ST VINCENTS EAST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ST VINCENTS EAST (EIN 63-0578923)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201341349349306999
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	630578923	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	STVI	NameControl
Phone	2058383000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	50 Medical Park East Drive	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35235	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

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	226830984	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	1968	YearFormation
State Legal Domicile	AL	StateLegalDomicile
Activity Or Mission Description	Provides a special brand of high-touch, high-tech quality care to people in the community.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1674	TotalNbrEmployees
Total Nbr Volunteers	129	TotalNbrVolunteers
Total Gross UBI	673683	TotalGrossUBI
Net Unrelated Business Txbl Income	-20389	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	247934	ContributionsGrantsPriorYear
Contributions Grants Current Year	199416	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	199268222	ProgramServiceRevenuePriorYear
Program Service Revenue CY	223365954	ProgramServiceRevenueCY
Investment Income Prior Year	745717	InvestmentIncomePriorYear
Investment Income Current Year	58913	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1727502	OtherRevenuePriorYear
Other Revenue Current Year	2230538	OtherRevenueCurrentYear
Total Revenue Prior Year	201989375	TotalRevenuePriorYear
Total Revenue Current Year	225854821	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	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	75387835	SalariesEtcPriorYear
Salaries Etc Current Year	78805274	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	130291015	OtherExpensePriorYear
Other Expenses Current Year	137513879	OtherExpensesCurrentYear
Total Expenses Prior Year	205678850	TotalExpensesPriorYear
Total Expenses Current Year	216319153	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-3689475	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	9535668	RevenuesLessExpensesCY
Total Assets BOY	147541075	TotalAssetsBOY
Total Assets EOY	157750008	TotalAssetsEOY
Total Liabilities BOY	18111627	TotalLiabilitiesBOY
Total Liabilities EOY	19015667	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	129429448	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	138734341	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 our words.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	194687238	Expense
Revenue	223770719	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 services accomplishments and statistical data see Schedule H.	Description
Total Program Service Expense	194687238	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	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
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1674	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	0	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 (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Dan Sansone
Chairman - Health System	5.00	X	X	0	0	0
Ken Graeve start 1011
Vice Chair - 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
Douglas B Nunnelley
Secretary - Health System	5.00	X	X	0	0	0
James D Davis
Treasurer - 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 - Health System	40.00	X	X	0	1107013	22435
David A Cauble Sch O
EVP/CFO - Health System	40.00	X	X	0	337263	17527
Sean C Tinney start 412
President/COO - East	40.00		X	0	245390	13978
Vicki L Briggs start 911
COO - Health System	40.00		X	0	110450	3065
Nan M Priest Sch O
EVP/CSO - Health System	40.00		X	0	352803	21440
Gregory L James
SVP & Chief Medical Officer	40.00		X	0	370601	16418
Carol A Maietta
SVP HR/CLO - Health System	40.00		X	0	221660	17124
Todd S Kennedy end 112
President/COO - East	40.00		X	350952	0	23550
Carol J Ratcliffe
VP Patient Care Svc	40.00			203022	0	21015	X
Andrew J Gnann
VP Operations - East	40.00			175999	0	11795	X
Crystal Y Smith
CRNA	40.00			218391	0	11481		X
Thomas C Novitski Jr
Pharmacist	40.00			211361	0	17580		X
Ronald J Smith
Pharmacist	40.00			193070	0	19879		X
Dr Marion H Sims
Physician	40.00			191230	0	16339		X
David Earman
Pharmacist	40.00			191876	0	12331		X
Neeysa C Biddle end 611
Former Exec VP/COO	0.00			0	426422	16465			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1735901	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3171602	TotalReportableCompFrmRltdOrgs
Total Other Compensation	262422	TotalOtherCompensation
Number Individuals GT100 K	59	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
Brasfield & Gorrie LLC
Drawer 351 PO Box 11407	Birmingham	AL	352460351	Construction	4711567
Morrison Management Specialists
PO Box 102289	Atlanta	GA	303682289	Food Services	2259435
Crothall Services Group
200 16th Street S	Birmingham	AL	352331600	Environmental Services	2114104
TriMedx
Accounts Receivable PO Box 63612	Cincinnati	OH	452636129	Healthcare Services	1652849
Dialysis Clinic Inc - Birmingham
8713 Parkway East	Birmingham	AL	35206	Dialysis Services	626305

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	26	NumberOfContractorsGT100K
Related Organizations	174646	RelatedOrganizations
All Other Contributions	24770	AllOtherContributions
Noncash Contributions	24270	NoncashContributions
Total Contributions	199416	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Revenue	621400	222976157	222356264	619893
Lab Testing	561000	215538	161748	53790
I/C Rental Revenue	531120	174259	174259

Field	Value	IRS element (for citing)
Total Program Service Revenue	223365954	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	29783	TotalRevenueColumn
Exclusion	$29,783	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	609507	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	609507	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	609507	TotalRevenueColumn
Exclusion	$609,507	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	29130	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	29130	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	29130	TotalRevenueColumn
Exclusion	$29,130	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	1403616	GrossSalesOfInventory
Cost Of Goods Sold	976163	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	427453	TotalRevenueColumn
Exclusion	$427,453	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
ARRA Revenue	900099	587806	587806
Steps Ahead Revenue	900099	250035	250035
Fitness/Wellness	621990	115130		$115,130

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	240607	TotalRevenueColumn
Related Or Exempt Function Income	240607	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	1193578	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	225854821	TotalRevenueColumn
Related Or Exempt Function Income	223770719	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	673683	UnrelatedBusinessRevenue
Exclusion	$1,211,003	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1801818	Total
Program Services	1621636	ProgramServices
Management And General	180182	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	63726450	Total
Program Services	57353806	ProgramServices
Management And General	6372644	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2190773	Total
Program Services	1971696	ProgramServices
Management And General	219077	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6426567	Total
Program Services	5783910	ProgramServices
Management And General	642657	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4659666	Total
Program Services	4193699	ProgramServices
Management And General	465967	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	12172	Total
Program Services	10955	ProgramServices
Management And General	1217	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13612482	Total
Program Services	12251234	ProgramServices
Management And General	1361248	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1044654	Total
Program Services	940188	ProgramServices
Management And General	104466	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8680156	Total
Program Services	7812140	ProgramServices
Management And General	868016	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6152986	Total
Program Services	5537687	ProgramServices
Management And General	615299	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	30033	Total
Program Services	27030	ProgramServices
Management And General	3003	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	49610	Total
Program Services	44649	ProgramServices
Management And General	4961	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	10001	Total
Program Services	9001	ProgramServices
Management And General	1000	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7520113	Total
Program Services	6768101	ProgramServices
Management And General	752012	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2098764	Total
Program Services	1888888	ProgramServices
Management And General	209876	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	40815850	36734265	4081585
Bad Debt Expense	19398272	17458445	1939827
Corporate Allocation	16244938	14620444	1624494
Provider Assessment Tax	9383887	8445498	938389

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	12459961	Total
Program Services	11213966	ProgramServices
Management And General	1245995	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	216319153	Total
Program Services	194687238	ProgramServices
Management And General	21631915	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2545044	BOY
EOY	418141	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	14992649	BOY
EOY	20385197	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2141765	BOY
EOY	2627695	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1217153	BOY
EOY	1183470	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	131501717	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	40425673	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	92843587	BOY
EOY	91076044	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	17995	BOY
EOY	118601	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	33782882	BOY
EOY	41940860	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	147541075	BOY
EOY	157750008	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3454523	BOY
EOY	4379272	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	524824	BOY
EOY	660576	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14132280	BOY
EOY	13975819	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	18111627	BOY
EOY	19015667	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	129412688	BOY
EOY	138731022	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16760	BOY
EOY	3319	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	129429448	BOY
EOY	138734341	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	147541075	BOY
EOY	157750008	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	9535668	ReconcilationRevenueExpenses
Reconcilation Other Changes	-230775	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	$12,172	OtherActivitiesAmount
Total Lobbying Expenditures IIB	12172	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	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent's East does not participate in or intervene in (including the publishing or distributing of statements), any polictical campaign on behalf of (or in opposition to) any candidate for public office.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Beginning Balance	0	BeginningBalance
Ending Balance	0	EndingBalance

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7840000	OtherCostOrOtherBasis
Book Value	7840000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	77812084	OtherCostOrOtherBasis
Depreciation	13055474	Depreciation
Book Value	64756610	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6624790	OtherCostOrOtherBasis
Depreciation	1292436	Depreciation
Book Value	5332354	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34766271	OtherCostOrOtherBasis
Depreciation	22779357	Depreciation
Book Value	11986914	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4458572	OtherCostOrOtherBasis
Depreciation	3298406	Depreciation
Book Value	1160166	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	91076044	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Other Receivables	310870
Physician Guarantee	1213836
Advances to Affiliates	39997534
Misc Funds from Grants	3319
Interest in Investments Held by Ascension Health Alliance	415301

Field	Value	IRS element (for citing)
Total Book Value Other Assets	41940860	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
Unclaimed Property	$68,437
Non Current Liabilities	$12,047,000
Other Liabilities	$328,021
Recourse Commitment	$11,107
Physician Guarantee Liability	$405,651
Estimated Settlements to Third Party Payors	$1,115,603

Field	Value	IRS element (for citing)
Total Of Amounts	13975819	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	2831616	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2831616	NetCommunityBenefitExpense
Percent Of Total Expense	0.01440	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22922135	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11726519	DirectOffsettingRevenue
Net Community Benefit Expense	11195616	NetCommunityBenefitExpense
Percent Of Total Expense	0.05690	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

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

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25753751	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11726519	DirectOffsettingRevenue
Net Community Benefit Expense	14027232	NetCommunityBenefitExpense
Percent Of Total Expense	0.07130	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	38	NumberOfActivitiesOrPrograms
Persons Served	7010	PersonsServed
Total Community Benefit Expense	231331	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1706	DirectOffsettingRevenue
Net Community Benefit Expense	229625	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	5030	PersonsServed
Total Community Benefit Expense	2559936	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1897812	DirectOffsettingRevenue
Net Community Benefit Expense	662124	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	3050	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	3050	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	320	PersonsServed
Total Community Benefit Expense	56640	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	56640	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	0	PersonsServed
Total Community Benefit Expense	30421	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	30421	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	56	NumberOfActivitiesOrPrograms
Persons Served	12360	PersonsServed
Total Community Benefit Expense	2881378	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1899518	DirectOffsettingRevenue
Net Community Benefit Expense	981860	NetCommunityBenefitExpense
Percent Of Total Expense	0.00510	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	56	NumberOfActivitiesOrPrograms
Persons Served	12360	PersonsServed
Total Community Benefit Expense	28635129	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13626037	DirectOffsettingRevenue
Net Community Benefit Expense	15009092	NetCommunityBenefitExpense
Percent Of Total Expense	0.07640	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

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

Economic Development EconomicDevelopment

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

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	1	PersonsServed
Total Community Building Expense	11654	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	11654	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	270	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	270	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	4418	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4418	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

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

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	320	PersonsServed
Total Community Building Expense	14834	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	14834	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

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

Other Other

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

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	321	PersonsServed
Total Community Building Expense	31176	TotalCommunityBuildingExpense
Net Community Building Expense	31176	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$4,449,442	BadDebtExpenseAmount
Amount Attributable To	1587200	AmountAttributableTo
Amount Reimbursed By Medicare	124378476	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	113878424	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	10500052	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 East	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	50 Medical Park East Drive	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35205	ZIPCode

Field	Value	IRS element (for citing)
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 East	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
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 V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Family Medicine Residency
2515 Old Springville Road	Birmingham	AL	35215	Family Practice
Liz Moore Low Vision Center
50 Medical Park East Drive Bldg 46	Birmingham	AL	35235	Vision Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 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 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 $19,398,271.
Part II: St. Vincent's Health System provided the following community 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 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; - 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 Foundatio - 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 bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible accounts based upon historical write off experience by payor category, including those amounts no covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts 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 organization 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 organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization'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 off. 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 9: Part V, Section B, Line 7: If the hospital facility did not address all of the needs identified in its most recently conducted Needs Assessment, explain which community health needs the hospital facility did not address and the reasons why it has not address such needs.	St. Vincent's East
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 (MUA's) 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.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 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 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 persons living in poverty, 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 of persons living in poverty and community benefit programs is estimated using internal cost data and is calculated in compliance with guidelines established by both the Catholic Health Association (CHA) and the Internal Revenue Service (IRS).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 (15 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 start 412
0	216704	0	0	0	28686	0	6554	0	7424	0	259368	0	0
Nan M Priest Sch O
0	287681	0	0	0	65122	0	7350	0	14090	0	374243	0	61633
Gregory L James
0	350406	0	0	0	20195	0	7350	0	9068	0	387019	0	0
Carol A Maietta
0	205343	0	0	0	16317	0	6341	0	10783	0	238784	0	0
Todd S Kennedy end 112
289089	0	0	0	61863	0	7350	0	16200	0	374502	0	42866	0
Carol J Ratcliffe
178850	0	0	0	24172	0	5662	0	15353	0	224037	0	0	0
Andrew J Gnann
161645	0	0	0	14354	0	4917	0	6878	0	187794	0	0	0
Crystal Y Smith
169532	0	0	0	48859	0	5460	0	6021	0	229872	0	0	0
Thomas C Novitski Jr
181730	0	468	0	29163	0	6497	0	11083	0	228941	0	0	0
Ronald J Smith
162218	0	6204	0	24648	0	5958	0	13921	0	212949	0	0	0
Dr Marion H Sims
167743	0	13542	0	9945	0	1950	0	14389	0	207569	0	0	0
David Earman
161206	0	1612	0	29058	0	5852	0	6479	0	204207	0	0	0
Neeysa C Biddle end 611
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 provided membership to The Summit 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 3	Part I, Line 3: The following are used by St. Vincent's Health System to establish the compensation of the organization's CEO/Executive Director: -Compensation Committee -Independent Compensation Consultant -Written Employment Contract -Compensation Survey or Study -Approval by the Board or Compensation Committee
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: John D. O'Neil - $17,180 Neeysa C. Biddle - $102,817 Nan M. Priest - $61,633 Todd S. Kennedy - $42,866 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: Andrew J. Gnann - $4,916 Todd S. Kennedy - $63,600 Carol Ratcliffe - $4,446
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 O IRS990ScheduleO

General Explanation GeneralExplanation (14 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 East, fall under the full scope audit of Ascension Health Alliance. The activity of St. Vincent's East and other members of St. Vincent's Health System are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit for St. Vincent's East is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates (which include the activity of St. Vincent's East).
Number of Forms 1099 Filed:	Form 990, Part V, Line 1a	St. Vincent's Health System, a related organization of St. Vincent's East, 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 East has a single corporate member, St. Vincent's Health System.
	Form 990, Part VI, Section A, line 7a	St. Vincent's East has a single corporate member, St. Vincent's Health System, who has the ability to elect members to the governing body of the St. Vincent's East.
	Form 990, Part VI, Section A, line 7b	All decisions that have a material impact to St. Vincent's East financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System.
	Form 990, Part VI, Section A, line 8b	There are no separate committees that have the authority to act on behalf of the governing body for St. Vincent's East.
	Form 990, Part VI, 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 member 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 or principal officer, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors considering the proposed transaction or arrangement. The remaining individuals on the governing board will decide if conflicts of interest exist. Each director or principal officer annually signs a statement which affirms such person has received a copy of the 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 the compensation for the President of St. Vincent's East, the process, performed by the Health System, 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 compensation was decided. In determining the compensation of other officers or key employees of the organization, the process, performed by the Health System, 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 or key employees of the organization were compared to individuals at other hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
	Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Document Retention and Destruction Policy:	Form 990, Part VI, Section B, Line 14:	St. Vincent's Health System, the parent organization of St. Vincent's East, 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:	is Reported: Officers and Key Employees (as noted with a "Sch O" reference) for St. Vincent's East provide services to St. Vincent's Health System and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, officers and key employees' 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 East. 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.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized losses on investments: -210,999. Auxillary Fund Balance -19,776. Total to Form 990, Part XI, Line 5: -230,775.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CRNA Services of St Vincent's East LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	50 Medical Park East Drive	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35235	ZIPCode

Field	Value	IRS element (for citing)
EIN	455538732	EIN
Primary Activities	Shell	PrimaryActivities
Legal Domicile State	AL	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

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 Blount
150 Gilbreath Drive	Oneonta	AL	35121	630909073	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	0	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	65567	Journal Entry Transaction
St Vincent's Health System
I	24925093	Journal Entry Transaction
Eastern Health Foundation
O	174646	Journal Entry Transaction