2012-05-14T11:21:13-05:00 2011-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2010-07-01 630931008 St Vincent's Health System STVI 2059397098 810 St Vincents Drive Birmingham AL 35205 David Cauble 2059397098 2012-05-14 1 Alicia Janisch 5137847100 2010 2016-02-24 21:20:13Z John O'Neil 810 St Vincents Drive Birmingham AL 35205 90492722 0 0928 X www.stvhs.com X 1986 AL We provide high-tech quality care to the people in more than 40 different zip codes. 18 14 5313 68 241447 8752 37517 875397 84845148 86414704 317459 1911396 463822 546122 85663946 89747619 0 0 0 0 31734203 31676033 0 0 0 58760515 58298348 90494718 89974381 -4830772 -226762 54797863 78931898 84370508 101496162 -29572645 -22564264 X Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. In furtherance of its mission and in an effort to reduce the government's financial burden, St. Vincent's Health System supports the efforts of its hospitals and health facilities providing care to individuals and communities. 0 0 64804597 64804597 St. Vincent's Health System is committed to providing healthcare that works, healthcare that is safe, and healthcare that leaves no one behind. To this end, the Health System supports various 501(c)(3) organizations including: St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount, and Universal Health System. 20900653 21553259 The Hospital is dedicated to spiritually centered, holistic care that sustains and improves the health of the individuals and communities. It furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community. For detailed information on the Hospital's program service accomplishments and statistical data see Schedule H. 85705250 1 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 1 0 1 176 0 1 5313 1 1 1 0 0 0 0 0 0 0 0 0 X 18 14 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 0 X David Cauble 2059397955 810 St Vincents Drive Birmingham AL 35205 X Dan Sansone 5.00 X X 0 0 0 Susan W Matlock 5.00 X X 0 0 0 Douglas B Nunnelley 5.00 X X 744 0 0 James D Davis 5.00 X X 0 0 0 Robert Barnett 5.00 X 266 0 0 William K Bibb 5.00 X 0 0 0 Marc E Bloomston MD 5.00 X 0 0 0 Tina N Corr 5.00 X 0 0 0 Norman B Davis Jr 5.00 X 266 0 0 Morton Goldfarb MD 5.00 X 0 0 0 M James Gorrie 5.00 X 0 0 0 Benny M LaRussa Jr 5.00 X 0 0 0 Sr Mary Frances Loftin 5.00 X 0 0 0 William H McClanahan Jr MD 5.00 X 0 0 0 Willie H Parker 5.00 X 0 0 0 John D O'Neil Sch O 40.00 X X 1153750 0 22868 David A Cauble Sch Ostart 1110 40.00 X X 86967 0 1032 Sean C Tinney Sch O 40.00 X X 113542 113542 13630 Neeysa C Biddle Sch O 40.00 X 512848 0 22269 Nan M Priest Sch O 40.00 X 394156 0 21832 Gregory L James Sch O 40.00 X 335305 0 7704 Carol A Maietta Sch O 40.00 X 236269 0 18210 Vicki H Parks Sch O 40.00 X 203724 0 26167 L Kirk Allen Sch O 40.00 X 207511 0 22620 Elizabeth Moore Sch O 40.00 X 173711 0 19089 Terrell Vick Sch O 40.00 X 165450 0 11812 Cynthia L Williams Sch O 40.00 X 260208 0 16787 Melissa F Packer Sch O 40.00 X 171787 0 16054 James Tuck 40.00 X 152824 0 16046 Joyce Tanner 40.00 X 148063 0 14130 Jennifer Kingry 40.00 X 141584 0 18738 Terry M Brannon 40.00 X 138821 0 14903 Raymond Stewart 40.00 X 149912 0 6493 Charles C James end 708 0.00 X 281605 0 0 Katrina Chamblee end 610 0.00 X 100269 0 0 Wilma S Newton end 710 0.00 X 431616 0 15369 Camille Filoromo end 910 0.00 X 105063 0 1196 5666261 113542 306949 34 1 1 0 PRN Funding PO Box 643455 Cincinnati OH 452343455 Healthcare Services 1361909 Proxsys LLC 75 Remittance Drive Chicago IL 606756636 Patient Access Services 742167 Automated Document Solutions PO Box 350288 Grand Island FL 32735 Document Management 701425 Brasfield & Gorrie LLC PO Box 11407 Birmingham AL 352460351 Construction Services 575981 Dominick Fletcher Yielding 2121 Highland Ave Birmingham AL 35205 Legal Services 500056 29 875397 875397 I/C Management Revenue 621990 64804597 64792694 11903 Net Patient Revenue 621990 21610107 21380563 229544 86414704 1895134 1895134 188682 216554 -27872 -27872 -27872 544811 528549 16262 16262 16262 Wellness Revenue 621990 359573 359573 Home Health Revenue 621990 74580 74580 Cafeteria Revenue 722210 7891 7891 131950 131950 573994 89747619 86173257 241447 2457518 4342926 4342926 20483463 8105275 12378188 1382532 332252 1050280 3448396 1033404 2414992 2018716 573806 1444910 1344814 1344814 525314 525314 4722 4722 11492278 2033353 9458925 1144177 2176 1142001 357045 70492 286553 25316180 25316180 1350175 545083 805092 189543 12603 176940 67997 5078 62919 209561 209561 1332161 282037 1050124 353966 160122 193844 CHAN, Ascension Health 4412557 0 4412557 0 Bad Debt Expense 4252176 4252176 0 0 Medical Supplies 1578137 1767365 -189228 0 Restructuring Expenses 1281340 7885 1273455 0 Corporate Allocation 0 64804597 -64804597 0 3086205 1503263 1582942 89974381 85705250 4269131 0 32843809 38656854 3811556 1460578 271511 221241 680882 704436 10073653 3680395 2993243 6393258 4515630 3909283 12600 891830 9668632 26694418 54797863 78931898 49625879 46289792 645932 2932337 2726393 31812292 51834045 84370508 101496162 X -29572645 -22564264 -29572645 -22564264 54797863 78931898 X -226762 7235144 X 0 1 1 X 0 X X X 0 0 0 American Sports Medicine Institute 630952490 7 0 1 1 0 St Vincent's Birmingham 630288864 3 1 1 1 37537990 St Vincent's Blount 630909073 3 0 1 1 2268084 St Vincent's East 630578923 3 0 1 1 21816497 Eastern Health Foundation 630909071 7 0 1 1 0 St Vincent's Foundation of Alabama 630868066 7 0 1 1 0 Universal Health Services 630932323 3 0 1 1 1178171 7 62800742 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4722 4722 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent's Health System does not participate 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. 2588076 1052163 1535913 23021 7084 15937 6409039 2616366 3792673 1053517 4782 1048735 6393258 Health System Depository Account 18737285 Funded Depreciation 7948698 Due From Affiliates 8435 26694418 Self Insurance Payable 4832304 Deferred Compensation Liability 3699860 Pension Liability 5122053 Recourse Commitment 3293 Advances to Affiliates 37894478 Historical Statement Allowance 282057 51834045 1 1 X 1 X 1 X 1 1 1 0 1 1 260827 260827 0.00300 1802954 1802954 0.02100 2063781 2063781 0.02400 18 33659 290754 290754 0.00340 4 34 30087 30087 0.00040 1 17138 17138 0.00020 23 33693 337979 337979 0.00400 23 33693 2401760 2401760 0.02800 1 624 624 0.00000 11 18908 10925 10925 0.00010 2 1938 87169 87169 0.00100 1 20318 20318 0.00020 15 20846 119036 119036 0.00130 0 1204135 396740 7825437 9741426 -1915989 X 1 1 1 1 St Vincent's St Clair

50 Medical Park East Drive Birmingham AL 35125

X X X NA 1 1 One Nineteen Health and Wellness

7192 Cahaba Valley Road Hoover AL 35243

Health and Wellness Center 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 $4,252,176. Part II: St. Vincent's Health System provided the following community building activities in FY 2011:Disaster Relief - In April of 2011, the entire state of Alabama experienced devastating tornadoes. In the wake of this disastrous day, St. Vincent's employees volunteered with a variety of organizations and even hosted a System-wide donation drive to provide for shelters and local aid organizations. Staff provided medical volunteers and the System also donated medications for on-site recovery clinics. 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 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 the 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 de Paul-The Nest - a homeless health outreach-Christian Service Mission - provides between 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 - supports mentally challenged children to learn skills and socialize-Jones Valley Urban Farm - which supports urban farming and healthy nutrition. Part III, Line 4: 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 not 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-to-charge ratio was used to determine the bad debt expense at cost. Bad debt expense at cost attributable to patients eligible under the organization's charity 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 VI, Line 2: Our most recent health care needs assessment was conducted between December 2007 and April 2008. The assessment included census data, public health information, and findings from 55 interviews with area health care/health services organizations chief executive officers and program managers. The assessment also included a review of the local healthcare infrastructure and existing service gaps, especially those impacting community members lacking 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 1,230,956; median income of $48,989; and median age of 37.6. -Age of population: 26.6% age 0-19, 33.7% age 20-44, 26.2% age 45-64, and 13.6% age 65+-Sex: 51.8% Female and 48.2% Male-Ethnicity: 67.7% White non-Hispanic, 27.4% Black non-Hispanic, 4.5% Hispanic, and 1.2% Asian non-Hispanic-Language: English speaking 96.44% and 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 is 6.9% to 19.3%.-Hospitals in service area: 18 total: 16 not-for-profit, 2 for-profit, and 1 academic medical center.-Health Statisticso Obesity: 31%o Leading causes of death: Heart disease, Cancer, and Stroke. Part VI, Line 6: 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. FY11 Number of Number of Estimated Licensed Beds Patient Days Unreimbursed costSt. Vincent's Birmingham 399 105,355 10,367,270 St. Vincent's East 328 67,384 11,125,242 St. Vincent's Blount 40 4,977 1,939,402 St. Vincent's St. Clair 82 5,693 2,775,568 Total 849 183,409 26,207,482 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 in which are all located at St. Vincent's Birmingham.The goal of the Liz Moore Low Vision Center at St. Vincent's East is to assist the person with low vision to use functional vision to the utmost capacity. A person with low vision may be legally blind but able to function with visual aids that enhance the remaining vision. With the assistance of magnification, and adaptations of the special low vision aids that are useful for certain daily tasks, the visually impaired person can function with less difficulty. The Vision Center provides services for the person with low vision. These services are designed to benefit a person's daily life activities, which may be hindered by the visual loss.St. Vincent's Birmingham Jeremiah's Hope Skills Program focuses on training at-risk individuals, particularly women, for entry level jobs in the healthcare industry. Today, more than 300 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 7: St. Vincent's Health System (the Health Ministry) is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph and the Sisters of St. Joseph of Carondelet. 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 Eastern Health Foundation. (collectively referred to as the Foundations). The Foundations provide fundraising 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 services and 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, provides physician services, and provides 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.MissionAscension Health 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 Ascension Health'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. Ascension Health 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 to persons living in poverty 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 2011, approximately 45% of the value of services rendered were to elderly patients under the Medicare program, and approximately 5% 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 2011, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled approximately $35.9 million.Patient ServicesSt. Vincent's Health System mission focused health ministry, provides acute care services and community focused services.During the fiscal year ending 2011, our Health System treated 37,678 adults and children in the community for a total of 183,409 patient days of service. The Health System also provided services to 470,451 outpatients, including 32,622 outpatient surgery patients, 128,587 emergency and minor care visits and 90,468 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. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 John D O'Neil Sch O 554600 0 583489 0 15661 0 4900 0 17968 0 1176618 0 0 0 Sean C Tinney Sch O 92719 92719 9337 9337 11486 11486 3085 3085 3730 3730 120357 120357 0 0 Neeysa C Biddle Sch O 412300 0 82905 0 17643 0 7350 0 14919 0 535117 0 0 0 Nan M Priest Sch O 282664 0 46785 0 64707 0 7417 0 14415 0 415988 0 52995 0 Gregory L James Sch O 326284 0 0 0 9021 0 0 0 7704 0 343009 0 0 0 Carol A Maietta Sch O 193114 0 25494 0 17661 0 5621 0 12589 0 254479 0 0 0 Vicki H Parks Sch O 157008 0 28015 0 18701 0 4987 0 21180 0 229891 0 0 0 L Kirk Allen Sch O 168271 0 17821 0 21419 0 5204 0 17416 0 230131 0 19579 0 Elizabeth Moore Sch O 128995 0 23410 0 21306 0 3500 0 15589 0 192800 0 4535 0 Terrell Vick Sch O 134180 0 14504 0 16766 0 4530 0 7282 0 177262 0 0 0 Cynthia L Williams Sch O 203519 0 27659 0 29030 0 6134 0 10653 0 276995 0 13048 0 Melissa F Packer Sch O 136135 0 25410 0 10242 0 4039 0 12015 0 187841 0 0 0 James Tuck 151984 0 0 0 840 0 4652 0 11394 0 168870 0 0 0 Joyce Tanner 111415 0 35045 0 1603 0 3314 0 10816 0 162193 0 0 0 Jennifer Kingry 109261 0 17553 0 14770 0 3427 0 15311 0 160322 0 0 0 Terry M Brannon 108156 0 7015 0 23650 0 3241 0 11662 0 153724 0 0 0 Raymond Stewart 141337 0 6020 0 2555 0 4455 0 2038 0 156405 0 0 0 Charles C James end 708 0 0 0 0 281605 0 0 0 0 0 281605 0 281605 0 Katrina Chamblee end 610 0 0 0 0 100269 0 0 0 0 0 100269 0 30060 0 Wilma S Newton end 710 241885 0 148344 0 41387 0 5763 0 9606 0 446985 0 0 0 Camille Filoromo end 910 94181 0 2500 0 8382 0 0 0 1196 0 106259 0 0 0 Part I, Line 1a St. Vincent's Health System paid for a charter airplane to fly a key employee home from a business trip for a personal emergency. St. Vincent's Health System provided travel to the Ascension Health Leadership Convocation in October 2010 for three board member companions. St. Vincent's Health System provided relocation allowances related to the recruitment of the Health System CEO and CFO. These amounts were reported as imputed income to the associate and were subject to individual income tax. 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, Lines 4a-b: Severance Payments: Charles C. James - $280,000 Katrina Chamblee - $85,799 Part I, Lines 4a-b Part I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The organization 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: L. Kirk Allen - $19,579 Elizabeth Moore - $4,535 Nan M. Priest - $52,995 Cynthia L. Williams - $13,048 The organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amounts as noted: Neeysa C. Biddle - $75,370 Terry M. Brannon - $5,031 Gregory L. James - $7,350 Wilma S. Newton - $102,946 John D. O'Neil - $12,012 Melissa F. Packer - $7,221 Vicki H. Parks - $7,350 Nan M. Priest - $63,744 Sean C. Tinney - $2,700 Terrell Vick - $24,428 Cynthia L. Williams - $4,158 Supplemental Information Part III Part II: Description of Compensation: The retirement and/or departure of several executives with long tenures, some more than 30 years, represents significant increases in usual compensation for these individuals. 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. The departure of long-time associate and CEO Curtis James resulted in significant expenses related to compensation he elected to defer during his more than three decades with the organization, as well as long/short term incentives, PTO (vacation/holiday) converted to cash, and other compensation. Executives whose positions were eliminated or who left during the year similarly received compensation they elected to defer compensation and other benefits payouts. Monique Tinney Board Member's Wife 52991 Employed by STVHS 0 Brasfield & Gorrie LLC Board Member is President 260270 Construction 0 Explanation of Attached Audited Financial Statements: Form 990, Part IV, Line 20b: The financial statements of St. Vincent's Health System, along with its subsidiaries, fall under the full scope audit of Ascension Health. The activity of St. Vincent's Health System is reported in the consolidated financial statements of Ascension Health. No individual audit for St. Vincent's Health System is completed. Therefore, the attached audited financial statements are of Ascension Health and Affiliates (which include the activity of St. Vincent's Health System). 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 Health System has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a St. Vincent's Health System has a single corporate member, Ascension Health, who has the ability to elect members to the governing board of St. Vincent's Health System. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the form to a designated committee of St. Vincent's Health System (which has oversight over this entity), to review and answer questions. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board 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, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer, and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt status. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's CEO, the process, performed by a related entity, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Ascension Health Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviews and approved the compensation with the facilitation of the SVP of HR/CLO and the Director of Compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other organizations' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Document Retention and Destructions Policy: Form 990, Part VI, Section B, Line 14: St. Vincent's Health System has drafted a document retention and destruction policy to be approved by the board of directors or designated committee. The policy was drafted but not approved prior to the close of the current fiscal year; however, St. Vincent's Health System plans to have the policy in place prior to June 30, 2012. Average Hours Devoted to Related Organization(s) When Related Compensation: Form 990, Part VII, Section A: Officers and Key Employees (as noted with a "Sch O" reference) for St. Vincent's Health System provide services to St. Vincent 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 1,113,617. Transfers to Affiliates -8,919,792. Deferred Pension 15,960,338. Transfers to Sponsors -919,019. Total to Form 990, Part XI, Line 5: 7,235,144. St Vincent's St Clair 2805 Dr John Haynes Drive Pell City AL 35125 631146531 Hospital AL 21768914 3219878 St Vincent's Health System Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A 0 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 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 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 St Vincent's Birmingham 810 St Vincents Drive Birmingham AL 35205 630288864 Hospital AL Section 501(c)(3) Schedule A, Line 3 St Vincent's Health System 1 St Vincent's Blount 150 Gilbreath Drive Oneonta AL 35121 630909073 Hospital AL Section 501(c)(3) Schedule A, Line 3 St Vincent's Health System 1 St Vincent's East 50 Medical Park East Drive Birmingham AL 35235 630578923 Hospital AL Section 501(c)(3) Schedule A, Line 3 St Vincent's Health System 1 St Vincent's Foundation of Alabama Inc 810 St Vincents Drive Birmingham AL 35205 630868068 Fundraising AL 501(c)(3) Schedule A, Line 7 St Vincent's Health System 1 Universal Health Services 810 St Vincents Drive Birmingham AL 35205 630932323 Physician Group AL 501(c)(3) Schedule A, Line 11b St Vincent's Health System 1 St Vincent Outpatient Surgery Services LLC 810 St Vincents Drive Birmingham AL 35205 200708162 Outpatient Surgery AL N/A 1.00000 St Vincent's Sleep Disorder Center LLC 810 St Vincents Drive Birmingham AL 35202 631282288 Healthcare AL N/A 1.00000 Vincentian Ventures of North Alabama Inc 810 St Vincents Drive Birmingham AL 35205 630965456 Misc Healthcare Services AL St Vincent's Health System C 615549 1850861 1.00000 Ascension Ventures Corporation 810 St Vincents Drive Birmingham AL 35205 631217059 Misc Healthcare Services AL St Vincent's Health System C 5526884 28881141 1.00000 Eastside Ventures 810 St Vincents Drive Birmingham AL 35205 630846221 Misc Healthcare Services AL St Vincent's Health System C 2928206 10730333 1.00000 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 St Vincent's Blount P 2268084 Journal Entry Transaction St Vincent's East P 21816497 Journal Entry Transaction St Vincent's East J 63404 Journal Entry Transaction Universal Health Services P 1178171 Journal Entry Transaction St Vincent's Birmingham P 37537990 Journal Entry Transaction Seton Property Corporation of North Alabama Inc P 209455 Journal Entry Transaction Vincentian Ventures of North Alabama Inc P 312961 Journal Entry Transaction Ascension Ventures P 671083 Journal Entry Transaction Eastside Ventures P 810357 Journal Entry Transaction Seton Property Corporation of North Alabama Inc J 68466 Journal Entry Transaction Ascension Health O 46724525 Journal Entry Transaction American Sports Medicine Institute O 597996 Journal Entry Transaction Eastern Health Foundation C 867197 Journal Entry Transaction St Vincent's Foundation of Alabama Inc P 347433 Journal Entry Transaction Seton Property Corporation of North Alabama Inc R 621864 Journal Entry Transaction