ST VINCENTS HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ST VINCENTS HEALTH SYSTEM (EIN 63-0931008)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201421359349300137
Schema version: 2012v2.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T08:57:19-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 East Fifth Street Suite 1900	AddressLine1
City	Cincinnati	City
State	OH	State
ZIP Code	45202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	630931008	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Health System	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STVI	NameControl
Phone	2059397098	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35205	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	David Cauble	Name
Title	EVP/CFO - STVHS	Title
Phone	2059397098	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Rebecca Lyons	Name
PTIN	P01487105	PTIN
Phone	5137847100	Phone
Date Prepared	2014-05-08	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	John O'Neil	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35205	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	114362795	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.stvhs.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	AL	StateLegalDomicile
Activity Or Mission Description	We provide high-tech quality care to the people in more than 40 different zip codes.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	5734	TotalNbrEmployees
Total Nbr Volunteers	13	TotalNbrVolunteers
Total Gross UBI	82509	TotalGrossUBI
Net Unrelated Business Txbl Income	-2389	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5779953	ContributionsGrantsPriorYear
Contributions Grants Current Year	402150	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	95339433	ProgramServiceRevenuePriorYear
Program Service Revenue CY	105803526	ProgramServiceRevenueCY
Investment Income Prior Year	3009956	InvestmentIncomePriorYear
Investment Income Current Year	4767127	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4559622	OtherRevenuePriorYear
Other Revenue Current Year	3013983	OtherRevenueCurrentYear
Total Revenue Prior Year	108688964	TotalRevenuePriorYear
Total Revenue Current Year	113986786	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	60000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	260325	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	34197758	SalariesEtcPriorYear
Salaries Etc Current Year	38489499	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	64463001	OtherExpensePriorYear
Other Expenses Current Year	72450096	OtherExpensesCurrentYear
Total Expenses Prior Year	98720759	TotalExpensesPriorYear
Total Expenses Current Year	111199920	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9968205	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2786866	RevenuesLessExpensesCY
Total Assets BOY	139795301	TotalAssetsBOY
Total Assets EOY	166157201	TotalAssetsEOY
Total Liabilities BOY	173931075	TotalLiabilitiesBOY
Total Liabilities EOY	188391515	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-34135774	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-22234314	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	22107397	Expense
Grants	260325	Grants
Revenue	24651605	Revenue
Description	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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	81069411	Expense
Revenue	81069412	Revenue
Description	St. Vincent's Health System is commited 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: St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount, and Universal Health System.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	103176808	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	420	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5734	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	0	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	David Cauble	NamePerson
Telephone Number	2059397079	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35205	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Robert Barnett
Chairman	2.00	4.00	X	X	0	0	0
Kent J Graeve
Vice Chair	2.00	4.00	X	X	0	0	0
Douglas B Nunnelley
Secretary	0.50	2.00	X	X	0	0	0
James D Davis
Treasurer	2.00	4.00	X	X	0	0	0
Marc E Bloomston MD
Board Member	0.50	2.00	X		0	0	0
Tina N Corr
Board Member	0.50	2.00	X		0	0	0
Sr Mary Elizabeth Cullen DC
Board Member	0.50	2.00	X		0	0	0
Norman B Davis end 1012
Board Member	0.50	2.00	X		0	0	0
Morton Goldfarb MDend 313
Board Member	0.50	2.00	X		0	0	0
Benny M LaRussa Jr
Board Member	0.50	2.00	X		0	0	0
William H McClanahanJr MD
Board Member	0.50	2.00	X		0	0	0
Willie H Parker
Board Member	2.00	4.00	X		0	0	0
Daniel F Sansone
Board Member	2.00	4.00	X		0	0	0
Zeke Smith start 712
Board Member	0.50	2.00	X		0	0	0
Stan Starnes
Board Member	0.50	2.00	X		0	0	0
John D O'Neil
President/CEO System	11.00	39.00	X	X	1900939	0	24085
David A Cauble
EVP/CFO	11.00	39.00		X	602305	0	25894
Vicki L Briggs
EVP/COO	11.00	39.00		X	638819	0	19928
Nan M Priest
EVP/CSO	11.00	39.00		X	489675	0	22934
Robert E Ray start 712
President Rural Facilities	25.00	25.00		X	64357	64357	4086
Gregory L James
Sr. VP/CMO	11.00	39.00		X	577576	0	16746
Carol A Maietta
Sr. VP HR/CLO	11.00	39.00		X	331083	0	16998
Lloyd K Allen
President/COO Ambulatory Health Ntwk	6.00	44.00			308099	0	26252	X
Wayne Carmello-Harper
SVP Mission Integration	11.00	39.00			263136	0	20466	X
Kidada Y Hawkins end 812
VP/COO Rural FAC(Interim President)	25.00	25.00			105587	105587	17285	X
Paula H McCullough
VP Revenue Cycle RCM FT ACC.	25.00	25.00			114366	114367	16688	X
Terry M Brannon
VP Revenue Cycle	10.00	40.00			266414	0	22932		X
Jennifer L Kingry
VP Financial Reporting	11.00	39.00			234872	0	19698		X
Elizabeth B Moore
VP Marketing	11.00	39.00			258437	0	19331		X
Raymond A Stewart
Director Pharmacy Services	50.00	0.00			244278	0	6083		X
Cynthia L Williams
VP Clinical Org Effectiveness	15.00	35.00			355374	0	18065		X
Neeysa C Biddle end 611
Former STVHS COO	0.00	0.00			143177	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6898494	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	284311	TotalReportableCompFrmRltdOrgs
Total Other Compensation	297471	TotalOtherCompensation
Number Individuals GT100 K	22	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Accretive Health
39918 Treasury Center	Chicago	IL	606949900	Healthcare Services	16440603
McKesson Technologies Inc
PO Box 98347	Chicago	IL	606938347	Healthcare Services	1944194
PRN Funding
PO Box 643455	Cincinnati	OH	452343455	Healthcare Services	1611512
CDW Government Inc
75 Remittance Drive Suite 1515	Chicago	IL	606751515	Healthcare Services	1408486
Coretek Svcs
38505 Country Club Dr Ste 210	Farmington Hills	MI	48331	Healthcare Services	1024719

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	50	NumberOfContractorsGT100K
Related Organizations	402150	RelatedOrganizations
Total Contributions	402150	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
I/C Management Revenue	621990	81069412	81069412
Net Patient Revenue	621990	24734114	24651605	82509

Field	Value	IRS element (for citing)
Total Program Service Revenue	105803526	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4761504	TotalRevenueColumn
Exclusion	$4,761,504	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	236288	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	279307	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-43019	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-43019	TotalRevenueColumn
Exclusion	-$43,019	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	5623	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	5623	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5623	TotalRevenueColumn
Exclusion	$5,623	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	126906	GrossSalesOfInventory
Cost Of Goods Sold	96702	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	30204	TotalRevenueColumn
Exclusion	$30,204	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
ARRA Funds	900099	1551882	$1,551,882
Income-Unconsol Entity	621990	527447	$527,447
Wellness Revenue	621990	42353	$42,353

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	905116	TotalRevenueColumn
Exclusion	$905,116	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3026798	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	113986786	TotalRevenueColumn
Related Or Exempt Function Income	105721017	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	82509	UnrelatedBusinessRevenue
Exclusion	$7,781,110	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	260325	Total
Program Services	260325	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5521217	Total
Program Services	334850	ProgramServices
Management And General	5186367	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	24660884	Total
Program Services	9144292	ProgramServices
Management And General	15516592	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1741257	Total
Program Services	325949	ProgramServices
Management And General	1415308	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4395229	Total
Program Services	1153710	ProgramServices
Management And General	3241519	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2170912	Total
Program Services	687612	ProgramServices
Management And General	1483300	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1180167	Total
Management And General	1180167	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	692869	Total
Management And General	692869	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	34925	Total
Program Services	26311	ProgramServices
Management And General	8614	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13698530	Total
Program Services	2628024	ProgramServices
Management And General	11070506	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1134799	Total
Program Services	243	ProgramServices
Management And General	1134556	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	286150	Total
Program Services	36890	ProgramServices
Management And General	249260	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	30228735	Total
Management And General	30228735	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3068825	Total
Program Services	1987238	ProgramServices
Management And General	1081587	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	241383	Total
Program Services	11712	ProgramServices
Management And General	229671	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	133191	Total
Program Services	4489	ProgramServices
Management And General	128702	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	50604	Total
Program Services	3	ProgramServices
Management And General	50601	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	5189768	Total
Management And General	5189768	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4681383	Total
Program Services	1110199	ProgramServices
Management And General	3571184	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	197545	Total
Program Services	210	ProgramServices
Management And General	197335	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
Symphony Expenses	5503770	5503770
Medical Supplies	3478690	240850	3237840
Provider Tax	965694		965694
Corporate Allocation	0	-81069412	81069412

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1683068	Total
Program Services	191805	ProgramServices
Management And General	1491263	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	111199920	Total
Program Services	103176808	ProgramServices
Management And General	8023112	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	12618814	BOY
EOY	10875543	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1883213	BOY
EOY	6326200	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	319958	BOY
EOY	388182	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3156290	BOY
EOY	828065	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	28793538	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	10375501	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	21996507	BOY
EOY	18418037	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4004163	BOY
EOY	4747552	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	789397	BOY
EOY	975770	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	1229547	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	95026959	BOY
EOY	122368305	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	139795301	BOY
EOY	166157201	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	48399285	BOY
EOY	20889915	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	443438	BOY
EOY	367962	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	125088352	BOY
EOY	167133638	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	173931075	BOY
EOY	188391515	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-34135774	BOY
EOY	-22308710	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	74396	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-34135774	BOY
EOY	-22234314	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	139795301	BOY
EOY	166157201	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	2786866	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	3394584	ReconciliationUnrealizedInvest
Reconcilation Other Changes	5720010	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	X	SupportingOrganization509a3
Supporting Org509a3 Type3 Func Int	X	SupportingOrg509a3Type3FuncInt
Certification Checkbox	X	CertificationCheckbox
Contrib By Controlling Individual	0	ContribByControllingIndividual
Contribution By Related Party	0	ContributionByRelatedParty
Contrib By35 Controlled Entity	0	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (6 entries)

EINEIN	Type Of OrganizationTypeOfOrganization	Listed In Governing DocListedInGoverningDoc	Supported Organization NotifiedSupportedOrganizationNotified	Organized In USOrganizedInUS	AmountAmount
St Vincent's Birmingham
630288864	3	1	1	1	$45,484,593
St Vincent's East
630578923	3	0	1	1	$28,121,267
St Vincent's Blount
630909073	3	0	1	1	$2,759,992
Universal Health Services
630932323	3	0	1	1	$140,562
American Sports Medicine Institute
630952490	7	0	1	1	$216,428
St Vincent's Foundation of AL
630868066	7	0	1	1	$0

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	6	TotalNumberOfSupportedOrgs
Sum Of Amounts	76722842	SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$34,924	OtherActivitiesAmount
Total Lobbying Expenditures IIB	34924	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	A portion of the lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. The other portion of the lobbying expenses are attributable to ground lobbying support in Montgomery. The organization serves as the principal for these lobbying activities. St. Vincent's Health System 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.	Explanation

Schedule D IRS990ScheduleD

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2244313	OtherCostOrOtherBasis
Depreciation	1035228	Depreciation
Book Value	1209085	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25992427	OtherCostOrOtherBasis
Depreciation	9340273	Depreciation
Book Value	16652154	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	556798	OtherCostOrOtherBasis
Book Value	556798	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	18418037	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Interest in Investments Held by Ascension Health Alliance	122094590
Other Miscellaneous Long Term Assets	145331
Donor Restricted Temp NonHSD	74396
Due from Affiliates	53988

Field	Value	IRS element (for citing)
Total Book Value Other Assets	122368305	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Advances to Affiliates	$154,860,842
Self Insurance Claims	$4,669,098
Deferred Compensation Liability	$4,515,910
Pension Liability	$2,644,610
Historical Allowance Other	$443,178

Field	Value	IRS element (for citing)
Total Of Amounts	167133638	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1105805	TotalCommunityBenefitExpense
Net Community Benefit Expense	1105805	NetCommunityBenefitExpense
Percent Of Total Expense	0.04270	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3650877	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1609479	DirectOffsettingRevenue
Net Community Benefit Expense	2041398	NetCommunityBenefitExpense
Percent Of Total Expense	0.07880	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4756682	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1609479	DirectOffsettingRevenue
Net Community Benefit Expense	3147203	NetCommunityBenefitExpense
Percent Of Total Expense	0.12150	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	13887	PersonsServed
Total Community Benefit Expense	573171	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19	DirectOffsettingRevenue
Net Community Benefit Expense	573152	NetCommunityBenefitExpense
Percent Of Total Expense	0.02210	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	301	PersonsServed
Total Community Benefit Expense	38034	TotalCommunityBenefitExpense
Direct Offsetting Revenue	725	DirectOffsettingRevenue
Net Community Benefit Expense	37309	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	3035	PersonsServed
Total Community Benefit Expense	101575	TotalCommunityBenefitExpense
Net Community Benefit Expense	101575	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	982	PersonsServed
Total Community Benefit Expense	80827	TotalCommunityBenefitExpense
Net Community Benefit Expense	80827	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Persons Served	18205	PersonsServed
Total Community Benefit Expense	793607	TotalCommunityBenefitExpense
Direct Offsetting Revenue	744	DirectOffsettingRevenue
Net Community Benefit Expense	792863	NetCommunityBenefitExpense
Percent Of Total Expense	0.03050	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Persons Served	18205	PersonsServed
Total Community Benefit Expense	5550289	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1610223	DirectOffsettingRevenue
Net Community Benefit Expense	3940066	NetCommunityBenefitExpense
Percent Of Total Expense	0.15200	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	2580	TotalCommunityBuildingExpense
Net Community Building Expense	2580	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	13585	PersonsServed
Total Community Building Expense	54283	TotalCommunityBuildingExpense
Net Community Building Expense	54283	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1073	TotalCommunityBuildingExpense
Net Community Building Expense	1073	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	16115	PersonsServed
Total Community Building Expense	39330	TotalCommunityBuildingExpense
Net Community Building Expense	39330	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	12785	TotalCommunityBuildingExpense
Net Community Building Expense	12785	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	4041	PersonsServed
Total Community Building Expense	8221	TotalCommunityBuildingExpense
Net Community Building Expense	8221	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	33741	PersonsServed
Total Community Building Expense	118272	TotalCommunityBuildingExpense
Net Community Building Expense	118272	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$4,641,605	BadDebtExpenseAmount
Amount Reimbursed By Medicare	13633624	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	10841982	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2791642	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's St Clair	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	7063 Veterans Parkway	AddressLine1
City	Pell City	City
State	AL	State
ZIP Code	35125	ZIPCode

Field	Value	IRS element (for citing)
Website Address	http://www.stvhs.com/stclair/	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's St Clair	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Lowest Negotiated Rates	X	LowestNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation	IdentifierIdentifier
Part I, Line 7: 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.
Part I, Line 7g: 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.
Part II: St. Vincent's Health System provided the following community building activities in FY 2013:St. Vincent's Health System has taken the lead in creating a Community Health Care Provider Coalition that meets every other month to collaborate, coordinate and educate each other and the community about important health issues and resources. This group includes hospitals, mental health providers, non-profit clinics, local health department, and other service providers.St. Vincent's Heart Day - A System-wide initiative with its main goal to assist individuals to access heart tests at an affordable cost if they would otherwise be unable to access such services. Heart assessment tests (valued at $350) are made available for a low fee of $40. Follow up by Dial-A-Nurse is offered to those who need additional testing. Dial-A-Nurse - Registered nurses are available during normal business hours to answer health information inquiries. They are able to triage callers who express symptoms and give basic information about health conditions. St. Vincent's Christmas Store - A Christmas program in partnership with Catholic Center of Concern and King's Home that works to provide families who have experienced an emergency with Christmas items as well as health information. The program provides a toy, winter coat, food box with fresh produce, books for the children and the option for parents to receive a free flu shot. It is a collaborative effort between St. Vincent's Birmingham, St. Vincent's East and St. Vincent's One Nineteen.King's Home - St. Vincent's One Nineteen provides assistance to this local home for women and children experiencing homelessness or domestic violence. One Nineteen hosts a race event benefiting the organization and residents participate in the Christmas Store initiative. Camp Bluebird is a St. Vincent's Birmingham and St. Vincent's East program for adult cancer survivors. The camp provides retreat and supportive services for participants. The model has acquired national recognition and other healthcare providers have adopted the program's model. St. Vincent's Wellness Services provide a wide variety of community outreach and health education. From free or low cost workshops to health fairs and classes, the outreach is designed to emphasize healthy living and healthy habits. Wellness Services perform screenings at local churches free of charge and at events related to the Hispanic Outreach. Wellness Services provides programming in local assisted living facilities, especially those in underserved areas, free of charge. They have also worked closely with schools and neighborhood organizations to provide programs about nutrition to children and young adults. St. Vincent's Birmingham and St. Vincent's East both maintain a cancer registry, which provides information for the community's benefit. These two facilities also support research that is unsponsored but ultimately benefits the greater community as well.As a Health System, St. Vincent's is committed to disaster preparedness, especially in light of recent events. Our System Safety Officer facilitates trainings and education above and beyond what is required to ensure that the employees are more than prepared for any emergency situations.St. Vincent's St. Clair, Blount and East all participate in local organizations such as Rotary Club, Chamber of Commerce and Kiwanis to educate local leaders about health issues. St. Vincent's Case Management at all facilities frequently go above and beyond the required care by providing assistance in applying for public benefits (MedAssist), providing transportation services for medical appointments (shuttle service), sponsoring sitters/companions for those who are unable to afford, and medication assistance to those who cannot afford prescriptions.St. Vincent's East provides community support in the form of various on-campus support groups. The groups include support for: cancer survivors, individuals living with low vision, gastric bypass, diabetes, grief support and heart health.At every St. Vincent's facility, students and interns shadow and train with associates in a variety of fields: nursing, physical therapy, health information management, business administration, respiratory therapy, patient care assisting, phlebotomy, medical secretary, radiology, surgery, sterile processing, as well as a medical residency program and clinic in collaboration with St. Vincent's East. 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. St. Vincent's Health System currently partners with local chapters of national organizations with intent to assist those with varying health issues. Among the organizations that associates may volunteer with, participate in and raise funds for are: American Cancer Society, American Diabetes Association, American Heart Association, Leukemia and Lymphoma Society, March of Dimes, Susan G. Komen for the Cure, Dispensary of Hope, Red Cross, and United Way. Local health-related organizations that receive support from St. Vincent's Health System include: Birmingham AIDS Outreach, Tot Shots (free vaccination program), Sickle Cell Foundation, Cahaba Valley Health Care (dental and vision), Office of Women's Health, and M-POWER Ministries (free clinic). Other organizations in the community that St. Vincent's sponsors and supports are: - Cristo Rey - an internship program for inner city youth at Holy Family Catholic School; - Royal Family Kids Camp - which provides a summer camp experience for foster care children; - Magic City Harvest - provides food distribution to homeless shelters;- Ladies of Charity - raise funds and volunteer in the spirit of St. Vincent dePaul;- The Nest - a homeless health outreach; - Christian Service Mission - provides emergency donations and need (especially in recent disaster relief efforts);- YWCA and Pathways - a set of services designed to assist homeless women become self-sufficient;- Our Lady of Fatima and St. Barnabas Catholic Schools - which provide private school education in underserved communities; - The Exceptional Foundation - that supports mentally challenged children to learn skills and socialize;- Jones Valley Urban Farm - which supports urban farming and healthy nutrition.
Part III, Line 4: 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 economic conditions, historical experience, 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.The cost-to-charge ratio was used to determine the bad debt expense at cost. Bad debt expense at cost attributable to patients eligible under the Organization's charity policy was calculated by using the US Census date to determine the percentage of population below 200% of the FPL and applied that percentage to bad debt expense at cost as an estimate of charity in bad debt.
Part III, Line 8: 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.
Part III, Line 9b: 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.
Part V, Section B, Line 3: 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.	St. Vincent's St. Clair
Part VI, Line 2: Our most recent community needs assessment was conducted in April 2013 by 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 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.
Part VI, Line 3: 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.
Part VI, Line 4: 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 84,398; median income of $49,200. - Age of population: 23.65% age 0-18, 62.82% age 20-64, 13.6% age 65+.- Ethnicity: 88.6% White non-Hispanic, 9.1% Black non-Hispanic, 1.1% Other.- Insurance coverage breakdown is 29.0% Private, 46.8% Medicare, 11.7% Medicaid, and 12.6% Uninsured.- Poverty: 13.4% on average in poverty. - Hospitals in service area: 13 total, 10 Nonprofit, 2 For profit, 1 academic medical center.- Health Statistics- Obesity: 36%.- Leading causes of death: Heart disease, Cancer, Stroke.
Part VI, Line 5: This report illustrates the significant degree to which St. Vincent's Health System through its four hospitals and Health & Wellness facility, 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 provide by our four hospitals to the uninsured or underserved. FY13 Number of Number of Estimated Licensed Beds Patient Days Unreimbursed costSt. Vincent's Birmingham 499 101,558 13,295,225St. Vincent's East 346 81,163 14,195,123St. Vincent's Blount 40 4,122 1,335,501St. Vincent's St. Clair 40 9,136 2,417,474 Total 925 195,979 31,343,323St. 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 and Elder Care Services program 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 450 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 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 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 100,000 associates serving in 20 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.
Part VI, Line 6: St. Vincent's Health System is a member of Ascension Health Alliance. Ascension Health Alliance is a Missouri nonprofit corporation formed on September 13, 2011. Ascension Health Alliance is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 23 or the United States and the District of Columbia. Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province, became part of Ascension Health on April 1, 2013. In addition, Alexian Brothers Health System, which was previously sponsored by the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province, became part of Ascension Health on January 1, 2012.St. Vincent's Health System, located in Birmingham, Alabama, is a nonprofit health system. St. Vincent's Health System is the sole corporate member of four not-for-profit acute care hospitals: St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount, and St. Vincent's St. Clair, LLC (collectively referred to as the Hospitals). The Hospitals provide inpatient, outpatient and emergency care services for the residents of Birmingham and surrounding areas. Admitting physicians are primarily practitioners in the local area.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 improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:1. Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because inadequate resources and/or who are uninsured or underinsured.2. Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons.3. Costs 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.Unreimbursed Services Provided to the Elderly and the Poor St. Vincent's St. Clair provides a substantial portion of its services to the elderly and poor. During the fiscal year ending 2013, approximately 47% of the value of services rendered were to elderly patients under the Medicare program, and approximately 13% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. In the spirit of principles adopted by Ascension Health, St. Vincent's St. Clair has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending 2013, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaling approximately $2.4 million. During the fiscal year ending 2013, St. Vincent's St. Clair treated 2,189 adults and children in the community for a total of 9,136 patient days of service. St. Vincent's St. Clair also provided services to 43,691 outpatients, including 797 outpatient surgery patients, 23,900 emergency and minor care visits.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	0	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Samford University
800 Lakeshore Drive	Homewood	AL	35229	630312914	Section 501(c)(3)	25525	Sponsorship
Troy University
University Avenue	Troy	AL	36082	636067755	Section 501(c)(3)	27500	Sponsorship
University of West Alabama
100 US 11	Livingston	AL	35470	631074127	Section 501(c)(3)	55000	Sponsorship
Crimson Tide Sports Marketing
Bryant Denny Stadium - Box 870339	Tuscaloosa	AL	35487	201368758		124550	Sponsorship
IMG College LLC
PO Box 16533	Palatine	IL	60055	273646546		27750	Sponsorship

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John D O'Neil
President/CEO System	574472	0	1166059	0	160408	0	4900	0	19185	0	1925024	0	0	0
David A Cauble
EVP/CFO	377280	0	165000	0	60025	0	7500	0	18394	0	628199	0	0	0
Vicki L Briggs
EVP/COO	440042	0	146953	0	51824	0	250	0	19678	0	658747	0	0	0
Nan M Priest
EVP/CSO	293915	0	125813	0	69947	0	7500	0	15434	0	512609	0	20508	0
Gregory L James
Sr. VP/CMO	370327	0	132258	0	74991	0	7500	0	9246	0	594322	0	0	0
Carol A Maietta
Sr. VP HR/CLO	229156	0	84219	0	17708	0	6958	0	10040	0	348081	0	0	0
Lloyd K Allen
President/COO Ambulatory Health Ntwk	205449	0	60500	0	42150	0	6421	0	19831	0	334351	0	0	0
Wayne Carmello-Harper
SVP Mission Integration	171931	0	65313	0	25892	0	3887	0	16579	0	283602	0	0	0
Kidada Y Hawkins end 812
VP/COO Rural FAC(Interim President)	70450	70450	24125	24125	11012	11012	650	650	7993	7992	114230	114229	0	0
Paula H McCullough
VP Revenue Cycle RCM FT ACC.	71248	71248	19950	19950	23168	23169	2188	2187	6156	6157	122710	122711	0	0
Terry M Brannon
VP Revenue Cycle	159365	0	48331	0	58718	0	4975	0	17957	0	289346	0	0	0
Jennifer L Kingry
VP Financial Reporting	146923	0	44000	0	43949	0	4544	0	15154	0	254570	0	0	0
Elizabeth B Moore
VP Marketing	180147	0	53625	0	24665	0	3250	0	16081	0	277768	0	0	0
Raymond A Stewart
Director Pharmacy Services	128100	0	20208	0	95970	0	4394	0	1689	0	250361	0	0	0
Cynthia L Williams
VP Clinical Org Effectiveness	217756	0	59125	0	78493	0	6660	0	11405	0	373439	0	0	0
Neeysa C Biddle end 611
Former STVHS COO	0	0	0	0	143177	0	0	0	0	0	143177	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	St. Vincent's Health System provided relocation allowances related to the recruitment of the Health System COO and the President of Rural Facilities. These items were reported as imputed income to the associate and were subject to individual income tax. St. Vincent's Health System provides membership to The Summit Club and The Vestavia Country Club for 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.
Part I, Line 4b	Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The 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: Neeysa C. Biddle - $82,918 Nan M. Priest - $20,508 The organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amounts as noted: John D. O'Neil - $42,150 David A. Cauble - $4,375 Vicki L. Briggs - $146,115 Nan M. Priest - $61,545 Gregory L. James - $7,500 Kidada Y. Hawkins - $1,250 Cynthia L. Williams - $11,400 Carol A. Maietta - $2,235 Lloyd K. Allen - $1,438 Elizabeth B. Moore - $6,250 Terry M. Brannon - $25,479 Wayne Carmello-Harper - $38,156 Robert E. Ray - $750 Paula H. McCullough - $7,500 Jennifer Kingry - $7,500
Part III	Part II: Description 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.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Damon Briggs	NamePerson

Field	Value	IRS element (for citing)
Relationship	Son of Officer	Relationship
Amount Of Transaction	16838	AmountOfTransaction
Description Of Transaction	Compensation for Employment	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Explanation of Attached Audited Financial Statements:	Form 990, Part IV, Line 20b:	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).
Number of Forms 1099 Filed:	Form 990, Part V, Line 1a:	St. Vincent's Health System uses a common paymaster to compensate all indpendent contractors used within the Health System. The number attributable to each hospital is not easily distinguished. The amount on Line 1a represents total Forms 1099 filed for the entire Health System.
	Form 990, Part VI, Section A, line 2	John O'Neil and Elizabeth Moore have a business relationship.
	Form 990, Part VI, Section A, line 6	St. Vincent's Health System has a single corporate member, Ascension Health.
	Form 990, Part VI, Section A, line 7a	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, Section A, line 7b	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, Section B, line 11	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, Section B, line 12c	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, Section B, line 15	In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Ascension Health Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the 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 included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviews and approved the compensation with the facilitation of the SVP of HR/CLO and the Director of 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. Individuals were not present when their compensation was decided.
	Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Document Retention and Destructions Policy:	Form 990, Part VI, Section B, Line 14:	St. Vincent's Health System has drafted a document retention and destruction policy to be approved by the board of directors or designated committee. The policy was drafted but not approved prior to the close of the current fiscal year; however, St. Vincent's Health System plans to have the policy in place prior to June 30, 2014.
Other Fees	Form 990, Part IX, line 11g	Other Expense: Program service expenses 1,971,225. Management and general expenses 601,713. Fundraising expenses 0. Total expenses 2,572,938. Other Purchased Services: Program service expenses 651,209. Management and general expenses 5,196,639. Fundraising expenses 0. Total expenses 5,847,848. RCM Fees Cost: Program service expenses 0. Management and general expenses 3,879,843. Fundraising expenses 0. Total expenses 3,879,843. Consulting Fees: Program service expenses 5,590. Management and general expenses 1,392,311. Fundraising expenses 0. Total expenses 1,397,901.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 9:	Donor Restricted 74,396. Transfers to/from Affiliates 5,367,419. Deferred Pension 967,309. Transfers to Sponsers -689,114.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
St Vincent's St Clair LLC
2805 Dr John Haynes Drive	Pell City	AL	35125	631146531	Hospital	AL	27762402	9947085	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

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Ascension Health
PO Box 45998	St Louis	MO	63145	311662309	National Health System	MO	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health Alliance	0
St Vincent's Birmingham
810 St Vincents Drive	Birmingham	AL	35205	630288864	Hospital	AL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System	1
St Vincent's Blount
150 Gilbreath Drive	Oneonta	AL	35121	630909073	Hospital	AL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System	1
St Vincent's East
50 Medical Park East Drive	Birmingham	AL	35235	630578923	Hospital	AL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System	1
American Sports Medicine Institute
2660 10th Avenue South No 505	Birmingham	AL	35205	630952490	Sports Medicine	AL	Section 501(c)(3)	Schedule A, Line 7	St Vincent's Birmingham	1
Universal Health Services
810 St Vincents Drive	Birmingham	AL	35205	630932323	Physician Group	AL	Section 501(c)(3)	Schedule A, Line 11b	St Vincent's Health System	1
St Vincent's Foundation of Alabama Inc
810 St Vincents Drive	Birmingham	AL	35205	630868068	Fundraising	AL	Section 501(c)(3)	Schedule A, Line 7	St Vincent's Health System	1
Seton Property Corporation of North Alabama
810 St Vincents Drive	Birmingham	AL	35205	237326976	Real Estate	AL	Section 501(c)(2)	N/A	St Vincent's Health System	1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
St Vincent Outpatient Surgery Services LLC
810 St Vincents Drive	Birmingham	AL	35205	200708162	Outpatient Surgery	AL	N/A
St Vincent's Sleep Disorder Center LLC
810 St Vincents Drive	Birmingham	AL	35202	631282288	Sleep Disorder Center	AL	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
Vincentian Ventures of North Alabama Inc
810 St Vincents Drive	Birmingham	AL	35205	630965456	Misc Healthcare Services	AL	St Vincent Health System	C	-8280993	3853720	1.00000	1
Ascension Ventures Corporation
810 St Vincents Drive	Birmingham	AL	35205	631217059	Misc Healthcare Services	AL	St Vincent Health System	C	-2141701	517617	1.00000	1
Eastside Ventures Inc
810 St Vincents Drive	Birmingham	AL	35205	630846221	Misc Healthcare Services	AL	St Vincent Health System	C	-219577	1863299	1.00000	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
St Vincent's Foundation of Alabama Inc
C	402150	Journal Entry Transaction
Seton Property Corporation of North Alabama
K	79059	Journal Entry Transaction
Ascension Health
P	35045537	Journal Entry Transaction
American Sports Medicine Institute
P	216428	Journal Entry Transaction
St Vincent's Birmingham
Q	45484593	Journal Entry Transaction
St Vincent's East
Q	28121267	Journal Entry Transaction
St Vincent's Blount
Q	2759992	Journal Entry Transaction
Universal Heath Services
Q	140562	Journal Entry Transaction
Vincentian Ventures of North Alabama
Q	2525685	Journal Entry Transaction
Seton Property Corporation of North Alabama
Q	494217	Journal Entry Transaction
Ascension Ventures Corporation
Q	747188	Journal Entry Transaction
Eastside Ventures Inc
Q	579480	Journal Entry Transaction
Seton Property Corporation of North Alabama
R	1100626	Journal Entry Transaction
St Vincent's Foundation of Alabama Inc
Q	3250000	Journal Entry Transaction