Community Benefit Insight - Tax-exempt hospital

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St Vincent's Medical Center Inc

Ascension St Vincents Riverside

1 Shircliff Way
Jacksonville, FL 32204

Bed count	528	Medicare provider number	100040	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 590624449

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

9.11%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 12,075,762 2.34 %
Medicaid as % of operating expenses	$ 26,849,864 5.19 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 6,510,510 1.26 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 1,258,441 0.24 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 419,289 0.08 %
Community building* as % of operating expenses	$ 2,207 0.00 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 2,207 0.00 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 2,207 100 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 7,909,468 1.53 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 393821270 including grants of $ 116) (Revenue $ 485272187)
St. Vincent's Medical Center, Inc. is a 512-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2022, St. Vincent's Medical Center, Inc. treated 18,063 adults and children for a total of 95,793 patient days of service. The hospital also provided services for 224,046 outpatient visits, which included 7,193 outpatient surgeries and 61,698 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

Schedule H, Part V, Section B, Line 3E
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 , 1
Facility , 1 - St. Vincent's Medical Center. In St. Vincent's Medical Center Inc.'s tax year 2021 CHNA, the assessment process included quantitative and qualitative components and was a collaborative project with Baptist Health, Brooks Rehabilitation, Mayo Clinic Florida and UF Health Jacksonville. Qualitative data, also known as community input, was obtained through the following methods: Key Informant interviews conducted, a survey of community members, and Focus Group discussions in 2021. A Prioritization of significant needs was done by community members. External organizations that assisted in providing input included: Feeding Northeast Florida, Health Planning Council of Northeast Florida, Lutheran Social Services Florida, Eldersource, and Catholic Charities Bureau of Jacksonville among others (full list of community participants found in the CHNA on the hospital's website). The medically underserved, low-income and minority populations represented through these methods and/or organizations include: the Sulzbacher Center, Florida Dept of Health Duval County, Volunteers In Medicine, WeCare, The Way Free Clinic, Muslim American Social Services, United Way of Northeast Florida, among others (full list of community participants found in the CHNA on the hospital's website). Multiple methods were used to gather community input that provided additional perspectives on how to select and address top health issues facing St. Vincent's Medical Center, Inc. Prioritization of the community health issues was a multistep process that included: review and discussion of all of the top health concerns and associated indicator data, identification and discussion of consequences of not addressing the issue, and consideration of key criteria for impacting change.

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - St. Vincent's Medical Center. St. Vincent's Medical Center, Inc. collaborated with other hospital members of the Jacksonville Nonprofit Hospital Partnership. The Partnership includes: - Baptist Health - Brooks Rehabilitation - UF Health Jacksonville (then Shands Jacksonville Medical Center) - Wolfson Children's Hospital - Mayo Clinic

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - St. Vincent's Medical Center. During the tax year 2021 CHNA, the following significant needs were identified for St. Vincent's Medical Center, Inc. The top unmet health needs identified for Duval County, FL were: Access TO CARE Chronic Disease Mental/Behavioral Health Social Determinants of Health As part of the Patient Protection and Affordable Care Act of 2010, non-profit hospitals are required to complete a Community Health Needs Assessment (CHNA) every three years to better understand the health needs and priorities of those who live and work in the community served. The most recent CHNA for St. Vincent's Medical Center, Inc. was completed and approved by its governing board in March 2022. In response to the needs identified in the tax year 2021 CHNA, an Implementation Strategy (I.S.) was developed to address the following: Access to care NEEDS THAT WILL NOT BE ADDRESSED Chronic Disease, Mental/Behavioral Health and Social Determinants of Health will not be addressed by an I.S. due to limited resources but the health system continues to support other initiatives improving these needs outside of the CHNA I.S. for the poor and vulnerable within our community. Through conversations with Ascension internal teams and leaders, Ascension Florida and Gulf Coast's Community Benefit team was able to identify and assess potential barriers - current and future - to implementing the strategies as approved by the respective governing regional Board of Directors. The most common barrier identified through Florida and Gulf Coast was the need to shift operational protocols given state executive orders as well as Ascension COVID-19 guidelines related to restriction of in-person interactions. During the CHNA's transition year, the tax year 2018 I.S. were reported as the final year of measurement. The updates below summarize if and/or how the St. Vincent's Medical Center Inc.'s I.S. were specifically impacted by the COVID-19 pandemic: Priority Need: Cancer Our goal to address cancer is to increase cancer screening rates to identify and refer patients for treatment in coordination with the Ascension Medical Group and Cancer Service Line. St. Vincent's Medical Center, Inc. increased low dose CT lung cancer screenings, exceeding target values. And continues to conduct and measure cancer screenings in alignment with AMG's disease specific focus on breast and colorectal screenings in African American populations. Priority Need: Behavioral Health Our goal to address behavioral health is to increase community access to behavioral health services with the strategy of incorporating telehealth and integrating behavioral health into other specialty care areas. The overall goal and strategy of increasing access to care by incorporating telehealth has been achieved. All behavioral health providers moved to a telehealth platform due to COVID-19, and our volume has increased due to fewer no shows and cancellations. St. Vincent's Medical Center, Inc. also increased the overall number of Behavioral Health providers in order to expand access to services. However, specific target values developed to integrate behavioral health services into specialty care, including pain management were not reached. Priority Need: Access to Care Our goal is to improve patient access to medical and social services for the Durkeeville community of Jacksonville, an impoverished and high minority neighborhood with little resources. The strategy is to implement social determinants of health screening for patients at St. Pius Clinic, then introduce a service to address and improve social needs for that population. Two actions of this I.S. centered around developing and implementing a SDOH screening tool and developing a process to analyze and report patient's additional unmet needs have been completed. A need to improve access to screening mammograms was identified for the St. Pius and AMG worked with ASVR Imaging to have the Mobile Mammography unit onsite, scheduling patients who otherwise were having access issues and were past due for their screening mammogram. The Mobile Mammography unit made 2 onsite visits to the St. Pius Clinic, enabling over 50 patients to receive screening mammograms.

Supplemental Information

Schedule H (Form 990) Part VI

Schedule H, Part I, Line 3c Factors other than FPG
"IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance if such Patient is deemed to have sufficient assets to pay pursuant to an ""Asset Test."" The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC."

Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE
THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY.

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 II Community Building Activities
Research shows the social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. The Community Building dollars reported for St. Vincent's Medical Center, iNC. (SVMC) in Part II of the reporting year promoted the health of the community through sharing the expertise of health and medical care with other local organizations for community engagement.

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 2022 WAS $46,526,284 AT CHARGES, ($7,909,468 AT COST).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS.

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 GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. 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 A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
ST VINCENT'S MEDICAL CENTER, inc. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES.

Schedule H, Part V, Section B, Line 16a FAP website
- St. Vincent's Medical Center: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
- St. Vincent's Medical Center: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- St. Vincent's Medical Center: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part VI, Line 4 Community information
St. Vincent's Medical Center, iNC. services Northeast Florida with a 2-county primary service area. The total population of the 2-county primary service area is estimated to be 1,201,892 residents in calendar 2022 and is expected to increase by approximately 4.4% to 1,254,767 residents in five years. The median household income of the primary service area is $58,959. Approximately 14.0% of the service area residents live below the poverty line. Within the primary service area, there are 6 federally designated medically underserved areas. There are 13 acute care hospitals located within the primary service area.

Schedule H, Part VI, Line 5 Promotion of community health
St. Vincent' Medical Center iNC.'s governing body is comprised of persons representing diverse aspects and interests of the community. Many members of St. Vincent's Medical Center, iNC.'S governing body reside in the organization's primary service area and who are neither employees nor independent contractors of the organization, nor family members thereof. St. Vincent' Medical Center, iNC. extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties. St. Vincent's Medical Center, iNC. applies surplus funds to fund improvements in patient care, medical education, and research.

Schedule H, Part VI, Line 7 State filing of community benefit report
FL

Schedule H, Part VI, Line 2 Needs assessment
St. Vincent's Medical Center, iNC. uses internal and external data and reports from third parties, including government sources, to assess the healthcare needs of the communities we serve. These reports provide key information about health, socioeconomic, demographic factors that identify areas of need and inform our strategies that help to meet those needs of our community. These reports include, but are not limited to: Sg2 Healthcare Intelligence, Clarify for healthcare claims datasets, 3d Health, Florida Department of Health, and internal data. St. Vincent's Medical Center, inC. utilizes information from these secondary sources to develop programs and provide appropriate services needed throughout the region. In addition, St. Vincent's Medical Center, Inc. considers the health care needs of the overall community when evaluating internal financial and operational decisions.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
St. Vincent's Medical Center, inC. IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, St. Vincent's Medical Center, iNC. HOSPITAL'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; St. Vincent's Medical Center, iNC. HOSPITAL PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. St. Vincent's Medical Center, inC. WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/locations/florida/fljac/jacksonville-ascension-st-vincents-riverside/financial-assistance St. Vincent's Medical Center, inC. MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. St. Vincent's Medical Center, inC. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. ST VINCENT'S MEDICAL CENTER, Inc. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.

Schedule H, Part VI, Line 6 Affiliated health care system
St. Vincent's Medical Center, iNC. is a member of Ascension. Ascension Health Alliance, D/B/A Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or health ministries, located in 19 of the United States and the District of Columbia. Ascension is sponsored by Ascension Sponsor, a public juridic person. The participating entities of Ascension Sponsors are the Daughters of Charity of St. Vincent De Paul, St. Louise Province; The Congregation of St. Joseph; The Congregation of The Sisters of St. Joseph of Carondelet; The Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. St. Vincent's Medical Center, iNC. operates a hospital facility in Duval County Florida and is part of Ascension Florida and Gulf Coast which also owns and operates other healthcare related entities, including St. Luke's and Sacred Heart. The health system provides inpatient, outpatient, and emergency care services for residents of Northeast Florida.

Operating expenses	$ 516,889,557
Total amount spent on community benefits as % of operating expenses	$ 47,113,866 9.11 %