TY 2017 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)
(1) SUSAN L DAVIS RN DIRECTOR, PRESIDENT/CEO (END 4/2018)	0.0 ................. 50.0	X	X	10,276,391	35,873
(2) QUINT STUDER CHAIRMAN	1.0 ................. 0	X	X	0	0
(3) DAVID SANSING VICE-CHAIRMAN	1.0 ................. 0	X	X	0	0
(4) RICHARD R BAKER SECRETARY/TREASURER	1.0 ................. 0	X	X	0	0
(5) DEBBIE CALDER DIRECTOR (END 8/2017)	1.0 ................. 0	X		0	0
(6) SISTER MARY JEAN DOYLE DIRECTOR	1.0 ................. 0	X		0	0
(7) SISTER NORA GATTO DC DIRECTOR (END 7/2017)	1.0 ................. 0	X		0	0
(8) KEVIN JOSEPH MD DIRECTOR (START 1/2018)	1.0 ................. 0	X		0	0
(9) MICHAEL MURDOCH MD DIRECTOR (START 1/2018)	1.0 ................. 0	X		0	0
(10) ALAN NICKELSEN DIRECTOR	1.0 ................. 0	X		0	0
(11) WL SPIDER NYLAND DIRECTOR	1.0 ................. 0	X		0	0
(12) SISTER LOIS O'MALLEY CSJ DIRECTOR	1.0 ................. 0	X		0	0
(13) AMIE REMINGTON DIRECTOR (START 7/2017)	1.0 ................. 0	X		0	0
(14) KRISTINE RUSHING DIRECTOR (START 1/2018)	1.0 ................. 0	X		0	0
(15) ANTONIO TERRY DIRECTOR	1.0 ................. 0	X		0	0
(16) MATTHEW VINSON DIRECTOR (START 1/2018)	1.0 ................. 0	X		0	0
(17) ANGIE WATSON DIRECTOR (START 1/2018)	1.0 ................. 0	X		0	0

(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
(18) BERNARD YATES DIRECTOR (START 1/2018)	1.0 .......................0	X					0	0	0
(19) C SUSAN CORNEJO CHIEF FINANCIAL OFFICER - SHHS	7.0 .......................43.0		X				37,316	666,356	37,265
(20) KERRY EATON CHIEF OPERATING OFFICER (END 10/2017)	48.0 .......................2.0		X				812,404	0	32,759
(21) KAREN EMMANUEL GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER (END 12/2017)	40.0 .......................1.0		X				0	918,212	24,700
(22) J HENRY STOVALL III PRESIDENT, SHHS (START 1/2018)	49.0 .......................1.0		X				726,763	0	34,111
(23) MICHELLE ADAMOLEKUN VP HR-MINISTRY MKT GULF COAST-JAX-BIR	11.0 .......................44.0			X			0	429,273	36,215
(24) ROGER HALL PRESIDENT - SHHEC & SHHG	40.0 .......................0			X			601,349	0	35,139
(25) JOHN HALSTEAD CHIEF MISSION INTEGRATION OFFICER	40.0 .......................0			X			429,979	0	30,965
(26) NINA JEFFORDS CNO - GULF COAST HEALTH SYSTEM	40.0 .......................0			X			357,970	0	26,427
(27) PETER J JENNINGS CHIEF MEDICAL OFFICER	40.0 .......................0			X			475,673	0	37,509
(28) JULES KARIHER CHIEF ADVOCACY OFFICER	40.0 .......................0			X			210,547	0	11,090
(29) STEPHEN R MAYFIELD CHIEF QUALITY OFFICER	40.0 .......................0			X			211,829	0	19,614
(30) ROBERT MURPHY PRES-ADMIN AMG GULF COAST MARKET	48.0 .......................2.0			X			430,280	0	39,241
(31) GARY PABLO MD CMO, SHHEC & SHHG	40.0 .......................0			X			507,602	0	35,501
(32) ROGER A POITRAS JR CHIEF STRATEGY OFFICER	40.0 .......................0			X			612,785	0	37,840
(33) DAVID G POWELL CHIEF RESOURCE OFFICER	40.0 .......................0.0			X			0	339,597	36,025
(34) DOUGLAS A ROSS SVP CLINICAL INTEGRATION	40.0 .......................0			X			1,058,183	0	41,806
(35) MORRIS SIMHACHALAM MD CMO	40.0 .......................0			X			559,164	0	44,162
(36) TERESA D SMITH COO	40.0 .......................0			X			315,409	0	24,718
(37) AMY D WILSON CNO (END 1/2017)	0.0 .......................50.0			X			8,533	403,291	33,296
(38) ROHIT R AMIN MD PHYSICIAN	50.0 .......................0				X		924,526	0	38,972
(39) MARK S BOATRIGHT MD PHYSICIAN	50.0 .......................0				X		1,039,006	0	47,633
(40) SAMUEL DEMETRIOS CRITIDES MD PHYSICIAN	50.0 .......................0				X		1,150,260	0	44,307
(41) KURT L MORRISON DO PHYSICIAN	50.0 .......................0				X		1,025,961	0	50,941
(42) JUAN FELIX RONDEROS MD PHYSICIAN	50.0 .......................0				X		1,208,950	0	41,766
(43) DENISE BARTON FORMER KEY EMPLOYEE (END 12/2015)	0.0 .......................0.0					X	135,682	0	1,061
(44) CAROL C WHITTINGTON FORMER OFFICER (END 6/2015)	0.0 .......................50.0					X	0	926,663	42,262

(A) Name and business address	(B) Description of services	(C) Compensation
HOAR CONSTRUCTION LLC 2 METROPLEX DR STE 400 BIRMINGHAM,AL352096877	CONSTRUCTION SERVICES	8,186,651
PENSACOLA LUNG GROUP MDS PA 4700 BAYOU BLVD SUITE 6 PENSACOLA,FL325031901	MEDICAL SERVICES	3,497,445
AMS SACRED HEART LLC 4901 GRANDE DRIVE PENSACOLA,FL32504	ANESTHESIA SERVICES	2,933,331
ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY,UT841081221	LABORATORY SERVICES	1,949,914
OB HOSPITALIST GROUP LLC 10 CENTIMETERS DR MAULDIN,SC296623278	MEDICAL SERVICES	1,576,690
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 84

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

Sacred Heart Health System Inc

Employer identification number

59-0634434

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2019

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- 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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

Sacred Heart Health System Inc

Employer identification number

59-0634434

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization Sacred Heart Health System Inc

Part I Contributors	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
		$	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization Sacred Heart Health System Inc		Employer identification number 59-0634434

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization Sacred Heart Health System Inc			Employer identification number 59-0634434
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.) $ 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) (2019)

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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

Sacred Heart Health System Inc

Employer identification number

59-0634434

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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)? ........

Yes

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? .......................

Yes

15,565

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

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

Yes

13,437

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

29,002

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	SACRED HEART HEALTH SYSTEM, INC. ENGAGED CONSULTANTS TO ASSIST IN VARIOUS LOBBYING ACTIVITIES PERTAINING TO STATE AND FEDERAL HEALTH CARE LEGISLATION, INCLUDING HEALTH CARE REFORM. STAFF AND CONSULTANTS WROTE LETTERS AND MET PERSONALLY WITH STATE AND LOCAL LEGISLATORS ON THESE MATTERS. LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. SACRED HEART HEALTH SYSTEM, 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, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	SACRED HEART HEALTH SYSTEM, INC. ENGAGED CONSULTANTS TO ASSIST IN VARIOUS LOBBYING ACTIVITIES PERTAINING TO STATE AND FEDERAL HEALTH CARE LEGISLATION, INCLUDING HEALTH CARE REFORM. STAFF AND CONSULTANTS WROTE LETTERS AND MET PERSONALLY WITH STATE AND LOCAL LEGISLATORS ON THESE MATTERS. LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. SACRED HEART HEALTH SYSTEM, 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

SACRED HEART HEALTH SYSTEM, INC. ENGAGED CONSULTANTS TO ASSIST IN VARIOUS LOBBYING ACTIVITIES PERTAINING TO STATE AND FEDERAL HEALTH CARE LEGISLATION, INCLUDING HEALTH CARE REFORM. STAFF AND CONSULTANTS WROTE LETTERS AND MET PERSONALLY WITH STATE AND LOCAL LEGISLATORS ON THESE MATTERS. LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. SACRED HEART HEALTH SYSTEM, 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, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Sacred Heart Health System Inc

Employer identification number

59-0634434

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2019

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	36,642	36,642	36,642	36,642	36,149
b	Contributions ...	0	0	0	0	0
c	Net investment earnings, gains, and losses	0	0	0	0	493
d	Grants or scholarships ...	0	0	0	0	0
e	Other expenditures for facilities and programs ...	0	0	0	0	0
f	Administrative expenses ....	0	0	0	0	0
g	End of year balance ......	36,642	36,642	36,642	36,642	36,642

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100 %

Term endowment SchDMd Bullet

0 %

The percentages on 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)

Yes

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

Yes

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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	4,700,423	27,268,031		31,968,454
b	Buildings ....	11,231,494	406,614,873	249,803,713	168,042,654
c	Leasehold improvements		3,327,466	1,846,000	1,481,466
d	Equipment ....		199,068,972	167,234,863	31,834,109
e	Other .....		132,413,701	18,833,927	113,579,774
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					346,906,457

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on 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........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1)Physician Receivables
(2)Rent Receivable				2,105,730
(3)Due from Affiliates				38,882,173
(4)Other Receivables				10,542,352
(5)Deferred Compensation/Retirement/Pension Asset
(6)Security Deposit				430,694
(7)Estimated 3rd Party Payor Settlements				9,054,088
(8)Provider Tax				2,033,827
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				63,048,864

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	287,081,166
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) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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 V, Line 4 Intended uses of endowment funds	The endowment fund was established for the benefit of Sacred Heart Health System, Inc. with the intended purpose of providing resource materials for parents.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018.

Schedule D (Form 990) 2019

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Sacred Heart Health System Inc

Employer identification number

59-0634434

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 25000 %

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 32900 %

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? . . . . . . . . . . . . .

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) . . .			33,666,238	0	33,666,238	3.74 %
b	Medicaid (from Worksheet 3, column a) . . . . .			161,577,145	89,766,212	71,810,933	7.98 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	195,243,383	89,766,212	105,477,171	11.72 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			827,781	357,907	469,874	0.05 %
f	Health professions education (from Worksheet 5) . . .			2,323,120	0	2,323,120	0.26 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			599,031	0	599,031	0.07 %
j	Total. Other Benefits . .	0	0	3,749,932	357,907	3,392,025	0.38 %
k	Total. Add lines 7d and 7j .	0	0	198,993,315	90,124,119	108,869,196	12.10 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	0	0	0	0

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

5,025,761

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. ......

358,010

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).....

293,548,291

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

341,243,316

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

-47,695,025

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) 2019

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?4Name, 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)								Facility reporting group
1	Sacred Heart Hospital 5151 N 9th Ave Pensacola,FL32504 https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola 4433	X	X	X	X	X	X	A
2	Sacred Heart Hospital on the Emerald Coast 7800 US Hwy 98 West Miramar Beach,FL32550 https://healthcare.ascension.org/Locations/Florida/FLPEN/Miramar-Beach-Sacred-Heart-Hospital-on-the- 4470	X	X				X	A
3	Sacred Heart Hospital on the Gulf 3801 E Hwy 98 Port St Joe,FL32456 https://healthcare.ascension.org/Locations/Florida/FLPEN/Port-Saint-Joe-Sacred-Heart-Hospital-on-the 4502	X	X				X	A
4	Bay Medical Center 615 North Bonita Avenue Panama City,FL32401 https://baymedical.org/ 3982	X	X				X	B

Schedule H (Form 990) 2019

Page 4

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)

	A
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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

6 a

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. ............................

Yes

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): https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/C

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 15

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

If "Yes" (list url):

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

10b

Yes

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

12b

If "Yes" on 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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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 250.0%
and FPG family income limit for eligibility for discounted care of 329.0%

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)

Was widely publicized 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):

SEE PT VI

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

SEE PT VI

A plain language summary of the FAP was widely available on a website (list url):
SEE PT VI

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized 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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

	A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 4

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)

	B
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?........................

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

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

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. ............................

Yes

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): https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/C

Other website (list url): https://baymedical.org/health-resoures/community-health

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 15

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

If "Yes" (list url):

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

10b

Yes

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

12b

If "Yes" on 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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	B
Name of hospital facility or letter of facility reporting group

Yes

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 250.0%
and FPG family income limit for eligibility for discounted care of 400.0%

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

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)

Was widely publicized 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):

https://baymedical.org/florida-pricing-transparency/financial-assistance-programs

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

https://baymedical.org/florida-pricing-transparency/financial-assistance-programs

A plain language summary of the FAP was widely available on a website (list url):
https://baymedical.org/florida-pricing-transparency/financial-assistance-programs

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

	B
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 3E	Facility Group A Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - A1 - Sacred Heart Hospital. IN 2015, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS FACILITATED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PARTNERSHIP), A NONPROFIT TAX-EXEMPT ORGANIZATION WHOSE MISSION IS TO SPONSOR COMMUNITY HEALTH STATUS ASSESSMENTS FOR THE COMMUNITIES OF ESCAMBIA AND SANTA ROSA COUNTIES IN NORTHWEST FLORIDA AND TO SUPPORT AND PROMOTE COLLABORATIVE INITIATIVES THAT ADDRESS PRIORITY HEALTH PROBLEMS. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS BOARD REVIEWED AND APPROVED IN 2016. COLLABORATING PARTNERS IN THE COMPLETION OF THIS REPORT INCLUDE REPRESENTATIVES FROM THE FLORIDA DEPARTMENTS OF HEALTH IN ESCAMBIA AND SANTA ROSA COUNTIES, BAPTIST HEALTH CARE, SACRED HEART HEALTH SYSTEM, ESCAMBIA COMMUNITY CLINICS (A FEDERALLY QUALIFIED HEALTH CENTER), AND THE UNIVERSITY OF WEST FLORIDA. THE AREA OF THE NEEDS ASSESSMENT WAS DEFINED AS THE POPULATION OF ESCAMBIA AND SANTA ROSA COUNTIES. ESCAMBIA COUNTY IS THE 18TH LARGEST OF FLORIDA'S 67 COUNTIES BY POPULATION AND THE 38TH LARGEST BY LANDMASS. THE WESTERNMOST COUNTY IN THE STATE OF FLORIDA HAS A TOTAL POPULATION OF 302,421. ACCORDING TO THE 2014 ESTIMATES BY THE DEPARTMENT OF HEALTH, OFFICE OF HEALTH STATISTICS, THE RACIAL DISTRIBUTION IN ESCAMBIA COUNTY IS 69.4% WHITE, 30.6% BLACK OR ANOTHER RACE. OF THE TOTAL POPULATION, 5.4% IS HISPANIC. ONLY 15.5% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH, COMPARED TO 27.4% FOR THE STATE OF FLORIDA (2013 ESTIMATES). THE COUNTY POVERTY IS 16.4%, SIGNIFICANTLY HIGHER THAN THE 13.8% AVERAGE FOR THE STATE OF FLORIDA. SANTA ROSA COUNTY BORDERS ESCAMBIA COUNTY TO THE EAST, AND HAS A TOTAL POPULATION OF 160,506. ITS COUNTY SEAT IS THE CITY OF MILTON, WHICH HAS A POPULATION OF AROUND 9,000. ACCORDING TO THE 2014 ESTIMATES BY THE DEPARTMENT OF HEALTH, OFFICE OF HEALTH STATISTICS, THE RACIAL DISTRIBUTION IN SANTA ROSA COUNTY IS 87.7% WHITE, 12.3% BLACK OR ANOTHER RACE. OF THE TOTAL POPULATION, 5.6% IS HISPANIC. ONLY 6.5% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH, COMPARED TO 27.4% FOR THE STATE OF FLORIDA (2013 ESTIMATES). SANTA ROSA COUNTY IS NOT ONLY LESS POPULATED THAN ESCAMBIA COUNTY, IT ALSO HAS A LOWER POPULATION DENSITY, REFLECTING A MORE RURAL LANDSCAPE. THE SOUTHERN PORTION OF SANTA ROSA COUNTY IS GEOGRAPHICALLY SEPARATED FROM THE NORTH BY PENSACOLA BAY. THE PARTNERSHIP CONDUCTED A COMMUNITY HEALTH SURVEY WITH A TOTAL OF 1,621 RESPONDENTS FROM ESCAMBIA AND SANTA ROSA COUNTIES AND FOUND THE FOLLOWING THEMES AND COMMUNITY CONCERNS: - OBESITY, POOR EATING HABITS, AFFORDABILITY OF HEALTHY FOODS, - ACCESS TO DENTAL CARE - MENTAL HEALTH & SUBSTANCE ABUSE BEHAVIORS & ACCESS TO MENTAL HEALTH SERVICES. THE PARTNERSHIP COLLECTED COUNTY-LEVEL DATA FOR 167 HEALTH STATUS INDICATORS AND 27 DEMOGRAPHIC INDICATORS. AS A BENCHMARK, INDIVIDUAL PERFORMANCE FOR EACH COUNTY WAS COMPARED TO THAT OF FLORIDA STATE AS A WHOLE. TO IDENTIFY OVERALL THEMES, RESULTS WERE ANALYZED USING THE COUNTY HEALTH RANKINGS MODEL FOR POPULATION HEALTH THAT EMPHASIZED THE IMPACT OF HEALTH FACTORS, SUCH AS BEHAVIOR, CLINICAL CARE, SOCIAL & ECONOMIC FACTORS, AND PHYSICAL ENVIRONMENT, ON THE HEALTH OUTCOMES OF MORTALITY (LENGTH OF LIFE) AND MORBIDITY (QUALITY OF LIFE). THE 2015-16 COMMUNITY HEALTH NEEDS ASSESSMENT - ESCAMBIA AND SANTA ROSA COUNTIES, FLORIDA (CHNA) REPORT (AVAILABLE ON-LINE AT https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Community-Health-Needs-Assessment ) DETAILS THE PROCESSES AND DATA USED TO IDENTIFY THE TOP PRIORITY HEALTH ISSUES FOR THE TWO COUNTY AREA: - HEALTHIEST WEIGHT AND NUTRITION - TOBACCO USE - ACCESS TO CARE THE FOLLOWING ORGANIZATIONS WERE CONSULTED DURING THE CHNA PROCESS: 90 Works Advocare - Believe Alpha Center, Inc. Alzheimer's Family Services* American Diabetes Association American Red Cross* AMI Kids Pensacola Anytime Fitness Downtown Pensacola/Pace/Gulf Breeze ARC Gateway* Ascend Performance Materials Ascendant Healthcare Partners Autism Pensacola, Inc. * Baptist Health Care Baptist Health Care Foundation* Bay Area Food Bank* Be Ready Alliance Coordinating for Emergencies* Big Brothers, Big Sisters of Northwest Florida* Boy Scouts Gulf Coast Council* Boys and Girls Club of the Emerald Coast* Breeze Apartments Bridges out of Poverty Catholic Charities of Northwest Florida* Central Credit Union of Florida Chain Reaction* Children's Home Society of Florida, Western Division* City of Gulf Breeze City of Milton City of Pensacola Community Action Program* Community Drug & Alcohol Council, Inc. * Community Enterprise Investments* Community Faith Nursing (SH) * Council on Aging of West Florida* Covenant Hospice Cycle Therapy of Florida, Inc. Department of Children and Families Dixon School of Arts* Early Learning Coalition of Escambia County* Eating Better, Feeling Better, Living Better Inc. * ECUA Emerald Coast TEAM Services, Inc. * Epilepsy Foundation of Florida* Escambia Community Clinics/Santa Rosa Community Clinics Escambia County School District Every Child a Reader in Escambia (ECARE) * Families Count* Family-Funeral & Cremation Favor House of Northwest Florida * Fellowship of Christian Athletes* Fetch Dog Treats Florida Black Chamber of Commerce Florida Department of Health in Escambia County Florida Department of Health in Santa Rosa County Florida Institute for Health Innovation Forsley Properties Fresenius Medical Care Friends of West Florida Public Library* Friendship Missionary Baptist Church Girl Scouts* Goodwill Easter Seals of the Gulf Coast* Greater Pensacola Area Chamber of Commerce Gulf Breeze Area Chamber of Commerce Gulf Coast African American Chamber of Commerce Gulf Coast Caring Solutions Gulf Coast Kids House* Gulf Power Co. Hartnett Marketing Solutions Health and Hope Clinic* Health First Network Healthy Start Coalition of Escambia County, Inc. Healthy Start Coalition of Santa Rosa County, Inc. HSA Consulting Group, Inc. IdeaWorks Independence for the Blind of West Florida* Intelligent Health Services Interfaith Ministries/Good Samaritan Clinic Junior League of Pensacola Knight Time Boxing and Fitness Lakeview Center * Landrum Consulting Leaning Post Ranch* Learn to Read* Legal Services of North Florida* Love of Life Ministries, Inc. Lutheran Services Florida, Inc. - Northwest Region* Mainstay Financial Group Mako Crossfit MANNA Food Pantries* Marathon Health March of Dimes - Gulf Coast Division Marcus E. Paul, Family & Cosmetic Dentistry Medi-Weightloss Clinics Metis Health, LLC Milk and Honey Outreach Ministies* Ministry Village At Olive, Inc. Nemours Children's Clinic New Beginnings New Road to Learning Northwest Florida Legal Services One Blood Pace Center for Girls Pathways for Change Pennacle Properties, Inc. Pensacola Blue Wahoos Pensacola Fitness Pensacola State College Pensacola Wellness Solutions Pensacola Young Professionals Premier Island Management ProHealth/ProClinic PSGI, Inc. Robert Warren Rural Health Network NWF Sacred Heart Health System Santa Rosa County Lifeguard Medical Director Santa Rosa County School District Santa Rosa Health and Rehabilitation Center Santa Rosa Medical Center Seastar Aquatics St. Ann's Catholic Church Suncrest OMNI Home Care The Bar Milton Strength and Conditioning The Fall Prevention Lady The Salvation Army Thrive United Cerebral Palsy of Northwest Florida United Healthcare United Ministries United Way 211 United Way of Escambia United Way of Escambia County Agency Directors Assoc. University of Florida - Farm to School Program University of West Florida UniVision Group Virginia College Waterfront Rescue Mission West Florida AHEC West Florida Community Care Center West Florida Regional Planning Council White-Wilson Medical Clinic YMCA of Northwest Florida Yoga at West Florida Budokan *Members of United Way of Escambia County Agency Directors Association
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - A2 - Sacred Heart Hospital on the Emerald Coast. SACRED HEART HOSPITAL ON THE EMERALD COAST COMMUNITY HEALTH NEEDS ASSESSMENT - 2015/2016 OVERVIEW IN 2015, SACRED HEART HEALTH SYSTEM, Inc. ("SHHS") AND THE FLORIDA DEPARTMENT OF HEALTH - WALTON COUNTY ("FDOH-WALTON") WORKED TOGETHER, IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS AND AGENCIES, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR THE APPROXIMATELY 59,000 RESIDENTS OF WALTON COUNTY, FLORIDA. THE AREA OF THIS NEEDS ASSESSMENT IS DEFINED AS THE POPULATION OF WALTON COUNTY. WALTON COUNTY IS SITUATED IN THE PANHANDLE OF FLORIDA AND ENCOMPASSES 1,238 SQUARE MILES. APPROXIMATELY 15% OF WALTON COUNTY'S LAND MASS IS WATER, AND AN ADDITIONAL 20% IS FEDERALLY OWNED AS PART OF EGLIN AIR FORCE BASE. THE COUNTY SEAT IS THE CITY OF DEFUNIAK SPRINGS, AND THE CITY OF FREEPORT AND TOWN OF PAXTON ARE THE ONLY OTHER INCORPORATED AREAS. HISTORICALLY, WALTON COUNTY HAS BEEN ONE OF THE FASTEST GROWING COUNTIES IN THE UNITED STATES. THE POPULATION GREW MORE THAN 35% BETWEEN 2000 AND 2010. BETWEEN 2010 AND 2014, WALTON COUNTY POPULATION GREW 11.4%, COMPARED TO TOTAL POPULATION GROWTH IN THE STATE OF 5.5% DURING THAT PERIOD. IN SPITE OF SIGNIFICANT POPULATION GROWTH, WALTON COUNTY HAS A LOW POPULATION DENSITY OF 50 PEOPLE PER SQUARE MILE AND IS DESIGNATED AS A STATUTORY RURAL COUNTY BY THE STATE OF FLORIDA. MINORITIES REPRESENT ABOUT 13% OF THE TOTAL POPULATION IN WALTON COUNTY, COMPARED TO ALMOST 24% OF THE POPULATION OF THE STATE. ONLY 5.7% OF THE POPULATION OF WALTON COUNTY IS HISPANIC, COMPARED TO 23.3% OF THE STATE'S POPULATION. THE MEDIAN HOUSEHOLD INCOME IN WALTON COUNTY IS $43,640, SIGNIFICANTLY BELOW THAT OF THE STATE. IN 2013, THE POVERTY RATE WAS 33.4%, COMPARED TO 29.0% STATEWIDE. THE UNEMPLOYMENT RATE AS OF AUGUST 2015 WAS 4.7%, LOWER THAN STATEWIDE AND A SIGNIFICANT IMPROVEMENT FROM THE 9.4% RATE REPORTED FOR 2010. THE CHNA PROCESS WAS LED BY SHHS AND FDOH-WALTON, WITH ACTIVE PARTICIPATION BY COMMUNITY ORGANIZATIONS AND PRIVATE AND PUBLIC AGENCIES WHICH COLLECTIVELY COMPRISE THE WALTON COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (WCHIP). THE CHNA PROCESS INCLUDED WCHIP MEETINGS, A SURVEY OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, AND A COMMUNITY SURVEY DISTRIBUTED BOTH ON-LINE AND IN PAPER FORMAT. MORE THAN 50 PEOPLE REPRESENTING MORE THAN 30 DIFFERENT COMMUNITY AGENCIES AND ORGANIZATIONS AND THE GENERAL PUBLIC PARTICIPATED IN VARIOUS MEETINGS THROUGHOUT THE PROCESS. IN ADDITION, 253 WALTON COUNTY RESIDENTS COMPLETED THE COMMUNITY SURVEY. PARTICULAR FOCUS WAS PLACED ON OBTAINING INPUT FROM VULNERABLE POPULATION GROUPS. BASED ON THE RESULTS OF THE ASSESSMENTS, A LIST OF 50 HEALTH INDICATORS THAT WERE OF GREATEST CONCERN IN WALTON COUNTY WAS IDENTIFIED. USING THE COUNTY HEALTH RANKING'S MODEL OF POPULATION HEALTH AS A FRAMEWORK, THE TOP HEALTH ISSUES WERE PRESENTED AND DISCUSSED AT A COMMUNITY MEETING ORGANIZED BY WCHIP. PARTICIPANTS WERE ASKED TO CONSIDER THREE CRITERIA FOR PRIORITIZING THE TOP ISSUES: - SEVERITY/MAGNITUDE (OF THE HEALTH ISSUE) - FEASIBILITY TO ADDRESS (AVAILABILITY OF RESOURCES, COMMUNITY WILL) - POTENTIAL IMPACT (ON COMMUNITY HEALTH STATUS) THE 2015-16 COMMUNITY HEALTH NEEDS ASSESSMENT - WALTON COUNTY, FLORIDA (CHNA) REPORT (AVAILABLE ON-LINE AT https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Community-Health-Needs-Assessment ) DETAILS THE PROCESSES AND DATA USED TO IDENTIFY THE TOP PRIORITY HEALTH ISSUES FOR WALTON COUNTY: - PROVIDER AVAILABILITY AND ACCESS - SUBSTANCE ABUSE AND MENTAL HEALTH - HEALTHY WEIGHT THE FOLLOWING GROUPS WERE CONSULTED DURING THE CHNA PROCESS: Sacred Heart Health System Florida Department of Health - Walton County Panhandle Warrior Partnership COPE - 211 Goodwill Easter Seals Legacy Corps. Florida Department of Children and Families NW Florida Health Council/PanCare Health Easy Mobile Labs Emerald Coast Children's Advocacy Center Walton County Housing Walton Okaloosa Council on Aging COPE Center - Disaster Case Management Program Walton County School District First Baptist Church of Mossy Head Walton County Prevention Coalition Friendship House City of Freeport Walton County Sherriff's Office Walton County Baptist Association Florida Department of Health - Holmes/Washington Counties Walton County District 5 - Board of County Commissioners West Florida AHEC Catholic Charities of NW Florida Tri-County Community Council/Head Start/Early Head Start Northwest Florida State College Early Learning Coalition of Okaloosa and Walton Counties Emerald Coast Hospice Keller Williams Realty University of Florida Institute of Food and Agricultural Sciences Synergy Community Development, Inc. Early Learning Coalition of Okaloosa and Walton Counties
Schedule H, Part V, Section B, Line 5 Facility A, 3	Facility A, 3 - A3 - Sacred Heart Hospital on the Gulf. SACRED HEART HOSPITAL ON THE GULF COMMUNITY HEALTH NEEDS ASSESSMENT - 2015/2016 OVERVIEW IN 2015, SACRED HEART HEALTH SYSTEM, Inc. ("SHHS") AND THE FLORIDA DEPARTMENT OF HEALTH - GULF COUNTY ("DOHGULF") WORKED TOGETHER, IN COLLABORATION WITH THE DOH-GULF'S COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) AND NUMEROUS OTHER COMMUNITY ORGANIZATIONS AND AGENCIES, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT ("ASSESSMENT") FOR THE APPROXIMATELY 16,000 RESIDENTS OF GULF COUNTY, FLORIDA. THE CHNA PROVIDES A SNAPSHOT IN TIME OF THE COMMUNITY STRENGTHS, NEEDS, AND PRIORITIES. GUIDED BY THE MOBILIZATION FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS, THE REPORT IS A RESULT OF A COLLABORATIVE AND PARTICIPATORY APPROACH TO COMMUNITY HEALTH PLANNING AND IMPROVEMENT. IMPROVING THE HEALTH OF THE COMMUNITY IS CRITICAL TO ENHANCING GULF COUNTY RESIDENTS' QUALITY OF LIFE AND SUPPORTING ITS FUTURE PROSPERITY AND WELL-BEING. THE AREA FOR THE PURPOSES OF THE ASSESSMENT WAS DEFINED AS THE POPULATION OF GULF COUNTY. GULF COUNTY HAS A TOTAL AREA OF 745 SQUARE MILES, OF WHICH 25% IS WATER. THERE ARE TWO POPULATION CENTERS IN GULF COUNTY - WEWAHITCHKA IN THE NORTHEAST PART OF THE COUNTY AND PORT ST. JOE, THE COUNTY SEAT AND LARGEST CITY, ON THE COAST. THE POPULATION IN GULF COUNTY INCREASED BY 7.0% BETWEEN 2000 AND 2010, ALTHOUGH THE GROWTH RATE WAS LESS THAN THE STATE OF FLORIDA OVER THE SAME PERIOD. BETWEEN 2010 AND 2014, THE GULF COUNTY POPULATION GREW ONLY 2.5%, COMPARED TO TOTAL POPULATION GROWTH IN THE STATE OF 5.8% DURING THAT PERIOD. MINORITIES REPRESENT ABOUT 23% OF THE TOTAL POPULATION, COMPARABLE TO THE COMPOSITION OF THE STATE. THE MEDIAN HOUSEHOLD INCOME IN GULF COUNTY IS $40,455, SIGNIFICANTLY BELOW THAT OF THE STATE. IN 2013, THE POVERTY RATE WAS 30.8%, COMPARED TO 29.0% STATEWIDE. THE UNEMPLOYMENT RATE AS OF AUGUST 2015 WAS 4.9%, LOWER THAN STATEWIDE AND A SIGNIFICANT IMPROVEMENT FROM THE 10.3% RATE REPORTED FOR 2010. THE ASSESSMENT PROCESS INCLUDED CHIP MEETINGS AND WORKSHOPS AND A COMMUNITY SURVEY DISTRIBUTED BOTH ONLINE AND IN PAPER FORMAT. MORE THAN 25 PEOPLE REPRESENTING MORE THAN 15 DIFFERENT COMMUNITY AGENCIES AND ORGANIZATIONS AND THE GENERAL PUBLIC PARTICIPATED IN VARIOUS MEETINGS THROUGHOUT THE PROCESS. IN ADDITION, 240 GULF COUNTY RESIDENTS COMPLETED THE COMMUNITY SURVEY. PARTICULAR FOCUS WAS PLACED ON OBTAINING INPUT FROM VULNERABLE POPULATION GROUPS. QUANTITATIVE DATA WERE OBTAINED FROM COUNTY, STATE, AND NATIONAL SOURCES. QUALITATIVE INFORMATION WAS OBTAINED THROUGH REGULAR CHIP MEETINGS AND WORKSHOPS AND THE COMMUNITY SURVEY. THE DATA REVIEW WAS FOLLOWED BY A DECISION MATRIX AND ENDED WITH SELECTION OF HEALTH PRIORITIES BASED ON THE FOLLOWING CRITERIA: - BROAD APPLICABILITY OF SOLUTION SET - TIME FRAME REQUIRED TO SUPPORT EFFORTS - POTENTIAL TO REDUCE HEALTH DISPARITIES - ALIGNMENT WITH VISION (TO ENHANCE HEALTH FOR ALL GENERATIONS IN GULF COUNTY) - COMMUNITY SUPPORT FOR THE PROBLEM - RESOURCE AVAILABILITY TO ADDRESS PROBLEM THE 2015-16 COMMUNITY HEALTH NEEDS ASSESSMENT - GULF COUNTY, FLORIDA (CHNA) REPORT (AVAILABLE ON-LINE AT https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Community-Health-Needs-Assessment ) DETAILS THE PROCESSES AND DATA USED TO IDENTIFY THE TOP PRIORITY HEALTH ISSUES FOR GULF COUNTY: - ACCESS TO CARE - MENTAL HEALTH AND SUBSTANCE ABUSE - HEALTHY WEIGHT THE FOLLOWING ORGANIZATIONS WERE CONSULTED DURING THE CHNA PROCESS: Big Bend AHEC Big Bend Community Based Care Career Source Gulf Coast Community Care Center of Gulf County Department of Juvenile Justice DOH - Gulf County - Environmental Health Florida Department of Health - Closing the Gap Florida Department of Health - Franklin County Florida Department of Health - Gulf County Gulf Coast State College Healthy Start Coalition MyGulf Care - Sacred Heart Philadelphia Baptist Church Sacred Heart Health System Sacred Heart Hospital on the Gulf Tyndall Air Force Base University of Florida Institute of Food and Agricultural Sciences - Gulf County Wewahitchka Medical Center
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - A1 - Sacred Heart Hospital. Baptist Healthcare
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - A1 - Sacred Heart Hospital. The Florida Departments of Health in Escambia and Santa Rosa Counties, Sacred Heart Health System, Inc., Escambia Community Clinics (a federally qualified health center), and the University of West Florida.
Schedule H, Part V, Section B, Line 6b Facility A, 2	Facility A, 2 - A2 - Sacred Heart Hospital on the Emerald Coast. In 2015, Sacred Heart Health System, Inc. ("SHHS") and the Florida Department of Health - Gulf County ("DOHGULF") worked together, in collaboration with the DOH-Gulf's Community Health Improvement Partnership (CHIP) and numerous other community organizations and agencies, to conduct a community health needs assessment ("assessment") for the approximately 16,000 residents of Gulf County, Florida.
Schedule H, Part V, Section B, Line 6b Facility A, 3	Facility A, 3 - A3 - Sacred Heart Hospital of the Gulf. In 2015, Sacred Heart Health System, Inc. ("SHHS"), the Florida Department of Health - Bay County ("DOH-Bay") and the Bay County Community Health Task Force (CHTF) worked together, in collaboration with other community organizations and agencies, to conduct a community health needs assessment (CHNA) for the approximately 175,000 residents of Bay County, Florida.
Schedule H, Part V, Section B, Line 7 Facility A, 1	Facility A, 1 - FACILITY GROUP A. Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 At a community Forum
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - A1 - Sacred Heart Hospital. HEALTHY WEIGHT GOAL: IMPROVE SKILLS AND ACCESS FOR HEALTHY WEIGHT. STRATEGY/ACTIONS: PREVENT TYPE 2 DIABETES BY EDUCATING PATIENTS ON SELF-MONITORING OF DIET AND PHYSICAL ACTIVITY, BUILDING SELF-EFFICACY AND SOCIAL SUPPORT TO MAINTAIN LIFESTYLE CHANGES, AND PROBLEM-SOLVING TO OVERCOME COMMON WEIGHT LOSS, PHYSICAL ACTIVITY, AND HEALTHY EATING CHALLENGES. BACKGROUND: - THE TARGET POPULATION IS ADULTS WHO ARE OVERWEIGHT OR OBESE (BMI 25.0 OR GREATER) AND ARE AT RISK FOR TYPE 2 DIABETES (DETERMINED BY AMERICAN DIABETES ASSOCIATION RISK ASSESSMENT TEST) - SACRED HEART DIABETES PREVENTION PROGRAM (DPP) IS A 52 WEEK PROGRAM THAT ADDRESSES HEALTHY LIFESTYLE CHOICES, INCLUDING A FOCUS ON ACHIEVING AND MAINTAINING A HEALTHY WEIGHT. - DPP INCLUDES EVIDENCE BASED CURRICULA FROM THE CENTERS OF DISEASE CONTROL (CDC) DIABETES PREVENTION PROGRAM WHICH CONSISTS OF A SERIES OF 16 WEEKLY CLASSES, 8 BIWEEKLY AND 6 MONTHLY CLASSES. - CLASSES ARE PROMOTED COMMUNITY-WIDE AND PARTICIPANTS MAY SELF-REFER OR BE REFERRED BY THEIR MEDICAL TEAM. RESOURCES/COMMUNITY PARTNERS: SHHP PATIENT EDUCATION DEPARTMENT (SHPED); SACRED HEART MEDICAL GROUP (SHMG), LIVE WELL PARTNERSHIP FOR A HEALTHY COMMUNITY TOBACCO USE GOAL: REDUCE ADULT TOBACCO USE STRATEGY/ACTIONS: PROVIDE TOBACCO CESSATION CLASSES/ COUNSELING TARGETING SACRED HEART INPATIENTS AND OUTPATIENTS. BACKGROUND: - WHEN MEDICALLY APPROPRIATE, BED-SIDE INFORMATION AND COUNSELING IS PROVIDED FOR INPATIENT TOBACCO USERS IDENTIFIED THROUGH THE ADMISSION PROCESS. PATIENTS IDENTIFIED DURING INPATIENT STAYS RECEIVE MORE TARGETED FOLLOW UP ASSISTANCE AND MAY BE ENROLLED IN CLASSES, RECEIVE ONE ON ONE COUNSELING AND NICOTINE REPLACEMENT THERAPY (AS APPROPRIATE) FOLLOWING THEIR INPATIENT STAY. - PHYSICIANS MAY IDENTIFY AND REFER PATIENTS DURING OUTPATIENT VISITS TO PARTICIPATE IN CLASSES OFFERED ON CAMPUS FREE OF CHARGE TO THE PUBLIC AND/OR FOR ONE-ON-ONE TOBACCO CESSATION COUNSELING. CLASSES ARE ALSO PROMOTED COMMUNITY WIDE AND DO NOT REQUIRE A REFERRAL. - FREE NICOTINE REPLACEMENT THERAPY (AVAILABLE THROUGH CLASSES) IS AVAILABLE FOR MOST CESSATION OPTIONS - ALL CLASSES AND COUNSELING FOLLOW THE AGENCY FOR HEALTH CARE AND QUALITY CLINICAL GUIDELINES BEST PRACTICES FOR TREATING TOBACCO USE. RESOURCES/COMMUNITY PARTNERS: SACRED HEART PATIENT EDUCATION (SHPE), AREA HEALTH EDUCATION CENTER (AHEC), SACRED HEART MEDICAL GROUP (SHMG), SACRED HEART RESIDENCY SUPPORT, SACRED HEART MARKETING (SHM), LIVE WELL PARTNERSHIP FOR A HEALTHY COMMUNITY. ACCESS TO CARE GOAL: PROMOTE EARLY INTERVENTION AND HEALTH MANAGEMENT STRATEGY/ACTIONS: PROVIDING COMMUNITY HEALTH SCREENINGS, HEALTH PROMOTION EDUCATION AND SUPPORT THROUGH COMMUNITY BASED OUTREACH SERVICES TO REDUCE ED AND INPATIENT ADMISSIONS AND LENGTH OF STAY DUE TO UNMANAGED CONDITIONS. BACKGROUND: - EARLY INTERVENTION, SELF-CARE EDUCATION AND ACCESS TO A MEDICAL HOME CAN REDUCE THE ONSET AND SEVERITY OF AMBULATORY SENSITIVE CONDITIONS SUCH AS DIABETES AND CONGESTIVE HEART FAILURE. - MISSION IN MOTION (MIM) PROVIDES FREE HEALTH SCREENINGS AT SITES IN ESCAMBIA AND SANTA ROSA COUNTIES. THE MIM TARGETS PERSONS WHO ARE POOR, UNINSURED, OR ELDERLY AND PROVIDES BLOOD SCREENINGS TO MEASURE BLOOD PRESSURE, BLOOD SUGAR, TOTAL CHOLESTEROL AND BLOOD COUNT. - SACRED HEART'S FAITH COMMUNITY NURSING PROGRAM (FCN) IS AVAILABLE TO CHURCHES OF ALL FAITHS. IT SUPPORTS THE EFFORTS OF VOLUNTEER NURSES WHO CHOOSE TO ASSIST CHURCH MEMBERS IN A VARIETY OF WAYS. FAITH COMMUNITY NURSES ARE STATE LICENSED RNS, OFTEN RETIRED OR SEMI-RETIRED, WHO FEEL A CALLING TO THIS SPECIAL ROLE. PARISH NURSES DO NOT ACT AS HOME HEALTH NURSES OR PROVIDE HOSPITAL-STYLE NURSING CARE, BUT THEY MAY MAKE HOME VISITS TO PERSONS WITH HEALTH CARE NEEDS, ORGANIZE A HEALTH CARE SCREENING THROUGH SACRED HEART, INITIATE REFERRALS TO PHYSICIANS OR COMMUNITY AGENCIES, OR PROVIDE OTHER HEALTH EDUCATION OR SPIRITUAL SUPPORT TO CHURCH MEMBERS. - AADE7 SELF CARE BEHAVIORS IS EVIDENCE BASED INTERVENTION DEVELOPED BY THE AMERICAN ASSOCIATION OF DIABETIC EDUCATORS (AADE). - ESCAMBIA AND SANTA ROSA UNINSURED RATES ARE 18.5%. IN FY 2015, THE HIGHEST VOLUME OF UNINSURED IP ADMISSIONS WERE FROM THE 32505 ZIP CODE. - ADDITIONAL FOCUS OF THE COMMUNITY WELLNESS OUTREACH WILL TARGET RECRUITMENT AND OUTREACH EFFORTS IN THE 32505 ZIP CODE. RESOURCES/COMMUNITY PARTNERS: COMMUNITY WELLNESS OUTREACH (CWS): FAITH COMMUNITY NURSING (FCN), MISSION IN MOTION (MIM), LOCAL CHURCHES AND COMMUNITY CENTERS. FUNDING FOR ESCAMBIA COMMUNITY CLINICS - ECC. LIVE WELL PARTNERSHIP FOR A HEALTHY COMMUNITY
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - A2 - Sacred Heart Hospital on the Emerald Coast. ACCESS TO CARE GOAL: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERINSURED IN WALTON COUNTY. STRATEGY/ACTIONS: INCREASE THE AVAILABILITY OF PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT FOR UNINSURED AND UNDERINSURED ADULTS IN WALTON COUNTY. BACKGROUND: - ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE SERVICES IS IMPORTANT FOR THE ACHIEVEMENT OF HEALTH EQUITY AND FOR INCREASING THE QUALITY OF HEALTHY LIFE FOR EVERYONE. ACCESS TO CARE IMPACTS THE OVERALL PHYSICAL, SOCIAL AND MENTAL HEALTH STATUS; PREVENTION OF DISEASE AND DISABILITY; PREVENTABLE HOSPITALIZATION; DETECTION AND TREATMENT OF HEALTH CONDITIONS; QUALITY OF LIFE; PREVENTABLE DEATH; AND LIFE EXPECTANCY. - ACCESS TO CARE IS A MAJOR ISSUE IN WALTON COUNTY AND IS PRIMARILY DRIVEN BY THE LACK OF AVAILABLE PROVIDERS, HIGH COST OF INSURANCE COVERAGE AND LACK OF AWARENESS OF AVAILABLE SERVICES. - ABOUT 22% OF THE ADULT POPULATION IN WALTON COUNTY DOES NOT HAVE A PRIMARY CARE PROVIDER, WHICH INCREASED FROM 19% IN THE PREVIOUS PERIOD. - WALTON COUNTY HAS LESS PROVIDERS PER POPULATION THAN THE STATE IN ALL FOUR CATEGORIES FOR PRIMARY CARE, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS AND OBSTETRICS/GYNECOLOGY. THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED ALL OF WALTON COUNTY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE, MENTAL HEALTH AND DENTAL CARE. - THE HOPE MEDICAL CLINIC IS A FREE CLINIC IN DESTIN, FLORIDA (OKALOOSA COUNTY) THAT SERVES THE UNINSURED AND UNDERINSURED WORKING RESIDENTS OF OKALOOSA AND WALTON COUNTIES. THE CLINIC PROVIDES ROBUST PRIMARY CARE SERVICES, CHRONIC DISEASE MANAGEMENT AND REFERRALS FOR SOCIAL SERVICES AND SPECIALTY MEDICAL CARE. THE CURRENT WAIT TIME FOR A NEW PATIENT APPOINTMENT REFERRED BY THE EMERGENCY DEPARTMENT NAVIGATORS AT SACRED HEART IS FOUR TO SIX WEEKS. - WITH SUPPORT FROM COMMUNITY AGENCIES, THE HOPE MEDICAL CLINIC WILL OPEN A NEW CLINIC IN FREEPORT (CENTRAL WALTON COUNTY) OVER THE NEXT 12-18 MONTHS. THE NEW CLINIC WILL BE LOCATED IN A MEDICALLY UNDERSERVED AREA THAT EASILY REACHES PATIENTS FROM ALL PARTS OF WALTON COUNTY. THE CLINIC WILL WELCOME NEW PATIENTS AND PROVIDE WALK-IN CARE A FEW DAYS A WEEK FOR ESTABLISHED PATIENTS. THE OPENING OF THE NEW CLINIC WILL ALLOW THE ORIGINAL CLINIC IN OKALOOSA COUNTY TO ENHANCE SERVICES AS WELL, INCLUDING OFFERING WALKING CARE A FEW DAYS A WEEK FOR ESTABLISHED PATIENTS. RESOURCES/COMMUNITY PARTNERS: SACRED HEART HOSPITAL ON THE EMERALD COAST (ADMINISTRATION, PATIENT NAVIGATORS, FUNDING), HOPE MEDICAL CLINIC MENTAL HEALTH AND SUBSTANCE ABUSE GOAL: INCREASE POSITIVE INFANT OUTCOMES DUE TO EARLY IDENTIFICATION OF PRENATAL SUBSTANCE ABUSE. STRATEGY/ACTIONS: ESTABLISH POLICY AND ENVIRONMENT OF CARE TO IDENTIFY NEWBORNS AND UNBORN CHILDREN EXPOSED TO HARMFUL DRUGS DURING THE PRENATAL PERIOD, IMPLEMENTING AN INTERDISCIPLINARY APPROACH TO PROVIDE EARLIEST INTERVENTION POSSIBLE FOR TREATMENT OF MOTHER AND CHILD. BACKGROUND: - CURRENTLY THERE ARE IS NO POLICY/ ESTABLISHED PROCESS FOR SUSPECTED PRENATAL DRUG USE. IN FY 2016, IT IS ESTIMATED THAT 100 BABIES WERE DELIVERED INTO OUR FACILITIES THAT HAD BEEN EXPOSED TO DRUGS THAT MAY LEAD TO COMPLICATIONS. TYPES OF DRUG USAGE MAY RANGE FROM OCCASIONAL MARIJUANA USE TO CHRONIC USE/ADDICTION. - IN UTERO EXPOSURE TO CERTAIN DRUGS CAN CAUSE NEONATAL WITHDRAWAL (NEONATAL ABSTINENCE SYNDROME - NAS) AFTER BIRTH WHEN THE DRUG IS ABRUPTLY STOPPED BECAUSE THE INFANT, LIKE THE MOTHER, HAS DEVELOPED PHYSICAL DEPENDENCE ON THE DRUG. - NAS INCREASES THE RISK OF RESPIRATORY COMPLICATIONS AT BIRTH, LOW BIRTHWEIGHT, PREMATURITY, FEEDING DIFFICULTIES, AND SEIZURES. EARLY INTERVENTION CAN REDUCE THE SEVERITY OF WITHDRAWAL, IMPROVE SYMPTOMS. AND REDUCE THE AVERAGE LENGTH OF STAY (LOS) AND TRANSFERS TO THE NEONATAL INTENSIVE CARE UNIT (NICU). - THE INCIDENCE OF NAS IN THE UNITED STATES HAS INCREASED FORM 1.2 PER 1,000 HOSPITAL BIRTHS IN 2000 TO 3.39 PER 1,000 HOSPITAL BIRTHS IN 2009 (FOAG, 2013). - THE RATE OF WALTON COUNTY INFANTS WITH NEONATAL ABSTINENCE SYNDROME HAS INCREASED FROM 7.7 PER 1,000 LIVE BIRTHS IN 2007 TO 17.1 PER 1,000 LIVE BIRTHS IN 2011. THIS IS SIGNIFICANTLY HIGHER THAN FLORIDA'S RATES OF NAS AT 3.1 & 7.5 RESPECTIVELY (FOAG, 2013). - PROVIDING MORE INFORMATION TO COMMUNITY HEALTH CARE AND SERVICE PROVIDERS ON AVAILABLE TREATMENT AND INTERVENTION RESOURCES FOR PREGNANT WOMEN CAN HELP REDUCE THE INCIDENCE OF NEONATAL ABSTINENCE SYNDROME. - CASES OF INTEREST ARE IDENTIFIED BY DCF INQUIRY AND/OR FLAGGED BY HEALTH PROFESSIONAL (COMMUNITY OB, FACILITY) FOR SUSPECTED DRUG EXPOSURE IN UTERO. RESOURCES/COMMUNITY PARTNERS: SHHEC FAMILY BIRTH PLACE (FBP), AFFECTED STAFF (SOCIAL WORK (SW), NURSING, LAB TECHNICIANS, PEDIATRICIANS, AND OBSTETRICIANS), TIME, MATERIALS, EQUIPMENT, TECHNOLOGY, SHIPPING COST FOR MECONIUM TESTING, TECHNOLOGY, AND COMMUNITY PARTNERS SUCH AS C.O.P.E., DEPARTMENT OF CHILDREN AND FAMILIES (DCF), HEALTHY START, AND CDAC. OUTCOMES/ANTICIPATED IMPACT: HEALTHY WEIGHT GOAL: INCREASE THE INITIATION OF BREASTFEEDING IN WALTON COUNTY STRATEGY/ACTIONS: IMPLEMENT POLICIES, TRAINING AND RESOURCES TO SUPPORT BREASTFEEDING AMONG MOTHERS DELIVERING AT SHHEC. BACKGROUND: - TARGET POPULATION IS MOTHERS DELIVERING AT SHHEC (APPROXIMATELY 1,200/YEAR). - BREASTFEEDING IS AN EVIDENCE-BASED INTERVENTION THAT REDUCES THE RISK OF CHILDHOOD OBESITY AS WELL AS DIABETES AND SIDS IN CHILDREN. (WHO, UNICEF, HP2020, CDC) - "BABY FRIENDLY" DESIGNATION IS A SYSTEM AND POLICY CHANGE INTERVENTION. - THE BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI) IS A GLOBAL PROGRAM THAT WAS LAUNCHED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF) IN 1991 TO ENCOURAGE AND RECOGNIZE HOSPITALS AND BIRTHING CENTERS THAT OFFER AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. IT RECOGNIZES AND AWARDS BIRTHING FACILITIES WHO SUCCESSFULLY IMPLEMENT THE TEN STEPS TO SUCCESSFUL BREASTFEEDING (I) AND THE INTERNATIONAL CODE OF MARKETING OF BREAST-MILK SUBSTITUTES (II) - ALL MEASURES/TARGETS ARE FOR 'WELL BABIES' (NORMAL NEWBORN - MEDICALLY APPROPRIATE) RESOURCES/COMMUNITY PARTNERS: LACTATION CONSULTANT (L); HOSPITAL ADMIN (H); HOSPITAL STAFF RNS (R); TASK FORCE (T); SHHEC MARKETING (M); FL DEPT OF HEALTH-WALTON COUNTY (DOH-W); SHMG OB-GYNS AND STAFF (S); BABY FRIENDLY USA (B)
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - A3 - Sacred Heart Hospital on the Gulf. ACCESS TO CARE GOAL: REDUCE UNNECESSARY ADMISSIONS AND EMERGENCY DEPARTMENT VISITS BY INCREASING ACCESS TO PRIMARY CARE IN GULF/FRANKLIN COUNTY. STRATEGY/ACTIONS: INCREASE ACTIVATION FOR UNDERSERVED LIVING WITH DIABETES, HYPERTENSION, HEART FAILURE, AND COPD THROUGH COACHING, CARE MANAGEMENT, AND MEDICAL HOME COORDINATION. BACKGROUND: -THE TARGET POPULATION IS UNDERSERVED LIVING IN GULF AND FRANKLIN COUNTIES. -MYGULFCARE (MGC) IS A PROGRAM OF SHHG IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH IN GULF COUNTY (DOH-GULF) THAT TARGETS LOW-INCOME GULF COUNTY RESIDENTS WITH CHRONIC DISEASE MANAGEMENT CHALLENGES. MYGULFCARE EMPLOYS A NONTRADITIONAL, INDIVIDUALIZED APPROACH BY PROVIDING CHRONIC CARE NURSE COACHING ASSISTANCE AND EDUCATION TO ADDRESS BOTH HEALTH CARE AND SOCIAL SERVICES NEEDS. -DURING THE FOURTH QUARTER OF FY 2016, THE PROGRAM EXPANDED TO INCLUDE COPD AND HEART FAILURE DISEASE CONDITIONS. -DISEASE MANAGEMENT STOP LIGHT TOOLS HAVE BEEN DEVELOPED FOR COPD AND HEART FAILURE, BUT NOT YET FOR DIABETES. -THE STRATEGY WILL BE DEVELOPED USING EVIDENCE BASED DISEASE MANAGEMENT INFORMATION FROM SOURCES SUCH AS AMERICAN ASSOCIATION OF DIABETES EDUCATORS (AADE) AND INSIGNIA HEALTH'S COACHING FOR ACTIVATION. RESOURCES: MYGULFCARE (MGC) SOCIAL WORKER (SW), NURSE CARE MANAGERS (CM), AND PHARMACY ASSISTANCE PROGRAM COORDINATOR (PAP), GULF COUNTY HEALTH DEPARTMENT, FRANKLIN COUNTY HEALTH DEPARTMENT, SACRED HEART MEDIAL GROUP, SACRED HEART HOSPITAL CARE COORDINATION DEPARTMENT, SHHG EMERGENCY DEPARTMENT. MENTAL HEALTH AND SUBSTANCE ABUSE GOAL: INCREASE AWARENESS OF MENTAL HEALTH SERVICES IN GULF COUNTY STRATEGY/ACTIONS: PROVIDE EDUCATION TO THE COMMUNITY TO INCREASE AWARENESS OF SERVICES AVAILABLE AND REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND MENTAL ILLNESS. BACKGROUND: -AVERAGE NUMBER OF ADULT POOR MENTAL HEALTH DAYS IN GULF COUNTY (LAST 30 DAYS-COUNT): 7.5 VS STATE: 5.1. -MORE THAN 1 IN 5 OF THE GENERAL POPULATION RESPONDENTS AND 15% (N=) OF THE VULNERABLE POPULATION RESPONDENTS FEEL THAT MENTAL HEALTH IS ONE OF THE MOST IMPORTANT HEALTH ISSUES IN THE COUNTY (COMMUNITY SURVEY, 2015). -37% OF BOTH GENERAL AND VULNERABLE POPULATION RESPONDENTS INDICATED THAT THEY THINK MENTAL HEALTH SERVICES ARE DIFFICULT TO OBTAIN WITHIN GULF COUNTY. (COMMUNITY SURVEY, 2015) -30% OF THE GENERAL POPULATION RESPONDENTS AND 26% OF VULNERABLE RESPONDENTS DID NOT KNOW WHERE TO GO TO RECEIVE MENTAL HEALTH CARE. (COMMUNITY SURVEY, 2015) RESOURCES: SACRED HEART ON THE GULF (SHHG) STAFF, MEETING SPACE, PRINTING AND DISTRIBUTION, MYGULFCARE, GULF 211, FLORIDA DEPARTMENT OF HEALTH IN GULF COUNTY (FDOH-G), GULF COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PARTNERS. HEALTHY WEIGHT GOAL: REDUCE THE IMPACT OF OBESITY (BMI GREATER THAN 30.0) AND DIABETES IN GULF COUNTY. STRATEGY/ACTIONS: IMPROVE MYGULFCARE CLIENT SELF-MANAGEMENT OF WEIGHT AND BLOOD GLUCOSE LEVELS THROUGH EDUCATION AND COUNSELING. BACKGROUND: -ACCORDING TO THE FLORIDA DEPARTMENT OF HEALTH, THE NUMBER ONE PUBLIC HEALTH THREAT TO FLORIDA'S FUTURE IS UNHEALTHY WEIGHT. THE ESTIMATED ANNUAL MEDICAL COST FOR PEOPLE WHO ARE OBESE IS $1,429 HIGHER THAN THAT FOR PEOPLE OF HEALTHY WEIGHT (BMI=18.5-24.0) -CURRENTLY, ONLY 36% OF FLORIDIANS ARE AT A HEALTHY WEIGHT, AND ONLY 33% OF GULF COUNTY ADULTS ARE AT A HEALTHY WEIGHT. -OBESITY IS A MAJOR CONTRIBUTOR TO MANY PREVENTABLE CHRONIC DISEASES AND OTHER POOR HEALTH OUTCOMES, INCLUDING TYPE 2 DIABETES. -13.6% OF GULF COUNTY RESIDENTS ARE KNOWN TO HAVE DIABETES, WHICH IS UP FROM 7.6% DURING THE PRIOR REPORTING PERIOD AND EXCEEDS THE STATE RATE OF 11.2%. -TARGET POPULATION IS MYGULFCARE (MGC) CLIENTS. MGC IS A PROGRAM OF SHHG IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH IN GULF COUNTY (DOH-GULF) THAT TARGETS LOW INCOME GULF COUNTY RESIDENTS WITH CHRONIC DISEASE MANAGEMENT CHALLENGES. MYGULFCARE EMPLOYS A NONTRADITIONAL INDIVIDUALIZED APPROACH BY PROVIDING CHRONIC CARE NURSE COACHING TO ADDRESS BOTH HEALTHCARE AND SOCIAL SERVICES NEEDS. -NATIONAL STANDARDS FOR DSME RESOURCES: DIABETES EDUCATOR (DE), SHHEC/SHHP CDE MENTORS, DSMT COURSE MATERIAL, AMERICAN ASSOCIATION OF DIABETIC EDUCATORS (AADE) PATIENT EDUCATION DVDS, DIABETIC SELF-MANAGEMENT EDUCATION (DSME) EDUCATION GRANT, MYGULFCARE, PHARMACIES, HEALTH DEPARTMENT. OUTCOMES/ANTICIPATED IMPACT: -BY JUNE 2017, 50% OF MYGULFCARE CLIENTS PARTICIPATING IN DIABETIC SELF-MANAGEMENT EDUCATION WILL HAVE A MINIMUM OF 3% TOTAL WEIGHT LOSS AT 6 MONTH CHECK-IN.
Schedule H, Part V, Section B, Line 3E	B1 - Bay Medical Center To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed.
Schedule H, Part V, Section B, Line 5 Facility B, 1	Facility B, 1 - B1 - Bay Medical Center. In 2015, Sacred Heart Health System, Inc. ("SHHS"), the Florida Department of Health - Bay County ("DOH-Bay") and the Bay County Community Health Task Force (CHTF) worked together, in collaboration with other community organizations and agencies, to conduct a community health needs assessment (CHNA) for the approximately 175,000 residents of Bay County, Florida. The CHNA provides a snapshot in time of the community strengths, needs, and priorities. Guided by the Mobilization for Action through Planning and Partnerships (MAPP) process, the report is a result of a collaborative and participatory approach to community health planning and improvement. Improving the health of the community is critical to enhancing Bay County residents' quality of life and supporting its future prosperity and well-being. The following organizations were consulted during the CHNA process: Big Bend Community Based Care Big Bend AHEC Big Bend Health Councils LEAD Coalition Glenwood Community Partnership Early Education and Care, Inc. Tyndall Air Force Base Medical Reserve Corps West Rock Renew Counseling Anchorage Children's Home Department of Children and Families Nations Best Health Care Bay County Breastfeeding Connection St. Andrews Bay Center Salvation Army Gulf Coast State College Gulf Coast Regional Medical Center Career Source Gulf Coast Covenant Hospice Panama City Marina Institute Veterans Affairs BASIC of Northwest Florida Early Learning Coalition of Northwest Florida Red Cross of Northwest Florida Department of Health Life Management Center PanCare, Inc. United Way of Northwest Florida NCR/St. Andrews Towers Victory Temple Journey Pure Emerald Coast Youth Enrichment Services Twelve Oaks Recovery Ascendant Healthcare Partners West-Rock Paper Mill WIC Panama City News Herald Healthy Start 90 Works Catholic Charities of Northwest Florida Community Health Task Force Gulf Coast Children's Advocacy Center Global Arts Society St. Andrews State Park Emerald Coast Behavioral Hospital Panama City CRA ADA iHeart Media Second Chance of Northwest Florida AARP Bay County Chapter 315
Schedule H, Part V, Section B, Line 6b Facility B, 1	Facility B, 1 - B1- Bay Medical Center. The assessment process was led by SHHS and DOH-Bay, with active participation by community organizations and private and public agencies which collectively comprise the Bay County Community Health Task Force. The assessment process included community meetings/workshops and a community survey distributed both on-line and in paper format. More than 81 people representing more than 50 different community agencies and organizations and the general public participated in various meetings throughout the process. In addition, 1,538 Bay County residents completed the community survey. Particular focus was placed on obtaining input from vulnerable population groups.
Schedule H, Part V, Section B, Line 11 Facility B, 1	Facility B, 1 - B4 - Bay Medical Center. CHRONIC DISEASE GOAL: IMPROVE DISEASE MANAGEMENT RELATED TO CONGESTIVE HEART FAILURE STRATEGY/ACTIONS: RAISE AWARENESS OF RISK FACTORS AND EARLY INTERVENTIONS TO CHF PATIENTS FOR CHRONIC DISEASE MANAGEMENT. BACKGROUND: - READMISSIONS RELATED TO POORLY CONTROLLED DISEASE MANAGEMENT WITHIN THE COMMUNITY. HISTORICAL REVIEW OF READMISSIONS REVEALED FREQUENT READMISSIONS FROM EXTENDED CARE FACILITIES RELATED TO FLUID OVERLOAD AND A LACK OF FOLLOW-UP CARE WITHIN A TIMELY MANNER OF DISCHARGE. - TOGETHER, HEART DISEASE AND STROKE ARE AMONG THE MOST WIDESPREAD AND COSTLY HEALTH PROBLEMS FACING THE NATION TODAY, ACCOUNTING FOR MORE THAN $500 BILLION IN HEALTH CARE EXPENDITURES AND RELATED EXPENSES IN 2010 ALONE. FORTUNATELY, THEY ARE ALSO AMONG THE MOST PREVENTABLE. (HEALTHY PEOPLE 2020). RESOURCES: BAY MEDICAL CENTER / SACRED HEART CASE MANAGERS (CM) AND QUALITY STAFF (Q) WILL PARTNER WITH COMMUNITY RESOURCES. RESOURCES WITHIN OUR COMMUNITY: BAY COUNTY HEALTH DEPARTMENT (BCHD), EXTENDED CARE PARTNERS, SENIOR CITIZENS OUTREACH, HOME HEALTHCARE (HHC) ORGANIZATIONS, AND CHARITY NETWORK. MENTAL HEALTH AND SUBSTANCE ABUSE GOAL: INCREASE AWARENESS OF OUTPATIENT RESOURCES AVAILABLE WITHIN COMMUNITY FOR DEPRESSION AND RISK OF SUICIDE. STRATEGY/ACTIONS: EDUCATE COMMUNITY REGARDING LOCAL RESOURCES AVAILABLE FOR MENTAL HEALTH RISKS, SPECIFICALLY DEPRESSION AND SUICIDE. INSTITUTE FOLLOW UP DISCHARGE PHONE CALLS FOR AT-RISK PATIENTS. BACKGROUND: - THERE IS A LACK OF LOCAL AWARENESS OF THE RESOURCES AVAILABLE TO LOCAL RESIDENTS WHO ARE DEPRESSED OR SUICIDAL. THIS HAS BEEN EVIDENCED BY ROUTINE CRISIS ADMISSIONS WITHOUT PRIOR USE OF COMMUNITY RESOURCES. - MENTAL DISORDERS ARE AMONG THE MOST COMMON CAUSES OF DISABILITY. - SUICIDE DEATH RATE IN BAY COUNTY (2012-14) IS 20.9, EXCEEDING THE STATE RATE. - THE RESULTING DISEASE BURDEN OF MENTAL ILLNESS IS AMONG THE HIGHEST OF ALL DISEASES. (HEALTHY PEOPLE 2020) RESOURCES: BAY MEDICAL CENTER / SACRED HEART HOSPITAL ADMIN (H), MARKETING (M), CASE MANAGEMENT (CM) AND SOCIAL WORKERS (SW). LOCAL RESOURCES INCLUDE: AREA HEALTH EDUCATION COALITION (AHEC), BAY COUNTY HEALTH DEPARTMENT (BCHD), LIFE MANAGEMENT (LM), VETERANS AFFAIRS (VA), DEPARTMENT OF CHILDREN AND FAMILY SERVICES, AND LOCAL LAW ENFORCEMENT (LE). HEALTHY WEIGHT GOAL: INCREASE BREASTFEEDING OF NEWBORNS WITHIN BAY COUNTY. STRATEGY/ACTIONS: INCREASE AWARENESS OF HEALTH BENEFITS FOR NEWBORNS ASSOCIATED WITH BREASTFEEDING AND PROVIDE DIRECT SUPPORT AND RESOURCES TO MOTHERS DELIVERING AT BAY MEDICAL - SACRED HEART BACKGROUND: - BREASTFEEDING IS AN EVIDENCE-BASED INTERVENTION THAT REDUCES THE RISK OF CHILDHOOD OBESITY AS WELL AS DIABETES AND SIDS IN CHILDREN. (CDC) - BREASTFEEDING INITIATION RATE (2013-14) IS 72.6 PER 100,000 POPULATION AND IS LOWER THAN THE STATE RATE. RESOURCES: BAY MEDICAL CENTER / SACRED HEART HOSPITAL ADMIN (H), HOSPITAL STAFF (RN), QUALITY (Q) AND MARKETING (M). LOCAL RESOURCES INCLUDE HEALTHY START (HS), BAY COUNTY HEALTH DEPARTMENT (BCHD), LOCAL PEDIATRICIANS AND OB PHYSICIANS, BAY COUNTY BREASTFEEDING TASK FORCE (BCBTF).

Schedule H (Form 990) 2019

Page 9

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?57
Name and address		Type of Facility (describe)
1	GCMA 4 orthopedics 4541 N Davis Hwy Pensacola,FL32503	Diagnostic and Physician Services
2	GCMA 3 Sports Center 4521 N Davis Hwy Pensacola,FL32503	Diagnostic and Physician Services
3	Sacred Heart Seton for OBGYN 5045 Carpenters Creek Dr Pensacola,FL32503	Diagnostic and Physician Services
4	Ann L Baroco Center for Women's Health 5375 N 9th Avenue Pensacola,FL32504	Women's Health Center.
5	Regional Prenatal Center 5153 N 9th Avenue Pensacola,FL32504	Perinatal Center.
6	GCMA 5 Handcenter Rehab 4551 N Davis Hwy Pensacola,FL32503	Diagnostic and Physician Services
7	Tiger Point Medical Park 4033 Gulf Breeze Pkwy Gulf Breeze,FL32563	Diagnostic and Physician Services
8	SHMG Gulf Breeze (Westafer) 2569 Gulf Breeze Pkwy Gulf Breeze,FL32563	Diagnostic and Physician Services
9	SRMC Cardiology 5992 Berryhill Road Ste 302 Milton,FL32570	Diagnostic and Physician Services
10	Outpatient Rehabilitation Center 4406 N David Hwy Pensacola,FL32503	Rehabilitation Center.
11	Sacred Heart Medical Park-Airport 1549 Airport Blvd Pensacola,FL32504	Diagnostic and Physician Services
12	Sacred Heart Medical Park-Pace 3754 Hwy 90 Pace,FL32571	Diagnostic and Physician Services
13	Sacred Heart Cancer Center 1545 Airport Blvd Pensacola,FL31504	Cancer Care
14	Pine Forest Commons 2107 W Nine Mile Road Suite 2/3 Pensacola,FL32534	Diagnostic and Physician Services
15	SHMG Pediatrics 15 Daniel Drive Gulf Breeze,FL32561	Diagnostic and Physician Services
16	SHMG Pediatrics Milestone 185 Crossville St Cantonment,FL32533	Diagnostic and Physician Services
17	SHMG Crestview Pediatrics 332 Medcrest Dr Crestview,FL32536	Diagnostic and Physician Services
18	SHMG Downtown Pensacola 151 Main Street Pensacola,FL32513	Diagnostic and Physician Services
19	Sacred Heart Occ Health Strategies 6665 Pensacola Blvd Pensacola,FL32505	Rehabilitation Center.
20	Occupational Health Strategies 4412 N Davis Hwy Pensacola,FL32503	Occupational Health.
21	SHMG Rheumatology Pensacola 2441 North 9th Ave Pensacola,FL32503	Diagnostic and Physician Services
22	SHMG Pace 5 points 5607 Woodbine Rd Pace,FL32571	Diagnostic and Physician Services
23	SHMG Beckric PC 120 Richard Jackson Blvd Suite 100 120 and 180 Panama City,FL32547	Diagnostic and Physician Services
24	Mack Bayou 2 27 Mack Bayou loop Santa Rosa,FL32549	Diagnostic and Physician Services
25	Rehab Center 4929 Mobile Hwy Pensacola,FL32526	Rehabilitation Center.
26	Walgreens 8220 Navarre Parkway Pensacola,FL32566	Pharmacy Services.
27	SHMG Freeport 281 St Hwy 20 East Freeport,FL32563	Diagnostic and Physician Services
28	Walgreens 2237 W Nine Mile road Cantonment,FL32533	Pharmacy Services.
29	Walgreens #5581 6314 N 9th Avenue Pensacola,FL32504	Pharmacy Services.
30	Sacred Heart Cardiac Rehab Center 1601 Airport Blvd Pensacola,FL32501	Cardio Pulmanary services
31	Somerby SHHEC Primary Care OP 164 W Hewitt Road Santa Rosa Beach,FL32549	Diagnostic and Physician Services
32	Bluewater Bay 4586 Hwy 20 Niceville,FL32578	Diagnostic and Physician Services
33	Walgreens 3909 Hwy 90 Pace,FL32507	Pharmacy Services.
34	Sacred Heart Pediatric Care Center 1675 Trinity Drive Pensacola,FL32504	Pediatric Care
35	SHMG Pediatrics PACE 5565 Woodbine Road Pace,FL32570	Diagnostic and Physician Services
36	Sacred Heart Pulmonary Rehab Center 1601 Airport Blvd Pensacola,FL32501	Cardio Pulmanary services
37	Outpatient Laboratories 1549 Airport Blvd Pensacola,FL32504	Diagnostic and Physician Services
38	Laboratory Services 5151 N 9th Ave Pensacola,FL32504	Laboratory Services.
39	Laboratory Services 4511 N Davis Hwy Pensacola,FL32503	Laboratory Services.
40	Laboratory Services 400 Milestone Blvd Pensacola,FL32533	Laboratory Services.
41	Laboratory Services 3754 El Rito Drive Pensacola,FL32407	Laboratory Services.
42	Laboratory Services 13137 Sorrento Road Pensacola,FL32507	Laboratory Services.
43	Rehab Center 3754 Hwy 90 Pensacola,FL32571	Rehabilitation Center.
44	Rehab Center 3408 Santa Rosa Dr Pensacola,FL32563	Rehabilitation Center.
45	Rehab Center 13137 Sorrento Road Pensacola,FL32507	Rehabilitation Center.
46	Sacred Heart Pharmacy 5149 N 9th Avenue Pensacola,FL32514	Pharmacy Services.
47	Surgical Weight Loss Center 5149 N 9th Avenue Pensacola,FL32514	Weight Loss Center.
48	SHMG GCMA 2 4501 N Davis Hwy Pensacola,FL32503	Diagnostic and Physician Services
49	Autism Pensacola 5164 Bayou Blvd Pensacola,FL32503	Diagnostic and Physician Services
50	Apalachicola OP Rehab 76 Market Street Unit CD Apalachicola,FL32320	Diagnostic and Physician Services
51	Pediatrics FWB 1025 Beal Pkwy Ft Walton Beach,FL32547	Diagnostic and Physician Services
52	SHMG FT Walton Beach North Given 2010 Lewis Turner Blvd Ft Walton Beach,FL32547	Diagnostic and Physician Services
53	SHMG Destin Arcon Surgery Ctr 36500 Emerald Coast Pkwy Destin,FL32541	Diagnostic and Physician Services
54	SHMG at Pea Ridge 4435 Hwy 90 Pace,FL32571	Diagnostic and Physician Services
55	Mack Bayou 141 Mack Bayou Loop Suite 201 and 2 02 Santa Rosa Beach,FL32459	Diagnostic and Physician Services
56	Port St Joe MOB 3871 E Hwy 98 Port St Joe,FL32456	Diagnostic and Physician Services
57	Sacred Heart Urgent Care 6665 Pensacola Blvd Pensacola,FL32505	Diagnostic and Physician Services

Schedule H (Form 990) 2019

Page 10

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 V, Section B, Line 16a THE FAP WAS WIDELY AVAILABLE ON WEBSITE	Facility Group A - Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Financial-Assistance
Schedule H, Part V, Section B, Line 16b THE FAP APPLICATION WAS WIDELY AVAILABLE ON WEBSITE	Facility Group A - Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Financial-Assistance
Schedule H, Part V, Section B, Line 16c A PLAIN LANGUAGE SUMMARY OF THE FAP WEBSITE	Facility Group A - Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Financial-Assistance
Schedule H, Part I, Line 3c Medical Indigency	Per the FAP of Sacred Heart Health System, Inc., patients with demonstrated financial needs with income greater than the maximum FPL Percentage for each location may be eligible for consideration under a "Means Test" for some discount of their charges for services from the Organization based on a substantive assessment of their ability to pay. Maximum owed by any patient per episode of care or account is 10% of gross household income. A Patient eligible for the "Means Test" discount will not be charged more than the calculated AGB charges.
Schedule H, Part I, Line 3c Insurance Status	Per the FAP of Sacred Heart Health System, Inc., for a Patient that participates in certain insurance plans that deem the Organization to be "out-of-network," the Organization may reduce or deny the financial assistance that would otherwise be available to Patient based upon a review of Patient's insurance information and other pertinent facts and circumstances.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within 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 Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2018 was $18,585,558 at charges, ($5,025,761 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	SACRED HEART HEALTH SYSTEM, INC. HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, WE DO NOT TYPICALLY HAVE MUCH TO REPORT AS BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. THEREFORE, WE DO NOT INCLUDE THIS PORTION OF BAD DEBT AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.
Schedule H, Part V, Section B, Line 16a FAP website	A - Sacred Heart Hospital: Line 16a URL: SEE PT VI; B - Bay Medical Center: Line 16a URL: https://baymedical.org/florida-pricing-transparency/financial-assistance-programs;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - Sacred Heart Hospital: Line 16b URL: SEE PT VI; B - Bay Medical Center: Line 16b URL: https://baymedical.org/florida-pricing-transparency/financial-assistance-programs;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - Sacred Heart Hospital: Line 16c URL: SEE PT VI; B - Bay Medical Center: Line 16c URL: https://baymedical.org/florida-pricing-transparency/financial-assistance-programs;
Schedule H, Part VI, Line 2 Needs assessment	The Comprehensive Community Health Needs Assessment (CHNA) provides the general public as well as policy leaders with data and information on the health status of the population and existing resources to address health issues. Conducted in collaboration with the Partnership for a Healthy Community (Sacred Heart Hospital in Pensacola), the Walton County Health Improvement Partnership and the Florida Department of Health-Walton County (Sacred Heart Hospital on the Emerald Coast), and the Florida Department of Health-Gulf County (Sacred Heart Hospital on the Gulf) as well as the plans for Sacred Heart Health System to sustain and develop new community benefit programs that address prioritized needs from the study. The community enjoys a rich history of cooperation as Sacred Heart Health System and Baptist Health Care have jointly-sponsored four assessments of Escambia and Santa Rosa Counties in Northwest Florida since 1995. The studies have been widely used by the two competing organizations and many other health care providers in the market area to develop plans for addressing priority health needs. The Partnership study conducted by Florida HealthTrac provides current and trended data on 234 health indicators for Escambia County and 233 for Santa Rosa County. The study reports data at county and zip code levels, and includes comparisons to peer counties in the State of Florida, as well as at the national level. The study also incorporates key demographic and socioeconomic data, and data on lifestyle/behavioral risk factors that impact health status. The assessment tool enables Sacred Heart Health System the ability to track community health needs on an annual basis as it is aggregated from various sources within the State of Florida constantly updated in real time. Studies of Walton and Gulf Counties continue to bear evidence of similar health outcomes as those experienced in Escambia and Santa Rosa Counties. Florida ranks near the bottom nationally for public and preventative health funded outlays. Walton County is designated as a primary care Health Professional Shortage Population and a Medically Underserved Population for low-income persons. Health priorities for Escambia/Santa Rosa include smoking cessation, attaining and maintaining a healthy weight, and access/care navigation. The priorities for Walton County include healthy behaviors, preventative care and health resource awareness. Gulf County priorities include a healthy economy, health and care management resources, and mental health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Financial counselors assist individuals who do not have insurance to qualify for Medicaid, SCHIP, and other programs. Counselors are trained not only in the policy, program and form processes, but also to respond with compassion, understanding and sensitivity toward persons living in poverty. These services are available at established patient encounter locations such as pre-registration, registration, admissions and discharge, or at any other time requested along the continuum of patient care. Further, trained counselors may assist with charity care or discount care based on the patient's personal income, their assets, and the size of their medical services bill. Self-pay patients are granted an uninsured self-pay ranging from 72% to 79% depending on the health ministry's AGB (amounts generally billed) applied to their total charges. A summary of financial assistance services, policies and programs are found on the health system website, posted predominately in key areas and made available through brochures. A Guide to your Hospital Bill outlines payment and assistance options and it can be found in most areas of the hospital including admitting, emergency department, and diagnostic services.
Schedule H, Part VI, Line 4 Community information	Sacred Heart Health System provides primary, secondary, and tertiary health care services to residents of the communities we serve. This includes the greater Pensacola MSA consisting of Escambia and Santa Rosa Counties, and Okaloosa, Walton, Bay, Gulf and Franklin Counties in Northwest Florida and Baldwin and Escambia counties in Southwest Alabama. There is special emphasis on service to the poor and those most in need. The system includes the flagship 566 bed medical, surgical acute care hospital in Pensacola, Florida. Housed within the Pensacola facility is the 106 bed Children's Hospital, the only one in Northwest Florida. Sacred Heart Hospital on the Emerald Coast is a 58 bed medical surgical hospital located in Miramar Beach, Florida. Sacred Heart Hospital of the Gulf is a 19 bed medical surgical hospital located in Port St. Joe, FL. In 2013, Sacred Heart Health System entered into a joint venture with LHP Hospital Group, Inc. to operate 323-bed Bay Medical - Sacred Heart located in Panama City, Florida. The regional referral center serves Bay County and surrounding communities. Sacred Heart Health System also provides long-term care and operates a 120 bed long-term care, The Haven of Our Lady of Peace in Pensacola, which is a joint venture with the Methodist Homes for the Aging.
Schedule H, Part VI, Line 5 Promotion of community health	Sacred Heart Health System provides many community benefits such as social services, pastoral care, community meeting space, and health education, all at no charge. SHHS has an open medical staff with privileges available to all qualified physicians in the area. The system is governed by a body of SHHS leaders with independent persons, representative of the community, comprising a majority of the board. It also engages in medical or scientific research programs and in the training and education of health care professionals. Another facility and program that promotes the health of the community includes a Pediatric Medical Clinic. The Seton Center for Obstetrics and Gynecology provides services to low-income women eligible for Medicaid.
Schedule H, Part VI, Line 6 Affiliated health care system	SACRED HEART HEALTH SYSTEM, INC. AND SUBSIDIARIES (THE HEALTH MINISTRY) 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 22 OF THE UNITED STATES AND DISTRICT OF COLUMBIA. ASCENSION HEALTH, AN OFFICIAL MINISTRY OF THE CATHOLIC CHURCH MAINTAINS ITS AFFILIATION THROUGH ASCENSION SPONSOR WHICH CONSISTS OF LAY PERSONS AS WELL AS APOSTOLIC ORDERS OF RELIGIOUS MEN AND WOMEN. THE RELIGIOUS ORDERS CONSIST OF THE ST. LOUISE PROVINCE OF THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, CONGREGATION OF ST. JOSEPH, CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET, AND THE ALEXIAN BROTHERS, AND THE SISTERS OF THE SORROWFUL MOTHER. THE HEALTH SYSTEM'S PRINCIPAL OPERATIONS CONSIST OF THREE NONPROFIT ACUTE CARE HOSPITALS: SACRED HEART HOSPITAL IS LOCATED IN PENSACOLA, FLORIDA; SACRED HEART HOSPITAL ON THE EMERALD COAST IS LOCATED IN MIRAMAR BEACH, FLORIDA, AND SACRED HEART HOSPITAL ON THE GULF, LOCATED IN PORT ST. JOE, FLORIDA. A FOURTH HOSPITAL, BAY MEDICAL - SACRED HEART LOCATED IN PANAMA CITY, FLORIDA IS A FOR-PROFIT JOINT VENTURE WITH LHP HOSPITAL GROUP, INC. THE HEALTH SYSTEM ALSO OWNS AND OPERATES OTHER HEALTH CARE RELATED ENTITIES, INCLUDING A LONG TERM CARE NURSING FACILITY AND A PHYSICIANS' MEDICAL GROUP. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWEST FLORIDA AND SOUTHWEST ALABAMA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. THE HEALTH SYSTEM IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH ARE RELATED TO PROVIDING HEALTH CARE SERVICES. ASCENSION HEALTH DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE, WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH ASCENSION HEALTH'S MISSION OF SERVICE TO THOSE WHO ARE POOR AND VULNERABLE, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY OF PAY. ASCENSION HEALTH USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS WHO ARE POOR AND COMMUNITY BENEFIT PROGRAMS. TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. UNPAID COST OF PUBLIC PROGRAMS REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR THE POOR. COST OF OTHER PROGRAMS FOR THE POOR INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE POOR AND VULNERABLE OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE POOR, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS WHO ARE POOR AND COMMUNITY BENEFIT PROGRAMS 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). MAINTAINING GOOD HEALTH HAS BEEN SHOWN TO POSITIVELY AFFECT AN INDIVIDUAL'S ABILITY TO MAINTAIN EMPLOYMENT AND HOUSING. IT IS EXTREMELY DIFFICULT FOR HOMELESS INDIVIDUALS TO RECEIVE QUALITY HEALTH CARE SERVICES. IN RECENT YEARS, SHHS HOSPITAL EMERGENCY ROOMS HAVE BEEN INUNDATED WITH PATIENTS WHO HAVE NON-CRITICAL HEALTH CONCERNS DUE TO LACK OF INSURANCE, FUNDING, AND HOMELESSNESS. THESE PATIENTS ARE OFTEN LEFT WITH NO OTHER CHOICE BUT TO USE EMERGENCY ROOMS FOR ILLNESSES THAT CAN BE TREATED THROUGH PRIMARY CARE HEALTH SERVICES. BASED ON THE FINDINGS OF THE 2012 HEALTH NEEDS ASSESSMENT, THE SYSTEM JOINED A COALITION OF PROVIDERS AND AGENCIES TO FOCUS ON IMPROVING ACCESS AND CARE MANAGEMENT.
Schedule H, Part VI, Line 7 State filing of community benefit report	FL

Schedule H (Form 990) 2019

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
Sacred Heart Health System Inc

Employer identification number
59-0634434

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" on 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	(h) Purpose of grant or assistance
(1) ESCAMBIA COMMUNITY CLINICS INC 14 WEST JORDAN ST STE 2G PENSACOLA,FL32501	59-3105246	501(C)(3)	365,808	OPERATING SUPPORT
(2) HOPE MEDICAL CLINIC 150 BEACH DRIVE DESTIN,FL32541	26-3811078	501(C)(3)	140,000	OPERATING SUPPORT
(3) CROSSROADS CENTER INC 444 VALPARAISO PKWY STE 203 VALPARAISO,FL32580	20-5518720	501(C)(3)	15,000	OPERATING SUPPORT
(4) ST VINCENT'S FOUNDATION 4205 BELFORT ROAD JACKSONVILLE,FL32216	59-2219923	501(C)(3)	10,000	OPERATING SUPPORT
(5) NW FL COMMUNITY HOUSING DEVELOPMENT 300 W LEONARD ST PENSACOLA,FL32501	47-1093103	501(C)(3)	193,644	OPERATING SUPPORT
(6) SACRED HEART FOUNDATION 5151 N 9TH AVENUE PENSACOLA,FL32504	59-2436597	501(C)(3)	2,013,180	OPERATING SUPPORT
(7) CATHOLIC CHARITIES OF NW FLORIDA PO BOX 6330 PENSACOLA,FL32503	59-3213644	501(C)(3)	5,450	OPERATING SUPPORT
(8) ASCENDANT PARTNERSHIP 101 PALAFOX PLACE 170 PENSACOLA,FL32502	81-3039709		5,000	OPERATING SUPPORT
(9) NATIONAL FLIGHT ACADEMY 1750 RADFORD RD STE B PENSACOLA,FL32508	59-6178237	501(C)(3)	102,512	OPERATING 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) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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 Procedures for monitoring use of grant funds.

All grant funds awarded to Sacred Heart Health System, Inc. are monitored and administered by administration leaders in Operations. Operations monitor expenditures to ensure that use of the funds is consistent with the requirements in the applicable award agreement/contract. Sacred Heart Health System, Inc. requires that support be maintained for all qualified expenditures of grant funds. Finance meets with Operations on an annual basis before fiscal year end to review their operating budgets for compliance.

Schedule I (Form 990) 2019

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- 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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Sacred Heart Health System Inc

Employer identification number

59-0634434

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 on 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 on 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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on 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) 2019

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 on 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 on 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)
1SUSAN L DAVIS RN DIRECTOR, PRESIDENT/CEO (END 4/2018)	(i) (ii)	0 ------------- 763,052	0 ------------- 1,101,437	0 ------------- 8,411,902	0 ------------- 16,200	0 ------------- 19,673	0 ------------- 10,312,263	0 ------------- 8,189,093
2DENISE BARTON FORMER KEY EMPLOYEE (END 12/2015)	(i) (ii)	0 ------------- 0	0 ------------- 0	135,682 ------------- 0	0 ------------- 0	1,061 ------------- 0	136,743 ------------- 0	0 ------------- 0
3CAROL C WHITTINGTON FORMER OFFICER (END 6/2015)	(i) (ii)	0 ------------- 342,634	0 ------------- 499,763	0 ------------- 84,266	0 ------------- 17,550	0 ------------- 24,712	0 ------------- 968,925	0 ------------- 0
4C SUSAN CORNEJO CHIEF FINANCIAL OFFICER - SHHS	(i) (ii)	36,565 ------------- 365,157	0 ------------- 248,229	750 ------------- 52,971	571 ------------- 15,629	2,004 ------------- 19,061	39,891 ------------- 701,047	0 ------------- 0
5KERRY EATON CHIEF OPERATING OFFICER (END 10/2017)	(i) (ii)	363,943 ------------- 0	377,987 ------------- 0	70,474 ------------- 0	17,550 ------------- 0	15,209 ------------- 0	845,163 ------------- 0	0 ------------- 0
6KAREN EMMANUEL GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER (END 12/2017)	(i) (ii)	0 ------------- 230,466	0 ------------- 160,024	0 ------------- 527,722	0 ------------- 16,489	0 ------------- 8,211	0 ------------- 942,912	0 ------------- 0
7J HENRY STOVALL III PRESIDENT, SHHS (START 1/2018)	(i) (ii)	394,815 ------------- 0	268,681 ------------- 0	63,268 ------------- 0	14,850 ------------- 0	19,261 ------------- 0	760,874 ------------- 0	0 ------------- 0
8MICHELLE ADAMOLEKUN VP HR-MINISTRY MKT GULF COAST-JAX-BIR	(i) (ii)	0 ------------- 248,838	0 ------------- 141,041	0 ------------- 39,395	0 ------------- 16,171	0 ------------- 20,045	0 ------------- 465,489	0 ------------- 0
9ROGER HALL PRESIDENT - SHHEC & SHHG	(i) (ii)	340,124 ------------- 0	158,147 ------------- 0	103,078 ------------- 0	17,550 ------------- 0	17,589 ------------- 0	636,488 ------------- 0	23,453 ------------- 0
10JOHN HALSTEAD CHIEF MISSION INTEGRATION OFFICER	(i) (ii)	281,823 ------------- 0	119,542 ------------- 0	28,614 ------------- 0	5,735 ------------- 0	25,230 ------------- 0	460,944 ------------- 0	0 ------------- 0
11NINA JEFFORDS CNO - GULF COAST HEALTH SYSTEM	(i) (ii)	248,306 ------------- 0	59,612 ------------- 0	50,052 ------------- 0	17,002 ------------- 0	9,425 ------------- 0	384,397 ------------- 0	0 ------------- 0
12PETER J JENNINGS CHIEF MEDICAL OFFICER	(i) (ii)	374,681 ------------- 0	75,189 ------------- 0	25,803 ------------- 0	13,500 ------------- 0	24,009 ------------- 0	513,182 ------------- 0	0 ------------- 0
13JULES KARIHER CHIEF ADVOCACY OFFICER	(i) (ii)	177,885 ------------- 0	24,624 ------------- 0	8,039 ------------- 0	9,173 ------------- 0	1,917 ------------- 0	221,637 ------------- 0	0 ------------- 0
14STEPHEN R MAYFIELD CHIEF QUALITY OFFICER	(i) (ii)	166,017 ------------- 0	0 ------------- 0	45,813 ------------- 0	7,819 ------------- 0	11,795 ------------- 0	231,444 ------------- 0	0 ------------- 0
15ROBERT MURPHY PRES-ADMIN AMG GULF COAST MARKET	(i) (ii)	312,324 ------------- 0	91,776 ------------- 0	26,180 ------------- 0	13,500 ------------- 0	25,741 ------------- 0	469,521 ------------- 0	0 ------------- 0
16GARY PABLO MD CMO, SHHEC & SHHG	(i) (ii)	381,544 ------------- 0	85,198 ------------- 0	40,860 ------------- 0	17,550 ------------- 0	17,951 ------------- 0	543,103 ------------- 0	0 ------------- 0
17ROGER A POITRAS JR CHIEF STRATEGY OFFICER	(i) (ii)	324,452 ------------- 0	245,568 ------------- 0	42,765 ------------- 0	14,850 ------------- 0	22,990 ------------- 0	650,626 ------------- 0	0 ------------- 0
18DAVID G POWELL CHIEF RESOURCE OFFICER	(i) (ii)	0 ------------- 280,927	0 ------------- 56,058	0 ------------- 2,612	0 ------------- 17,550	0 ------------- 18,475	0 ------------- 375,623	0 ------------- 0
19DOUGLAS A ROSS SVP CLINICAL INTEGRATION	(i) (ii)	516,736 ------------- 0	431,398 ------------- 0	110,049 ------------- 0	14,850 ------------- 0	26,956 ------------- 0	1,099,989 ------------- 0	0 ------------- 0
20MORRIS SIMHACHALAM MD CMO	(i) (ii)	412,469 ------------- 0	100,242 ------------- 0	46,453 ------------- 0	17,550 ------------- 0	26,612 ------------- 0	603,326 ------------- 0	0 ------------- 0
21TERESA D SMITH COO	(i) (ii)	238,905 ------------- 0	56,445 ------------- 0	20,059 ------------- 0	15,438 ------------- 0	9,280 ------------- 0	340,126 ------------- 0	0 ------------- 0
22AMY D WILSON CNO (END 1/2017)	(i) (ii)	8,490 ------------- 272,997	0 ------------- 110,098	44 ------------- 20,196	419 ------------- 14,229	682 ------------- 17,967	9,634 ------------- 435,486	0 ------------- 0
23ROHIT R AMIN MD PHYSICIAN	(i) (ii)	773,247 ------------- 0	116,251 ------------- 0	35,028 ------------- 0	14,850 ------------- 0	24,122 ------------- 0	963,498 ------------- 0	0 ------------- 0
24MARK S BOATRIGHT MD PHYSICIAN	(i) (ii)	490,154 ------------- 0	216,358 ------------- 0	332,493 ------------- 0	16,200 ------------- 0	31,433 ------------- 0	1,086,639 ------------- 0	327,034 ------------- 0
25SAMUEL DEMETRIOS CRITIDES MD PHYSICIAN	(i) (ii)	437,541 ------------- 0	709,797 ------------- 0	2,922 ------------- 0	8,100 ------------- 0	36,207 ------------- 0	1,194,566 ------------- 0	0 ------------- 0
26KURT L MORRISON DO PHYSICIAN	(i) (ii)	289,932 ------------- 0	733,311 ------------- 0	2,718 ------------- 0	14,850 ------------- 0	36,091 ------------- 0	1,076,902 ------------- 0	0 ------------- 0
27JUAN FELIX RONDEROS MD PHYSICIAN	(i) (ii)	437,938 ------------- 0	764,670 ------------- 0	6,342 ------------- 0	13,500 ------------- 0	28,266 ------------- 0	1,250,716 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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 SACRED HEART HEALTH SYSTEM, INC. USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2017: Karen Emmanuel - $69,231 Denise Barton - $133,796
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 executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted: Susan L Davis - $8,189,093 Roger Hall - $23,453 Mark S Boatright - $327,034

Schedule J (Form 990) 2019

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Sacred Heart Health System Inc

Employer identification number

59-0634434

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( COMPUTER EQUIPMENT )	X	1	57,300	Market value
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2019)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Schedule M, Part I Explanations of reporting method for number of contributions	Other - COMPUTER EQUIPMENT NUMBER OF CONTRIBUTIONS

Schedule M (Form 990) (2019)

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

Sacred Heart Health System Inc

Employer identification number

59-0634434

Return Reference	Explanation
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ASCENSION HEALTH AND ITS SUBSIDIARY ORGANIZATIONS. ASCENSION HEALTH IS THE NATIONAL HEALTH SYSTEM PARENT. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY 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 MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	Sacred Heart Health System, Inc. has a single corporate member, Gulf Coast Health System.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Sacred Heart Health System, Inc. has a single corporate member, Gulf Coast Health System, who has the ability to elect members to the governing body of Sacred Heart Health System, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic and financial plans; assets; system policies and procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES 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 MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
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 A Related Entities	The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Contracted Services Revenue - Total Revenue: 337456, Related or Exempt Function Revenue: 337456, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: 508282, Related or Exempt Function Revenue: 508282, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Billing Service Revenue - Total Revenue: 54616, Related or Exempt Function Revenue: 54616, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income from Affiliates - Total Revenue: 106144, Related or Exempt Function Revenue: 106144, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Education Revenue - Total Revenue: 143567, Related or Exempt Function Revenue: 143567, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Escheatment Revenue - Total Revenue: 16302, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 16302; Medical Records Fees - Total Revenue: 13924, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 13924; Miscellaneous Revenue - Total Revenue: 1578399, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1578399; Research Revenues - Total Revenue: 1007502, Related or Exempt Function Revenue: 270363, Unrelated Business Revenue: 737139, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER FROM ALPHA FUND - 61495216; DISTRIBUTION TO JV PARTNER - 121462; FAS 98 ADJUSTMENT - -422373;
Form 990, Part XII, Line 2c oversight of audit or selection committee	Sacred Heart Health System, Inc. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.
Form 990, Part XII, Line 2b Audited Financial Statements	The activity of Sacred Heart Health System, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Sacred Heart Health System, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Sacred Heart Health System, Inc.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Sacred Heart Health System Inc

Employer identification number

59-0634434

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) Northwest Florida Health Partners LLC 5151 N 9th Avenue Pensacola,FL32504 59-3519881	Health Partners	FL	3,371,439	26	Sacred Heart Health System Inc
(2) Children's Quality Alliance LLC 5151 N 9th Avenue Pensacola,FL32504	PEDIATRIC CLINICALLY INTEGRATED NETWORK	FL	0	0	SACRED HEART HEALTH SYSTEM 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,MO63145 45-3358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA		No
(2)ASCENSION HEALTH PO BOX 45998 ST LOUIS,MO63145 31-1662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE		No
(3)GULF COAST HEALTH SYSTEM 6801 AIRPORT BLVD MOBILE,AL36608 63-0934712	HEALTH SYSTEM	AL	501(c)(3)	Type III-FI	ASCENSION HEALTH		No
(4)PROVIDENCE HOSPITAL 6801 AIRPORT BLVD MOBILE,AL36608 63-0288861	HOSPITAL	AL	501(c)(3)	3	GULF COAST HEALTH SYSTEM	Yes
(5)PROVIDENCE FOUNDATION 6801 AIRPORT BLVD MOBILE,AL36608 63-0915493	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	7	GULF COAST HEALTH SYSTEM	Yes
(6)SETON MEDICAL MANAGEMENT 6801 AIRPORT BLVD MOBILE,AL36608 63-0937704	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	Type II	GULF COAST HEALTH SYSTEM	Yes
(7)PROVIDENCE BUILDING CORPORATION 6801 AIRPORT BLVD MOBILE,AL36608 63-0914564	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(2)		GULF COAST HEALTH SYSTEM	Yes
(8)HAVEN OF OUR LADY OF PEACE INC 5151 N 9TH AVENUE PENSACOLA,FL32504 59-3620346	NURSING HOME	FL	501(c)(3)	10	SACRED HEART HEALTH SYSTEM	Yes
(9)SACRED HEART HEALTH VENTURES INC 5151 N 9TH AVENUE PENSACOLA,FL32504 57-1183283	INVESTMENT	FL	501(c)(3)	Type I	SACRED HEART HEALTH SYSTEM	Yes
(10)SACRED HEART FOUNDATION INC 5151 N 9TH AVENUE PENSACOLA,FL32504 59-2436597	FOUNDATION	FL	501(c)(3)	7	SACRED HEART HEALTH SYSTEM	Yes
(11)ALABAMA PROVIDENCE HEALTHCARE SERVICES 6801 AIRPORT BLVD MOBILE,AL36608 46-2847744	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	10	GULF COAST HEALTH SYSTEM	Yes
(12)Partnership for a Healthy Community Inc 4771 Bayou Blvd Suite 3 PMB 197 Pensacola,FL32503 59-3393911	PROMOTE PUBLIC HEALTH	FL	501(c)(3)	7	SACRED HEART HEALTH SYSTEM INC AND BAPTIST HEALTH CARE CORPORATION	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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
(1) INTERVENTIONAL REHABILITATION CENTER LLC 1549 AIRPORT BOULEVARD STE 420 PENSACOLA,FL32503 59-3673361	MEDICAL SERVICES	FL	NA	N/A
(2) PET LLC 5149 NORTH 9TH AVENUE SUITE 124 PENSACOLA,FL32504 59-3788701	MEDICAL SERVICES	FL	NA	N/A
(3) ENDOSCOPY GROUP LLC 4810 NORTH DAVIS HIGHWAY PENSACOLA,FL32503 59-3519881	MEDICAL SERVICES	FL	NA	N/A
(4) SOUTH COAST REAL ESTATE VENTURE LLC 5907 HIGHWAY 90 MOSS POINT,MS39563 45-5599047	OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING	MS	NA	N/A

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	(h) Percentage ownership	(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) PROVIDENCE PARK Inc PO BOX 850429 MOBILE,AL36685 63-0886846	REAL ESTATE	AL	NA	C Corporation				Yes
(2) MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC 6801 AIRPORT BLVD MOBILE,AL36608 46-1130426	HEALTHCARE SERVICES	MS	NA	C Corporation				Yes
(3) GULF COAST DIVERSIFIED INC 5154 NORTH 9TH AVENUE PENSACOLA,FL32507 59-2432798	INVESTMENT	FL	SACRED HEART HEALTH SYSTEM INC	C Corporation	3,098,633	20,096,510	100 %	Yes

Schedule R (Form 990) 2019

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) ............................

Yes

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) ......................

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

Yes

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) ............................

Yes

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

Yes

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

Yes

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) GULF COAST DIVERSIFIED INC	L	313,610	FAIR MARKET VALUE
(2) GULF COAST DIVERSIFIED INC	Q	93,423	FAIR MARKET VALUE
(3) HAVEN OF OUR LADY OF PEACE INC	L	9,833,482	FAIR MARKET VALUE
(4) SACRED HEART FOUNDATION INC	C	1,154,921	FAIR MARKET VALUE
(5) SACRED HEART HEALTH VENTURES INC	S	737,400	FAIR MARKET VALUE
(6) SACRED HEART FOUNDATION INC	B	2,013,180	FAIR MARKET VALUE
(7) GULF COAST DIVERSIFIED INC	C	850,000	FAIR MARKET VALUE

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:	17005876
Software Version:	2017v2.2

1	Briefly describe the organization’s mission or most significant activities: To improve the health and well-being of all people in the communities we serve.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	6,189
6	Total number of volunteers (estimate if necessary) .............	6	480
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,081,219
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	778,205

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,751,506	4,755,934
9	Program service revenue (Part VIII, line 2g) .........	858,368,184	879,253,852
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	496,539	-80,287
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	14,603,398	20,299,260
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	877,219,627	904,228,759
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	750,713	2,861,355
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	399,109,820	412,801,797
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)....	454,341,215	483,958,146
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	854,201,748	899,621,298
19	Revenue less expenses. Subtract line 18 from line 12.......	23,017,879	4,607,461
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	573,659,748	619,036,592
21	Total liabilities (Part X, line 26).............	366,463,683	346,038,761
22	Net assets or fund balances. Subtract line 21 from line 20.....	207,196,065	272,997,831

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 631,487,223 including grants of $ 2,861,355 ) (Revenue $ 881,626,063 )
	Sacred Heart Health System, Inc. is a 566-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Sacred Heart Health System, Inc. treated 31,057 adults and children for a total of 141,449 patient days of service. The hospital also provided services for 1,510,313 outpatient visits, which included 18,334 outpatient surgeries and 147,802 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses631,487,223

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	12,840,170	13,959,783	921,198

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,062,221
e	Government grants (contributions)		1e	2,551,537

f	All other contributions, gifts, grants, and similar amounts not included above		1f	142,176

g	Noncash contributions included in lines 1a - 1f:$		1g	57,300

h Total. Add lines 1a-1f.......		4,755,934

		Business Code
2a	Net Patient Service Revenue	621990	852,116,189	850,772,109	1,344,080
b	Services to Affiliates	561000	10,534,752	10,534,752
c	Pharmacy Revenue	446110	11,558,651	11,558,651
d	Shared Savings Revenue	900099	3,492,779	3,492,779
e	State Program Revenue	900099	544,983	544,983
f	All other program service revenue.		1,006,498	1,006,498	0	0
g	Total. Add lines 2a–2f .....		879,253,852

3 Investment income (including dividends, interest, and othersimilar amounts) ......			613,389			613,389
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		3,295,275	6a
b	Less: rental expenses		1,187,087	6b
c	Rental income or (loss)	0	2,108,188	6c
d	Net rental income or (loss).......			2,108,188			2,108,188
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	0		7a
b	Less: cost or other basis and sales expenses	693,676		7b
c	Gain or (loss)	-693,676	0	7c
d	Net gain or (loss).........			-693,676			-693,676
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Cafeteria/Vending Revenue		722514	3,252,292			3,252,292
b	Residency		900099	3,302,361	3,302,361
c	BP Settlement		900099	8,876,725			8,876,725
d	All other revenue ....			2,759,694	413,930	737,139	1,608,625
e	Total. Add lines 11a–11d ......			18,191,072
12	Total revenue. See instructions.....			904,228,759	881,626,063	2,081,219	15,765,543

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,861,355	2,861,355
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 ...........	7,810,343	6,759,429	1,050,914
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........	333,460,443	307,454,816	26,005,627
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	14,559,519	13,424,064	1,135,455
9	Other employee benefits .......	36,137,564	33,319,299	2,818,265
10	Payroll taxes ...........	20,833,928	19,184,385	1,649,543
11	Fees for services (non-employees):
a	Management ......	720,675	9,850	710,825
b	Legal .........	325,680		325,680
c	Accounting ...........	95,515		95,515
d	Lobbying ...........	29,002		29,002
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)	29,716,119	14,637,511	15,078,608	0
12	Advertising and promotion ....	849,424	269,334	580,090
13	Office expenses .......	5,379,398	1,730,742	3,648,656
14	Information technology ......	554,857	157,850	397,007
15	Royalties ..
16	Occupancy ...........	20,468,055	592,641	19,875,414
17	Travel ............	1,876,769	1,157,284	719,485
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	880,777	584,102	296,675
20	Interest ...........	4,157,023	14,360	4,142,663
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	29,032,279	12,336,645	16,695,634
23	Insurance ...	9,113,888	2,416,314	6,697,574
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	166,505,267	164,832,168	1,673,099
b	PURCHASED SERVICES	94,063,371	20,567,062	73,496,309
c	MANAGEMENT FEE TO AFFILIATE	82,828,124	30,895	82,797,229
d	UBI Tax Expense	179,171	40,259	138,912
e	All other expenses	37,182,752	29,106,858	8,075,894	0
25	Total functional expenses. Add lines 1 through 24e	899,621,298	631,487,223	268,134,075	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).

1	Cash–non-interest-bearing ........			23,420	1	24,814
2	Savings and temporary cash investments .........			3,209,245	2	4,219,204
3	Pledges and grants receivable, net ......			492,040	3	543,274
4	Accounts receivable, net .............			118,746,033	4	131,763,308
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			262,754	7	12,836,979
8	Inventories for sale or use ............			17,328,450	8	17,461,510
9	Prepaid expenses and deferred charges ......			2,346,209	9	1,962,810
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	784,624,960
b	Less: accumulated depreciation	10b	437,718,503	307,278,069	10c	346,906,457
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			30,235,914	14	40,269,372
15	Other assets. See Part IV, line 11 ...........			93,737,614	15	63,048,864
16	Total assets. Add lines 1 through 15 (must equal line 33)...			573,659,748	16	619,036,592

17	Accounts payable and accrued expenses .....	58,861,916	17	58,316,405
18	Grants payable ...		18
19	Deferred revenue .........	1,213,892	19	641,190
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	306,387,875	25	287,081,166
26	Total liabilities. Add lines 17 through 25..	366,463,683	26	346,038,761

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	207,196,065	32	272,997,831
33	Total liabilities and net assets/fund balances ........	573,659,748	33	619,036,592