2014-05-15T08:57:19-05:00 2013-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2012-07-01 630931008 St Vincent's Health System STVI 2059397098 810 St Vincents Drive Birmingham AL 35205 David Cauble 2059397098 2014-05-15 1 Rebecca Lyons P01487105 5137847100 2014-05-08 2012 2015-11-30 17:44:51Z John O'Neil 810 St Vincents Drive Birmingham AL 35205 114362795 0 0928 X www.stvhs.com X 1986 AL We provide high-tech quality care to the people in more than 40 different zip codes. 14 13 5734 13 82509 -2389 5779953 402150 95339433 105803526 3009956 4767127 4559622 3013983 108688964 113986786 60000 260325 0 0 34197758 38489499 0 0 0 64463001 72450096 98720759 111199920 9968205 2786866 139795301 166157201 173931075 188391515 -34135774 -22234314 X Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. In furtherance of its mission and in an effort to reduce the government's financial burden, St. Vincent's Health System supports the efforts of its hospitals and health facilities providing care to individuals and communities. 0 0 22107397 260325 24651605 The Hospital is dedicated to spiritually centered, holistic care that sustains and improves the health of the individuals and communities. It furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community. For detailed information on the Hospital's program service accomplishments and statistical data, see Schedule H. 81069411 81069412 St. Vincent's Health System is commited to providing healthcare that works, healthcare that is safe, and healthcare that leaves no one behind. To this end, the Health System supports various 501(c)(3) organizations including: St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount, and Universal Health System. 103176808 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 0 1 X 420 0 1 5734 1 1 1 0 0 0 0 0 0 0 0 0 X 14 13 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 0 X David Cauble 2059397079 810 St Vincents Drive Birmingham AL 35205 Robert Barnett 2.00 4.00 X X 0 0 0 Kent J Graeve 2.00 4.00 X X 0 0 0 Douglas B Nunnelley 0.50 2.00 X X 0 0 0 James D Davis 2.00 4.00 X X 0 0 0 Marc E Bloomston MD 0.50 2.00 X 0 0 0 Tina N Corr 0.50 2.00 X 0 0 0 Sr Mary Elizabeth Cullen DC 0.50 2.00 X 0 0 0 Norman B Davis end 1012 0.50 2.00 X 0 0 0 Morton Goldfarb MDend 313 0.50 2.00 X 0 0 0 Benny M LaRussa Jr 0.50 2.00 X 0 0 0 William H McClanahanJr MD 0.50 2.00 X 0 0 0 Willie H Parker 2.00 4.00 X 0 0 0 Daniel F Sansone 2.00 4.00 X 0 0 0 Zeke Smith start 712 0.50 2.00 X 0 0 0 Stan Starnes 0.50 2.00 X 0 0 0 John D O'Neil 11.00 39.00 X X 1900939 0 24085 David A Cauble 11.00 39.00 X 602305 0 25894 Vicki L Briggs 11.00 39.00 X 638819 0 19928 Nan M Priest 11.00 39.00 X 489675 0 22934 Robert E Ray start 712 25.00 25.00 X 64357 64357 4086 Gregory L James 11.00 39.00 X 577576 0 16746 Carol A Maietta 11.00 39.00 X 331083 0 16998 Lloyd K Allen 6.00 44.00 X 308099 0 26252 Wayne Carmello-Harper 11.00 39.00 X 263136 0 20466 Kidada Y Hawkins end 812 25.00 25.00 X 105587 105587 17285 Paula H McCullough 25.00 25.00 X 114366 114367 16688 Terry M Brannon 10.00 40.00 X 266414 0 22932 Jennifer L Kingry 11.00 39.00 X 234872 0 19698 Elizabeth B Moore 11.00 39.00 X 258437 0 19331 Raymond A Stewart 50.00 0.00 X 244278 0 6083 Cynthia L Williams 15.00 35.00 X 355374 0 18065 Neeysa C Biddle end 611 0.00 0.00 X 143177 0 0 6898494 284311 297471 22 1 1 0 Accretive Health 39918 Treasury Center Chicago IL 606949900 Healthcare Services 16440603 McKesson Technologies Inc PO Box 98347 Chicago IL 606938347 Healthcare Services 1944194 PRN Funding PO Box 643455 Cincinnati OH 452343455 Healthcare Services 1611512 CDW Government Inc 75 Remittance Drive Suite 1515 Chicago IL 606751515 Healthcare Services 1408486 Coretek Svcs 38505 Country Club Dr Ste 210 Farmington Hills MI 48331 Healthcare Services 1024719 50 402150 402150 I/C Management Revenue 621990 81069412 81069412 Net Patient Revenue 621990 24734114 24651605 82509 105803526 4761504 4761504 236288 279307 -43019 -43019 -43019 5623 0 5623 5623 5623 126906 96702 30204 30204 ARRA Funds 900099 1551882 1551882 Income-Unconsol Entity 621990 527447 527447 Wellness Revenue 621990 42353 42353 905116 905116 3026798 113986786 105721017 82509 7781110 X 260325 260325 5521217 334850 5186367 24660884 9144292 15516592 1741257 325949 1415308 4395229 1153710 3241519 2170912 687612 1483300 1180167 1180167 692869 692869 34925 26311 8614 13698530 2628024 11070506 1134799 243 1134556 286150 36890 249260 30228735 30228735 3068825 1987238 1081587 241383 11712 229671 133191 4489 128702 50604 3 50601 5189768 5189768 4681383 1110199 3571184 197545 210 197335 Symphony Expenses 5503770 5503770 Medical Supplies 3478690 3237840 240850 Provider Tax 965694 965694 Corporate Allocation 0 81069412 -81069412 1683068 191805 1491263 111199920 103176808 8023112 0 12618814 10875543 1883213 6326200 319958 388182 3156290 828065 28793538 10375501 21996507 18418037 4004163 4747552 789397 975770 1229547 95026959 122368305 139795301 166157201 48399285 20889915 443438 367962 125088352 167133638 173931075 188391515 X -34135774 -22308710 74396 0 -34135774 -22234314 139795301 166157201 X 2786866 3394584 5720010 X 0 1 X 1 0 X X X 0 0 0 St Vincent's Birmingham 630288864 3 1 1 1 45484593 St Vincent's East 630578923 3 0 1 1 28121267 St Vincent's Blount 630909073 3 0 1 1 2759992 Universal Health Services 630932323 3 0 1 1 140562 American Sports Medicine Institute 630952490 7 0 1 1 216428 St Vincent's Foundation of AL 630868066 7 0 1 1 0 6 76722842 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 34924 34924 0 Explanation of Lobbying Activities: Part II-B, Line 1: A portion of the lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. The other portion of the lobbying expenses are attributable to ground lobbying support in Montgomery. The organization serves as the principal for these lobbying activities. St. Vincent's Health System does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office. 0 2244313 1035228 1209085 25992427 9340273 16652154 556798 556798 18418037 Interest in Investments Held by Ascension Health Alliance 122094590 Other Miscellaneous Long Term Assets 145331 Donor Restricted Temp NonHSD 74396 Due from Affiliates 53988 122368305 Advances to Affiliates 154860842 Self Insurance Claims 4669098 Deferred Compensation Liability 4515910 Pension Liability 2644610 Historical Allowance Other 443178 167133638 1 1 X 1 X 1 X 1 1 1 0 1 1 1105805 1105805 0.04270 3650877 1609479 2041398 0.07880 4756682 1609479 3147203 0.12150 20 13887 573171 19 573152 0.02210 6 301 38034 725 37309 0.00140 2 3035 101575 101575 0.00390 4 982 80827 80827 0.00310 32 18205 793607 744 792863 0.03050 32 18205 5550289 1610223 3940066 0.15200 2 2580 2580 0.00010 17 13585 54283 54283 0.00030 0.00000 0.00000 1 1073 1073 0.00000 2 16115 39330 39330 0.00040 1 12785 12785 0.00020 2 4041 8221 8221 0.00030 25 33741 118272 118272 0.00130 0 4641605 13633624 10841982 2791642 X 1 1 1 1 St Vincent's St Clair

7063 Veterans Parkway Pell City AL 35125

http://www.stvhs.com/stclair/ X X X St Vincent's St Clair 1 1 X X X X X X X X 12 1 0 1 X X X X X X X 1 0 1 1 200.000000000000 1 300.000000000000 1 X X X X 1 1 X X X X 1 0 1 X 0 0 Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio were calculated and applied. Part I, Line 7g: The organization employs its physicians at physician clinics, so the associated costs and charges relating to those physician services are included in all relevant categories in Part I. Part II: St. Vincent's Health System provided the following community building activities in FY 2013:St. Vincent's Health System has taken the lead in creating a Community Health Care Provider Coalition that meets every other month to collaborate, coordinate and educate each other and the community about important health issues and resources. This group includes hospitals, mental health providers, non-profit clinics, local health department, and other service providers.St. Vincent's Heart Day - A System-wide initiative with its main goal to assist individuals to access heart tests at an affordable cost if they would otherwise be unable to access such services. Heart assessment tests (valued at $350) are made available for a low fee of $40. Follow up by Dial-A-Nurse is offered to those who need additional testing. Dial-A-Nurse - Registered nurses are available during normal business hours to answer health information inquiries. They are able to triage callers who express symptoms and give basic information about health conditions. St. Vincent's Christmas Store - A Christmas program in partnership with Catholic Center of Concern and King's Home that works to provide families who have experienced an emergency with Christmas items as well as health information. The program provides a toy, winter coat, food box with fresh produce, books for the children and the option for parents to receive a free flu shot. It is a collaborative effort between St. Vincent's Birmingham, St. Vincent's East and St. Vincent's One Nineteen.King's Home - St. Vincent's One Nineteen provides assistance to this local home for women and children experiencing homelessness or domestic violence. One Nineteen hosts a race event benefiting the organization and residents participate in the Christmas Store initiative. Camp Bluebird is a St. Vincent's Birmingham and St. Vincent's East program for adult cancer survivors. The camp provides retreat and supportive services for participants. The model has acquired national recognition and other healthcare providers have adopted the program's model. St. Vincent's Wellness Services provide a wide variety of community outreach and health education. From free or low cost workshops to health fairs and classes, the outreach is designed to emphasize healthy living and healthy habits. Wellness Services perform screenings at local churches free of charge and at events related to the Hispanic Outreach. Wellness Services provides programming in local assisted living facilities, especially those in underserved areas, free of charge. They have also worked closely with schools and neighborhood organizations to provide programs about nutrition to children and young adults. St. Vincent's Birmingham and St. Vincent's East both maintain a cancer registry, which provides information for the community's benefit. These two facilities also support research that is unsponsored but ultimately benefits the greater community as well.As a Health System, St. Vincent's is committed to disaster preparedness, especially in light of recent events. Our System Safety Officer facilitates trainings and education above and beyond what is required to ensure that the employees are more than prepared for any emergency situations.St. Vincent's St. Clair, Blount and East all participate in local organizations such as Rotary Club, Chamber of Commerce and Kiwanis to educate local leaders about health issues. St. Vincent's Case Management at all facilities frequently go above and beyond the required care by providing assistance in applying for public benefits (MedAssist), providing transportation services for medical appointments (shuttle service), sponsoring sitters/companions for those who are unable to afford, and medication assistance to those who cannot afford prescriptions.St. Vincent's East provides community support in the form of various on-campus support groups. The groups include support for: cancer survivors, individuals living with low vision, gastric bypass, diabetes, grief support and heart health.At every St. Vincent's facility, students and interns shadow and train with associates in a variety of fields: nursing, physical therapy, health information management, business administration, respiratory therapy, patient care assisting, phlebotomy, medical secretary, radiology, surgery, sterile processing, as well as a medical residency program and clinic in collaboration with St. Vincent's East. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those unable to pay for their health care needs, and provide services to other organizations that allow them to provide quality services to their patients or constituents. St. Vincent's Health System currently partners with local chapters of national organizations with intent to assist those with varying health issues. Among the organizations that associates may volunteer with, participate in and raise funds for are: American Cancer Society, American Diabetes Association, American Heart Association, Leukemia and Lymphoma Society, March of Dimes, Susan G. Komen for the Cure, Dispensary of Hope, Red Cross, and United Way. Local health-related organizations that receive support from St. Vincent's Health System include: Birmingham AIDS Outreach, Tot Shots (free vaccination program), Sickle Cell Foundation, Cahaba Valley Health Care (dental and vision), Office of Women's Health, and M-POWER Ministries (free clinic). Other organizations in the community that St. Vincent's sponsors and supports are: - Cristo Rey - an internship program for inner city youth at Holy Family Catholic School; - Royal Family Kids Camp - which provides a summer camp experience for foster care children; - Magic City Harvest - provides food distribution to homeless shelters;- Ladies of Charity - raise funds and volunteer in the spirit of St. Vincent dePaul;- The Nest - a homeless health outreach; - Christian Service Mission - provides emergency donations and need (especially in recent disaster relief efforts);- YWCA and Pathways - a set of services designed to assist homeless women become self-sufficient;- Our Lady of Fatima and St. Barnabas Catholic Schools - which provide private school education in underserved communities; - The Exceptional Foundation - that supports mentally challenged children to learn skills and socialize;- Jones Valley Urban Farm - which supports urban farming and healthy nutrition. Part III, Line 4: From the consolidated audited financial statements of Ascension Health Alliance (which includes the activity of St. Vincent's Health System):The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System.The cost-to-charge ratio was used to determine the bad debt expense at cost. Bad debt expense at cost attributable to patients eligible under the Organization's charity policy was calculated by using the US Census date to determine the percentage of population below 200% of the FPL and applied that percentage to bad debt expense at cost as an estimate of charity in bad debt. Part III, Line 8: Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Part III, Line 9b: St. Vincent's Health System follows the Ascension guidelines for collection practices related to patients qualifying for charity or financial assistance. A patient can apply for charity or financial assistance at any time during the collection cycle. Once qualifying documentation is received the patient's account is adjusted. 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. St. Vincent's St. Clair Part V, Section B, Line 3: To prepare the CHNA report data was gathered from multiple sources in an effort to construct a current and accurate snapshot of the health issues in St. Clair County, Alabama. Data was obtained from multiple public data bases and opinions were solicited from public health experts, community leaders and patients within the community served by St. Vincent's St. Clair Hospital. This information was summarized for final consideration by a CHNA team consisting of hospital and system personnel as well as community members. Part VI, Line 2: Our most recent community needs assessment was conducted in April 2013 by St. Vincent's Health System and was limited geographically to the seven counties served by St. Vincent's Health System. The assessment was completed by interviewing key stakeholders both within St. Vincent's Health System and in the external community. The interviews were conducted between December 2012 and April 2013. Interviewees included a range of CEO's and program managers from area health care organizations, and more than 50 interviews were completed. The needs assessment consists of census data, public health information, and findings from the interviews. These findings include an assessment of the local healthcare infrastructure and the service gaps, especially in regards to those in our community who lack access to basic healthcare services. Part VI, Line 3: St. Vincent's Health System uses visual aids to inform patients of available financial assistance. The statement of Patient Financial Services Financial Assistance is displayed at all registration areas throughout the hospital, including the Emergency Department to make patients aware that assistance is available. Our staff, when discussing collections with patients, also makes patients aware of the available assistance if they are unable to pay. Part VI, Line 4: St. Vincent's Health System primarily services residents of central Alabama in the following seven counties: Blount, Cullman, Jefferson, Shelby, St. Clair, Talladega, and Walker. - Our primary service area consists of both rural and urban communities with a population of 84,398; median income of $49,200. - Age of population: 23.65% age 0-18, 62.82% age 20-64, 13.6% age 65+.- Ethnicity: 88.6% White non-Hispanic, 9.1% Black non-Hispanic, 1.1% Other.- Insurance coverage breakdown is 29.0% Private, 46.8% Medicare, 11.7% Medicaid, and 12.6% Uninsured.- Poverty: 13.4% on average in poverty. - Hospitals in service area: 13 total, 10 Nonprofit, 2 For profit, 1 academic medical center.- Health Statistics- Obesity: 36%.- Leading causes of death: Heart disease, Cancer, Stroke. Part VI, Line 5: This report illustrates the significant degree to which St. Vincent's Health System through its four hospitals and Health & Wellness facility, contributes to the positive health status of the communities we serve. The system's four hospitals include: St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount and St. Vincent's St. Clair. Each hospital has a separate Tax ID number. Each makes an important contribution to caring for their community, including those who are underserved. As a member of Ascension Health, St. Vincent's Health System continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families and the community as a whole. The Health System's mission is to extend the healing ministry of Christ. The hospitals of the health system further the mission through the delivery of patient services, care to the elderly and indigent, patient education, and health awareness programs for the community. Our concern for all human life and commitment to the dignity of each person leads us to provide medical services to all people in the community without regard to race, creed, national origin, economic status, or ability to pay. Based on our Core Values and in the spirit of principles adopted by Ascension Health, our Health System has taken proactive steps to address those issues that affect accessibility, the financing, and the delivery of health care to all persons, especially the uninsured, underinsured, and the underserved. The following chart demonstrates the significant number of patient days and the estimated unreimbursed cost of services provide by our four hospitals to the uninsured or underserved. FY13 Number of Number of Estimated Licensed Beds Patient Days Unreimbursed costSt. Vincent's Birmingham 499 101,558 13,295,225St. Vincent's East 346 81,163 14,195,123St. Vincent's Blount 40 4,122 1,335,501St. Vincent's St. Clair 40 9,136 2,417,474 Total 925 195,979 31,343,323St. Vincent's Heath System has a deep commitment to serving the community. We earmark a certain percentage of our yearly profits for charitable donations. Through this charitable donation program, we are able to support local chapters of national organizations such as: the American Cancer Society, the American Heart Association, March of Dimes, and Susan G. Komen for the Cure. We also fund local programs and initiatives such as the United Way. Many of our executives serve on the boards of these organizations.We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those unable to pay for their health care needs, and provide services to other organizations that allow them to provide quality services to their patients or constituents. Some of these services include Liz Moore Low Vision Center located at St. Vincent's East, Jeremiah's Hope Skills Program, Hispanic Outreach Ministry, Access to Care and Elder Care Services program which are all located at St. Vincent's Birmingham.The goal of the Liz Moore Low Vision Center at St. Vincent's East is to assist the person with low vision to use functional vision to the utmost capacity. A person with low vision may be legally blind but able to function with visual aids that enhance the remaining vision. With the assistance of magnification and adaptations of the special low vision aids that are useful for certain daily tasks, the visually impaired person can function with less difficulty. The Vision Center provides services for the person with low vision. These services are designed to benefit a person's daily life activities, which may be hindered by the visual loss.St. Vincent's Birmingham Jeremiah's Hope Skills Program focuses on training at-risk individuals, particularly women, for entry level jobs in the healthcare industry. Today, more than 450 people have graduated from Jeremiah's Hope, and most are still working in the healthcare industry. St. Vincent's has also recently partnered with Jeff State Community College to begin identifying "under-employed" individuals from within our own workforce and training them to become nurses. Philanthropy allowed this revolutionary program to blossom and it has now become a model for other healthcare facilities nationwide.In 2003, St. Vincent's Birmingham initiated a Hispanic Outreach program, La Sana Esperanza/The Healthy Hope, recognizing the changing demographics in Birmingham. This program provides health and medical assistance to the burgeoning Latino population, often an isolated sector of our community. By identifying and placing high-risk persons in our Access to Care we are providing critical care for those in need in a fiscally responsible manner. We have provided health fairs, health screenings, health information, case management assistance, and language assistance to a myriad of persons within the Birmingham community in order to break down the barriers that lead to poor heath in the Latino population.The Access to Care is a healthcare option for the "working poor" in the Birmingham area, serving individuals who are employed but lack health insurance. The Clinic treats up to 350 patients at any given time, providing for all of their healthcare needs at no cost to the patient. St. Vincent's works with patients to identify ways to acquire insurance and screens patients based on a willingness to make life changes conducive to good health. This charity care is only made possible because of charitable gifts which provide the equipment, space and staffing the Clinic needs. The Clinic is a service for those patients who have no other options and is possible because of the many philanthropists who support this ministry.The St. Vincent's Birmingham Elder Care Services Program was created in response to a need expressed by a donor to St. Vincent's Foundation. That donor is a self-described Elder Orphan. She has few family members and no prospects to assist her with care as she ages. She worries about her future when the time comes when she is no longer able to drive herself to and from physician appointments and to the grocery store. She trusts St. Vincent's to care for her medical needs and wondered if there was a way for St. Vincent's to assist people like her who will need additional assistance as they age. The idea was presented to Susann Montgomery-Clark in the Foundation office, and after more than two years of focus groups and meetings with St. Vincent's associates, the project was officially launched. Initial funding was requested from a group of focus group members who were supportive and excited about the project and a grant was obtained from the Daughters of Charity to begin work on the outline of services that the Elder Care Services Program might provide. Just in its infancy, the Elder Care Program has hopes to become one that assists our original donor and those like her who will need support services in their twilight years. We Are Called To: - Service of the Poor - Generosity of spirit, especially for persons most in need- Reverence - Respect and compassion for the dignity and diversity of life- Integrity- Inspiring trust through personal leadership- Wisdom- Integrating excellence and stewardship- Creativity- Courageous innovation- Dedication- Affirming the hope and joy of our ministry.St. Vincent's Health System is made up of five facilities: St. Vincent's Birmingham, St. Vincent's Blount, St. Vincent's East, St. Vincent's St. Clair, and One Nineteen Health and Wellness. Together, we provide a special brand of high-touch, high-tech quality care to people in more than 40 different zip codes. Our healthcare family has an extensive network of skilled physicians and associates, as well as the most advanced technologies available. We are a part of Ascension Health, the nation's largest Catholic and non-profit health system, with more than 100,000 associates serving in 20 states and the District of Columbia. We are committed to providing healthcare that works, healthcare that is safe, and healthcare that leaves no one behind for life. Part VI, Line 6: St. Vincent's Health System is a member of Ascension Health Alliance. 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 or the United States and the District of Columbia. Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, 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, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province, became part of Ascension Health on April 1, 2013. In addition, Alexian Brothers Health System, which was previously sponsored by the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province, became part of Ascension Health on January 1, 2012.St. Vincent's Health System, located in Birmingham, Alabama, is a nonprofit health system. St. Vincent's Health System is the sole corporate member of four not-for-profit acute care hospitals: St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount, and St. Vincent's St. Clair, LLC (collectively referred to as the Hospitals). The Hospitals provide inpatient, outpatient and emergency care services for the residents of Birmingham and surrounding areas. Admitting physicians are primarily practitioners in the local area.Mission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with 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:1. Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because inadequate resources and/or who are uninsured or underinsured.2. Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons.3. Costs of other programs for the persons living in poverty and other vulnerable persons includes 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. 4. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty and other vulnerable persons, including health promotion and education, health clinics and screenings and medical research. Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care to persons living in poverty and community benefit programs is estimated 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.Unreimbursed Services Provided to the Elderly and the Poor St. Vincent's St. Clair provides a substantial portion of its services to the elderly and poor. During the fiscal year ending 2013, approximately 47% of the value of services rendered were to elderly patients under the Medicare program, and approximately 13% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. In the spirit of principles adopted by Ascension Health, St. Vincent's St. Clair has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending 2013, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaling approximately $2.4 million. During the fiscal year ending 2013, St. Vincent's St. Clair treated 2,189 adults and children in the community for a total of 9,136 patient days of service. St. Vincent's St. Clair also provided services to 43,691 outpatients, including 797 outpatient surgery patients, 23,900 emergency and minor care visits. 0 Samford University 800 Lakeshore Drive Homewood AL 35229 630312914 Section 501(c)(3) 25525 Sponsorship Troy University University Avenue Troy AL 36082 636067755 Section 501(c)(3) 27500 Sponsorship University of West Alabama 100 US 11 Livingston AL 35470 631074127 Section 501(c)(3) 55000 Sponsorship Crimson Tide Sports Marketing Bryant Denny Stadium - Box 870339 Tuscaloosa AL 35487 201368758 124550 Sponsorship IMG College LLC PO Box 16533 Palatine IL 60055 273646546 27750 Sponsorship 3 2 X X 1 1 X X X X 0 1 0 0 0 0 0 0 0 John D O'Neil 574472 0 1166059 0 160408 0 4900 0 19185 0 1925024 0 0 0 David A Cauble 377280 0 165000 0 60025 0 7500 0 18394 0 628199 0 0 0 Vicki L Briggs 440042 0 146953 0 51824 0 250 0 19678 0 658747 0 0 0 Nan M Priest 293915 0 125813 0 69947 0 7500 0 15434 0 512609 0 20508 0 Gregory L James 370327 0 132258 0 74991 0 7500 0 9246 0 594322 0 0 0 Carol A Maietta 229156 0 84219 0 17708 0 6958 0 10040 0 348081 0 0 0 Lloyd K Allen 205449 0 60500 0 42150 0 6421 0 19831 0 334351 0 0 0 Wayne Carmello-Harper 171931 0 65313 0 25892 0 3887 0 16579 0 283602 0 0 0 Kidada Y Hawkins end 812 70450 70450 24125 24125 11012 11012 650 650 7993 7992 114230 114229 0 0 Paula H McCullough 71248 71248 19950 19950 23168 23169 2188 2187 6156 6157 122710 122711 0 0 Terry M Brannon 159365 0 48331 0 58718 0 4975 0 17957 0 289346 0 0 0 Jennifer L Kingry 146923 0 44000 0 43949 0 4544 0 15154 0 254570 0 0 0 Elizabeth B Moore 180147 0 53625 0 24665 0 3250 0 16081 0 277768 0 0 0 Raymond A Stewart 128100 0 20208 0 95970 0 4394 0 1689 0 250361 0 0 0 Cynthia L Williams 217756 0 59125 0 78493 0 6660 0 11405 0 373439 0 0 0 Neeysa C Biddle end 611 0 0 0 0 143177 0 0 0 0 0 143177 0 0 0 Part I, Line 1a St. Vincent's Health System provided relocation allowances related to the recruitment of the Health System COO and the President of Rural Facilities. These items were reported as imputed income to the associate and were subject to individual income tax. St. Vincent's Health System provides membership to The Summit Club and The Vestavia Country Club for the executive team, as well as, Rotary and Kiwanis club memberships for various members of the management team to facilitate networking and community benefit related to St. Vincent's Health System. Part I, Line 4b Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The organization that paid the salaries of the individuals listed in Schedule J, Part II, paid out of the supplemental nonqualified retirement plan in the amounts as noted: Neeysa C. Biddle - $82,918 Nan M. Priest - $20,508 The organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amounts as noted: John D. O'Neil - $42,150 David A. Cauble - $4,375 Vicki L. Briggs - $146,115 Nan M. Priest - $61,545 Gregory L. James - $7,500 Kidada Y. Hawkins - $1,250 Cynthia L. Williams - $11,400 Carol A. Maietta - $2,235 Lloyd K. Allen - $1,438 Elizabeth B. Moore - $6,250 Terry M. Brannon - $25,479 Wayne Carmello-Harper - $38,156 Robert E. Ray - $750 Paula H. McCullough - $7,500 Jennifer Kingry - $7,500 Supplemental Information Part III Part II: Description of Compensation: Executive compensation, in keeping with Ascension Health's philosophy, is in line with the national average. Compensation may include short or long term incentive pay, deferred compensation, PTO (vacation/holiday) converted to cash, etc. Damon Briggs Son of Officer 16838 Compensation for Employment 0 Explanation of Attached Audited Financial Statements: Form 990, Part IV, Line 20b: The financial statements of St. Vincent's Health System, along with its subsidiaries, fall under the full scope audit of Ascension Health Alliance. The activity of St. Vincent's Health System is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit report for St. Vincent's Health System is issued. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates (which include the activity of St. Vincent's Health System). Number of Forms 1099 Filed: Form 990, Part V, Line 1a: St. Vincent's Health System uses a common paymaster to compensate all indpendent contractors used within the Health System. The number attributable to each hospital is not easily distinguished. The amount on Line 1a represents total Forms 1099 filed for the entire Health System. Form 990, Part VI, Section A, line 2 John O'Neil and Elizabeth Moore have a business relationship. Form 990, Part VI, Section A, line 6 St. Vincent's Health System has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a St. Vincent's Health System has a single corporate member, Ascension Health, who has the ability to elect members to the governing board of St. Vincent's Health System. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the form to a designated committee of St. Vincent's Health System (which has oversight over this entity), to review and answer questions. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer, and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt status. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Ascension Health Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to 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. The individual was not present when his compensation was decided. In determining compensation of other Officers or Key Employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviews and approved the compensation with the facilitation of the SVP of HR/CLO and the Director of Compensation. In the review of the compensation, the other Officers or Key Employees of the organization were compared to 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. Individuals were not present when their compensation was decided. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Document Retention and Destructions Policy: Form 990, Part VI, Section B, Line 14: St. Vincent's Health System has drafted a document retention and destruction policy to be approved by the board of directors or designated committee. The policy was drafted but not approved prior to the close of the current fiscal year; however, St. Vincent's Health System plans to have the policy in place prior to June 30, 2014. Other Fees Form 990, Part IX, line 11g Other Expense: Program service expenses 1,971,225. Management and general expenses 601,713. Fundraising expenses 0. Total expenses 2,572,938. Other Purchased Services: Program service expenses 651,209. Management and general expenses 5,196,639. Fundraising expenses 0. Total expenses 5,847,848. RCM Fees Cost: Program service expenses 0. Management and general expenses 3,879,843. Fundraising expenses 0. Total expenses 3,879,843. Consulting Fees: Program service expenses 5,590. Management and general expenses 1,392,311. Fundraising expenses 0. Total expenses 1,397,901. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Donor Restricted 74,396. Transfers to/from Affiliates 5,367,419. Deferred Pension 967,309. Transfers to Sponsers -689,114. St Vincent's St Clair LLC 2805 Dr John Haynes Drive Pell City AL 35125 631146531 Hospital AL 27762402 9947085 St Vincent's Health System One Nineteen ASC LLC 810 St Vincents Drive Birmingham AL 35205 630931008 Shell AL 0 0 St Vincent's Health System St Vincent's Physician Alliance LLC 810 St Vincents Drive Birmingham AL 35205 454913277 Shell AL 0 0 St Vincent's Health System Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 St Vincent's Birmingham 810 St Vincents Drive Birmingham AL 35205 630288864 Hospital AL Section 501(c)(3) Schedule A, Line 3 St Vincent's Health System 1 St Vincent's Blount 150 Gilbreath Drive Oneonta AL 35121 630909073 Hospital AL Section 501(c)(3) Schedule A, Line 3 St Vincent's Health System 1 St Vincent's East 50 Medical Park East Drive Birmingham AL 35235 630578923 Hospital AL Section 501(c)(3) Schedule A, Line 3 St Vincent's Health System 1 American Sports Medicine Institute 2660 10th Avenue South No 505 Birmingham AL 35205 630952490 Sports Medicine AL Section 501(c)(3) Schedule A, Line 7 St Vincent's Birmingham 1 Universal Health Services 810 St Vincents Drive Birmingham AL 35205 630932323 Physician Group AL Section 501(c)(3) Schedule A, Line 11b St Vincent's Health System 1 St Vincent's Foundation of Alabama Inc 810 St Vincents Drive Birmingham AL 35205 630868068 Fundraising AL Section 501(c)(3) Schedule A, Line 7 St Vincent's Health System 1 Seton Property Corporation of North Alabama 810 St Vincents Drive Birmingham AL 35205 237326976 Real Estate AL Section 501(c)(2) N/A St Vincent's Health System 1 St Vincent Outpatient Surgery Services LLC 810 St Vincents Drive Birmingham AL 35205 200708162 Outpatient Surgery AL N/A St Vincent's Sleep Disorder Center LLC 810 St Vincents Drive Birmingham AL 35202 631282288 Sleep Disorder Center AL N/A Vincentian Ventures of North Alabama Inc 810 St Vincents Drive Birmingham AL 35205 630965456 Misc Healthcare Services AL St Vincent Health System C -8280993 3853720 1.00000 1 Ascension Ventures Corporation 810 St Vincents Drive Birmingham AL 35205 631217059 Misc Healthcare Services AL St Vincent Health System C -2141701 517617 1.00000 1 Eastside Ventures Inc 810 St Vincents Drive Birmingham AL 35205 630846221 Misc Healthcare Services AL St Vincent Health System C -219577 1863299 1.00000 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 St Vincent's Foundation of Alabama Inc C 402150 Journal Entry Transaction Seton Property Corporation of North Alabama K 79059 Journal Entry Transaction Ascension Health P 35045537 Journal Entry Transaction American Sports Medicine Institute P 216428 Journal Entry Transaction St Vincent's Birmingham Q 45484593 Journal Entry Transaction St Vincent's East Q 28121267 Journal Entry Transaction St Vincent's Blount Q 2759992 Journal Entry Transaction Universal Heath Services Q 140562 Journal Entry Transaction Vincentian Ventures of North Alabama Q 2525685 Journal Entry Transaction Seton Property Corporation of North Alabama Q 494217 Journal Entry Transaction Ascension Ventures Corporation Q 747188 Journal Entry Transaction Eastside Ventures Inc Q 579480 Journal Entry Transaction Seton Property Corporation of North Alabama R 1100626 Journal Entry Transaction St Vincent's Foundation of Alabama Inc Q 3250000 Journal Entry Transaction