ST VINCENTS BIRMINGHAM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ST VINCENTS BIRMINGHAM (EIN 63-0288864)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-11
IRS object ID: 201901319349300120
Schema version: 2017v2.2
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-11T09:32:51-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	630288864	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Birmingham	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STVI	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive	AddressLine1Txt
City	Birmingham	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	35205	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2019-05-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jason Alexander	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive	AddressLine1Txt
City	Birmingham	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	35205	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$421,283,824	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Birmingham-St-Vincents-Birmingham	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1898	FormationYr
Legal Domicile State	AL	LegalDomicileStateCd
Activity Or Mission	Provides essential health care services as well as community services to the Birmingham, AL metropolitan area and surrounding communities.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2812	TotalEmployeeCnt
Total Volunteers	97	TotalVolunteersCnt
Total Gross UBI	$327,459	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$121,665	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$421,698	PYContributionsGrantsAmt
CY Contributions Grants	$737,648	CYContributionsGrantsAmt
PY Program Service Revenue	$413,361,788	PYProgramServiceRevenueAmt
CY Program Service Revenue	$411,841,794	CYProgramServiceRevenueAmt
PY Investment Income	$11,899,818	PYInvestmentIncomeAmt
CY Investment Income	$197,466	CYInvestmentIncomeAmt
PY Other Revenue	$7,248,462	PYOtherRevenueAmt
CY Other Revenue	$7,749,483	CYOtherRevenueAmt
PY Total Revenue	$432,931,766	PYTotalRevenueAmt
CY Total Revenue	$420,526,391	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,710,609	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,480,783	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$121,494,925	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$126,994,701	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$277,777,294	PYOtherExpensesAmt
CY Other Expenses	$301,758,073	CYOtherExpensesAmt
PY Total Expenses	$401,982,828	PYTotalExpensesAmt
CY Total Expenses	$431,233,557	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,948,938	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$10,707,166	CYRevenuesLessExpensesAmt
Total Assets BOY	$231,317,128	TotalAssetsBOYAmt
Total Assets EOY	$256,849,438	TotalAssetsEOYAmt
Total Liabilities BOY	$179,661,449	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$234,415,922	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$51,655,679	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,433,516	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$385,573,504	ExpenseAmt
Grant	$2,480,783	GrantAmt
Revenue	$411,588,798	RevenueAmt
Desc	St. Vincent's Birmingham is a 439-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Vincent's Birmingham treated 20,136 adults and children for a total of 96,110 patient days of service. The hospital also provided services for 165,281 outpatient visits, which included 27,754 outpatient surgeries and 51,884 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Desc
Total Program Service Expenses	$385,573,504	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	240	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2812	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARA OBRIEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3147338070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11775 BORMAN DRIVE	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NENA F SANDERS
CHAIRMAN	1.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH E WELDEN JR MD
VICE-CHAIRMAN	1.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM HORTON
SECRETARY/TREASURER	1.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES CANTRELL MD
BOARD MEMBER	1.0	6.0	Yes (X)		$0	$0	$0
MATT CARRINGTON
BOARD MEMBER (START 7/2017)	1.0	6.0	Yes (X)		$0	$0	$0
LEIGH DAVIS
BOARD MEMBER (START 7/2017)	1.0	6.0	Yes (X)		$0	$0	$0
KENT J GRAEVE
BOARD MEMBER	1.0	6.0	Yes (X)		$0	$0	$0
ELIZABETH HUNTLEY
BOARD MEMBER	1.0	6.0	Yes (X)		$0	$0	$0
DENNIS JONES MD
BOARD MEMBER	1.0	6.0	Yes (X)		$0	$0	$0
CATHERINE MARIE LOWE SISTER
BOARD MEMBER (START 7/2017)	1.0	6.0	Yes (X)		$0	$0	$0
MICHAEL MILLS
BOARD MEMBER (START 7/2017)	1.0	6.0	Yes (X)		$0	$0	$0
DAVID SILVERSTEIN
BOARD MEMBER (START 7/2017)	1.0	6.0	Yes (X)		$0	$0	$0
DELYNN ZELL CFP
BOARD MEMBER	1.0	6.0	Yes (X)		$0	$0	$0
JASON P ALEXANDER FACHE
CEO, MINISTRY MARKET	0.0	50.0		Yes (X)	$0	$472,184	$27,767
JENNIFER L KINGRY
CFO, MINISTRY MARKET (END 8/2017)	15.0	35.0		Yes (X)	$0	$293,400	$19,390
BRANDON M WILLIAMS
CFO, MINISTRY MARKET (START 8/2017)	10.0	44.0		Yes (X)	$0	$152,113	$9,142
WILLIAM A DAVIS
COO, MINISTRY MARKET (END 11/2017)	0.0	51.0			$0	$712,809	$39,389	Yes (X)
STEPHANIE J DUGGAN MD
CCO, MINISTRY MARKET	14.0	36.0			$0	$705,629	$39,794	Yes (X)
DON E KING
COO, MINISTRY MARKET (START 1/2018)	7.0	43.0			$0	$782,385	$41,936	Yes (X)
JEFFREY H MIDDLEBROOK
CLO, MINISTRY MARKET (START 1/2018)	5.0	50.0			$0	$537,561	$35,064	Yes (X)
CHRISTOPHER L MOORE
CNO, MINISTRY MARKET	14.0	36.0			$0	$317,997	$39,438	Yes (X)
ROBERT E RAY
PRESIDENT - BIRMINGHAM	25.0	25.0			$392,773	$0	$35,848	Yes (X)
SHANNON SCATURRO
VP-Clinical Operations	40.0	0			$253,851	$0	$35,913	Yes (X)
AMY R SHELTON
VP Nursing	40.0	0.0			$216,660	$0	$30,951	Yes (X)
TESSA BAGALA
PHYSICIST	50.0	0			$194,303	$0	$30,091		Yes (X)
SAM ANDREWS FAIRCLOTH
PHARMACIST, CLINICAL	50.0	0			$156,343	$0	$25,024		Yes (X)
BRIAN KEVIN MADER
PLANNING & DEVELOPMENT PHYSICIST	50.0	0			$252,424	$0	$36,982		Yes (X)
JANE MARTIN MCKINNEY
PHARMACIST, CLINICAL	50.0	0			$183,923	$0	$15,673		Yes (X)
GREGORY PRESTAGE
PHARMACIST, CLINICAL	50.0	0			$157,779	$0	$18,475		Yes (X)
SUZANNAH CAMPBELL
FORMER KEY EMPLOYEE (END 11/2015)	0.0	50.0			$0	$212,199	$13,478			Yes (X)
DAVID A CAUBLE
FORMER OFFICER (END 11/2015)	0.0	0.0			$0	$375,532	$0			Yes (X)
GREGORY L JAMES MD
FORMER OFFICER (END 2/2016)	0.0	51.0			$0	$1,026,984	$35,414			Yes (X)
CAROL A MAIETTA
FORMER OFFICER (END 1/2016)	0.0	0.0			$0	$247,266	$1,854			Yes (X)
NAN M PRIEST
FORMER OFFICER (END 6/2017)	0.0	0.0			$0	$810,477	$32,427			Yes (X)
NEEYSA C BIDDLE
FORMER OFFICER (END 6/2017)	0.0	0.0			$0	$1,225,812	$21,512			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,808,055	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,872,348	TotReportableCompRltdOrgAmt
Total Other Compensation	$585,563	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	66	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ST VINCENT OUTPATIENT SURGERY SERVICES LLC
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	SURGERY SERVICES	$6,283,573
STV ORTHOPEDICS CO-MANAGEMENT LLC
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	MEDICAL SERVICES	$1,109,000
FRESENIUS MANAGEMENT SERVICES
16343 COLLECTION CENTER DRIVE	CHICAGO	IL	606930163	MEDICAL SERVICES	$1,078,669
STV BIRMINGHAM CARDIOLOGY CO MANAGEMENT
810 ST VINCENTS DR	BIRMINGHAM	AL	35205	MEDICAL SERVICES	$1,032,006
NEURO SCIENCE SVCS PC
101 1ST AVE NE	CULLMAN	AL	35055	MEDICAL SERVICES	$1,022,839

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$737,648	RelatedOrganizationsAmt
Total Contributions	$737,648	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue	621990	$406,750,026	$406,422,567	$327,459
Services to Affiliates	561000	$2,929,263	$2,929,263
Income from Joint Ventures	621990	$1,803,051	$1,803,051
Lab Services	621500	$24,318	$24,318
Rental Income with Affiliate	531120	$332,656	$332,656

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,480	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,480	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$411,841,794	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$454,637	TotalRevenueColumnAmt
Exclusion	$454,637	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	-$248,575	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$8,596	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$257,171	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$257,171	TotalRevenueColumnAmt
Exclusion	-$257,171	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$861,418	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$748,837	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$112,581	TotalRevenueColumnAmt
Exclusion	$112,581	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Cafeteria/Vending Revenue	722514	$3,484,069	$3,484,069
Parking Revenue	812930	$3,177,089	$3,177,089
Fitness Club Revenue	713940	$122,919	$122,919

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$852,825	TotalRevenueColumnAmt
Related Or Exempt Func Income	$74,463	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$778,362	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,636,902	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$420,526,391	TotalRevenueColumnAmt
Related Or Exempt Func Income	$411,588,798	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$327,459	UnrelatedBusinessRevenueAmt
Exclusion	$7,872,486	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,480,783	TotalAmt
Program Services	$2,480,783	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$104,208,206	TotalAmt
Program Services	$102,001,119	ProgramServicesAmt
Management And General	$2,207,087	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,897,468	TotalAmt
Program Services	$4,793,742	ProgramServicesAmt
Management And General	$103,726	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,210,299	TotalAmt
Program Services	$9,994,049	ProgramServicesAmt
Management And General	$216,250	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,678,728	TotalAmt
Program Services	$7,516,096	ProgramServicesAmt
Management And General	$162,632	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$988,450	TotalAmt
Program Services	$983,650	ProgramServicesAmt
Management And General	$4,800	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$12,882	TotalAmt
Management And General	$12,882	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$12,817	TotalAmt
Management And General	$12,817	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,923,563	TotalAmt
Program Services	$1,359,657	ProgramServicesAmt
Management And General	$2,563,906	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$49,283	TotalAmt
Program Services	$48,073	ProgramServicesAmt
Management And General	$1,210	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$959,308	TotalAmt
Program Services	$586,032	ProgramServicesAmt
Management And General	$373,276	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$127,315	TotalAmt
Program Services	$127,315	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,843,070	TotalAmt
Program Services	$4,787,064	ProgramServicesAmt
Management And General	$6,056,006	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$204,447	TotalAmt
Program Services	$117,546	ProgramServicesAmt
Management And General	$86,901	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$92,794	TotalAmt
Program Services	$92,426	ProgramServicesAmt
Management And General	$368	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,999,213	TotalAmt
Management And General	$3,999,213	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,350,412	TotalAmt
Program Services	$15,615,370	ProgramServicesAmt
Management And General	$1,735,042	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,558,841	TotalAmt
Management And General	$2,558,841	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$97,862,931	$97,121,782	$741,149
Purchased Services	$33,923,018	$10,825,309	$23,097,709
Provider Tax	$19,143,742	$19,143,742
Management Fee to Affiliate	$82,227,895	$82,227,895

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,478,092	TotalAmt
Program Services	$25,751,854	ProgramServicesAmt
Management And General	$1,726,238	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$431,233,557	TotalAmt
Program Services	$385,573,504	ProgramServicesAmt
Management And General	$45,660,053	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,801	BOYAmt
EOY	$10,215	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$62,424	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$46,107,526	BOYAmt
EOY	$55,162,316	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,860,391	BOYAmt
EOY	$6,282,525	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$849,791	BOYAmt
EOY	$275,274	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$521,913,997	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$369,425,999	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$137,226,781	BOYAmt
EOY	$152,487,998	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,082,212	BOYAmt
EOY	$3,394,799	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,257,768	BOYAmt
EOY	$770,778	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,911,858	BOYAmt
EOY	$38,403,109	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$231,317,128	BOYAmt
EOY	$256,849,438	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,252,365	BOYAmt
EOY	$26,301,856	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,843	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,407,241	BOYAmt
EOY	$208,114,066	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$179,661,449	BOYAmt
EOY	$234,415,922	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$51,655,679	BOYAmt
EOY	$22,433,516	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$51,655,679	BOYAmt
EOY	$22,433,516	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$231,317,128	BOYAmt
EOY	$256,849,438	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$10,707,166	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$181,771	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$18,696,768	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$12,817	OtherActivitiesAmt
Total Lobbying Expenditures	$12,817	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	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 OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	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 OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,790,157	OtherCostOrOtherBasisAmt
Book Value	$8,790,157	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$257,671,537	OtherCostOrOtherBasisAmt
Depreciation	$172,169,292	DepreciationAmt
Book Value	$85,502,245	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$356,576	OtherCostOrOtherBasisAmt
Depreciation	$343,196	DepreciationAmt
Book Value	$13,380	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$224,427,713	OtherCostOrOtherBasisAmt
Depreciation	$191,462,551	DepreciationAmt
Book Value	$32,965,162	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,668,014	OtherCostOrOtherBasisAmt
Depreciation	$5,450,960	DepreciationAmt
Book Value	$25,217,054	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$152,487,998	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Other Assets	$266,394
Due from Affiliates	$20,749,393
Other Receivables	$423,994
Estimated 3rd Party Payor Settlements	$4,586,282
HSD Funded Depreciation	$12,377,046

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$38,403,109	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Other Liabilities	$67,310
Valuation Allowance
Due to Affiliates	$91,005,799
Lease Liability	$841,235
Estimated 3rd Party Payor Settlement	$4,505,132
Recovery Tail Liability	$1,526,923
Accrued Tax Liability	$422,169
Debt with Ascension Health Alliance	$109,745,498

Field	Value	IRS element (for citing)
Total Liability	$208,114,066	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	327	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,469,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,469,910	NetCommunityBenefitExpnsAmt
Total Expense	0.0266	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,623,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,308,541	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$48,093,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,308,541	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,469,910	NetCommunityBenefitExpnsAmt
Total Expense	0.0266	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$1,148,393	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,148,393	NetCommunityBenefitExpnsAmt
Total Expense	0.0027	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$525,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$178,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$346,288	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,614	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,614	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$170,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$170,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$25,940	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,940	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	46	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$1,874,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$178,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,695,235	NetCommunityBenefitExpnsAmt
Total Expense	0.0039	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	46	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$49,967,467	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,487,466	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,165,145	NetCommunityBenefitExpnsAmt
Total Expense	0.0305	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,054	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,054	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,111	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,111	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$17,185	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,185	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$33,583	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,583	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$65,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,933	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,308,381	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$163,006,401	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$200,770,311	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$37,763,910	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Birmingham	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive	AddressLine1Txt
City	Birmingham	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	35205	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Birmingham-St-Vincents-Birmingham	WebsiteAddressTxt
State License	H3714	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Vincent's Birmingham	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Birmingham-St-Vincents-Birmingham/Community	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://healthcare.ascension.org/Locations/Alabama/ALBIR/Birmingham-St-Vincents-Birmingham/Community	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	327.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://healthcare.ascension.org/Financial-Assistance/Alabama	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://healthcare.ascension.org/Financial-Assistance/Alabama	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://healthcare.ascension.org/Financial-Assistance/Alabama	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - St. Vincent's Birmingham. The CHNA process for St. Vincent's Birmingham, East and One Nineteen was a collaborative project with representation from all areas of the Health System which included Senior Leadership, Corporate Development, Mission Integration, Finance, and leadership from each of the facilities. The process included a review of publicly available secondary health data for the following health indicator topics recommended by the Catholic Health Association: demographics and socioeconomic status, access to health care, health status, risk factor behaviors, child health, infectious diseases, natural environment, and social environment. Input was also received by conducting interviews with individuals who represented broad interests of the community and local/state health leaders; a paper survey distributed and collected at community events; and focus groups were conducted within the community, with special attention to the vulnerable populations in the area served. * Interviews - Interviews were conducted with area ACA navigators, county managers and staff, local FQHC staff, and chamber of commerce staff. * Paper Survey - simple paper pencil survey (attachment included in appendix) distributed at various events and locations, including: - Clergy Wellness 5K event - Various health fairs through STVHS Wellness Services - Access to Care patients - Jeremiah's Hope students * Focus Groups - Leaders from St. Vincent's Health System took part in focus groups hosted by the Jefferson County Department of Public Health in May 2014. 7 focus groups were polled to collect qualitative data from the community. The focus groups were conducted to obtain more detailed information about resident perceptions of quality of life, including the assets, strengths, and weaknesses of Jefferson County communities.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - St. Vincent's Birmingham. The hospital conducted its CHNA in conjunction with other St. Vincent Hospitals, St. Vincent's East, St. Vincent's Health System and St. Vincent's One Nineteen Health & Wellness.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St Vincent's Birmingham. COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN NARRATIVE FY18 UPDATE- ST. VINCENT'S BIRMINGHAM HOSPITAL THE IDENTIFIED COMMUNITY HEALTH NEEDS FOR THE DEFINED SERVICE AREA OF ST. VINCENT'S BIRMINGHAM FOR FY17 - FY19: 1. ACCESS TO HEALTHCARE AND MENTAL HEALTHCARE 2. CANCER AWARENESS/PREVENTION/EDUCATION 3. CARDIOVASCULAR DISEASE AWARENESS/PREVENTION/EDUCATION PRIORITIZED NEED: IMPROVED ACCESS TO HEALTHCARE INCLUDING MENTAL HEALTHCARE GOAL 1: INCREASE PROPORTION OF PERSONS WITH HEALTH INSURANCE COVERAGE ST. VINCENT'S HEALTH SYSTEM HAS A LONG HISTORY OF WORKING WITH INDIVIDUALS WHO ARE UNINSURED TO BE ABLE TO PROVIDE HEALTHCARE AND MENTAL HEALTHCARE SERVICES. THE ACCESS TO CARE PROGRAM IS A PRIMARY CARE PROVIDER PROGRAM FOR INDIVIDUALS LIVING LESS THAN 200% INCOME OVER THE FEDERAL POVERTY LEVEL WHO HAVE NO OTHER ACCESS TO HEALTH COVERAGE. IN PARTNERSHIP WITH ENROLL ALABAMA, ST. VINCENT'S ENCOURAGED INDIVIDUALS TO SIGN UP FOR HEALTHCARE EXCHANGES AND PUBLICIZED BENEFITS OF THE AFFORDABLE CARE ACT. TO ADDRESS THIS NEED IN FY18, STVHS HEAVILY ADVOCATED FOR MEDICAID EXPANSION IN THE STATE OF ALABAMA AT THE LEGISLATIVE LEVEL. EFFORTS WERE MADE TO ASSIST INDIVIDUALS IN THE COMMUNITY WITH CONNECTING TO COVERAGE THROUGH THE OPEN ENROLLMENT PERIOD OF HEALTHCARE EXCHANGE IN COLLABORATION WITH ENROLL ALABAMA. GOAL 2: INCREASE PROPORTION OF PERSONS REPORTING MEDICAL HOME (PRIMARY CARE PROVIDER) STVHS HOSTED COMMUNITY HEALTH SCREENINGS INCLUDING DOCUMENTATION ON PRIMARY CARE PROVIDER AND FOLLOW UP INCLUDES REFERRAL AND ASSISTANCE WITH LOCATING APPROPRIATE SERVICES FOR THE PATIENT WHO IS UNATTACHED. A DOCUMENT WAS DEVELOPED AND IS BEING DISTRIBUTED TO THE COMMUNITY ON THE LEVELS OF CARE AND IMPORTANCE OF A PRIMARY CARE HOME. DURING A MEDICAL MISSION EVENT WITH PROJECT HOMELESS CONNECT, PATIENTS WERE GIVEN PCP APPOINTMENTS TO FOLLOW UP WITH A LOCAL FREE CLINIC. FOLLOW UP IS BEING PROVIDED BOTH INPATIENT AND OUTPATIENT TO ASSIST INDIVIDUALS WITH CONNECTING TO A PRIMARY CARE PROVIDER. TRANSPORTATION SERVICES HAVE BEEN ESTABLISHED WITH LYFT TO ASSIST PATIENTS IN GETTING TO FOLLOW UP AND PRIMARY CARE APPOINTMENTS. PROJECT ACCESS, A COMMUNITY COLLABORATIVE FOR SPECIALTY CARE, WORKS WITH INDIVIDUALS WHO ARE IN NEED OF A PRIMARY CARE PROVIDER BUT ALSO HAVE SPECIALTY CARE NEEDS. PATIENT NAVIGATORS HAVE BEEN ACTIVELY CONNECTING PATIENTS WITHOUT A PCP TO POSSIBLE PRIMARY CARE. UNATTACHED PATIENTS AT STVHS URGENT CARE ARE BEING FOLLOWED UP BY DIAL-A-NURSE TO ENSURE THEY ARE GIVEN APPROPRIATE OPTIONS FOR A MEDICAL HOME. GOAL 3: INCREASE PROPORTION OF ADULTS WITH MENTAL HEALTH DISORDERS WHO RECEIVE TREATMENT. THE ADDITION OF THE OUTPATIENT BRIDGE CLINIC AT ST. VINCENT'S EAST PROVIDES THE ENTIRE REGION A QUICK LINKAGE TO INDIVIDUALS IN NEED OF URGENT MENTAL HEALTH SERVICES AS THEY WAIT TO BE CONNECTED WITH A MORE PERMANENT PROVIDER. IN FY18, THE BRIDGE CLINIC PROVIDED SERVICES TO 172 UNIQUE PATIENTS WHO DID NOT HAVE A MENTAL HEALTHCARE PROVIDER. A MENTAL HEALTHCARE PROVIDER ROUNDTABLE OF COMMUNITY ORGANIZATIONS/AGENCIES MEETS REGULARLY TO IDENTIFY GAPS IN SERVICE AND PROVIDE UPDATES AND INFORMATION ON SERVICES AVAILABLE IN THE COMMUNITY. A MENTAL HEALTH PROVIDER RESOURCE IS AVAILABLE TO YOUTH THROUGH THE ESTABLISHMENT OF THE REFERRAL CENTER AT CHILDREN'S HOSPITAL. SIMILAR RESOURCE FOR ADULTS IS BEING COORDINATED THROUGH THE STATE'S 2-1-1 SERVICE AT UNITED WAY. A SPOE (SINGLE POINT OF ENTRY) FOR MENTAL HEALTH IS BEING EVALUATED AT THE LOCAL AND STATE LEVEL. A PHYSICIAN CME CLASS WAS PROVIDED ON DEPRESSION AND SUICIDE TO RECOGNIZE SIGNS AND SYMPTOMS IN PATIENTS AS WELL AS PRACTITIONERS. A CME ON OPIOID ABUSE WAS HELD IN FY18 AS WELL. TWO CME OFFERINGS COVERED ISSUES AROUND WORKPLACE VIOLENCE AND MENTAL HEALTH. A PHARMACY CONFERENCE WAS HELD INCLUDING SESSIONS RELATED TO MENTAL HEALTH AND MEDICATION. GOAL 4: INCREASE DEPRESSION SCREENING FOR ADULTS BY PRIMARY CARE PROVIDERS ALL AMG PHYSICIAN PRACTICES HAVE IMPLEMENTED THE PHQ-9 DEPRESSION/ANXIETY SCREENING FOR NEW AND ANNUAL PATIENT VISITS. INDIVIDUALS WITH A QUALIFYING SCORE ARE REFERRED FOR SERVICES. OTHER AFFILIATED PRACTICES ARE PROVIDING PHQ-9 SCREENINGS AS WELL. IN CY17 AND 18, THIS RESULTED IN 1290 NEW SCREENINGS AND EDUCATION REGARDING DEPRESSION AND ANXIETY. PRIORITIZED NEED: IMPROVE EDUCATION/AWARENESS/PREVENTION OF CANCER GOAL 1: INCREASE PROPORTION OF ADULTS WHO WERE COUNSELED BY THEIR PROVIDERS ABOUT CANCER SCREENINGS BASED ON CURRENT GUIDELINES PLANS ARE CURRENTLY UNDERWAY TO PROVIDE MORE PHYSICIAN EDUCATION REGARDING CANCER SCREENING GUIDELINES. CLINICAL PROMPTS ARE PART OF THE ELECTRONIC HEALTH RECORD. CME TOPICS FOR EDUCATION OF PHYSICIANS SPECIFIC TO CANCER ARE UPCOMING FOR FY19. GOAL 2: INCREASE PROPORTION OF ADULTS WHO RECEIVE BREAST, LUNG, PROSTATE, COLORECTAL AND SKIN CANCER SCREENING ST. VINCENT'S CLINIC PATIENTS HAD A BASELINE COLORECTAL CANCER SCREENING RATE OF 36.5% AND THIS WAS INCREASED IN FY17 TO 47.4%. SPECIFICALLY, FOR MEDICAID PATIENTS, THE BASELINE BEGAN AT 43% AND INCREASED TO 49.7% IN FY17. IN 2018, ST. VINCENT'S OSE PROVIDED FREE COLORECTAL CANCER SCREENINGS TO THE UNINSURED COMMUNITY. OF THOSE, 39 COLONOSCOPIES WERE PERFORMED. GOAL 3: INCREASE MENTAL AND PHYSICAL HEALTH-RELATED QUALITY OF LIFE INDICATORS OF CANCER SURVIVORS. ST. VINCENT'S PARTICIPATION AND CLOSE PARTNERSHIP WITH FORGE PROVIDES SUPPORT AND SERVICES TO INDIVIDUALS WHO HAVE EXPERIENCED BREAST CANCER. A 24-HOUR SUPPORT LINE HAS BEEN ESTABLISHED TO PROVIDE COUNSELING AND REFERRALS, SUPPORT GROUPS AND ACTIVITIES THAT PROMOTE HEALTHY LIVING HAVE ENGAGED SURVIVORS. PATIENT ADVOCATES/NAVIGATORS ASSIST PATIENTS WITH SUPPORTIVE SERVICES. A RESOURCE LIBRARY IS AVAILABLE TO INDIVIDUALS IN NEED OF ADDITIONAL INFORMATION. A CLINICIAN ADVISORY COMMITTEE PROVIDES CLINICAL FEEDBACK TO SURVIVOR NETWORK. BETWEEN JANUARY 1, 2017 AND DECEMBER 31, 2017 FORGE STAFF CASE MANAGED 87 UNIQUE CLIENTS THROUGH PROVIDING REGULAR FOLLOW-UP, DISTRESS ASSESSMENT AND RESOURCE REFERRALS. IN ADDITION, FORGE PROVIDED SUPPORT TO OVER 1056 BREAST CANCER SURVIVORS AND CO-SURVIVORS IN THE COMMUNITY THROUGH COMMUNITY OUTREACH, EDUCATION AND PRESENTATIONS. PRIORITIZED NEED: IMPROVE EDUCATION/AWARENESS/PREVENTION OF CARDIOVASCULAR DISEASE GOAL 1: INCREASE THE PROPORTION OF ADULTS WITH ELEVATED LDL CHOLESTEROL WHO HAVE BEEN ADVISED BY A HEALTH CARE PROVIDER REGARDING CHOLESTEROL-LOWERING MANAGEMENT, INCLUDING LIFESTYLE CHANGES AND, IF INDICATED, MEDICATION IN FY18, ST. VINCENT'S WELLNESS DEPARTMENT CONTINUED TO PROVIDE FREE LDL LEVEL SCREENINGS TO THE COMMUNITY AS WELL AS TO CORPORATE CLIENTELE - ESPECIALLY FOCUSED ON AREAS WHERE HEALTHCARE ACCESS IS A BARRIER. THESE INDIVIDUALS WERE PROVIDED COUNSELING AND ABNORMAL RESULTS WERE CALLED BY A NURSE FROM DIAL-A-NURSE TO DISCUSS THE RESULTS AND ASSISTANCE WITH LOCATING A PROVIDER WHO COULD DELIVER CONTINUED CARE AND TREATMENT. GOAL 2: INCREASE THE PROPORTION OF ADULTS WHO HAVE HAD THEIR BLOOD PRESSURE MEASURED WITHIN THE PRECEDING 2 YEARS AND CAN STATE WHETHER THEIR BLOOD PRESSURE WAS NORMAL OR HIGH IN FY18, ST. VINCENT'S WELLNESS DEPARTMENT PROVIDED FREE BLOOD PRESSURE SCREENINGS IN THE COMMUNITY AS WELL AS TO CORPORATE CLIENTELE, FOCUSED ON AREAS IN WHICH HEALTHCARE ACCESS IS A BARRIER FOR CARE. ALL INDIVIDUALS SCREENED FOR BLOOD PRESSURE WERE PROVIDED COUNSELING AND ABNORMAL RESULTS WERE CALLED BY A NURSE FROM DIAL-A-NURSE TO DISCUSS THE RESULTS AND ASSISTANCE WITH LOCATING A PROVIDER WHO COULD PROVIDE CONTINUED CARE AND TREATMENT. GOAL 3: INCREASE THE PROPORTION OF ADULTS AGED 20 YEARS AND OLDER WHO ARE AWARE OF THE SYMPTOMS OF AND HOW TO RESPOND TO A HEART ATTACK IN FY18, ST. VINCENT'S WELLNESS TRAINED COMMUNITY MEMBERS ON BYSTANDER CPR HANDS ONLY METHOD. ALL NEEDS IDENTIFIED IN THE CHNA ARE ACTIVELY BEING ADDRESSED.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - St. Vincent's Birmingham. At a minimum, Patients with incomes above 250% of the FPL, but not exceeding 327% of the FPL, will receive a sliding scale discount on that portion of the charges for services provided for which the Patient is responsible following payment by an insurer, if any. A Patient eligible for the sliding scale discount will not be charged more than the calculated AGB charges. Patients with demonstrated financial needs with income greater than 327% of the FPL may be eligible for consideration under a "Means Test" for some discount of their charges for services from the Organization based on a substantive assessment of their ability to pay. A Patient who is not eligible for FAP under presumptive eligibility will be able to complete a FAP application for consideration of qualifying for Charity under the "Means Test". The Means Test shall be applied in individual cases of hardship under particular circumstances of patients with income greater than the FPL base. A Patient eligible for the "Means Test" discount will not be charged more than the calculated AGB charges for the care provided.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

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Business Name Line1	Access to Care Network	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	810 St Vincents Drive POB 1-Ste105	AddressLine1Txt
City	Birmingham	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	35205	ZIPCd

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Facility	Medical Clinic	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART 2	WHEN THE NEED ARISES, ST. VINCENT'S IS ALSO QUICK TO RESPOND TO COMMUNITY ISSUES INVOLVING NATURAL DISASTERS. THIS IS EVIDENCED BY COLLECTION AND DONATION OF ITEMS FOR HURRICANE, FLOOD AND TORNADO SURVIVORS AS WELL AS VOLUNTEER EFFORTS TO ASSIST WITH THOSE AFFECTED. IN THE PAST, ST. VINCENT'S HAS PROVIDED TETANUS SHOTS AND BASIC MEDICAL CARE IN AREAS OF NEED. PROMOTION OF HEALTH AND WELLNESS IS AN INTEGRATED PART OF THE ST. VINCENT'S CULTURE. HEALTH SCREENINGS, EDUCATION AND FOLLOW-UP IN THE BROADER COMMUNITY BRING AWARENESS AND LEARNING TO INDIVIDUALS WHO MIGHT NOT OTHERWISE RECEIVE CARE. IN ADDITION TO COMMUNITY SCREENINGS, ST. VINCENT'S HAS TRADITIONALLY FOCUSED OUTREACH ON AREAS FOR SYSTEMIC CHANGE SUCH AS THE IMPLEMENTATION OF COMMUNITY VEGETABLE GARDENS TO PROMOTE HEALTHY EATING AND COLLECTION OF P.E. EQUIPMENT FOR LOCAL SCHOOLS. ST. VINCENT'S ASSOCIATES VOLUNTEER AS P.E. HELPERS TO ENCOURAGE THE HEALTHY HABITS OF EXERCISE FOR ELEMENTARY SCHOOL STUDENTS. WITH THE ASSISTANCE OF ATHLETIC TRAINERS, ST. VINCENT'S ASSISTS WITH THE PROMOTION OF SAFE ATHLETICS TO ENSURE STUDENTS DO NOT INJURE THEMSELVES AT SUCH A YOUNG AGE. SPORTS PHYSICALS FOR STUDENTS WHO WOULD NOT OTHERWISE HAVE ACCESS ARE ALSO PART OF THE COMMUNITY HEALTH OUTREACH. IN COLLABORATION WITH THE GREATER COMMUNITY, ST. VINCENT'S PROVIDES MEDICAL CARE, PHARMACEUTICALS, VACCINES, WOUND CARE AND FOOT CARE AT PROJECT HOMELESS CONNECT, A ONE-DAY BLITZ OF SERVICES FOR INDIVIDUALS IN THE COMMUNITY EXPERIENCING HOMELESSNESS. ST. VINCENT'S ALSO PROVIDES HEALTHY SNACKS FOR PARTICIPANTS AND VOLUNTEERS AT THE EVENT. ST. VINCENT'S AND CHRIST HEALTH CENTER (A LOCAL FEDERALLY QUALIFIED HEALTH CENTER), CREATED A HIGH-LEVEL OF CLINICAL INTEGRATION TO IMPROVE HEALTH EQUITY IN 49 ZIP CODES BY INCREASING ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES FOR ALMOST 12,000 LOW TO MODERATE INCOME INDIVIDUALS. ST. VINCENT'S CONTINUES TO CARE FOR THE COMMUNITY THROUGH EXTENSIVE COLLABORATION SUCH AS WITH THE FORGE INITIATIVE. THIS BREAST CANCER SURVIVORSHIP PROGRAM PROVIDES A 24/7 HOTLINE FOR SUPPORT, PEER MENTORS, SUPPORT GROUPS AND OTHER RESOURCES TO BREAST CANCER SURVIVORS AND THEIR CAREGIVERS. HOUSED AT ST. VINCENT'S AND LED BY THE HEALTH SYSTEM, THIS INITIATIVE SUCCESSFULLY BROUGHT TOGETHER ALL THE MAJOR HEALTHCARE PROVIDERS IN THE REGION TO RALLY AROUND ONE CAUSE. ST. VINCENT'S PROVIDES IN-KIND OFFICE SPACE AND SUPPORT FOR THE FORGE STAFF.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost 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.
Schedule H, Part II Community Building Activities	RESEARCH SHOWS THAT SOCIAL DETERMINANTS AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2018 was $12,149,376 at charges, ($2,308,381 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	St. Vincent's Health System follows the Ascension guidelines for collection practices related to patients qualifying for charity or financial assistance. A patient can apply for charity or financial assistance at any time during the collection cycle. Once qualifying documentation is received the patient's account is adjusted. Patient accounts for the qualifying patient in the previous six months may also be considered for charity or financial assistance. Once a patient qualifies for charity or financial assistance, all collection activity is suspended.
Schedule H, Part V, Section B, Line 16a FAP website	- St. Vincent's Birmingham: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/Alabama;
Schedule H, Part V, Section B, Line 16b FAP Application website	- St. Vincent's Birmingham: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/Alabama;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- St. Vincent's Birmingham: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/Alabama;
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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.
Schedule H, Part VI, Line 4 Community information	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 1,247,848; MEDIAN INCOME OF $53,007; AND MEDIAN AGE OF 39.27. - AGE OF POPULATION: 26.5% AGE 0-19, 30.9% AGE 20-44, 26.2% AGE 45-64, 16.4% AGE 65+. - SEX: 51.9% FEMALE AND 48.1% MALE. - ETHNICITY: 66.0% WHITE NON-HISPANIC, 28.4% BLACK NON-HISPANIC, 4.3% HISPANIC, 1.3% ASIAN NON-HISPANIC. - LANGUAGE: ENGLISH SPEAKING 94.4%, NON-ENGLISH AGE 5+ 5.6%. (population by language spoken at home) - THERE ARE 89 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS (MUA'S) IN THE STATE AND 19.7% OF THE POPULATION IS ELIGIBLE FOR MEDICAID INSIDE THE SEVEN COUNTY SERVICE AREAS (U.S. Census Bureau American Community Survey - % of defined population enrolled in Medicaid) - INSURANCE COVERAGE BREAKDOWN IS 54% PRIVATE, 16% MEDICARE, 16% MEDICAID, AND 14% UNINSURED. - POVERTY: 17.21% ON AVERAGE IN POVERTY. RANGE IN 7 COUNTIES 8.3% TO 23.05%. (U.S. Census Bureau American Community Survey) - HOSPITALS IN SERVICE AREA: 16 TOTAL, 5 NONPROFIT, 10 FOR PROFIT, 1 ACADEMIC MEDICAL CENTER. - HEALTH STATISTICS - OBESITY: 33%. - LEADING CAUSES OF DEATH: HEART DISEASE, CANCER, STROKE
Schedule H, Part VI, Line 5 Promotion of community health	THIS REPORT ILLUSTRATES THE SIGNIFICANT DEGREE TO WHICH ST. VINCENT'S HEALTH SYSTEM, THROUGH ITS FIVE HOSPITALS AND HEALTH & WELLNESS FACILITIES, CONTRIBUTES TO THE POSITIVE HEALTH STATUS OF THE COMMUNITIES WE SERVE. THE SYSTEM'S FIVE HOSPITALS INCLUDE ST. VINCENT'S BIRMINGHAM, ST. VINCENT'S EAST, ST. VINCENT'S BLOUNT, ST. VINCENT'S CHILTON 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. EACH YEAR, ST. VINCENT'S HEALTH SYSTEM FACILITIES SPONSOR A SCHOOL TO ASSIST WITH COLLECTING PHYSICAL EDUCATION EQUIPMENT AS WELL AS PARTICIPATING IN SEVERAL PE CLASSES TO FOSTER HEALTHY HABITS FOR LOCAL SCHOOL CHILDREN. THIS IS ONE WAY IN WHICH STVHS PROMOTES A HEALTHY LIFESTYLE ACROSS THE SERVICE AREA. 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. FY18 NUMBER OF LICENSED BEDS - NUMBER OF PATIENT DAYS - ESTIMATED UNREIMBURSED COST: St. Vincent's Birmingham - 439 - 96,110 - $7,784,766 St. Vincent's East - 357 - 94,667 - $ 5,616,145 St, Vincent's Blount - 25 - 5,022- $ 743,720 St. Vincent's St. Clair - 40 - 6,834 - $ 468,986 St. Vincent's Chilton - 26 -2,429 - $3,506,857 Total - 887 - 205,062 - $18,120,474 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, AMONG OTHERS. MANY OF OUR EXECUTIVES SERVE ON THE BOARDS OF THESE AND OTHER CHARITABLE ORGANIZATIONS. WE PROVIDE ESSENTIAL MEDICAL SERVICES TO THE COMMUNITY, TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO SERVE THE NEEDS OF THE BROADER COMMUNITY, PROVIDE APPROPRIATE CHARITY SERVICES TO THOSE UNABLE TO PAY FOR THEIR HEALTH CARE NEEDS, AND PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR PATIENTS OR CONSTITUENTS. SOME OF THESE SERVICES INCLUDE JEREMIAH'S HOPE ACADEMY, HISPANIC OUTREACH MINISTRY, ACCESS TO CARE PROGRAM AND CLERGY WELLNESS PROGRAM. EACH OF THESE PROGRAMS WORKS TO ADDRESS ROOT CAUSES OF POVERTY INCLUDING HEALTH DISPARITIES, BARRIERS TO CARE, EMPLOYMENT, AND HEALTHCARE, AS WELL AS MENTAL HEALTHCARE, COVERAGE. ST. VINCENT'S JEREMIAH'S HOPE ACADEMY FOCUSES ON TRAINING AT-RISK INDIVIDUALS, PARTICULARLY WOMEN, FOR ENTRY LEVEL JOBS IN THE HEALTHCARE INDUSTRY. TODAY, MORE THAN 500 PEOPLE HAVE GRADUATED FROM JEREMIAH'S HOPE, AND MOST ARE STILL WORKING IN THE HEALTHCARE INDUSTRY. EMPLOYMENT IS ONE OF THE MANY SYSTEMIC WAYS TO ASSIST INDIVIDUALS OUT OF POVERTY AND CREATE AN INTERGENERATIONAL IMPACT FOR FAMILIES THAT IS SUSTAINABLE INTO THE FUTURE. PHILANTHROPY ALLOWED THIS REVOLUTIONARY PROGRAM TO BLOSSOM AND IT HAS NOW BECOME A MODEL FOR OTHER HEALTHCARE FACILITIES NATIONWIDE. IN 2003, ST. VINCENT'S INITIATED A HISPANIC OUTREACH PROGRAM. THIS PROGRAM HAS NOW EVOLVED INTO A CONGREGATIONAL HEALTH WORKER TRAINING PROGRAM AND A HIGH-RISK PREGNANCY COACH PROGRAM. WITH INFANT MORTALITY A SIGNIFICANT NEED IN THE STATE OF ALABAMA, THE HIGH-RISK PREGNANCY COACH AIMS TO ADDRESS BARRIERS FOR EXPECTANT MOTHERS TO GO ABOVE AND BEYOND TRADITIONAL CASE MANAGEMENT AND PROVIDE CULTURALLY APPROPRIATE AND EFFECTIVE CARE AND GUIDANCE AS PATIENTS NAVIGATE PRE AND POST-NATAL CARE. THE ACCESS TO CARE PROGRAM IS A HEALTHCARE OPTION FOR THE "WORKING POOR" IN THE BIRMINGHAM AREA, SERVING INDIVIDUALS WHO ARE EMPLOYED BUT LACK HEALTH INSURANCE. THE PROGRAM ASSISTS UP TO 500 UNIQUE PATIENTS EACH YEAR, PROVIDING FOR ALL OF THEIR HEALTHCARE NEEDS WITH MODEST CO-PAYS TO ENGAGE THE PATIENT IN RESPONSIBILITY FOR CARE. 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 AND ADVANCEMENT TO WORK TOWARDS COVERAGE IN THE FUTURE. PATIENTS IN THIS PROGRAM ARE INTEGRATED INTO THE ST. VINCENT'S CLINIC NETWORK AND TAUGHT HOW TO NAVIGATE HEALTHCARE EFFECTIVELY. AN RN HEALTH COACH WORKS ESPECIALLY WITH PATIENTS WHO HAVE CHRONIC ILLNESS AND NEED ADDITIONAL ASSISTANCE UNDERSTANDING PLANS OF CARE AND MEDICATIONS. THE ST. VINCENT'S CLERGY WELLNESS PROGRAM WORKS WITH LOCAL CLERGY LEADERS TO DEVELOP A PERSONAL HEALTH AND WELLNESS PLAN AND ALSO A CONGREGATIONAL HEALTH IMPROVEMENT PLAN TO INTEGRATE INTO THEIR FAITH COMMUNITIES. CLERGY ARE DISPROPORTIONATELY AT RISK FOR CHRONIC AND MENTAL ILLNESSES (MORE THAN THE GENERAL POPULATION) AND YET THEY HOLD POSITIONS OF SIGNIFICANT INFLUENCE IN THE COMMUNITY. BY ASSISTING THESE LEADERS IN INTEGRATING HEALTH AND WELLNESS INTO THEIR DAILY LIVES, THEY ARE THEN ENCOURAGED TO IDENTIFY AND IMPLEMENT A STRATEGY TO IMPROVE THE OVERALL HEALTH OF THEIR CONGREGATIONS AS WELL. THIS SYSTEMIC APPROACH ALLOWS THE PROGRAM TO REACH THOUSANDS OF INDIVIDUALS BY PROXY. ST. VINCENT'S FACILITATES COMMUNITY ROUNDTABLE INITIATIVES TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY AS WELL. THE HEALTHCARE PROVIDER ROUNDTABLE CONSISTS OF HEALTHCARE PROVIDERS FROM AROUND THE REGION WHO SERVE UNINSURED OR UNDERINSURED PATIENTS AND MEETS SIX TIMES A YEAR. THE MENTAL HEALTHCARE PROVIDER ROUNDTABLE IS COMPRISED OF PROVIDERS ACROSS THE CONTINUUM WHO PROVIDE CARE TO THE COMMUNITY IN THE MENTAL HEALTH SECTOR. THEY ALSO MEET SIX TIMES A YEAR (ON THE ALTERNATE MONTHS OF THE HEALTHCARE GROUP). A LOW-COST DENTAL PROVIDER ROUNDTABLE NOW MEETS QUARTERLY TO DISCUSS DENTAL NEEDS IN THE COMMUNITY AND IDENTIFY POTENTIAL AREAS FOR COLLABORATION. THE GOAL OF THESE GROUPS IS NOT ONLY TO COORDINATE CARE BUT ALSO TO IDENTIFY GAPS AND NEEDS IN THE COMMUNITY AND COME TOGETHER TO FIND SOLUTIONS TO THE NEEDS THAT ARISE. IT IS ATTENDED BY CLINICS, SOCIAL SERVICE PROVIDERS, PRACTITIONERS, EDUCATIONAL FACILITIES AND MAJOR HEALTH SYSTEM REPRESENTATIVES. ST. VINCENT'S REPRESENTATIVES ALSO SERVE ON VARIOUS COMMUNITY HEALTH INITIATIVES SUCH AS JEFFERSON COUNTY HEALTH ACTION PARTNERSHIP, UNITED WAY'S BOLD GOALS AND THE BIRMINGHAM MAYOR'S CITY IMPROVEMENT WORK GROUPS. ST. VINCENT'S AND ASCENSION HAVE A STRONG PRESENCE IN ADVOCACY ON BEHALF OF THE POOR AND VULNERABLE AS WELL. WITH A CHIEF ADVOCACY OFFICER FOR ALABAMA, ASCENSION AND ST. VINCENT'S ARE ACTIVELY SEEKING OPPORTUNITIES FOR POLICY AND PROCEDURE CHANGE THAT WILL EXPAND COVERAGE, ASSIST THOSE WHO ARE PROVIDING CARE TO THE UNINSURED AS WELL AS LOOKING AT OTHER WAYS TO PROMOTE THE HEALTH OF THE COMMUNITY. EXAMPLES OF ADVOCACY IN THESE AREAS INCLUDES WORKING WITH NAVIGATORS TO ENROLL MARKETPLACE PARTICIPANTS; DEVELOPING NEW AND ENHANCED RELATIONSHIPS WITH COMMUNITY CARE PARTNERS AND WORKING WITH OUR STATE AND FEDERAL LAWMAKERS TO ENSURE ADEQUATE REIMBURSEMENT FOR THE UNINSURED AND UNDERINSURED.
Schedule H, Part VI, Line 6 Affiliated health care system	AS PART OF ST. VINCENT'S HEALTH SYSTEM (THE HEALTH MINISTRY), ST. VINCENT'S BIRMINGHAM IS A MEMBER OF ASCENSION HEALTH ALLIANCE ("THE SYSTEM"). ASCENSION HEALTH ALLIANCE IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION HEALTH ALLIANCE IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE: THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL ST. LOUISE PROVINCE THE CONGREGATION OF ST. JOSEPH THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE - AMERICAN PROVINCE THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - U.S./CARIBBEAN PROVINCE ASCENSION AND ITS MEMBER ORGANIZATIONS ARE HEREAFTER REFERRED TO COLLECTIVELY AS THE SYSTEM. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE 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 OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BRIARWOOD PRESBYTERIAN CHURCH
400 OFFICE PARK DR STE 210	BIRMINGHAM	AL	35223	630653634	501( C)(3)	$41,250	OPERATING SUPPORT
ALA EDU FOUND & INDIAN SPRINGS SCHOOL
190 WOODWARD DRIVE	PELHAM	AL	35124	631000137	501( C)(3)	$8,000	OPERATING SUPPORT
Vestavia Hills Board of Education
1204 MONTGOMERY HWY	BIRMINGHAM	AL	35216	630590762	GOV'T ENTITY	$53,000	OPERATING SUPPORT
TRUSSVILLE CITY BOARD OF EDUCATION
113 N CHALKVILLE ROAD	TRUSSVILLE	AL	35178	630595540	GOV'T ENTITY	$60,500	OPERATING SUPPORT
MOUNTAIN BROOK HIGH SCHOOL
3650 BETHUNE DRIVE	BIRMINGHAM	AL	35223	631076010	GOV'T ENTITY	$65,000	OPERATING SUPPORT
CITY OF PELHAM BOARD OF EDUCATION
3113 CUMMINGS ST	PELHAM	AL	35124	636000764	GOV'T ENTITY	$22,000	OPERATING SUPPORT
HOMEWOOD CITY BOARD OF EDUCATION
1901 S LAKESHORE DRIVE	BIRMINGHAM	AL	35209	630586314	GOV'T ENTITY	$35,000	OPERATING SUPPORT
JEFFERSON COUNTY BOARD OF EDUCATION
2100 18TH ST	BIRMINGHAM	AL	35209	636000945	GOV'T ENTITY	$69,000	OPERATING SUPPORT
PELL CITY SCHOOL SYSTEM
1300 COGWELL AVE	PELL CITY	AL	35125	630828429	GOV'T ENTITY	$10,000	OPERATING SUPPORT
AMERICAN HEART ASSOCIATION INC
1449 MEDICAL PARK DR	BIRMINGHAM	AL	35213	135613791	501( C)(3)	$10,000	OPERATING SUPPORT
ST VINCENT'S FOUNDATION OF ALABAMA INC
1 MEDICAL PARK EAST DRIVE	BIRMINGHAM	AL	35235	630868066	501( C)(3)	$22,500	OPERATING SUPPORT
AMERICAN CANCER SOCIETY MIDWEST DIVISION
250 WILLIAMS STREET NW	ATLANTA	GA	30303	131788491	501( C)(3)	$20,000	OPERATING SUPPORT
AMERICAN SPORTS MEDICINE INSTITUTE
2660 10TH AVENNUE SOUTH NO 505	BIRMINGHAM	AL	35205	630952490	501(c)(3)	$2,003,733	operating support

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	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 allocation 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NEEYSA C BIDDLE
FORMER OFFICER (END 6/2017)	$0	$430,374	$0	$673,278	$0	$122,159	$0	$16,050	$0	$5,462	$0	$1,247,324	$0	$0
DAVID A CAUBLE
FORMER OFFICER (END 11/2015)	$0	$0	$0	$0	$0	$375,532	$0	$0	$0	$0	$0	$375,532	$0	$13,989
GREGORY L JAMES MD
FORMER OFFICER (END 2/2016)	$0	$474,354	$0	$458,209	$0	$94,421	$0	$14,850	$0	$20,564	$0	$1,062,398	$0	$0
CAROL A MAIETTA
FORMER OFFICER (END 1/2016)	$0	$0	$0	$0	$0	$247,266	$0	$0	$0	$1,854	$0	$249,120	$0	$0
NAN M PRIEST
FORMER OFFICER (END 6/2017)	$0	$262,306	$0	$194,199	$0	$353,972	$0	$17,550	$0	$14,877	$0	$842,904	$0	$90,593
JASON P ALEXANDER FACHE
CEO, MINISTRY MARKET	$0	$414,474	$0	$0	$0	$57,710	$0	$11,406	$0	$16,361	$0	$499,951	$0	$0
JENNIFER L KINGRY
CFO, MINISTRY MARKET (END 8/2017)	$0	$170,280	$0	$98,122	$0	$24,999	$0	$5,319	$0	$14,071	$0	$312,790	$0	$0
BRANDON M WILLIAMS
CFO, MINISTRY MARKET (START 8/2017)	$0	$119,738	$0	$30,000	$0	$2,376	$0	$3,231	$0	$5,911	$0	$161,255	$0	$0
SUZANNAH CAMPBELL
FORMER KEY EMPLOYEE (END 11/2015)	$0	$184,972	$0	$11,761	$0	$15,466	$0	$11,453	$0	$2,025	$0	$225,677	$0	$0
WILLIAM A DAVIS
COO, MINISTRY MARKET (END 11/2017)	$0	$395,068	$0	$246,807	$0	$70,934	$0	$16,200	$0	$23,189	$0	$752,198	$0	$0
STEPHANIE J DUGGAN MD
CCO, MINISTRY MARKET	$0	$457,147	$0	$190,157	$0	$58,326	$0	$14,850	$0	$24,944	$0	$745,424	$0	$0
DON E KING
COO, MINISTRY MARKET (START 1/2018)	$0	$456,783	$0	$276,549	$0	$49,054	$0	$14,850	$0	$27,086	$0	$824,321	$0	$0
JEFFREY H MIDDLEBROOK
CLO, MINISTRY MARKET (START 1/2018)	$0	$333,538	$0	$138,824	$0	$65,198	$0	$9,658	$0	$25,406	$0	$572,625	$0	$0
CHRISTOPHER L MOORE
CNO, MINISTRY MARKET	$0	$278,646	$0	$18,119	$0	$21,232	$0	$17,550	$0	$21,888	$0	$357,435	$0	$0
ROBERT E RAY
PRESIDENT - BIRMINGHAM	$320,045	$0	$25,827	$0	$46,901	$0	$14,850	$0	$20,998	$0	$428,621	$0	$0	$0
SHANNON SCATURRO
VP-Clinical Operations	$221,875	$0	$19,152	$0	$12,824	$0	$11,883	$0	$24,030	$0	$289,764	$0	$0	$0
AMY R SHELTON
VP Nursing	$194,435	$0	$12,715	$0	$9,510	$0	$11,318	$0	$19,633	$0	$247,611	$0	$0	$0
TESSA BAGALA
PHYSICIST	$194,139	$0	$0	$0	$164	$0	$9,471	$0	$20,620	$0	$224,393	$0	$0	$0
SAM ANDREWS FAIRCLOTH
PHARMACIST, CLINICAL	$136,531	$0	$10,106	$0	$9,707	$0	$9,833	$0	$15,191	$0	$181,367	$0	$0	$0
BRIAN KEVIN MADER
PLANNING & DEVELOPMENT PHYSICIST	$230,237	$0	$9,351	$0	$12,836	$0	$15,070	$0	$21,912	$0	$289,406	$0	$0	$0
JANE MARTIN MCKINNEY
PHARMACIST, CLINICAL	$168,567	$0	$8,150	$0	$7,206	$0	$7,239	$0	$8,434	$0	$199,596	$0	$0	$0
GREGORY PRESTAGE
PHARMACIST, CLINICAL	$138,419	$0	$10,432	$0	$8,928	$0	$9,762	$0	$8,713	$0	$176,254	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, Inc., a related organization of St. Vincent's Birmingham uses the following to establish the compensation of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4a Severance or change-of-control payment	The following individual(s) received severance payments from the organization or a related organization: David A Cauble - $361,543 Carol A Maietta - $243,757 Nan M Priest - $35,194
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	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 following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted: David A Cauble - $13,989 Nan M Priest - $90,593

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS	The activity of St. Vincent's Birmingham is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent's Birmingham is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Vincent's Birmingham.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT'S BIRMINGHAM, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY ST. VINCENT'S HEALTH SYSTEM, A RELATED ORGANIZATION OF ST. VINCENT'S BIRMINGHAM, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ST. VINCENT'S HEALTH SYSTEM EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	St. Vincent's Birmingham has a single corporate member, St. Vincent's Health System.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St. Vincent's Birmingham has a single corporate member, St. Vincent's Health System, who has the ability to elect members to the governing body of St. Vincent's Birmingham.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to St. Vincent's Birmingham's financial information or the corporation as a whole, are subject to approval by its sole corporate member, St. Vincent's Health System.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	There are no separate committees that have the authority to act on behalf of the governing body for St. Vincent's Birmingham.
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	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 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 conflicts 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 purpose.
Form 990, Part VI, Line 19 Required documents available to the public	The Organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A Related Entities	The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Billing Service Revenue - Total Revenue: 2480, Related or Exempt Function Revenue: 2480, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Education Revenue - Total Revenue: 74463, Related or Exempt Function Revenue: 74463, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Escheatment Revenue - Total Revenue: 20388, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 20388; Late Penalty Fees - Total Revenue: -18135, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -18135; Medical Records Fees - Total Revenue: 14, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 14; Miscellaneous Revenue - Total Revenue: 776095, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 776095;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Other - -17; TRANSFERS TO/FROM ALPHA - -18696751;
Form 990, Part XII, Line 2c AUDIT COMMITTEE	St. Vincent's Birmingham is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998	ST LOUIS	MO	63145	453358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA	false
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	false
ST VINCENT'S HEALTH SYSTEM
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630931008	HEALTH SYSTEM	AL	501(c)(3)	Type III-FI	ASCENSION HEALTH	false
ST VINCENT'S BLOUNT
150 GILBREATH DRIVE	ONEONTA	AL	35121	630909073	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes (true)
ST VINCENT'S EAST
50 MEDICAL PARK EAST DRIVE	BIRMINGHAM	AL	35235	630578923	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes (true)
AMERICAN SPORTS MEDICINE INSTITUTE
2660 10TH AVENNUE SOUTH NO 505	BIRMINGHAM	AL	35205	630952490	SPORTS MEDICINE	AL	501(c)(3)	7	ST VINCENT'S BIRMINGHAM	Yes (true)
UNIVERSAL HEALTH SERVICES
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630932323	PHYSICIAN GROUP	AL	501(c)(3)	Type II	ST VINCENT'S HEALTH SYSTEM	Yes (true)
ST VINCENT'S FOUNDATION OF ALABAMA INC
1 Medical Park East Drive	BIRMINGHAM	AL	35235	630868066	FUNDRAISING	AL	501(c)(3)	7	ST VINCENT'S HEALTH SYSTEM	Yes (true)
SETON PROPERTY CORPORATION OF NORTH ALABAMA
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	237326976	REAL ESTATE	AL	501(c)(2)		ST VINCENT'S HEALTH SYSTEM	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ST VINCENT''S OUTPATIENT SURGERY SERVICES LLC
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	200708162	OUTPAIENT SURGERY	AL	ST VINCENT'S BIRMINGHAM	Related	$7,706,702	$2,546,365	false	false	0.6139
ST VINCENT'S SLEEP DISORDER CENTER
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	631282288	SLEEP DISORDER CENTER	AL	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
VINCENTIAN VENTURES OF NORTH ALABAMA INC
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	630965456	MISC HEALTHCARE SERVICES	AL	NA	C Corporation	Yes (true)
ASCENSION VENTURES CORPORATION
810 ST VINCENTS DRIVE	BIRMINGHAM	AL	35205	631217059	MISC HEALTHCARE SERVICES	AL	NA	C Corporation	Yes (true)
BAYLEY CONDOMINIUM ASSOCIATION
2121 HIGHLAND AVENUE SOUTH	BIRMINGHAM	AL	35205	631209915	CONDOMINIUM ASSOCIATION	AL	NA	C Corporation	Yes (true)
HEALTHNET OF ALABAMA INC
PO BOX 830605	BIRMINGHAM	AL	352830605	631027511	PREFERRED PROVIDER ORGANIZATION	AL	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AMERICAN SPORTS MEDICINE INSTITUTE
L	$2,392,097	FAIR MARKET VALUE
AMERICAN SPORTS MEDICINE INSTITUTE
Q	$6,560,007	FAIR MARKET VALUE
ASCENSION VENTURES CORPORATION
L	$93,302	FAIR MARKET VALUE
VINCENTIAN VENTURES OF NORTH ALABAMA INC
L	$4,493,241	FAIR MARKET VALUE
VINCENTIAN VENTURES OF NORTH ALABAMA INC
O	$138,333	FAIR MARKET VALUE
VINCENTIAN VENTURES OF NORTH ALABAMA INC
Q	$420,720	FAIR MARKET VALUE
ST VINCENT'S BLOUNT
L	$377,834	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION OF ALABAMA INC
L	$8,332,384	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION OF ALABAMA INC
M	$56,092	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION OF ALABAMA INC
O	$201,007	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION OF ALABAMA INC
Q	$300,443	FAIR MARKET VALUE
ST VINCENT'S SLEEP DISORDER CENTER
O	$1,402,436	FAIR MARKET VALUE
ST VINCENT'S SLEEP DISORDER CENTER
Q	$115,331	FAIR MARKET VALUE
SETON PROPERTY CORPORATION OF NORTH ALABAMA
L	$90,933	FAIR MARKET VALUE
SETON PROPERTY CORPORATION OF NORTH ALABAMA
O	$1,266,116	FAIR MARKET VALUE
SETON PROPERTY CORPORATION OF NORTH ALABAMA
Q	$72,177	FAIR MARKET VALUE
ST VINCENT'S EAST
L	$4,502,940	FAIR MARKET VALUE
ST VINCENT'S EAST
Q	$236,757	FAIR MARKET VALUE
ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC
L	$194,035	FAIR MARKET VALUE
ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC
M	$2,828,684	FAIR MARKET VALUE
ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC
O	$5,505,938	FAIR MARKET VALUE
ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC
Q	$418,132	FAIR MARKET VALUE
UNIVERSAL HEALTH SERVICES
L	$924,991	FAIR MARKET VALUE
UNIVERSAL HEALTH SERVICES
Q	$1,266,521	FAIR MARKET VALUE
ST VINCENT'S FOUNDATION OF ALABAMA INC
C	$737,648	FAIR MARKET VALUE
AMERICAN SPORTS MEDICINE INSTITUTE
B	$2,003,733	FAIR MARKET VALUE