2021-05-13T19:34:01-05:00 2020-06-30 990 2019-07-01 630578923 St Vincent's East STVI 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 2021-05-13 2019 2022-09-23 18:48:47Z X JASON ALEXANDER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 231739889 false 0928 X https://healthcare.ascension.org/Locations/Alabama/ALBIR/Birmingham-St-Vincents-East X 1968 AL To improve the health and well-being of all people in the communities we serve. 12 11 0 55 621434 31783 174245 10526460 205988831 218277153 -211 38598 2995624 2439001 209158489 231281212 0 0 0 0 0 0 0 217148618 222231005 217148618 222231005 -7990129 9050207 118160322 125572769 51683567 76667340 66476755 48905429 Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. false false 155083611 218539513 St. Vincent's East is a 338-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2020, St. Vincent's East treated 14,783 adults and children for a total of 86,627 patient days of service. The hospital also provided services for 111,062 outpatient visits, which included 3,187 outpatient surgeries and 45,530 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 FY20. 155083611 true true false true false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 148 0 true 0 true true false false false false false false false false false false false X 12 11 true false false false true true true true false false false false true true true true true false false true true X SARA OBRIEN 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 JASON P ALEXANDER FACHE EX-OFFICIO/CEO, MINISTRY MARKET EXECUTIVE 0.0 50.0 X X 0 1318848 36050 JOSEPH E WELDEN JR MD VICE CHAIR 1.0 11.0 X X 0 0 0 NENA F SANDERS PHD RN FAAN CHAIR 1.0 11.0 X X 0 0 0 WILLIAM C HORTON SECRETARY/TREASURER 1.0 11.0 X X 0 0 0 BETH MCFADDEN ROUSE DIRECTOR 1.0 11.0 X 0 0 0 DAVID SILVERSTEIN DIRECTOR 1.0 11.0 X 0 0 0 DAVID TRENT DIRECTOR 1.0 11.0 X 0 0 0 DENNIS M JONES MD DIRECTOR 1.0 11.0 X 0 0 0 JAMES E CANTRELL JR MD DIRECTOR 1.0 11.0 X 0 0 0 LEIGH DAVIS DIRECTOR 1.0 11.0 X 0 0 0 MATT CARRINGTON DIRECTOR 1.0 11.0 X 0 0 0 PAGE STALCUP III DIRECTOR (END 12/2019) 1.0 11.0 X 0 0 0 SISTER CATHERINE MARIE LOWE DC DIRECTOR 1.0 11.0 X 0 0 0 BRANDON M WILLIAMS CFO, MINISTRY MARKET 0.0 50.0 X 0 560164 34125 ANDREW J GNANN FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 462375 26381 CHRISTOPHER L MOORE FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 508635 38745 DON E KING FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 1193036 37097 GREGORY L JAMES MD FORMER OFFICER (END 2/2016) 0.0 50.0 X 0 1030990 32543 JEFFREY H MIDDLEBROOKS FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 726609 38443 NAN M PRIEST FORMER OFFICER (END 6/2017) 0.0 0.0 X 0 304697 0 STEPHANIE J DUGGAN MD FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 1085186 38668 WILLIAM A DAVIS FORMER KEY EMPLOYEE (END 11/2017) 0.0 50.0 X 0 1304496 38704 0 8495036 320756 0 true true false ANESTHESIOLOGISTS ASSOCIATED PC 3104 BLUE LAKE DRIVE BIRMINGHAM AL 352432372 ANESTHESIOLOGIST SERVICES 2717316 BRASFIELD & GORRIE LLC 3021 7TH AVE S BIRMINGHAM AL 35233 CONSTRUCTION SERVICES 2392675 STV BIRMINGHAM CARDIOLOGY CO MANAGEMENT PROF OFFICE BLDG 1 3RD FLOOR 810 ST VINCENTS DR BIRMINGHAM AL 352051601 MEDICAL SERVICES 1779188 AWESOME SITTERS SERVICE PO BOX 9794 BIRMINHGAM AL 35220 MEMORY CARE SERVICES 995702 ST VINCENTS EAST ORTHOPAEDIC MANAGEMENT 810 ST VINCENTS DR BIRMINGHAM AL 35205 MEDICAL SERVICES 664742 18 0 0 0 281551 10244909 0 10526460 Net Patient Service Revenue 621990 218108000 217502137 605863 Contracted Services Revenue 900099 115244 115244 Income from Joint Ventures 621990 23290 23290 Lab Services 621500 17134 1563 15571 Rental Income from Affiliates 531120 13485 13485 0 0 0 0 218277153 2096 2096 0 0 0 0 617537 0 0 617537 0 617537 617537 0 476502 440000 0 36502 36502 36502 0 0 0 0 0 0 0 0 0 175318 18677 156641 156641 Cafeteria/Vending Revenue 722514 1118671 1118671 Escheatment Revenue 900099 13525 13525 532627 262360 0 270267 1664823 231281212 217918079 621434 2215239 X 17802 17802 10578 10578 6778518 6724184 54334 0 16932 14672 2260 461454 273146 188308 59716 59716 6851589 6306467 545122 94087 46776 47311 72296 47958 24338 6980248 6424890 555358 9668 2609 7059 Wage & Benefit Allocation 79924270 65269909 14654361 Medical Supplies 42414105 42378145 35960 Management Fee to Affiliate 41119809 41119809 UBI Tax Expense 8176 8176 37411757 27535139 9876618 0 222231005 155083611 67147394 0 7800 7800 45987 84136 0 0 19593774 22913561 0 0 0 0 0 0 3816650 4463678 460222 369203 169050417 84856461 84857481 84193956 0 0 0 72692 33828 331382 684223 8974334 12822384 118160322 125572769 14880716 15867558 0 0 972304 0 0 0 0 0 0 0 0 0 0 0 35830547 60799782 51683567 76667340 X 66476755 48905429 0 0 0 0 0 0 0 0 66476755 48905429 118160322 125572769 X 9050207 -26621533 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10578 10578 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that is specifically allocable to lobbying. ANY OTHER LOBBYING UNDERTAKEN IN FURTHERANCE OF THE HEALTHCARE MISSION OF THE FILING ORGANIZATION THAT IS CONDUCTED BY A RELATED ORGANIZATION IS PROPERLY REPORTED ON THAT RELATED ORGANIZATION'S SCHEDULE C, PART II-B. St. Vincent's East 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. 0 7400000 7400000 0 83131638 33817184 49314454 0 4224612 1700779 2523833 0 60210830 46912635 13298195 0 14083337 2425863 11657474 84193956 Due from Affiliates 4680219 Other Receivables 204298 Estimated 3rd Party Payor Settlements 82547 Assets Held for Sale RIGHT OF USE OPERATING LEASE ASSET 7855320 12822384 0 Other Liabilities Long Term Operating Lease Liability 7953279 Due to Affiliates 18643806 Estimated 3rd Party Payor Settlement 6734315 Recovery Tail Liability 1151070 Accrued Real Estate Tax Liability 43536 Medicare Advance Payments 21513406 CARES Relief Funds 4760370 60799782 X 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, 2020. true true X true X 250 true X true true true false true true 10199281 103313 10095968 0.0454 27715725 22525381 5190344 0.0234 0 0.0 0 0 37915006 22628694 15286312 0.0688 16 1735 184405 208 184197 0.0008 3 72 1303195 1303195 0.0059 0 0.0 2 103030 103030 0.0005 2 5552 5552 0.0000 23 1807 1596182 208 1595974 0.0072 23 1807 39511188 22628902 16882286 0.0760 1 102 102 0.0000 0 0.0 0 0.0 0 0.0 3 11950 11950 0.0001 1 252 252 0.0000 1 1588 1588 0.0000 0 0.0 0 0.0 6 0 13892 0 13892 0.0001 true 3293279 0 109884266 108409187 1475079 X true true 1 1 St Vincent's East 50 Medical Part East Drive Birmingham AL 35205 https://healthcare.ascension.org/Locations/Alabama/ALBIR/Birmingham-St-Vincents-East H3705 X X X St Vincent's East 1 false false true X X X X X X X X X 18 true true false true X https://healthcare.ascension.org/CHNA X true 18 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false 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 East. For the Tax Year 2018 CHNA, 1)INPUT WAS PROVIDED VIA REVIEW OF SECONDARY HEALTH DATA, INTERVIEWS OF COMMUNITY HEALTH LEADERS, A SURVEY OF COMMUNITY MEMBERS AND SEVERAL FOCUS GROUPS WITH REPRESENTATIVES FROM COMMUNITIES SERVED INCLUDING MEMBERS OF THE CLERGY, MENTAL HEALTH AND HEALTHCARE PROFESSIONALS, EDUCATORS, REPRESENTATIVES FROM GOVERNMENTAL, NON-PROFIT AND OTHER AGENCIES SERVING JEFFERSON COUNTY RESIDENTS. SPECIAL ATTENTION GIVEN TO THE VULNERABLE POPULATIONS IN THE SERVICE AREA. 2)INPUT WAS RECEIVED FROM OCTOBER-DECEMBER, 2018 3)ORGANIZATIONS PROVIDING INPUT INCLUDED: ST. VINCENT'S FOUNDATION, FORGE OFFICE; WESTERN HEALTH CENTER, GREATER SHILOH MISSIONARY BAPTIST CHURCH, CHILDREN'S AID SOCIETY, AND MENTAL HEALTH ROUNDTABLE 4)PARTICIPATING ORGANIZATIONS WERE SELECTED BASED ON HEALTH ACTION PARTNERSHIP OF JEFFERSON COUNTY - 2018 HEALTH EQUITY REPORT WHICH FOUND SIGNIFICANT VARIATION IN RACIAL RESIDENTIAL CONCENTRATION, DISABILITY STATUS, POVERTY, LIFE EXPECTANCY, INFANT MORTALITY AND HEALTHY FOOD ACCESS BETWEEN CENSUS TRACKS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST. VINCENT'S EAST. St. Vincent's Birmingham and St. Vincent's East, both located in Jefferson County, Alabama, conducted a combined CHNA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St Vincent's East Part 1. THE CHNA FOR FISCAL YEARS 2020-2022 (BEGINNING JULY 1, 2019) CONTINUE EFFORTS TO ADDRESS HEALTH NEEDS OF JEFFERSON COUNTY. THE ASSESSMENTS OF UNMET HEALTH NEEDS WILL PROVIDE A BASIS FOR ADDRESSING THE HEALTH NEEDS OF THE COUNTIES SERVED BY ST VINCENT'S HEALTH SYSTEM AND SERVE AS A REFERENCE FOR EACH FACILITY'S IMPLEMENTATION STRATEGY, ENSURING IT IS ALIGNED WITH THE COMMUNITY NEEDS AND THE MINISTRY GOALS OF ST. VINCENT'S HEALTH SYSTEM. THE MISSION, VISION, AND VALUES OF ST. VINCENT'S HEALTH SYSTEM ARE THE KEY FACTORS INFLUENCING THE APPROACH AND COMMITMENT TO ADDRESSING COMMUNITY HEALTH NEEDS THROUGH COMMUNITY BENEFIT ACTIVITY. THE OBJECTIVES OF THE CHNA AND SUBSEQUENT FACILITY SPECIFIC IMPLEMENTATION STRATEGIES ARE: 1.) TO PROVIDE AN UNBIASED COMPREHENSIVE ASSESSMENT OF JEFFERSON COUNTY HEALTH NEEDS; 2.) USE THE CHNA TO PRIORITIZE ST. VINCENT'S HEALTH SYSTEM'S COMMUNITY BENEFIT PROGRAM STRATEGY; AND 3.) FULFILL INTERNAL REVENUE SERVICE REGULATIONS RELATED TO 501 (C)(3) NON-PROFIT HOSPITAL STATUS FOR FEDERAL INCOME TAXES. ALL NEEDS IDENTIFIED IN THE CHNA ARE ACTIVELY BEING ADDRESSED. COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN NARRATIVE FY20 UPDATE- ST. VINCENT'S EAST THE IDENTIFIED COMMUNITY HEALTH NEEDS FOR THE DEFINED SERVICE AREA OF JEFFERSON COUNTY FOR FY20 - FY22: 1. ACCESS TO HEALTHCARE 2. MENTAL HEALTHCARE AND SUBSTANCE ABUSE 3. HEALTHY LIVING NOTE: WITH THE ONSET OF SARS COVID-19 IN MARCH OF 2020, ST. VINCENT'S HEALTH SYSTEM REDIRECTED RESOURCES AND FOCUS TO ASSESS AND RESPOND TO THE ACUTE COMMUNITY NEED THROUGH THE LENS OF THE PANDEMIC. SOME COMMUNITY EFFORTS, RELATED TO THE CHNA IMPLEMENTATION STRATEGIES, ARE BEING MODIFIED WITH THE SAFETY OF THE COMMUNITY AND STAFF AT THE FOREFRONT. ALL IDENTIFIED NEEDS CONTINUE TO BE ACTIVELY ADDRESSED. PRIORITIZED NEED: ACCESS TO HEALTHCARE GOAL 1: INCREASE THE PROPORTION OF PERSONS WITH A USUAL PRIMARY CARE PROVIDER. ST. VINCENT'S HEALTH SYSTEM HAS A LONG HISTORY OF WORKING WITH INDIVIDUALS WHO ARE UNINSURED TO BE ABLE TO PROVIDE HEALTHCARE SERVICES. THE ACCESS TO CARE PROGRAM IS A PRIMARY CARE PROVIDER PROGRAM FOR INDIVIDUALS LIVING LESS THAN 200% INCOME OVER THE FEDERAL POVERTY LEVEL WHO HAVE NO OTHER ACCESS TO HEALTH COVERAGE. TO ADDRESS THIS NEED, IN FY20, ST. VINCENT'S EAST HAS FOCUSED ON MAKING THE CONNECTION TO A PRIMARY CARE PROVIDER FOR THOSE WHO REPORT NO PCP UPON ADMISSION. EFFORTS ARE MADE TO ENSURE THAT EVERY PATIENT HAS A FOLLOW-UP APPOINTMENT WITH HIS/HER PCP PRIOR TO DISCHARGE. IF THE PATIENT HAS REPORTED NO PCP, CASE MANAGEMENT AND/OR MEMBERS OF THE NURSING TEAM WILL MAKE THE CONNECTION TO A COMMUNITY PCP. IN ADDITION, ST. VINCENT'S EAST HAS ENTERED INTO PARTNERSHIP WITH A LOCAL FQHC (CHRIST HEALTH CENTER) AND HAS INCREASED THE NUMBER OF INDIVIDUALS WHO ARE ABLE TO ACCESS PRIMARY CARE SERVICES IN A RESIDENCY CLINIC WITH ENHANCED MEDICAID REIMBURSEMENT. THIS HAS ALLOWED A FURTHER REACH OF CARE AND COORDINATION OF SERVICES FOR PATIENTS IN THE EASTERN AREA OF JEFFERSON COUNTY. ST. VINCENT'S HEALTH SYSTEM HOSTED COMMUNITY HEALTH SCREENINGS INCLUDING DOCUMENTATION ON PRIMARY CARE PROVIDER AND FOLLOW UP INCLUDES REFERRAL AND ASSISTANCE WITH LOCATING APPROPRIATE SERVICES FOR THE PATIENT WHO IS UNATTACHED. DURING A MEDICAL MISSION EVENT WITH PROJECT HOMELESS CONNECT, PATIENTS WERE SEEN BY A PCP ONSITE WITH FOLLOW UP CARE SCHEDULED WITH A LOCAL FREE CLINIC. TRANSPORTATION SERVICES HAVE BEEN ESTABLISHED WITH LYFT TO ASSIST PATIENTS IN GETTING TO FOLLOW UP AND PRIMARY CARE APPOINTMENTS. PROJECT ACCESS, A COMMUNITY COLLABORATIVE FOR SPECIALTY CARE, WORKS WITH INDIVIDUALS WHO ARE IN NEED OF A PRIMARY CARE PROVIDER BUT ALSO HAVE SPECIALTY CARE NEEDS. PATIENT NAVIGATORS HAVE BEEN ACTIVELY CONNECTING PATIENTS WITHOUT A PCP TO POSSIBLE PRIMARY CARE. ST. VINCENT'S HEALTH SYSTEM CONTINUES TO ADVOCATE FOR MEDICAID EXPANSION IN THE STATE OF ALABAMA AT THE LEGISLATIVE LEVEL. ONGOING EFFORTS TO ASSIST INDIVIDUALS IN THE COMMUNITY WITH CONNECTING TO COVERAGE THROUGH THE OPEN ENROLLMENT PERIOD OF HEALTHCARE EXCHANGE. CME PROVIDED FOR PHYSICIANS, NURSING, PHARMACY, PHYSICIAN ASSISTANT, SOCIAL WORKERS AND ALLIED HEALTH PROFESSIONALS AROUND THE TOPIC OF HEALTHCARE ACCESS. THE FOLLOWING CLASSES WERE PROVIDED: ADDRESSING SOCIAL DETERMINANTS, CULTURAL DIVERSITY, BIAS IN PATIENT CARE 6/30/2020 INTERACTION OF INDIVIDUAL PT. CARE AND POPULATION HEALTH 6/30/2020 GOAL 2: REDUCE THE PROPORTION OF PERSONS WHO ARE UNABLE TO OBTAIN OR DELAY IN OBTAINING PRESCRIPTION MEDICINE. ST. VINCENT'S EAST IN CONJUNCTION WITH COMMUNITY CLINICS, RETAIL PHARMACY AND DISPENSARY OF HOPE WILL COLLABORATE TO INCREASE UTILIZATION AND ACCESS FOR MEDICATION. PROCESSES ARE IN PLACE TO MAKE CONNECTION TO THIS SERVICE AT DISCHARGE. DISPENSARY OF HOPE AT ST. VINCENT'S BIRMINGHAM AND ST. VINCENT'S EAST PROVIDED A TOTAL OF 2,415 PRESCRIPTIONS DURING FY20. PRIORITIZED NEED: MENTAL HEALTHCARE AND SUBSTANCE ABUSE GOAL 1: INCREASE THE PROPORTION OF ADULTS WITH MENTAL HEALTH DISORDERS WHO RECEIVE TREATMENT. ST. VINCENT'S EAST, IN COLLABORATION WITH LOCAL MENTAL HEALTHCARE PROVIDERS, WILL CONNECT IDENTIFIED PATIENTS WITH TREATMENT FOR MENTAL HEALTHCARE AND SUBSTANCE ABUSE. THE ADDITION OF THE OUTPATIENT BRIDGE CLINIC AT ST. VINCENT'S EAST PROVIDES THE ENTIRE REGION A QUICK LINKAGE TO INDIVIDUALS IN NEED OF URGENT MENTAL HEALTH SERVICES AS THEY WAIT TO BE CONNECTED WITH A MORE PERMANENT PROVIDER. IN FY20, THE BRIDGE CLINIC PROVIDED SERVICES TO 942 UNIQUE PATIENTS WHO DID NOT HAVE A MENTAL HEALTHCARE PROVIDER. A MENTAL HEALTHCARE PROVIDER ROUNDTABLE OF COMMUNITY ORGANIZATIONS/AGENCIES MEETS REGULARLY TO IDENTIFY GAPS IN SERVICE AND PROVIDE UPDATES AND INFORMATION ON SERVICES AVAILABLE IN THE COMMUNITY. AN ADULT MENTAL HEALTH RESOURCE HAS BEEN COORDINATED THROUGH THE STATE'S 2-1-1 SERVICE AT UNITED WAY. ALSO, A COLLABORATIVE CARE PROGRAM WAS INITIATED IN FY20 AT ST. VINCENT'S GARDENDALE CLINIC. COLLABORATIVE CARE IS AN EVIDENCED-BASED APPROACH TO INTEGRATING BEHAVIORAL HEALTH CARE WITH PRIMARY CARE IN THE PRIMARY CARE SETTING. RESEARCH HAS SHOWN IT IS EXTREMELY EFFECTIVE IN IMPROVING OUTCOMES IN THE TREATMENT OF DEPRESSION AND ANXIETY. ALL ASCENSION MEDICAL GROUP (AMG) PHYSICIAN PRACTICES HAVE IMPLEMENTED THE PHQ-9 DEPRESSION/ANXIETY SCREENING FOR NEW AND ANNUAL PATIENT VISITS. INDIVIDUALS WITH A QUALIFYING SCORE ARE REFERRED FOR SERVICES. OTHER AFFILIATED PRACTICES ARE PROVIDING PHQ-9 SCREENINGS AS WELL. IN CY20, THIS RESULTED IN 1290 NEW SCREENINGS AND EDUCATION REGARDING DEPRESSION AND ANXIETY. CME PROVIDED FOR PHYSICIANS, NURSING, PHARMACY, PHYSICIAN ASSISTANT, SOCIAL WORKERS AND ALLIED HEALTH PROFESSIONALS AROUND THE TOPICS OF MENTAL HEALTH AND SUBSTANCE ABUSE. GOAL 2: INCREASE ALCOHOL AND/OR ILLICIT DRUG TREATMENT FOR INDIVIDUALS IN THE COMMUNITY EMERGENCY DEPARTMENT REFERRAL PROTOCOL IN PLACE TO CONNECT PATIENTS FOR TREATMENT AND/OR FOLLOW-UP CARE. COLLABORATIVE EFFORTS IN PLACE WITH LOCAL SUBSTANCE ABUSE TREATMENT PROVIDERS. CME PROVIDED FOR PHYSICIANS, NURSING, PHARMACY, PHYSICIAN ASSISTANT, SOCIAL WORKERS AND ALLIED HEALTH PROFESSIONALS AROUND THE TOPIC OF MENTAL HEALTH AND SUBSTANCE ABUSE. THE FOLLOWING CLASSES WERE PROVIDED: CORONAVIRUS PSYCHIATRIC CONSEQUENCES - SUICIDE, ALCOHOL, DRUG DEATHS 7/21/2020 PRIORITIZED NEED: HEALTHY LIVING GOAL 1: INCREASE THE PROPORTION OF INDIVIDUALS WHO ARE AWARE OF THE SYMPTOMS OF AND HOW TO RESPOND TO A HEART ATTACK. WITH THE ONSET OF COVID-19 IN MARCH, 2020; ONSITE, IN-PERSON EDUCATION HAS BEEN REVISITED. IN LIEU OF ONSITE TRAINING, EFFORTS ARE UNDERWAY TO DEVELOP VIRTUAL EDUCATIONAL OPPORTUNITIES AND HARD COPY BROCHURES AROUND EARLY WARNING SIGNS AND SYMPTOMS OF A HEART ATTACK, IN ADDITION TO HOW TO OBTAIN EMERGENCY ASSISTANCE. THESE EDUCATIONAL MATERIALS AND VIRTUAL TRAINING OPPORTUNITIES WILL BE OFFERED TO LOCAL SCHOOLS, CHURCHES AND EMPLOYERS. DEVELOPMENT OF THIS EDUCATION IS BEING DONE IN CONJUNCTION WITH THE LOCAL CHAPTERS OF THE AMERICAN HEART ASSOCIATION. CME PROVIDED FOR PHYSICIANS, NURSING, PHARMACY, PHYSICIAN ASSISTANT, SOCIAL WORKERS AND ALLIED HEALTH PROFESSIONALS AROUND THE TOPIC OF CARDIOVASCULAR CARE. THE FOLLOWING CLASSES WERE PROVIDED: HEART FAILURE 2/4/2020 HEART FAILURE AND COPD 2/24/2020 GOAL 2: REDUCE HOUSEHOLD FOOD INSECURITY AND IN DOING SO REDUCE HUNGER. ST. VINCENT'S EAST, IN COLLABORATION WITH LOCAL NON-PROFIT SERVICE PROVIDERS AND CHAMBERS OF COMMERCE, WILL PROMOTE ACCESS TO HEALTHY FOOD THROUGH RESOURCES SUCH AS THE EAST LAKE FARMERS MARKET, SNAP PROGRAMS AND THE COMMUNITY FOOD BANK. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - St Vincent's East Part 2. DURING FY20, ST. VINCENT'S EAST HAD TWO DISTRIBUTION EVENTS, OF FRESH PRODUCE, WITH THE LOCAL COMMUNITY FOOD BANK. COORDINATION EFFORTS ARE UNDERWAY FOR DISTRIBUTION OF HEALTHY FOOD THROUGH SUPPORT OF EAST LAKE FARMERS MARKET. GOAL 3: REDUCE THE LUNG CANCER DEATH RATE CANCER IS ONE OF THE LEADING CAUSES OF DEATH IN JEFFERSON COUNTY. ST. VINCENT'S EAST IS COMMITTED TO ENSURING INDIVIDUALS HAVE ACCESS TO SCREENING AND TREATMENT, ESPECIALLY IF AT HIGH RISK FOR LUNG CANCER AND ARE UNINSURED. ST. VINCENT'S EAST, IN COLLABORATION WITH LOCAL PHYSICIAN OFFICES, COMMUNITY PROVIDERS AND FQHC CLINICS WILL IDENTIFY HIGH-RISK POPULATIONS IN NEED OF SCREENING AT AFFORDABLE COST. THIS COLLABORATIVE EFFORT WILL LEAD TO A DECREASE IN LUNG CANCER MORTALITY RATES BY FY22. 0 Schedule H, Part VI, Line 5 Promotion Of Community Health - Continued IN COLLABORATION WITH THE GREATER COMMUNITY, ST. VINCENT'S PROVIDES MEDICAL CARE, PHARMACEUTICALS, VACCINES, WOUND CARE AND FOOT CARE AT PROJECT HOMELESS CONNECT, A ONE-DAY BLITZ OF SERVICES FOR INDIVIDUALS IN THE COMMUNITY EXPERIENCING HOMELESSNESS. ST. VINCENT'S ALSO PROVIDES HEALTHY SNACKS FOR PARTICIPANTS AND VOLUNTEERS AT THE EVENT. ST. VINCENT'S EAST AND CHRIST HEALTH CENTER (A LOCAL FEDERALLY QUALIFIED HEALTH CENTER), CREATED A HIGH-LEVEL OF CLINICAL INTEGRATION TO IMPROVE HEALTH EQUITY IN 49 ZIP CODES BY INCREASING ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES FOR ALMOST 12,000 LOW TO MODERATE INCOME INDIVIDUALS. ST. VINCENT'S CONTINUES TO CARE FOR THE COMMUNITY THROUGH EXTENSIVE COLLABORATION SUCH AS WITH THE FORGE INITIATIVE. THIS BREAST CANCER SURVIVORSHIP PROGRAM PROVIDES A 24/7 HOTLINE FOR SUPPORT, PEER MENTORS, SUPPORT GROUPS AND OTHER RESOURCES TO BREAST CANCER SURVIVORS AND THEIR CAREGIVERS. HOUSED AT ST. VINCENT'S AND LED BY THE HEALTH SYSTEM, THIS INITIATIVE SUCCESSFULLY BROUGHT TOGETHER ALL THE MAJOR HEALTHCARE PROVIDERS IN THE REGION TO RALLY AROUND ONE CAUSE. ST. VINCENT'S PROVIDES IN-KIND OFFICE SPACE AND SUPPORT FOR THE FORGE STAFF. WE ARE CALLED TO: - SERVICE OF THE POOR - GENEROSITY OF SPIRIT, ESPECIALLY FOR PERSONS MOST IN NEED - REVERENCE - RESPECT AND COMPASSION FOR THE DIGNITY AND DIVERSITY OF LIFE - INTEGRITY-INSPIRING TRUST THROUGH PERSONAL LEADERSHIP - WISDOM-INTEGRATING EXCELLENCE AND STEWARDSHIP - CREATIVITY -COURAGEOUS INNOVATION - DEDICATION - AFFIRMING THE HOPE AND JOY OF OUR MINISTRY. ST. VINCENT'S HEALTH SYSTEM IS MADE UP OF SIX FACILITIES: ST. VINCENT'S BIRMINGHAM, ST. VINCENT'S BLOUNT, ST. VINCENT'S EAST, ST. VINCENT'S ST. CLAIR, ST. VINCENT'S CHILTON AND ONE NINETEEN HEALTH AND WELLNESS. TOGETHER, WE PROVIDE A SPECIAL BRAND OF HIGH-TOUCH, HIGH-TECH QUALITY CARE TO PEOPLE IN MORE THAN 40 DIFFERENT ZIP CODES. OUR HEALTHCARE FAMILY HAS AN EXTENSIVE NETWORK OF SKILLED PHYSICIANS AND ASSOCIATES, AS WELL AS THE MOST ADVANCED TECHNOLOGIES AVAILABLE. WE ARE A PART OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC AND NON-PROFIT HEALTH SYSTEM, WITH MORE THAN 150,000 ASSOCIATES SERVING IN 23 STATES AND THE DISTRICT OF COLUMBIA. WE ARE COMMITTED TO PROVIDING HEALTHCARE THAT WORKS, HEALTHCARE THAT IS SAFE, AND HEALTHCARE THAT LEAVES NO ONE BEHIND FOR LIFE. Schedule H, Part I, Line 3c factors other than fpg PATIENTS WITH DEMONSTRATED FINANCIAL NEEDS WITH INCOME GREATER THAN 400% OF THE FPL 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. ST. VINCENT'S HEALTH SYSTEM WILL CONSIDER MEDICAL INDIGENCE FOR APPLICANTS EXCEEDING 400% OF THE FPL. WHEN THE TOTAL OUTSTANDING MEDICAL DEBT EXCEEDS THE GROSS HOUSEHOLD INCOME FOR THE PAST YEAR THE PATIENT WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE NOT TO EXCEED A 95% WRITE OFF. A PATIENT ELIGIBLE FOR THE "MEANS TEST" DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES. ST. VINCENT'S HEALTH SYSTEM ALSO USES INSURANCE STATUS AND RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE. Schedule H, Part I, Line 6a Community benefit report prepared by related organization St. Vincent's Health System, EIN 63-0931008 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 THAT 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. 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 2020 was $20,582,994 at charges, ($3,293,279 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology St. Vincent's East has a very robust financial assistance program; therefore, no estimate is made for bad debt attributable to financial assistance eligible patients. 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 (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 16-18. 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 ST. VINCENT'S EAST 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. 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. Schedule H, Part V, Section B, Line 16a FAP website - St. Vincent's East: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - St. Vincent's East: 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 East: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment Committee Participation/Leadership: In addition to the needs reported in Part V, Section B, St. Vincent's Health System associates participate in and/or lead the following Community HealthCare Roundtables: * HealthCare Roundtable for Jefferson County and Surrounding Area(s) * Mental Health Roundtable for Jefferson County * Women's and Children's Roundtable led by the Department of Public Health. These forums meet on a monthly/bi-monthly basis and have representation from local healthcare providers, community service providers and other social agencies. The purpose is ongoing dialogue to address immediate needs related to access to healthcare and key social services for the residents of Birmingham. St. Vincent's Health System associates also participate in regional United Way planning efforts, Jefferson County Department of Health planning committees, the regional ACO board, and statewide planning activities related to healthcare. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance St. Vincent's East uses visual aids to inform patients of available financial assistance. The statement of Patient Financial Services Financial Assistance is displayed at all registration areas throughout the Hospital, including the Emergency Department to make patients aware that assistance is available. Our staff, when discussing collections with patients, also makes patients aware of the available assistance if they are unable to pay. Copies of the Financial Assistance Policy and Financial Assistance Policy application form are available ONLINE and at the Business Office or Cashier Office at any facility. Free copies of the Financial Assistance Policy and Financial Assistance Policy application also can be obtained by mail by contacting a Financial Counselor by phone or in person at the Business Office of the hospital or by contacting Customer Service. Schedule H, Part VI, Line 4 Community information ST. VINCENT'S HEALTH SYSTEM PRIMARILY SERVICES RESIDENTS OF CENTRAL ALABAMA IN THE FOLLOWING EIGHT COUNTIES: BLOUNT, CHILTON, CULLMAN, JEFFERSON, SHELBY, ST. CLAIR, TALLADEGA, AND WALKER. - OUR PRIMARY SERVICE AREA CONSISTS OF BOTH RURAL AND URBAN COMMUNITIES WITH A POPULATION OF 1,296,619; MEDIAN INCOME OF $57,357; AND MEDIAN AGE OF 39.5. - AGE OF POPULATION: 23% AGE 0-17, 34% AGE 18-44, 26% AGE 45-64, 17% AGE 65+. - SEX: 51.9% FEMALE AND 48.1% MALE. - ETHNICITY: 64.3% WHITE NON-HISPANIC, 27.9% BLACK NON-HISPANIC, 4.6% HISPANIC, 1.5% ASIAN NON-HISPANIC, 1.7% ALL OTHERS. - LANGUAGE: ONLY ENGLISH SPEAKING - 89.96%, NON-ENGLISH (AGE 5+) - 10.04%. - THERE ARE 101 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS (MUA'S) IN THE STATE AND 17% OF THE POPULATION IS ELIGIBLE FOR MEDICAID INSIDE THE EIGHT COUNTY SERVICE AREA. - INSURANCE COVERAGE BREAKDOWN IS 53% PRIVATE, 21% MEDICARE, 17% MEDICAID, AND 9% UNINSURED. - POVERTY: 16.8% OF FAMILIES IN ALABAMA BELOW FEDERAL POVERTY LEVEL. RANGE IN 8 COUNTIES 8.0% TO 19.3%. - HOSPITALS IN SERVICE AREA: 16 TOTAL, 5 NONPROFIT, 10 FOR PROFIT, 1 ACADEMIC MEDICAL CENTER. - HEALTH STATISTICS - OBESITY: 36.1% - LEADING CAUSES OF DEATH: HEART DISEASE, CANCER, STROKE Schedule H, Part VI, Line 5 Promotion of community health THIS REPORT ILLUSTRATES THE SIGNIFICANT DEGREE TO WHICH ST. VINCENT'S HEALTH SYSTEM, THROUGH ITS FIVE HOSPITALS AND HEALTH & WELLNESS FACILITIES, CONTRIBUTES TO THE POSITIVE HEALTH STATUS OF THE COMMUNITIES WE SERVE. THE SYSTEM'S FIVE HOSPITALS INCLUDE ST. VINCENT'S BIRMINGHAM, ST. VINCENT'S EAST, ST. VINCENT'S BLOUNT, ST. VINCENT'S CHILTON AND ST. VINCENT'S ST. CLAIR. EACH HOSPITAL HAS A SEPARATE TAX ID NUMBER. EACH MAKES AN IMPORTANT CONTRIBUTION TO CARING FOR THEIR COMMUNITY, INCLUDING THOSE WHO ARE UNDERSERVED. EACH YEAR, ST. VINCENT'S HEALTH SYSTEM FACILITIES SPONSOR A SCHOOL TO ASSIST WITH COLLECTING PHYSICAL EDUCATION EQUIPMENT TO FOSTER HEALTHY HABITS FOR LOCAL SCHOOL CHILDREN. THIS IS ONE WAY IN WHICH ST. VINCENT'S HEALTH SYSTEM PROMOTES A HEALTHY LIFESTYLE ACROSS THE SERVICE AREA. AS A MEMBER OF ASCENSION HEALTH, ST. VINCENT'S HEALTH SYSTEM CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES AND THE COMMUNITY AS A WHOLE. THE HEALTH SYSTEM'S MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST. THE HOSPITALS OF THE HEALTH SYSTEM FURTHER THE MISSION THROUGH THE DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, PATIENT EDUCATION, AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY. OUR CONCERN FOR ALL HUMAN LIFE AND COMMITMENT TO THE DIGNITY OF EACH PERSON LEADS US TO PROVIDE MEDICAL SERVICES TO ALL PEOPLE IN THE COMMUNITY WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. BASED ON OUR CORE VALUES AND IN THE SPIRIT OF PRINCIPLES ADOPTED BY ASCENSION HEALTH, OUR HEALTH SYSTEM HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTH CARE TO ALL PERSONS, ESPECIALLY THE UNINSURED, UNDERINSURED, AND THE UNDERSERVED. THE FOLLOWING CHART DEMONSTRATES THE SIGNIFICANT NUMBER OF PATIENT DAYS AND THE ESTIMATED UNREIMBURSED COST OF SERVICES PROVIDE BY OUR FIVE HOSPITALS TO THE UNINSURED OR UNDERSERVED. St. Vincent's Birmingham Licensed beds: 439 Patient Days: 86,638 Estimated Unreimbursed Cost: $17,851,607 ST VINCENT'S EAST Licensed beds: 338 Patient Days: 86,627 Estimated Unreimbursed Cost: $16,896,178 ST VINCENT'S BLOUNT Licensed beds: 25 Patient Days: 4,131 Estimated Unreimbursed Cost: $2,272,849 ST VINCENT'S ST. CLAIR Licensed beds: 40 Patient Days: 6,530 Estimated Unreimbursed Cost: $982,095 ST VINCENT'S CHILTON Licensed beds: 26 Patient Days: 1.,789 Estimated Unreimbursed Cost: $2,100,649 TOTAL LICENSED BED: 868 TOTAL PATIENT DAYS: 185,715 TOTAL ESTIMATED UNREIMBURSED COST: $40,103,378 ST. VINCENT'S HEALTH SYSTEM HAS A DEEP COMMITMENT TO SERVING THE COMMUNITY. WE EARMARK A CERTAIN PERCENTAGE OF OUR YEARLY PROFITS FOR CHARITABLE DONATIONS. THROUGH THIS CHARITABLE DONATION PROGRAM, WE ARE ABLE TO SUPPORT LOCAL CHAPTERS OF NATIONAL ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, MARCH OF DIMES, AND SUSAN G. KOMEN FOR THE CURE, AMONG OTHERS. WE ALSO FUND LOCAL PROGRAMS AND INITIATIVES SUCH AS THE UNITED WAY. MANY OF OUR EXECUTIVES SERVE ON THE BOARDS OF THESE AND OTHER CHARITABLE ORGANIZATIONS. WE PROVIDE ESSENTIAL MEDICAL SERVICES TO THE COMMUNITY, TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO SERVE THE NEEDS OF THE BROADER COMMUNITY, PROVIDE APPROPRIATE CHARITY SERVICES TO THOSE UNABLE TO PAY FOR THEIR HEALTH CARE NEEDS, AND PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR PATIENTS OR CONSTITUENTS. SOME OF THESE SERVICES INCLUDE JEREMIAH'S HOPE ACADEMY, HISPANIC OUTREACH MINISTRY, AND ACCESS TO CARE PROGRAM. EACH OF THESE PROGRAMS WORKS TO ADDRESS ROOT CAUSES OF POVERTY INCLUDING HEALTH DISPARITIES, BARRIERS TO CARE, EMPLOYMENT, AND HEALTHCARE, AS WELL AS MENTAL HEALTHCARE, COVERAGE. ST. VINCENT'S JEREMIAH'S HOPE ACADEMY FOCUSES ON TRAINING AT-RISK INDIVIDUALS, PARTICULARLY WOMEN, FOR ENTRY LEVEL JOBS IN THE HEALTHCARE INDUSTRY. TODAY, MORE THAN 500 PEOPLE HAVE GRADUATED FROM JEREMIAH'S HOPE, AND MOST ARE STILL WORKING IN THE HEALTHCARE INDUSTRY. EMPLOYMENT IS ONE OF THE MANY SYSTEMIC WAYS TO ASSIST INDIVIDUALS OUT OF POVERTY AND CREATE AN INTERGENERATIONAL IMPACT FOR FAMILIES THAT IS SUSTAINABLE INTO THE FUTURE. PHILANTHROPY ALLOWED THIS REVOLUTIONARY PROGRAM TO BLOSSOM AND IT HAS NOW BECOME A MODEL FOR OTHER HEALTHCARE FACILITIES NATIONWIDE. DURING FY20, JEREMIAH'S HOPE ACADEMY BEGAN A COLLABORATION WITH JEFFERSON STATE COMMUNITY COLLEGE(S) TO EXPAND PROGRAM ACCESS AND EXTEND REACH TO OTHER SURROUNDING COMMUNITIES. IN COMING TOGETHER WITH JEFFERSON STATE, THE PROGRAM NOW ALLOWS FOR EVENING CLASSES FOR THOSE CONTINUING TO WORK WHILE OBTAINING THEIR EDUCATION. IN 2003, ST. VINCENT'S INITIATED A HISPANIC OUTREACH PROGRAM. THIS PROGRAM HAS NOW EVOLVED INTO A HIGH-RISK PREGNANCY COACH PROGRAM. WITH INFANT MORTALITY A SIGNIFICANT NEED IN THE STATE OF ALABAMA, THE HIGH-RISK PREGNANCY COACH AIMS TO ADDRESS BARRIERS FOR EXPECTANT MOTHERS TO GO ABOVE AND BEYOND TRADITIONAL CASE MANAGEMENT AND PROVIDE CULTURALLY APPROPRIATE AND EFFECTIVE CARE AND GUIDANCE AS PATIENTS NAVIGATE PRE AND POST-NATAL CARE. THE ACCESS TO CARE PROGRAM IS A HEALTHCARE OPTION FOR THE "WORKING POOR" IN THE BIRMINGHAM AREA, SERVING INDIVIDUALS WHO ARE EMPLOYED BUT LACK HEALTH INSURANCE. THE CLINIC TREATS UP TO 500 UNIQUE PATIENTS EACH YEAR, PROVIDING FOR ALL OF THEIR HEALTHCARE NEEDS WITH MODEST CO-PAYS TO ENGAGE THE PATIENT IN RESPONSIBILITY FOR CARE. ST. VINCENT'S WORKS WITH PATIENTS TO IDENTIFY WAYS TO ACQUIRE INSURANCE AND SCREENS PATIENTS BASED ON A WILLINGNESS TO MAKE LIFE CHANGES CONDUCIVE TO GOOD HEALTH AND ADVANCEMENT TO WORK TOWARDS COVERAGE IN THE FUTURE. PATIENTS IN THIS PROGRAM ARE INTEGRATED INTO THE ST. VINCENT'S CLINIC NETWORK AND TAUGHT HOW TO NAVIGATE HEALTHCARE EFFECTIVELY. AN RN HEALTH COACH WORKS ESPECIALLY WITH PATIENTS WHO HAVE CHRONIC ILLNESS AND NEED ADDITIONAL ASSISTANCE UNDERSTANDING PLANS OF CARE AND MEDICATIONS. ST. VINCENT'S FACILITATES COMMUNITY ROUNDTABLE INITIATIVES TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY AS WELL. THE HEALTHCARE PROVIDER ROUNDTABLE CONSISTS OF HEALTHCARE PROVIDERS FROM AROUND THE REGION WHO SERVE UNINSURED OR UNDERINSURED PATIENTS AND MEETS SIX TIMES A YEAR. THE MENTAL HEALTHCARE PROVIDER ROUNDTABLE IS COMPRISED OF PROVIDERS ACROSS THE CONTINUUM WHO PROVIDE CARE TO THE COMMUNITY IN THE MENTAL HEALTH SECTOR. THEY ALSO MEET SIX TIMES A YEAR (ON THE ALTERNATE MONTHS OF THE HEALTHCARE GROUP). THE GOAL OF THESE GROUPS IS NOT ONLY TO COORDINATE CARE BUT ALSO TO IDENTIFY GAPS AND NEEDS IN THE COMMUNITY AND COME TOGETHER TO FIND SOLUTIONS TO THE NEEDS THAT ARISE. IT IS ATTENDED BY CLINICS, SOCIAL SERVICE PROVIDERS, PRACTITIONERS, EDUCATIONAL FACILITIES AND MAJOR HEALTH SYSTEM REPRESENTATIVES. ST. VINCENT'S REPRESENTATIVES ALSO SERVE ON VARIOUS COMMUNITY HEALTH INITIATIVES SUCH AS ALABAMA CARE NETWORK (MID-STATE), JEFFERSON COUNTY HEALTH ACTION PARTNERSHIP AND UNITED WAY'S BOLD GOALS. ST. VINCENT'S AND ASCENSION HAVE A STRONG PRESENCE IN ADVOCACY ON BEHALF OF THE POOR AND VULNERABLE AS WELL. WITH A CHIEF ADVOCACY OFFICER FOR ALABAMA, ASCENSION AND ST. VINCENT'S ARE ACTIVELY SEEKING OPPORTUNITIES FOR POLICY AND PROCEDURE CHANGE THAT WILL EXPAND COVERAGE, ASSIST THOSE WHO ARE PROVIDING CARE TO THE UNINSURED AS WELL AS LOOKING AT OTHER WAYS TO PROMOTE THE HEALTH OF THE COMMUNITY. EXAMPLES OF ADVOCACY IN THESE AREAS INCLUDES WORKING WITH NAVIGATORS TO ENROLL MARKETPLACE PARTICIPANTS; DEVELOPING NEW AND ENHANCED RELATIONSHIPS WITH COMMUNITY CARE PARTNERS AND WORKING WITH OUR STATE AND FEDERAL LAWMAKERS TO ENSURE ADEQUATE REIMBURSEMENT FOR THE UNINSURED AND UNDERINSURED. WHEN THE NEED ARISES, ST. VINCENT'S IS ALSO QUICK TO RESPOND TO COMMUNITY ISSUES INVOLVING NATURAL DISASTERS. THIS IS EVIDENCED BY COLLECTION AND DONATION OF ITEMS FOR HURRICANE, FLOOD AND TORNADO SURVIVORS AS WELL AS VOLUNTEER EFFORTS TO ASSIST WITH THOSE AFFECTED. IN THE PAST, ST. VINCENT'S HAS PROVIDED TETANUS SHOTS AND BASIC MEDICAL CARE IN AREAS OF NEED. PROMOTION OF HEALTH AND WELLNESS IS AN INTEGRATED PART OF THE ST. VINCENT'S CULTURE. HEALTH SCREENINGS, EDUCATION AND FOLLOW-UP IN THE BROADER COMMUNITY BRING AWARENESS AND LEARNING TO INDIVIDUALS WHO MIGHT NOT OTHERWISE RECEIVE CARE. IN ADDITION TO COMMUNITY SCREENINGS, ST. VINCENT'S HAS TRADITIONALLY FOCUSED OUTREACH ON AREAS FOR SYSTEMIC CHANGE SUCH AS THE IMPLEMENTATION OF COMMUNITY VEGETABLE GARDENS TO PROMOTE HEALTHY EATING AND COLLECTION OF P.E. EQUIPMENT FOR LOCAL SCHOOLS. WITH THE FUNDING OF ATHLETIC TRAINERS, ST. VINCENT'S ASSISTS WITH THE PROMOTION OF SAFE ATHLETICS TO ENSURE STUDENTS DO NOT INJURE THEMSELVES AT SUCH A YOUNG AGE. SPORTS PHYSICALS FOR STUDENTS WHO WOULD NOT OTHERWISE HAVE ACCESS ARE ALSO PART OF THE COMMUNITY HEALTH OUTREACH. Schedule H, Part VI, Line 6 Affiliated health care system AS PART OF ST. VINCENT'S HEALTH SYSTEM (THE HEALTH MINISTRY IS A MEMBER OF ASCENSION HEALTH ALLIANCE ("THE SYSTEM"). ASCENSION HEALTH ALLIANCE IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION HEALTH ALLIANCE 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 20 STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR 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 - AMERICAN PROVINCE THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - U.S./CARIBBEAN PROVINCE ASCENSION AND ITS MEMBER ORGANIZATIONS ARE HEREAFTER REFERRED TO COLLECTIVELY AS THE SYSTEM. THE SYSTEM 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 THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: 1. TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. 2. UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. 3. COST OF OTHER PROGRAMS FOR THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY INCLUDING SUBSTANCE ABUSERS, THE HOMELESS VICTIMS OF CHILD ABUSE AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. 4. COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, 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 LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. true true false false false false false false false JASON P ALEXANDER FACHE EX-OFFICIO/CEO, MINISTRY MARKET EXECUTIVE 0 590825 0 623942 0 104081 0 15400 0 20650 0 1354898 0 0 GREGORY L JAMES MD FORMER OFFICER (END 2/2016) 0 474874 0 490141 0 65975 0 16800 0 15743 0 1063533 0 0 NAN M PRIEST FORMER OFFICER (END 6/2017) 0 0 0 0 0 304697 0 0 0 0 0 304697 0 17707 BRANDON M WILLIAMS CFO, MINISTRY MARKET 0 336766 0 182035 0 41363 0 14000 0 20125 0 594289 0 0 WILLIAM A DAVIS FORMER KEY EMPLOYEE (END 11/2017) 0 636166 0 544804 0 123526 0 16800 0 21904 0 1343200 0 0 DON E KING FORMER KEY EMPLOYEE (END 12/2017) 0 559792 0 486240 0 147004 0 15400 0 21697 0 1230133 0 0 JEFFREY H MIDDLEBROOKS FORMER KEY EMPLOYEE (END 12/2017) 0 400358 0 247640 0 78611 0 15400 0 23043 0 765052 0 0 STEPHANIE J DUGGAN MD FORMER KEY EMPLOYEE (END 12/2017) 0 739834 0 228036 0 117316 0 15400 0 23268 0 1123854 0 0 CHRISTOPHER L MOORE FORMER KEY EMPLOYEE (END 12/2017) 0 357588 0 116920 0 34127 0 18200 0 20545 0 547380 0 0 ANDREW J GNANN FORMER KEY EMPLOYEE (END 12/2017) 0 318324 0 108537 0 35514 0 18200 0 8181 0 488756 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. 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 calendar 2019: NAN M PRIEST - $284,175 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 in calendar 2019: NAN M PRIEST - $17,707 Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF ST. VINCENT'S EAST IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ST. VINCENT'S EAST IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ST. VINCENT'S EAST. Form 990, Part VI, Line 15a Process For Determining Compensation of Top Management Official THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 15b Process for Determining Compensation of Other Officers or Key Employees THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Jason P Alexander and Brandon M Williams - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders St. Vincent's East has a single corporate member, St. Vincent's Health System. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. Vincent's East has a single corporate member, St. Vincent's Health System, who has the ability to elect members to the governing body of St. Vincent's East. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Vincent's East's financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body There are no separate committees that have the authority to act on behalf of the governing body for St. Vincent's East. 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 WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX 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 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 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 532627, Related or Exempt Function Revenue: 262360, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 270267; Form 990, Part IX, Line 11g Other Expenses Purchased Services - Total Expense: 21856551, Program Service Expense: 12512303, Management and General Expenses: 9344248, Fundraising Expenses: ; MISCELLANEOUS EXPENSES - Total Expense: 249299, Program Service Expense: 179004, Management and General Expenses: 70295, Fundraising Expenses: ; Physician Fees to Affiliate - Total Expense: 879011, Program Service Expense: 879011, Management and General Expenses: , Fundraising Expenses: ; Minor Equipment - Total Expense: 344371, Program Service Expense: 269520, Management and General Expenses: 74851, Fundraising Expenses: ; Equipment Lease - Total Expense: 607579, Program Service Expense: 607579, Management and General Expenses: , Fundraising Expenses: ; Provider Tax - Total Expense: 12170861, Program Service Expense: 12170861, Management and General Expenses: , Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: 726681, Program Service Expense: 666189, Management and General Expenses: 60492, Fundraising Expenses: ; Dues - Total Expense: 83816, Program Service Expense: 3349, Management and General Expenses: 80467, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 228836, Program Service Expense: 85300, Management and General Expenses: 143536, Fundraising Expenses: ; Licenses & Permits - Total Expense: 53008, Program Service Expense: 43093, Management and General Expenses: 9915, Fundraising Expenses: ; Books & Subscriptions - Total Expense: 10957, Program Service Expense: 6449, Management and General Expenses: 4508, Fundraising Expenses: ; Charitable Expense - Total Expense: 41584, Program Service Expense: 41584, Management and General Expenses: , Fundraising Expenses: ; TRANSPORTATION EXPENSE - Total Expense: 159203, Program Service Expense: 70897, Management and General Expenses: 88306, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - -33037870; Cumulative Effect of Change - Fail Sale Lease - 6416337; Form 990, Part XII, Line 2c AUDIT COMMITTEE St. Vincent's East 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 C PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 50 MEDICAL PARK EAST DRIVE, BIRMINGHAM, AL 35235. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true Alexian Brothers Ambulatory Group C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Behavioral Health Hospital C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 Behavioral health hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Bonaventure House C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 Housing and supportive care services for persons with HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Center for Mental Health C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 Outpatient community mental health services IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Community Services C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- Comprehensive & Coordinated Community Based Services IL 501(c)(3) 10 Ascension Health Senior Care true Alexian Brothers Health System C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 Supports the provision of healthcare services for related corporations for which it is a member IL 501(c)(3) Type III-FI Ascension Health true Alexian Brothers Hospital Network C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 Supports the provision of healthcare services for related corporations IL 501(c)(3) Type III-FI Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Medical Care Group NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Center C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Group Specialty Care C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true Alexian Brothers of San Jose Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 Acute care hospital (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true Alexian Brothers Senior Ministries C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 Supports the provision of healthcare for related corporations IL 501(c)(3) Type II Alexian Brothers Health System true Alexian Brothers Services Inc 3040 W Salt Creek Ln Arlington Heights IL 60005 431295333 HUD housing MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Specialty Group C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 Specialty physician practice group IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 Interstate Plaza Drive Hammond IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION ALLEGAN HOSPITAL true ASCENSION ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension Care Management Insurance Holdings C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 Health care MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EAGLE RIVER HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION EASTWOOD BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381958763 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION GENESYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION GOOD SAMARITAN HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391627755 FOUNDATION WI 501(c)(3) Type II ASCENSION GOOD SAMARITAN HOSPITAL INC true ASCENSION GOOD SAMARITAN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391965593 MEDICAL GROUP WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 HEALTH CARE MI 501(c)(3) 10 ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION OUR LADY OF VICTORY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807065 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391390638 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL true ASCENSION ST JOSEPH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MICHAEL'S HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391657410 FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC true ASCENSION ST MICHAEL'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808443 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA MO 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS MIDTOWN HOSPITAL true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC true BORGESS AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARONDELET REGIONAL MEDICAL PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 814769136 MEDICAL GROUP NY 501(c)(3) 3 ST MARY'S HEALTHCARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 Ascension Health Senior Care true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) Type II Ascension Health Senior Care true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true CMC FOUNDATION OF CENTRAL TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807063 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true DR KATE NEWCOMB CONVALESCENT CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 HOWARD YOUNG HEALTH CARE INC true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL true FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 753193633 FOUNDATION WI 501(c)(3) Type I ASCENSION ST CLARE'S HOSPITAL INC true FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391684957 FOUNDATION WI 501(c)(3) Type II SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM true HEALTHCARE COLLABORATIVE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true HOWARD YOUNG HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391499115 HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LaVerna Terrace Housing Corporation 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true Lourdes Realty Company Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222873637 Rental of Health Care Facilities NY 501(c)(2) Our Lady of Lourdes Memorial Hospital Inc true MEDICAL SERVICES ENHANCEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 141776546 MEDICAL OFFICE BUILDING NY 501(c)(25) ST MARY'S HEALTHCARE true MEDICARE VALUE PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM true METRO PHYSICIANS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 943436893 Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRIMARY PHYSICIAN NETWORK LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 208775914 DORMANT IN 501(c)(3) 10 ST MARY'S HEALTH INC true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT ELIZABETH'S HOSPITAL OF WABASHA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 410693877 HOSPITAL MN 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390847631 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type II ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS MIDTOWN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621869474 ACUTE CARE HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true Savelli Properties Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 Owns or leases properties where healthcare services are delivered IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true SOUTHERN TIER MEDICAL CARE - NY PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true ST AGNES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true St Alexius Medical Center C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) 7 ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE C/O TAX DEPARTMENT PO BOX 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