2017-05-13T09:01:46-05:00 2016-06-30 990 2015-07-01 630909073 ST VINCENT'S BLOUNT STVI 2052743000 150 GILBREATH DRIVE ONEONTA AL 35121 JENNIFER KINGRY CFO, BIRMINGHAM MINISTRY MARKET 2017-05-13 2015 2021-01-29 14:40:06Z NEEYSA BIDDLE 150 GILBREATH DRIVE ONEONTA AL 35121 21706496 false 0928 X WWW.STVHS.COM X 1985 AL Provides healthcare activities to Blount County and the surrounding communities which it serves. 13 12 0 36 57781 0 11290 137088 20518053 21285650 396 65631 283362 20594974 21706496 0 0 8238347 8672511 0 0 11169497 12388999 19407844 21061510 1187130 644986 9078262 10280302 1498273 2055327 7579989 8224975 Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and words. false false 19266144 21398682 THE HOSPITAL IS DEDICATED TO SPIRTUALLY CENTERED, HOLISTIC CARE THAT SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES. IT FURTHERS THIS GOAL THROUGH DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE BLOUNT COUNTY AND THE SURROUNDING COMMUNITIES. FOR DETAILED INFORMATION ON THE HOSPITAL'S PROGRAM SERVICE ACCOMPLISHMENTS AND STATISTICAL DATA SEE SCHEDULE H. 19266144 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 14 0 true 0 true true false false false false false false false false false X 13 12 false false false false true true true true false false false true true true true true true false false false X JENNIFER KINGRY 2059397079 150 GILBREATH DRIVE ONEONTA AL 35205 ROBERT BARNETT CHAIRMAN-HEALTH SYSTEM 0.5 4.0 X X 0 0 0 NEEYSA C BIDDLE SVP ASCENSION HEALTH/BIRMINGHAM MARKET EXECUTIVE/PRESIDENT CEO - STVHS 1.0 49.0 X X 0 1072736 38607 JAMES D DAVIS TREASURER-HEALTH SYSTEM 0.5 4.0 X X 0 0 0 NENA F SANDERS VICE CHAIR-HEALTH SYSTEM 0.5 4.0 X X 0 0 0 SR MARY ELIZABETH CULLEN DC BOARD MEMBER-HEALTH SYSTEM 0.5 4.0 X 0 0 0 NORMAN B DAVIS JR BOARD MEMBER-HEALTH SYSTEM 0.5 2.5 X 0 0 0 KENT J GRAEVE board member-HEALTH SYSTEM 0.5 4.0 X 0 0 0 WILLIE H PARKER BOARD MEMBER-HEALTH SYSTEM 0.5 4.0 X 0 0 0 DANIEL F SANSONE BOARD MEMBER-HEALTH SYSTEM 0.5 4.0 X 0 0 0 JOSEPH EDWARD WELDEN JR MD BOARD MEMBER-HEALTH SYSTEM 0.5 4.0 X 0 0 0 JAMES CANTRELL MD BOARD MEMBER-HEALTH SYSTEM 0.5 4.0 X 0 0 0 DENNIS JONES MD BOARD MEMBER-HEALTH SYSTEM 0.5 4.0 X 0 0 0 DON PERRY BOARD MEMBER-HEALTH SYSTEM 0.5 4.0 X 0 0 0 DELYNN ZELL CFP BOARD MEMBER-HEALTH SYSTEM 0.5 4.0 X 0 0 0 DAVID A CAUBLE EVP/CFO (ENDS 11/2015) 1.0 47.0 X 0 578459 34281 WILLIAM A DAVIS CHIEF OPERATING OFFICER 2.0 48.0 X 0 467128 28935 DR GREGORY L JAMES CHIEF CLINICAL OFFICER (END 2/15/16) 2.0 40.0 X 0 496480 30273 JENNIFER L KINGRY CFO 1.0 49.0 X 0 189767 24648 CAROL A MAIETTA SR. VP/HR/CLO 15.0 46.0 X 0 312621 22588 NAN M PRIEST EVP/CHIEF STRATEGY OFFICER 1.0 42.0 X 0 409045 30874 KIDADA Y HAWKINS FORMER VP/COO RURAL (END 9/2015) 25.0 25.0 X 159627 0 18418 AMY R SHELTON ADMINISTRATOR - BLOUNT 25.0 25.0 X 187296 0 29138 GAVIN K GILLILAND DIRECTOR-PHARMACY 50.0 0 X 156680 0 15814 JOHN D O'NEIL FORMER OFFICER (THRU 9/14) 0.0 0.0 X 0 597538 18897 503603 4123774 292473 3 true true false Morrison Management Specialists Inc PO Box 102289 Atlanta GA 30368 Dietary Services 1044758 Southern Perioperative Services PC 5336 Stadium Trace Pkwy Suite 104 Hoover AL 35244 Anesthesia Services 451030 Dr Ferdinand Osuji 525 S 3rd Street Suite D Gadsden AL 35901 Hospitalist Services 120000 3 0 0 0 120776 0 16312 0 137088 Net Patient Revenue 621990 21011442 20953661 57781 0 340B Govt Program Revenue 900099 231032 231032 0 0 Nursing Education Revenue 611710 43176 43176 0 0 0 0 0 0 0 0 0 0 0 0 0 21285650 396 0 0 396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722514 112549 0 112549 MEDICARE ARRA 561499 149308 149308 0 0 OTHER 621990 21505 21505 0 0 0 0 0 0 283362 21706496 21398682 57781 112945 X 316307 284676 31631 6716162 6044546 671616 290512 261461 29051 845366 760829 84537 504164 453748 50416 2724 2452 272 3445286 3100757 344529 0 151198 136078 15120 567018 510316 56702 20818 18736 2082 1049 944 105 -8 -7 -1 3179231 2874762 304469 1300551 1170496 130055 86624 77962 8662 Capitation Expense 313528 313528 CAFETERIA COST OF SALES 93930 84537 9393 Medical Supplies 1744439 1744439 Provider Tax Expense 915373 915373 567238 510511 56727 0 21061510 19266144 1795366 0 1224 1225 1203013 3570802 0 0 451627 467848 63213 579 17379184 11215249 7209065 6163935 0 0 150120 75913 9078262 10280302 339656 389209 416142 440502 742475 1225616 1498273 2055327 X 7579989 8224975 7579989 8224975 9078262 10280302 644986 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2724 2724 false 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 Blount does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent's Blount does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office. 13202835 7991233 5211602 8488 3206 5282 3711675 2877959 833716 456186 342851 113335 6163935 Other liabilities 751158 DUE TO AFFILIATE 474458 1225616 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Vincent's Blount. The System accounts for uncertainty in income tax provisions 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, 2016. true true X true X true X true true true false true true 974017 974017 0.0462 2934141 1689995 1244146 0.0591 0 0.0 0 0 3908158 1689995 2218163 0.1053 5 52256 52256 0.0025 4 71361 71361 0.0034 0 0.0 0 0.0 4 1 8970 8970 0.0004 13 1 132587 0 132587 0.0063 13 1 4040745 1689995 2350750 0.1116 0 0.0 0 0.0 12 1502 27296 27296 0.0013 0 0.0 0 0.0 1 7022 7022 0.0003 0 0.0 3 600 13160 13160 0.0006 0 0.0 16 2102 47478 0 47478 0.0023 false 2087689 0 12981898 10053041 2928857 X true true 1 1 St Vincent's Blount 150 Gilbreath Drive Oneonta AL 35121 www.stvhs.com/blount H0501 X X X X St Vincent's Blount 1 false false true X X X X X X X X 15 true false false true X http://www.stvhs.com/chassessment/svb_community%20Assessment.pdf X true 15 true http://www.stvhs.com/chassessment/svb_community%20Assessment.pdf false false true X 200.0 300.0 X X X true true X X X X true X http://www.stvhs.com/financialpolicy.asp X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. VINCENTS BLOUNT. Community Health Needs Assessment Implementation Plan for FY2014-2016 St. Vincent's Blount Hospital The identified community health needs for the defined service area of St. Vincent's Blount are: 1. Prevention of Obesity & Good Nutrition Education 2. Diabetes Education 3. Cardiac Health Education 4. Increased Transportation Options for Health Care Appointments 5. Free or Subsidized Health Care for the Uninsured and/or Poor 1. Good Nutrition/Obesity Prevention - St. Vincent's Blount is actively involved in reducing the obesity rates and improving access to nutritional food in the state of Alabama through a variety of means tested methods. An active member of the Alabama Taskforce on Obesity, Bold Goals for Health and the Jefferson County Health Action Partnership, St. Vincent's Health System has contributed significantly to regional efforts to promote good nutrition and obesity prevention. According to the CDC, recommended strategies for obesity prevention include: "Improve availability of mechanisms for purchasing foods from farms; provide incentives for the production, distribution and procurement of foods from local farms, and participate in community coalitions or partnerships to address obesity" (CDC, 4). Christmas outreach in support of local school P.E. departments. Over 50 associates volunteers at 6 different sites encouraging physical fitness for children. 2. Diabetes Education - Provide diabetes education and awareness to community. 100% of individuals in community screenings with abnormal glucose received counseling from an RN or RD as well as follow up call from Dial-A-Nurse. 3. Cardiac Health Education- St. Vincent's Blount promotes Cardiac Health Education in a variety of ways through partnerships with American Heart Association's Go Red initiative. A regional screening event, Heart Day, promotes testing and awareness of the need to become heart healthy. This event focuses on individuals who would otherwise not be able to afford or have access to such screenings and education. The Community Guide recommends a reduction in out of pocket costs can assist patients with compliance to medication and lifestyle modifications (http://thecommunityguide.org/about/What-Works-CVD-factsheet-and-insert.pdf). By providing free screenings and education to the community, STVHS is able to make these services available to all, regardless of ability to pay or insurance coverage. The community screenings are often targeted to individuals living in poverty and provide follow-up phone calls from Dial-A-Nurse department to explain abnormal results and offer health education on what the screening results mean. Community CPR classes, community health screenings and Go Red events. Accreditations for excellence in cardiac care. 4. Increased Transportation Options for Health Care Appointments - While St. Vincent's does not currently have the resources, expertise or capacity to address this need, the Health System has made efforts to locate primary care clinics in this area so that individuals have access to primary care services closer to home. Blount County currently has several St. Vincent's Family Care Centers (4) which include: Locust Fork Family Care, Cleveland Family Care, Blount Pediatrics and Oneonta Family Care. coordination with KidOne and IMPACT program. STVHS Corporate sponsorship of KidOne. 5. Free/Subsidized Healthcare for Uninsured - St. Vincent's Blount has a long history of working with individuals who are uninsured to be able to provide healthcare services. The Access to Care program is a primary care provider program for individuals living less than 200% income over the federal poverty level. In partnership with Enroll Alabama, St. Vincent's encouraged individuals to sign up for healthcare exchanges and publicized benefits of the Affordable Care Act. STVHS was also a CAC (Certified Application Counselor) organization that was able to provide information to the community about healthcare coverage options. Hosted enrollment events at St. Vincent's Blount and navigator during open enrollment at Access to Care. Access to Care served 409 unique patients. The current CHNA for fiscal years 2017-2019 (beginning July 1, 2016) will continue efforts to address health needs of Blount County and prioritize needs of the communities St. Vincent's Blount serves. The assessments of unmet health needs will provide a basis for addressing the health needs of the county served and serve as a reference for the 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. St. Vincent's Health System facilitated the CHNA for its hospital in Blount County, with system leadership from Mission Integration and Corporate Development providing coordination and oversight. Additionally, representation from system Senior Leadership, Finance, Wellness and the facility President's from each of the hospital facilities were involved in the process and in developing the subsequent implementation strategies. The community served for purposes of this CHNA was defined as Blount County. The primary rationale for selecting this geography included: area served by collaborating entities; areas of populations that included the underserved, low-income and minority groups; potential for collaboration/partnering with other organizations; and availability of health information for the area selected. The process included a review of secondary health data, interviews of community health leaders, a survey of community members and several focus groups with representatives from communities served, with special attention to the vulnerable populations in the service area. The objectives of the CHNA and subsequent facility specific implementation strategies are: 1.) To provide an unbiased comprehensive assessment of Blount 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 2015 CHNA will be addressed. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - St. Vincent's Blount. Partial financial assistance can be granted for those individuals that fall above the FPG. A sliding scale is used to determine the financial assistance amount. For instance if the income level is at 250% then the partial assistance is 90% of the total bill or Best Payor rate, whichever is less. 0 Schedule H, Part I, Line 7g Subsidized Health Services The Organization employs its physicians at physician clinics, so the associated costs and charges relating to those physician services are included in all relevant categories in Part I. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means tested government programs, and 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. Per the information in the table, a cost-to-charge ratio were calculated and applied. Schedule H, Part II Community Building Activities At St. Vincent's Health System, the Community Building activities range from financial assistance for local non-profits to economic development and health professions training. The health and wellness of the North Central Alabama community is at the core of all the community building activities that St. Vincent's Health System reports. The community health approach of St. Vincent's Health System focuses on systemic change in a community to lead individuals to make their own goals of health and wellness. This is demonstrated in programs like Hispanic Outreach and Access to Care. Economic, leadership and workforce development are a priority for maintaining a strong and viable culture for changes in health. According to Robert Wood Johnson Foundation, where individuals live, work and play are essential in determining their health outcomes. St. Vincent's Health System commits significant community benefit resources to collaborating across disciplines and fields to promote communication and pathways to success for patients, associates and community members. St. Vincent's chairs the Community Healthcare Provider Round Table as well as the Community Mental Healthcare Provider Round Table as an example of a shared responsibility to serve those who have barriers to care. Continued advocacy work around Medicaid expansion and other issues that affect the community are working to find ways in which various businesses and community organizations can collaborate for improvement. With a strong rural presence, physician recruitment for Medically Underserved Areas (MUAs) is vitally important for the continuation of medical care in outlying areas. The variety and scope of the community building activities of St. Vincent's Health System shows an ongoing effort to serve as a leader in healthcare as well as a leader in the overall community improvement where we serve. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense recorded on the financial statements is the sum of the following: - Bad debt write-offs on patient accounts that are deemed uncollectible during the year, and - A reserve estimate on accounts receivable (unpaid patient accounts) of what will be deemed uncollectible in the future on these accounts. This estimate is developed using a hindsight methodology. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote From the consolidated audited financial statements of Ascension Health Alliance (which includes the activity of St. Vincent's Blount): 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Ascension Health and 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. The cost-to-charge ratio method is used in determining the shortfall. 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 Blount: Line 16a URL: http://www.stvhs.com/financialpolicy.asp; Schedule H, Part VI, Line 2 Needs assessment OUR MOST RECENT COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED IN JUNE 2016 BY OUR PARENT COMPANY ST. VINCENT'S HEALTH SYSTEM AND WAS LIMITED GEOGRAPHICALLY TO THE SEVEN COUNTIES SERVED BY ST. VINCENT'S HEALTH SYSTEM. THE ASSESSMENT WAS COMPLETED BY INTERVIEWING KEY STAKEHOLDERS BOTH WITHIN ST. VINCENT'S HEALTH CARE SYSTEM AND IN THE EXTERNAL COMMUNITY. THE INTERVIEWS WERE CONDUCTED AS OF JUNE 2016. INTERVIEWEES INCLUDED A RANGE OF CBO'S AND PROGRAM MANAGERS FROM AREA HEALTH CARE ORGANIZATIONS, AND MORE THAN 50 INTERVIEWS WERE COMPLETED. THE NEEDS ASSESSMENT CONSISTS OF CENSUS DATA, PUBLIC HEALTH INFORMATION, AND FINDINGS FROM THE INTERVIEWS. THESE FINDINGS INCLUDE AN ASSESSMENT OF THE LOCAL HEALTHCARE INFRASTRUCTURE AND THE SERVICE GAPS, ESPECIALLY IN REGARDS TO THOSE IN OUR COMMUNITY WHO LACK ACCESS TO BASIC HEALTHCARE SERVICES. 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 1,247,568; MEDIAN INCOME OF $48,849; AND MEDIAN AGE OF 39.1. - AGE OF POPULATION: 26.77% AGE 0-19, 30.92% AGE 20-44, 26.37% AGE 45-64, 15.94% AGE 65+. - SEX: 51.9% FEMALE AND 48.1% MALE. - ETHNICITY: 67.4% WHITE NON-HISPANIC, 29.4% BLACK NON-HISPANIC, 4.2% HISPANIC, 1.5% ASIAN NON-HISPANIC. - LANGUAGE: ENGLISH SPEAKING 94.27%, NON-ENGLISH AGE 5+ 3.56%. - THERE ARE 87 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS (MUA'S) IN THE STATE AND 18% OF THE POPULATION IS ELIGIBLE FOR MEDICAID INSIDE THE SEVEN COUNTY SERVICE AREAS. - INSURANCE COVERAGE BREAKDOWN IS 54% PRIVATE, 16% MEDICARE, 16% MEDICAID, AND 14% UNINSURED. - POVERTY: 16.5% ON AVERAGE IN POVERTY. RANGE IN 7 COUNTIES 7.7% TO 22.9%. - 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 four hospitals and Health & Wellness facilities, contributes to the positive health status of the communities we serve. The System's four hospitals include St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount 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. 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 provided by our four hospitals to the uninsured or underserved. FY16 Number of Licensed Beds - Number of Patient Days - Estimated unreimbursed Cost: St, Vincent's Birmingham - 439 - 99,031 - $7,043,774 St. Vincent's East - 357 - 94,255 - $ 11,030,007 St, Vincent's Blount - 25 - 5,679 - $ 1,244,149 St. Vincent's St. Clair - 40 - 6,524 - $ 1,389,018 Total - 861 - 250,125 - $ 20,706,943. St. Vincent's Health System has a deep commitment to serving the community. We earmark a certain percentage of our yearly profits for charitable donations. Through this charitable donation program, we are able to support local chapters of national organizations such as the American Cancer Society, the American Heart Association, March of Dimes, and Susan G. Komen for the Cure. We also fund local programs and initiatives such as the United Way. Many of our executives serve on the boards of these 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 Liz Moore Low Vision Center located at St. Vincent's East, Jeremiah's Hope Skills Program, Hispanic Outreach Ministry, Access to Care program and Elder Care Services program in which are all located at St. Vincent's Birmingham. The goal of the Liz Moore Low Vision Center at St. Vincent's East is to assist the person with low vision to use functional vision to the utmost capacity. A person with low vision may be legally blind but able to function with visual aids that enhance the remaining vision. With the assistance of magnification, and adaptations of the special low vision aids that are useful for certain daily tasks, the visually impaired person can function with less difficulty. The Vision Center provides services for the person with low vision. These services are designed to benefit a person's daily life activities, which may be hindered by the visual loss. St. Vincent's Birmingham Jeremiah's Hope Skills Program 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. St. Vincent's has also recently partnered with Jeff State Community College to begin identifying "under-employed" individuals from within our own workforce and training them to become nurses. Philanthropy allowed this revolutionary program to blossom and it has now become a model for other healthcare facilities nationwide. In 2003, St. Vincent's Birmingham initiated a Hispanic Outreach program, La Sana Esperanza/The Healthy Hope, recognizing the changing demographics in Birmingham. This program provides health and medical assistance to the burgeoning Latino population, often an isolated sector of our community. By identifying and placing high-risk persons in our Access To Care Program, we are providing critical care for those in need in a fiscally responsible manner. We have provided health fairs, health screenings, health information, case management assistance, and language assistance to a myriad of persons within the Birmingham community in order to break down the barriers that lead to poor heath in the Latino population. 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 350 patients at any given time, providing for all of their healthcare needs at no cost to the patient. 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. This charity care is only made possible because of charitable gifts which provide the equipment, space and staffing the Clinic needs. The Clinic is a service for those patients who have no other options and is possible because of the many philanthropists who support this ministry. The St. Vincent's Birmingham Elder Care Services Program was created in response to a need expressed by a donor to St. Vincent's Foundation. That donor is a self-described Elder Orphan. She has few family members and no prospects to assist her with care as she ages. She worries about her future when the time comes when she is no longer able to drive herself to and from physician appointments and to the grocery store. She trusts St. Vincent's to care for her medical needs and wondered if there was a way for St. Vincent's to assist people like her who will need additional assistance as they age. The idea was presented to Susann Montgomery-Clark in the Foundation office, and after more than two years of focus groups and meetings with St. Vincent's associates, the project was officially launched. Initial funding was requested from a group of focus group members who were supportive and excited about the project and a grant was obtained from the Daughters of Charity to begin work on the outline of services that the Elder Care Services Program might provide. Just in its infancy, the Elder Care Program has hopes to become one that assists our original donor and those like her who will need support services in their twilight years. 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 five facilities: St. Vincent's Birmingham, St. Vincent's Blount, St. Vincent's East, St. Vincent's St. Clair, 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 VI, Line 6 Affiliated health care system St. Vincent's Health System (the Health Ministry) is a member of Ascension Health. 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 Ascension Sponsor, a Public Juridic Person. The Participating 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, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province, became part of Ascension Health on April 1, 2013. 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 and 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 represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons. 3. Cost of other programs for the persons living in poverty and other vulnerable persons includes programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community including substance abusers, the homeless victims of child abuse and persons with acquired immune deficiency syndrome. 4. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty and other vulnerable persons, including health promotion and education, health clinics and screenings and medical research. Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care to persons living in poverty and community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care. true true false false false false false false false JOHN D O'NEIL FORMER OFFICER (THRU 9/14) 0 -8950 0 0 0 606488 0 0 0 18897 0 616435 0 0 NEEYSA C BIDDLE SVP ASCENSION HEALTH/BIRMINGHAM MARKET EXECUTIVE/PRESIDENT CEO - STVHS 0 592977 0 372547 0 107212 0 15900 0 22707 0 1111343 0 0 DAVID A CAUBLE EVP/CFO (ENDS 11/2015) 0 352898 0 124046 0 101515 0 7738 0 26543 0 612740 0 0 WILLIAM A DAVIS CHIEF OPERATING OFFICER 0 380266 0 71531 0 15331 0 7950 0 20985 0 496063 0 0 DR GREGORY L JAMES CHIEF CLINICAL OFFICER (END 2/15/16) 0 398445 0 80372 0 17663 0 7950 0 22323 0 526753 0 12050 JENNIFER L KINGRY CFO 0 161520 0 26399 0 1848 0 5048 0 19600 0 214415 0 0 CAROL A MAIETTA SR. VP/HR/CLO 0 239623 0 50532 0 22466 0 7247 0 15341 0 335209 0 0 NAN M PRIEST EVP/CHIEF STRATEGY OFFICER 0 307749 0 75490 0 25806 0 7950 0 22924 0 439919 0 0 KIDADA Y HAWKINS FORMER VP/COO RURAL (END 9/2015) 130702 0 0 0 28925 0 2700 0 15718 0 178045 0 0 0 AMY R SHELTON ADMINISTRATOR - BLOUNT 155583 0 30069 0 1644 0 5469 0 23669 0 216434 0 0 0 GAVIN K GILLILAND DIRECTOR-PHARMACY 134219 0 17327 0 5134 0 3694 0 12120 0 172494 0 0 0 Schedule J, Part I, Line 1a health or social club dues or initiation fees St. Vincent's Health System, a related organization, provides membership to The Summit Club and Vestavia Country Club for members of the executive team, as well as, Rotary and Kiwanis Club memberships for various members of the management team to facilitate networking and community benefit related to St. Vincent's Health System. 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 Blount, 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 John O'Neil - $593,507 paid by a related organization 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. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, paid out of the supplemental nonqualified retirement plan in the amounts as noted: Chris Moore - $3,682 Carol Maietta - $13,830 John D. O'Neil - $12,981 Nan M. Priest - $18,501 Form 990, Part IV, Line 20b The financial statements of St. Vincent's Health System, which include the activity of St. Vincent's Blount, fall under the full scope audit of Ascension Health Alliance. The activity of St. Vincent's Blount and other members of St. Vincent's Health System are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit for St. Vincent's Blount is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates (which include the activity of St. Vincent's Blount). Form 990, Part VI, Line 15 EXPLANATION IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT'S BLOUNT, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS, PERFORMED BY ST. VINCENT'S HEALTH SYSTEM, A RELATED ORGANIZATION OF ST. VINCENT'S BLOUNT, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ST. VINCENT'S HEALTH SYSTEM COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER HOSPITALS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. Form 990, Part VI, Line 6 Classes of members or stockholders St. Vincent's Blount has a single corporate member, St. Vincent's Health System. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. Vincent's Blount has a single corporate member, St. Vincent's Health System, who has the ability to elect members to the governing body of St. Vincent's Blount. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Vincent's Blount financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body There are no separate committees that have the authority to act on behalf of the governing body for St. Vincent's Blount. Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain Officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the form to a designated committee of St. Vincent's Health System (which has oversight over this entity), to review and answer questions. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions. Form 990, Part VI, Line 12c Conflict of interest policy 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 meeting 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 Conflict 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 status. 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 IX, Line 11g Other Fees Other - Total Expense: 3445286, Program Service Expense: 3100757, Management and General Expenses: 344529, Fundraising Expenses: ; 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 HEALTH SYSTEM 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630931008 HEALTH SYSTEM PARENT AL 501(c)(3 Type III-FI ASCENSION HEALTH false ST VINCENT'S EAST 50 MEDICAL PARK EAST DRIVE BIRMINGHAM AL 35235 630578923 HOSPITAL AL 501(c)(3 3 ST VINCENT'S HEALTH SYSTEM 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 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 true ST VINCENT'S FOUNDATION OF ALABAMA INC 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630868068 FUNDRAISING AL 501(c)(3 7 ST VINCENT'S HEALTH SYSTEM 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 true ST VINCENT'S BIRMINGHAM 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630288864 HOSPITAL AL 501(c)(3 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 200708162 OUTPATIENT SURGERY AL NA N/A 0 ST VINCENT'S SLEEP DISORDER CENTER 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 631282288 SLEEP DISORDER CENTER AL NA N/A 0 VINCENTIAN VENTURES OF NORTH ALABAMA INC 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630965456 MISC HEALTHCARE SERVICES AL NA C Corporation false ASCENSION VENTURES CORPORATION 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 631217059 MISC HEALTHCARE SERVICES AL NA C Corporation false EASTSIDE VENTURES 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630846221 MISC HEALTHCARE SERVICES AL NA C Corporation false false false true false false false false false false false false false false false false false true true true ST VINCENT'S EAST R 202048 JOURNAL ENTRY TRANSACTION St Vincent's Foundation of Alabama Inc C 120776 JOURNAL ENTRY TRANSACTIONS