ST VINCENTS HEALTH SYSTEM: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ST VINCENTS HEALTH SYSTEM (EIN 63-0931008)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-13
IRS object ID: 201741339349300614
Schema version: 2015v3.0
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	2017-05-13T09:03:27-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	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	2059397098	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	Jennifer Kingry	PersonNm
Person Title	CFO, BIRMINGHAM MINISTRY MARKET	PersonTitleTxt
Signature	2017-05-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Neeysa Biddle	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	$157,162,759	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	12	VotingMembersIndependentCnt
Total Employee	5627	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$109,358	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$48,185	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$103,597	PYContributionsGrantsAmt
CY Contributions Grants	$30,490,924	CYContributionsGrantsAmt
PY Program Service Revenue	$112,637,391	PYProgramServiceRevenueAmt
CY Program Service Revenue	$124,232,228	CYProgramServiceRevenueAmt
PY Investment Income	$4,814,217	PYInvestmentIncomeAmt
CY Investment Income	$827,517	CYInvestmentIncomeAmt
PY Other Revenue	$567,889	PYOtherRevenueAmt
CY Other Revenue	$1,394,627	CYOtherRevenueAmt
PY Total Revenue	$118,123,094	PYTotalRevenueAmt
CY Total Revenue	$156,945,296	CYTotalRevenueAmt
PY Grants And Similar Paid	$258,200	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,667,252	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$35,689,734	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$43,329,185	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$77,611,842	PYOtherExpensesAmt
CY Other Expenses	$101,221,039	CYOtherExpensesAmt
PY Total Expenses	$113,559,776	PYTotalExpensesAmt
CY Total Expenses	$154,217,476	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,563,318	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,727,820	CYRevenuesLessExpensesAmt
Total Assets BOY	$239,124,231	TotalAssetsBOYAmt
Total Assets EOY	$312,328,799	TotalAssetsEOYAmt
Total Liabilities BOY	$55,422,608	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$143,086,640	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$183,701,623	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$169,242,159	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	$116,065,543	ExpenseAmt
Grant	$9,667,252	GrantAmt
Revenue	$91,720,053	RevenueAmt
Desc	ST. VINCENT'S HEALTH SYSTEM IS COMMITTED TO PROVIDING HEALTHCARE THAT WORKS, HEALTHCARE THAT IS SAFE, AND HEALTHCARE THAT LEAVES NO ONE BEHIND, TO THIS END, THE HEALTH SYSTEM SUPPORTS VARIOUS 501(C)(3) ORGANIZATIONS INCLUDING: AMERICAN SPORTS MEDICINE INSTITUTE, ST. VINCENT'S FOUNDATION OF ALABAMA, INC., ST. VINCENT'S BIRMINGHAM, ST. VINCENT'S EAST, ST, VINCENT'S BLOUNT, AND UNIVERSAL HEALTH SYSTEM.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$24,287,327	ExpenseAmt
Revenue	$33,035,008	RevenueAmt
Desc	THE HOSPITAL IS DEDICATED TO SPIRITUALLY 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 COMMUNITY, FOR DETAILED INFORMATION ON THE HOSPITAL'S PROGRAM SERVICE ACCOMPLISHMENTS AND STATISTICAL DATA. SEE SCHEDULE H.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$140,352,870	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	109	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5627	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	false	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	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	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	Yes (true)	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	Jennifer Kingry	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2059397079	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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 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
ROBERT BARNETT
CHAIRMAN	2.0	2.5	Yes (X)	Yes (X)	$0	$0	$0
NEEYSA C BIDDLE
SVP ASCENSION HEALTH/BIRMINGHAM MARKET EXECUTIVE/PRESIDENT CEO - STVHS	15.0	35.0	Yes (X)	Yes (X)	$979,351	$93,385	$38,607
JAMES D DAVIS
TREASURER	2.0	2.5	Yes (X)	Yes (X)	$0	$0	$0
NENA F SANDERS
VICE CHAIR	2.0	2.5	Yes (X)	Yes (X)	$0	$0	$0
DENNIS JONES MD
BOARD MEMBER	2.0	2.5	Yes (X)	Yes (X)	$0	$0	$0
SR MARY ELIZABETH CULLEN DC
BOARD MEMBER	2.0	2.5	Yes (X)		$0	$0	$0
NORMAN B DAVIS JR
BOARD MEMBER	0.5	2.5	Yes (X)		$0	$0	$0
KENT J GRAEVE
BOARD MEMBER	2.0	2.5	Yes (X)		$0	$0	$0
WILLIE H PARKER
BOARD MEMBER	2.0	2.5	Yes (X)		$0	$0	$0
DANIEL F SANSONE
BOARD MEMBER	2.0	2.5	Yes (X)		$0	$0	$0
JOSEPH EDWARD WELDEN JR MD
BOARD MEMBER	2.0	2.5	Yes (X)		$0	$0	$0
JAMES CANTRELL MD
BOARD MEMBER	2.0	2.5	Yes (X)		$0	$0	$0
DON PERRY
BOARD MEMBER	2.0	2.5	Yes (X)		$0	$0	$0
DELYNN ZELL CFP
BOARD MEMBER	2.0	2.5	Yes (X)		$0	$0	$0
DAVID A CAUBLE
EVP/CFO (ENDS 11/2015)	15.0	33.0		Yes (X)	$578,459	$0	$34,281
WILLIAM A DAVIS
CHIEF OPERATING OFFICER	44.0	6.0		Yes (X)	$467,128	$0	$28,935
SUSAN DOUGHTON
CHIEF LEGAL OFFICER		0		Yes (X)	$0	$0	$0
DR GREGORY L JAMES
CHIEF CLINICAL OFFICER (END 2/15/16)	20.0	22.0		Yes (X)	$496,480	$0	$30,273
JENNIFER L KINGRY
CFO	15.0	35.0		Yes (X)	$189,767	$0	$24,648
MICHAEL R KORPIEL
PRESIDENT (STV EAST AND RURALS)	1.0	50.0		Yes (X)	$0	$398,290	$34,560
CAROL A MAIETTA
SR. VP/HR/CLO	15.0	46.0		Yes (X)	$312,621	$0	$22,588
NAN M PRIEST
EVP/CHIEF STRATEGY OFFICER	30.0	13.0		Yes (X)	$409,045	$0	$30,874
ROBERT E RAY
PRESIDENT - BIRMINGHAM	25.0	50.0		Yes (X)	$0	$356,079	$29,691
GINA ANDERSON
CHIEF INTEGRATION/QUALITY OFFICER	40.0	0			$291,371	$0	$34,780	Yes (X)
WAYNE CARMELLO-HARPER
SVP MISSION INTEGRATION & PHILANTHROPY	40.0	5.0			$395,280	$0	$27,534	Yes (X)
KIDADA Y HAWKINS
FORMER VP/COO RURAL (END 9/2015)	25.0	25.0			$0	$159,627	$18,418	Yes (X)
FRANK MALENSEK
CHIEF MEDICAL OFFICER	50.0	0.0			$372,345	$0	$39,924	Yes (X)
CHRISTOPHER L MOORE
CNO - SYSTEM	40.0	0			$194,011	$0	$14,574	Yes (X)
TERRY M BRANNON
VP REVENUE CYCLE	40.0	0			$219,032	$0	$23,346		Yes (X)
JAMES FLYNN
MEDICAL GROUP OPERATIONAL LEAD	40.0	0			$216,809	$0	$25,209		Yes (X)
ELIZABETH B MOORE
VP MARKETING	40.0	0			$250,250	$0	$24,320		Yes (X)
STEPHANIE HOLDERBY
VP - AMBULATORY HC NETWORK	50.0	0			$207,284	$0	$16,487		Yes (X)
BONNIE RAMSEY
VP - HR OPERATIONS	40.0	0			$216,141	$0	$23,703		Yes (X)
JOHN D O'NEIL
FORMER OFFICER (END 9/14)	0.0	0.0			$597,538	$0	$18,897			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,392,912	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,007,381	TotReportableCompRltdOrgAmt
Total Other Compensation	$541,649	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	40	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
ACCRETIVE HEALTHCARE SERVICES INC
39918 TREASURY CENTER	CHICAGO	IL	606949900	Healthcare Services	$18,440,011
KIWI-TEK LLC
PO BOX 1627 BIN 141972	INDIANAPOLIS	IN	462061627	Healthcare Services	$2,525,501
MORRISON MANAGEMENT SPECIALISTS INC
PO BOX 102289	ATLANTA	GA	303682289	Food and EVS Services	$1,307,895
ATHENAHEALTH INC
311 Arsenal Street	Watertown	MA	02472	Healthcare Services	$855,382
DOMINICK FELD HYDE
PO BOX 1387	BIRMINGHAM	AL	35201	Legal Services	$622,784

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	26	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,464,565	RelatedOrganizationsAmt
All Other Contributions	$29,026,359	AllOtherContributionsAmt
Total Contributions	$30,490,924	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
I/C Management Revenue	541900	$91,703,542	$91,703,542
Net Patient Revenue	621990	$32,543,601	$32,436,803	$106,798
Lab Testing	621500	-$14,915	-$17,475	$2,560

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$124,232,228	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$826,767	TotalRevenueColumnAmt
Exclusion	$826,767	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$99,994	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$217,463	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$117,469	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$117,469	TotalRevenueColumnAmt
Exclusion	-$117,469	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$750	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$750	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$750	TotalRevenueColumnAmt
Exclusion	$750	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Medicare ARRA Funds	900099	$615,680	$615,680
Wellness Revenue	621990	$37,393		$37,393
Cafeteria Revenue	722514	$139,160		$139,160

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$719,863	TotalRevenueColumnAmt
Related Or Exempt Func Income	$16,511	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$703,352	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,512,096	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$156,945,296	TotalRevenueColumnAmt
Related Or Exempt Func Income	$124,755,061	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$109,358	UnrelatedBusinessRevenueAmt
Exclusion	$1,589,953	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$9,667,252	TotalAmt
Program Services	$9,667,252	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,012,876	TotalAmt
Program Services	$4,395,488	ProgramServicesAmt
Management And General	$617,388	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$29,632,279	TotalAmt
Program Services	$26,817,853	ProgramServicesAmt
Management And General	$2,814,426	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$754,436	TotalAmt
Program Services	$678,992	ProgramServicesAmt
Management And General	$75,444	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,773,412	TotalAmt
Program Services	$5,163,369	ProgramServicesAmt
Management And General	$610,043	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,156,182	TotalAmt
Program Services	$1,940,564	ProgramServicesAmt
Management And General	$215,618	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,497,829	TotalAmt
Program Services	$1,348,046	ProgramServicesAmt
Management And General	$149,783	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,077,689	TotalAmt
Program Services	$969,920	ProgramServicesAmt
Management And General	$107,769	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$48,074	TotalAmt
Program Services	$48,074	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,715,587	TotalAmt
Program Services	$18,644,028	ProgramServicesAmt
Management And General	$2,071,559	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,737,090	TotalAmt
Program Services	$1,563,381	ProgramServicesAmt
Management And General	$173,709	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,840,117	TotalAmt
Program Services	$2,556,105	ProgramServicesAmt
Management And General	$284,012	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$32,543,646	TotalAmt
Program Services	$29,289,281	ProgramServicesAmt
Management And General	$3,254,365	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,514,322	TotalAmt
Program Services	$2,262,890	ProgramServicesAmt
Management And General	$251,432	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$464,240	TotalAmt
Program Services	$417,816	ProgramServicesAmt
Management And General	$46,424	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$24,711	TotalAmt
Program Services	$22,240	ProgramServicesAmt
Management And General	$2,471	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$16,976,521	TotalAmt
Program Services	$14,381,533	ProgramServicesAmt
Management And General	$2,594,988	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,451,178	TotalAmt
Program Services	$4,006,060	ProgramServicesAmt
Management And General	$445,118	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$450,386	TotalAmt
Program Services	$405,347	ProgramServicesAmt
Management And General	$45,039	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$3,768,779	$3,768,779
Provider Tax Expense	$1,186,071	$1,186,071
Accretive	$1,350,156	$1,350,156
Capitation	$8,444,859	$8,444,859

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,129,784	TotalAmt
Program Services	$1,024,766	ProgramServicesAmt
Management And General	$105,018	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$154,217,476	TotalAmt
Program Services	$140,352,870	ProgramServicesAmt
Management And General	$13,864,606	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,944,273	BOYAmt
EOY	$13,501,503	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$29,129,064	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,203,195	BOYAmt
EOY	$11,196,238	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$507,487	BOYAmt
EOY	$552,073	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$584,151	BOYAmt
EOY	$517,078	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$33,375,666	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,531,183	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$12,958,098	BOYAmt
EOY	$10,844,483	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,671,890	BOYAmt
EOY	$4,298,301	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$34,286	BOYAmt
EOY	$77,797	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$587,398	BOYAmt
EOY	$17,946,681	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$203,633,453	BOYAmt
EOY	$224,265,581	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$239,124,231	BOYAmt
EOY	$312,328,799	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,637,228	BOYAmt
EOY	$25,662,911	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$656,780	BOYAmt
EOY	$4,796,279	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,128,600	BOYAmt
EOY	$112,627,450	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,422,608	BOYAmt
EOY	$143,086,640	EOYAmt

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$183,664,322	BOYAmt
EOY	$140,208,680	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,301	BOYAmt
EOY	$29,033,479	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$183,701,623	BOYAmt
EOY	$169,242,159	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$239,124,231	BOYAmt
EOY	$312,328,799	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,727,820	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,352,777	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,834,507	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
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	6	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
ST VINCENT'S BIRMINGHAM
630288864	3	Yes (true)	$52,210,032	$0
ST VINCENT'S EAST
630578923	3	Yes (true)	$30,764,941	$0
ST VINCENT'S BLOUNT
630909073	3	Yes (true)	$3,044,693	$0
UNIVERSAL HEALTH SERVICES
630932323	3	Yes (true)	$125,495	$0
AMERICAN SPORTS MEDICINE INSTITUTE
630952490	7	Yes (true)	$292,780	$0
ST VINCENT'S FOUNDATION OF NORTH AL
630868066	7	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	6	SupportedOrganizationsTotalCnt
Support Sum	$86,437,941	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$48,074	OtherActivitiesAmt
Total Lobbying Expenditures	$48,074	TotalLobbyingExpendituresAmt

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,503,852	OtherCostOrOtherBasisAmt
Depreciation	$1,183,780	DepreciationAmt
Book Value	$1,320,072	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,094	OtherCostOrOtherBasisAmt
Depreciation	$8,051	DepreciationAmt
Book Value	$16,043	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,628,832	OtherCostOrOtherBasisAmt
Depreciation	$20,978,141	DepreciationAmt
Book Value	$8,650,691	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,218,888	OtherCostOrOtherBasisAmt
Depreciation	$361,211	DepreciationAmt
Book Value	$857,677	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$10,844,483	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Interest in investments held by Ascension Health Alliance	$153,533,189
Advances for affiliates
Physician guarantee long term assets	$2,293,688
Due from affiliates	$68,353,341
Donor restricted temp NonHSD	$33,481
Other Misc Long term assets	$25,331
Security Deposits	$26,551

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$224,265,581	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Due to affiliates	$96,885,175
Deferred compensation liability	$4,298,302
Self insurance claim
Phys gurantee LT liability	$1,110,045
Sales tax general reserve	$924,000
Pension liability	$9,187,816
Historical allowance other	$222,112

Field	Value	IRS element (for citing)
Total Liability	$112,627,450	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	From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Vincent's Health System: 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.	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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
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	$951,557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$951,557	NetCommunityBenefitExpnsAmt
Total Expense	0.0354	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,599,257	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,210,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,389,017	NetCommunityBenefitExpnsAmt
Total Expense	0.0516	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	$4,550,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,210,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,340,574	NetCommunityBenefitExpnsAmt
Total Expense	0.0870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	14057	PersonsServedCnt
Total Community Benefit Expns	$529,551	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$529,551	NetCommunityBenefitExpnsAmt
Total Expense	0.0197	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$69,712	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$69,712	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1248	PersonsServedCnt
Total Community Benefit Expns	$171,629	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$171,629	NetCommunityBenefitExpnsAmt
Total Expense	0.0064	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	15305	PersonsServedCnt
Total Community Benefit Expns	$770,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$770,892	NetCommunityBenefitExpnsAmt
Total Expense	0.0287	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	15305	PersonsServedCnt
Total Community Benefit Expns	$5,321,706	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,210,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,111,466	NetCommunityBenefitExpnsAmt
Total Expense	0.1157	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	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$195	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$195	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	6312	PersonsServedCnt
Total Community Benefit Expns	$97,216	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$97,216	NetCommunityBenefitExpnsAmt
Total Expense	0.0036	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)
Total Community Benefit Expns	$232	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$232	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	9433	PersonsServedCnt
Total Community Benefit Expns	$34,752	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,752	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,330	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,330	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$18,968	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,968	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	49	ActivitiesOrProgramsCnt
Persons Served	15770	PersonsServedCnt
Total Community Benefit Expns	$166,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$166,693	NetCommunityBenefitExpnsAmt
Total Expense	0.0062	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,926,991	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,105,675	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,837,898	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,267,777	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7063 Veterans Parkway	AddressLine1Txt
City	Pell City	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	35125	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.stvhs.com	WebsiteAddressTxt
State License	H5801	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.stvhs.com/chassessment/CHNA_St.%20Clair.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.stvhs.com/chassessment/svsc_community%20Assessment.pdf	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.stvhs.com/financialpolicy.asp	FAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - St. Vincent's St. Clair. To prepare the CHNA report, data was gathered from multiple sources in an effort to construct a current and accurate snapshot of the health issues in St. Clair County, Alabama, Data was obtained from multiple public data bases and opinions were solicited from public health experts, community leaders and patients within the community served by St. Vincent's St. Clair Hospital. This information was summarized for final consideration by a CHNA team consisting of Hospital and System personnel as well as community members.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St. Vincent's St. Clair. Community Health Needs Assessment Implementation Plan Narrative FY16 Update - Part I St. Vincent's St. Clair Hospital The identified needs for the defined service area of St. Vincent's St. Clair are: 1. More or Better Community Recreation Facilities 2. Good Nutrition/Obesity Prevention 3. Cardiac Health Education 4. Hypertension/Stroke Prevention 5. Mental Health Support/Treatment 1. More or Better Community Recreation Facilities - In FY14 an initiative around bringing a YMCA to St. Clair County had begun with community leaders. St. Vincent's St. Clair President participated in those discussions. However, in FY15, the development of plans came to an impasse and was discontinued. St. Vincent's St. Clair continues to be committed to finding more or better recreation facilities for the community. Some of the current initiatives center around a walking track near the hospital as well as establishment of a connection to the Jeff State Community College campus and the Veteran's Home close to the hospital. Continued pursuit of these efforts will encourage the County government to give consideration to the desires of the community for these services. 2. Good Nutrition/Obesity Prevention - St. Vincent's St. Clair 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). In FY16, St. Vincent's St. Clair participated in providing local community gardens with equipment and resources to enhance their ability to serve others with healthy, fresh vegetables. In addition, St. Vincent's Health System provided over 600 individuals with a nutritious holiday meal box including fresh fruits and vegetables as well as healthy recipes. Volunteers spent over 100 hours of volunteer work at the Bruno Vegetable Garden in the Birmingham Botanical Gardens whose harvest serves a local foodbank. From FY14 to FY16, St. Vincent's Wellness Department conducted 20% more community screenings, reaching almost 20,000 individuals in the community with dietitian counseling on healthy eating and fitness recommendations. 3. Cardiac Health Education - St. Vincent's St. Clair 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. A Heart Day pre and post-test survey showed increase in heart health knowledge after participation in Heart Day event. Additionally, the 20% increase in screenings contributed to over 20,000 individuals receiving wellness education, especially as it relates to heart disease risk factors such as blood pressure and cholesterol levels.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - St Vincent's St. Clair. Community Health Needs Assessment Implementation Plan Narrative FY16 Update - Part II 4. Hypertension/Stroke Prevention - St. Vincent's Health System actively participated in various screening events throughout the community each year. These events test a participant's blood pressure and provide nutrition and health education related to diet and stroke prevention. 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. With an increase in community screenings by 20%, approximately 20,000 individuals who might not otherwise have access to these screenings and counseling were able to access basic information about risk factors and lifestyle modification recommendations to avoid stroke/manage hypertension. 5. Mental Health Support/Treatment - While St. Vincent's St. Clair had limited resources to address mental health support and treatment, many families and patients were directed for care and resources at St. Vincent's East where numerous programs were developed to assist with community mental health. St. Vincent's East behavioral health services provided multiple services for the community. To increase continuity of care, STVHS partnered with NAMI Jefferson and Shelby counties to provide Family to Family classes on both St. Vincent's Birmingham and St. Vincent's East campuses. An outpatient program was also developed as part of continuum of care. A collaborative care model is recognized as a best practice in community mental health for depressive disorders (http://www.thecommunityguide.org/mentalhealth/collab-care.html) In order to better serve the community, St. Vincent's Health System began a Mental Healthcare Provider Roundtable in FY16 to share information and coordinate resources and care, especially for those without access to appropriate mental health care. St. Vincent's East Behavioral Health Director serves on statewide committees and workgroups to address systemic mental health needs in the community. St. Vincent's St. Clair also provides ongoing support for local non-profit agencies that continue to address social and emotional as well as mental health concerns for residents in the community. Among those is the YWCA initiatives against domestic violence as well as Ann's New Life Center which provides support to women and children in need. The ARC of St. Clair also benefited from St. Vincent's St. Clair associates connecting needs and resources to the residents around the holidays. The CHNA for fiscal years 2017-2019 (beginning July 1, 2016) will continue efforts to address health needs of St. Clair County and prioritize needs of the communities St. Vincent's St. Clair 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 St. Clair 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 St. Clair 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 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 2015 CHNA will be addressed.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 costing 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 Health System): 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 the 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 St. Clair: Line 16a URL: http://www.stvhs.com/financialpolicy.asp;
Schedule H, Part VI, Line 2 Needs assessment	At St. Vincent's Health System, we conducted our most recent community needs assessment in June 2016 and were 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 is a member of Ascension Health Alliance (d/b/a Ascension). Ascension is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries located in 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. 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, 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	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	IRC SectionIRCSectionDesc	Address Line2USAddress/AddressLine2Txt
Crimson Tide Sports Marketing
PO Box 843256	Kansas City	MO	64184	201368758	$111,500	General Support
IMG College Inc
540 North Trade Street	Winston Salem	NC	27101	273646546	$53,700	General Support
Samford University
800 Lakeshore Drive	Birmingham	AL	35229	630312914	$38,375	General Support	501(c)(3)
Troy University
University Avenue	Troy	AL	36082	636001102	$22,000	General Support	501(c)(3)
University of West Alabama
100 US 11	Livingston	AL	35470	631074127	$42,000	General Support	501(c)(3)
United Way
3600 8th Ave S	Birmingham	AL	35232	630288846	$75,000	General Support	501(c)(3)
American Heart Association
1710 GILBRETH RD STE 100	BURLINGAME	CA	940101315	135613797	$50,000	General Support	501(c)(3)
Briarwood Presbyterian Church
400 OFFICE PARK DR STE 210	BIRMINGHAM	AL	35223	630653634	$48,850	General Support	501(c)(3)
NEW CARDIOVASCULAR HORIZONS FOUNDATION
3639 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70503	463186713	$15,000	General Support	501(c)(3)	STE 605
American Cancer Society
1700 LAKE SUCCESS DR	WACO	TX	76710	131788491	$10,000	General Support	501(c)(3)
KNIGHT EADY SPORTS & ENTERTAINMENT
1500 1ST AVE N UNIT 99	BIRMINGHAM	AL	35203	462914391	$30,000	General Support
BIRMINGHAM BARONS LLC
PO BOX 360007	BIRMINGHAM	AL	35236	203412634	$24,100	General Support
KINEMATIC SPORTS LLC
800 22ND AVE	TUSCALOOSA	AL	354012142	811392196	$14,174	General Support
MOMENTUM ALUMNAE PROGRAM INC
2821 SECOND AVE S STE B-1	BIRMINGHAM	AL	35233	261909257	$10,000	General Support
BIRMINGHAM HAMMERS LLC
2301 MORRIS AVE STE 311	BIRMINGHAM	AL	352034390	464331527	$9,000	General Support
HEALTH SYSTEMS INNOVATION NETWORK LLC
188 FRONT ST STE 116-91	FRANKLIN	AL	370645089	161553893	$8,000	General Support
GREATER ALABAMA COUNCIL INC
PO BOX 43307	BIRMINGHAM	AL	352430307	630302107	$8,000	General Support
CHAMPION SPORTS MEDICINE
805 ST VINCENTS DR STE G 100	BIRMINGHAM	AL	35205	721379381	$28,822	General Support
UNIVERSAL HEALTH SERVICES
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630932323	$127,628	CONTRIBUTION	501(c)3
ST VINCENT'S EAST
50 MEDICAL PARL EAST DRIVE	BIRMINGHAM	AL	35235	630578923	$8,651,983	CONTRIBUTION	501(c)3

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	10	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)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (20 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
JOHN D O'NEIL
FORMER OFFICER (END 9/14)	-$8,950	$0	$0	$0	$606,488	$0	$0	$0	$18,897	$0	$616,435	$0	$0	$0
NEEYSA C BIDDLE
SVP ASCENSION HEALTH/BIRMINGHAM MARKET EXECUTIVE/PRESIDENT CEO - STVHS	$501,979	$90,998	$372,547	$0	$104,825	$2,387	$15,900	$0	$20,995	$1,712	$1,016,246	$95,097	$0	$0
DAVID A CAUBLE
EVP/CFO (ENDS 11/2015)	$352,898	$0	$124,046	$0	$101,515	$0	$7,738	$0	$26,543	$0	$612,740	$0	$0	$0
WILLIAM A DAVIS
CHIEF OPERATING OFFICER	$380,266	$0	$71,531	$0	$15,331	$0	$7,950	$0	$20,985	$0	$496,063	$0	$0	$0
DR GREGORY L JAMES
CHIEF CLINICAL OFFICER (END 2/15/16)	$398,445	$0	$80,372	$0	$17,663	$0	$7,950	$0	$22,323	$0	$526,753	$0	$12,050	$0
JENNIFER L KINGRY
CFO	$161,520	$0	$26,399	$0	$1,848	$0	$5,048	$0	$19,600	$0	$214,415	$0	$0	$0
MICHAEL R KORPIEL
PRESIDENT (STV EAST AND RURALS)	$0	$331,941	$0	$56,379	$0	$9,970	$0	$7,950	$0	$26,610	$0	$432,850	$0	$0
CAROL A MAIETTA
SR. VP/HR/CLO	$239,623	$0	$50,532	$0	$22,466	$0	$7,247	$0	$15,341	$0	$335,209	$0	$0	$0
NAN M PRIEST
EVP/CHIEF STRATEGY OFFICER	$307,749	$0	$75,490	$0	$25,806	$0	$7,950	$0	$22,924	$0	$439,919	$0	$0	$0
ROBERT E RAY
PRESIDENT - BIRMINGHAM	$0	$285,270	$0	$59,693	$0	$11,116	$0	$7,950	$0	$21,741	$0	$385,770	$0	$0
GINA ANDERSON
CHIEF INTEGRATION/QUALITY OFFICER	$222,118	$0	$54,761	$0	$14,492	$0	$7,950	$0	$26,830	$0	$326,151	$0	$0	$0
WAYNE CARMELLO-HARPER
SVP MISSION INTEGRATION & PHILANTHROPY	$275,171	$0	$57,750	$0	$62,359	$0	$7,950	$0	$19,584	$0	$422,814	$0	$0	$0
KIDADA Y HAWKINS
FORMER VP/COO RURAL (END 9/2015)	$0	$130,702	$0	$0	$0	$28,925	$0	$2,700	$0	$15,718	$0	$178,045	$0	$0
FRANK MALENSEK
CHIEF MEDICAL OFFICER	$299,753	$0	$56,983	$0	$15,609	$0	$7,950	$0	$31,974	$0	$412,269	$0	$0	$0
CHRISTOPHER L MOORE
CNO - SYSTEM	$129,643	$0	$59,745	$0	$4,623	$0	$5,123	$0	$9,451	$0	$208,585	$0	$0	$0
TERRY M BRANNON
VP REVENUE CYCLE	$171,326	$0	$29,000	$0	$18,706	$0	$5,361	$0	$17,985	$0	$242,378	$0	$0	$0
JAMES FLYNN
MEDICAL GROUP OPERATIONAL LEAD	$185,941	$0	$28,887	$0	$1,981	$0	$5,604	$0	$19,605	$0	$242,018	$0	$0	$0
ELIZABETH B MOORE
VP MARKETING	$193,664	$0	$32,175	$0	$24,411	$0	$6,960	$0	$17,360	$0	$274,570	$0	$0	$0
STEPHANIE HOLDERBY
VP - AMBULATORY HC NETWORK	$176,700	$0	$28,219	$0	$2,365	$0	$6,267	$0	$10,220	$0	$223,771	$0	$0	$0
BONNIE RAMSEY
VP - HR OPERATIONS	$78,285	$0	$45,084	$0	$92,772	$0	$2,406	$0	$21,297	$0	$239,844	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part II officer compensation	SUSAN DOUGHTON, CHIEF LEGAL OFFICER, WAS PAID BY DOMINICK FELD HYDE FOR SERVICES PROVIDED TO ST. VINCENT'S HEALTH SYSTEM. FOR THE YEAR ENDED JUNE 30, 2016, $622,784 WAS PAID TO DOMINICK FELD HYDE FOR SERVICES PROVIDED BY THE FIRM WHICH INCLUDES SERVICES BY SUSAN DOUGHTON.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	St. Vincent's Health System 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 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	John D. O'Neil - $593,507 David Cauble - $38,462 Bonnie Ramsey - $69,521
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Eligible executives participate in a program that provides for supplemental retirements 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 related organization that paid the salaries of the individuals listed in Schedule J, Part II, paid out from the supplemental nonqualified retirement plan in the amounts as noted: John D. O'Neil - $12,981 Nan M. Priest - $18,501 Carol A. Maietta - $13,830

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Explanation of Attached Audited Financial Statements	The financial statements of St. Vincent's Health System, along with its subsidiaries, fall under the full scope audit of Ascension Health Alliance. The activity of St. Vincent's Health System is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit report for St. Vincent's Health System is issued. 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 3 Delegation of management duties	The Chief Legal Officer operations at St. Vincent's Health System are administered by a management company as directed by Ascension effective January 1, 2015. Susan Doughton, Chief Legal Officer, is an employee of Dominick Feld Hyde.
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	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, 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 member 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 15b Process to establish compensation of other employees	In determining compensation of other officers and key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The 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 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Revenue - Total Revenue: 719863, Related or Exempt Function Revenue: 16511, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 703352;
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - Total Expense: 17563312, Program Service Expense: 15806981, Management and General Expenses: 1756331, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 3152275, Program Service Expense: 2837047, Management and General Expenses: 315228, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Deferred Pension Cost - -11834508; Rounding - 1;

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	$27,977,837	$10,287,414	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	$29,000,000	$29,000,000	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 AVENUE 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
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630868068	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	OwnershipOwnershipPct
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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	$36,839,282	$23,975,867	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	$3,195,233	$1,190,329	1	Yes (true)
EASTSIDE VENTURES
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630846221	MISC HEALTHCARE SERVICES	AL	ST VINCENT'S HEALTH SYSTEM	C Corporation	$2,452,940	$5,358,796	1	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	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	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	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 (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AMERICAN SPORTS MEDICINE INSTITUTE
P	$292,780	JOURNAL ENTRY TRANSACTION
EASTSIDE VENTURES
P	$721,380	JOURNAL ENTRY TRANSACTION
SETON PROPERTY CORP
P	$856,093	JOURNAL ENTRY TRANSACTION
ST VINCENT'S BLOUNT
P	$3,044,693	JOURNAL ENTRY TRANSACTION
ST VINCENT'S EAST
P	$30,764,941	JOURNAL ENTRY TRANSACTION
ST VINCENT'S BIRMINGHAM
P	$52,204,722	JOURNAL ENTRY TRANSACTION
OUTPATIENT SURGERY SERVICES
P	$105,395	JOURNAL ENTRY TRANSACTION
UNIVERSAL HEALTH SERVICES
B	$125,495	JOURNAL ENTRY TRANSACTION
VINCENTIAN VENTURES OF NORTH ALABAMA
P	$4,129,560	JOURNAL ENTRY TRANSACTION
SETON PROPERTY CORPORATION OF NORTH ALABAMA
K	$126,579	JOURNAL ENTRY TRANSACTION
AMERICAN SPORTS MEDICINE INSTITUE
S	$338,045	JOURNAL ENTRY TRANSACTION
ASCENSION VENTURES CORPORATION
S	$497,487	JOURNAL ENTRY TRANSACTION
EASTSIDE VENTURES
S	$348,708	JOURNAL ENTRY TRANSACTION
SETON PROPERTY CORPORATION OF NORTH ALABAMA
S	$585,646	JOURNAL ENTRY TRANSACTION
ST VINCENT'S BLOUNT
R	$400,548	JOURNAL ENTRY TRANSACTION
ST VINCENT'S EAST
B	$8,651,983	JOURNAL ENTRY TRANSACTION
ST VINCENT'S BIRMINGHAM
R	$3,121,153	JOURNAL ENTRY TRANSACTION
UNIVERSAL HEALTH SERVICES
B	$127,627	JOURNAL ENTRY TRANSACTION
VINCENTIAN VENTURES OF NORTH ALABAMA
S	$4,411,147	JOURNAL ENTRY TRANSACTION
St Vincent's Foundation of Alabama Inc
C	$166,163	JOURNAL ENTRY TRANSACTIONS