2011-05-13T10:41:29-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 630578923 St Vincent's East STVI 2058383000 50 Medical Park East Drive Birmingham AL 35235 Wilma Newton 2059397791 2011-05-12 1 5137847100 2009 2016-02-24 21:20:13Z John O'Neil 50 Medical Park East Drive Birmingham AL 35235 235982688 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. 17 15 1571 85 837436 136395 767954 699883 187117262 202106577 46123 4097726 1765944 1347915 189697283 208252101 0 0 75208445 76532023 0 0 116081087 127421364 191289532 203953387 -1592249 4298714 181019753 187030960 54260106 54414090 126759647 132616870 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 189075789 201594347 Hospital facilities and medical services provided to the community and surrounding areas 189075789 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 1571 0 1 1 0 0 0 0 0 0 0 0 17 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 1 1 X David Cauble 2059397955 810 St Vincents Drive Birmingham AL 35205 Dan Sansone 5.00 X X 0 0 0 Susan W Matlock 5.00 X X 0 0 0 James D Davis 5.00 X X 0 0 0 Douglas B Nunnelley 5.00 X X 0 0 0 Robert Barnett 5.00 X 0 0 0 William K Bibb 5.00 X 0 0 0 Tina N Corr 5.00 X 0 0 0 Norman B Davis Jr 5.00 X 0 0 0 Morton Goldfarb MD 5.00 X 0 0 0 M James Gorrie 5.00 X 0 0 0 Benny M LaRussa Jr 5.00 X 0 0 0 Sr Mary Frances Loftin 5.00 X 0 0 0 Willie H Parker 5.00 X 0 0 0 Marc E Bloomston MD 5.00 X 0 0 0 William H McClanahan Jr MD 5.00 X 0 0 0 John O'Neil Sch O 40.00 X X 0 967674 14084 Todd Kennedy 40.00 X 270130 0 47736 Neeysa Biddle Sch O 40.00 X X 0 494669 48912 Nan Priest Sch O 40.00 X 0 334954 21699 Wilma Newton Sch O 40.00 X 0 243599 28223 Carol Maietta Sch O 40.00 X 0 204464 15718 Susan Cornejo End 110 40.00 X 0 208707 36899 Carol Ratcliffe 40.00 X 202372 0 30090 Dr Marion Sims 40.00 X 222374 0 17392 Thomas Novitski 40.00 X 208831 0 22809 Ronald Smith 40.00 X 203093 0 21574 David Earman 40.00 X 199633 0 12535 Vadus Beard 40.00 X 190342 0 19838 Charles James End 708 X 0 577216 0 1496775 3031283 337509 53 1 1 0 Alabama Anesthesiology & Pain 1875 Sweetbriar Lane Birmingham AL 35235 Healthcare Services 523014 Neonatal Nurse Practitioner 1608 Great Pine Pine Road Birmingham AL 35235 Healthcare Services 422486 St Clair Emergency Physicians MSC 114 PO Box 2244 Birmingham AL 35201 Healthcare Services 397584 Blount Emergency Physicians MSC 416 PO Box 2391 Birmingham AL 35201 Healthcare Services 395903 St Clair Healthcare Authority 1149 James Taylor Road Moody AL 35004 Capital Lease 380881 12 696586 3297 699883 Net Patient Revenue 621400 202044110 201206674 837436 I/C Rental Revenue 900099 62467 62467 202106577 1380298 1380298 631073 631073 631073 631073 30289401 27571973 2717428 2717428 2717428 233091 158614 74477 74477 Lab Testing 561000 271972 271972 Fitness/Wellness 621990 120731 120731 Low Vision Revenue 900099 53234 53234 196428 196428 642365 208252101 201594347 837436 5120435 481731 481731 62158356 55942520 6215836 2483958 2235562 248396 6918491 6226642 691849 4489487 4040538 448949 3100 2790 310 1817 1635 182 492230 443007 49223 13 12 1 1094726 1083779 10947 9259572 8333615 925957 4441932 4397513 44419 48576 43718 4858 1131702 1018532 113170 9712776 8741498 971278 1887783 1699005 188778 Supplies 41117787 40706609 411178 0 Bad Debt Expense 14943058 13448752 1494306 0 Corporate Allocation 12816681 11535013 1281668 0 Purchased Services 11663719 11547082 116637 0 Capitation claims 7807391 7729317 78074 0 10998501 9898650 1099851 203953387 189075789 14877598 0 14167692 10359478 16973526 21151741 3477049 2502166 1274631 1263165 122047186 28770876 127288498 93276310 38305 17800052 58478100 181019753 187030960 9880505 9670930 177639 44379601 44565521 54260106 54414090 X 126759647 132616870 126759647 132616870 181019753 187030960 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1816 1816 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 7840000 7840000 76953399 7709452 69243947 2400178 749228 1650950 34654393 20312196 14342197 199216 199216 93276310 Other Receivables 171413 Other Assets 137442 Due from STVHS 51087317 Physician Guarantee 590352 Health System Depository Account 6491576 58478100 Other Liabilities 93960 Credit Balances 1099112 Non Current Liab 12047000 Morrison 575069 Recourse Commitment 48788 Due to STVHS 30427527 Physician Guarantee Liability 274065 44565521 208252101 203953387 4298714 1540439 18070 1558509 5857223 Part X: Description of Uncertain Tax Positions Under FIN 48: Per the financial statements of Ascension Health (which include the activity of St. Vincent's East) there is no current year ASC 740 (fka FIN 48) footnote for the current year. Part XI, Line 8 - Other Adjustments: Adjust Auxiliary Per Compilation: 18070. 1 1 X 1 X 1 X 1 1 1 0 1 1 4355023 4355023 0.02300 17728679 13556670 4172009 0.02210 22083702 13556670 8527032 0.04510 6842 288817 575 288242 0.00150 554 1210774 559992 650782 0.00340 741 3375 3375 0.00000 8137 1502966 560567 942399 0.00490 8137 23586668 14117237 9469431 0.05000 1061 6360 6360 0.00000 1061 6360 6360 0 4311943 1479428 45610077 52119776 -6509699 X 1 1 St Vincent's East

50 Medical Park East Drive Birmingham AL 352050000

X X X X 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 I, Line 7f: The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $14,943,058. Part III, Line 4: The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible accounts based upon historical write off experience by payor category, including those amounts no covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the organization follows established guidelines for placing certain past due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization's policies.The cost of charge ratio was used to determine the bad debt expense at cost. Bad debt expense at cost attributable to patients eligible under the organization's charity polity was calculated by using the US Census date to determine the percentage of population below 200% of the FPL and applied that percentage to bad debt expense at cost as an estimate of charity in bad debt. Part III, Line 8: Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. The cost to charge ratio method is used in determining the shortfall. Part III, Line 9b: St. Vincent's Health System follows the Ascension guidelines for collection practices related to patients qualifying for charity or financial assistance. A patient can apply for charity or financial assistance at any time during the collection cycle. Once qualifying documentation is received the patient's account is adjusted off. Patient accounts for the qualifying patient in the previous six months may also be considered for charity or financial assistance. Once a patient qualifies for charity or financial assistance, all collection activity is suspended. Part VI, Line 2: Our most recent health care needs assessment was conducted between December 2007 and April 2008. The assessment included census data, public health information, and findings from 55 interviews with area health care/health services organizations chief executive officers and program managers. The assessment also included a review of the local healthcare infrastructure and existing service gaps, especially those impacting community members lacking 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. Please reference our attached policy for more details and eligibility. Part VI, Line 4: St. Vincent's Health System primarily services residents of central Alabama in the following seven counties: Blount, Cullman, Jefferson, Shelby, St. Clair, Talladega, and Walker. -Our primary service area consists of both rural and urban communities with a population of 1,239,319; median income of $40,885; and median age of 38. -Age of population: 24.2% age 0-17; 35.4% age 18-44; 26.8% age 45-64; and 13.6% age 65+-Sex: 51.7% Female and 48.3% Male-Ethnicity: 67.6% White Non-Hispanic; 26.7% Black Non-Hispanic: 3.2% Hispanic; 1% Asian Non-Hispanic-Language: English Speaking 96.44% and Non-English Speaking age 5+ 3.56%-There are 102 federally designated Medically Underserved Areas (MUAs) with 17% of the population is eligible for Medicaid inside the seven county service areas. -Insurance coverage breakdown is 57.7% Private; 15.8% Medicare; 15.4% Medicaid; and 11.1% Uninsured. -Poverty: 15.1% on average in poverty. Range in 7 counties is 6.9% to 19.3%.-Hospitals in service area: 18 total; 16 Not-For-Profit; , 2 For Profit, 1 academic medical center -Health Statistics: Obesity: 31%-Leading causes of death: Heart Disease, Cancer, Stroke Part VI, Line 5: St. Vincent's Health System provides the following community building activities in FY 2010:Habitat for Humanity - assist in helping to develop communities with people in need by building and renovating houses.Jeremiahs Hope - provides job skills to individuals who are at risk and seek to learn more about the Health Care industry.March of Dimes - assistance in helping to improve the health of babies by preventing birth defects, premature births and infant mortality through research, community service, education, and advocacy to save babies lives.Hannah Home - help to provide a home for youth, women, and children seeking refuge, hope, and help from abuse, neglect, abandonment, homelessness, and other difficult circumstances.Leukemia and Lymphoma Society - help to cure leukemia, lymphoma, Hodgkin's disease and myeloma, and improve the quality of life of patients and their families.Regions Charity Golf Classic - serve as a sponsor and volunteer in this special event that gives towards various charities.St. Vincent's has provided assistance and have partnered with several others to include, St. Vincent's Foundation Donation, 119 Activities, Christmas Store, Holy Family High School, Association of Retard Citizens, Imagine Library, Rotary Clubs, Pell City Block Party, Blount County Healthcare Authority, Blount County Fire Assoc, Oneonta Job Fair, Ala Nursing Coalition Advocacy Program, and Our Lady of Fatima to help build the community. Part VI, Line 6: This report illustrates the significant degree to which St. Vincent's Health System through its four hospitals and Health & Wellness facility, contributes to the positive health status of the communities we serve. The system's four hospitals include St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount and St. Vincent's St. Clair. East hospital has a seperate 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 to 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. FY10 Number of Number of Estimated Licensed Beds Patient Days Unreimbursed costSt. Vincent's Birmingham 372 108,016 9,476,713 St. Vincent's East 282 71,875 9,475,791 St. Vincent's Blount 40 6,023 1,196,108 St. Vincent's St. Clair 82 5,974 1,812,026 Total 776 191,888 21,960,638 St. Vincent's Heath System has a deep commitment to serving the community. We earmark a certain percentage of our yearly profits for charitable donations. Through this charitable donation program, we are able to support local chapters of national organizations such as the American Cancer Society, the American Heart Association, March of Dimes, and Susan G. Komen for the Cure. We also fund local programs and initiatives such as the United Way. Many of our executives serve on the boards of these organizations.We also realize that our community can extend beyond geographic boundaries, which is why we are pleased to partner with MedMission International. For many reasons, perfectly usable medical supplies, which could be used to save lives in poor countries, are required to be discarded in the United States. At St. Vincent's Health System, we collect that medical surplus and donate to MedMission International to redistribute it to under-served hospitals and clinics around the world.We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those unable to pay for their health care needs, and provide services to other organizations that allow them to provide quality services to their patients or constituents. Some of these services include Liz Moore Low Vision Center located at St. Vincent's East, Jeremiah's Hope Skills Program, Hispanic Outreach Ministry, Adult Medical Clinic and Elder Care Services program in which are all located at St. Vincent's Birmingham.The goal of the Liz Moore Low Vision Center at St. Vincent's East is to assist the person with low vision to use functional vision to the utmost capacity. A person with low vision may be legally blind but able to function with visual aids that enhance the remaining vision. With the assistance of magnification, and adaptations of the special low vision aids that are useful for certain daily tasks, the visually impaired person can function with less difficulty. The Vision Center provides services for the person with low vision. These services are designed to benefit a person's daily life activities, which may be hindered by the visual loss.St. Vincent's Birmingham Jeremiah's Hope Skills Program focuses on training at-risk individuals, particularly women, for entry level jobs in the healthcare industry. Today, more than 300 people have graduated from Jeremiah's Hope, and most are still working in the healthcare industry. St. Vincent's has also recently partnered with Jeff State Community College to begin identifying "under-employed" individuals from within our own workforce and training them to become nurses. Philanthropy allowed this revolutionary program to blossom and it has now become a model for other healthcare facilities nationwide.In 2003, St. Vincent's Birmingham initiated a Hispanic Outreach program, La Sana Esperanza/The Healthy Hope, recognizing the changing demographics in Birmingham. This program provides health and medical assistance to the burgeoning Latino population, often an isolated sector of our community. By identifying and placing high-risk persons in our Adult Medical Clinic, we are providing critical care for those in need in a fiscally responsible manner. We have provided health fairs, health screenings, health information, case management assistance, and language assistance to a myriad of persons within the Birmingham community in order to break down the barriers that lead to poor heath in the Latino population.The Adult Medical Clinic is a healthcare option for the "working poor" in the Birmingham area, serving individuals who are employed but lack health insurance. The Clinic treats up to 350 patients at any given time, providing for all of their healthcare needs at no cost to the patient. St. Vincent's works with patients to identify ways to acquire insurance and screens patients based on a willingness to make life changes conducive to good health. This charity care is only made possible because of charitable gifts which provide the equipment, space and staffing the Clinic needs. The Clinic is a service for those patients who have no other options and is possible because of the many philanthropists who support this ministry.The St. Vincent's Birmingham Elder Care Services Program was created in response to a need expressed by a donor to St. Vincent's Foundation. That donor is a self-described Elder Orphan. She has few family members and no prospects to assist her with care as she ages. She worries about her future when the time comes when she is no longer able to drive herself to and from physician appointments and to the grocery store. She trusts St. Vincent's to care for her medical needs and wondered if there was a way for St. Vincent's to assist people like her who will need additional assistance as they age. The idea was presented to Susann Montgomery-Clark in the Foundation office, and after more than two years of focus groups and meetings with St. Vincent's associates, the project was officially launched. Initial funding was requested from a group of focus group members who were supportive and excited about the project and a grant was obtained from the Daughters of Charity to begin work on the outline of services that the Elder Care Services Program might provide. Just in its infancy, the Elder Care Program has hopes to become one that assists our original donor and those like her who will need support services in their twilight years. We Are Called To: Service of the Poor -Generosity of spirit, especially for persons most in need, Reverence -Respect and compassion for the dignity and diversity of life, Integrity-Inspiring trust through personal leadership, Wisdom-Integrating excellence and stewardship, Creativity -Courageous innovation, Dedication-Affirming the hope and joy of our ministry.St. Vincent's Health System is made up of five facilities: St. Vincent's Birmingham, St. Vincent's Blount, St. Vincent's East, St. Vincent's St. Clair, and One Nineteen Health and Wellness. Together, we provide a special brand of high-touch, high-tech quality care to people in more than 40 different zip codes. Our healthcare family has an extensive network of skilled physicians and associates, as well as the most advanced technologies available. We are a part of Ascension Health, the nation's largest Catholic and non-profit health system, with more than 100,000 associates serving in 20 states and the District of Columbia. We are committed to providing healthcare that works, healthcare that is safe, and healthcare that leaves no one behind for life. Part VI, Line 7: St. Vincent's Health System (the Health Ministry) is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph and the Sisters of St. Joseph of Carondelet. The Health Ministry, located in Birmingham, Alabama, is a nonprofit health system. The Health Ministry is the sole corporate member of four not-for-profit acute care hospitals - St. Vincent's Birmingham, St. Vincent's East, St. Vincent's Blount, and St. Vincent's St. Clair LLC (collectively referred to as the Hospitals). The Hospitals provide inpatient, outpatient and emergency care services for the residents of Birmingham and surrounding areas. Admitting physicians are primarily practitioners in the local area. The Health Ministry is also the sole corporate member of St. Vincent's Foundation of Alabama, Inc. and St. Vincent's East Foundation, Inc. (collectively referred to as the Foundations). The Foundations provide fund raising efforts to support charitable, religious and educational purposes of charitable works of the Health Ministry in accordance with mission and values of Ascension Health. The consolidated financial statements of the Health Ministry also include the following healthcare entities: Universal Health Services (provides physician, diagnostic and rehabilitative services, as well as temporary lodging to families of patients), Seton Property Corporation of North Alabama (owns and rents professional office buildings and other real property primarily for medical services), Ascension Venture Corporation (provides for-profit wellness, spa and fitness services), and Vincentian Ventures of North Alabama, Inc. (operates a for-profit pharmacy and other occupational health services). The Health Ministry is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health are related to providing health care services.MissionAscension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons who are poor and community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the poor. - Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the poor, 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 who are poor and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data. Unreimbursed Services Provided to the Elderly and the PoorSt. Vincent's Health System provides a substantial portion of its services to the elderly and poor. During the fiscal year ending 2010, approximately 42% of the value of services rendered were to elderly patients under the Medicare program, and approximately 6% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. In the spirit of principles adopted by Ascension Health, St. Vincent's Health System has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending 2010, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaling approximately $8.4 million.Patient ServicesSt. Vincent's Health System mission focused health ministry, provides acute care services and community focused services.During the fiscal year ending 2010, our Health System treated 39,459 adults and children in the community for a total of 191,888 patient days of service. The Health System also provided services to 650,837 outpatients, including 31,742 outpatient surgery patients, 132,145 emergency and minor care visits and 97,739 clinic and office visits. SummarySt. Vincent's Health System furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status. X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 John O'Neil (Sch O) 0 413157 0 500668 0 53849 0 3672 0 10412 0 981758 0 0 Todd Kennedy 236725 0 0 0 33405 0 29413 0 18323 0 317866 0 0 0 Neeysa Biddle (Sch O) 0 422527 0 41375 0 30767 0 34873 0 14039 0 543581 0 0 Nan Priest (Sch O) 0 273637 0 0 0 61317 0 7350 0 14349 0 356653 0 0 Wilma Newton (Sch O) 0 200842 0 0 0 42757 0 23543 0 4680 0 271822 0 0 Carol Maietta (Sch O) 0 182919 0 0 0 21545 0 3289 0 12429 0 220182 0 0 Susan Cornejo (End 110) 0 206039 0 0 0 2668 0 24975 0 11924 0 245606 0 0 Carol Ratcliffe 180825 0 0 0 21547 0 7749 0 22341 0 232462 0 0 0 Dr Marion Sims 194343 0 18433 0 9598 0 2025 0 15367 0 239766 0 0 0 Thomas Novitski 178448 0 0 0 30383 0 6430 0 16379 0 231640 0 0 0 Ronald Smith 165095 0 9811 0 28187 0 6142 0 15432 0 224667 0 0 0 David Earman 167133 0 655 0 31845 0 5940 0 6595 0 212168 0 0 0 Vadus Beard 180078 0 0 0 10264 0 4970 0 14868 0 210180 0 0 0 Charles James (End 708) 0 0 0 0 0 577216 0 0 0 0 0 577216 0 577216 Part I, Line 1a Membership was provided to The Summit Club for the Executive team, as well as, Rotary and Kiwanis club memberships for various members of the management team to facilitate networking and community benefit related to St. Vincent's Health System. Part I, Line 4a Severence Payments: Charles C. James: $577,216 Part I, Line 4a Eligible Executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, paid out of the supplemental nonqualified retirement plan in the amounts as noted: Nan Priest - $36,101 Todd Kennedy - $27,222 A related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amounts as noted: Neeysa Biddle - $27,523 Susan Cornejo - $19,873 Wilma Newton - $20,985 Todd Kennedy - $22,148 Carol Ratcliff - $2,025 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. Form 990, Part VI, Section A, line 2 Dan Sansone and Susan Matlock have a business relationship. Form 990, Part VI, Section A, line 6 St. Vincent's 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 fka Eastern Health System, inc. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to St. Vincent's East, Inc. 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 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 member 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 conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomploi8sh its tax exempt status. Form 990, Part VI, Section B, line 15 In determining 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 other hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when compensation was decided. In determining 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 other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Form 990, Part VII: Avg hours devoted to related org(s) when related comp is reported: Officers (as noted with a "Sch O" reference) for St Vincent's East provide services to St. Vincent's Health System and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, officers hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for all entities. The St. Vincent's Health System Board of Directors has governance power for St. Vincent's East. Therefore, the Health System Board of Directors are listed on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors. Form 990, Part XI, Line 2: Financial statements of St. Vincent's East fall under the full scope audit of St. Vincent's Health System. 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. No individual audit report is issued for 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 N/A 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 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 Seton Property Corporation of North Alabama 810 St Vincents Drive Birmingham AL 35205 237326976 Real Estate AL Section 501(c)(2) St Vincent's Health System 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 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 Eastern Health Foundation 50 Medical Park East Drive Birmingham AL 35235 630909071 Fundraising AL Section 501(c)(3) Schedule A, Line 7 St Vincent's Health System 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 Universal Health Services 810 St Vincents Drive Birmingham AL 35205 630932323 Physician Group AL Section 501(c)(3) Schedule A, Line 3 St Vincent's Health System St Vincent Outpatient Surgery Services LLC 810 St Vincents Drive Birmingham AL 35205 200708162 Outpatient Surgery AL N/A Choctaw Investment Company Inc PO Box 968 Birmingham AL 35201 631276435 real estate AL N/A Limestone Land Company Inc PO Box 968 Birmingham AL 35201 631281739 real estate AL N/A St Vincent's Sleep Disorder Center LLC 810 St Vincents Drive Birmingham AL 35202 631282288 Healthcare AL N/A Vincentian Ventures of North Alabama Inc 810 St Vincents Drive Birmingham AL 35205 630965456 Misc Healthcare Services AL N/A C Ascension Ventures Corporation 810 St Vincents Drive Birmingham AL 35205 631217059 Misc Healthcare Services AL N/A C Eastside Ventures 810 St Vincents Drive Birmingham AL 35205 630846221 Misc Healthcare Services AL N/A C 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 Eastern Health Foundation C 696586 Eastside Ventures Apothecary I 62467 St Vincent's Health System O 22076253