ST VINCENTS BIRMINGHAM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ST VINCENTS BIRMINGHAM (EIN 63-0288864)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-14
IRS object ID: 201231359349303348
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-14T11:21:13-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	630288864	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	STVI	NameControl
Phone	2059397000	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	David Cauble	Name
Title	EVP/CFO - STVHS	Title
Phone	2059397000	Phone
Date Signed	2012-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Alicia Janisch	Name
Phone	5137847100	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	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	370538966	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	1898	YearFormation
State Legal Domicile	AL	StateLegalDomicile
Activity Or Mission Description	Provides essential health care services as well as community services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	2478	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	322441	TotalGrossUBI
Net Unrelated Business Txbl Income	158370	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1985632	ContributionsGrantsPriorYear
Contributions Grants Current Year	1302445	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	361451474	ProgramServiceRevenuePriorYear
Program Service Revenue CY	359133758	ProgramServiceRevenueCY
Investment Income Prior Year	4189187	InvestmentIncomePriorYear
Investment Income Current Year	5740839	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4065777	OtherRevenuePriorYear
Other Revenue Current Year	3419366	OtherRevenueCurrentYear
Total Revenue Prior Year	371692070	TotalRevenuePriorYear
Total Revenue Current Year	369596408	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	264349	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	468528	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	114841487	SalariesEtcPriorYear
Salaries Etc Current Year	116041081	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	226980987	OtherExpensePriorYear
Other Expenses Current Year	227400945	OtherExpensesCurrentYear
Total Expenses Prior Year	342086823	TotalExpensesPriorYear
Total Expenses Current Year	343910554	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	29605247	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	25685854	RevenuesLessExpensesCY
Total Assets BOY	419226306	TotalAssetsBOY
Total Assets EOY	445600944	TotalAssetsEOY
Total Liabilities BOY	184138877	TotalLiabilitiesBOY
Total Liabilities EOY	179307917	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	235087429	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	266293027	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	309325080	Expense
Grants	468528	Grants
Revenue	360021823	Revenue
Description	The Hospital is dedicated to spiritually centered, holistic care that sustains and improves the health of the individuals and communities. It furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community. For detailed information on the Hospital's program service accomplishments and statistical data see Schedule H.	Description
Total Program Service Expense	309325080	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	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	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2478	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	18	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	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
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	2059397955	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 (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Dan Sansone
Chairman - Health System	5.00	X	X	0	0	0
Susan W Matlock
Vice Chair - Health System	5.00	X	X	0	0	0
Douglas B Nunnelley
Secretary - Health System	5.00	X	X	0	744	0
James D Davis
Treasurer - Health System	5.00	X	X	0	0	0
Robert Barnett
Bd Member - Health System	5.00	X		0	266	0
William K Bibb
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
Norman B Davis Jr
Bd Member - Health System	5.00	X		0	266	0
Morton Goldfarb MD
Bd Member - Health System	5.00	X		0	0	0
M James Gorrie
Bd Member - Health System	5.00	X		0	0	0
Benny M LaRussa Jr
Bd Member - Health System	5.00	X		0	0	0
Sr Mary Frances Loftin
Bd Member - Health System	5.00	X		0	0	0
William H McClanahan Jr MD
Bd Member - Health System	5.00	X		0	0	0
Willie H Parker
Bd Member - Health System	5.00	X		0	0	0
John D O'Neil Sch O
President/CEO	40.00	X	X	0	1153750	22868
David A Cauble Sch Ostart 1110
EVP/CFO	40.00	X	X	0	86967	1032
William A Davis
VP COO Birmingham	40.00	X	X	238497	0	23348
Neeysa C Biddle Sch O
Exec VP/COO	40.00		X	0	512848	22269
Nan M Priest Sch O
Exec VP/CSO	40.00		X	0	394156	21832
Carol Maietta Sch O
Sr VP/CLO	40.00		X	0	236269	18210
Gregory L James Sch O
SVP CMO	40.00		X	0	335305	7704
Lydia Esty
Director - Pharmacy	40.00			158119	0	14665	X
Sam Faircloth
Pharmacy Coordinator	40.00			150177	0	21079	X
Brian Mader
Physicist	40.00			191239	0	20202	X
Gregory Prestage
Pharmacy Coordinator	40.00			145232	0	22714	X
Richard Stephens
Physician Assistant	40.00			147466	0	18691	X
Wilma S Newton end 710
Former Exec VP/CFO	0.00			0	431616	15369		X
Charles C James end 0708
Former Interim CEO PRN	0.00			0	281605	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1030730	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3433792	TotalReportableCompFrmRltdOrgs
Total Other Compensation	229983	TotalOtherCompensation
Number Individuals GT100 K	40	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
Crothall Services Group
13088 Collection Center Dr	Chicago	IL	60693	Environmental Services	5094611
TriMedx
PO Box 636129	Cincinnati	OH	45263	Medical Equipment	4775756
Morrison Management Specialists
POBox 102289	Atlanta	GA	30368	Dietary Services	3316103
Med South Inc
PO Box 689	Jasper	AL	35502	Sleep Services	1584680
North East Alabama Kidney Clinic
PO Box 404244	Atlanta	GA	30368	Dialysis Services	1195270

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Related Organizations	1080408	RelatedOrganizations
Government Grants	53762	GovernmentGrants
All Other Contributions	168275	AllOtherContributions
Noncash Contributions	44054	NoncashContributions
Total Contributions	1302445	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Revenue	621990	357535680	357314264	221416
Investment - JV's	621990	993275	993275
Lab Revenue	621990	604803	503778	101025

Field	Value	IRS element (for citing)
Total Program Service Revenue	359133758	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5765105	TotalRevenueColumn
Exclusion	$5,765,105	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	255599	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	61630	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	193969	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	193969	TotalRevenueColumn
Exclusion	$193,969	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	30776	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	55042	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-24266	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-24266	TotalRevenueColumn
Exclusion	-$24,266	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	1319473	GrossSalesOfInventory
Cost Of Goods Sold	825886	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	493587	TotalRevenueColumn
Exclusion	$493,587	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Parking Revenue	812930	1204904	$1,204,904
Childcare Center	624410	316400	$316,400

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1210506	TotalRevenueColumn
Related Or Exempt Function Income	1210506	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2731810	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	369596408	TotalRevenueColumn
Related Or Exempt Function Income	360021823	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	322441	UnrelatedBusinessRevenue
Exclusion	$7,949,699	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	468528	Total
Program Services	468528	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	269053	Total
Management And General	269053	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	92794514	Total
Program Services	83515062	ProgramServices
Management And General	9279452	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6816633	Total
Program Services	6134970	ProgramServices
Management And General	681663	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9328524	Total
Program Services	8395672	ProgramServices
Management And General	932852	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6832357	Total
Program Services	6149121	ProgramServices
Management And General	683236	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1075924	Total
Program Services	968332	ProgramServices
Management And General	107592	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	8613	Total
Program Services	8613	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	25257793	Total
Program Services	22732014	ProgramServices
Management And General	2525779	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	46522	Total
Program Services	41870	ProgramServices
Management And General	4652	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1963866	Total
Program Services	1767496	ProgramServices
Management And General	196370	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	14655651	Total
Program Services	13190086	ProgramServices
Management And General	1465565	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12929138	Total
Program Services	11636224	ProgramServices
Management And General	1292914	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	30420	Total
Program Services	27378	ProgramServices
Management And General	3042	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	30696	Total
Program Services	27626	ProgramServices
Management And General	3070	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4743979	Total
Program Services	4269581	ProgramServices
Management And General	474398	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20836296	Total
Program Services	18752666	ProgramServices
Management And General	2083630	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1766716	Total
Program Services	1590044	ProgramServices
Management And General	176672	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	78750506	70875455	7875051
Corporate Allocation	22882339	20594105	2288234
Bad Debt Expense	19717186	17745467	1971719
Provider Tax	14149189	12734270	1414919
Medical/Surgical Rental	4581760	4123584	458176

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3974351	Total
Program Services	3576916	ProgramServices
Management And General	397435	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	343910554	Total
Program Services	309325080	ProgramServices
Management And General	34585474	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1505611	BOY
EOY	2304876	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	42213600	BOY
EOY	33663451	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4376852	BOY
EOY	4175524	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	260072	BOY
EOY	1200579	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	480310824	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	275526524	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	218512970	BOY
EOY	204784300	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2175835	BOY
EOY	2044552	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	569009	BOY
EOY	300450	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	149612357	BOY
EOY	197127212	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	419226306	BOY
EOY	445600944	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	13393999	BOY
EOY	4164827	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	66681	BOY
EOY	57260	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	170678197	BOY
EOY	175085830	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	184138877	BOY
EOY	179307917	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	234863342	BOY
EOY	266115350	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	224087	BOY
EOY	177677	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	235087429	BOY
EOY	266293027	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	419226306	BOY
EOY	445600944	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	25685854	ReconcilationRevenueExpenses
Reconcilation Other Changes	5519744	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	$8,613	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8613	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Other Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1i:	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 Birmingham does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8790157	OtherCostOrOtherBasis
Book Value	8790157	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	196473596	OtherCostOrOtherBasis
Depreciation	78258192	Depreciation
Book Value	118215404	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6200875	OtherCostOrOtherBasis
Depreciation	4296615	Depreciation
Book Value	1904260	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	255722247	OtherCostOrOtherBasis
Depreciation	185435534	Depreciation
Book Value	70286713	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13123949	OtherCostOrOtherBasis
Depreciation	7536183	Depreciation
Book Value	5587766	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	204784300	TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
TriMedx	166358
Other Non Patient Receivables	319817
Other Receivable	292665
Other Long-Term Investments	416079
Other Long-Term Assets	69833
Intercompany Receivables	128079263
Restricted Assets	177678
Health System Depository Account	67605519

Field	Value	IRS element (for citing)
Total Book Value Other Assets	197127212	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
Patient AR Credit Balances	$1,173,017
Estimated Third Party Payables	$6,390,359
Other Current Liabilities	$133,347
Other Non-Current Liabilities	$47,741,511
Intercompany Debt to Ascension Health	$119,262,004
Post Retirement Benefits	$385,592

Field	Value	IRS element (for citing)
Total Of Amounts	175085830	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	3042764	TotalCommunityBenefitExpense
Net Community Benefit Expense	3042764	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21866147	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16179119	DirectOffsettingRevenue
Net Community Benefit Expense	5687028	NetCommunityBenefitExpense
Percent Of Total Expense	0.01750	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24908911	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16179119	DirectOffsettingRevenue
Net Community Benefit Expense	8729792	NetCommunityBenefitExpense
Percent Of Total Expense	0.02690	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	29	NumberOfActivitiesOrPrograms
Persons Served	14040	PersonsServed
Total Community Benefit Expense	903639	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36155	DirectOffsettingRevenue
Net Community Benefit Expense	867484	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	434	PersonsServed
Total Community Benefit Expense	601855	TotalCommunityBenefitExpense
Direct Offsetting Revenue	162533	DirectOffsettingRevenue
Net Community Benefit Expense	439322	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	12	PersonsServed
Total Community Benefit Expense	12361	TotalCommunityBenefitExpense
Net Community Benefit Expense	12361	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	171409	TotalCommunityBenefitExpense
Net Community Benefit Expense	171409	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	7842	PersonsServed
Total Community Benefit Expense	392394	TotalCommunityBenefitExpense
Direct Offsetting Revenue	441	DirectOffsettingRevenue
Net Community Benefit Expense	391953	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	22328	PersonsServed
Total Community Benefit Expense	2081658	TotalCommunityBenefitExpense
Direct Offsetting Revenue	199129	DirectOffsettingRevenue
Net Community Benefit Expense	1882529	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	22328	PersonsServed
Total Community Benefit Expense	26990569	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16378248	DirectOffsettingRevenue
Net Community Benefit Expense	10612321	NetCommunityBenefitExpense
Percent Of Total Expense	0.03270	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	25	PersonsServed
Total Community Building Expense	29702	TotalCommunityBuildingExpense
Direct Offsetting Revenue	7425	DirectOffsettingRevenue
Net Community Building Expense	22277	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1145	TotalCommunityBuildingExpense
Net Community Building Expense	1145	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	5354	PersonsServed
Total Community Building Expense	19719	TotalCommunityBuildingExpense
Net Community Building Expense	19719	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	5379	PersonsServed
Total Community Building Expense	50566	TotalCommunityBuildingExpense
Direct Offsetting Revenue	7425	DirectOffsettingRevenue
Net Community Building Expense	43141	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$6,092,402	BadDebtExpenseAmount
Amount Attributable To	2172183	AmountAttributableTo
Amount Reimbursed By Medicare	124389675	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	135489283	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11099608	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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 St Vincent's Outpatient Surgery Services LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Outpatient Surgery	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.63940	OrganizationProfitOrOwnership

Field	Value	IRS element (for citing)
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 Birmingham	BusinessNameLine1

Address Address

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)
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	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Adult Medical Clinic	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive POB 1-Ste 105	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35205	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	Medical Clinic	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation
Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self-pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Part I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services.
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 $19,717,186.
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 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 Birmingham 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Alabama Hospital Association
500 Northeast Blvd	Montgomery	AL	36117	630338569	501(c)(6)	44262	General Support
American Cancer Society-9040
1100 Ireland Way Suite 300	Birmingham	AL	35205	640329009	501(c)(3)	10000	General Support
American Heart Association-1449
1101 Northchase Parkway Suite 1	Marletta	GA	30067	135613797	501(c)(3)	7500	General Support
Bessemer Academy
1705 4th Ave Southwest	Bessemer	AL	35022	630521463	501(c)(3)	11000	General Support
Briarwood High School
2204 Briarwood Way	Birmingham	AL	35243	630653634	501(c)(3)	24000	General Support
Calera High School
100 Calera Eagle Drive	Calera	AL	35040	636001081	N/A	19000	General Support
Daughters of Charity
333 South Seton Avenue	Emmitsburg	MD	21727	521522383	501(c)(3)	13000	General Support
Gardendale High School
800 Main Street	Gardendale	AL	35071	631255574	N/A	17000	General Support
Mountain Brook High School
3650 Bethune Drive	Mountain Brook	AL	35213	631076010	N/A	34000	General Support
Operation New Birmingham
505 20th Street North Suite 150	Birmingham	AL	35203	630378506	501(c)(3)	6250	General Support
State of Alabama Department of Public Health
201 Monroe St Suite 1060	Montgomery	AL	36130		Gov't Entity	6000	General Support
Vestavia High School
1204 Montgomerey Highway	Birmingham	AL	35216	630590762	N/A	41000	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	6	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The Associate Allocations Committee consists of 8-16 members who are appointed by the Chief Operating Officer (COO) of St. Vincent's Health System. The Committee is authorized to expend resources of the St. Louise/Help Fund, however expenditures will not exceed the budgeted amount. The Committee has the following allocation options: Award - Any part of the approved allcoation will not be required to be paid back. Denial - Associate's request is denied. The Committee meets every two (2) weeks opposite payroll weeks unless otherwise necessary.	Explanation

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	1	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 (13 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	554600	0	583489	0	15661	0	4900	0	17968	0	1176618	0	0
William A Davis
200006	0	24778	0	13713	0	6871	0	16477	0	261845	0	0	0
Neeysa C Biddle Sch O
0	412300	0	82905	0	17643	0	7350	0	14919	0	535117	0	0
Nan M Priest Sch O
0	282664	0	46785	0	64707	0	7417	0	14415	0	415988	0	52995
Carol Maietta Sch O
0	193114	0	25494	0	17661	0	5621	0	12589	0	254479	0	0
Gregory L James Sch O
0	326284	0	0	0	9021	0	0	0	7704	0	343009	0	0
Lydia Esty
145859	0	12151	0	109	0	0	0	14665	0	172784	0	0	0
Sam Faircloth
131864	0	0	0	18313	0	4659	0	16420	0	171256	0	0	0
Brian Mader
179648	0	0	0	11591	0	4261	0	15941	0	211441	0	0	0
Gregory Prestage
127549	0	0	0	17683	0	4579	0	18135	0	167946	0	0	0
Richard Stephens
145859	0	0	0	1607	0	4026	0	14665	0	166157	0	0	0
Wilma S Newton end 710
0	241885	0	148344	0	41387	0	5763	0	9606	0	446985	0	0
Charles C James end 0708
0	0	0	0	0	281605	0	0	0	0	0	281605	0	281605

Form990 Schedule J Part III Form990ScheduleJPartIII (3 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: 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, Lines 4a-b	Severance Payments: Charles C. James - $280,000 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: Nan Priest - $52,995 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: Neeysa C. Biddle - $75,370 William A. Davis - $5,063 Gregory L. James - $7,350 Wilma S. Newton - $102,946 John D. O'Neil - $12,012 Nan M. Priest - $63,744
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. 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. Executives whose positions were eliminated or who left during the year similarly received compensation they elected to defer compensation and other benefits payouts. 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.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Brasfield & Gorrie LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	Board Member is President	Relationship
Amount Of Transaction	2851372	AmountOfTransaction
Description Of Transaction	Construction	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Portable Isolation Equipment	Description
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Explanation of Attached Audited Financial Statements:	Form 990, Part IV, Line 20b	The financial statements of St. Vincent's Health System, which include the activity of St. Vincent's Birmingham, fall under the full scope audit. The activity of St. Vincent's Birmingham and other members of St. Vincent's Health System are reported in the consolidated financial statements of Ascension Health. No individual audit for St. Vincent's Birmingham is completed. Therefore, the attached audited financial statements are of Ascension Health and Affiliates (which include the activity of St. Vincent's Birmingham).
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 Birmingham has a single corporate member, St. Vincent's Health System.
Form 990, Part VI, Section A, line 7a		St. Vincent's Birmingham has a single corporate member, St. Vincent's Health Sytem, who has the ability to elect members of the governing body of St. Vincent's Birmingham.
Form 990, Part VI, Section A, line 7b		All decisions that have a material impact to St. Vincent's Birmingham, 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 not any separate committees that have the authority to act on behalf of the governing body for St. Vincent's Birmingham.
Form 990, Part VI, Section B, line 11		Management, including certain officers, work diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
	Form 990, Part VI, Section B, line 12c	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director 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 compensation for the President of St. Vincent's Birmingham, the process, performed by St. Vincent's Health System, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviewed and approved the compensation with the facilitation by the SCP of HR and the Director of Compensation. In the review of the compensation, the President was compared to other hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when his compensation was decided. In determining compensation of other officers of the organization, the process, performed by St. Vincent's Health System, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers of the organization were compared to other hospitals' employees in the area the 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.
	Form 990, Part VI, Section B, Line 14:	St. Vincent's Health System, the parent organization of St. Vincent's Birmingham 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:	Average Hours Devoted to Related Organization(s) when Related Compensation is Reported: Officers (as noted with a "Sch O" reference) for St Vincent's Birmingham provide services to St. Vincent's Health System and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, officers' hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for all entities. The St. Vincent's Health System Board of Directors has governance power for St Vincent's Birmingham. 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 gains on investments: 5,052,100. Transfer to Sponsor 73,959. Other Pension-Related Cost 393,685. Total to Form 990, Part XI, Line 5: 5,519,744.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998	St Louis	MO	63145	311662309	National Health System	MO	501(c)(3)	Schedule A, Line 11a	N/A	0
St Vincent's Health System
810 St Vincents Drive	Birmingham	AL	35205	630931008	Health System Parent	AL	501(c)(3)	Schedule A, Line 11c		0	Ascension Health
American Sports Medicine Institute
2660 10th Avenue South No 505	Birmingham	AL	35205	630952490	Sports Medicine	AL	501(c)(3)	Schedule A, Line 7		1	St Vincent's Health System
Eastern Health Foundation
50 Medical Park East Drive	Birmingham	AL	35235	630909071	Fundraising	AL	501(c)(3)	Schedule A, Line 7		1	St Vincent's Health System
Seton Property Corporation of North Alabama
810 St Vincents Drive	Birmingham	AL	25205	237326976	Real Estate	AL	501(c)(2)	N/A		1	St Vincent's Health System
St Vincent's Blount
150 Gilbreath Drive	Birmingham	AL	35235	630909073	Hospital	AL	501(c)(3)	Schedule A, Line 3		1	St Vincent's Health System
St Vincent's East
50 Medical Park East Drive	Birmingham	AL	35235	630578923	Hospital	AL	501(c)(3)	Schedule A, Line 3		1	St Vincent's Health System
St Vincent's Foundation of Alabama Inc
810 St Vincents Drive	Birmingham	AL	35205	630868068	Fundraising	AL	501(c)(3)	Schedule A, Line 7		1	St Vincent's Health System
Universal Health Services
810 St Vincents Drive	Birmingham	AL	35205	630932323	Physician Group	AL	501(c)(3)	Schedule A, Line 11b		1	St Vincent's Health System

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
St Vincent's Outpatient Surgery Services LLC
800 St Vincents Drive Suite 200	Birmingham	AL	35205	200708162	Outpatient Surgery	AL	St Vincent's Birmingham	Related	468342	1335252	0	0	0.60200
St Vincent's Sleep Disorder Center LLC
800 St Vincents Drive Suite 200	Birmingham	AL	35205	631282288	Healthcare	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
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	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
St Vincent's Health System
O	37537990	Journal Entry Transaction
Ascension Ventures Corporation
J	1446706	Journal Entry Transaction
Seton Property Corporation of North Alabama Inc
J	893953	Journal Entry Transaction
St Vincent's Foundation of Alabama Inc
C	1080408	Journal Entry Transaction
St Vincent's Outpatient Surgery Services LLC
J	2315712	Journal Entry Transaction
St Vincent's Sleep Disorder Clinic LLC
J	1525860	Journal Entry Transaction