ST VINCENTS BLOUNT: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST VINCENTS BLOUNT (EIN 63-0909073)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201331349349306498
- Schema version
- 2011v1.5
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T17:19:41-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | 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 | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630909073 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Vincent's Blount | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STVI | NameControl |
| Phone | 2052743000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 Gilbreath Drive | AddressLine1 |
| City | Oneonta | City |
| State | AL | State |
| ZIP Code | 35121 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David Cauble | Name |
| Title | EVP/CFO - STVHS | Title |
| Phone | 2059397791 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rebecca Lyons | Name |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Vincent's Blount | BusinessNameLine1 |
| 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 Dr | AddressLine1 |
| City | Birmingham | City |
| State | AL | State |
| ZIP Code | 35205 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19230044 | 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 | 1985 | YearFormation |
| State Legal Domicile | AL | StateLegalDomicile |
| Activity Or Mission Description | Provides healthcare activities to the communities which it serves. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 206 | TotalNbrEmployees |
| Total Nbr Volunteers | 39 | TotalNbrVolunteers |
| Total Gross UBI | 60171 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -86510 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 340638 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 289638 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16854050 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18247227 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -6718 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 137909 | OtherRevenuePriorYear |
| Other Revenue Current Year | 421942 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17325879 | TotalRevenuePriorYear |
| Total Revenue Current Year | 18958807 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4199 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8208631 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7824384 | 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 | 12263589 | OtherExpensePriorYear |
| Other Expenses Current Year | 13151231 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 20476419 | TotalExpensesPriorYear |
| Total Expenses Current Year | 20975615 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3150540 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2016808 | RevenuesLessExpensesCY |
| Total Assets BOY | 14445780 | TotalAssetsBOY |
| Total Assets EOY | 13526030 | TotalAssetsEOY |
| Total Liabilities BOY | 74109292 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 75206350 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -59663512 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -61680320 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and words. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 18878053 | Expense |
| Revenue | 18453710 | Revenue |
| Description | The Hospital is dedicated to spirtually centered, Holistic care that sustains and improves the health of the individuals and communities. It furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community. For detailed information on the Hospital's program service accomplishments and statistical data see Schedule H. | Description |
| Total Program Service Expense | 18878053 | 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 | 0 | 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 | 0 | 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 | 0 | 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 | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 206 | 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | 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 | 0 | LocalChapters |
| 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 | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David Cauble | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Dan Sansone | ||||||||
| Chairman - Health System | 5.00 | X | X | 0 | 0 | 0 | ||
| Susan W Matlock end 1011 | ||||||||
| Vice Chair - Health System | 5.00 | X | X | 0 | 0 | 0 | ||
| Ken Graeve start 1011 | ||||||||
| Vice Chair - Health System | 5.00 | X | X | 0 | 0 | 0 | ||
| James D Davis | ||||||||
| Treasurer - Health System | 5.00 | X | X | 0 | 0 | 0 | ||
| Douglas B Nunnelley | ||||||||
| Secretary - Health System | 5.00 | X | X | 0 | 0 | 0 | ||
| Robert Barnett | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| William K Bibb end 0711 | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| Marc E Bloomston MD | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| Tina N Corr | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| Sr Mary E Cullenstart 1011 | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| Norman B Davis Jr | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| Morton Goldfarb MD | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| M James Gorrie end 1011 | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| Benny M LaRussa Jr | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| William H McClanahan JrMD | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| Willie H Parker | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| Stan Starnes start 112 | ||||||||
| Bd Member - Health System | 5.00 | X | 0 | 0 | 0 | |||
| John D O'Neil Sch O | ||||||||
| President/CEO System | 40.00 | X | X | 0 | 1107013 | 22435 | ||
| David A Cauble Sch O | ||||||||
| EVP/CFO | 40.00 | X | X | 0 | 337263 | 17527 | ||
| Sean C Tinney end 412 | ||||||||
| President - Rural | 40.00 | X | 122695 | 122695 | 13978 | |||
| Vicki L Briggs start 911 | ||||||||
| STVHS COO | 40.00 | X | 0 | 110450 | 3065 | |||
| Nan M Priest Sch O | ||||||||
| Exec. VP/Chief Strategy Officer | 40.00 | X | 0 | 352803 | 21440 | |||
| Carol A Maietta Sch O | ||||||||
| SVP, HR/CLO | 40.00 | X | 0 | 221660 | 17124 | |||
| Gregory L James | ||||||||
| SVP/CMO | 40.00 | X | 0 | 370601 | 16418 | |||
| Kidada Y Hawkins | ||||||||
| VP/COO Rural (Interim President) | 40.00 | X | 132156 | 0 | 14343 | |||
| Paula H McCullough | ||||||||
| VP PT Care SVCS Rural FAC FTAC | 40.00 | 0 | 135132 | 15521 | X | |||
| Gavin K Gilliland | ||||||||
| Director - Pharmacy | 40.00 | 108613 | 0 | 17117 | X | |||
| Neeysa C Biddle Sch O | ||||||||
| Former Exec. VP/COO (end 6/11) | 40.00 | 0 | 426422 | 16465 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 363464 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3184039 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 175433 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Morrison's Management Specialist | |||||
| PO Box 102289 | Atlanta | GA | 30369 | Dietary Services | 402412 |
| Southern Perioperative Services | |||||
| 405 Riverdale Drive | Tuscaloosa | AL | 35406 | Anesthesia Services | 298011 |
| Alliance Healthcare | |||||
| PO Box 96485 | Chicago | IL | 60693 | MRI Imaging Services | 276497 |
| TriMedx | |||||
| PO Box 636129 | Cincinnati | OH | 45263 | Clinical Engineering Services | 243667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 280173 | RelatedOrganizations |
| Government Grants | 9465 | GovernmentGrants |
| Noncash Contributions | 2688 | NoncashContributions |
| Total Contributions | 289638 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Revenue | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 18247227 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18212214 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 35013 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18247227 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 332795 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 215413 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 117382 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 117382 | TotalRevenueColumn |
| Exclusion | $117,382 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 118888 | GrossSalesOfInventory |
| Cost Of Goods Sold | 55824 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63064 | TotalRevenueColumn |
| Unrelated Business Revenue | 25158 | UnrelatedBusinessRevenue |
| Exclusion | $37,906 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ARRA Revenue | Description |
| Business Code | 561499 | BusinessCode |
| Total Revenue Column | 205109 | TotalRevenueColumn |
| Related Or Exempt Function Income | 205109 | RelatedOrExemptFunctionIncome |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36387 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36387 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 241496 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18958807 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18453710 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 60171 | UnrelatedBusinessRevenue |
| Exclusion | $155,288 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 691906 | Total |
| Program Services | 622715 | ProgramServices |
| Management And General | 69191 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5610757 | Total |
| Program Services | 5049681 | ProgramServices |
| Management And General | 561076 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238265 | Total |
| Program Services | 214438 | ProgramServices |
| Management And General | 23827 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 842609 | Total |
| Program Services | 758348 | ProgramServices |
| Management And General | 84261 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 440847 | Total |
| Program Services | 396762 | ProgramServices |
| Management And General | 44085 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14957 | Total |
| Program Services | 14957 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 525250 | Total |
| Program Services | 472725 | ProgramServices |
| Management And General | 52525 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180574 | Total |
| Program Services | 162517 | ProgramServices |
| Management And General | 18057 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 853656 | Total |
| Program Services | 768290 | ProgramServices |
| Management And General | 85366 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 524968 | Total |
| Program Services | 472471 | ProgramServices |
| Management And General | 52497 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16552 | Total |
| Program Services | 14897 | ProgramServices |
| Management And General | 1655 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1463110 | Total |
| Program Services | 1316799 | ProgramServices |
| Management And General | 146311 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86240 | Total |
| Program Services | 77616 | ProgramServices |
| Management And General | 8624 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt | 3220645 | 2898581 | 322064 |
| Medical Supplies | 1769687 | 1592718 | 176969 |
| Purchased Services | 1744614 | 1570153 | 174461 |
| Corporate Allocation | 1607395 | 1446656 | 160739 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1143583 | Total |
| Program Services | 1027729 | ProgramServices |
| Management And General | 115854 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20975615 | Total |
| Program Services | 18878053 | ProgramServices |
| Management And General | 2097562 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58570 | BOY |
| EOY | -1 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 802536 | BOY |
| EOY | 531176 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 264047 | BOY |
| EOY | 446516 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18151 | BOY |
| EOY | 26878 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19609872 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7118242 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13292275 | BOY |
| EOY | 12491630 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10201 | BOY |
| EOY | 29831 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14445780 | BOY |
| EOY | 13526030 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 335278 | BOY |
| EOY | 291384 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1476 | BOY |
| EOY | 5168 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73772538 | BOY |
| EOY | 74909798 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74109292 | BOY |
| EOY | 75206350 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -59663512 | BOY |
| EOY | -61680320 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | 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 | -59663512 | BOY |
| EOY | -61680320 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14445780 | BOY |
| EOY | 13526030 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -2016808 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 | $14,957 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 14957 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part IV, Supplemental Information: | Identifier |
| Explanation | Part II-B, Line 1(i), Other Lobbying Activities: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent's Blount does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office. | Explanation |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16494123 | OtherCostOrOtherBasis |
| Depreciation | 5538638 | Depreciation |
| Book Value | 10955485 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 336000 | OtherCostOrOtherBasis |
| Depreciation | 168000 | Depreciation |
| Book Value | 168000 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2673629 | OtherCostOrOtherBasis |
| Depreciation | 1394164 | Depreciation |
| Book Value | 1279465 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 106120 | OtherCostOrOtherBasis |
| Depreciation | 17440 | Depreciation |
| Book Value | 88680 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12491630 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other Liabilities | $23,412 |
| Due to Affiliates | $74,886,386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 74909798 | 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 | 383725 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 383725 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02160 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2959679 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1101406 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1858273 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10470 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3343404 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1101406 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2241998 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12630 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 1775 | PersonsServed |
| Total Community Benefit Expense | 7370 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 90 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7280 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 120 | PersonsServed |
| Total Community Benefit Expense | 5520 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5520 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 52 | PersonsServed |
| Total Community Benefit Expense | 4204 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4204 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 1947 | PersonsServed |
| Total Community Benefit Expense | 17094 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 90 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17004 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 1947 | PersonsServed |
| Total Community Benefit Expense | 3360498 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1101496 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2259002 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12720 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1620 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1620 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 215 | PersonsServed |
| Total Community Building Expense | 455 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 455 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 200 | PersonsServed |
| Total Community Building Expense | 4414 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4414 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 50 | PersonsServed |
| Total Community Building Expense | 45 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 45 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 465 | PersonsServed |
| Total Community Building Expense | 6534 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6534 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $636,997 | BadDebtExpenseAmount |
| Amount Attributable To | 230657 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8434100 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9076276 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -642176 | 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 Blount | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 Gilbreath Drive | AddressLine1 |
| City | Oneonta | City |
| State | AL | State |
| ZIP Code | 35121 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| 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 Blount | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| 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 |
|---|
| 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 I, L7 Col(f): The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $3,220,645. |
| Part II: St. Vincent's Health System provided the following communiity building activities in FY 2012: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 in providing individuals with access to 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 Program and Elder Care. 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 -MedMission - a medical supply organization that matches international need with surplus or nearly expired items -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 Blount):The provision for bad debt expense 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 uncollectible 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 bad debt expense to establish an appropriate allowance for uncollectible 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 cost of 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 polity 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. The cost to charge ratio method is used in determining the shortfall. |
| 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 VI, Line 2: Our most recent community needs assessment was conducted in April 2008 by our parent company, Ascension Health, 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 2007 and April 2008. Interviewees included a range of CEO's and program managers from area health care organizations, and 55 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 1,231,544; median income of $45,822; and median age of 38. - Age of population: 26.15% age 0-19, 33.12% age 20-44, 27.23% age 45-64, 13.5% age 65+.- Sex: 51.8% Female and 48.1% Male.-Ethnicity: 67.5% White non-Hispanic, 27.4% Black non-Hispanic, 4.2% Hispanic, 1.2% Asian non-Hispanic.- Language: English speaking 96.44%, Non-English age 5+ 3.56%.- There are 102 federally designated Medically Underserved Areas (MUAs) and 17% 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: 15.1% on average in poverty. Range in 7 counties (6.9% to 19.3%).- Hospitals in service area: 18 total, 16 Nonprofit, 2 For profit, 1 academic medical center.- Health Statistics- Obesity: 31%.- 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. FY12 Number of Number of Estimated Licensed Beds Patient Days Unreimbursed costSt. Vincent's Birmingham 409 98,995 9,711,933 St. Vincent's East 328 78,770 9,864,608 St. Vincent's Blount 40 4,869 957,278 St. Vincent's St. Clair 40 5,992 1,586,040 Total 777 188,626 22,119,859 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 also realize that our community can extend beyond geographic boundaries, which is why we are pleased to partner with MedMission International. For many reasons, perfectly usable medical supplies, which could be used to save lives in poor countries, are required to be discarded in the United States. At St. Vincent's Health System, we collect that medical surplus and donate to MedMission International to redistribute it to under-served hospitals and clinics around the world.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, Adult Medical Clinic 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 Adult Medical Clinic, 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 Adult Medical Clinic 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 (the Health Ministry) is a member of Ascension Health. 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 21 of the United States and the District of Columbia.The Health Ministry, located in Birmingham, Alabama, is a nonprofit health system. The Health Ministry 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. The Health Ministry is also the sole corporate member of St. Vincent's Foundation of Alabama, Inc. and St. Vincent's East Foundation, Inc. (collectively referred to as the Foundations). The Foundations provide fund raising efforts to support charitable, religious and educational purposes of charitable works of the Health Ministry in accordance with mission and values of Ascension Health. The consolidated financial statements of the Health Ministry also include the following healthcare entities: Universal Health Services (provides physician, diagnostic and rehabilitative services, as well as temporary lodging to families of patients), Seton Property Corporation of North Alabama (owns and rents professional office buildings and other real property primarily for medical services), Ascension Venture Corporation (provides for-profit wellness, spa and fitness services), and Vincentian Ventures of North Alabama, Inc. (operates a for-profit pharmacy and other occupational health services). The Health Ministry is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health are related to providing health care services.MissionThe 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: - Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.- 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.- Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of 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.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the poor, 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 who are poor and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data. Unreimbursed Services Provided to the Elderly and the PoorSt. Vincent's Health System provides a substantial portion of its services to the elderly and poor. During the fiscal year ending 2012, approximately 46% of the value of services rendered were to elderly patients under the Medicare program, and approximately 6% 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 Health System 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 2012, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaling approximately $22.1 million.Patient ServicesSt. Vincent's Health System mission focused health ministry, provides acute care services and community focused services.During the fiscal year ending 2012, our Health System treated 38,225 adults and children in the community for a total of 188,626 patient days of service. The Health System also provided services to 498,084 outpatients, including 33,647 outpatient surgery patients, 135,307 emergency and minor care visits and 110,379 clinic and office visits.SummarySt. Vincent's Health System furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. 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 patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| 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 (8 entries)
| 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 Sch O | |||||||||||||
| 0 | 573221 | 0 | 455586 | 0 | 78206 | 0 | 4900 | 0 | 17535 | 0 | 1129448 | 0 | 17180 |
| David A Cauble Sch O | |||||||||||||
| 0 | 334555 | 0 | 0 | 0 | 2708 | 0 | 948 | 0 | 16579 | 0 | 354790 | 0 | 0 |
| Sean C Tinney end 412 | |||||||||||||
| 108352 | 108352 | 0 | 0 | 14343 | 14343 | 3277 | 3277 | 3712 | 3712 | 129684 | 129684 | 0 | 0 |
| Nan M Priest Sch O | |||||||||||||
| 0 | 287681 | 0 | 0 | 0 | 65122 | 0 | 7350 | 0 | 14090 | 0 | 374243 | 0 | 61633 |
| Carol A Maietta Sch O | |||||||||||||
| 0 | 205343 | 0 | 0 | 0 | 16317 | 0 | 6341 | 0 | 10783 | 0 | 238784 | 0 | 0 |
| Gregory L James | |||||||||||||
| 0 | 350406 | 0 | 0 | 0 | 20195 | 0 | 7350 | 0 | 9068 | 0 | 387019 | 0 | 0 |
| Paula H McCullough | |||||||||||||
| 0 | 115911 | 0 | 0 | 0 | 19221 | 0 | 3577 | 0 | 11944 | 0 | 150653 | 0 | 0 |
| Neeysa C Biddle Sch O | |||||||||||||
| 0 | 215431 | 0 | 0 | 0 | 210991 | 0 | 5694 | 0 | 10771 | 0 | 442887 | 0 | 102817 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | St. Vincent's Health System provides membership to The Summit Club and The 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 III | Part I, Line 3: The following are used by St. Vincent's Health System to establish the compensation of the organization's CEO: -Compensation Committee -Independent Compensation Consultant -Written Employment Contract -Compensation Survey or Study -Approval by the Board or Compensation Committee | Supplemental Information |
| Part III | 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. 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: Neeysa C. Biddle - $102,817 John D. O'Neil - $17,180 Nan M. Priest - $61,633 A related 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: Kidada Y. Hawkins - $1,625 Sean C. Tinney - $2,540 | Supplemental Information |
| Part III | Schedule J, 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 O IRS990ScheduleO
General Explanation GeneralExplanation (12 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, which include the activity of St. Vincent's Blount, fall under the full scope audit of Ascension Health Alliance. The activity of St. Vincent's Blount and other members of St. Vincent's Health System are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit for St. Vincent's Blount is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates (which include the activity of St. Vincent's Blount). |
| Number of Forms 1099 Filed: | Form 990, Part V, Line 1a: | St. Vincent's Health System, a related organization of St. Vincent's Blount, uses a common paymaster to compensate all independent contractors used within the Health System. The number attributable to each hospital is not easily distinguished. The total amount of Forms 1099 filed for the entire Health System appears on Part V, Line 1a of St. Vincent's Health System's Form 990. |
| Form 990, Part VI, Section A, line 2 | Dan Sansone and Susan Matlock have a business relationship. | |
| Form 990, Part VI, Section A, line 6 | St. Vincent's Blount has a single corporate member, St. Vincent's Health System. | |
| Form 990, Part VI, Section A, line 7a | St. Vincent's Blount has a single corporate member, St. Vincent's Health System, who has the ability to elect members to the governing body of St. Vincent's Blount. | |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to St. Vincent's Blount financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System. | |
| Form 990, Part VI, Section B, line 11 | Management, including certain Officers, work 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 engate primarily in activities which accomplish its tax exempt status. | |
| Form 990, Part VI, Section B, line 15 | In determining the compensation for the President of St. Vincent's Blount, the process, performed by St. Vincent's Health System (a related entity that paid the President), included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviewed and approved the compensation, 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 hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining the compensation of other officers of the organization, the process, performed by St. Vincent's Health System (a related entity that paid the officers), included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers of the organization were compared to individuals at other hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. | |
| Form 990, Part VI, 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, the parent organization of St. Vincent's Blount 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, 2013. |
| Average Hours Devoted to Related Organization(s) when Related Compensation: | Form 990, Part VII, Section A: | Officers (as noted with a "Sch O" reference) for St. Vincent's Blount provide services to St. Vincent's Health System and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, officers hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for all entities. The St. Vincent's Health System Board of Directors has governance power for St. Vincent's Blount. Therefore, the Health System Board of Directors are listed on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 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 Health System | ||||||||||
| 810 St Vincents Drive | Birmingham | AL | 35205 | 630931008 | Health System Parent | AL | Section 501(c)(3) | Schedule A, Line 11c | Ascension Health | 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 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 |
| Eastern Health Foundation | ||||||||||
| 50 Medical Park East Drive | Birmingham | AL | 35235 | 630909071 | Fundraising | AL | Section 501(c)(3) | Schedule A, Line 7 | 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's 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 | 35205 | 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 | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Vincentian Ventures of North Alabama Inc | ||||||||
| 810 St Vincents Drive | Birmingham | AL | 35205 | 630965456 | Misc Healthcare Services | AL | N/A | C |
| Ascension Ventures Corporation | ||||||||
| 810 St Vincents Drive | Birmingham | AL | 35205 | 631217059 | Misc Healthcare Services | AL | N/A | C |
| Eastside Ventures Inc | ||||||||
| 810 St Vincents Drive | Birmingham | AL | 35205 | 630846221 | Misc Healthcare Services | AL | N/A | C |
| 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 |
| 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | 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 | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Eastside Ventures Inc | ||
| I | 71100 | Journal Entry Transaction |
| St Vincent's Health System | ||
| O | 2461051 | Journal Entry Transaction |
| St Vincent's Foundation of Alabama Inc | ||
| C | 280173 | Journal Entry Transaction |