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 630578923 St Vincent's East STVI 2058383000 50 Medical Park East Drive Birmingham AL 35235 David Cauble 2059397791 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 210893253 0 0928 X www.stvhs.com X 1968 AL Provides a special brand of high-touch, high-tech quality care to people in the community. 14 13 1771 110 628186 -1501 199416 314797 223365954 202849804 58913 9252 2230538 6461635 225854821 209635488 0 0 0 0 78805274 82789488 0 0 0 137513879 126394620 216319153 209184108 9535668 451380 157750008 251110780 19015667 163027787 138734341 88082993 X 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. 0 0 189453110 205971783 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 services accomplishments and statistical data, see Schedule H. 189453110 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 1 1771 1 1 1 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 0 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 10.00 40.00 X X 0 1900939 24085 David A Cauble 10.00 40.00 X 0 602305 25894 Vicki L Briggs 10.00 40.00 X 0 638819 19928 Nan M Priest 10.00 40.00 X 0 489675 22934 Gregory L James 10.00 40.00 X 0 577576 16746 Carol A Maietta 10.00 40.00 X 0 331083 16998 Sean C Tinney 25.00 25.00 X 399294 0 15493 Carol J Ratcliffe end 0912 50.00 0.00 X 161976 0 19631 Andrew J Gnann 50.00 0.00 X 281244 0 13685 Paula H McCulloughstart 113 50.00 0.00 X 0 228733 4375 Ronald J Smith 50.00 0.00 X 200158 0 20934 Crystal Y Smith 50.00 0.00 X 252381 0 11159 Thomas Novitski Jr 50.00 0.00 X 236549 0 19807 English H Gonzalez 50.00 0.00 X 215312 0 17367 Charles N Bradley 50.00 0.00 X 202606 0 20786 Todd S Kennedy 0.00 0.00 X 146070 0 808 Neeysa C Biddle 0.00 0.00 X 0 143177 0 2095590 4912307 270630 10 1 1 0 Morrison Management Specialists PO Box 102289 Atlanta GA 303682289 Food Services 6640146 TriMedx LLC PO Box 636129 Cincinnati OH 452636129 Healthcare Services 2850565 Philips Medical Systems PO Box 92449 Cleveland OH 44193 Healthcare Services 1098906 All South Subcontractors (Sch O) 2678 Queenstown Road Birmingham AL 35210 Construction 644000 Dialysis Clinic Inc - Birmingham 8713 Parkway East Birmingham AL 35206 Dialysis Services 553555 19 291359 23438 314797 Net Patient Revenue 621400 202582599 202009730 572869 I/C Rental Revenue 531120 178705 178705 Lab Testing 561000 88500 33183 55317 202849804 12306 12306 626127 0 626127 626127 626127 3054 -3054 -3054 -3054 2005303 1254711 750592 750592 ARRA Revenue 561499 3303306 3303306 Coastal Insurance 900099 1275000 1275000 Fitness/Wellness 900099 59751 59751 446859 446859 5084916 209635488 205971783 628186 2720722 894830 805347 89483 67343684 60609316 6734368 2362163 2125947 236216 7168814 6451933 716881 5019997 4517997 502000 12665 12665 16866153 15179538 1686615 1000814 900733 100081 9772443 8795199 977244 6425072 5782564 642508 47664 42898 4766 36556 32900 3656 6166 5549 617 7116717 6405045 711672 1839458 1655512 183946 Medical Supplies 41456343 37310709 4145634 Corporate Allocation 18448129 16603316 1844813 Provider Tax Expense 10187040 9168336 1018704 Capitation Claim Exp. 9561500 9465885 95615 3617900 3581721 36179 209184108 189453110 19730998 0 418141 307603 20385197 28313118 2627695 3767391 1183470 1581913 137625331 47427516 91076044 90197815 118601 261989 41940860 126680951 157750008 251110780 4379272 12691052 660576 1008996 13975819 149327739 19015667 163027787 X 138731022 88082993 3319 0 0 138734341 88082993 157750008 251110780 X 451380 -6526 -51096201 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12665 12665 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent's East 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. 7840000 7840000 79169233 15812544 63356689 6624790 1670391 4954399 40133203 29944581 10188622 3858105 3858105 90197815 Advances to Affiliates 122535620 Other Receivables 2467217 Physician Guarantee 1678114 126680951 Intercompany Payable 127057286 Non Current Liabilities 12047000 Estimated Settlements to Third Party Payors 7312848 Other Liabilities 1996982 Physician Guarantee Liability 758247 Unclaimed Property 155376 149327739 1 1 X 1 X 1 X 1 1 1 0 1 1 7539659 7539659 0.03600 23722740 11317368 12405372 0.05930 31262399 11317368 19945031 0.09530 17 12980 142569 675 141894 0.00070 14 4119 3281453 2094811 1186642 0.00570 1 3129 27541 27541 0.00010 2 65158 65158 0.00030 4 900 10995 10995 0.00010 38 21128 3527716 2095486 1432230 0.00690 38 21128 34790115 13412854 21377261 0.10220 2 3178 3178 0.00000 1 2400 1787 1787 0.00000 3 2400 4965 4965 0 12340697 94957074 85391931 9565143 X 1 1 1 1 St Vincent's East

50 Medical Park East Drive Birmingham AL 35205

http://www.stvhs.com/east/ X X X St Vincent's East 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 2 Family Medicine Residency

2515 Old Springville Road Birmingham AL 35215

Family Practice Liz Moore Low Vision Center

50 Medical Park East Drive Bldg 46 Birmingham AL 35235

Vision Center Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a 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 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 East):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 estrictions 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 polity was calculated by using the US Census date to determine the percentage of population below 200% of the FPL and applied that percentage to bad debt expense at cost as an estimate of charity in bad debt. Part III, Line 8: Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. The cost-to-charge ratio method is used in determining the shortfall. Part III, Line 9b: St. Vincent's Health System follows the Ascension guidelines for collection practices related to patients qualifying for charity or financial assistance. A patient can apply for charity or financial assistance at any time during the collection cycle. Once qualifying documentation is received the patient's account is adjusted off. Patient accounts for the qualifying patient in the previous six months may also be considered for charity or financial assistance. Once a patient qualifies for charity or financial assistance, all collection activity is suspended. St. Vincent's East 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 Jefferson 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 bySt. Vincent's East 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 East 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 658,931; median income of $45,750. - Age of population: 23.55% age 0-18, 54.7% age 19-64, 13.3% age 65+.- Ethnicity: 54.7% White non-Hispanic, 42.3% Black non-Hispanic, 1.9% Other.- Language: English speaking 94.2%, Non-English age 5+ 5.8%.- Insurance coverage breakdown is 40.3% Private, 44.6% Medicare, 7.3% Medicaid, and 7.7% Uninsured.- Poverty: 16.2% on average in poverty. - Hospitals in service area: 13 total, 11 Nonprofit, 2 For profit, 1 academic medical center.- Health Statistics- Obesity: 32%.- 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 13,395,225 St. 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 2,417,474Total 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 (the Health Ministry) 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 of 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.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 cented 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 of 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. Cost 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 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 East provides a substantial portion of its services to the elderly and poor. During the fiscal year ending 2013, approximately 45% of the value of services rendered were to elderly patients under the Medicare program, and approximately 8% 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 East 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 unreimbused cost of services provided to the elderly, uninsured, and underinsured totaled approximately $14.2 million.Certain costs such as graduate medical education and certain other activities are excluded from total operating expenses for purposes of this computation. 1 0 1 0 0 0 0 0 0 0 John D O'Neil 0 574472 0 1166059 0 160408 0 4900 0 19185 0 1925024 0 0 David A Cauble 0 377280 0 165000 0 60025 0 7500 0 18394 0 628199 0 0 Vicki L Briggs 0 440042 0 146953 0 51824 0 250 0 19678 0 658747 0 0 Nan M Priest 0 293915 0 125813 0 69947 0 7500 0 15434 0 512609 0 20508 Gregory L James 0 370327 0 132258 0 74991 0 7500 0 9246 0 594322 0 0 Carol A Maietta 0 229156 0 84219 0 17708 0 6958 0 10040 0 348081 0 0 Sean C Tinney 272704 0 94629 0 31961 0 7500 0 7993 0 414787 0 0 0 Carol J Ratcliffe end 0912 131555 0 0 0 30421 0 4166 0 15465 0 181607 0 0 0 Andrew J Gnann 183628 0 61525 0 36091 0 5590 0 8095 0 294929 0 0 0 Paula H McCulloughstart 113 0 142496 0 39900 0 46337 0 0 0 12313 0 241046 0 0 Ronald J Smith 169824 0 7630 0 22704 0 6155 0 14779 0 221092 0 0 0 Crystal Y Smith 145362 0 0 0 107019 0 5044 0 6115 0 263540 0 0 0 Thomas Novitski Jr 201706 0 4863 0 29980 0 7076 0 12731 0 256356 0 0 0 English H Gonzalez 133840 0 70386 0 11086 0 5927 0 11440 0 232679 0 0 0 Charles N Bradley 187129 0 0 0 15477 0 5768 0 15018 0 223392 0 0 0 Todd S Kennedy 3173 0 51562 0 91335 0 173 0 635 0 146878 0 32044 0 Neeysa C Biddle 0 0 0 0 0 143177 0 0 0 0 0 143177 0 82918 Part I, Line 3 The following are used by St. Vincent's Health System to establish the compensation of the organization's CEO/Executive Director: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee Part I, Line 4b Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, paid out of the supplemental nonqualified retirement plan in the amounts as noted: Neeysa C. Biddle - $82,918 Nan M. Priest - $20,508 Todd S. Kennedy - $32,044 A related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amounts as noted: 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 Carol A. Maietta - $2,235 Todd S. Kennedy - $2,327 Carol J. Ratcliffe - $3,078 Andrew J. Gnann - $6,280 Paula H. McCullough - $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. Explanation of Attached Audited Financial Statements: Form 990, Part IV, Line 20b: The financial statements of St. Vincent's Health System, which include the activity of St. Vincent's East, fall under the full scope audit of Ascension Health Alliance. The activity of St. Vincent's East and other members of St. Vincent's Health System are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit for St. Vincent's East is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates (which include the activity of St. Vincent's East). Number of Forms 1099 Filed: Form 990, Part V, Line 1a St. Vincent's Health System, a related organization of St. Vincent's East, uses a common paymaster to compensate all independent contractors used within the Health System. The number attributable to each hospital is not easily distinguished. The total amount of Forms 1099 filed for the entire Health System appears on Part V, Line 1a of St. Vincent's Health System's Form 990. Form 990, Part VI, Section A, line 6 St. Vincent's East has a single corporate member, St. Vincent's Health System. Form 990, Part VI, Section A, line 7a St. Vincent's East has a single corporate member, St. Vincent's Health System, who has the ability to elect members to the governing body of the St. Vincent's East. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to St. Vincent's East financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Health System. Form 990, Part VI, Section A, line 8b There are no separate committees that have the authority to act on behalf of the governing body for St. Vincent's East. 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 or principal officer, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors considering the proposed transaction or arrangement. The remaining individuals on the governing board will decide if conflicts of interest exist. Each director or principal officer annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt status. Form 990, Part VI, Section B, line 15 In determining the compensation for the President of St. Vincent's East, the process, performed by the Health System, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviewed and approved the compensation, with facilitation by the SVP of HR/CLO and the director of compensation. In the review of the compensation, the president was compared to individuals at other hospitals 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 compensation was decided. In determining the compensation of other officers or key employees of the organization, the process, performed by the Health System, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Health System Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to individuals at other hospitals 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. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Auxillary Fund Balance 40,000. Transfers to/from Affiliates -51,132,882. Net Assets Released from Restrictions -3,319. CRNA Services of St Vincent's East LLC 50 Medical Park East Drive Birmingham AL 35235 455538732 Shell AL 0 0 St Vincent's East 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 Health System 810 St Vincents Drive Birmingham AL 35205 630931008 Health System Parent AL Section 501(c)(3) Schedule A, Line 11c Ascension Health 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 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 Health System 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's 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 N/A C 0 Ascension Ventures Corporation 810 St Vincents Drive Birmingham AL 35205 631217059 Misc Healthcare Services AL N/A C 0 Eastside Ventures Inc 810 St Vincents Drive Birmingham AL 35205 630846221 Misc Healthcare Services AL N/A C 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 St Vincent's Foundation C 291359 Journal Entry Transaction Eastside Ventures Inc J 67203 Journal Entry Transaction Vincentian Ventures J 93187 Journal Entry Transaction St Vincent's Health System P 28121267 Journal Entry Transaction StVincent's Foundation S 39738104 Journal Entry Transaction