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          <BusinessNameLine1Txt>DONNIE ROMINE JR</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>JAMES SAPP</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>MICHELLE ADAMOLEKUN</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>TERESA LOFTIS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>William Mayher</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF FINANCIAL PLANNING SPCLS (THRU 2/16/2016)</TitleTxt>
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        <TitleTxt>DIRECTOR, PHYSICIAN PRACTICE</TitleTxt>
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          <BusinessNameLine1Txt>HERB KAMINSKY</BusinessNameLine1Txt>
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        <TitleTxt>CONTROLLER</TitleTxt>
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          <BusinessNameLine1Txt>KATIE MILLER</BusinessNameLine1Txt>
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        <TitleTxt>SYS DIR - SV HEALTHCARE ALLIANCE</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT'S HEALTH SYSTEM, INC. USES THE FOLLOWING METHODS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED SEVERENCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2015: MOODY CHISHOLM - $455,785 JANICE G LIPSKY - $9,769 DENISE MCKROW - $24,884 DONNIE ROMINE, JR - $56,808 MICHAEL ZWETSCHKENBAUM - $137,500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>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 executives is reported as compensation on Form 990 Schedule J Part II Column B in the year paid. The following individual received a payout from Ascension Health's nonqualified retirement plan in the amount as noted: Janice G Lipsky- $5,079 Kenneth Rothfield - $22,625</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Vincent's Health System, Inc. has a single corporate member, Ascension Health.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Vincent's Health System, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Vincent's Health System, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations &amp; major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic &amp; financial plans; assets; system policies &amp; procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Management, including certain officers, work diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers, directors or trustees, and key employees are required to complete a Conflict of Interest Attestation Statement at the time of hiring or when their service begins. Annually, the Corporate Responsibility Officer sends the Conflict of Interest Policy and Attestation Statement to all officers, directors, or trustees and key employees for completion and return within two weeks. Three separate mailings are sent out with two week deadlines to receive a maximum response. The responses from the returned Attestation Statement are organized in a spreadsheet and are carefully reviewed by the Corporate Responsibility Officer the Chief Legal Officer, and the Chief Executive Officer. A full report is presented to the Audit Committee and any potential conflicts of interest are handled by the Committee in an appropriate manner.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of St. Vincent's Health System, Inc., 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. In determining the compensation of other officers and key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Audit Committee reviewed and approved the compensation. In the review of the compensation, the other officers and key employees 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 board minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization will provide any documents open to public inspection upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Vincentian Services - Total Revenue: 34152, Related or Exempt Function Revenue: 34152, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other - Total Revenue: 14894, Related or Exempt Function Revenue: 14894, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers to Affiliates - XXX-XX-XXXX; Deferred Pension - -1090317; Other - -2016903;</ExplanationTxt>
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          <AddressLine1Txt>PO BOX 45998</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631455998</ZIPCd>
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        <EIN>453358926</EIN>
        <PrimaryActivitiesTxt>NATIONAL HEALTH SYSTEM</PrimaryActivitiesTxt>
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          <AddressLine1Txt>PO BOX 45998</AddressLine1Txt>
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          <ZIPCd>63145</ZIPCd>
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        <PrimaryActivitiesTxt>NATIONAL HEALTH SYSTEM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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</Return>
