ST VINCENTS HEALTH SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ST VINCENTS HEALTH SYSTEM (EIN 63-0931008)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-11
IRS object ID: 201941319349300214
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-11T10:04:40-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	630931008	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STVI	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive	AddressLine1Txt
City	Birmingham	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	35205	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2019-05-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JASON ALEXANDER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive	AddressLine1Txt
City	Birmingham	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	35205	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$146,800,329	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.stvhs.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	AL	LegalDomicileStateCd
Activity Or Mission	We provide high-tech, quality care to the people in more than 40 different zip codes.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	887	TotalEmployeeCnt
Total Volunteers	13	TotalVolunteersCnt
Total Gross UBI	$133,187	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$223,561	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,356,593	PYContributionsGrantsAmt
CY Contributions Grants	$1,141,967	CYContributionsGrantsAmt
PY Program Service Revenue	$172,407,672	PYProgramServiceRevenueAmt
CY Program Service Revenue	$139,648,721	CYProgramServiceRevenueAmt
PY Investment Income	$1,820,489	PYInvestmentIncomeAmt
CY Investment Income	$559,776	CYInvestmentIncomeAmt
PY Other Revenue	$1,276,278	PYOtherRevenueAmt
CY Other Revenue	$4,843,901	CYOtherRevenueAmt
PY Total Revenue	$190,861,032	PYTotalRevenueAmt
CY Total Revenue	$146,194,365	CYTotalRevenueAmt
PY Grants And Similar Paid	$104,260	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$211,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$52,371,321	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$54,031,045	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$134,202,117	PYOtherExpensesAmt
CY Other Expenses	$102,664,605	CYOtherExpensesAmt
PY Total Expenses	$186,677,698	PYTotalExpensesAmt
CY Total Expenses	$156,906,650	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,183,334	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$10,712,285	CYRevenuesLessExpensesAmt
Total Assets BOY	$219,639,839	TotalAssetsBOYAmt
Total Assets EOY	$290,026,638	TotalAssetsEOYAmt
Total Liabilities BOY	$95,579,424	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$89,256,169	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$124,060,415	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$200,770,469	NetAssetsOrFundBalancesEOYAmt
Mission	Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. In furtherance of its mission and in an effort to reduce the government's financial burden, St. Vincent's Health System supports the efforts of its hospitals and health facilities providing care to individuals and communities.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$145,203,980	ExpenseAmt
Grant	$211,000	GrantAmt
Revenue	$143,090,898	RevenueAmt
Desc	St. Vincent's Health System is a 66-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Vincent's Health System treated 2,600 adults and children for a total of 9,263 patient days of service. The hospital also provided services for 78,924 outpatient visits, which included 2,616 outpatient surgeries and 42,976 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Desc
Total Program Service Expenses	$145,203,980	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	223	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	887	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARA OBRIEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3147338070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11775 BORMAN DRIVE	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NENA F SANDERS
CHAIRMAN	2.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH E WELDEN JR MD
VICE-CHAIRMAN	2.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM HORTON
SECRETARY/TREASURER	2.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES CANTRELL MD
BOARD MEMBER	2.0	5.0	Yes (X)		$0	$0	$0
MATT CARRINGTON
BOARD MEMBER (START 7/2017)	2.0	5.0	Yes (X)		$0	$0	$0
LEIGH DAVIS
BOARD MEMBER (START 7/2017)	2.0	5.0	Yes (X)		$0	$0	$0
KENT J GRAEVE
BOARD MEMBER	2.0	5.0	Yes (X)		$0	$0	$0
ELIZABETH HUNTLEY
BOARD MEMBER	2.0	5.0	Yes (X)		$0	$0	$0
DENNIS JONES MD
BOARD MEMBER	2.0	5.0	Yes (X)		$0	$0	$0
CATHERINE MARIE LOWE SISTER
BOARD MEMBER (START 7/2017)	2.0	5.0	Yes (X)		$0	$0	$0
MICHAEL MILLS
BOARD MEMBER (START 7/2017)	2.0	5.0	Yes (X)		$0	$0	$0
DAVID SILVERSTEIN
BOARD MEMBER (START 7/2017)	2.0	5.0	Yes (X)		$0	$0	$0
DELYNN ZELL CFP
BOARD MEMBER	2.0	5.0	Yes (X)		$0	$0	$0
JASON P ALEXANDER FACHE
CEO, MINISTRY MARKET	0.0	50.0		Yes (X)	$0	$472,184	$27,767
JENNIFER L KINGRY
CFO, MINISTRY MARKET (END 8/2017)	15.0	35.0		Yes (X)	$293,400	$0	$19,390
ROBERT E RAY
PRESIDENT BIRMINGHAM	25.0	25.0		Yes (X)	$0	$392,773	$35,848
BRANDON M WILLIAMS
CFO, MINISTRY MARKET (START 8/2017)	15.0	39.0		Yes (X)	$152,113	$0	$9,142
SUZANNAH CAMPBELL
Administrator-STV CHILTON	50.0	0.0			$212,199	$0	$13,478	Yes (X)
WAYNE CARMELLO-HARPER
SVP MISSION INTEGRATION & PHILANTHROPY	40.0	0.0			$429,151	$0	$35,285	Yes (X)
WILLIAM A DAVIS
COO, MINISTRY MARKET (END 11/2017)	0.0	51.0			$677,383	$35,426	$39,389	Yes (X)
STEPHANIE J DUGGAN MD
CCO, MINISTRY MARKET	14.0	36.0			$705,629	$0	$39,794	Yes (X)
JAMES FLYNN
AMG Administrative Dyad Leader	50.0	0			$224,906	$0	$31,704	Yes (X)
STEPHANIE HOLDERBY
VP-Ambulatory HC Network	50.0	0			$221,679	$0	$25,586	Yes (X)
DON E KING
COO, MINISTRY MARKET (START 1/2018)	7.0	43.0			$0	$782,385	$41,936	Yes (X)
JEFFREY H MIDDLEBROOK
CLO, MINISTRY MARKET (START 1/2018)	5.0	50.0			$0	$537,561	$35,064	Yes (X)
LIZ MOORE
CCMO, MINISTRY MARKET	5.0	0.0			$111,707	$196,370	$37,693	Yes (X)
CHRISTOPHER L MOORE
CNO, MINISTRY MARKET	14.0	36.0			$317,997	$0	$39,438	Yes (X)
LISA NICHOLS
Administrator-STV ST CLAIR	50.0	0			$180,066	$0	$31,546	Yes (X)
PEGGY PANOS
VP-Corporate Responsibility	50.0	0.0			$157,902	$20,994	$20,220	Yes (X)
BRENNA POWELL
VP-Strategic Integration	50.0	0			$181,726	$0	$14,532	Yes (X)
ANDREW TAYLOR
VP-Regional Growth	50.0	0			$159,667	$0	$15,539	Yes (X)
LYDIA ANN EDWARDS
DIRECTOR, PHARMACY	50.0	0			$185,812	$0	$23,263		Yes (X)
KRISTY GUNTHER
VP, FINANCIAL PLANNING	50.0	0			$182,671	$0	$2,676		Yes (X)
JERRY L KITCHENS JR
EXECUTIVE DIRECTOR	50.0	0			$175,215	$0	$30,364		Yes (X)
JACK WARREN VINES JR
DIRECTOR, ORTHOPEDIC SERVICE LINE	50.0	0			$202,652	$0	$26,560		Yes (X)
GORDON BRIAN WESLEY
ADMINISTRATIVE SYSTEM DIRECTOR, CARDIOVASCULAR	50.0	0			$174,637	$0	$20,987		Yes (X)
FRANK MALENSEK
FORMER KEY EMPLOYEE (END 6/2017)	0.0	0.0			$0	$328,658	$38,281			Yes (X)
DAVID A CAUBLE
FORMER OFFICER (END 11/2015)	0.0	0.0			$375,532	$0	$0			Yes (X)
GREGORY L JAMES MD
FORMER OFFICER (END 2/2016)	0.0	51.0			$0	$1,026,984	$35,414			Yes (X)
MICHAEL R KORPIEL
FORMER OFFICER (END 4/2017)	0.0	0.0			$0	$116,259	$1,983			Yes (X)
CAROL A MAIETTA
FORMER OFFICER (END 1/2016)	0.0	0.0			$247,266	$0	$1,854			Yes (X)
NAN M PRIEST
FORMER OFFICER (END 6/2017)	0.0	0.0			$810,477	$0	$32,427			Yes (X)
NEEYSA C BIDDLE
FORMER OFFICER (END 6/2017)	0.0	0.0			$1,114,745	$111,067	$21,512			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,494,531	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,020,662	TotReportableCompRltdOrgAmt
Total Other Compensation	$748,672	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	63	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
SOUTHERN PERIOPERATIVE SERVICES PC
405 RIVERDALE DRIVE	TUSCALOOSA	AL	35406	HEALTHCARE SERVICES	$646,495
MEDSPEED LLC
665 W GRAND AVE	ELMHURST	IL	601261043	COURIER SERVICES	$327,724	SUITE 320
ACCENTURE LLP
161 N CLARK STREET	CHICAGO	IL	60601	CONSULTING SERVICES	$308,230
MEDPARTNERS HIM LLC
5810 CORAL RIDGE DR	CORAL SPRINGS	FL	33076	HEALTHCARE SERVICES	$260,895	SUITE 250
SIGNATURE HEALTH PC
2700 ROGERS DRIVE STE 102	BIRMINGHAM	AL	35209	HEALTHCARE SERVICES	$207,130

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,119,920	RelatedOrganizationsAmt
All Other Contributions	$22,047	AllOtherContributionsAmt
Total Contributions	$1,141,967	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue	621990	$66,313,862	$66,180,713	$133,149
Services to Affiliates	561000	$75,962,931	$75,962,931
Shared Savings Revenue	900099	$333,598	$333,598
Lab Services	621500	-$27,835	-$27,873	$38
Income from Joint Ventures	621990	$298	$298

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,934,133	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$2,934,133	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$139,648,721	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,165,740	TotalRevenueColumnAmt
Exclusion	$1,165,740	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$194,394	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$194,394	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$194,394	TotalRevenueColumnAmt
Exclusion	$194,394	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$605,964	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$605,964	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$605,964	TotalRevenueColumnAmt
Exclusion	-$605,964	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$20,037	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,037	TotalRevenueColumnAmt
Exclusion	$20,037	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Community Service	900099	$3,548,324	$3,548,324
Cafeteria/Vending Revenue	722514	$259,345		$259,345
Education Revenue	616000	$27,040	$27,040

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$794,761	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$794,761	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,629,470	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$146,194,365	TotalRevenueColumnAmt
Related Or Exempt Func Income	$143,090,898	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$133,187	UnrelatedBusinessRevenueAmt
Exclusion	$1,828,313	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$211,000	TotalAmt
Program Services	$211,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,873,989	TotalAmt
Program Services	$4,386,590	ProgramServicesAmt
Management And General	$487,399	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$38,019,348	TotalAmt
Program Services	$34,217,413	ProgramServicesAmt
Management And General	$3,801,935	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,652,649	TotalAmt
Program Services	$1,487,384	ProgramServicesAmt
Management And General	$165,265	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,547,701	TotalAmt
Program Services	$5,892,931	ProgramServicesAmt
Management And General	$654,770	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,937,358	TotalAmt
Program Services	$2,643,622	ProgramServicesAmt
Management And General	$293,736	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$100,319	TotalAmt
Program Services	$90,287	ProgramServicesAmt
Management And General	$10,032	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$15,575	TotalAmt
Program Services	$14,018	ProgramServicesAmt
Management And General	$1,557	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,070	TotalAmt
Program Services	$963	ProgramServicesAmt
Management And General	$107	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,747	TotalAmt
Program Services	$5,172	ProgramServicesAmt
Management And General	$575	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	-$50,000	TotalAmt
Program Services	-$45,000	ProgramServicesAmt
Management And General	-$5,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,474,709	TotalAmt
Program Services	$4,027,239	ProgramServicesAmt
Management And General	$447,470	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$208,210	TotalAmt
Program Services	$187,389	ProgramServicesAmt
Management And General	$20,821	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,356,672	TotalAmt
Program Services	$1,221,005	ProgramServicesAmt
Management And General	$135,667	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$352,098	TotalAmt
Program Services	$316,888	ProgramServicesAmt
Management And General	$35,210	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,379,641	TotalAmt
Program Services	$3,041,677	ProgramServicesAmt
Management And General	$337,964	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$419,907	TotalAmt
Program Services	$377,916	ProgramServicesAmt
Management And General	$41,991	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$215,246	TotalAmt
Program Services	$193,721	ProgramServicesAmt
Management And General	$21,525	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	-$603	TotalAmt
Program Services	-$543	ProgramServicesAmt
Management And General	-$60	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,036,080	TotalAmt
Program Services	$9,032,473	ProgramServicesAmt
Management And General	$1,003,607	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$497,991	TotalAmt
Program Services	$448,192	ProgramServicesAmt
Management And General	$49,799	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$34,913,751	$31,422,376	$3,491,375
Management Fee to Affiliate	$17,459,711	$17,459,711
Capitation Claims Expense	$17,032,806	$17,032,806
Medical Supplies	$5,176,389	$5,176,389

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,069,286	TotalAmt
Program Services	$6,362,361	ProgramServicesAmt
Management And General	$706,925	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$156,906,650	TotalAmt
Program Services	$145,203,980	ProgramServicesAmt
Management And General	$11,702,670	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$30,920,137	BOYAmt
EOY	$1,990	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$37,692,517	BOYAmt
EOY	$27,349,894	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,859,871	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,954,261	BOYAmt
EOY	$5,286,330	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,109,444	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,282,689	BOYAmt
EOY	$1,262,010	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$639,765	BOYAmt
EOY	$479,581	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$78,536,071	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$24,366,180	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$51,549,812	BOYAmt
EOY	$54,169,891	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$149,072	BOYAmt
EOY	$95,429	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,462,057	BOYAmt
EOY	$40,774,239	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$53,129,658	BOYAmt
EOY	$159,497,830	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$219,639,839	BOYAmt
EOY	$290,026,638	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,156,263	BOYAmt
EOY	$5,893,901	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$145,387	BOYAmt
EOY	$242,226	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$77,277,774	BOYAmt
EOY	$83,120,042	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$95,579,424	BOYAmt
EOY	$89,256,169	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$122,158,333	BOYAmt
EOY	$200,718,468	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,902,082	BOYAmt
EOY	$52,001	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,060,415	BOYAmt
EOY	$200,770,469	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$219,639,839	BOYAmt
EOY	$290,026,638	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$10,712,285	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$336,845	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$87,085,494	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	5	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
ST VINCENT'S BIRMINGHAM
630288864	3	Yes (true)	$41,913,422	$0
ST VINCENT'S EAST
630578923	3	Yes (true)	$22,057,373	$0
ST VINCENT'S BLOUNT
630909073	3	Yes (true)	$2,024,274	$0
AMERICAN SPORTS MEDICINE INSTITUTE
630952490	7	Yes (true)	$112,576	$0
ST VINCENT'S FOUNDATION OF ALABAMA INC
630868066	7	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	5	SupportedOrganizationsTotalCnt
Support Sum	$66,107,645	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee	Section 4.1-d-f of the current By Laws of St. Vincent's Health System details the power of the Board which includes but is not limited to recommending, appointing or removing of the governing board of it's subsidiaries.
Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities	Section 1.4-h of the By Laws states St. Vincent's Health System "shall serve as the controlling entity of its subisidiaries. Organizations that conduct health related and other activity, and limit the powers, duties and responsibilities of the governing bodies of such Subsidiary Organizations, all in accordance with requirements established by Ascension Health."

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$5,747	OtherActivitiesAmt
Total Lobbying Expenditures	$5,747	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent's Health System does not participate or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent's Health System does not participate or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,250,000	OtherCostOrOtherBasisAmt
Book Value	$3,250,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,661,563	OtherCostOrOtherBasisAmt
Depreciation	$5,303,641	DepreciationAmt
Book Value	$28,357,922	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,376,569	OtherCostOrOtherBasisAmt
Depreciation	$19,050,291	DepreciationAmt
Book Value	$18,326,278	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,247,939	OtherCostOrOtherBasisAmt
Depreciation	$12,248	DepreciationAmt
Book Value	$4,235,691	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,169,891	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
Other MIscellaneous Assets	$301,434
Due from Affiliates	$104,405,472
Other Receivables	$13,230,192
Deferred Compensation/Retirement/Pension Asset
Physician Guarantee Asset	$1,091,920
Security Deposit	$139,064
Estimated 3rd Party Payor Settlements	$1,124,856
Donor Restricted Non HSD	$52,001
Funded Depreciation	$39,152,891

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$159,497,830	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
At Risk Compensation LIability
Other LIabilities	$1,036,171
Valuation ALlowance	$924,000
Due to Affiliates	$68,717,257
Deferred Compensation/Retirement/Pension Liability
Savings Plan Liability
Estimated 3rd Party Payor Settlement	$2,417,170
Physician Guarantee Liability	$589,273
Recovery Tail Liability	$107,222
Accrued Tax Liability	$17,287
IBNR Capitation Claims	$9,311,662

Field	Value	IRS element (for citing)
Total Liability	$83,120,042	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	327	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,011,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,011,682	NetCommunityBenefitExpnsAmt
Total Expense	0.0192	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,492,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,528,471	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$964,161	NetCommunityBenefitExpnsAmt
Total Expense	0.0061	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,504,314	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,528,471	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,975,843	NetCommunityBenefitExpnsAmt
Total Expense	0.0253	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	52	ActivitiesOrProgramsCnt
Persons Served	8342	PersonsServedCnt
Total Community Benefit Expns	$351,206	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$351,206	NetCommunityBenefitExpnsAmt
Total Expense	0.0022	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$68,682	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,682	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	480	PersonsServedCnt
Total Community Benefit Expns	$1,728	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,728	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	62	ActivitiesOrProgramsCnt
Persons Served	8827	PersonsServedCnt
Total Community Benefit Expns	$421,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$421,616	NetCommunityBenefitExpnsAmt
Total Expense	0.0027	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	62	ActivitiesOrProgramsCnt
Persons Served	8827	PersonsServedCnt
Total Community Benefit Expns	$10,925,930	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,528,471	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,397,459	NetCommunityBenefitExpnsAmt
Total Expense	0.0280	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,155	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,155	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$52,446	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,446	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$157,701	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$157,701	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,318	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,318	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$97,423	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$97,423	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	355	PersonsServedCnt
Total Community Benefit Expns	$7,181	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,181	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	355	PersonsServedCnt
Total Community Benefit Expns	$334,224	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$334,224	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,093,327	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,966,224	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$19,957,959	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$991,735	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
St Vincent's St Clair
1	7063 Veterans Parkway	Pell City	AL	35125	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Pell-City-St-Vincents-St-Clair	H5801	Yes (X)	Yes (X)	Yes (X)
St Vincent's Chilton
2	2030 Lay Dam Road	Clanton	AL	35046	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Clanton-St-Vincents-Chilton	H1102	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prior CHNA ImpactPriorCHNAImpactInd
St Vincent's St Clair
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Pell-City-St-Vincents-St-Clair/Community-Be	Yes (X)	Yes (true)	15	Yes (true)	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Pell-City-St-Vincents-St-Clair/Community-Be	false	Yes (true)	Yes (X)	250.0	327.0	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/Alabama	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/Alabama	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/Alabama	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
St Vincent's Chilton
2	Yes (true)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Clanton-St-Vincents-Chilton/Community-Benef	Yes (X)	Yes (true)	15	Yes (true)	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Clanton-St-Vincents-Chilton/Community-Benef	false	Yes (true)	Yes (X)	250.0	327.0	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/Alabama	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/Alabama	Yes (X)	https://healthcare.ascension.org/Financial-Assistance/Alabama	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 St. Clair. The CHNA process for St. Vincent's St. Clair was a collaborative project with representation from all areas of the Health System which included Senior Leadership, Corporate Development, Mission Integration, Finance, and leadership from each of the facilities. The process included a review of publically available secondary health data for the following health indicator topics recommended by the Catholic Health Association: demographics and socioeconomic status, access to health care, health status, risk factor behaviors, child health, infectious diseases, natural environment, and social environment. Input was also received by conducting interviews with individuals who represented broad interests of the community and local/state health leaders; a paper survey distributed and collected at community events; and focus groups were conducted within the community, with special attention to the vulnerable populations in the area served. * Interviews Interviews were conducted with a former CEO of a local community bank in St. Clair County, and a board member of the St. Clair County Healthcare Authority. * Paper Survey - simple paper pencil survey (attachment included in appendix) distributed at various events and locations, including: - Clergy Wellness 5K event - Various health fairs through STVHS Wellness Services - Access to Care patients - Jeremiah's Hope students * Focus Groups - Two focus groups were held at St. Vincent's St. Clair and open to the community in September of 2015. The focus groups were conducted to obtain more detailed information about resident perceptions of quality of life, including the assets, strengths, and weaknesses of St. Clair County.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St Vincent's St. Clair - Part 1. ST. VINCENT'S ST. CLAIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN NARRATIVE FY17 UPDATE- ST. VINCENT'S BIRMINGHAM HOSPITAL THE IDENTIFIED COMMUNITY HEALTH NEEDS FOR THE DEFINED SERVICE AREA OF ST. VINCENT'S BIRMINGHAM FOR FY17 - FY19: 1. ACCESS TO HEALTHCARE AND MENTAL HEALTHCARE 2. CANCER AWARENESS/PREVENTION/EDUCATION 3. DIABETES AWARENESS/PREVENTION/EDUCATION PRIORITIZED NEED: IMPROVED ACCESS TO HEALTHCARE INCLUDING MENTAL HEALTHCARE GOAL 1: INCREASE PROPORTION OF PERSONS WITH HEALTH INSURANCE COVERAGE ST. VINCENT'S HEALTH SYSTEM HAS A LONG HISTORY OF WORKING WITH INDIVIDUALS WHO ARE UNINSURED TO BE ABLE TO PROVIDE HEALTHCARE AND MENTAL 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. IN PARTNERSHIP WITH ENROLL ALABAMA, ST. VINCENT'S ENCOURAGED INDIVIDUALS TO SIGN UP FOR HEALTHCARE EXCHANGES AND PUBLICIZED BENEFITS OF THE AFFORDABLE CARE ACT. TO ADDRESS THIS NEED IN FY18, STVHS HEAVILY ADVOCATED FOR MEDICAID EXPANSION IN THE STATE OF ALABAMA AT THE LEGISLATIVE LEVEL. EFFORTS WERE MADE TO ASSIST INDIVIDUALS IN THE COMMUNITY WITH CONNECTING TO COVERAGE THROUGH THE OPEN ENROLLMENT PERIOD OF HEALTHCARE EXCHANGE IN COLLABORATION WITH ENROLL ALABAMA. GOAL 2: INCREASE PROPORTION OF PERSONS REPORTING MEDICAL HOME (PRIMARY CARE PROVIDER) STVHS 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. A DOCUMENT WAS DEVELOPED AND IS BEING DISTRIBUTED TO THE COMMUNITY ON THE LEVELS OF CARE AND IMPORTANCE OF A PRIMARY CARE HOME. DURING A MEDICAL MISSION EVENT WITH PROJECT HOMELESS CONNECT, PATIENTS WERE GIVEN PCP APPOINTMENTS TO FOLLOW UP WITH A LOCAL FREE CLINIC. FOLLOW UP IS BEING PROVIDED BOTH INPATIENT AND OUTPATIENT TO ASSIST INDIVIDUALS WITH CONNECTING TO A PRIMARY CARE PROVIDER. 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. UNATTACHED PATIENTS AT STVHS URGENT CARE ARE BEING FOLLOWED UP BY DIAL-A-NURSE TO ENSURE THEY ARE GIVEN APPROPRIATE OPTIONS FOR A MEDICAL HOME. GOAL 3: INCREASE PROPORTION OF ADULTS WITH MENTAL HEALTH DISORDERS WHO RECEIVE TREATMENT 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 FY18, THE BRIDGE CLINIC PROVIDED SERVICES TO 172 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. A MENTAL HEALTH PROVIDER RESOURCE IS AVAILABLE TO YOUTH THROUGH THE ESTABLISHMENT OF THE REFERRAL CENTER AT CHILDREN'S HOSPITAL. SIMILAR RESOURCE FOR ADULTS IS BEING COORDINATED THROUGH THE STATE'S 2-1-1 SERVICE AT UNITED WAY. A SPOE (SINGLE POINT OF ENTRY) FOR MENTAL HEALTH IS BEING EVALUATED AT THE LOCAL AND STATE LEVEL. A PHYSICIAN CME CLASS WAS PROVIDED ON DEPRESSION AND SUICIDE TO RECOGNIZE SIGNS AND SYMPTOMS IN PATIENTS AS WELL AS PRACTITIONERS. A CME ON OPIOID ABUSE WAS HELD IN FY18 AS WELL. TWO CME OFFERINGS COVERED ISSUES AROUND WORKPLACE VIOLENCE AND MENTAL HEALTH. A PHARMACY CONFERENCE WAS HELD INCLUDING SESSIONS RELATED TO MENTAL HEALTH AND MEDICATION. IN MARCH OF 2017, ST. VINCENT'S ST. CLAIR IMPLEMENTED TELEPSYCH EVALUATION ABILITY TO ITS CAMPUS AND WAS ABLE TO CONNECT WITH PSYCHIATRISTS FOR CONSULTS WHERE THIS WAS NOT PREVIOUSLY POSSIBLE. GOAL 4: INCREASE DEPRESSION SCREENING FOR ADULTS BY PRIMARY CARE PROVIDERS ALL 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 CY17 AND 18, THIS RESULTED IN 1290 NEW SCREENINGS AND EDUCATION REGARDING DEPRESSION AND ANXIETY. PRIORITIZED NEED: IMPROVE EDUCATION/AWARENESS/PREVENTION OF CANCER GOAL 1: INCREASE PROPORTION OF ADULTS WHO WERE COUNSELED BY THEIR PROVIDERS ABOUT CANCER SCREENINGS BASED ON CURRENT GUIDELINES CANCER SCREENINGS BASED ON CURRENT GUIDELINES PLANS ARE CURRENTLY UNDERWAY TO PROVIDE MORE PHYSICIAN EDUCATION REGARDING CANCER SCREENING GUIDELINES. CLINICAL PROMPTS ARE PART OF THE ELECTRONIC HEALTH RECORD. CME TOPICS FOR EDUCATION OF PHYSICIANS SPECIFIC TO CANCER ARE UPCOMING FOR FY19. GOAL 2: INCREASE PROPORTION OF ADULTS WHO RECEIVE BREAST, LUNG, PROSTATE, COLORECTAL AND SKIN CANCER SCREENING ST. VINCENT'S CLINIC PATIENTS HAD A BASELINE COLORECTAL CANCER SCREENING RATE OF 36.5% AND THIS WAS INCREASED IN FY17 TO 47.4%. SPECIFICALLY, FOR MEDICAID PATIENTS, THE BASELINE BEGAN AT 43% AND INCREASED TO 49.7% IN FY17. IN 2018, ST. VINCENT'S OSE PROVIDED FREE COLORECTAL CANCER SCREENINGS TO THE UNINSURED COMMUNITY. OF THOSE, 39 COLONOSCOPIES WERE PERFORMED. GOAL 3: INCREASE MENTAL AND PHYSICAL HEALTH-RELATED QUALITY OF LIFE INDICATORS OF CANCER SURVIVORS ST. VINCENT'S PARTICIPATION AND CLOSE PARTNERSHIP WITH FORGE PROVIDES SUPPORT AND SERVICES TO INDIVIDUALS WHO HAVE EXPERIENCED BREAST CANCER. A 24-HOUR SUPPORT LINE HAS BEEN ESTABLISHED TO PROVIDE COUNSELING AND REFERRALS, SUPPORT GROUPS AND ACTIVITIES THAT PROMOTE HEALTHY LIVING HAVE ENGAGED SURVIVORS. PATIENT ADVOCATES/NAVIGATORS ASSIST PATIENTS WITH SUPPORTIVE SERVICES. A RESOURCE LIBRARY IS AVAILABLE TO INDIVIDUALS IN NEED OF ADDITIONAL INFORMATION. A CLINICIAN ADVISORY COMMITTEE PROVIDES CLINICAL FEEDBACK TO SURVIVOR NETWORK. PRIORITIZED NEED: IMPROVE EDUCATION/AWARENESS/PREVENTION OF DIABETES GOAL 1: INCREASE PROPORTION OF PERSONS WITH DIABETES WHOSE CONDITION HAS BEEN DIAGNOSED THROUGH EARLY SCREENING AND RISK FACTORS IN FY18, ST. VINCENT'S WELLNESS DEPARTMENT PROVIDED FREE GLUCOSE SCREENINGS TO THE COMMUNITY - ESPECIALLY FOCUSED ON AREAS WHERE HEALTHCARE ACCESS IS A BARRIER. THESE INDIVIDUALS WERE PROVIDED COUNSELING AND ABNORMAL RESULTS WERE CALLED BY A NURSE FROM DIAL-A-NURSE TO DISCUSS THE RESULTS AND ASSISTANCE WITH LOCATING A PROVIDER WHO COULD PROVIDE CONTINUED CARE AND TREATMENT. GOAL 2: INCREASE PROPORTION OF ADULTS DIAGNOSED WITH DIABETES WHO RECEIVE FORMAL DIABETES EDUCATION IN FY18, ST. VINCENT'S HEALTH SYSTEM PROVIDED 4,688 DIABETES EDUCATION PATIENT ENCOUNTERS. THIS IS UP APPROXIMATELY 12% FROM THE PREVIOUS YEAR WHERE FY 17 RECORDED 4185 ENCOUNTERS.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - St. Vincent's St. Clair - Part 2. PROPOSED GOALS ARE TAKEN FROM HEALTHY PEOPLE 2020 GOALS *PROPOSED STRATEGIES ARE BASED ON EVIDENCE BASED PRACTICES THE CHNA FOR FISCAL YEARS 2017-2019 (BEGINNING JULY 1, 2016) WILL CONTINUE EFFORTS TO ADDRESS HEALTH NEEDS OF THE GREATER BIRMINGHAM COMMUNITY AND PRIORITIZE NEEDS OF THE AREAS ST. VINCENT'S BIRMINGHAM. THE ASSESSMENTS OF UNMET HEALTH NEEDS WILL PROVIDE A BASIS FOR ADDRESSING THE HEALTH NEEDS OF THE COUNTIES SERVED 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 ST. CLAIR COUNTY'S 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.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST. VINCENT'S ST. CLAIR. At a minimum, Patients with incomes above 250% of the FPL, but not exceeding 327% of the FPL, will receive a sliding scale discount on that portion of the charges for services provided for which the Patient is responsible following payment by an insurer, if any. A Patient eligible for the sliding scale discount will not be charged more than the calculated AGB charges. Patients with demonstrated financial needs with income greater than 327% 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. A Patient who is not eligible for FAP under presumptive eligibility will be able to complete a FAP application for consideration of qualifying for Charity under the "Means Test". The Means Test shall be applied in individual cases of hardship under particular circumstances of patients with income greater than the FPL base. A Patient eligible for the "Means Test" discount will not be charged more than the calculated AGB charges for the care provided.
Schedule H, Part V, Section B, Line 2	St Vincent's Chilton was a newly constructed facility that opened in August 2016. It is licensed for 30 beds.
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; opportunities for partnership; 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 Chilton. The CHNA process for St. Vincent's Chilton was a collaborative project with representation from all areas of the Health System which included Senior Leadership, Corporate Development, Mission Integration, Finance, and leadership from each of the facilities. The process included a review of publicly available secondary health data for the following health indicator topics recommended by the Catholic Health Association: demographics and socioeconomic status, access to health care, health status, risk factor behaviors, child health, infectious diseases, natural environment, and social environment. Input was also received by conducting interviews with individuals who represented broad interests of the community and local/state health leaders; and a paper survey was distributed and collected at community events. * Interviews - Interviews were conducted with city mayors within Chilton County, county commissioner, city council members and a member of the Chilton County Healthcare Authority Board. * Paper Survey - simple paper pencil survey (attachment included in appendix) distributed at various events and locations, including: - Clergy Wellness 5K event - Various health fairs through STVHS Wellness Services - Access to Care patients -Jeremiah's Hope students
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St Vincent's Chilton - Part 1. COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN NARRATIVE FY17 UPDATE- ST. VINCENT'S CHILTON HOSPITAL THE IDENTIFIED COMMUNITY HEALTH NEEDS FOR THE DEFINED SERVICE AREA OF ST. VINCENT'S BIRMINGHAM FOR FY17 - FY19: 1. ACCESS TO HEALTHCARE AND MENTAL HEALTHCARE 2. CANCER AWARENESS/PREVENTION/EDUCATION 3. DIABETES AWARENESS/PREVENTION/EDUCATION PRIORITIZED NEED: IMPROVED ACCESS TO HEALTHCARE INCLUDING MENTAL HEALTHCARE GOAL 1: INCREASE PROPORTION OF PERSONS WITH HEALTH INSURANCE COVERAGE ST. VINCENT'S HEALTH SYSTEM HAS A LONG HISTORY OF WORKING WITH INDIVIDUALS WHO ARE UNINSURED TO BE ABLE TO PROVIDE HEALTHCARE AND MENTAL 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. IN PARTNERSHIP WITH ENROLL ALABAMA, ST. VINCENT'S ENCOURAGED INDIVIDUALS TO SIGN UP FOR HEALTHCARE EXCHANGES AND PUBLICIZED BENEFITS OF THE AFFORDABLE CARE ACT. TO ADDRESS THIS NEED IN FY18, STVHS HEAVILY ADVOCATED FOR MEDICAID EXPANSION IN THE STATE OF ALABAMA AT THE LEGISLATIVE LEVEL. EFFORTS WERE MADE TO ASSIST INDIVIDUALS IN THE COMMUNITY WITH CONNECTING TO COVERAGE THROUGH THE OPEN ENROLLMENT PERIOD OF HEALTHCARE EXCHANGE IN COLLABORATION WITH ENROLL ALABAMA. GOAL 2: INCREASE PROPORTION OF PERSONS REPORTING MEDICAL HOME (PRIMARY CARE PROVIDER) STVHS 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. A DOCUMENT WAS DEVELOPED AND IS BEING DISTRIBUTED TO THE COMMUNITY ON THE LEVELS OF CARE AND IMPORTANCE OF A PRIMARY CARE HOME. DURING A MEDICAL MISSION EVENT WITH PROJECT HOMELESS CONNECT, PATIENTS WERE GIVEN PCP APPOINTMENTS TO FOLLOW UP WITH A LOCAL FREE CLINIC. FOLLOW UP IS BEING PROVIDED BOTH INPATIENT AND OUTPATIENT TO ASSIST INDIVIDUALS WITH CONNECTING TO A PRIMARY CARE PROVIDER. 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. UNATTACHED PATIENTS AT STVHS URGENT CARE ARE BEING FOLLOWED UP BY DIAL-A-NURSE TO ENSURE THEY ARE GIVEN APPROPRIATE OPTIONS FOR A MEDICAL HOME. GOAL 3: INCREASE PROPORTION OF ADULTS WITH MENTAL HEALTH DISORDERS WHO RECEIVE TREATMENT 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 FY18, THE BRIDGE CLINIC PROVIDED SERVICES TO 172 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. A MENTAL HEALTH PROVIDER RESOURCE IS AVAILABLE TO YOUTH THROUGH THE ESTABLISHMENT OF THE REFERRAL CENTER AT CHILDREN'S HOSPITAL. SIMILAR RESOURCE FOR ADULTS IS BEING COORDINATED THROUGH THE STATE'S 2-1-1 SERVICE AT UNITED WAY. A SPOE (SINGLE POINT OF ENTRY) FOR MENTAL HEALTH IS BEING EVALUATED AT THE LOCAL AND STATE LEVEL. A PHYSICIAN CME CLASS WAS PROVIDED ON DEPRESSION AND SUICIDE TO RECOGNIZE SIGNS AND SYMPTOMS IN PATIENTS AS WELL AS PRACTITIONERS. A CME ON OPIOID ABUSE WAS HELD IN FY18 AS WELL. TWO CME OFFERINGS COVERED ISSUES AROUND WORKPLACE VIOLENCE AND MENTAL HEALTH. A PHARMACY CONFERENCE WAS HELD INCLUDING SESSIONS RELATED TO MENTAL HEALTH AND MEDICATION. IN MARCH OF 2017, ST. VINCENT'S CHILTON IMPLEMENTED TELEPSYCH EVALUATION ABILITY TO ITS CAMPUS AND WAS ABLE TO CONNECT WITH PSYCHIATRISTS FOR CONSULTS WHERE THIS WAS NOT PREVIOUSLY POSSIBLE. GOAL 4: INCREASE DEPRESSION SCREENING FOR ADULTS BY PRIMARY CARE PROVIDERS ALL 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 CY17 AND 18, THIS RESULTED IN 1290 NEW SCREENINGS AND EDUCATION REGARDING DEPRESSION AND ANXIETY. PRIORITIZED NEED: IMPROVE EDUCATION/AWARENESS/PREVENTION OF CANCER GOAL 1: INCREASE PROPORTION OF ADULTS WHO WERE COUNSELED BY THEIR PROVIDERS ABOUT CANCER SCREENINGS BASED ON CURRENT GUIDELINES CANCER SCREENINGS BASED ON CURRENT GUIDELINES PLANS ARE CURRENTLY UNDERWAY TO PROVIDE MORE PHYSICIAN EDUCATION REGARDING CANCER SCREENING GUIDELINES. CLINICAL PROMPTS ARE PART OF THE ELECTRONIC HEALTH RECORD. CME TOPICS FOR EDUCATION OF PHYSICIANS SPECIFIC TO CANCER ARE UPCOMING FOR FY19. GOAL 2: INCREASE PROPORTION OF ADULTS WHO RECEIVE BREAST, LUNG, PROSTATE, COLORECTAL AND SKIN CANCER SCREENING ST. VINCENT'S CLINIC PATIENTS HAD A BASELINE COLORECTAL CANCER SCREENING RATE OF 36.5% AND THIS WAS INCREASED IN FY17 TO 47.4%. SPECIFICALLY, FOR MEDICAID PATIENTS, THE BASELINE BEGAN AT 43% AND INCREASED TO 49.7% IN FY17. IN 2018, ST. VINCENT'S OSE PROVIDED FREE COLORECTAL CANCER SCREENINGS TO THE UNINSURED COMMUNITY. OF THOSE, 39 COLONOSCOPIES WERE PERFORMED. GOAL 3: INCREASE MENTAL AND PHYSICAL HEALTH-RELATED QUALITY OF LIFE INDICATORS OF CANCER SURVIVORS ST. VINCENT'S PARTICIPATION AND CLOSE PARTNERSHIP WITH FORGE PROVIDES SUPPORT AND SERVICES TO INDIVIDUALS WHO HAVE EXPERIENCED BREAST CANCER. A 24-HOUR SUPPORT LINE HAS BEEN ESTABLISHED TO PROVIDE COUNSELING AND REFERRALS, SUPPORT GROUPS AND ACTIVITIES THAT PROMOTE HEALTHY LIVING HAVE ENGAGED SURVIVORS. PATIENT ADVOCATES/NAVIGATORS ASSIST PATIENTS WITH SUPPORTIVE SERVICES. A RESOURCE LIBRARY IS AVAILABLE TO INDIVIDUALS IN NEED OF ADDITIONAL INFORMATION. A CLINICIAN ADVISORY COMMITTEE PROVIDES CLINICAL FEEDBACK TO SURVIVOR NETWORK. PRIORITIZED NEED: IMPROVE EDUCATION/AWARENESS/PREVENTION OF DIABETES GOAL 1: INCREASE PROPORTION OF PERSONS WITH DIABETES WHOSE CONDITION HAS BEEN DIAGNOSED THROUGH EARLY SCREENING AND RISK FACTORS IN FY18, ST. VINCENT'S WELLNESS DEPARTMENT PROVIDED FREE GLUCOSE SCREENINGS TO THE COMMUNITY - ESPECIALLY FOCUSED ON AREAS WHERE HEALTHCARE ACCESS IS A BARRIER. THESE INDIVIDUALS WERE PROVIDED COUNSELING AND ABNORMAL RESULTS WERE CALLED BY A NURSE FROM DIAL-A-NURSE TO DISCUSS THE RESULTS AND ASSISTANCE WITH LOCATING A PROVIDER WHO COULD PROVIDE CONTINUED CARE AND TREATMENT. GOAL 2: INCREASE PROPORTION OF ADULTS DIAGNOSED WITH DIABETES WHO RECEIVE FORMAL DIABETES EDUCATION IN FY18, ST. VINCENT'S HEALTH SYSTEM PROVIDED 4,688 DIABETES EDUCATION PATIENT ENCOUNTERS. THIS IS UP APPROXIMATELY 12% FROM THE PREVIOUS YEAR WHERE FY 17 RECORDED 4185 ENCOUNTERS.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - St. Vincent's Chilton - Part II. PROPOSED GOALS ARE TAKEN FROM HEALTHY PEOPLE 2020 GOALS *PROPOSED STRATEGIES ARE BASED ON EVIDENCE BASED PRACTICES THE CHNA FOR FISCAL YEARS 2017-2019 (BEGINNING JULY 1, 2016) WILL CONTINUE EFFORTS TO ADDRESS HEALTH NEEDS OF THE GREATER BIRMINGHAM COMMUNITY AND PRIORITIZE NEEDS OF THE AREAS ST. VINCENT'S HEALTH SYSTEM. THE ASSESSMENTS OF UNMET HEALTH NEEDS WILL PROVIDE A BASIS FOR ADDRESSING THE HEALTH NEEDS OF THE COUNTIES SERVED 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 CHILTON COUNTY'S 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.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST. VINCENT'S CHILTON. At a minimum, Patients with incomes above 250% of the FPL, but not exceeding 327% of the FPL, will receive a sliding scale discount on that portion of the charges for services provided for which the Patient is responsible following payment by an insurer, if any. A Patient eligible for the sliding scale discount will not be charged more than the calculated AGB charges. Patients with demonstrated financial needs with income greater than 327% 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. A Patient who is not eligible for FAP under presumptive eligibility will be able to complete a FAP application for consideration of qualifying for Charity under the "Means Test". The Means Test shall be applied in individual cases of hardship under particular circumstances of patients with income greater than the FPL base. A Patient eligible for the "Means Test" discount will not be charged more than the calculated AGB charges for the care provided.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 5 Promotion of Community Health - Part 2	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. ST. VINCENT'S ASSOCIATES VOLUNTEER AS P.E. HELPERS TO ENCOURAGE THE HEALTHY HABITS OF EXERCISE FOR ELEMENTARY SCHOOL STUDENTS. WITH THE ASSISTANCE 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. 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 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 2018 was $7,951,697 at charges, ($3,093,327 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	St. Vincent's Health System 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 St. Clair: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/Alabama; - St. Vincent's Chilton: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/Alabama;
Schedule H, Part V, Section B, Line 16b FAP Application website	- St. Vincent's St. Clair: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/Alabama; - St. Vincent's Chilton: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/Alabama;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- St. Vincent's St. Clair: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/Alabama; - St. Vincent's Chilton: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/Alabama;
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	St. Vincent's Health System 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.
Schedule H, Part VI, Line 4 Community information	ST. VINCENT'S HEALTH SYSTEM PRIMARILY SERVICES RESIDENTS OF CENTRAL ALABAMA IN THE FOLLOWING SEVEN COUNTIES: BLOUNT, CULLMAN, JEFFERSON, SHELBY, ST. CLAIR, TALLADEGA, AND WALKER. - OUR PRIMARY SERVICE AREA CONSISTS OF BOTH RURAL AND URBAN COMMUNITIES WITH A POPULATION OF 1,247,848; MEDIAN INCOME OF $53,007; AND MEDIAN AGE OF 39.27. - AGE OF POPULATION: 26.5% AGE 0-19, 30.9% AGE 20-44, 26.2% AGE 45-64, 16.4% AGE 65+. - SEX: 51.9% FEMALE AND 48.1% MALE. - ETHNICITY: 66.0% WHITE NON-HISPANIC, 28.4% BLACK NON-HISPANIC, 4.3% HISPANIC, 1.3% ASIAN NON-HISPANIC. - LANGUAGE: ENGLISH SPEAKING 94.4%, NON-ENGLISH AGE 5+ 5.6%. (population by language spoken at home) - THERE ARE 89 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS (MUA'S) IN THE STATE AND 19.7% OF THE POPULATION IS ELIGIBLE FOR MEDICAID INSIDE THE SEVEN COUNTY SERVICE AREAS (U.S. Census Bureau American Community Survey - % of defined population enrolled in Medicaid) - INSURANCE COVERAGE BREAKDOWN IS 54% PRIVATE, 16% MEDICARE, 16% MEDICAID, AND 14% UNINSURED. - POVERTY: 17.21% ON AVERAGE IN POVERTY. RANGE IN 7 COUNTIES 8.3% TO 23.05%. (U.S. Census Bureau American Community Survey) - HOSPITALS IN SERVICE AREA: 16 TOTAL, 5 NONPROFIT, 10 FOR PROFIT, 1 ACADEMIC MEDICAL CENTER. - HEALTH STATISTICS - OBESITY: 33%. - 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 AS WELL AS PARTICIPATING IN SEVERAL PE CLASSES TO FOSTER HEALTHY HABITS FOR LOCAL SCHOOL CHILDREN. THIS IS ONE WAY IN WHICH STVHS 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 FOUR HOSPITALS TO THE UNINSURED OR UNDERSERVED. FY18 NUMBER OF LICENSED BEDS - NUMBER OF PATIENT DAYS - ESTIMATED UNREIMBURSED COST: St. Vincent's Birmingham - 439 - 96,110 - $7,784,766 St. Vincent's East - 357 - 94,667 - $ 5,616,145 St, Vincent's Blount - 25 - 5,022- $ 743,720 St. Vincent's St. Clair - 40 - 6,834 - $ 468,986 St. Vincent's Chilton - 26 -2,429 - $3,506,857 Total - 887 - 205,062 - $18,120,474 ST. VINCENT'S HEATH 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, ACCESS TO CARE PROGRAM AND CLERGY WELLNESS 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. 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. THE ST. VINCENT'S CLERGY WELLNESS PROGRAM WORKS WITH LOCAL CLERGY LEADERS TO DEVELOP A PERSONAL HEALTH AND WELLNESS PLAN AND ALSO A CONGREGATIONAL HEALTH IMPROVEMENT PLAN TO INTEGRATE INTO THEIR FAITH COMMUNITIES. CLERGY ARE DISPROPORTIONATELY AT RISK FOR CHRONIC AND MENTAL ILLNESSES (MORE THAN THE GENERAL POPULATION) AND YET THEY HOLD POSITIONS OF SIGNIFICANT INFLUENCE IN THE COMMUNITY. BY ASSISTING THESE LEADERS IN INTEGRATING HEALTH AND WELLNESS INTO THEIR DAILY LIVES, THEY ARE THEN ENCOURAGED TO IDENTIFY AND IMPLEMENT A STRATEGY TO IMPROVE THE OVERALL HEALTH OF THEIR CONGREGATIONS AS WELL. THIS SYSTEMIC APPROACH ALLOWS THE PROGRAM TO REACH THOUSANDS OF INDIVIDUALS BY PROXY. 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). A LOW-COST DENTAL PROVIDER ROUNDTABLE NOW MEETS QUARTERLY TO DISCUSS DENTAL NEEDS IN THE COMMUNITY AND IDENTIFY POTENTIAL AREAS FOR COLLABORATION. 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 JEFFERSON COUNTY HEALTH ACTION PARTNERSHIP, UNITED WAY'S BOLD GOALS AND THE BIRMINGHAM MAYOR'S CITY IMPROVEMENT WORK GROUPS. 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.
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 23 OF THE UNITED 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 MISSION: 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 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY
3600 8TH AVE S	BIRMINGHAM	AL	35232	630288846	501(C)(3)	$75,000	GENERAL SUPPORT
HOLY FAMILY CRISTO REY HIGH SCHOOL
2001 19TH ST ENSLEY	BIRMINGHAM	AL	35218	134341859	501(C)(3)	$136,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	The Associate Allocations Committee consists of 8-16 members who are appointed by the Chief Operating Officer (COO) of St. Vincent's Health system. The Committee is authorized to expend resources of the St. Louise/Help Fund, however expenditures will not exceed the budgeted amount. The Committee has the following allocation options: Award - Any part of the approved allocation will not be required to be paid back. Denial - Associate's request is denied. The Committee meets every two (2) weeks opposite payroll weeks unless otherwise necessary.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NEEYSA C BIDDLE
FORMER OFFICER (END 6/2017)	$319,307	$111,067	$673,278	$0	$122,159	$0	$16,050	$0	$5,462	$0	$1,136,257	$111,067	$0	$0
DAVID A CAUBLE
FORMER OFFICER (END 11/2015)	$0	$0	$0	$0	$375,532	$0	$0	$0	$0	$0	$375,532	$0	$13,989	$0
GREGORY L JAMES MD
FORMER OFFICER (END 2/2016)	$0	$474,354	$0	$458,209	$0	$94,421	$0	$14,850	$0	$20,564	$0	$1,062,398	$0	$0
MICHAEL R KORPIEL
FORMER OFFICER (END 4/2017)	$0	$0	$0	$0	$0	$116,259	$0	$0	$0	$1,983	$0	$118,242	$0	$0
CAROL A MAIETTA
FORMER OFFICER (END 1/2016)	$0	$0	$0	$0	$247,266	$0	$0	$0	$1,854	$0	$249,120	$0	$0	$0
NAN M PRIEST
FORMER OFFICER (END 6/2017)	$262,306	$0	$194,199	$0	$353,972	$0	$17,550	$0	$14,877	$0	$842,904	$0	$90,593	$0
JASON P ALEXANDER FACHE
CEO, MINISTRY MARKET	$0	$414,474	$0	$0	$0	$57,710	$0	$11,406	$0	$16,361	$0	$499,951	$0	$0
JENNIFER L KINGRY
CFO, MINISTRY MARKET (END 8/2017)	$170,280	$0	$98,122	$0	$24,999	$0	$5,319	$0	$14,071	$0	$312,790	$0	$0	$0
ROBERT E RAY
PRESIDENT BIRMINGHAM	$0	$320,045	$0	$25,827	$0	$46,901	$0	$14,850	$0	$20,998	$0	$428,621	$0	$0
BRANDON M WILLIAMS
CFO, MINISTRY MARKET (START 8/2017)	$119,738	$0	$30,000	$0	$2,376	$0	$3,231	$0	$5,911	$0	$161,255	$0	$0	$0
FRANK MALENSEK
FORMER KEY EMPLOYEE (END 6/2017)	$0	$296,426	$0	$12,629	$0	$19,603	$0	$14,850	$0	$23,431	$0	$366,939	$0	$0
SUZANNAH CAMPBELL
Administrator-STV CHILTON	$184,972	$0	$11,761	$0	$15,466	$0	$11,453	$0	$2,025	$0	$225,677	$0	$0	$0
WAYNE CARMELLO-HARPER
SVP MISSION INTEGRATION & PHILANTHROPY	$272,397	$0	$123,400	$0	$33,354	$0	$14,850	$0	$20,435	$0	$464,436	$0	$0	$0
WILLIAM A DAVIS
COO, MINISTRY MARKET (END 11/2017)	$365,843	$29,225	$246,807	$0	$64,732	$6,202	$15,606	$594	$21,356	$1,832	$714,345	$37,853	$0	$0
STEPHANIE J DUGGAN MD
CCO, MINISTRY MARKET	$457,147	$0	$190,157	$0	$58,326	$0	$14,850	$0	$24,944	$0	$745,424	$0	$0	$0
JAMES FLYNN
AMG Administrative Dyad Leader	$194,529	$0	$12,715	$0	$17,661	$0	$11,318	$0	$20,386	$0	$256,610	$0	$0	$0
STEPHANIE HOLDERBY
VP-Ambulatory HC Network	$195,435	$0	$12,715	$0	$13,529	$0	$13,826	$0	$11,760	$0	$247,265	$0	$0	$0
DON E KING
COO, MINISTRY MARKET (START 1/2018)	$0	$456,783	$0	$276,549	$0	$49,054	$0	$14,850	$0	$27,086	$0	$824,321	$0	$0
JEFFREY H MIDDLEBROOK
CLO, MINISTRY MARKET (START 1/2018)	$0	$333,538	$0	$138,824	$0	$65,198	$0	$9,658	$0	$25,406	$0	$572,625	$0	$0
LIZ MOORE
CCMO, MINISTRY MARKET	$105,901	$92,388	$0	$97,073	$5,806	$6,909	$7,191	$8,939	$11,208	$10,354	$130,106	$215,664	$0	$0
CHRISTOPHER L MOORE
CNO, MINISTRY MARKET	$278,646	$0	$18,119	$0	$21,232	$0	$17,550	$0	$21,888	$0	$357,435	$0	$0	$0
LISA NICHOLS
Administrator-STV ST CLAIR	$161,985	$0	$10,375	$0	$7,705	$0	$11,916	$0	$19,629	$0	$211,611	$0	$0	$0
PEGGY PANOS
VP-Corporate Responsibility	$131,249	$20,513	$18,330	$0	$8,323	$481	$9,554	$1,356	$8,163	$1,147	$175,619	$23,497	$0	$0
BRENNA POWELL
VP-Strategic Integration	$160,930	$0	$10,051	$0	$10,744	$0	$10,379	$0	$4,153	$0	$196,258	$0	$0	$0
ANDREW TAYLOR
VP-Regional Growth	$142,702	$0	$9,218	$0	$7,748	$0	$7,051	$0	$8,488	$0	$175,206	$0	$0	$0
LYDIA ANN EDWARDS
DIRECTOR, PHARMACY	$177,222	$0	$7,304	$0	$1,287	$0	$10,230	$0	$13,033	$0	$209,075	$0	$0	$0
KRISTY GUNTHER
VP, FINANCIAL PLANNING	$1,877	$0	$0	$0	$180,794	$0	$0	$0	$2,676	$0	$185,347	$0	$0	$0
JERRY L KITCHENS JR
EXECUTIVE DIRECTOR	$166,102	$0	$6,809	$0	$2,304	$0	$9,323	$0	$21,041	$0	$205,579	$0	$0	$0
JACK WARREN VINES JR
DIRECTOR, ORTHOPEDIC SERVICE LINE	$191,349	$0	$7,782	$0	$3,521	$0	$10,481	$0	$16,079	$0	$229,212	$0	$0	$0
GORDON BRIAN WESLEY
ADMINISTRATIVE SYSTEM DIRECTOR, CARDIOVASCULAR	$144,131	$0	$30,000	$0	$506	$0	$6,480	$0	$14,507	$0	$195,624	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, Inc., a related organization of St. Vincent's Health System uses the following to establish the compensation of the organization's CEO: -Compensation Committee -Independent Compensation Consultant -Compensation Survey or Study -Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4a Severance or change-of-control payment	The following individual(s) received severance payments from the organization or a related organization: David A Cauble - $361,543 Carol A Marietta - $243,757 Nan M Priest - $35,194 Michael R Korpiel - $112,788
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: David A Cauble - $13,989 Nan M Priest - $90,593

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 20b Audited Financial Statements	The activity of St. Vincent's Health System is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent's Health System is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Vincent's Health System.
Form 990, Part VI, Line 15a process to establish executive compensation	In determining the compensation of the organization's President & CEO, the process, performed by Ascension Health, a related organization of St. Vincent's Health System, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the President & CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when his compensation was decided.
Form 990, Part VI, Line 6 Classes of members or stockholders	St. Vincent's Health System has a single corporate member, Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St. Vincent's Health System has a single corporate member, Ascension Health, who has the ability to elect members to the governing board of St. Vincent's Health System.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A Related Entities	The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Subsidy - Total Revenue: -2934133, Related or Exempt Function Revenue: -2934133, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Escheatment Revenue - Total Revenue: 1751, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1751; Fitness Club Revenue - Total Revenue: -40, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -40; Miscellaneous Revenue - Total Revenue: 792839, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 792839; Medical Staff Dues - Total Revenue: 211, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 211;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net Asset Transfers with Affiliates - -82909; Write-off of pledge - -1775494; Transfers to Alpha Fund - 88943897;
Form 990, Part XII, Line 2c Audit Committee	St. Vincent's Health System 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST VINCENT'S ST CLAIR LLC
7063 Veterans Parkway	PELL CITY	AL	35125	631146531	HOSPITAL	AL	$29,413,368	$8,487,299	ST VINCENT'S HEALTH SYSTEM
ONE NINETEEN ASC LLC
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630931008	SHELL	AL	$0	$0	ST VINCENT'S HEALTH SYSTEM
ST VINCENT'S PHYSICIAN ALLIANCE LLC
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	454913277	SHELL	AL	$0	$0	ST VINCENT'S HEALTH SYSTEM
ST VINCENT CHILTON LLC
2020 LAY DAM ROAD	CLANTON	AL	35045	810935368	HOSPITAL	AL	$17,312,543	$62,707,521	ST VINCENT'S HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998	ST LOUIS	MO	63145	453358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA	false
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	false
ST VINCENT'S BIRMINGHAM
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630288864	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes (true)
ST VINCENT'S BLOUNT
150 GILBREATH DRIVE	ONEONTA	AL	35121	630909073	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes (true)
ST VINCENT'S EAST
50 MEDICAL PARK EAST DRIVE	BIRMINGHAM	AL	35235	630578923	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes (true)
AMERICAN SPORTS MEDICINE INSTITUTE
2660 10TH AVENNUE SOUTH NO 505	BIRMINGHAM	AL	35205	630952490	SPORTS MEDICINE	AL	501(c)(3)	7	ST VINCENT'S BIRMINGHAM	Yes (true)
UNIVERSAL HEALTH SERVICES
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630932323	PHYSICIAN GROUP	AL	501(c)(3)	Type II	ST VINCENT'S HEALTH SYSTEM	Yes (true)
ST VINCENT'S FOUNDATION OF ALABAMA INC
1 Medical Park East Drive	BIRMINGHAM	AL	35235	630868066	FUNDRAISING	AL	501(c)(3)	7	ST VINCENT'S HEALTH SYSTEM	Yes (true)
SETON PROPERTY CORPORATION OF NORTH ALABAMA
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	237326976	REAL ESTATE	AL	501(c)(2)		ST VINCENT'S HEALTH SYSTEM	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	200708162	OUTPATIENT SURGERY	AL	NA	N/A
ST VINCENT'S SLEEP DISORDER CENTER
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	631282288	SLEEP DISORDER CENTER	AL	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
VINCENTIAN VENTURES OF NORTH ALABAMA INC
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630965456	MISC HEALTHCARE SERVICES	AL	ST VINCENT'S HEALTH SYSTEM	C Corporation	$47,642,942	$24,128,596	1	Yes (true)
ASCENSION VENTURES CORPORATION
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	631217059	MISC HEALTHCARE SERVICES	AL	ST VINCENT'S HEALTH SYSTEM	C Corporation	$4,115,694	$664,237	1	Yes (true)
BAYLEY CONDOMINIUM ASSOCIATION
2121 HIGHLAND AVENUE SOUTH	BIRMINGHAM	AL	35205	631209915	CONDOMINIUM ASSOCIATION	AL	NA	C Corporation				Yes (true)
HEALTHNET OF ALABAMA INC
PO BOX 830605	BIRMINGHAM	AL	352830605	631027511	PREFERRED PROVIDER ORGANIZATION	AL	ST VINCENT'S HEALTH SYSTEM	C Corporation	$0	$0		Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (34 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AMERICAN SPORTS MEDICINE INSTITUTE
L	$2,135,358	FAIR MARKET VALUE
AMERICAN SPORTS MEDICINE INSTITUTE
Q	$283,404	FAIR MARKET VALUE
AMERICAN SPORTS MEDICINE INSTITUTE
S	$656,908	FAIR MARKET VALUE
ASCENSION VENTURES CORPORATION
L	$530,752	FAIR MARKET VALUE
ASCENSION VENTURES CORPORATION
M	$264,632	FAIR MARKET VALUE
ASCENSION VENTURES CORPORATION
S	$3,229,277	FAIR MARKET VALUE
VINCENTIAN VENTURES OF NORTH ALABAMA INC
L	$5,744,440	FAIR MARKET VALUE
VINCENTIAN VENTURES OF NORTH ALABAMA INC
M	$2,627,765	FAIR MARKET VALUE
VINCENTIAN VENTURES OF NORTH ALABAMA INC
Q	$6,268,860	FAIR MARKET VALUE
VINCENTIAN VENTURES OF NORTH ALABAMA INC
S	$48,377,077	FAIR MARKET VALUE
ST VINCENT'S BLOUNT
L	$1,827,358	FAIR MARKET VALUE
ST VINCENT'S BLOUNT
M	$2,024,274	FAIR MARKET VALUE
ST VINCENT'S BLOUNT
P	$86,540	FAIR MARKET VALUE
ST VINCENT'S BLOUNT
S	$23,367,400	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION OF ALABAMA INC
L	$13,781,605	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION OF ALABAMA INC
Q	$23,523,064	FAIR MARKET VALUE
ST VINCENT'S SLEEP DISORDER CENTER
O	$582,864	FAIR MARKET VALUE
SETON PROPERTY CORPORATION OF NORTH ALABAMA
L	$680,626	FAIR MARKET VALUE
SETON PROPERTY CORPORATION OF NORTH ALABAMA
M	$609,503	FAIR MARKET VALUE
SETON PROPERTY CORPORATION OF NORTH ALABAMA
O	$243,695	FAIR MARKET VALUE
SETON PROPERTY CORPORATION OF NORTH ALABAMA
Q	$176,087	FAIR MARKET VALUE
SETON PROPERTY CORPORATION OF NORTH ALABAMA
S	$648,048	FAIR MARKET VALUE
ST VINCENT'S EAST
L	$20,623,744	FAIR MARKET VALUE
ST VINCENT'S EAST
M	$22,057,373	FAIR MARKET VALUE
ST VINCENT'S EAST
P	$1,585,089	FAIR MARKET VALUE
ST VINCENT'S EAST
Q	$72,813	FAIR MARKET VALUE
ST VINCENT'S EAST
S	$215,251,918	FAIR MARKET VALUE
ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC
M	$258,382	FAIR MARKET VALUE
ST VINCENT'S BIRMINGHAM
L	$52,563,777	FAIR MARKET VALUE
ST VINCENT'S BIRMINGHAM
M	$41,913,422	FAIR MARKET VALUE
ST VINCENT'S BIRMINGHAM
P	$665,228	FAIR MARKET VALUE
ST VINCENT'S BIRMINGHAM
Q	$1,135,251	FAIR MARKET VALUE
ST VINCENT'S BIRMINGHAM
S	$406,323,822	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION OF ALABAMA INC
C	$1,119,920	FAIR MARKET VALUE