2016-05-16T15:11:01-05:00 2015-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 Cincinnati OH 45202 990 2014-07-01 630578923 St Vincent's East STVI 2058383000 50 Medical Park East Drive Birmingham AL 35235 Jennifer kingry CFO, BIRMINGHAM MINISTRY MARKET 2016-05-16 true REBECCA LYONS P01487105 5137847100 2014 2016-09-27 15:27:22Z Neesya Biddle 50 Medical Park East Drive Birmingham AL 35235 218529302 false 0928 X www.stvhs.com X 1968 AL Provides a special brand of high-touch, high-tech quality care to people in the community. 13 12 0 106 296488 -30610 110582 279275 198527384 213943053 42115 4574 4557654 2829925 203237735 217056827 0 0 0 0 86464038 85723760 0 0 0 127069476 132216081 213533514 217939841 -10295779 -883014 137727200 125013176 61666272 61597442 76060928 63415734 Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. false false 196147257 215205747 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 SERVICES ACCOMPLISHMENTS AND STATISTICAL DATA, SEE SCHEDULE H. 196147257 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 0 0 0 true true false false false false false false false false false X 13 12 true false false false true true true true false false false true true true true true true false false false X Jennifer Kingry 2059397079 810 St Vincents Drive Birmingham AL 35205 ROBERT BARNETT CHAIRMAN-HEALTH SYSTEM 0.50 4.00 X X 0 0 0 JAMES D DAVIS TREASURER-HEALTH SYSTEM 0.50 4.00 X X 0 0 0 KENT J GRAEVE VICE CHAIR-HEALTH SYSTEM 0.50 4.00 X X 0 0 0 NEEYSA C BIDDLE SVP ASCENSION HEALTH/BIRMINGHAM MARKET EXECUTIVE/PRESIDENT CEO - STVHS 1.00 30.00 X X 0 198354 0 JOHN D O'NEIL PRESIDENT/CEO-STVHS (THRU 9/14) 10.00 38.00 X X 0 1912531 37718 MARC E BLOOMSTON MD BOARD MEMBER-HEALTH SYSTEM 0.50 2.50 X 0 0 0 SR MARY ELIZABETH CULLEN DC BOARD MEMBER-HEALTH SYSTEM 0.50 2.50 X 0 0 0 NORMAN B DAVIS JR BOARD MEMBER-HEALTH SYSTEM 0.50 2.50 X 0 0 0 WILLIAM H MCCLANAHAN JR MD BOARD MEMBER-HEALTH SYSTEM 0.50 2.50 X 0 0 0 WILLIE H PARKER BOARD MEMBER-HEALTH SYSTEM 0.50 4.00 X 0 0 0 NENA F SANDERS BOARD MEMBER-HEALTH SYSTEM 0.50 4.00 X 0 0 0 DANIEL F SANSONE BOARD MEMBER-HEALTH SYSTEM 0.50 4.00 X 0 0 0 ZEKE SMITH BOARD MEMBER-HEALTH SYSTEM 0.50 2.50 X 0 0 0 JOSEPH EDWARD WELDEN JR MD BOARD MEMBER-HEALTH SYSTEM 0.50 4.00 X 0 0 0 VICKI L BRIGGS EVP/COO-HEALTH SYSTEM (THRU 10/14) 10.00 38.00 X 0 507171 31283 DAVID A CAUBLE EVP/CFO-STVHS 10.00 38.00 X 0 410735 32733 DR GREGORY L JAMES CHIEF CLINICAL OFFICER 10.00 37.00 X 0 409073 26710 CAROL A MAIETTA SR. VP HR/CLO-SEALTH SYS 10.00 37.00 X 0 272537 18846 NAN M PRIEST EVP/CSO- HEALTH SYSTEM 10.00 38.00 X 0 434484 29268 MICHAEL R KORPIEL PRESIDENT/COO - ST. VINCENT'S EAST 50.00 1.00 X 351159 0 26313 WILLIAM A DAVIS CHIEF OPERATING OFFICER 1.00 53.00 X 0 376010 33513 ANDREW J GNANN VP OPERATIONS-EAST 50.00 0 X 215140 0 14604 FRANK MALENSEK CHIEF MEDICAL OFFICER 50.00 0 X 308513 0 33023 PAULA H MCCULLOUGH VP PATIENT CARE SVC 50.00 0 X 225265 0 23870 CHARLES N BRADLEY CRNA 50.00 0 X 199831 0 26128 SCOTT SOMERS CHIEF-CRNA 50.00 0 X 189523 0 17352 ENGLISH H GONZALEZ MD PHYSICIAN-FAMILY PRACTICE 50.00 0 X 254885 0 21048 THOMAS NOVITSKI PHARMACIST 50.00 0 X 202060 0 22593 MARION SIMS MD PHYSICIAN 50.00 0 X 192997 0 20658 2139372 4520895 415659 57 true true false MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 Food Services 7961362 CARDIOVASCULAR LOGISTICS OF ALABAMA LLC 225 DUNN ST HOUMA LA 70360 Healthcare Services 2315330 TRIMEDX LLC PO BOX 636129 CINCINNATI OH 45263 Healthcare Services 1712246 COMPREHENSIVE CARE SERVICES INC 31330 SCHOOLCRAFT RD STE 200 LIVONIA MI 48150 Healthcare Services 911262 BLOUNT LINEN SVCS INC 402 BLUE BELL ST ONEONTA AL 35121 Linen Services 798071 18 X 279275 279275 Net Patient Revenue 621400 213723980 213564898 159082 Lab Testing 561000 137406 0 137406 I/C Rental Revenue 531120 81667 81667 0 0 0 0 213943053 4574 4574 616108 0 616108 0 616108 616108 0 0 2070778 1472475 598303 598303 ARRA Revenue 900099 985634 985634 Steps Ahead 900099 184600 184600 Fitness/Wellness 621990 56332 56332 388948 388948 0 0 1615514 217056827 215205747 296488 1275317 X 0 0 0 0 0 0 0 0 341536 307382 34154 0 0 0 0 69470790 62523711 6947079 0 2749887 2474898 274989 0 8179736 7361762 817974 0 4981811 4483630 498181 0 0 0 0 0 0 0 0 0 0 0 0 0 13948 13948 0 0 0 0 0 0 0 0 22363766 20127395 2236371 0 0 0 0 0 977558 879802 97756 0 0 0 0 0 0 0 0 0 7269806 6542825 726981 0 83589 75230 8359 0 0 0 0 0 50603 45543 5060 0 6181 5563 618 0 0 0 0 0 7208174 6487357 720817 0 2377711 2139940 237771 0 Medical Supplies 39165263 35248737 3916526 0 Corporate Allocation 27596214 24836593 2759621 0 Provider Tax Expense 10343852 9309467 1034385 0 Restructuring Expense 25659 23093 2566 0 14733757 13260381 1473376 0 217939841 196147257 21792584 0 0 0 0 0 7251 7350 23500246 20639195 0 0 0 3356618 3271954 1573167 1265297 149904019 62249927 89721713 87654092 0 0 161800 716687 19406405 11458601 137727200 125013176 12463727 11870920 1131334 2550771 0 48071211 47175751 61666272 61597442 X 76048333 63415734 12595 0 76060928 63415734 137727200 125013176 X -883014 -11762180 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13948 13948 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent's East does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office. 7840000 7840000 84562120 22158645 62403475 6624790 2692183 3932607 48880743 37399099 11481644 1996366 1996366 87654092 Advances to affiliates 8533158 Other receivables 1294806 Physician guarantee LT assets 1630637 Donor Restristed Non-HSD 11458601 Unclaimed property 131307 Non-current liabilities 12047000 Other liabilities 1402004 Intercompany payable 23986576 Physician guarantee 332773 Estimated settlements to third party payors 9276091 47175751 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Vincent's East: 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, 2015. true true X true X true X true true true false true true 7492922 7492922 0.0344 29463489 22778477 6685012 0.0307 0 0.0 0 0 36956411 22778477 14177934 0.0651 21 1715 122696 122696 0.0006 11 5298 4125347 1041519 3083828 0.0141 2 536 14332 14332 0.0001 2 12 73057 73057 0.0003 9 1 19765 19765 0.0001 45 7562 4355197 1041519 3313678 0.0152 45 7562 41311608 23819996 17491612 0.0803 0 0.0 0 0.0 11 2552 28249 28249 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 1 1185 1185 0.0000 -65 -65 0.0 12 2552 29369 0 29369 0.0001 false 17593763 0 93577937 92458107 1119830 X true true 1 1 St Vincent's East 50 Medical Part East Drive Birmingham AL 35205 www.stvhs.com/east H3705 X X X St Vincent's East 1 false false true X X X X X X X X 12 true false false true X http://www.stvhs.com/chassessment/sve_community%20Assessment.pdf X true 12 true http://www.stvhs.com/chassessment/sve_community%20Assessment.pdf false false true X 2.0 3.0 X X X true true X X X X true X http://www.stvhs.com/financialpolicy.asp X X X X true false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Vincent's East. 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 Blount 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 East Hospital. This information was summarized for final consideration by a CHNA team consisting of Hospital and System personnel as well as community leaders. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. Vincent's East. Community Health Needs Assessment Implementation Plan Narrative FY15 Update - St. Vincent's East Hospital The identified community health needs for the defined service area of St. Vincent's East are: 1. Good Nutrition/Obesity Prevention 2. Diabetes Education 3. Mental Health Support/Treatment 4. Cardiac Health Education 5. Free/Subsidized Healthcare for Uninsured 1. Good Nutrition/Obesity Prevention - St. Vincent's Birmingham 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 FY15, St. Vincent's East participated in providing seven local community gardens with equipment and resources to enhance their ability to serve others with healthy, fresh vegetables. In addition, St. Vincent's 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 FY15, 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. Clergy Wellness participation included 40 local clergy who, by extension, serve over 15,000 parishioners in the greater community. These faith leaders worked on personal health goals including weight loss and nutrition. 2. Diabetes Education - St. Vincent's East continues to support an outpatient Diabetes Education Center that provides Diabetes Education and a support group for individuals living with diabetes. Self-management Education is a proven best practice in what works for diabetes treatment (http://www.thecommunityguide.org/about/What-Works-Diabetes-factsheet-and-insert.pdf). Approximately 1500 individuals were educated/served through the Diabetes Education Center. The Center also hosts a monthly support group with topics for individuals living with diabetes. St. Vincent's East continues to work with and support the local chapter of the American Diabetes Association to ensure that work continue in education and awareness. 3. Mental Health Support/Treatment - St. Vincent's East behavioral health services provides 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 FY15 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. 4. Cardiac Health Education - St. Vincent's East 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. 5. Free/Subsidized Healthcare for Uninsured - St. Vincent's East has a long history of working with individuals who are uninsured to be able to provide healthcare services. The Access to Care program is a primary care provider program for individuals living less than 200% income over the federal poverty level. In partnership with Enroll Alabama, St. Vincent's encouraged individuals to sign up for healthcare exchanges and publicized benefits of the Affordable Care Act. STVHS was also a CAC (Certified Application Counselor) organization that was able to provide information to the community about healthcare coverage options. The Access to Care Program for individuals not eligible for any other type of assistance, served over 550 unique patients in FY15 and provided primary care and link to specialty care. Cost per patient in Access to Care has decreased over the last 3 years, showing a higher management of chronic illness and health needs for individuals with limited resources. During open enrollment period for the healthcare exchanges, St. Vincent's played an active role in linking eligible residents to Enroll Alabama for assistance. A total of 192 on-site appointments were conducted (and opened to the community as well as current patients) and statewide, over 170,000 individuals enrolled in an exchange plan. St. Vincent's continued to chair the Community Healthcare Provider Round Table meeting which provides ongoing community coordination for the uninsured and links to appropriate resources. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - St. Vincent's East. Partial financial assistance can be granted for those individuals that fall above the FPG. A sliding scale is used to determine the financial assistance amount. For instance if the income level is at 250% then the partial assistance is 90% of the total bill or Best Payor rate, whichever is less. 0 Family Medicine Residency 2515 Old Springville Road Birmingham AL 35215 Family Practice Liz Moore Low Vision Center 50 Medical Park East Drive Bldg 46 Birmingham AL 35235 Vision Center 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. For 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 3 Bad Debt Expense Methodology All A/R balances related to patients eligible for financial assistance are classified as Charity Care deductions and not bad debt. 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 East): 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 East: Line 16a URL: http://www.stvhs.com/financialpolicy.asp; Schedule H, Part VI, Line 2 Needs assessment Our most recent community needs assessment was conducted in April 2013 by our parent company St. Vincent's Health System and was limited geographically to the seven counties served by St. Vincent's Health System. The assessment was completed by interviewing key stakeholders both within St. Vincent's Health Care System and in the external community. The interviews were conducted between December 2012 and April 2013. Interviewees included a range of CEO'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 1,242,033 and median income of $46,488. - Our primary service area consists of both rural and urban communities with a population of 1,242,033; median income of $46,488; and median age of 38.6. - Age of population: 27.28% age 0-19, 30.99% age 20-44, 26.68% age 45-64, 15.05% age 65+. - Sex: 51.8% Female and 48.2% Male. - Ethnicity: 67.1% White non-Hispanic, 27.8% Black non-Hispanic, 4.3% Hispanic, 1.2% 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 57.7% Private, 15.8% Medicare, 15.4% Medicaid, and 11.1% Uninsured. - Poverty: 16.5% on average in poverty. Range in 7 counties 7.7% to 22.9%. - Hospitals in service area: 18 total 16 Nonprofit, 2 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 to of Christ. The hospitals of the health system further the mission through the delivery of patient services, care to the elderly and indigent, patient education, and health awareness programs for the community. Our concern for all human life and commitment to the dignity of each person leads us to provide medical services to all people in the community without regard to race, creed, national origin, economic status, or ability to pay. Based on our Core Values and in the spirit of principles adopted by Ascension Health, our Health System has taken proactive steps to address those issues that affect accessibility, the financing, and the delivery of health care to all persons, especially the uninsured, underinsured, and the underserved. The following chart demonstrates the significant number of patient days and the estimated unreimbursed cost of services provide by our four hospitals to the uninsured or underserved. FY15 St. Vincent's Birmingham - Number of Licensed Beds - 499 - Number of Patient Days - 101,608 - Estimated unreimbursed Cost - 8,286,864 St. Vincent's East - Number of Licensed Beds - 379 - Number of Patient Days - 91,929 - Estimated unreimbursed Cost - 6,685,013 St. Vincent's Blount - Number of Licensed Beds - 25 - Number of Patient Days - 5,511 - Estimated unreimbursed Cost - 2,322,853 St. Vincent's St. Clair - Number of Licensed Beds - 40 - Number of Patient Days - 7,243 - Estimated unreimbursed Cost - 2,646,642 Total - Number of Licensed Beds - 943 - Number of Patient Days - 206,291 - Estimated unreimbursed Cost - 19,941,37 St. Vincent's Heath System has a deep commitment to serving the community. We earmark a certain percentage of our yearly profits for charitable donations. Through this charitable donation program, we are able to support local chapters of national organizations such as the American Cancer Society, the American Heart Association, March of Dimes, and Susan G. Komen for the Cure. 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. X true true true true false false false false false false false NEEYSA C BIDDLE SVP ASCENSION HEALTH/BIRMINGHAM MARKET EXECUTIVE/PRESIDENT CEO - STVHS 0 198354 0 0 0 0 0 0 0 0 0 198354 0 0 JOHN D O'NEIL PRESIDENT/CEO-STVHS (THRU 9/14) 0 420615 0 712931 0 778985 0 7800 0 29918 0 1950249 0 54037 VICKI L BRIGGS EVP/COO-HEALTH SYSTEM (THRU 10/14) 0 455651 0 0 0 51520 0 7800 0 23483 0 538454 0 0 DAVID A CAUBLE EVP/CFO-STVHS 0 392536 0 0 0 18198 0 7800 0 24933 0 443467 0 0 DR GREGORY L JAMES CHIEF CLINICAL OFFICER 0 379472 0 0 0 29601 0 7800 0 18910 0 435783 0 10610 CAROL A MAIETTA SR. VP HR/CLO-SEALTH SYS 0 243765 0 0 0 28772 0 7350 0 11496 0 291383 0 2909 NAN M PRIEST EVP/CSO- HEALTH SYSTEM 0 297855 0 0 0 136630 0 7800 0 21468 0 463753 0 54037 MICHAEL R KORPIEL PRESIDENT/COO - ST. VINCENT'S EAST 322817 0 25000 0 3342 0 7800 0 18513 0 377472 0 0 0 WILLIAM A DAVIS CHIEF OPERATING OFFICER 0 350638 0 0 0 25372 0 7800 0 25713 0 409523 0 9849 ANDREW J GNANN VP OPERATIONS-EAST 193231 0 0 0 21909 0 5850 0 8754 0 229744 0 12899 0 FRANK MALENSEK CHIEF MEDICAL OFFICER 293827 0 0 0 14686 0 7800 0 25223 0 341536 0 0 0 PAULA H MCCULLOUGH VP PATIENT CARE SVC 193634 0 0 0 31631 0 5967 0 17903 0 249135 0 10027 0 CHARLES N BRADLEY CRNA 163672 0 34540 0 1619 0 5446 0 20681 0 225959 0 0 0 SCOTT SOMERS CHIEF-CRNA 153143 0 36250 0 130 0 5772 0 11580 0 206875 0 0 0 ENGLISH H GONZALEZ MD PHYSICIAN-FAMILY PRACTICE 139699 0 114203 0 982 0 3179 0 17868 0 275932 0 0 0 THOMAS NOVITSKI PHARMACIST 201686 0 0 0 374 0 6200 0 16393 0 224653 0 0 0 MARION SIMS MD PHYSICIAN 173070 0 18039 0 1889 0 75 0 20583 0 213655 0 0 0 Schedule J, Part II Explanation of Compensation EXECUTIVE COMPENSATION, IN KEEPING WITH ASCENSION HEALTH'S PHILOSOPHY, IS IN LINE WITH THE NATIONAL AVERAGE. COMPENSATION MAY INCLUDE SHORT OR LONG TERM INCENTIVE PAY, DEFERRED COMPENSATION, PTO (VACATION/HOLIDAY) CONVERTED TO CASH, ETC. Schedule J, Part I, Line 1a Health or social club dues or initiation fees St. Vincent's Health System, a related organization, provides membership to The Summit Club and the Vestavia Country Club for the executive team, as well as, Rotary and Kiwanis club memebership for various memebers of the management team to facilitate networking and community benefit related to St. Vincent East. 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 East, uses the following to establish the compensation of the organization's CEO: -Compensation Committee -Independent Compensation Consultant -Compensation Survey or Study -Approval by the Board or Compensation Committee Schedule J, Part I, Line 4a Severance or change-of-control payment John O'Neil - $136,963 paid by a related organization Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Ally amount ultimately paid under the program to the executive is reported as compensation on Form 990 Schedule J, Part II, Column B in the year paid. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, paid out of the supplemental nonqualified retirement plan in the amounts as noted: Andrew J. Gnann - $12,899 Gregory L. James - $10,610 Carol A. Maietta - $19,839 Paula H. McCullough - $19,337 John D. O'Neil - $119,028 Nan M. Priest - $118,469 Form 990, Part IV, Line 20b Explanation of attached financial statements Explanation of Attached Audited Financial Statements: The financial statements of St. Vincent's Health System, which include the activity of St. Vincent's East, fall under the full scope audit of Ascension Health Alliance. The activity of St. Vincent's East and other members of St. Vincent's Health System are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit for St, Vincent's East is completed, Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates (which include the activity of St. Vincent's East). Form 990, Part VI, Line 2 EXPLANATION MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT AT ST. VINCENT HEALTH SYSTEM RELATED ENTITIES. Form 990, Part VI, Line 15b EXPLANATION IN DETERMINING COMPENSATION FOR THE PRESIDENT OF ST. VINCENT'S EAST, THE PROCESS, PERFORMED BY 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, WITH FACILITATION BY THE SVP OF HR/CLO AND THE DIRECTOR OF COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT 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 BOARD MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS, PERFORMED BY 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 OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Many of the persons listed on Part VII have a "business relationship" with each other by virtue of employment at St. Vincent's Health System related entities. - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders St. Vincent's East has a single corporate member, St. Vincent's Health System. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. Vincent's East has a single corporate member, St. Vincent's Health System, who has the ability to elect members to the governing body of St. Vincent's East. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Vincent's East financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body There are no separate committees that have the authority to act on behalf of the governing body for St. Vincent's East. Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to a designated committee of St. Vincent's Health System (which has oversight over this entity), to review and answer questions. Prior to filing the return, all board members are provided the Form 990 and management team members are available to answer any Board Members' questions. Form 990, Part VI, Line 12c Conflict of interest policy The Organization regularly and consistently monitors and enforces compliance with the Conflict of Interest Policy in that any director or principal officer, 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 considering the proposed transaction or arrangement. The remaining individuals on the governing board will decide if conflicts of interest exist. Each director or principal officer annually signs a statement which affirms such person has received a copy of the Conflicts of Interest Policy, has read and understands the Policy, has agreed to comply with the Policy and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt status. Form 990, Part VI, Line 19 Required documents available to the public The Organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section B, Line 1, Column (A) Independent Contractor Reporting Compensation of independent contractors is paid by and reported on the Form 1096 Annual Summary and Transmittal of U.S. Information Returns of Ascension Health BIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990 Part VII, Section B. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous - Total Revenue: 388948, Related or Exempt Function Revenue: 388948, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Other - Total Expense: 6245869, Program Service Expense: 5621283, Management and General Expenses: 624586, Fundraising Expenses: ; Touchpoint - Dietary - Total Expense: 3793308, Program Service Expense: 3413978, Management and General Expenses: 379330, Fundraising Expenses: ; Touchpoint - EVS - Total Expense: 2513403, Program Service Expense: 2262063, Management and General Expenses: 251340, Fundraising Expenses: ; Touchpoint - Linen - Total Expense: 757244, Program Service Expense: 681522, Management and General Expenses: 75722, Fundraising Expenses: ; Medxcel BioMed/facilities - Total Expense: 5259410, Program Service Expense: 4733469, Management and General Expenses: 525941, Fundraising Expenses: ; Reference Lab - Total Expense: 514709, Program Service Expense: 463239, Management and General Expenses: 51470, Fundraising Expenses: ; Professional Fees - Total Expense: 3279823, Program Service Expense: 2951841, Management and General Expenses: 327982, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Temp Restricted Released Operations - -12595; Transfers to/from affiliates - -11749585; CHNA SERVICES OF ST VINCENT'S EAST LLC 50 MEDICAL PARK EAST DRIVE BIRMINGHAM AL 35235 455538732 SHELL AL 0 0 ST VINCENT'S EAST ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE false ST VINCENT'S HEALTH SYSTEM 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630931008 HEALTH SYSTEM PARENT AL 501(c)(3 Type III-FI ASCENSION HEALTH false ST VINCENT'S BIRMINGHAM 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630288864 HOSPITAL AL 501(c)(3 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S BLOUNT 150 GILBREATH DRIVE ONEONTA AL 35121 630909073 HOSPITAL AL 501(c)(3 3 ST VINCENT'S HEALTH SYSTEM true AMERICAN SPORTS MEDICINE INSTITUTE 2660 10TH AVENNUE SOUTH NO 505 BIRMINGHAM AL 35205 630952490 SPORTS MEDICINE AL 501(c)(3 7 ST VINCENT'S BIRMINGHAM true UNIVERSAL HEALTH SERVICES 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630932323 PHYSICIAN GROUP AL 501(c)(3 Type II ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S FOUNDATION OF ALABAMA INC 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630868068 FUNDRAISING AL 501(c)(3 7 ST VINCENT'S HEALTH SYSTEM true SETON PROPERTY CORPORATION OF NORTH ALABAMA 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 237326976 REAL ESTATE AL 501(c)(2 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 200708162 OUTPATIENT SURGERY AL NA N/A ST VINCENT'S SLEEP DISORDER CENTER 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 631282288 SLEEP DISORDER CENTER AL NA N/A VINCENTIAN VENTURES OF NORTH ALABAMA INC 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630965456 MISC HEALTHCARE SERVICES AL NA C Corporation true ASCENSION VENTURES CORPORATION 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 631217059 MISC HEALTHCARE SERVICES AL NA C Corporation true EASTSIDE VENTURES 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 630846221 MISC HEALTHCARE SERVICES AL NA C Corporation true false false true false false false false false false true false false false false false true true false false Eastside Ventures J 67880 Journal Entry Trans St Vincent's Health System P 27546164 Journal Entry Trans St Vincent's Foundation of Alabama Inc C 279275 Journal Entry Trans ST VINCENT'S HEALTH SYSTEM P 12165594 Journal Entry Trans ST VINCENT'S BLOUNT P 538341 Journal Entry Trans ST VINCENT'S HEALTH SYSTEM Q 610647 Journal Entry Trans