC.): THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITION BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2015.

Schedule D (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..			17,903,878	0	17,903,878	4.26 %
b	Medicaid (from Worksheet 3, column a) ....			38,822,387	12,905,417	25,916,970	6.16 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .			0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs .	0	0	56,726,265	12,905,417	43,820,848	10.42 %
Other Benefits				1,645,486	21,097	1,624,389	0.39 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..			1,645,486	21,097	1,624,389	0.39 %
f	Health professions education (from Worksheet 5) ..			8,737,394	3,482,888	5,254,506	1.25 %
g	Subsidized health services (from Worksheet 6) ..			2,681,831	17,750	2,664,081	0.63 %
h	Research (from Worksheet 7)			0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)			2,098,723	0	2,098,723	0.50 %
j	Total. Other Benefits ..	0	0	15,163,434	3,521,735	11,641,699	2.77 %
k	Total. Add lines 7d and 7j .	0	0	71,889,699	16,427,152	55,462,547	13.19 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development					0	0 %
3	Community support			122,906		122,906	0.03 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	122,906	0	122,906	0.03 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

6,414,495

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

3,357,527

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

206,297,232

Enter Medicare allowable costs of care relating to payments on line 5.....

212,005,436

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-5,708,204

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	St Vincent's Medical Center Inc 4205 Belfort Road Suite 4020 Jacksonville,FL32216 www.jaxhealth.com 4376	X	X	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	St Vincent's Medical Center Inc
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): http://stvincentmc.thehcn.net/content/sites/hpcnef/2012_CHNA_REPORT_RIVERSIDE.pdf

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): http://assets.thehcn.net/content/sites/hpcnef/CHNA_Riverside_111813_20131125144603.pdf

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	St Vincent's Medical Center Inc
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 2.0%
and FPG family income limit for eligibility for discounted care of 4.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url): http://www.jaxhealth.com/app/files/public/9379/hope-application-2015.pdf

A plain language summary of the FAP was widely available on a website (list url):
http://www.jaxhealth.com/app/files/public/9379/hope-application-2015.pdf

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	St Vincent's Medical Center Inc
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - St. Vincent's Medical Center, Inc.. Nine hospitals [Southern Baptist Hospital of Florida Inc. (Baptist Medical Center Jacksonville, Baptist Medical Center South, Wolfson Children's Hospital), Baptist Medical Center of the Beaches Inc., Baptist Medical Center of Nassau, Inc., Mayo Clinic, St. Vincent's Medical Center Southside and UF Health)], Four Departments of Health (Florida Departments of Health for Clay County, Duval County, St. John's County and Nassau County) convened with the Health Planning Council of Northeast Florida to facilitate the CHNA. Each hospital agreed on its respective targeted communities. St. Vincent's was tasked with analyzing internal hospital census, existing community benefit programs, as well as secondary data collection. A community health survey was developed and administered to a broad varied range of residents living in the targeted five - county community. The survey contained questions regarding perceived quality of life and health of the community, barriers to health care, use of health care needs and demographic information. The survey included participants from Clay, Duval, Nassau and St. John's Counties. The internet panel method was used in order to reach the largest possible number of qualified respondents. Focus groups and round table discussions were another method used to take into account input from the persons who represent the broad interest of community served. The round table discussions allowed for the identification of the needs and priorities of participants who have the knowledge and expertise to inform the research. Representatives from Clay, Duval, Nassau, Putnam and St, John's Counties gave their input on multiple dimensions of their communities, including the built environment, local economy, barriers to access and motivation for healthy living. For the secondary research, public health related data was gathered from five counties. Each County Health Department provided an assessment that determined public health priorities for the next three to five years. The partnership's CHNA reflects the priorities identified in the health department assessments and its corresponding health improvement plan.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - St. Vincent's Medical Center, Inc.. The other hospital facilities with which the reporting hospital facility conducted its CHNA, includes: - Baptist Medical Center Jacksonville - Duval County - Baptist Medical Center Beaches - Duval County (specially, Atlantic, Neptune and Jacksonville Beaches) - Baptist Medical Center Nassau - Nassau County - Baptist Medical Center South - Duval County and Northern St. John's County - Brooks Rehabilitation - Duval County and St. John's County - Mayo Clinic - Duval County - St. Vincent's Southside - Duval County - Shands Jacksonville Medical Center - Duval County - Wolfson Children's Hospital - Duval county
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St. Vincent's Medical Center, Inc. - Part I. OUR THREE PRIORITIES ARE ACCUTE-HEALTH DISPARITIES, PREVENTIVE HEALTHCARE AND BUILT ENVIRONMENT. BELOW ARE THE STRATEGIES THAT WE ARE USING TO ADDRESS THE HEALTH PRIORITIES. ACCUTE-HEALTH DISPARITIES 1. INFANT MORTALITY SVMCR Seton Center nurses will provide community education, targeting pregnant women and women who plan to become pregnant, on the benefits of breastfeeding for mother and infant via classes, Brighter Beginnings program, health fairs, physicians and local community programs. SVMCR will provide Board Certified Lactation Consultants to assist newly delivered mothers in the hospital by providing education on the positive relationship between breast milk and better health for infants. SVMCR Inpatient nurses will encourage and support exclusive breastfeeding which has been shown to improve mother's success by transitioning the nursing model of care. SVMCR Nurses will provide information on community resources available post discharge to include: breastfeeding instruction materials; SVMCR Seton Center post-partum visits and lactation consults at no charge; Seton Center telephone warm line; reliable Web sites; and local support groups. 2. HEART DISEASE St. Vincent's Faith - Community Nursing will reach out to faith-based organizations to provide blood pressure screenings at community health fairs and prevention education to attendees to enhance knowledge and understanding of chronic diseases including hypertension, cardiovascular disease and diabetes with a particular focus on Health Zone 1 in Duval Co. Engage collaboration with both new and existing community partners to develop and implement educational interventions and increase resources especially for those who are underserved or lack access to health care. Develop and facilitate a risk assessment to identify cultural beliefs, attitudes and behaviors that may pose as barriers to adherence. Administer risk assessments to attendees at all community health events. Provide individual and group counseling during events following risk assessments. Provide educational sessions; e.g.: g.: nutrition, food preparation, physical activities and identify health risk behaviors.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - St. Vincent's Medical Center, Inc. - Part II. 3. ADULT DIABETES MANAGEMENT St. Vincent's Riverside through St. Vincent's MHOM will equip patients with diabetes in Putnam and Nassau Counties with the tools needed to bring about better health outcomes by providing regularly scheduled lab screenings, treatment, diabetes education, self-management skills, and case management. Provide an opportunity and encourage 100% of Mobile Health Outreach Ministry's patients with diabetes to participate in individual education consultation and DMCP group visits that will enable them to plan healthier meals and learn to monitor personal lab values as well as have a better understanding and awareness of complications related to diabetes. Survey 95% of the DMCP participants before and after each group visit session to determine knowledge and understanding that can impact long-term health outcomes. Conduct yearly Microalbumin, eye exam, foot exam and administer flu and pneumonia vaccines to provide early detection and intervention of complications related to diabetes. 4. ADULT DIABETES INTERVENTION St. Vincent's Mobile Health Outreach Ministry (MHOM) will provide screenings for diabetes and pre-diabetes for 100% of the new patients from Clay, Nassau and Putnam counties who seek its care. Obtain and monitor HbgA1c values on all new patients. St. Vincent's MHOM will participate in local community health fairs in order to identify individuals with pre-diabetes or diabetes. Those clients with abnormal values will receive immediate consultation and follow up communication by a health professional to encourage follow-through and to answer questions. Enroll eligible patients into St. Vincent's MHOM for treatment and follow-up care. 5. PEDIATRIC IMMUNIZATIONS St. Vincent's MHOM staff will work with DCPS's school nurses to identify and refer children who are Tdap non-compliant. During monthly visits to the Duval County Public Schools served by MHOM, staff will assess a child's eligibility and administer the Tdap vaccines when necessary. MHOM staff will attend school events - orientation, open house "Back-to-School" events - to provide information to parents about immunizations and offer opportunities to give those immunizations.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - St. Vincent's Medical Center, Inc. - Part III. MHOM staff will conduct "Back-to-School" events in partnership with community organizations serving local neighborhoods to administer Tdap immunizations to eligible children. (See list under indicator.) St. Vincent's Medical Centers, Riverside and Southside will actively promote and educate those in Clay, Nassau, Putnam and St. Johns Counties about the benefits of receiving these vaccines. St. Vincent's MHOM will offer these vaccines to all eligible clients during primary care clinics and special community health events. PREVENTIVE HEALTHCARE 1. FLORIDA KIDCARE St. Vincent's Medical Centers, Riverside and Southside will actively promote and educate those in Clay, Nassau, Putnam and St. Johns Counties about the benefits of receiving these vaccines St. Vincent's MHOM will offer these vaccines to all eligible clients during primary care clinics and special community health events. - Develop and maintain local partnerships that serve potentially eligible children (schools, early learning centers, Dept. of Children & Families, family-serving non-profits) enabling them to distribute applications and provide enrollment assistance. - Establish guidelines for businesses to be invited to participate in a Business Roundtable discussion of enrollment activities. - Work with Northeast Florida Healthy Start Coalition, Inc. (NEFHSC) and the Northeast Florida KidCare Steering Committee to implement a plan that that will increase Florida KidCare enrollment for local children. - Implement a cooperative relationship with St. Vincent's Mobile Health Outreach Ministry to assist Florida Healthy Kids Enrollment. - Participate in community health fairs, back to school fairs and other events which target potentially eligible families; - Provide direct assistance and enrollment information to families. - Work with St. Vincent's HOPE program to assist patients and their families with the application process for Medicaid, KidCare or other eligible public program.
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - St. Vincent's Medical Center, Inc. - Part IV. 2. MAMMOGRAPHY St. Vincent's Medical Center Riverside's Breast Health Center and Mobile Mammography, in collaboration with Patient Access Services, will provide access to screening mammographs (including Computer Aided Detection (CAD), and technical and professional components for the service). 3. CHILDHOOD TYPE II DIABETES - Identify risk based on ADA guidelines i.e.: elevated BMI, ancanthosis and family history - Communicate with parent or guardian in writing and/or by telephone the child's risks and potential diabetes complications - Provide referrals to primary care physicians, labs and to KidCare and HOPE as appropriate. - Broaden education by distributing preventive handouts, showing videos and access to appropriate websites BUILT ENVIRONMENT 1. CHILDHOOD OBESITY Students will be identified using BMI and other clinical data collected during physicals, lab results ordered by St. Vincent's Pediatric Outreach Medical program. Students identified as participants will be referred to Way to Go Kids or Way to Go Families for group education on healthy nutrition and physical activity. A Registered Dietician, Health Educator, a physician and nursing staff will facilitate these specialized educational classes. Provide adult participants with biometric screening during the first and last class visits (blood pressure, hemoglobin A1C and total cholesterol). Provide a joint program for children and their parents that offer a practical application to wellness. Administer to all participants pre and post tests to evaluate knowledge gain.
Schedule H, Part V, Section B, Line 11 Facility , 5	Facility , 5 - St. Vincent's Medical Center, Inc. - Part V. 2. ACCESS TO FOOD - COMMUNITY GARDEN PARTNER WITH SECOND HARVEST, THE DUVAL COUNTY HEALTH DEPARTMENT, MAYO HOSPITAL, BAPTIST HEALTH, UNIVERSITY OF FLORIDA HEALTH, AND BROOKS REHABILITATION HOSPITAL TO DEVELOP A 100' X 100' COMMUNITY GARDEN FEATURING 46 RAISED BEDS AND 3 IN-GROUND ROWS TRANSLATING INTO A CONFIGURATION THAT WILL FEED NEARLY 200 HOUSEHOLDS. SECOND HARVEST WILL PROVIDE INSTRUCTION TO NEIGHBORHOOD RESIDENTS ON PLANTING, HARVESTING, STORING, AND COOKING FOODS GROWN IN THE GARDEN. ONE OF THE TOP PRIORITY RISK FACTORS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT-BUILT ENVIRONMENT-WILL NOT BE ADDRESSED DIRECTLY BY HOSPITAL-LED INITIATIVES. THE COMMUNITY HEALTH SURVEY SHOWED THAT MANY RESIDENTS IN THE HOSPITAL SERVICE AREAS DO NOT HAVE PEDESTRIAN PATHS OR GROCERY STORES IN THEIR NEIGHBORHOOD. WALK-ABILITY AND EASE OF ACCESS TO GROCERY STORES CAN BE MAJOR BARRIERS TO REGULAR PARTICIPATION IN PHYSICAL ACTIVITY AND ACCESS TO FRESH FRUITS AND VEGETABLES. THAT SAID, NONE OF THE PARTICIPATING HOSPITAL PARTNERS ARE IN A POSITION TO DIRECTLY IMPACT THESE ISSUES. HOWEVER, ALL OF THE PARTNERS ARE COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORT LOCAL GOVERNMENT AND WELLNESS COALITIONS IN THEIR EFFORTS TO POSITIVELY IMPACT THESE ISSUES. TRANSPORTATION EFFECTS ACCESS TO CARE, PARTICULARLY AMONG THE LOW-INCOME AND MEDICALLY-UNDERSERVED POPULATIONS. OTHER LOCAL ORGANIZATIONS SUCH AS THE AREA AGENCY ON AGING, COUNCIL ON AGING AND LOCAL TRANSPORTATION SYSTEMS ARE ALREADY WORKING TO ADDRESS TRANSPORTATION NEEDS IN THE AREA. THEREFORE, THE PARTICIPATING PARTNERS WILL NOT DIRECTLY ADDRESS THIS ISSUE WITH ANY NEW INITIATIVES.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - St. Vincent's Medical Center, Inc.. The self-pay discount is calculated based upon the highest paying payer that represents greater than 3% of gross revenue.

Schedule H (Form 990) 2014

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2014

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part VI, Line 6 Description of Affiliated Goup - Part I	St. Vincent's Medical Center, Inc. (the Medical Center) 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 Medical Center, located in Jacksonville, Florida, is a nonprofit acute care hospital. The Medical Center provides inpatient, outpatient, and emergency care services for the residents of Northeast Florida and Southeast Georgia. Admitting physicians are primarily practitioners in the local area. The Medical Center is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services. Mission: Ascension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:
Schedule H, Part VI, Line 6 Description of Affiliated Group - Part II	-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. LUKE'S-ST. VINCENT'S HEALTHCARE, ST. VINCENT'S HEALTHCARE, ST. VINCENT'S AMBULATORY CARE, INC., ST. VINCENT'S PHYSICIAN'S ENTERPRISE INC., CONSOLIDATED PHARMACY SERVICES, INC. AND ST. VINCENT'S FOUNDATION, INC.
Schedule H, Part VI, Line 4 Community Information - Part I	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 (PSA) is reviewed by zip code which is comprised of approximately 100,000 inpatient cases. The zip codes on which St. Vincent's Medical Center focuses in Duval County, Jacksonville are: 32204, 32205 , 32206, 32207, 32208, 32209, 32210, 32218, 32219, 32220, 32221, 32222, 32234, 32244, 32254; in Clay County, Florida are: 32003,32043, 32065, 32068, 32073; in Nassau County, Florida are: 32034, 32011; and in Baker County, Florida are: 32040 and 32063. 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, a psychiatric for-profit facility in Jacksonville with 93 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 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, a psychiatric for-profit facility in Jacksonville with 68 beds.
Schedule H, Part VI, Line 4 Community Information - Part II	Various metrics are reviewed when establishing community outreach programs. The following are examples of the data St. Vincent's collects when determining regional and community needs: -St. Vincent's HealthCare compares county population by race against the state. St. Vincent's also compares population by race in each of the zip codes. The findings from the comparison indicate that of the approximately 1,400,000 persons in the region the significant racial breakdowns are 62% white, 30% African American, and 8.6% Hispanic. The percentage of non-English speaking populations in the 2000 census in the region was 0.1% -St. Vincent's Medical Center Riverside 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 $66,000 in St. John's County to $46,000 in Baker County. The percentage of persons below the Federal Poverty Rate ranged from a low of 9.6% in St. John's County to a high of 18.8% in Baker County. The Florida average was 17.1% Florida CHARTS tables which are provided by the Florida Department of Health, Office of Planning, Evaluation and Data Analysis are utilized to determine Behavioral Risk Factors 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. Vincent's 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.
Schedule H, Part VI, Line 4 Community Information - Part III	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 organization St. Vincent's HealthCare (SVHC) website provides information and phone numbers to the HOPE program, to empower all patients who need access to health care enrollment or federal assistance programs. Financial counselors are available to decide whether a patient qualifies for charity care. Patients who do not have insurance are eligible for discounts on their bill when they agree to a payment plan; this service is also provided by the financial counselors. The SVHC website contains a wealth of information on services which St Vincent's Medical Center Riverside (SVMCR) provides to the less fortunate. SVMCR 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.
Schedule H, Part VI, Line 4 Community Information - Part IV	St. Vincent's Medical Center Riverside provides several programs to address the needs of under privileged children and mothers. One is the School Nurse Program, which places nurses in schools serving disadvantaged children. These nurses are often the only direct access some of these children have to health care. Another program is the Emergency Pregnancy Service of Jacksonville. St. Vincent's HealthCare provides the operational facilities and approximately 20 percent of the operational funding. This not-for-profit organization serves as a crisis intervention center for medical and social service needs related to pregnancy, as well as providing counseling, education and outreach programs that focus on providing adolescents and others with the skills and knowledge to make responsible choices about their lives. The Seton Center for Women and Children was established to ensure that as many poor expectant mothers as is possible get proper prenatal care. However, the Center cares for mothers and babies of all incomes. The Center provides information to expectant parents on childbirth, breastfeeding and new infant care giving. It also offers infant health screening which includes a full assessment and examination of the baby and examination of the mother. The St. Vincent's Auxiliary began the Good Samaritan Fund to help those less fortunate by providing support beyond the excellent medical care provided at St. Vincent's HealthCare. Many of St. Vincent's patients need financial assistance with prescription medications, funeral expenses and other critical needs. The Good Samaritan Fund pays for these items for patients at who have no other assistance available to them. Reach Out and Read is a program facilitated by the Family Medicine Center (FMC) on the St. Vincent's Medical Center Riverside campus. This program gives age appropriate books to impoverished children when they visit a pediatrician at the FMC. Books are given to children from 6 months until 5 years of age. Books and literacy at an early age build a vital foundation of development.
Schedule H, Part I, Line 7g Subsidized Health Services	The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal costs data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments. The best available data was used to calculate the amounts reported in the table. St. Vincent's Medical Center Riverside posts information about availability of charity care in its emergency room and admissions areas. Referrals for charity care are made by the financial specialist, patient accounting personnel, social work personnel, collection agency personnel, physicians and community members. All patients potentially eligible for charity care status are screened by the financial specialist/collection representatives for assistance through federal, state, county and other social service programs. The financial specialists/collection representatives work collaboratively with other health care members to explore alternative financial resources for the patients. The Charity Care policy is available to patients upon request and provided the patient does not qualify for any funded program. Medicaid patients upon exhaustion of benefits will automatically qualify for charity care allowance as long as they remain eligible for Medicaid. The patient may also be referred to the St. Vincent's community outreach programs for continuing assistance in obtaining medical care. Patients will be denied charity based on non-compliance with attempts to obtain insurance for eligibility coverage though other programs (i.e., Medicaid-eligible individuals who have failed to keep required appointments with their case worker). Patients should be screened prior to sending to Florida Department of Children and Family Services to determine if they qualify for Medicaid. Patients can be selected for presumptive charity care by using an electronic screening process. Information about the charity care policy is included in the patient bills indicating financial assistance is available along with information about contacting St. Vincent's HealthCare to seek assistance. We do not provide the "criteria" within the bills themselves. Any uninsured patient or patient requesting assistance is referred to a patient financial advocate to assist with resolving the bill with St. Vincent's HealthCare. 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 applying for assistance programs and insurance enrollment. The collection agencies used by St. Vincent's HealthCare are required to follow St. Vincent's policies regarding patient notification about the availability of financial assistance. Those patients who indicate an inability to pay for their services are referred back to St. Vincent's HealthCare to apply for charity care. In addition to this process, open accounts are routinely screened using computer software tools for potential charity care qualified patients. Any patient with family income less that 200% of Federal Poverty Guidelines will qualify for 100% Charity Care write-off.
Schedule H, Part II Community Building Activities	St. Vincent's HealthCare has been part of Jacksonville for over 99 years. It has welcomed the sick and vulnerable to its doors throughout. In its Mission Statement, St. Vincent's proclaims that it provides care to all, but with special attention to the poor and vulnerable. This is the emphasis it employs in its Community 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 Riverside Fine Arts Association, Jacksonville Farmer's Market and a donation of space to Riverside Avondale Preservation (RAP). Riverside Fine Arts has a program to take music to lower income schools, an opportunity to hear "live" serious music, an opportunity the children likely would not have without the organization. The Jacksonville Farmer's Market, located 2 miles from the medical center campus, provides much needed access to fresh fruits and vegetables in an area labelled a food desert by the Duval County Food Summit. The neighborhood market is supported as a community resource to keep valuable food and nutrition programs within a disadvantaged community that desperately needs access. As a regional employer St. Vincent's does not neglect the neighborhood in which it resides. Over the past seven years RAP 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 objectives are to drive business in the region with emphasis on initiatives for the un/under employed in the area through their Career Academies and Youth Summer Initiatives. St. Vincent's supports preparation for all members of the community for entering and remaining in the workforce. Cash support for organizations such as the Bright Minds Youth Development, 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 Bright Minds Youth Development 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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	St. Vincent's Medical Center, Inc.'s bad debt allowance percentage is based on the weighted average of six twelve-to-seventeen month historical periods. The percentage is calculated monthly and analyzed for large variances.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	There is no change in methodology. St. Vincent's Medical Center, 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	From the consolidated audited financial statements of St. Vincent's Health System and subsidiaries: 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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	As Line 7 is a surplus, there is no shortfall that should be treated as community benefit. The costing methodology used is the cost-to-charge ratio.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	The organization does have a written debt collection policy and charity care policy (financial assistance). Patients without insurance are interviewed face-to-face to determine if they qualify for any third party payers or governmental programs. Patient statements contain messages requesting the patients to contact the organization should they need assistance with their debt. Patients that do not request assistance or provide the information necessary to qualify for financial assistance will follow a routine collection methodology.
Schedule H, Part V, Section B, Line 16b FAP Application website	- St. Vincent's Medical Center, Inc.: Line 16b URL: http://www.jaxhealth.com/app/files/public/9379/hope-application-2015.pdf;
Schedule H, Part VI, Line 2 Needs assessment	St. Vincent's Medical Center Riverside uses multiple tools to determine community need. It has conducted a formal Community Health Needs Assessment, and has begun its implementation plans. 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 collection 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 Medical Center Riverside posts information about availability of charity care in its emergency room and admissions areas. Referrals for charity care are made by Financial Specialist, Patient Accounting personnel, Social Work personnel, Collection agency personnel, physicians and community members. All patients potentially eligible for charity care status are screened by the Financial Specialist/Collection representatives for assistance through federal, state, county and other social service programs. The Financial Specialists/Collection representatives work collaboratively with other health care members to explore alternative financial resources for the patients. The Charity Care policy is available to patients upon request and provided the patient does not qualify for any funded program. Medicaid patients upon exhaustion of benefits will automatically qualify for charity care allowance as long as they remain eligible for Medicaid. The Hospital Outreach Eligibility Program (HOPE) was created to improve access to healthcare for the poor and vulnerable. Information about the program is available, not only at St. Vincent's Medical Center Riverside, but also in physician offices, on the website, on the medical clinic vans, and at various locations throughout the community. HOPE staff works to provide this service to the entire community, not just patients likely to use St. Vincent's HealthCare. Staff participates in neighborhood and community-wide enrollment fairs and health screenings in which, not only are patients who come to St. Vincent's Medical Center Riverside screened, but persons throughout the community are screened to determine eligibility for insurance. Programs for which HOPE staff works diligently to enroll include Medicaid, Florida KidCare, Charity programs, other state and federally funded programs including Medicare, COBRA, and HCRA. Patients will be denied charity based on non-compliance with attempts to obtain insurance for eligibility coverage though other programs (i.e., Medicaid-eligible individuals who have failed to keep required appointments with their case worker). Patients should be screened prior to sending to Florida Department of Children and Family Services to determine if they qualify for Medicaid. Patients can be selected for presumptive charity care by using an electronic screening process. Information about the Charity Care Policy is included in the patient bills indicating financial assistance is available and information about contacting the hospital to seek assistance. We do not provide the criteria within the bills themselves. Any uninsured patient or patient requesting assistance is referred to a patient financial advocate to assist with resolving the bill with the hospital. This process includes assisting the patient with filing an application for any government sponsored health care program. All patient financial services areas maintain a list of available translators for any non-English speaking patients. There are all bi-lingual associates in the patient financial services department and are available as need 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 than 200% of Federal Poverty Guidelines will qualify for 100% Charity Care write-off.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	St. Vincent's Medical Center Riverside posts information about availability of charity care in its emergency room and admissions areas. Referrals for charity care are made by Financial Specialists, Patient Accounting personnel, social work personnel, collection agency personnel, physicians and community members. All patients potentially eligible for charity care status are screened by the financial specialists/collection representatives for assistance through federal, state, county and other social service programs. The financial specialists/collection representatives work collaboratively with other health care members to explore alternative financial resources for the patients. The Charity Care Policy is available to patients upon request and provided the patient does not qualify for any funded program. Medicaid patients upon exhaustion of benefits will automatically qualify for charity care allowance as long as they remain eligible for Medicaid. The Hospital Outreach Eligibility Program (HOPE) was created to improve access to healthcare for the poor and vulnerable. Information about the program is available, not only at St. Vincent's Medical Center Riverside, but also in physician offices, on the website, on the medical clinic vans and at various locations throughout the community. HOPE staff works to provide this service to the entire community, not just patients likely to use St. Vincent's Healthcare. Staff participate in neighborhood and community-wide enrollment fairs and health screenings in which, not only are patients who come to St. Vincent's Medical Center Riverside screened, but persons throughout the community are screened to determine eligibility for insurance. Programs for which HOPE staff works diligently to enroll include Medicaid, Florida KidCare, charity programs, other state and federally funded programs including Medicare, COBRA, and HCRA. Patients will be denied charity based on non-compliance with attempts to obtain insurance for eligibility coverage though other programs (i.e. Medicaid-eligible individuals who have failed to keep required appointments with their case worker). Patients should be screened prior to sending to Florida Department of Children and Family Services to determine if they qualify for Medicaid. Patients can be selected for presumptive charity care by using an electronic screening process. Information about the Charity Care Policy is included in the patient bills indicating financial assistance is available and information about contacting the Hospital to seek assistance. We do not provide the criteria within the bills themselves. Any uninsured patient or patient requesting assistance is referred to a patient financial advocate to assist with resolving the bill with the Hospital. This process includes assisting the patient with filing an application for any government sponsored health care program. All patient financial services areas maintain a list of available translators for any non-English speaking patients. There are all bi-lingual associates in the patient financial services department and are available as needed to assist with non-English speaking patients. All registration staff is trained and responsible for completing an initial financial assistance screening application that is used for assessing the patient's family's financial situation. The financial assistance screening application is then forwarded to a patient financial advocate who will review and assist the patient with the process. The collection agencies used by St. Vincent's HealthCare are required to follow St. Vincent's policies regarding patient notification about the availability of financial assistance. Those patients who indicate an inability to pay for their services are referred back to the Hospital to apply for charity care. In addition to this process, open accounts are routinely screened using computer software tools for potential charity care qualified patients. Any patient with family income less that 200% of Federal Poverty Guidelines will qualify for 100% charity care write-off.
Schedule H, Part VI, Line 5 Promotion of community health	St. Vincent's HealthCare has been part of Jacksonville for 99 years. St. Vincent's Medical Center Riverside has welcomed the sick and vulnerable to its doors throughout. In its Mission Statement, St. Vincent's proclaims that it provides care to all, but with special attention to the poor and vulnerable. This is the emphasis it employs in its Community Benefit Programs. St. Vincent's HealthCare has a medical staff open to all qualified physicians in the Northeast Florida area. The majority of the dedicated members of the Board of Directors of St. Vincent's HealthCare are persons who live and work in the Northeast Florida region who, by virtue of their continuing service to the community, are acutely aware of the social and health needs of the region. These individuals along with members of the medical staff are committed to the Mission Statement and its call to provide high quality health care for all who come to its doors. With cash and in-kind contributions, St. Vincent's Medical Center Riverside and, in some instances, in partnership with other organizations is able to offer a variety of opportunities which are no or low cost to the community. St. Vincent's does this as part of its mission to provide care for all, especially the poor and vulnerable of the community. It sponsors the Faith Community Nursing program which is in 70 congregations in Northeast Florida and the Seton Center for Women and Children. It maintains a primary care residency program along with podiatry and pharmacy residencies. The Mike Davidson Family Overnight Center is a 16-bed overnight center for patients who must be in the medical center for early morning procedures, but may live too far away and require overnight residence. Families can also stay at the overnight center to be close to patients who are having medical emergencies, such as being admitted in the ICUs or babies in the NICU. The Good Samaritan Fund of St. Vincent's Medical Center Riverside disbursed approximately $590,000 to patients in financial need. These services included medications, transportation, clothing, short-term residential and burial expenses. The Mobile Health Outreach Ministry (MHOM) urban/rural program served over 6,600 persons in its primary care program in the five counties of Northeast Florida. It provided countless health screenings and immunization which are not included in the above count. The MHOM Pediatric Program served approximately 8,400 children in its school-year and summer programs. All were provided without cost to the patient. The St. Vincent's HealthCare's website, jaxhealth.com, is an encyclopedia with wellness tools for the community to gain information to live a healthier life style. St. Vincent's Medical Center Southside promotes regular radio programming presented by healthcare professionals promoting prevention and wellness. Lunch and Learns are a series of talks given by health care providers and subject matter experts on different topics related to health, wellness, and aging and are open to the public, with a special emphasis to engage the elderly, to enhance their health care knowledge. Kids Together Against Cancer (KTAC) is a support group for children of a parent diagnosed with cancer. This program allows children and their families to connect with their health providers and better understand treatment plan options. Art therapy programs are offered in partnership with the Cummer Museum, located close to the St. Vincent's Medical Center Riverside campus. This group is free to all. Over five hundred shut-ins were provided with a Thanksgiving meal and one hundred community families were assisted at Christmas through the Adopt-a-Family program in partnership. These programs were supported with financial donations from St. Vincent's HealthCare and generous donations of time from St. Vincent's associates. St. Vincent's Medical Center Riverside gives space without cost to community health organizations such as Vision Is Priceless, Emergency Pregnancy Services, American Cancer Society and The Diocesan Center for Family Life.

Schedule H (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
St Vincent's Medical Center Inc

Employer identification number
59-0624449

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) SISTERS OF ST FRANCIS XAVIER 2585 OAK STREET JACKSONVILLE,FM32204	20-1499617	N/A	26,300	0	FMV	N/A	GENERAL SUPPORT
(2) IM SULZBACHER CENTER 611 EAST ADAMS STREET JACKSONVILLE,FM32202	59-3229898	N/A	25,000	0	FMV	N/A	GENERAL SUPPORT
(3) SISTERS OF ST FRANCIS XAVIER ORANGE PARK 1750 STOCKTON STREET JACKSONVILLE,FL32204	20-1499617	N/A	24,500	0	FMV	N/A	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds	St. Vincent's Medical Center Riverside provides only direct charitable contributions. Therefore, no monitoring of charitable contributions is performed.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	St. Vincent's Medical Center Riverside provides only direct charitable contributions. Therefore, no monitoring of charitable contributions is performed.

Schedule I (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MOODY CHISHOLM PRESIDENT/CEO, EX-OFFICIO (THRU 3/20/15)	(i) (ii)	0 ............................... 586,968	0 ............................... 936,973	0 ............................... 93,397	0 ............................... 51,820	0 ............................... 25,083	0 ............................... 1,694,241	0 ............................... 81,418
2KIMBERLY HODGKINSON CFO	(i) (ii)	0 ............................... 340,748	0 ............................... 56,917	0 ............................... 27,148	0 ............................... 32,788	0 ............................... 32,488	0 ............................... 490,089	0 ............................... 0
3MICHAEL SCHATZLEIN MD REGIONAL CEO	(i) (ii)	0 ............................... 932,454	0 ............................... 1,561,904	0 ............................... 173,045	0 ............................... 7,800	0 ............................... 32,477	0 ............................... 2,707,680	0 ............................... 0
4KAREN F DARNELL VP/CHIEF AMBULATORY SERVICE OFFICER (THRU 3/27/15)	(i) (ii)	0 ............................... 279,965	0 ............................... 44,242	0 ............................... 32,010	0 ............................... 50,138	0 ............................... 24,551	0 ............................... 430,906	0 ............................... 0
5GAIL GREEN CNO	(i) (ii)	222,351 ............................... 0	23,175 ............................... 0	7,634 ............................... 0	29,674 ............................... 0	17,933 ............................... 0	300,767 ............................... 0	0 ............................... 0
6JANICE G LIPSKY SR. VP HR/OD/CHRO	(i) (ii)	0 ............................... 238,338	0 ............................... 34,592	0 ............................... 24,226	0 ............................... 48,098	0 ............................... 22,600	0 ............................... 367,854	0 ............................... 0
7DENISE MCKROW VP SUPPORT SERVICES	(i) (ii)	174,867 ............................... 0	28,478 ............................... 0	12,224 ............................... 0	28,255 ............................... 0	20,882 ............................... 0	264,706 ............................... 0	0 ............................... 0
8JOHN MEYER SR. VP STRATEGIC PLANNING	(i) (ii)	0 ............................... 229,022	0 ............................... 34,892	0 ............................... 2,296	0 ............................... 23,264	0 ............................... 7,463	0 ............................... 296,937	0 ............................... 0
9JEFFREY MIDDLEBROOKS GENERAL COUNSEL	(i) (ii)	0 ............................... 292,292	0 ............................... 45,462	0 ............................... 2,931	0 ............................... 25,415	0 ............................... 20,071	0 ............................... 386,171	0 ............................... 0
10STEVE NAUMAN INTERIM CMO (thru 11/21/14)	(i) (ii)	393,862 ............................... 0	0 ............................... 0	30 ............................... 0	0 ............................... 0	814 ............................... 0	394,706 ............................... 0	0 ............................... 0
11DONNIE ROMINE JR COO/PRESIDENT - RIVERSIDE	(i) (ii)	405,418 ............................... 0	99,017 ............................... 0	4,441 ............................... 0	51,953 ............................... 0	21,939 ............................... 0	582,768 ............................... 0	0 ............................... 0
12LARAE BROWN PHYSICIAN	(i) (ii)	201,145 ............................... 0	15,000 ............................... 0	479 ............................... 0	6,199 ............................... 0	12,373 ............................... 0	235,196 ............................... 0	0 ............................... 0
13SONYA DOMINGUEZ PHYSICIAN	(i) (ii)	205,263 ............................... 0	0 ............................... 0	680 ............................... 0	22,838 ............................... 0	20,205 ............................... 0	248,986 ............................... 0	0 ............................... 0
14DAVID A MCINNES PHYSICIAN	(i) (ii)	341,472 ............................... 0	17,560 ............................... 0	2,438 ............................... 0	30,800 ............................... 0	25,156 ............................... 0	417,426 ............................... 0	0 ............................... 0
15ROBERT F RASPA PHYSICIAN	(i) (ii)	197,802 ............................... 0	0 ............................... 0	1,239 ............................... 0	28,717 ............................... 0	2,194 ............................... 0	229,952 ............................... 0	0 ............................... 0
16NAICIE MARROW PHYSICIAN	(i) (ii)	214,175 ............................... 0	129 ............................... 0	517 ............................... 0	22,793 ............................... 0	8,889 ............................... 0	246,503 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, a related organization of St. Vincent's Medical Center, Inc., uses the following to establish the compensation of the organization's CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance Payments: - Moody Chisholm = $154,131
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the 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: - Moody Chisholm = $81,418

Schedule J (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) NORTH FLORIDA SURGEONS	THE PRESIDENT OF NORTH FLORIDA SURGEONS IS A BOARD MEMBER OF SVMC	1,249,223	NORTH FLORIDA SURGEONS PROVIDE HEALTHCARE SERVICES TO ST. VINCENT'S MEDICAL CENTER, INC.		No
(2) NORTH FLORIDA ANESTHESIA CONSULTANTS	North Florida Anesthesia Consultants is more than 35% owned by a board member of SVMC	807,718	NORTH FLORIDA ANESTHESIA CONSULTANTS PROVIDE GOODS AND SERVICES TO ST. VINCENT'S MEDICAL CENTER, INC.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Return Reference	Explanation
Form 990, Part I, Line 1 Doing Business as:	St. Vincent's Family Medical Center Consolidated Laboratory Services.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ including grants of $)(Revenue $ 248,356) ALL OTHER PROGRAM SERVICES
Form 990, Part IV, Line 20b Explanation of Financial Statements	The activity of St. Vincent's Medical Center, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent's Medical Center, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Vincent's Medical Center, Inc.
Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS	MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY RELATED ST. VINCENT'S HEALTH SYSTEM, INC. ENTITIES.
Form 990, Part VI, Line 15 COMPENSATION	IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT'S MEDICAL CENTER, 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 WHO PAID THE OTHER OFFICERS AND 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 OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES.
Form 990, Part VI, Line 6 Classes of members or stockholders	St. Vincent's Medical Center, Inc. has a single corporate member, St. Vincent's Health System, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St. Vincent's Medical Center, 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. Vincent's Medical Center Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to St. Vincent's Medical Center, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System, Inc.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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, Line 12c Conflict of interest policy	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, Line 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section B, Line 1 Independent Contractor Reporting	Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.
Form 990, Part VIII, Line 2f Other Program Service Revenue	ALL OTHER PROGRAM SERVICE - Total Revenue: 405644, Related or Exempt Function Revenue: 405644, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other Revenue - Total Revenue: 248355, Related or Exempt Function Revenue: 248355, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS TO/FROM AFFILIATES - -28446136; NET ASSETS RELEASED FROM RESTRICTIONS - 103297; DEFERRED PENSION COST - 368367;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Vincent's Medical Center Inc

Employer identification number

59-0624449

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ST VINCENT'S FIRST CARE LLC 1 SHIRCLIFF WAY JACKSONVILLE,FL32204 27-4273517	HEALTHCARE SERVICES	FL	0	0	ST VINCENT'S MEDICAL CENTER INC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS,MO631455998 45-3358926	NATIONAL HEALTH SYSTEN	MO	501(c)(3	Type I	NA		No
(2) ASCENSION HEALTH PO BOX 45998 ST LOUIS,MO63145 31-1662309	NATIONAL HEALTH SYSTEN	MO	501(c)(3	Type I	ASCENSION HEALTH ALLIANCE		No
(3) ST VINCENT'S HEALTH SYSTEM INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-3650609	PARENT ENTITY	FL	501(c)(3	Type II	ASCENSION HEALTH		No
(4) ST LUKE'S-ST VINCENT'S HEALTHCARE INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 26-0479484	HOSPITAL	FL	501(c)(3	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(5) ST VINCENT'S AMBULATORY CARE INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-2292041	PHYSICIAN PRACTICE	FL	501(c)(3	9	ST VINCENT'S HEALTH SYSTEM INC	Yes
(6) ST VINCENT'S FOUNDATION INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-2219923	FUND RAISING	FL	501(c)(3	7	ST VINCENT'S HEALTH SYSTEM INC	Yes
(7) ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC 1580 BRANAN FIELD ROAD MIDDLEBURG,FL32068 46-1523194	HOSPITAL	FL	501(c)(3	3	ST VINCENT'S HEALTH SYSTEM INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) CONSOLIDATED PHARMACY SERVICES INC 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE,FL32216 59-3398033	RETAIL PHARMACY & PATIENT TRANSPORT	FL	NA	C Corporation				No
(2) ADVANCED PATIENT TRANSPORTATION INC 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE,FL32216 59-3381444	TRANSPORT SERVICES	FL	NA	C Corporation				No
(3) SETON PHARMACIES 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE,FL32216 59-3001427	RETAIL PHARMACY	FL	NA	C Corporation				No
(4) ST VINCENT'S STRATEGIC VENTURES INC 4205 BELFORT ROAD SUITE 4015 JACKSONVILLE,FL32216 59-3133073	LEASING	FL	NA	C Corporation				No
(5) FAMILY MEDICINE CONDOMINIUM ASSOCIATION INC 3 SHIRCLIFF WAY JACKSONVILLE,FL32204 26-1983355	CONDOMINIUM ASSOCIATION	FL	ST VINCENT'S MEDICAL CENTER INC	C Corporation	1	11,848	Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) St Vincent's Foundation Inc	C	627,814	FMV
(2) St Vincent's Health System Inc	J	1,782,282	FMV
(3) St Vincent's Ambulatory Care Inc	J	419,212	FMV
(4) St Luke's-St Vincent's Healthcare Inc	K	140,032	FMV
(5) St Vincent's Health System Inc	K	217,105	FMV
(6) St Vincent's Health System Inc	M	17,425,151	FMV
(7) Consolidated Pharmacy Services Inc	R	384,140	FMV
(8) St Luke's-St Vincent's Healthcare Inc	R	1,771,397	FMV
(9) St Vincent's Ambulatory Care Inc	R	2,454,601	FMV
(10) St Vincent's Medical Center-Clay County Inc	R	3,884,297	FMV
(11) St Vincent's Health System Inc	S	35,901,446	FMV
(12) St Vincent's Foundation Inc	S	980,405	FMV

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	3,276
6	Total number of volunteers (estimate if necessary) .............	6	241
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	8,170,585
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-24,561

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,304,557	627,814
9	Program service revenue (Part VIII, line 2g) .........	419,205,005	438,632,266
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,738,986	-1,176,223
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	13,032,301	14,263,443
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	445,280,849	452,347,300
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	75,800
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	154,636,302	155,233,312
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	257,643,882	264,222,934
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	412,280,184	419,532,046
19	Revenue less expenses. Subtract line 18 from line 12.......	33,000,665	32,815,254
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	332,975,542	329,914,964
21	Total liabilities (Part X, line 26).............	221,445,103	213,543,743
22	Net assets or fund balances. Subtract line 21 from line 20.....	111,530,439	116,371,221

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 370,926,837 including grants of $ 75,800 ) (Revenue $ 437,848,333 )
	St. Vincent's Healthcare has been part of Jacksonville for 100 years. St. Vincent's Medical Center Riverside has welcomed the sick and vulnerable to its doors throughout this time.

4b	(Code: ) (Expenses $ 1,021,964 including grants of $ ) (Revenue $ 2,201,494 )
	RENTALS TO RELATED TAX-EXEMPT ORGANIZATIONS. ALL RELATED EXEMPT ORGANIZATIONS FURTHER THE GOAL OF ST. VINCENT'S MEDICAL CENTER INC. TO PERPETUATE THE HEALING MINISTRY OF THE CHURCH.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ 526,557 )
	COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS. THE MEDICAL CENTER PROVIDES COMMUNITY WELLNESS SCREENINGS AND EDUCATION VIA PARISH NURSE AND SCHOOL NURSE PROGRAMS. ST. VINCENT'S MEDICAL CENTER, INC. SUPPORTS THE COMMUNITY THROUGH ITS PARTICIPATION IN VARIOUS PROGRAMS THAT SERVE THE POOR, THE HOMELESS, THE HANDICAP, THE AFFLICTED, AND OTHERS IN NEED OF SPECIAL CARE. ASSOCIATES OF THE MEDICAL CENTER GIVE OF THEIR TIME, TALENT AND TREASURE TO SUPPORT THESE PROGRAMS. ST. VINCENT'S IS RECOGNIZED AS A COMMUNITY LEADER FOR ITS SUPPORT OF ACTIVITIES THAT ALIGN WITH ITS MISSION TO SERVE THE SICK AND THE POOR.

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ 248,356 )
	ALL OTHER PROGRAM SERVICES

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ 248,356 )
4e	Total program service expenses371,948,801

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) JOHN MEYER SR. VP STRATEGIC PLANNING	40.00 .......................40.00	X		0	266,210	30,727
(19) JEFFREY MIDDLEBROOKS GENERAL COUNSEL	40.00 .......................40.00	X		0	340,685	45,486
(20) STEVE NAUMAN INTERIM CMO (thru 11/21/14)	40.00 .......................40.00	X		393,892	0	814
(21) DONNIE ROMINE JR COO/PRESIDENT - RIVERSIDE	40.00 .......................40.00	X		508,876	0	73,892
(22) LARAE BROWN PHYSICIAN	40.00 .......................0.00		X	216,624	0	18,572
(23) SONYA DOMINGUEZ PHYSICIAN	40.00 .......................0.00		X	205,943	0	43,043
(24) DAVID A MCINNES PHYSICIAN	40.00 .......................0.00		X	361,470	0	55,956
(25) ROBERT F RASPA PHYSICIAN	40.00 .......................0.00		X	199,041	0	30,911
(26) NAICIE MARROW PHYSICIAN	40.00 .......................0.00		X	214,821	0	31,682

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,569,396	5,969,822	755,670

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 165

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		627,814
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			627,814
			Business Code
2a	Medicare/Medicaid		621990	218,873,296	218,873,296
b	Net Patient Revenue		621990	217,030,919	217,030,919
c	Exempt Affiliates Rent		532000	2,201,494	2,201,494
d	Radiology School Fees		621990	73,215	73,215
e	Geriatric Program		621990	47,698	47,698
f	All other program service revenue .			405,644	405,644	0	0
g	Total. Add lines 2a–2f........			438,632,266
3	Investment income (including dividends, interest, and other similar amounts).......			-1,192,423			-1,192,423
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	2,750,957
b	Less: rental expenses	1,021,964
c	Rental income or (loss)	1,728,993	0
d	Net rental income or (loss).......			1,728,993			1,728,993
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		16,200
b	Less: cost or other basis and sales expenses		0
c	Gain or (loss)	0	16,200
d	Net gain or (loss)..........			16,200	0	0	16,200
8a	Gross income from fundraising events (not including $ 0 of contributions reported on line 1c). See Part IV, line 18 ..
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Reference Laboratory		621500	10,114,704	1,944,119	8,170,585
b	Cafeteria/Vending		722320	1,868,004			1,868,004
c	Parking Fees		812930	303,387			303,387
d	All other revenue ....			248,355	248,355	0	0
e	Total. Add lines 11a–11d ......			12,534,450
12	Total revenue. See Instructions......			452,347,300	440,824,740	8,170,585	2,724,161


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			56,841	1	566,655
2	Savings and temporary cash investments .........			2,080,454	2	1,766,073
3	Pledges and grants receivable, net ...........			73,956	3	9,654
4	Accounts receivable, net .............			66,123,561	4	60,203,873
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6
7	Notes and loans receivable, net .............			19,479	7	9,500
8	Inventories for sale or use ..............			10,086,235	8	10,913,887
9	Prepaid expenses and deferred charges ..........			817,096	9	909,036
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	490,159,473
b	Less: accumulated depreciation .....	10b	394,866,589	98,910,722	10c	95,292,884
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 .....			33,131,573	13	33,767,349
14	Intangible assets ...............			17,359,171	14	14,764,086
15	Other assets. See Part IV, line 11 ...........			104,316,454	15	111,711,967
16	Total assets. Add lines 1 through 15 (must equal line 34)......			332,975,542	16	329,914,964
17	Accounts payable and accrued expenses .........			24,860,021	17	26,082,629
18	Grants payable .................			0	18	0
19	Deferred revenue ................			1,714,691	19	2,146,393
20	Tax-exempt bond liabilities .............			0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			194,870,391	25	185,314,721
26	Total liabilities. Add lines 17 through 25.........			221,445,103	26	213,543,743
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			103,867,435	27	108,809,531
28	Temporarily restricted net assets ...........			7,077,276	28	6,975,962
29	Permanently restricted net assets ...........			585,728	29	585,728
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........			0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund .....			0	31	0
32	Retained earnings, endowment, accumulated income, or other funds			0	32	0
33	Total net assets or fund balances ...........			111,530,439	33	116,371,221
34	Total liabilities and net assets/fund balances ........			332,975,542	34	329,914,964