TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CHARLES STRAUSS CHAIR (END 12/2018)	1.0 ................. 0	X	X			0	0	0
(2) JOHN PETILLO PHD CHAIR (START 1/2019)	1.0 ................. 1.0	X	X			0	0	0
(3) CRAIG A CORDOLA FACHE DIRECTOR (START 7/2019)	0.0 ................. 50.0	X				0	975,628	41,969
(4) JOSEPH R IMPICCICHE JD DIRECTOR (END 6/2019)	0.0 ................. 50.0	X				0	2,106,319	69,242
(5) PATRICIA A MARYLAND DRPH DIRECTOR (END 6/2019)	0.0 ................. 50.0	X				0	4,144,836	46,988
(6) CHRISTINE K MCCOY JD DIRECTOR (START 7/2019)	0.0 ................. 50.0	X				0	1,001,841	50,952
(7) ANTHONY J SPERANZO DIRECTOR	0.0 ................. 50.0	X				0	3,145,336	48,995
(8) DAWN M RUDOLPH PRESIDENT/CEO	50.0 ................. 50.0		X			320,686	120,846	33,232
(9) CHRISTOPHER G GIVEN CFO	0.0 ................. 50.0		X			0	295,184	24,754
(10) DANIEL GOTTSCHALL MD CHIEF CLINICAL OFFICER	50.0 ................. 0.0			X		427,122	0	46,450
(11) DIANNE J AUGER SVP & CHIEF STRATEGY OFFICER	50.0 ................. 0.0			X		366,231	0	35,688
(12) DALE DANOWSKI SVP, CNO & COO	50.0 ................. 0.0			X		365,857	0	37,464
(13) CORINA MARCU MD DIO/Chief Qual & Educ Officer	50.0 ................. 0.0				X	328,227	0	48,310
(14) JOSEPH MATTANA MD CHAIR MEDICINE/DIRECTOR MEDICAL EDUCATION	50.0 ................. 0				X	317,918	0	50,814
(15) ROBERT B BROWN PROG DIR-PHY RESIDENT/STUDENTS	50.0 ................. 0				X	228,689	0	38,231
(16) MELISSA J LANZA STAFF NURSE ICU	50.0 ................. 0				X	217,046	0	38,667
(17) BROOKE A KARLSEN VICE PRESIDENT	50.0 ................. 0				X	215,849	0	36,074

(A) Name and business address	(B) Description of services	(C) Compensation
CONNECTICUT ORTHOPEDIC MANAGEMENT LLC 2800 MAIN ST BRIDGEPORT,CT066064201	ORTHOPEDIC SERVICES	491,906
CONNECTICUT HOSPITAL ASSOCIATION 110 BARNES ROAD WALLINGFORD,CT064920090	CONSULTING AND ADVOCACY SERVICES	459,731
CONNECTICUT CHILDRENS MEDICAL CENTER 282 WASHINGTON ST HARTFORD,CT061063322	MEDICAL SERVICES	442,167
ASSOCIATED NEUROLOGISTS OF SOUTHERN CT 75 KINGS HIGHWAY CUTOFF FL 5 FAIRFIELD,CT068245340	NEUROLOGY SERVICES	385,850
SOUTHERN CONNECTICUT VASCULAR CENTER LLC 495 HAWLEY LN STE 2A STRATFORD,CT06614	MEDICAL SERVICES	360,133
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 29

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

St Vincent's Medical Center

Employer identification number

06-0646886

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

St Vincent's Medical Center

Employer identification number

06-0646886

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization St Vincent's Medical Center

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization St Vincent's Medical Center		Employer identification number 06-0646886

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization St Vincent's Medical Center			Employer identification number 06-0646886
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

St Vincent's Medical Center

Employer identification number

06-0646886

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

119,524

Total. Add lines 1c through 1i ....................................................................................................

119,524

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT PAYMENTS TO KENNETH L. PRZYBYSZ, LLC, HUGHES & CRONIN AND THE PORTION OF DUES PAID TO THE CONNECTICUT HOSPITAL ASSOCIATION (CHA), AND THE AMERICAN TRAUMA SOCIETY THAT ARE SPECIFICALLY ALLOCABLE TO LOBBYING. KENNETH L. PRZYBYSZ, LLC IS ENGAGED BY ST. VINCENT'S MEDICAL CENTER AS A PUBLIC POLICY AND GOVERNMENT AFFAIRS CONSULTANT TO ASSIST IN MAINTAINING REIMBURSEMENT FOR THE BEHAVIORAL HEALTH SERVICES LINES OF BUSINESS. Hughes and Cronin is paid as a public policy and government affairs consultant to assist in a broad range of legislative issues. ST. VINCENT'S MEDICAL CENTER DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Return Reference

Explanation

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

LOBBYING EXPENSES REPRESENT PAYMENTS TO KENNETH L. PRZYBYSZ, LLC, HUGHES & CRONIN AND THE PORTION OF DUES PAID TO THE CONNECTICUT HOSPITAL ASSOCIATION (CHA), AND THE AMERICAN TRAUMA SOCIETY THAT ARE SPECIFICALLY ALLOCABLE TO LOBBYING. KENNETH L. PRZYBYSZ, LLC IS ENGAGED BY ST. VINCENT'S MEDICAL CENTER AS A PUBLIC POLICY AND GOVERNMENT AFFAIRS CONSULTANT TO ASSIST IN MAINTAINING REIMBURSEMENT FOR THE BEHAVIORAL HEALTH SERVICES LINES OF BUSINESS. Hughes and Cronin is paid as a public policy and government affairs consultant to assist in a broad range of legislative issues. ST. VINCENT'S MEDICAL CENTER DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

St Vincent's Medical Center

Employer identification number

06-0646886

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	19,582,888	18,889,930	12,489,489	12,123,789	12,347,155
b	Contributions ...	1,920	5,338	4,396,122	77,694	69,719
c	Net investment earnings, gains, and losses	506,003	1,308,510	2,127,527	472,633	-50,471
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	91,161	493,526	12,839	120,261	169,391
f	Administrative expenses ....	139,759	127,364	110,369	64,366	73,223
g	End of year balance ......	19,859,891	19,582,888	18,889,930	12,489,489	12,123,789

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

72.56 %

Temporarily restricted endowment SchDMd Bullet

27.44 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	4,662,240		4,662,240
b	Buildings ....	156,414,059	79,439,086	76,974,973
c	Leasehold improvements	1,896,955	781,532	1,115,423
d	Equipment ....	275,707,757	214,404,909	61,302,848
e	Other .....	2,252,949	369,080	1,883,869
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				145,939,353

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INVESTMENTS HELD BY ST. VINCENT'S MEDICAL CENTER FOUNDATION				29,471,144
(2) DUE FROM SPECIFIC PURPOSE FUNDS				35,308
(3) OTHER RECEIVABLES				2,491,971
(4) SECURITY DEPOSITS				96,931
(5) DEFERRED COMPENSATION/RETIREMENT/PENSION ASSET				1,294,216
(6) PHYSICIAN GUARANTEE ASSET				727,500
(7) OTHER MISCELLANEOUS ASSETS				37,472
(8) DEFERRED TAX ASSET				7,711
(9) DONOR RESTRICTED ASSET				278,952
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				34,441,205

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DUE TO AFFILIATES	115,817,396
ESTIMATED THIRD PARTY PAYORS SETTLEMENTS	6,445,528
OTHER LIABILITIES	202,554
LIABILITY SOLD WITH RECOURSE	1,317,556
DEBT WITH ASCENSION HEALTH ALLIANCE
RECOVERY TAIL LIABILITY	1,170,866
DEFERRED COMPENSATION/RETIREMENT/PENSION LIABILITY	2,823,869
PHYSICIAN GUARANTEE LIABILITY	334,508
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	128,112,277
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE ENDOWMENT FUNDS WERE ESTABLISHED TO SUPPORT THE MISSION OF THE ORGANIZATION BY PROVIDING FUNDING FOR VARIOUS CLINICAL AREAS AND NEEDS OF THE MEDICAL CENTER AND ITS PATIENTS, STAFF, AND VOLUNTEERS. EACH FUND IS USED FOR THE SPECIFIC PURPOSE DESIGNATED BY THE DONOR. MANY FUNDS ARE AVAILABLE FOR THE RUNNING OF CLINICAL PROGRAMS AND THE PURCHASE OF CAPITAL NEEDS FOR THOSE PROGRAMS. OTHER FUNDS ARE AVAILABLE FOR STAFF EDUCATION AND SUPPORT. SOME FUNDS PROVIDE FOR PATIENT EDUCATION, SCREENING, SUPPORT, OR TO PROVIDE FREE OR REDUCED CARE TO VERY SPECIFIC GROUPS IDENTIFIED BY EACH FUND. A FEW FUNDS PROVIDE AWARDS TO OUTSTANDING STAFF AND VOLUNTEERS.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

From the consolidated audited financial statements of St. Vincent's Medical Center: The member health care entities of the Medical Center, except for Vincentures, are tax exempt organizations under Internal Revenue Code Section 501(c)(3) or Section 501(c)(25), and their related income is exempt from federal income tax under Section 501(a). Vincentures is an inactive taxable corporation. Therefore, no provision for income taxes is necessary. The Medical Center accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Management has analyzed the tax positions taken and has concluded that as of September 30, 2019, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements.

Schedule D (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

St Vincent's Medical Center

Employer identification number

06-0646886

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			8,553,832		8,553,832	2.23 %
b	Medicaid (from Worksheet 3, column a) . . . . .			38,132,790		38,132,790	9.96 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			45,918,014		45,918,014	11.99 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	92,604,636	0	92,604,636	24.18 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	35	11,458	1,661,998	295,063	1,366,935	0.36 %
f	Health professions education (from Worksheet 5) . . .	3	91	2,820,204		2,820,204	0.74 %
g	Subsidized health services (from Worksheet 6) . . . .	2		3,694,420		3,694,420	0.96 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .					0	0 %
j	Total. Other Benefits . .	40	11,549	8,176,622	295,063	7,881,559	2.06 %
k	Total. Add lines 7d and 7j .	40	11,549	100,781,258	295,063	100,486,195	26.24 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense
1	Physical improvements and housing					0
2	Economic development					0
3	Community support	6	597	10,477		10,477
4	Environmental improvements					0
5	Leadership development and training for community members					0
6	Coalition building					0
7	Community health improvement advocacy	1		407		407
8	Workforce development					0
9	Other					0
10	Total	7	597	10,884	0	10,884

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

7,694,558

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

136,170,287

Enter Medicare allowable costs of care relating to payments on line 5.....

172,646,526

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-36,476,239

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1Connecticut Orthopedic Management LLC	Management and Process Improvement of Orthopedic Service Lines	50 %	50 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST VINCENT'S MEDICAL CENTER 2800 Main Street Bridgeport,CT06606 http://www.stvincents.org 0057	X	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST VINCENT'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://stvincents.org/health-wellness/health-resources/community-health-needs-assessment

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://stvincents.org/health-wellness/health-resources/community-health-needs-assessment

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST VINCENT'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.0% and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistance

The FAP application form was widely available on a website (list url):

https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistance

A plain language summary of the FAP was widely available on a website (list url):
https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistance

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST VINCENT'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ST VINCENT'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - St. Vincent's Medical Center. According to 2019 Community Health Needs Assessment (CHNA), the CHNA "was spearheaded, funded, and managed by the Health Improvement Alliance" which is made up of organizations "representative of those in the community who serve underserved, low-income, and hard to reach populations". The HIA includes the following organizations: Providers Bridgeport Hospital/YNHHS St. Vincent's Medical Center Optimus Healthcare Southwest Community Health Center Americares Free Clinic of Bridgeport Greater Bridgeport Medical Assoc. Northeast Medical Group Pediatric Healthcare Associates Visiting Nurse Services of CT Health Departments City of Bridgeport Department of Health and Social Services Fairfield Health Department Monroe Health Department Trumbull Health Department Stratford Health Department Easton Health Department Government City of Bridgeport/City Council Town of Stratford/City Council Town of Fairfield Town of Trumbull Town of Monroe Schools Bridgeport Public School System Bridgeport Hospital School of Nursing Fairfield University School of Nursing Sacred Heart University School of Nursing St. Vincent's College Nursing Program Southern CT State University Housatonic Community College University of Bridgeport Faith Based Greater Bridgeport Council of Churches Catholic Charities Social Service Agencies Bridgeport Rescue Mission Council of Churches Hunger Outreach Network (HON) United Way of Coastal Fairfield County Wholesome Wave Central CT Coast YMCA YMCA Kolbe Daycare Center Green Village Initiative Businesses Bridgeport Regional Business Council Housing Supportive Housing Works Mental Health Providers Recovery Network of Programs The Connection Continuum of Care Liberation Programs Payers Community Health Network Access Health CT Value Options Advocacy Groups American Diabetes Association American Heart & Stroke Association Bridgeport Alliance for Young Children Bridgeport Child Advocacy Coalition Bridgeport Food Policy Council Southwestern Area Health Education Center DataHaven Hispanic Health Council State Agencies CT Department of Mental Health & Addiction Services/Greater Bridgeport Mental Health Services CT Department of Public Health CT Department of Social Services Southwest CT Mental Health Board According to the 2019 CHNA, both qualitative and quantitative data was collected to compile the report. Quantitative data collection was initially built from the data collected in the 2016 CHNA. According to the 2019 CHNA document, additional data was obtained "from sources including, but not limited to, the U.S. Census, U.S. Bureau of Labor Statistics, Centers for Disease Control and Prevention, State of Connecticut Department of Public Health, Connecticut Health Information Management Exchange (CHIME), as well as local organizations and agencies. Types of data include vital statistics based on birth and death records." In addition, quantitative data was obtained through a Community Wellbeing Survey conducted by DataHaven. According to the 2019 CHNA, "The Community Wellbeing Survey team assisted the Health Improvement Alliance to gather quantitative primary data that were not provided by secondary sources and to understand public perceptions around health, including social determinants, and other issues. The Wellbeing Survey was conducted from March to November 2018 by the Siena College Research Institute. The Survey was administered to randomly-selected landlines and cell phones and resulted in in-depth interviews with 16,043 adults statewide including 1,715 adults living in Bridgeport, Easton, Fairfield, Monroe, Stratford and Trumbull. The survey was designed by DataHaven and the Siena College Research Institute, in consultation with local, state, and national experts including members of HIA. Interviews were weighted to be statistically representative of adults in each city, town or geographic region. Surveys were administered in both English and Spanish and zip codes were targeted to supplement samples of hard-to-reach populations." Qualitative data was obtained through community conversations and key informant surveys. According to the 2019 CHNA, "In February and March 2019, seven community conversations engaging a total of 114 individuals were conducted by Health Equity Solutions (HES) in the Greater Bridgeport region. The goals of the community conversations were to determine residents' perceptions of health strengths and needs in the Greater Bridgeport region; to identify gaps, challenges, and opportunities for addressing community needs more effectively; and to explore how these issues can be addressed in the future." Key informant surveys were conducted online and, according to the 2019 CHNA document, were "administered and analyzed by the Yale School of Public Health Student Consulting Group. The online survey was administered to two groups consisting of community leaders and health and human service providers, in the Greater Bridgeport area using Qualtrics, an online survey tool...Surveys were designed to better understand the health needs of the Greater Bridgeport region and included qualitative and quantitative questions on community health initiatives, health related problems, barriers to good health, health services, and current outlooks." The document also describes how the medically underserved, low income, or minority populations were represented. The 2019 CHNA states, "Working with the Health Improvement Alliance (HIA), groups having a disproportionate burden of health issues were identified (i.e., lower-income adults, uninsured residents, individuals with limited English proficiency or Latino adults) as a priority to include in the community conversations. HIA members identified specific groups and/or organizations that fulfilled these criteria, and Health Equity Solutions organized and facilitated the following groups: uninsured residents from an urban free health clinic; a mixed group of community residents; residents affiliated with a Hispanic church; parish nurses; seniors from two urban/suburban senior centers; and community members of an urban/suburban community center."
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - ST. VINCENT'S MEDICAL CENTER. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITY: BRIDGEPORT HOSPITAL/YALE NEW HAVEN HEALTH SYSTEM.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - ST. VINCENT'S MEDICAL CENTER. The CHNA was conducted with the following non-hospital organizations: Optimus Healthcare; Southwest Community Health Center; Americares Free Clinic of Bridgeport; Greater Bridgeport Medical Assoc.; Northeast Medical Group; Pediatric Healthcare Associates; Visiting Nurse Services of CT; City of Bridgeport Department of Health and Social Services; Fairfield Health Department; Monroe Health Department; Trumbull Health Department; Stratford Health Department; Easton Health Department; City of Bridgeport/City Council; Town of Stratford/City Council; Town of Fairfield; Town of Trumbull; Town of Monroe; Bridgeport Public School System; Bridgeport Hospital School of Nursing; Fairfield University School of Nursing; Sacred Heart University School of Nursing; St. Vincent's College Nursing Program; Southern CT State University; Housatonic Community College; University of Bridgeport; Greater Bridgeport Council of Churches; Catholic Charities; Bridgeport Rescue Mission; Council of Churches Hunger Outreach Network (HON); United Way of Coastal Fairfield County; Wholesome Wave; Central CT Coast YMCA; YMCA Kolbe Daycare Center; Green Village Initiative; Bridgeport Regional Business Council; Supportive Housing Works; Recovery Network of Programs; The Connection; Continuum of Care; Liberation Programs; Community Health Network; Access Health CT; Value Options; American Diabetes Association; American Heart & Stroke Association; Bridgeport Alliance for Young Children Bridgeport Child Advocacy Coalition; Bridgeport Food Policy Council; Southwestern Area Health Education Center; DataHaven; Hispanic Health Council; CT Department of Mental Health & Addiction Services/Greater Bridgeport Mental Health Services; CT Department of Public Health; CT Department of Social Services; Southwest CT Mental Health Board
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST. VINCENT'S MEDICAL CENTER. The 2019 CHNA identified three top health priorities in the Greater Bridgeport area. These areas are healthy lifestyles, which includes cardiac disease and diabetes; behavioral health; and access to care. These are the same areas identified in the 2016 CHNA, but the goals have been adjusted to build upon the work already accomplished in the prior CHNA. Other findings that were not considered a priority in the CHNA and were not assigned to a focus area will not be addressed due to limitations on the available resources. The Medical Center's 2019 Community Health Improvement Plan includes the following implementation strategies: In the area of Healthy Lifestyles, the Medical Center plans to continue the Know Your Numbers program in the region, plans to try to increase the number of days per week adults in the area exercise, plans to decrease the rate of tobacco and e-cigarette use, and plans to increase access to healthy food and address other social determinants of health in the region. In the Access to Care area, the Medical Center plans to promote medical services in the region to increase the number of people who have a set medical provider "home", to create a model to promote continuity of care for patients by connecting them to a primary care resident physician, to promote dental services in the region to help increase the number of people receiving annual dental care, plans to increase access to specialty care providers, working with other partners to improve access to reliable medical transportation, and plans to increase Culturally and Linguistically Appropriate Services standards in the region. In the area of Behavioral Health, the Medical Center plans to increase access to mobile and community based behavioral health services, to develop targeted messaging to promote awareness of available behavioral health resources, plans to improve coordination of care for patients who frequent emergency departments in the region, and plans to continue organizing, coordinating and hosting the Behavioral Health Task Force meetings at St. Vincent's Medical Center. According to the 2019 CHNA document, "Since completing its last CHNA in 2016, the partnership has taken multiple steps to further enhance its focus in order to better serve our community. Those steps include: - In 2017, HIA conducted an internal survey to allow all members the opportunity to help guide the direction of the group by providing valuable feedback, including identifying new potential partners and determining monthly meeting schedules and locations. - In summer 2018, the Cardiovascular Disease and Diabetes Task Force and Obesity (Healthy Lifestyles) Task Force combined into one group under the name Healthy Lifestyles. The new combined group continues to meet monthly and work on all identified strategies and action steps from the 2016 CHNA. This new streamlined approach to these focus areas allowed for less duplication and more concentrated effort. - The PCAG partnership officially changed its name in early 2019 to the Health Improvement Alliance (HIA). This new name was chosen to more accurately reflect the current work being done by the group to improve the health of the surrounding community. - Along with the name change came the development of a new tagline, Partnering to build healthier communities since 2003. What was once a group that came together to connect people to primary care has become a partnership working to improve health through multiple strategies and focus areas. - In 2017, a Tracking and Evaluation Subcommittee was formed and has since developed standardized forms, processes and semiannual dashboards to track progress towards goals for all of the task forces to utilize. - In 2018, a Communications Subcommittee was formed that helped with the development of the new partnership name, communications plan and website development (to be completed by summer 2019). This was all done in an effort to better communicate our work to the general public." The 2019 CHNA document also lists the following as the accomplishments of each task force from the 2016 CHNA: "Access to Care Task Force Accomplishments - Since 2016, the Access to Care Task Force has worked on a variety of issues that impact patients receiving and seeking appropriate medical care. They have focused their main strategies on patient transportation issues, availability of specialty care, seeking appropriate care in the appropriate setting, and asthma. - Developed and implemented a magnet and 1-page informational sheet for providers to distribute to patients. This magnet serves as a way for patients to easily identify the appropriate healthcare providers needed in certain medical situations, with a goal of decreased non-emergency trips to a hospital ED. - Created a specialty care database to identify gaps and needs in the region. - Created a dental referral form to pilot at Weisman AmeriCares Free Clinic of Bridgeport in order for their providers to refer patients with dental needs to local clinics. This pilot is still underway and the group is now planning on rolling this process out to other providers. - Developed a system and communicated it to local providers to help assist patients with setting up a dental appointment. - As one of the initial accomplishments of the partnership in its early years, the Dispensary of Hope Greater Bridgeport, which is a free pharmacy, served over 4,500 patients in 2017 and has saved patients roughly $1.2 million in medication costs. - Continues to work closely with Veyo, the Medicaid and Medicare non-emergency medical transportation provider for the state, to identify and troubleshoot issues with non-emergency medical transportation experienced by providers and their patients. - Worked to build upon the work of the CLAS symposium hosted by HIA in summer 2018, by hosting CLAS learning sessions during three monthly meetings in 2018. This group plans to continue these learning sessions in order to identify current CLAS standards being met by HIA partners and gaps to address. - The Stratford Health Department has been leading the regional work for Putting on AIRS. They have incorporated a Community Health Worker (CHW) onto the program team. Asthma patients now receive three education visits from Certified Asthma Educators, two visits from the CHW (phone call follow-ups) and one visit from an Environmentalists about housing issues. Since 2017, they have focused on indoor air quality and resolution of in home environmental triggers as well as the Social Determinants of Health that impact a patient's/family's ability to self-manage their asthma. First quarter analysis indicated an improvement in program completion. - Worked with Bridgeport Hospital to present dental health information at a grand rounds, which was completed in 2018. Behavioral Health Task Force Accomplishments - Since 2016, the Behavioral Health task force has worked to develop and implement a screening tool for mental health and substance abuse that could be integrated into different types of organizations. After development of the tool, potential sites to implement this new screener were identified, and staff at each site were trained to use the tool. In addition to this work, this group continues to oversee the work of the Community Care Team (CCT). The purpose of the CCT is to increase access to services by improving the coordination of care for frequent users of ED in local hospitals with behavioral health needs. - Held weekly meetings of the CCT and in February of 2018, the CCT process was refined under the direction of a new facilitator. - Developed a tool to integrate mental health and substance abuse screenings into urgent care and municipal settings. The tool has been utilized at municipal human services departments. - Supported public awareness campaigns to de-stigmatize issues around mental health and provide training to providers and support to patients and their families.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - ST. VINCENT'S MEDICAL CENTER - Part II. Healthy Lifestyles Task Force Accomplishments - In summer of 2018, the Cardiovascular Disease and Diabetes task force and Obesity (Healthy Lifestyles) task force combined into one group under the name Healthy Lifestyles. This combined task force has worked towards preventing chronic diseases, particularly cardiovascular disease and diabetes, through promoting healthy lifestyle choices. Know Your Numbers (KYN), a community-based health screening program for food pantries and other venues, that was developed by the Cardiovascular Disease and Diabetes Task Force in 2014, continued and was expanded upon by the Healthy Lifestyles Task Force. - Hosted an annual free family fitness event in Stratford 2016-2018 and Bridgeport in 2019. These events all included physical activity demonstrations and classes, information on local resources and activities for families to encourage movement and healthy lifestyle choices. - Developed the Get Healthy Walk 'n Talk program in 2016. The walks are way to bring local healthcare professionals and community residents together for physical activity. Since then, 32 total Get Healthy Walk 'n Talks have taken place throughout the region in Bridgeport, Stratford, Fairfield and Trumbull. Also created a Get Healthy Walk 'n Talk Toolkit which allows other towns outside of the greater Bridgeport region to replicate the program. Successful walks have taken place in multiple towns beyond the region. - Offered six smoking cessation programs throughout Fairfield, Stratford and Trumbull. - Evaluated implementation of a regional bike share program to greater Bridgeport. A subgroup of the task force identified potential partners, worked with town officials to receive approvals and conducted surveys with residents and employees that live and work in all six towns. Planning continues today and each town involved is invested in moving this program forward - Promoted healthy worksites through the creation of a Get Healthy Pledge. The pledge form contains three different types of initiatives that organizations could commit to. These included building a culture of health by integrating existing Get Healthy CT resources into the workplace, improving healthy eating options within the organization and increasing physical activity opportunities for employees. To date, 17 local organizations have signed the pledge to implement healthy eating and/or physical activity initiatives in their organization. - In 2019, the City of Bridgeport passed a local Tobacco21 ordinance. - From 2016-2019, 1,316 individual KYN screenings were conducted in food pantries in the region. This combined with screenings offered by partner organizations in other venues for approximately 3,000 individual screenings completed since the program began in 2014. - Since 2016, several enhancements were implemented into the KYN screening program. Those include: - Offered a Nutrition 101 program for food pantry managers and volunteers. 37 people total attended trainings and scores on the post-test increased an average of 26%. - Worked with three pantries to implement Supporting Wellness At food Pantries (SWAP), a nutritional ranking system developed by the UConn Rudd Center and Saint Joseph's University. - In 2017, received funding through the Bridgeport Rotary Foundation to expand SWAP in three additional food pantries. - In 2019, added the hemoglobin A1c screening to KYN to identify those with pre-diabetes and uncontrolled diabetes. - In 2019, distributed automated blood pressure cuffs to all those who were screened with elevated blood pressure, in total 59% of all those who were screened. - In 2018, the KYN team partnered with community health workers from Southwestern Area Health Education Center (SWAHEC) to provide screening participants connections to local resources. From February 2018-March 2019, 156 KYN participants were seen by CHWs to be referred to community resources. CHWs provided the most referrals to primary care for screening follow-up, followed by referrals for clothing needs, energy assistance programs, and diaper banks. - 15 different sites in the region joined the American Heart Association Check It! Connecticut challenge, a four-month long evidence based program that provides health education while encouraging individuals to self-monitor their blood pressure numbers. These sites received stroke awareness and education materials, impacting approximately 2,500 people. - Optimus Health Care in Bridgeport, a federally qualified health center, hired two community health workers who conducted blood pressure screenings in community locations. They also identified community pharmacists to provide Medication Therapy Management (MTM) and created a workflow between the pharmacy and those suffering from high blood pressure."

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?11
Name and address		Type of Facility (describe)
1	St Vincent's Behavioral Health Services Bridgeport 2400 Main Street Bridgeport,CT066065323	Outpatient Behavioral Health Services
2	St Vincent'sBehavioral Health Services Norwalk 1 Lois Street Norwalk,CT06851	Outpatient Behavioral Health Services
3	St Vincent's Center for Wound Healing 115 Technology Drive Trumbull,CT06611	Wound Care Services
4	St Vincent's Center for Wound Healing 3272 Main Street Stratford,CT06614	Wound Care Services
5	St Vincent's Heart and Vascular Center 2979 Main Street Bridgeport,CT06606	HEART AND VASCULAR SERVICES
6	St Vincent's Heart and Vascular Center 3272 Main Street Stratford,CT06614	HEART AND VASCULAR SERVICES
7	St Vincent's Heart and Vascular Center 40 Cross Street Norwalk,CT06851	HEART AND VASCULAR SERVICES
8	St Vincent's Heart and Vascular Center 1177 Summer Street 5th Floor Stamford,CT06905	HEART AND VASCULAR SERVICES
9	St Vincent's Heart and Vascular Center 115 Technology Drive Trumbull,CT06611	HEART AND VASCULAR SERVICES
10	St Vincent's Heart and Vascular Center 425 Post Road Fairfield,CT06824	HEART AND VASCULAR SERVICES
11	Family Health Center 762 Lindley Street Bridgeport,CT06606	Family Health Clinic

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION - PART I	The primary service area (PSA) of St. Vincent's Medical Center (SVMC) consists of the city of Bridgeport and the surrounding towns of Fairfield, Easton, Monroe, Trumbull, Stratford, and Shelton. According to the Community Health Needs Assessment, (found on St. Vincent's website), the total estimated population of the PSA as of 2019 is 330,000. Bridgeport comprises approximately 45% of the region's population. (Source: 2019 CHNA) Bridgeport is located in Northeast Fairfield County along Long Island Sound, partway between New York City and Boston. Composed of 16 square miles of land mass, Bridgeport is the largest and most densely populated city in Connecticut and the fourth largest City in New England. Its population is approximately 144,400. According to the US Cenus bureau's July 2019 estimates, Bridgeport's population is 20.3% White, 35.3% Black or African American, 40.0% Hispanic, and 4.4% other. Bridgeport is a very diverse community, with the majority of residents being black or Hispanic, while the suburbs are mostly white non-Hispanic. The population of Fairfield County is aging, and is projected to age rapidly over the coming decades. Income Disparity There are wide gaps in median household income rates within the Greater Bridgeport Region. The towns of Easton, Fairfield, Monroe and Trumbull are affluent with median incomes substantially higher than national and state averages. Stratford, which has a long history as an industrial town, was described by residents as blue collar and middle class. Bridgeport has a high poverty rate and a lower median income than both state and national averages. It is among the poorest cities in the country. Bridgeport is an area that is socially and economically challenged with many patients who are unemployed, uninsured or underinsured and without resources. Bridgeport is one of four cities in the state that have the highest number of households with incomes below the poverty level and the highest rates of childhood lead poisoning. In particular, the central and East End neighborhoods of Bridgeport have very low income levels by national and state standards, so much so that they are ranked among the most economically disadvantaged in the Northeast. According to the 2018 DataHaven Community Wellbeing Survey of adults age 18 and over: - 52% report that they are just getting by or finding it difficult to get by financially - 45% have less than two months' savings - 30% report that they are financially underwater - 28% identify as being food insecure - 23% report that they are transportation insecure Although Fairfield County has a reputation for affluence, it is clear that many of the area's residents in Bridgeport are living paycheck to paycheck. These residents look to St. Vincent's as a safety net. Perceived quality of society relates to neighborhood trust, safety, child-friendliness, perceptions of government services, and many other factors. Responses from Bridgeport residents were much less positive than those from the surrounding towns. Responses are highly correlated to income levels with lower income households being less positive about quality of society. Unemployment Bridgeport also has a high rate of unemployment, tied for third worst in the state as of December 2019. The Connecticut Department of Labor reported that the unemployment rate in Bridgeport was 5.5% compared to 3.7% statewide or 3.4% in Fairfield, 3.4% in Trumbull, and 4.4% in Stratford, Bridgeport's closest neighboring communities (Source: Connecticut Labor Force Data by Place of Residence 2019). Poverty In 2018, 48.4 % of Bridgeport children under the age of 18 lived in single-parent homes compared to 32.8% of children statewide. In 2018, 44.3 % of families in Bridgeport headed by single females with children under the age of 18 lived in poverty, increasing 38.8% since 2017. Bridgeport's overall child poverty rate still surpasses that of Fairfield County, Connecticut and the United States.1 Families, and particularly children, living in poverty are more likely to suffer from poor health, drop out of school, and experience hunger, homelessness, and violence. In 2018, 33.1% of Bridgeport children lived under the federal poverty level (FPL). This percentage is more than double Connecticut's overall rate of 14.1% of children who live under the FPL. Almost one out of every three children in Bridgeport lives in poverty. In 2018, 1,180 Bridgeport children were cared for by a grandparent, a decrease from the number recorded in 2017. In 2019, 139 children spent time in a Bridgeport emergency shelter or transitional housing.1 Child Hunger As of November 2019, there were 12,176 Bridgeport children who lived in families enrolled in the Supplemental Nutritional Assistance Program or SNAP (formerly known as food stamps). An estimated 13.4% (29,400) of Fairfield County children suffered from food insecurity in 2017 compared to 15.5% of children statewide. Food insecurity is defined as the inability to afford or access enough food for an active, healthy lifestyle. 12.4% of Connecticut households were food insecure from 2016-18 with another 4.2% reporting very low food security.1 1 Bridgeport Child Advocacy Coalition, State of the Child Report, 2019 Education Only 18% of Bridgeport adults age 25 and over have a college degree or higher, less than half the rate for the state; Stratford also falls below the state rate with only 33% of the residents having a college degree or higher. The proportion of residents with a college degree or higher in Easton, Fairfield, Monroe and Trumbull is greater than that of the state, with Fairfield's adults having a college educational attainment rate of 63%. (2019 HIA CHNA) Environmental Concerns Bridgeport is crossed by Interstate 95, a main vehicular corridor from New York to Boston that is cited as the main source of air toxins and greenhouse gases in the City. The Industrial Revolution of the 1930's left Bridgeport with numerous Brownfield sites, which are linked to lead poisoning, and multiple cancers. A Johns-Hopkins study of Brownfields in the Baltimore, MD area, demonstrated a 20% increase in mortality, 27% increase in cancer mortality, 33% increase in lung cancer mortality, and 39% increase in respiratory mortality among residents in higher Brownfield hazard zones. This strongly corroborates the theory that Brownfields are detrimental to human health. (Litt & Tran 2002) The poor air quality in Bridgeport may be a major factor in the high incidence of asthma in households in the City. St. Vincent's is participating in a Connecticut Hospital Association Asthma Task Force to help combat the problem. Chronic Disease Bridgeport is seeing the combined effects of economically-distressed neighborhoods, lower socioeconomic status, older housing, and a younger population, which relate to greater numbers of violent acts, childhood asthma, lead poisoning, and other issues. Chronic disease, especially heart disease, impacts populations in Bridgeport's distressed neighborhoods at a younger age. Additionally, lower income areas see particularly greater impacts from illnesses such as diabetes and renal/kidney disease that are considered to be more preventable, especially among some of the younger populations that live in these areas. Behavioral health is an ongoing concern, as it overlaps with many of the other health issues. Drug use and overdose is a leading cause of premature mortality, a health crisis that has hit Bridgeport particularly hard. Bridgeport also has an elevated rate of all-cause mortality and of infant mortality, both markers of overall population health. Community Health Needs Assessment The Health Improvement Alliance (HIA) Community Health Needs assessment has identified the following as the top three health priorities in need of action at the regional level: healthy lifestyles to combat obesity, cardiovascular disease and diabetes; behavioral health and substance abuse, and access to care. The poor, homeless, and those with limited education are often less likely to seek preventative care and fill prescriptions and are more likely to delay treatment in an emergency. The uninsured are more likely to suffer from poor health and are up to three times more likely to die early than those with health insurance. All these factors present tremendous challenges to healthcare providers in their efforts to keep the Bridgeport community healthy. St. Vincent's has implemented strategies to improve healthcare access and quality of care for area residents. (For more on St. Vincent's strategies, See Part VI, Line 5, Promotion of Community Health). Additionally, the cost of living and real estate make it difficult for middle class families to settle in the area. As a result, SVMC's workforce shortages occur in professional and technical positions.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION - PART II	Physician Shortage In our primary and secondary service areas, we continue to see a significant decrease in the number of primary care physicians and in access points for patients. This is based on multiple factors including the high cost of living in the region, an aging population of current primary care physicians and the retirement of others, as well as a shift to other institutions through acquisitions of practices. Of the medical staff, a large number of physicians are age 55 or over. This said, St. Vincent's Medical Center, and its MultiSpecialty Group, continues the mission and vision of service to the poor and vulnerable, a legacy that was established by the Daughters of Charity more than 115 years ago. Financial stress and lower socioeconomic status also create challenges related to access to medical care. According to the 2019 CHNA, approximately 11% of residents in the Greater Bridgeport region said they didn't get the medical care they needed last year, including 14% of Bridgeport residents. Although the majority of residents in the Greater Bridgeport region have health insurance (84%) and a single person or place that they consider to be their doctor, rates of these protective factors are lower among groups with either less educational achievement or lower earnings. In focus group discussions, it was determined that the type of insurance a person had was tied to issues around access to care and quality of care. Specifically, those with state insurance have limited providers, long wait times, and challenges with coverage for prescription medications, dental care and mental health services. Data from the 2018 DataHaven Community Wellbeing Survey on experiences of discrimination also show that some adults in the Bridgeport region feel they are treated with less respect when seeking health care, often due to the type of health insurance they have. Approximately 60% of primary care physicians in the area accept new Medicaid patients. In a survey of physician specialty offices, the phone-verified wait time for a new appointment was greater than 14 days, resulting in average weighted access score that is poor (Medical Staff Development Plan 2019). More than half of the physician respondents in the survey anticipated making no changes in their practice. Overall the primary and secondary service areas remain underserved. There is one other hospital in Bridgeport, CT that serves the same population as St. Vincent's Medical Center. (Please see Promotion of Community Health Part VI, Line 5 for information on how St. Vincent's MultiSpecialty Group (MSG), a subsidiary of St. Vincent's Medical Center, has developed a plan to increase access to primary care and specialty services to the community. See also Part VI, Line 6 Affiliated Health Care System, for more on MSG).
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART I	St. Vincent's Medical Center's (SVMC) mission, vision, and values provide a strong foundation for the work we do to serve our community - a framework that expresses our priorities for what we will achieve and how we will achieve it. The mission statement of SVMC says that "Rooted in the healing ministry of Jesus, we commit to provide quality, holistic care to all faiths with special concern for those who are poor, vulnerable and underserved." The organization is dedicated to promoting healthy living at every stage of life and enhancing life by addressing the unique needs of patients, families, and our community. Healthcare education, wellness, and disease prevention education is offered through a wealth of resources such as symposiums, classes, and support groups. Our outreach programs and partnerships are designed to enhance public health and quality of life in the greater Bridgeport area and improve access to health services for members of the community we serve. We seek to advance medical or healthcare knowledge through education and relieve or enhance any ongoing public healthcare efforts. Our programs reach adults and teenagers, men and women, infants and seniors, providing health education and care regardless of ability to pay. Taxi vouchers are also distributed to patients in need. Stroke symposiums, orthopedic seminars, wellness programs, screenings and support groups helped people learn to live healthier lives. St. Vincent's Medical Center is proud to have sponsored many programs in the last fiscal year, reaching thousands of people in our community. Healthcare professionals and medical students in the Bridgeport area attend our health education seminars and lectures to advance their knowledge and share ideas. SWIM Across the Sound Each year, St. Vincent's SWIM Across the Sound serves more than 30,000 individuals (see Part VI, Line 6, Affiliated Health Care System) through the Teen Smoke Stopper program and through support groups and support programs that help patients and family members deal with a diagnosis of cancer, offering hope, information, financial support, and psychosocial services. During Fiscal 2019, through its Compassionate Care program, the SWIM met some of the financial needs of 259 cancer patients with expenses totaling $458,663 offset by the Foundation. This figure does not include the value of all the survivorship support programs that the SWIM provides. St. Vincent's MultiSpecialty Group (MSG) St. Vincent's MultiSpecialty Group (MSG), a subsidiary of St. Vincent's Medical Center (for more, see Affiliated Health Care System, Part VI, Line 6), has responded to the shortage of primary care physicians and lack of access to care for patients in the community by enlarging its network of providers. Since 2012, MSG has added multiple providers in both primary care and specialty care. Currently there are 30 FTE primary care doctors including APRNs and physician assistants that are employed through the MSG, and the total number of providers including specialty practice physicians, nurse practitioners, physician assistants, board certified within their respective specialties, is 196 FTE. The group is one of the largest provider networks within Fairfield County, Connecticut. The size of the network enables us to offer the community expanded access and coordination of care. However, the singular focus of providing a comprehensive approach to health care is solely dedicated to a patient's individual needs. The MSG continues to work with community physicians who may be close to retirement or looking to create a succession plan for their practices. Understanding the needs of the community, it is the goal of the MSG to increase the number of employed physicians, especially those providing primary care services. A vital part of our mission is our goal to practice population health management and provide more healthcare access points for patients and enhance their quality of care regardless of their ability to pay or their insurance status. The MSG is committed to delivering care to any patient in need. Value-added care and best practice models are key to population health management for our community of patients. All MSG ambulatory care sites are "blind to payer-mix" with the intent that each and every patient is treated with the same quality of care and dignity that is consistent with our mission. St. Vincent's operates a total of five Urgent Care Center (UCC) sites. Our current facilities are located in Shelton, Monroe, Fairfield, Trumbull and Stratford. Cancer Center In 2010, SVMC broke ground on the Elizabeth M. Pfriem SWIM Center for Cancer Care and the renovated and expanded Michael J. Daly Emergency Department. The Elizabeth Pfriem SWIM Center for Cancer Care contains all oncology services under one roof. These services encompass the full spectrum of cancer care and include community outreach, screening and prevention, diagnostic services, surgical and medical oncology, radiation therapy, interventional oncology, clinical trials, dedicated inpatient and outpatient cancer units, palliative care, genetic counseling and pain management. Also at the Center we offer free oncology survivorship services, which include acupuncture and massage therapy in our spa and meditation area; a cancer boutique with fittings for wig, bras and prosthesis, and lymphedema sleeves; and a library dedicated to oncology patients with free computer access for them. Our patients have access to social workers for individual and/or family counseling and compassionate care, individual nutritional counseling and group classes, support groups, and educational lectures. Survivorship services are offered free with funding supplied by St. Vincent's SWIM Across the Sound. (For more information see both Oncology Support Services for the Community under Part VI, Line 5, and St. Vincent's Foundation and SWIM Across the Sound found under Part VI, Line 6, Affiliated Health Care System. Emergency Department The Michael J. Daly Center for Emergency and Trauma Care was renamed in December of 2009 as the first section of the expanded and refurbished emergency department, which opened in fall 2010. The completely renovated emergency department, which tripled in size and holds 60 beds to accommodate the more than 64,000 visits annually includes specialized trauma and critical care suites, a "Fast Track" area for minor case needs, dedicated OB/GYN rooms, pediatric area, expanded Behavioral Health and Psychiatric area with a focus on privacy and safety, improvements in diagnostic equipment, including its own CT scanner, ultrasound and X-ray equipment to expedite diagnosis and treatment of emergency room patients, and a permanent decontamination facility for hazardous spills. In 2014, St. Vincent's Medical Center launched "planMYcare.com," Fairfield County's first self-scheduled urgent care service that enables patients to check-in for a projected treatment time. Patients can access St. Vincent's Emergency Department and all Urgent Care Centers online, view the next open appointments, and book the most convenient location and time frame available. St. Vincent's planMYcare.com offers patients the convenience of staying at home or missing less work rather than sitting in a waiting room. Likewise, this service gives patients the ability to choose which St. Vincent's Urgent Care Center can best accommodate the patient's schedule, which is crucial for the majority of working mothers and caregivers. At the same time, staff members know approximately when a patient will arrive and what injury, illness, or treatment they may require, saving even more time.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART II	Hope Dispensary In the spring of 2011, under the leadership of SVMC staff, the Health Improvement Alliance (formerly Primary Care Action Group) launched the Hope Dispensary of Greater Bridgeport, which is a pharmacy that offers medication, free of charge, to low income and uninsured persons. The Dispensary has become a critical resource to ensure a healthy community. The Dispensary runs on little resources, providing essential services with very low overhead. The state licensed pharmacy is available for all low income, uninsured patients of St. Vincent's Medical Center, surrounding clinics and hospitals in the community. It is proving to be an enormous asset for patients with chronic illness as well as some acute illnesses. The Health Improvement Alliance and the Hope Dispensary emphasize the values and institutional commitment to serving the poor and vulnerable throughout the Bridgeport community. In FY 2019, Hope Dispensary provided more than 5,120 patients with medication worth almost $1,607,000 both from the National Dispensary of Hope stock and from manufacturer patient assistant programs. The Dispensary filled 9,709 prescriptions for patients below the Federal Poverty Level (FPL) or meeting manufacturer program requirements. The majority of patients are at or below 100% of the FPL. There were 456 interventions and referrals and 640 therapeutic interchanges. The Hope Dispensary provides prescription labels in five languages as well as pictograms to help patients follow their medication regimens. We are proactive in making referrals for patients to food sources, social services, and primary care providers. Many patients can manage their chronic conditions with the help of the Hope Dispensary and we try to help them avoid the Emergency Room, and inpatient hospital stays. In addition, HOPE Dispensary collaborates with local universities offering experiential learning for residents and students from many healthcare professions. Students are involved in patient enrollment and satisfaction surveys as well as paper chart management. Mammography SVMC was among the first organizations in Connecticut to make the promise of mammography screening to women without insurance, not knowing what the response would be initially. Since those early times, SVMC has screened many thousands of women who would not have had access to screening. By providing breast screenings in this regional community, medically underserved populations have been able to access services that are imperative for promoting breast health and reducing breast cancer mortality. In the past year, we have been able to provide Screening Mammograms, Diagnostic Mammograms, and Breast Ultrasounds to underinsured or uninsured women. This breast screening program reaches out to at-risk asymptomatic women who have barriers that prevent them from accessing services and who are medically underserved, elderly, minority, uninsured, or underinsured. SVMC removes barriers to care by improving access through its customized coach with digital mobile mammography and through a bilingual staff and materials. Our screening facilities include our customized Digital Mobile Mammography Coach and the Breast Health Center located in the Elizabeth M. Pfriem SWIM Center for Cancer Care. We provided a total of 85 mammographies through our mobile mammography van in FY 2019, a number of whom were uninsured. All have been paid for by St. Vincent's SWIM Across the Sound and various grants. St. Vincent's Medical Center provides a full range of inpatient and outpatient services with regional centers of excellence. Its American College of Radiology recognized Breast Imaging Center of Excellence operates a comprehensive oncology service, which is indicative of SVMC's commitment to provide expert care. The American College of Radiology accredited our Breast Ultrasound and Image-Guided Biopsy services. The ACR Commission on Quality and Safety accredited our Mammography services and Mobile Mammography services. SVMC is committed to voluntary inspection and compliance with defined performance standards. St. Vincent's Breast Health Center was the first in the area to earn the Breast Center of Excellence distinction from the National Accreditation Program for Breast Centers (NAPBC). St. Vincent's Breast Health Center received the highest level of accreditation from the American College of Surgeons' Commission on Cancer. The Outstanding Achievement Award is granted to programs that have not only met standards set by the Commission on Cancer, but also exceeded compliance ratings for all designated standards. The Cancer Center can be characterized as a facility with strong organizational capabilities and institutional commitment. Oncology Survivorship Programs Oncology Survivorship Programs at St. Vincent's Elizabeth M. Pfriem SWIM Center for Cancer Care include a wide range of unique services and therapies to both cancer patients and their caregivers. Programs focus on wellness of mind, body, and spirit from diagnosis, through treatment and beyond. Survivorship programs are free of charge. There are many programs and services to choose from, including yoga, meditation, expressive art therapy, massage therapy, acupuncture, aquatics classes, exercise classes, patient and caregiver support groups and individual counseling, group and individual nutrition programs, lay navigation, The Look Good Feel Better Program and a compassionate care program. Three support groups are offered to cancer patients and are facilitated by the Oncology Social Worker: Breast Cancer Support Group, Cancer Support Group and Living Well After Cancer. The programs and services complement traditional medicine practices by incorporating multiple systems to support patient health and vitality. Patient outcomes include increased patient involvement in care and enhanced quality of life. These programs are available to cancer patients treated at St. Vincent's and others living in select towns, whether or not they were treated at St. Vincent's, all made possible through St. Vincent's SWIM Across the Sound. In 2019, there were 2,067 utilizations of survivorship programs by cancer patients. (This figure includes multiple utilizations by the same patients.) Cardiac Programs for Community Cardiac Screenings Hundreds of cardiac screenings were performed during the year at St. Vincent's Wellness Booth located in the Main Lobby, Wellness Booth provides free blood pressure screenings every Tuesday and Wednesday from 10:00 AM - 2:00 PM in the Main Lobby of the Medical Center. The Wellness Booth also provides blood sugar and cholesterol screenings for a reduced fee. The Booth is coordinated by the Cardiology Department and staffed by volunteer nurses. In FY 2019, 1,705 people were screened. Any costs are covered by the Mario & Irma D'Addario Hypertension Fund and the Women at Heart Fund within St. Vincent's Foundation. WomenHeart Program In February 2019, St. Vincent's Cardiology, St. Vincent's Foundation, and the National Coalition for Women with Heart Disease collaborated to create St. Vincent's WomenHeart, a peer-led support group for women with heart disease. The group meets once a month to discuss a wide range of heart-related topics, facilitated by WomenHeart Champion Joan Massey, who has been trained to help improve the lives of other women living with heart disease. Massey also conducted onsite patient visits on Cardiac Units. In FY 2019, approximately 75-80 people were served through this program. Women at Heart In response to the increase of heart disease in women, the St. Vincent's Regina L. Cozza Women at Heart (WAH) program began in 2004 to educate women in the community about the risk factors for cardiac disease and the differences in women's symptoms. The program consists of community events offering the following free screenings and assessments: - Blood pressure screenings - Blood sugar screenings - Educational literature - Counseling - Body Fat testing - BMI (Body Mass Index) - Cholesterol screenings (reduced fees) - Educational lectures by Nurses and Physicians The program is supported through an endowment established through SVMC Foundation, which enables the program to provide screenings free of charge to women. All programs are free to the public and numerous locations including soup kitchens have been utilized in the greater Bridgeport area to reach women in the community.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART III	Health Improvement Alliance (HIA) Task Forces In 2019, more than 100 individuals from HIA and their community partners (including both hospitals in Bridgeport, local health departments, community agencies, faith-based organizations, community health centers, universities, town and city agencies and residents) completed a CHNA and prioritization process to identify priority health issues. This collaborative approach was first implemented in 2013 and has been repeated every three years. The initial work in 2013 yielded four areas of focus, including: Cardiovascular Disease and Diabetes, Obesity, Mental Health and Substance Abuse, and Access to Care. These same focus areas were selected in 2016, with updated goals. In 2019, The Cardiac & Diabetes and Obesity/Healthy Lifestyles Task Forces merged into one (Healthy Lifestyles), and "Mental Health" was changed to "Behavioral Health" to reflect the change in vernacular being used across the hospital systems. Action plans have been updated for each of the task forces and project implementation is underway. The goals of the Healthy Lifestyles Task Force are to: 1. Promote healthy lifestyles to reduce the incidence, progression and burden of cardiovascular disease and diabetes through a strategy of preventive screenings and education for area residents. The updated goals of this task force are to decrease the number of repeat emergency room visits with complications of cardiovascular disease or diabetes, to increase access to healthy food through food pantries, to increase the number of screenings per year to identify those at risk for these diseases, and to communicate awareness and benefits available to those who need them. 2. Reduce and prevent obesity by creating environments that promote healthy eating and active living in the region by increasing access to and affordability of healthy food and beverage choices in the community, increasing access to and affordability of physical activity in the community, enhancing wellness in the school environment, and supporting tobacco cessation in the community. Accomplishments of the Healthy Lifestyles Task Force: - Developed a Cardiac and Diabetes Provider Directory - Conducted 813 "Know Your Numbers" heart disease and diabetes screenings at community sites in FY 2019. - HIA developed Get Healthy CT (GHCT), a broad-reaching coalition with over 300 member organizations including health care providers, hospitals, health departments and health districts, social service providers, colleges and universities, businesses, town and legislative leaders, researchers, and faith-based organizations that is dedicated to eliminating obesity by removing barriers to healthy eating and physical activity through the inclusive collaboration of key stakeholders in the community. This work is in line with community need as healthy living and obesity have been identified as significant community health issues in the CHNA as far back as 2013. - GHCT was formed in Greater Bridgeport in 2010 and has expanded to include a chapter in New Haven and coordinated efforts in Greenwich. Our approach is to identify existing resources and programs and use our website as the central connecting point for information and collaboration. Our community-wide coalition aims to "make the healthy choice the easy choice." GHCT dedicated website, a clearinghouse for information around healthy eating and physical activity with monthly health features, including: 1. Includes local resource directories, monthly health feature, workplace wellness ideas for employers, and daycare center survey and best practices 2. Physical activity pledges 3. Newsletter with monthly health features 4. Informational packets distributed throughout community 5. Healthy lifestyles education at community events 6. Walking program 7. Programs to encourage physical activity and healthy eating choices - Generous grant funding has been provided for the infrastructure and development of Get Healthy CT by the United Way of Coastal Fairfield County with additional in-kind and financial support from member organizations The goals of the Behavioral Health/Substance Abuse Task Force are to: 1. Increase the understanding of behavioral health and substance abuse as public health issues in order to achieve equal access to prevention and treatment for area residents. 2. Increase access to mental health and substance abuse resources in the community through health education initiatives. 3. Integrate mental health and substance abuse screenings into urgent care settings. 4. Increase access to services by improving the coordination of care for frequent emergency department patients. 5. Increase access to mental health providers Accomplishments of the Behavioral Health/Substance Abuse Task Force: - Established an Emergency Department High Utilizer Mental Health Patient Community Care Team that is fully operational - Supported several public awareness campaigns to de-stigmatize issues around mental health and provide training to providers and support to patients and their families - May Mental Health Awareness Month recognition - November Depression Awareness Month recognition The goals of the Access to Care Task Force are to: 1. Improve access to quality health care for all individuals living in the region. 2. Increase the number of people accessing care from the appropriate delivery site. 3. Increasing the percentage of the Greater Bridgeport community accessing specialists. 4. Increase the effective control of asthma in the community. 5. Increase the percentage of the Greater Bridgeport community accessing dental care. 6. Develop a network of health and social service agencies who have adopted or taken documented steps to implement the National Culturally and Linguistically Appropriate Services (CLAS Standards) to reduce health inequality among the at risk and minority populations. Accomplishments of the Access to Care Task Force: - Increased number of primary care and specialty clinic visits - Reduced wait time for appointments - Developed and implemented a Primary Care brochure to educate patients about the need for a primary care provider. All clinics and emergency departments in Bridgeport are using it. - Advocacy for use of Community Health Workers - Managing Statewide Asthma Reduction Initiative Know Your Numbers In February 2014, in collaboration with the HIA Healthy Lifestyles Task Force, St. Vincent's Medical Center played a significant role in organizing and coordinating the area's first "Know Your Numbers" (KYN) heart disease and diabetes awareness campaign. Since then, KYN has been successfully reaching out to the public and, in particular, the underserved at soup kitchens, food pantries, churches and schools, senior centers, and other community locations, to help them understand the importance of prevention and monitoring of their chronic conditions in order to stay healthy. St. Vincent's Marketing & Communications Department actively supported the effort to ensure that the screenings were well-publicized and attended. A grassroots public education campaign, KYN draws from the best ideas of population health and brings information on risk factors for heart disease and diabetes and how to get screened to the people in the community rather than making them seek it out. Free screenings include body mass index (BMI), waist circumference, blood pressure, and A1C testing. In FY19, "Know Your Numbers" reached 813 people across 10 different sites in Bridgeport. Staff and volunteers from St. Vincent's continue to lead the campaign which also includes volunteers from other healthcare organizations and the Departments of Health of Bridgeport and surrounding towns. The original campaign did reach its goal of identifying unknown cases of cardiovascular disease and diabetes, with 79 of the people screened receiving a referral to a new primary care provider based on their screening results and lack of a primary care physician. Although various socioeconomic groups have been included, the campaign's main focus is to educate an important target audience in the community at risk for cardiovascular disease: the low-income and minority populations. Black, Hispanic and some Asian participants continue to be screened through the program and results continue to bare out local and national studies showing significant risk factor averages at each site for obesity, blood pressure, and diabetes. Staff and volunteers from both St. Vincent's Medical Center and Bridgeport Hospital, other service organizations, and the Departments of Health of Bridgeport and the surrounding towns of Stratford, Fairfield, Trumbull, and Monroe come together to teach individuals the link between these screening numbers and their overall health. They receive health education on how to prevent or better manage their existing disease and in some cases receive a referral to a primary care provider.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART IV	The scope of the screenings has grown as individuals who frequent homeless shelters and food pantries are being followed periodically throughout the year. This is made possible by nursing students from Fairfield University, Sacred Heart University and St. Vincent's College who assist at the screenings. This student participation has become part of a new collaboration between the KYN team and the area schools. St. Vincent's contributes $10,000 annually towards KYN and dedicates a full time staff member to the program's implementation and continued expansion. A dozen volunteers help at each screening. These volunteers include hospital staff and local nursing students. KYN health screenings include checking BMI, blood pressure, and HbA1c. Previously, only diagnosed diabetics had their A1C checked. In 2018, cholesterol testing was dropped as it truly requires fasting, and it was replaced by A1C testing of all individuals. Participants also receive individual counseling, nutrition education and physical activity tips. What began as a way to educate the community about knowing their own health numbers has evolved over the years to a multifaceted approach to improve the health of food pantry clients. One of the first enhancements to KYN was implementing Supporting Wellness at Pantries (SWAP) starting in 2016. Developed by St. Joseph's University and the UCONN Rudd Center, SWAP is a nutritional color coded system that enables pantry managers to label and group food using an easy to understand red/yellow/green system. This enables participants to choose healthier food items. This year, the SWAP program was utilized and tracked at six of the ten pantries where KYN took place. Another KYN enhancement has been the integration of the Community Health Worker (CHW) model to connect participants to follow-up medical care where needed. Prior to 2018, referrals came in the form of a handout created by HIA with information on local clinics. However, we recognized that it is imperative to do more to connect this vulnerable population directly to follow-up care. KYN participants are now receiving direct referrals to follow-up care and/or referrals to others resources in the community. Incorporating SWAP and the CHW model into KYN will increase the impact of improving the health of food pantry clients. Using lessons learned over the past five years, St. Vincent's also worked with colleagues at Yale New Haven Hospital, and New Haven partners, to replicate this program there in late 2018. These two programs are now well-positioned to serve as models for other hospitals. Parish Nurse Program The Parish Nurse Program is a broad-reaching partnership with 78 churches of all faiths in the greater Bridgeport area and all of Fairfield County supporting nurses in their faith communities through collaboration and networking. In FY19, there were 194 nurses in both the Bridgeport and Stamford groups. Through the program, our nurses provide educational programs, health screenings, referrals, resources and support to the parishioners of the churches. Our Parish Nurses participated in a community wide health awareness program called "Know Your Numbers." In FY 2019, St. Vincent's Parish Nurses screened 2,234 individuals for cardiac disease in their faith communities. St. Vincent's Parish Nurse Office provided education and resources for meetings attended by 231 parish nurses throughout the year (this number includes repeat meeting attendance by multiple nurses). "You Visited Me" Spiritual Ministers Training The "You Visited Me" program, piloted in fall of 2014 with ten participants from the community, encompasses a 10-week curriculum to help individuals discern where they might want to spiritually minister to people. This ongoing program, which has participants meeting for two hours weekly for ten weeks, has a goal of helping develop lay people who can minister to people's spiritual needs not only within St. Vincent's but in their own faith communities. Hospital staff perform presentations on topics relevant to spiritual ministry in a clinical setting. A curriculum book has been coordinated by a Pastoral Care theology student intern in collaboration with the Program Coordinator and Pastoral Care Manager. In 2016, seven deacons from the Diocese of Bridgeport comprised the spring cohort, creating a new program in collaboration with the Diocese to offer visiting with the sick and infirm as part of their deaconate training. Upon completion of the training, participants perform a clinical rotation at the hospital and provide spiritual visits to patients and staff. From that point, they may choose to continue to minister at St. Vincent's or out in the community. In FY 2018, six men in diaconate formation plus three deacons completed the program, and committed to performing a minumum of 40 hours of patient and community visitations. In FY 2018 & 2019, 3-seminarians from the Diocese of Bridgeport served their pastoral assignments at St. Vincent's. They would come on Wednesday each week, from September through May, from 12:00 PM - 4:00 PM. They learned through didactic presentations and did patient visitations under direct supervision of the department manager. Each seminarian completed a self-assessment, with an assessment from the manager to their rector at completion of the program. Pastoral Care Outreach to EMS Partners St. Vincent's Emergency Department, Pastoral Care and EMS Coordinator collaborated in FY 2015 to develop an outreach program for all EMS workers that includes: an invitation to formal debriefings and less formal follow-up conversations following emotionally impactful events, a chaplain support e-mail that EMS personnel can use to contact Pastoral Care, and a 24-hour phone line answered by a member of the hospital's Pastoral Care Department. The idea is to provide spiritual and emotional support for our EMS partners, as, unlike police and fire personnel, they have no designated chaplain to assist them after difficult situations. In FY 2018 this outreach helped pastoral care chaplains engage in meaningful conversations throughout the year with EMS staff. The effect seems to have rippled to other first responders including Bridgeport Police and Fire Departments, who have been supported in an informal way by our Pastoral Care Department. The Pastoral Care Department also holds an Annual EMS Prayer Service in May which is coordinated in conjunction with St.Vincent's EMS Coordinator. In FY 2019, the service was held in Hawley Conference Center and included Values Recognition Awards for EMS individuals from all of our EMS partners serving SVMC. Six awards were presented with representation from each department, and family members and friends were present for the event. Pastoral Care Outreach to Preferred Partner Patients A new program began in 2018 that had Pastoral Care chaplains for 12 hours a week visiting Lord Chamberlain and Ludlowe skilled nursing facilities (SNF) to facilitate difficult end-of-life conversations with patients diagnosed with chronic illnesses. The chaplains also offered pastoral services to all patients in need at these institutions. In FY 2019, this program continued at both sites. In addition, one of the seminarians doing his pastoral assignment rounded weekly at Ludlowe SNF. The program was extended to include notes of patient visitations to be shared with the relevant staff at the SNF.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART V	Medical Mission at Home During fiscal year 2015, St. Vincent's began planning its first ever Medical Mission at Home. The completely free event took place on October 17, 2015 at Cesar Batalla School in an underserved neighborhood in Bridgeport. It has continued as an annual event since then, serving more and more people each year. The October 2016 event drew almost 200 people, while the November 2017 event served 385 people. Aiming to serve the area's most vulnerable, the event offers multi-disciplinary health services to persons who are uninsured and underinsured, including homeless individuals. Services provided free of charge include: medical exams; point of care testing; behavioral health care; shoe, coat, and reader eyeglass distribution; foot washing and podiatry; physical therapy; flu shots and vaccinations; nutrition and smoking cessation counseling; medication dispensing; and child care. A free bagged lunch was given to every individual. The 4th Annual Medical Mission at Home took place on November 3, 2018, at Cesar Batalla School in Bridgeport. Approximately 300 clinical and non-clinical volunteers provided services to 396 people. As a new addition to the program in 2018, the CT Food Bank gave away bags of food to each family. Many clinical and non-clinical staff worked to coordinate the huge event, with many staff members and area students volunteering to set up the night before and assisting in a number of capacities on the day of the event. Heavy publicity helped to draw the large number of attendees. St. Vincent's Marketing/Communications Department committed significant resources to printing, publicizing, and delivering materials to raise awareness of the event. Flyers were posted at homeless shelters, food pantries, churches, community organizations, laundromats and convenience stores. Staff distributed lawn signs, posted them at the bus shelter, and placed radio spots. Additionally, a direct mailing of 5,000 postcards was sent to individuals and area organizations that serve the homeless or uninsured. Feature stories ran in the employee newsletter and a media advisory went out on the day of the event for coverage. On site, St. Vincent's provided sandwich boards, banners and other signage. A main goal of the event was to improve access to care, to arrange follow up with a medical provider for those without a medical home, and to improve the necessary connection to needed consistent services. Local primary care providers were on site to make appointments. These included St. Vincent's MultiSpecialty Group and Southwest Community Health Center (FQHC). Those without insurance were referred to on-site representatives of Access Health CT for possible signup, and social services were on site to connect individuals with resources to address any additional basic needs. The event also helped St. Vincent's increase community awareness of the gaps in the current healthcare system, advocate for change, and increase involvement by providers and community leaders. As a member of Ascension, the Medical Mission at Home event is one way St. Vincent's works to achieve 100% access to care and coverage for care. For the FY2019 event, Community partners included: St. Vincent's Multispecialty Group-booking primary care appointments; Hope Dispensary of Greater Bridgeport which provided free prescriptions; CT Food Bank which gave away bags of food to each family; Access Health CT offered information; Southwest Community Health Center (FQHC) provided information and booked appointments. In addition, the Bridgeport Farmers Market Collaborative provided information, as did the Bridgeport Health Department, Bridgeport Neighborhood Trust, and the Center for Family Justice. The 2-1-1 Info Line (United Way) provided information and referrals; the Council of Churches of Greater Bridgeport offered materials only; Fones School of Dental Hygiene offered education and brushing demonstrations; Get Healthy CT offered information; Life Bridge Community Services provided information on deaf and HIV services; the Regional Mental Health Board provided information; St. Vincent's Parish Nurses provided foot washings and referrals to podiatric evaluations; St. Vincent's SmokeStoppers provided information and demonstrations; St. Vincent's Respiratory Dept. provided spirometry screenings; New England Donor Services (organ donation) provided information and signups; and the Southwestern Connecticut Agency on Aging provided information. St. Vincent's also purchased tokens from the Greater Bridgeport Transit Authority and made them available to attendees. St. Vincent's committed funds from its Foundation to sponsor this event to benefit the neediest in the community. Outcomes of Medical Mission at Home As a result of the Medical Mission at Home event in FY19, the following services were provided to attendees at the event: 109 free prescriptions; 289 vaccinations/flu shots; 30 referrals to Southwest Community Health Center for primary care providers; 25 podiatry visits, 183 foot washings, and 50 mammograms scheduled. The event distributed 286 new coats, 137 pairs of shoes, 200 pairs of socks, 175 pairs of reading glasses, 500 tissue packs, and 600 body washes all purchased by St. Vincent's Foundation. The event also distributed hundreds of children's books and hundreds of handmade knit scarves, hats and gloves which had been collected through donations. One thousand lunches were distributed. Nutrition counseling and smoking cessation assistance was offered. Medical exams and point of care testing were conducted with patients referred to primary care providers for health issues. Behavioral health information was provided with onsite representatives. Foot washing was followed by evaluation by a podiatrist. Some were referred for follow-up podiatry appointments to Family Health Center Podiatry Specialty Clinic. Also, staff engaged with 63 children in the "Kid Zone". Patient/Family Advisory Council (PFAC) St. Vincent's puts a priority on input from patients and their families. It not only believes this input to be critical in the delivery of quality medical care to the community, but this input also assists in guiding the Medical Center's priorities and planning. In 2007, SVMC implemented a Patient Family Advisory Council (PFAC-name changed from PFAB in 2017) as a vehicle to give a meaningful voice to patients and their families. The PFAC acts as an advisory committee to the SVMC Board of Directors, Administration, and staff. PFAC's main purpose is to be the "Voice of the Patient" to all at SVMC and to promote patient and family-centered care. The objectives of the PFAC include the following: - Encourage that care at St. Vincent's Medical Center is patient and family centered - Bring patient and family needs and concerns to the Medical Center's staff and leadership - Enhance patient and family satisfaction - Guide the Medical Center's priorities and planning - Advance a positive relationship between St. Vincent's Medical Center and members of the community In an effort to further integrate the patient/family voice institution-wide, a number of patient care committees - Environment of Care Safety Committee, Patient Safety, Infection Prevention, Bright Ideas, Re-Igniting the Spirit of Caring, Public Space, Values Recognition, Move to Improve- welcome membership from PFAC. PFAC members have interacted with staff, patients, and families at the front line of service delivery. Accomplishments or Added Programs where PFAC played a role: - Retail Pharmacy-Opened at recommendation of PFAC - Hand Hygiene stations are available in many locations - Handicap Access along Main St. entrance - Relationship-Based Care participation - Input on Food & Nutrition meal planning/menu - Family Activated MET Calls - White Board in Patient Room Enhancement - Room Security Safes - Staff ID Badge Enhancement - Bedside Guides - Books for Kids - DVD Players and DVDs for Infusion Center Patients - Emergency Dept. Comfort Care Cart - Back packs for Special Needs Residents The focus of PFAC in recent years was to better understand the issues relating to the patient experience and where PFAC could inject the voice of the patient and be their advocate for positive change. Focus also was on providing input and advice on the many projects of SVMC, including the Patient Portal and Medication Side Effect Cards. A member of PFAC also sits on the Connecticut Hospital Association Patient and Family Advisory Council, a statewide initiative to elevate the voice of the patient, share best practices to enhance patient and family experience, and to improve patient experience scores throughout the state. Collaborative statewide input is then shared back at the local SVMC PFAC.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART VI	Over the last couple of years, PFAC gathered data to help achieve their focus. One PFAC team did a thorough analysis of patient postings on Facebook, Google and other social media posts. Another PFAC team ran two very successful patient focus sessions to solicit real time interactive feedback from recent patients. Patient Experience data and topics are shared during the PFAC monthly meetings and discussion includes identifying patient experience trends and opportunities for improvement. PFAC is currently reviewing HCAHPS Quiet domain data and discussing how improvements may be made with regard to quiet time throughout the hospital. In years past, to raise awareness of PFAC, a Community Services Event and a Medical Center Lobby event were held to raise awareness. At the lobby event, a raffle was held to raise funds for the SVMC Foundation. PFAC established its own Patient and Family Advisory Fund through the SVMC Foundation. Disbursement of funds are voted upon at the Council meetings and intended to directly impact the patients, families, and visitors we serve. In 2019, a PFAC member joined the Patient Safety committee and another member joined the Infection Prevention committee. Also in 2019, the members provided input on the new Critical Care Guide for families. Additionally, members participate in an Environment of Care training each year. In previous years, PFAC participated in the annual Patient Experience Week by hosting a table in the cafeteria and sharing with staff, patients, and visitors about the mission and focus of PFAC. PFAC updated the SVMC PFAC webpage, was instrumental in working with marketing to update lobby wall signage, and purchased a new PFAC tablecloth to be used at various attended hospital events, including the SWIM Across the Sound. PFAC purchased a comfort cart for use in the Emergency Department to comfort family members during times of loss. PFAC members also participated in a book drive to provide books for kids in the Emergency Room, purchased DVD players and movies for oncology patients, and have supported and participated in the hospital's annual SWIM Across the Sound fundraiser event to raise money for cancer prevention and patient support. PFAC members have participated as boat captains for the SWIM event. PFAC members have also been featured on the SVMC Facebook page. Several groups have presented at the monthly PFAC meetings, including Behavioral Health, Case Management, St. Vincent's Health Partners, and the Pharmacy team - who shared the hospital initiatives on Sepsis and Sepsis Awareness. PFAC members have also visited our offsite Special Needs and Adult DayCare facilities and have purchased backpacks for our Special Needs clients. To seek input for the new bedside guides, members of PFAC elicited patient feedback by conducting an onsite and in-person survey in which PFAC members visited patients with the prototype for the bedside guides, and for the purpose of obtaining their input on the content and design. The bedside guides were assembled and distributed by our special needs residents and staff. The PFAC has onboarded two new members this past year. PFAC is proud of its contributions, input and service to the patients and families we serve and to our internal and external communities in support of the SVMC mission and statewide PFAC initiatives for patient and family-centered care. Farmers Market St. Vincent's Farm Stand has operated since 2009, first under the auspices of the Wholesome Wave Foundation, and since 2015, as a member of the Bridgeport Farmers Market Collaborative (BFMC), a unique partnership of eight independent farmer's markets, serving fresh fruits and vegetables to Bridgeport residents in neighborhoods throughout the city. The goal is to ensure Bridgeport residents have access to fresh, healthy, locally grown foods and to support local businesses. In addition to coordinating some administrative and marketing responsibilities for the markets, BFMC is responsible for providing resources to double the SNAP/EBT (Supplemental Nutrition Assistance Program) purchases of customers, which along with other government funded incentives, allow low-income residents access to healthy fresh foods available at the markets. Incentive customers are drawn due to the doubling feature, and to the Farm Stand's location in front of the hospital. It is easily accessible by public transportation, which is incredibly convenient for underserved area residents. Transportation normally poses a barrier for such residents to buy healthy fresh food. During the 2019 season, the farm stand served more than 3,000 patrons and processed 632 senior vouchers and 1,595 WIC checks. The total number of SNAP users and transactions is not available due to a technical issue. However, in 2018, we processed approximately $1,000 in SNAP sales and distributed the same amount in incentives, and we are confident that 2019 surpassed those numbers. In addition, $965 in Bridgeport Bucks were redeemed in the 2019 season, which patrons had received from other providing locations. The St. Vincent's Farm Stand is open to the general public and operates one day each week for 4.5 hours. The Farm Stand is another way in which St. Vincent's responded to the Community Health Needs Assessment that identified obesity and the high incidence of diabetes and cardiac disease as major challenges in the greater Bridgeport area. The Farm Stand extends the services the hospital provides beyond medical treatment and medications to providing access to healthy food and nutrition education. These efforts can help community members fight obesity and chronic illnesses such as diabetes and heart disease and promote overall wellness. It ties in with the national healthcare shift to an emphasis on prevention versus mere treatment of disease, which translates into both improved quality of life for residents and cost savings. The Farm Stand also demonstrates St. Vincent's mission of caring for the community. St. Vincent's Mission Services/Community Outreach Coordinator serves as the coordinator of the program, ensuring the market opens on time, doing publicity, attending monthly board meetings even during the off-season, and participating in fundraising and activities for the Bridgeport Farmers Market Collaborative. Bridgeport Bucks St. Vincent's Medical Center Foundation funded $5,000 in Bridgeport Bucks in FY 2017 through the Bridgeport Farmers Market Collaborative to be dispersed at St. Vincent's sites of care to women who are at risk for developing or are being treated for heart disease. Patients could use these coupons at any of the eight Bridgeport farmer's markets to purchase fresh fruits and vegetables as part of a heart-healthy diet. This funding lasted through FY 2018, was paused in FY 2019 with plans to resume in FY 2020. However, Bridgeport Bucks provided through other participating locations were accepted at the St. Vincent's Farm Stand. By accepting Bridgeport Bucks, St. Vincent's increased access to healthy, local fruits and vegetables for all, regardless of income, while supporting the mission of its "Women at Heart" program, which strives to improve patients' ability to prevent disease through education and prevention. These coupons enable physicians and nurses to add a monetary incentive to support their recommendations encouraging patients to adopt healthier eating habits. For those who participate in the Supplemental Nutrition Assistance Program (SNAP), the Bridgeport Farmer's Markets also participate in the SNAP incentive program, which matches every dollar swiped in SNAP with an additional dollar towards fresh fruit and vegetables. Whether these two programs are used together or separately, they can help improve the diets of many patients who are at risk. Mobile Food Pantry In collaboration with the Connecticut Food Bank - the largest centralized source of emergency food in CT with a mission to provide nutritious food to people in need - St. Vincent's launched its first Mobile Food Pantry on Friday May 24, 2019. Thanks to a generous $25,000 donation from the St. Vincent's Medical Center Foundation, the program was funded for a full year, through April 2020. The Mobile Food Pantry at St. Vincent's is one of several in Bridgeport, operating on the 4th Friday of the month from 2:30-3:30. Participants are asked to bring their own bags. Over the course of the five months that the mobile pantry was offered in FY 2019, a total of 1,084 people received more than 20 tons of food served by volunteers from staff, our volunteer department, the CT Food Bank staff and the community. The program was conceived by our Parish Nurse Coordinator, after Connecticut Food Bank (CFB) attended the Medical Mission at Home as a community partner, delivering bags of food to all guests.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART VII	Comfort Shawl Program Comfort shawls, lap blankets, and pocket shawls are given to patients and family members in the Medical Center, employees, and members of the community who are experiencing a difficult time and are in need of comfort and healing. They provide emotional and spiritual support to patients. They may also be given in celebration. The mantles are made by volunteers from area churches and the community as well as by St. Vincent's staff members. The collection and distribution of the shawls and the publicity and education necessary to ensure the success of the program require coordination on the part of the hospital's Mission Services and Communications Departments. Coordination of this program is the responsibility of one staff member with assistance from two others. An annual blessing ceremony for all shawl makers is held once a year with refreshments provided by the Medical Center. In 2019, hundreds of shawls were distributed mainly to patients and families while more than 100 shawl makers attended the blessing ceremony in June. Chaplains at the hospital include the presentation of these shawls as part of their pastoral care visiting. Nursing units are supplied with the shawls and medical personnel are very involved with presenting them to patients and co-workers in crisis. Blood Drives St. Vincent's Medical Center helps to save lives by hosting blood drives on behalf of the American Red Cross every quarter under the supervision of St. Vincent's Blood Bank Manager. In FY 2019, a total of 161 units of whole blood were collected, plus an additional 12 units of red blood cells (RBC) from donors who met specific criteria. Each unit of whole blood is separated into three parts that can help different patients depending on their need: RBC, plasma and platelets. In total, the donated blood helped up to 495 people. St. Vincent's donates the time of the manager who coordinates the blood drives, the time of the marketing staff who educate the employees, publicize the drives and supply giveaways, and the Food and Nutrition Department which supplies complimentary food for presenting donors. St. Vincent's also supports the drives by allowing employees to donate blood as part of their work day. Donation Drives House of Hope Starting in 2011, St. Vincent's Mission Services Committee and Aquarion Water Company, began annually collaborating on a project called the House of Hope Food Drive, to assist area food banks and shelters experiencing severe shortages. The emphasis in the last three years has been on healthy, shelf-stable foods. A shed decorated to look like a house is located outside St. Vincent's Medical Center where the food is collected. The drive runs every year from mid-September to just before Thanksgiving. In fiscal year 2019, a St. Vincent's manager chaired the annual House of Hope food drive, spending 1.5 hours a day for 8 weeks coordinating it. Work included hanging posters, coordinating the volunteer schedule, picking up from various affiliates and the Medical Center, and delivering the donations to 5 food pantries for the needy. Another employee also assisted by delivering collection boxes to each floor and manning the booth outside near the House of Hope. Approximately 15 staff members each gave one hour to staff the booth. St. Vincent's Community Outreach Coordinator served as liaison between co-sponsors St. Vincent's and Aquarion Water Company, arranging meetings, recipient communications, arranging for the Engineering department to set up and take down the shed, planning the kickoff event, and coordinating schedules and publicity. St. Vincent's also paid for printing flyers and banner additions. It is estimated that 106 hours of employee time was spent on the House of Hope Food drive in fiscal 2019. Food was delivered by St. Vincent's to area food banks and shelters. After a contribution from Big Y, Aquarion, and from individuals, the drive hit the goal of 7 tons of food distributed. Holiday Giving At Christmas time, a number of departments adopted families at St. Vincent's Family Health Center and met their needs for holiday meals and gifts. In addition, for many years, the hospital has run a Giving Tree which purchases gifts of toys and clothing for patients in need and clients at its Family Health Center, Behavioral Health Services and St. Vincent's Special Needs Center. Toiletries In spring 2015, St. Vincent's undertook a Toiletries Drive which continues to run all year long. In FY 2019, more than 5 boxes of new toiletries were collected from staff members and delivered to the Thomas Merton Center soup kitchen, the Bridgeport Rescue Mission homeless shelter, and the Center for Family Justice which offers services to survivors of domestic violence and abuse. These Donation Drives all require many resources and hours of time to coordinate and publicize on the part of St. Vincent's staff in order to make them successful and of benefit to patients and vulnerable members of the community. Stop the Bleed St. Vincent's Trauma Coordinator and EMS Coordinator have implemented a community education protocol of the American College of Surgeons which attempts to enhance survivability for people who have sustained severe bleeding, called "Stop the Bleed." In a one-hour training, the coordinators teach staff and the general public the basic techniques of bleeding control. Launched in 2018 with one presentation to 21 individuals, the team has now presented 8 classes, reaching more than 180 individuals. In 2019, the coordinators brought the program out into the community to schools, libraries, community centers, and other organizations. They also are in the process of training more staff members to bring this program further into the community. Trauma Education on Drinking and Driving and Teen Violence St. Vincent's TEDD-TV program (Trauma Education on Drinking and Driving and Teen Violence), is geared for students 14 to 19 years old, and graphically demonstrates to teens the consequences of drinking and driving and of other violent behaviors. A group of 20-25 students from area schools witness firsthand the aftermath in the hospital of a motor vehicle crash caused by driving under the influence, and a depiction of both the physical and mental pain and suffering, which results from such a tragedy. The program was reinstated in 2018, after being put on hold, with an initial group of 25 students attending. One program was conducted in FY 2019, and the committee hopes to expand the program in FY 2020 to allow more area students to participate in the program, and learn about the consequences of impulsive and risky behavior. A committee of about 25 health professionals at St. Vincent's including physicians, surgeons, nurses, social workers, operating room technicians, chaplains and emergency personnel volunteer their time for the mock trauma, which originated in 1998. Coordinating the program is St. Vincent's Trauma Coordinator. Back in 1998, after investigating other violence education programs through a State Trauma Coordinators Group, the committee created their own unique version of the mock trauma, which is greater in scope. The program begins with an emotional scene depicting a physician, chaplain and social worker talking with the parents of a teen accident victim, who has just died. It then retraces the steps of the ordeal: the teen's arrival at the emergency room where students get a close-up look at the patient who is bleeding and in pain; the transfer to the operating room where the students don gowns and masks and watch the surgical team work to save a life; and then a move to the intensive care unit with the patient hooked-up to many tubes and machines. Props such as mannequins, simulated blood, "body parts" which include cow heart and kidneys, are used along with real instrumentation. The trauma concludes with a presentation where students view graphic photos of real accident victims and violence, hear a talk by a police officer about the legal consequences of impaired driving that can impact their future, and finally, hear the story and personal appeal from an individual impacted by a drunk driving accident.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH- PART VIII	Educational/Career Programs Offered to Area Students St. Vincent's Medical Center conducts student tours and educational programs for elementary, middle, high school, and sometimes college students in an effort to provide information about health and technology, lessen anxiety about hospital visits, and give an overview of medical careers. Through the experience of seeing medical professionals at work in the hospital, students can envision themselves in these roles. They also learn about necessary educational requirements, qualifications, and professional opportunities through a close-up, hands-on approach. The personal stories of how individuals followed different paths and discovered rewarding careers in healthcare are inspirational and motivational for many students as well. These programs vary in length running from 2-6 hours with staff from many departments taking time out from their busy work day to participate. The number of groups visiting the Medical Center for the healthcare career tour averages about 25-30 annually. St. Vincent's focuses on inner city students from Bridgeport and students from Stratford and also has a well-developed program with Trumbull High School. Students from throughout Fairfield County are also accommodated. Students come from public, private, and religious schools, and also include the handicapped and those with special needs. St. Vincent's has formed collaborations with a number of organizations that are working with Bridgeport youth, such as Project GearUp, out of Yale University, and BASE CAMP, a program of the Southwestern AHEC (Area Health Education Center) for Bridgeport high school girls interested in STEM (science, technology, engineering and math). SVMC often hosts groups of students from these programs. During FY 2019, 357 students participated in these programs. Staff members gave many hours of their time to coordinate the programs and educate students about the work they do. Volunteers Volunteers are an integral component to fulfilling the mission of the organization. In FY2019, there were 161 volunteers who provided the Medical Center with more than 24,000 hours of service. These volunteers work throughout the Medical Center providing support to patients, families, and staff in various roles and during multiple hospital-sponsored events. Health Insurance Counseling St. Vincent's Medical Center offers senior citizens, people with disabilities, and family members a free counseling program on Medicare and Government Benefits facilitated by a volunteer specialist in the field. Participants learn about Medicare benefits, Supplemental Insurance, managed care and prescription plans, medical statements, bills, appeals, claims, covered versus non-covered expenses, advanced directives, and assisted living and long-term care facilities. The volunteer also assists individuals in filing Medicare and insurance forms. Information and referral to community resources are provided. The program is a community outreach effort by St. Vincent's Medical Center to help the public obtain the medical benefits they need, and to make the best decisions about health insurance coverage. Approximately 40 hours were spent in FY 2019 by volunteers and staff on coordinating and implementing this program. Behavioral Health St. Vincent's Behavioral Health Services provides both in-patient and outpatient services, designed to meet the behavioral health needs of the PSA served. St. Vincent's Behavioral Health Services offers the community's largest continuum of mental health services. The mission of St. Vincent's Behavioral Health Services is to provide exceptional care for the mind, body and spirit through an integrated continuum of mental health, dual-diagnosis, and supportive services for children, adolescents, and adults of all income levels and ethnicities, regardless of their ability to pay. St. Vincent's strives to fulfill this mission by effectively addressing the mental health needs of the community and also strives to be a leader in prevention and education of mental health and dual diagnosis (mental health and substance use disorders) issues. St. Vincent's continuum of mental health services includes a dedicated behavioral health emergency area, 92 inpatient psychiatric beds located in two campuses (16 beds at the Main Campus in Bridgeport and 76 beds at the Westport Campus) with an average daily census of 69 patients; two outpatient mental health clinics that provide an intensive outpatient program and individual and group therapies; including a dedicated intensive outpatient service for persons of Latino decent. Outpatient services provided approximately 15,000 visits with 90 % of those served being the underserved and indigent. Residential Behavioral Health Services St. Vincent's Behavioral Health Services also operates the Community Residential Services Program, which provides residential support and permanent supportive housing to persons age 18 and over who are chronically and episodically homeless with significant mental health disorders and have incomes at or below the poverty level. Interventions and services are focused on recovery, relapse prevention, development of independence, assistance with activities of daily living, illness self-management, and access to health care benefits, crisis intervention, access to community mainstream services, and 24-hour emergency on-call services. The program operates 9 shared living residential sites, 8 family units, and 65 scattered site apartments in the communities of Norwalk, Bridgeport, and Fairfield, Connecticut. Based upon 96 % occupancy at these sites, Community Residential Services provided approximately 46,800 days of residential support/housing services. Grants from the U.S. Department of Housing and Urban Development and the Connecticut Department of Mental Health and Addiction Services provide funding for these programs. Governing Body The majority of St. Vincent's Medical Center's governing body resides in the area served by SVMC. The boards of directors for St. Vincent's Medical Center and its affiliates are primarily comprised of volunteers who generously share their time and expertise with the management of each entity. Medical Staff Privileges St. Vincent's Medical Center extends medical staff privileges to all qualified physicians in its community for its departments or specialties.
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM-PART I	St. Vincent's Medical Center (SVMC) is a nonprofit hospital system. The sole member of St. Vincent's Medical Center is Ascension Health, a Catholic, national health system. St. Vincent's Medical Center consists of an acute care hospital located in Bridgeport, Connecticut and a behavioral health hospital located in Westport, Connecticut. Founded in 1903, St. Vincent's started as a 75 bed institution and quickly grew in scope and service. The Medical Center provides care for all of those in the City of Bridgeport and surrounding communities who come to it, regardless of their ability to pay. Today, the Medical Center is located in a modern 10 story building and has grown to a 473 bed institution. The Medical Center is Fairfield County's only faith-based hospital and its commitment to the poor and underserved remains central to its mission. St. Vincent's Medical Center and its affiliated entities - St. Vincent's Health Services, St. Vincent's Multispecialty Group, Inc., St. Vincent's Medical Center Foundation, Inc., St. Vincent's Special Needs Center, Inc., and St. Vincent's Development, Inc. - form an integrated health delivery system meeting the comprehensive needs of Bridgeport and its surrounding communities. Through the work of the Medical Center, in partnership with our affiliate network, the Medical Center and its affiliates are able to meet the comprehensive needs of their home community and the surrounding community. St. Vincent's Health Services (Health Services) St. Vincent's Health Services (Health Services), formerly the parent company of St. Vincent's Medical Center, is a nonprofit holding company. Health Services consists of the following organizations - St. Vincent's Foundation, St. Vincent's Special Needs Services, St. Vincent's Development, Inc., and Vincentures, which is an inactive corporation. St. Vincent's Multispecialty Group (MSG) St. Vincent's Multispecialty Group (MSG) is a subsidiary of the Medical Center. Currently there are 30 FTE primary care doctors including APRNs and physician assistants that are employed through the MSG, and the total number of providers including specialty practice physicians, nurse practitioners, physician assistants, board certified within their respective specialties, is 196 FTE. The group is one of the largest provider networks within Fairfield County, Connecticut. The size of the network enables us to offer the community expanded access and coordination of care. However, the singular focus of providing a comprehensive approach to health care is solely dedicated to a patient's individual needs. St. Vincent's Medical Center Foundation As a philanthropic arm, St. Vincent's Medical Center Foundation's (the Foundation) primary purpose is to raise funds in order to help meet certain financial needs of the St. Vincent's Health Services Corporation. The Foundation's goal is to create and perpetuate financial support for programs and services on behalf of St. Vincent's historic mission to serve the poor and medically underserved populations. The growing support for St. Vincent's throughout the region is a reflection of our mission-driven programs and the quality of our services. The Foundation works tirelessly to meet its fundraising goals for the SWIM Across the Sound through almost 20 fundraising events annually to reach people who do not have access to critical screening services, and to provide free or subsidized services to the community. It also works to raise additional funds in support of the other St. Vincent's affiliated entities. SWIM Across the Sound Cancer Programs and Services The Foundation works extremely hard year-round and the SWIM Across the Sound (SWIM)has demonstrated commitment to the cause of supporting people with cancer since 1987. Neighboring hospitals, which do not conduct as extensive a fundraising effort for patient care as St. Vincent's, routinely send patients to St. Vincent's when their grant money ends, or when they are not able to pay for free care. St. Vincent's provides a substantial safety net to the region, as you do not need to be a patient at St. Vincent's to be helped by the SWIM. The SWIM offers many unique programs and services ranging from cancer education, support, and screening - from prevention to survivorship. St. Vincent's mission to serve the community can most poignantly be observed in their one-on-one financial assistance program, funded and operated by the Foundation. Often a diagnosis of cancer can be financially devastating to the patient and her/his family. We step in when a patient is undergoing treatment to relieve financial hardships. Assistance is there as a safety net for those who have nowhere else to turn. The SWIM's one-on-one financial assistance helps to pay utility bills, car payments, and rent/mortgage payments so a family member can take time off from work to be with their loved one when it is so important to be at their side. The St. Vincent's Medical Center Foundation provides one of the largest financial assistance programs for cancer patients in the country. Financial situations of applicants are reviewed on a case by case basis to provide an equitable amount of assistance. In FY 19, approximately 259 people received financial assistance totaling $458,663 through St. Vincent's SWIM Across the Sound. As stated elsewhere, this amount does not include the value of the survivorship programs offered through the SWIM. The SWIM is there for the patient who is undergoing local radiation and is experiencing some skin reactions and requires a special prescription that is not covered by their insurance. The SWIM is there for the woman who needs a wig and prostheses. The SWIM is there for the family that needs family counseling because there are small children left motherless and they need extra assistance in picking up the pieces and moving forward with their own lives. The SWIM is there to pay transportation costs to get to appointments and to support a patient with nutritional and exercise counseling. The SWIM also funds support groups and survivorship programs that help patients and family members deal with a diagnosis of cancer, offering hope, information, financial support, and psychosocial services. There were approximately 3,100 utilizations of oncology survivorship programs by cancer patients through the SWIM last year. With ever growing needs because of the economic downturn and lack of health care access, there are more and more patients in need of cancer health care within our service area than ever. Frequently patients are referred from surrounding hospitals to St. Vincent's SWIM cancer services. Recently we have also received numerous requests for assistance beyond our traditional service area. SmokeStoppers As part of St. Vincent's mission to reduce and prevent cancer, St. Vincent's Foundation established the St. Vincent's SWIM SmokeStoppers program in March of 1996. SmokeStoppers is a unique and interactive tobacco prevention and smoking cessation program designed for young people. The SWIM SmokeStoppers offers a lively and inspiring program that educates Connecticut's young people about the dangers of smoking and vaping, at no cost. SmokeStoppers currently combines two kinds of courses, offered free to the community: (1) prevention classes for students who do not yet smoke and (2) cessation classes to help teens who are already smoking take the difficult step of quitting. Program presenters are former smokers who share their experiences in a relevant, accessible way. The program has a proven record of helping thousands of young people, and is consistently invited back to schools, year after year. In the 23 years since its inception, our SmokeStoppers Program has reached approximately 250,000 young people in 220 schools throughout the State. Presenters research current trends in youth tobacco use, new products, and new marketing strategies used by the tobacco companies to target young people. This research is integrated into the presentation, creating an updated, relevant program for each and every session. Last year, almost 22,000 students received this prevention education through the SmokeStoppers program. The introduction of e-cigarettes in 2004 has greatly impacted the tobacco industry, and in turn, our youth. A primary focus for SmokeStoppers now is to demonstrate to students the dangers and potential long-term effects of use of these products, which are not regulated by the FDA.
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM-PART II	National Exposure: In 2018, PBS aired a segment on the SmokeStoppers program which followed students at Jonathan Law High School in Milford, Connecticut. After it aired, health professionals across the United States and Canada reached out to SmokeStoppers for assistance in developing similar programs for their own school systems. SmokeStoppers has also worked with a production company here in Connecticut to create informational videos and DVDs on smoking, chewing tobacco and vaping. These videos are now being used by health programs in schools across the state. Collaboration to Quit In an effort to join forces to reach as many people as possible, SmokeStoppers is now a member of the Health Improvement Alliance (HIA) Healthy Lifestyles Task Force. Following is a list of SmokeStoppers accomplishments and activitites for FY2019. * Freshman Forums: Impact speakers talk about issues for incoming freshman; leader discusses the dangers of vaping and what it will do to their health long-term. Schools served: Danbury High School; Fairfield Ludlowe High School; Fairfield Warde High School; Jonathan Law High School (Milford); Foran High School (Milford); Trumbull High School * Health Fairs: Participated in health fairs at the Capital Building in Hartford for health professionals and at the Boys and Girls Club in Bridgeport. * Behavioral Health: Summer hours allotted to leading biweekly cessation groups at St. Vincent's Behavioral Health in Westport to provide assistance during and after patients' stay. * The Connecticut Association for Health, Physical Education, Recreation and Dance (CTAHPERD): Provide training for educators in the health and wellness fields, usually twice a year. * Vaping Cessation for High Schools: Classes for individuals that have been impacted from vaping during school. Five classes over a 2-3-week period (depending on school schedule). Schools served: Ridgefield High School; Notre Dame High School (West Haven), Trumbull High School. * Fairfield University: In partnership with Fairfield University, SmokeStoppers has participated in health fairs, the Great American Smoke Out, and has provided vaping education for nursing students. Memorial Service The SWIM Across the Sound hosts an annual Memorial Service for those lost to cancer in the community. Family members and friends may attend even if the person was not treated at St. Vincent's. The cost is picked up by the SWIM. The free event provides healing to those who have lost loved ones to cancer, and draws between 250-350 people each year, with each person receiving a small remembrance of the day. FY 2019 marked the event's 23rd year. St. Vincent's Special Needs St. Vincent's Special Needs Services (SVSNS), is a human services organization with a mission "to foster the physical, educational, spiritual, emotional, and social development of persons with disabilities so they may play, learn, work and live in the community." SVSNS began in 1955 when the organization was founded as a United Cerebral Palsy clinic to provide medical evaluation and therapeutic intervention for young children with cerebral palsy and other developmental disabilities. Several years later a comprehensive school program was developed and licensed by the Connecticut State Board of Education. A private special education school, the FEROLETO Children's Development Center based in Trumbull, CT, is an alternative placement option for children, ages 3-21, with multiple developmental disabilities, special health care needs and students with autism spectrum disorders. Physical, Occupational, Speech/Language and Aquatic Therapy are all offered as part of each student's individualized education plan. During their fiscal year 2019, this special needs school provided educational and health services to approximately 80 students from 30 towns throughout the state. Daytime recreational programs, supported employment and work services programs for adults with disabilities and complex medical needs are offered at the Stratford campus. In 2019, the organization provided daytime programs for 120 adults from its Stratford campus. In addition, SVSNS operates 10 group homes for children and adults in Trumbull, Stratford, Monroe, Bridgeport, Newtown, and Shelton. Parent education and transition support services are also available. The staff includes special education teachers and assistants, physical therapists, occupational therapists, speech language pathologists, registered nurses, licensed practical nurses, direct care counselors, job coaches, and community recreation and family support facilitators. St. Vincent's Development Corporation St. Vincent's Development Corporation is a nonprofit corporation managing various real estate holdings within the greater Bridgeport area.
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT - PART II	Patient/Family Advisory Council St. Vincent's puts a priority on input from patients and their families. It not only believes this input to be critical in the delivery of quality medical care to the community, but this input also assists in guiding the Medical Center's priorities and planning. In 2007, SVMC implemented a Patient Family Advisory Council (PFAC-name changed from PFAB in 2017) as a vehicle to give a meaningful voice to patients and their families. The PFAC acts as an advisory committee to the SVMC Board of Directors, Administration, and staff. PFAC's main purpose is to be the "Voice of the Patient" to all at SVMC and to promote patient and family-centered care. (See Part VI Line 5 for more information/results of PFAC).
Schedule H, Part I, Line 3c Factors Other than FPG	Patients with demonstrated financial needs with income greater than 400% of the FPL may be eligible for consideration under a "Means Test" for some discount of their charges for services from the Organization based on a substantive assessment of their ability to pay. To complete the "Means Test" assessment, St. Vincent's Medical Center will require the following documentation: a. household family size b. annual income c. household expenses d. medical expenses e. disability expenses A Patient eligible for the "Means Test" discount will not be charged more than the calculated AGB charges.
Schedule H, Part I, Line 7g Subsidized Health Services	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.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). A cost accounting system was used to calculate all data reported in the table.
Schedule H, Part II Community Building Activities	The community building activities listed on Form 990, Schedule H, Part II include emergency preparedness and emergency operations center planning meetings, the SWIM memorial service, area school tours and job shadowing, free Medicare counseling, meetings of the Patient/Family Advisory Council, and various other activities where St. Vincent's employees serve in the name of St. Vincent's Medical Center. St. Vincent's Medical Center participates in emergency preparedness and emergency operations center planning meetings. Emergency situations can arise at any moment in our local communities. St. Vincent's does it's best to be prepared to serve in any emergency situation so that our local community can be confident in receiving quality healthcare at all times. Area volunteers and employees assist with the SWIM Memorial Service which is an interfaith service open to all people who have lost a loved one to cancer - even if the person was not treated at St. Vincent's Medical Center. It provides individuals with a means of healing from the loss of their loved one. St. Vincent's Medical Center conducts student tours and educational programs for elementary, middle, high school, and sometimes college students in an effort to provide information about health and technology, lessen anxiety about hospital visits, and give an overview of medical careers. Through the experience of seeing medical professionals at work in the hospital, students can envision themselves in these roles. They also learn about necessary educational requirements, qualifications, and professional opportunities through a close-up, hands-on approach. Area volunteers also assist members of the community by providing free counseling to help with their questions about Medicare. With the aging population of the area, this service provides much needed assistance. St. Vincent's puts a priority on input from patients and their families. It not only believes this input to be critical in the delivery of quality medical care to the community, but this input also assists in guiding the Medical Center's priorities and planning. In 2007, SVMC implemented a Patient Family Advisory Council (PFAC-name changed from PFAB in 2017) as a vehicle to give a meaningful voice to patients and their families. The PFAC acts as an advisory committee to the SVMC Board of Directors, Administration, and staff. PFAC's main purpose is to be the "Voice of the Patient" to all at SVMC and to promote patient and family-centered care. St. Vincent's Medical Center also has very dedicated employees who provide a great deal of service to the local community in the name of St. Vincent's Medical Center. They serve the community by being on the boards or on the committees of other community organizations. They provide service to the local soup kitchen and to area churches. This helps in developing relationships with other institutions, businesses, and clubs in the local community. In all of these ways, St. Vincent's Medical Center helps to build our local community.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2019 WAS $27,181,962 AT CHARGES, ($7,694,558 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	St. Vincent's Medical Center has a very robust financial assistance program; therefore, no estimate is made for bad debt attributable to financial assistance eligible patients.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 18-20.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED.
Schedule H, Part V, Section B, Line 16a FAP website	- ST. VINCENT'S MEDICAL CENTER: Line 16a URL: https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST. VINCENT'S MEDICAL CENTER: Line 16b URL: https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST. VINCENT'S MEDICAL CENTER: Line 16c URL: https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	St. Vincent's Medical Center (SVMC) is committed to serving the greater Bridgeport, Connecticut, area by developing partnerships to provide support and services for the healthcare needs of its community. Through healthcare education, medical care, and support services, the organization reaches into the community to enhance local neighborhoods and their quality of life. We deliver a broad range of services with sensitivity to the individual needs of our patients and their families. The relationships developed with our community partners have provided much needed healthcare services to the residents of our community. Our tradition of improving the health of the community dates to 1903, when local Catholic physicians identified a need to meet the holistic needs of the large European immigrant population. They contacted the pastor of the nearby St. Patrick's Church, who in turn collaborated with The Daughters of Charity. Their vision was realized when the doors of SVMC opened in June 1905. Since that time, all associates of SVMC have stood behind its mission to support underserved patients and their families. Our mission, vision, and values provide a strong foundation for the work we do - a framework that expresses our priorities for what we will achieve and how we will achieve it. Health Improvement Alliance SVMC is committed to making a lasting impact on the community it serves. In 2003, SVMC led the formation of the Health Improvement Alliance (HIA) to help address the health needs of the Greater Bridgeport community, which includes the six towns of Bridgeport, Easton, Fairfield, Monroe, Stratford, and Trumbull. Initially named the Primary Care Action Group, HIA is a coalition that includes SVMC, Bridgeport Hospital, the seven departments of public health, federally qualified health centers, and about 50 community and non-profit organizations all serving the Greater Bridgeport Region. The mission and vision of HIA is to work together to identify, prioritize, and measurably improve the health of the community through prevention, education, and services. HIA leads a comprehensive regional triennial Community Health Needs Assessment (CHNA) effort, to identify the health-related needs in the region and create an implementation plan to prioritize and plan on how to address those top health needs. The current 2019-2022 priority areas for HIA are healthy lifestyles, behavioral health, and access to care. HIA oversees the work of all three task forces that address each of the priority areas. HIA consists of about 75 individuals that represent different community agencies from around the six town region. Approximately 50 different agencies regularly participate in the monthly meetings of the full HIA, one or more monthly meetings of task forces, or both. Both St. Vincent's Medical Center and Bridgeport Hospital together have served in the lead role for the full HIA partnership and representatives from each hospital co-chair the monthly HIA meeting. The HIA Steering Committee meets monthly and a portion of the meeting agenda is focused on report outs from all of the task forces to ensure specific community health improvement plan (CHIP) goals are met and progress is tracked. Each monthly meeting also includes time for partner organization announcements, sharing of news and upcoming events, as well as guest speaker presentations related to the different focus to help ensure that partners are fully informed of resources and initiatives in the service area and state. One meeting each quarter is used as an open discussion of topics of interest to the group that fall outside of the identified focus areas. These in-depth conversations between organizations in neighboring towns has shown to be a valuable way to identify needs and share information on best practices. The three task forces each hold regular monthly meetings and work on their individual CHIP goals. These meetings include planning for additional data collection, strategies and tactics to address their prioritized health outcomes/social determinants and monitoring of results. Each task force has two or three co-chairs and these individuals represent a variety of community organizations and towns from within the region. In addition to hosting monthly meetings and overseeing the work of all three task forces, HIA also seeks opportunities to advance the partnership's work towards improved health in the region. Hope Dispensary of Bridgeport In the spring of 2011, under the leadership of SVMC staff, the HIA launched one of its most vital and successful projects, the Hope Dispensary of Bridgeport, a pharmacy offering medication free of charge, to low income uninsured and the underinsured. This is a much needed service in the area which helps to keep individuals with chronic illness healthy. (see more background and results under Promotion of Community Health, Part VI, Line 5). Health Improvement Alliance (HIA) Task Forces The HIA collaboration, in which St. Vincent's plays a leading role, now has three task forces through its Community Health Improvement Plan to address the most urgent health care issues in the Greater Bridgeport Region, as identified by the Community Health Needs Assessment. Action plans have been developed for each of the task forces and project implementation has begun. The three task forces and their high-level goals are as follows: 1. Healthy Lifestyles Task Force: To promote healthy lifestyles to reduce the incidence, progression and burden of cardiovascular disease and diabetes through a strategy of preventive screenings and education for area residents; and to reduce and prevent obesity by creating environments that promote healthy eating and active living in the region. 2. Behavioral Health/Substance Abuse Task Force: To increase the understanding of behavioral health and substance abuse as public health issues in order to achieve equal access to prevention and treatment for area residents. 3. Access to Care Task Force: To improve access to quality health care for all individuals living in the region. (See Part VI Line 5 for more information/results of HIA Task Forces) "Know Your Numbers" Heart Disease & Diabetes Awareness Campaign In February 2014, in collaboration with the HIA Healthy Lifestyles Task Force, St. Vincent's Medical Center played a significant role in organizing and coordinating the area's first "Know Your Numbers" (KYN) heart disease and diabetes awareness campaign. Since then, KYN has been successfully reaching out to the public and, in particular, the underserved at soup kitchens, food pantries, churches and schools, senior centers, and other community locations, to help them understand the importance of prevention and monitoring of their chronic conditions in order to stay healthy. In FY 2019, 813 individuals were screened. They received health education on how to prevent or better manage their existing disease and some received a doctor referral based on screening results. Also, 2,234 people were screened for high blood pressure by St. Vincent's Parish Nurses at churches and congregations throughout the area. (See results/more information under Promotion of Community Health, Part VI, Line 5). Community Health Needs Assessment/Community Health Improvement Plan Understanding the current health status of the community is important in order to identify priorities for future planning and funding, the existing strengths and assets upon which to build, and areas for further collaboration and coordination across organizations, institutions, and community groups. To this end, SVMC, through HIA, began in 2013 a comprehensive regional health planning effort comprised of two phases: 1. A Community Health Needs Assessment (CHNA) to identify the health-related needs and community strengths in the Greater Bridgeport area in 2013; and 2. A Community Health Improvement Plan (CHIP) to determine the key health priorities, overarching goals, and specific strategies to implement across the service area. The CHNA and CHIP comprehensive process was repeated in 2016 and 2019; all reports have been updated and are available on the St. Vincent's website. St. Vincent's will, in collaboration with HIA, work on collecting information and coordinating the next CHNA in 2022. The Community Health Needs Assessment is a key tool for SVMC as it ensures we are fully meeting the needs of the community we serve. The Community Health Needs Assessment identified the health-related needs and strengths of the Greater Bridgeport area through a social determinants of health framework, which defines health in the broadest sense and recognizes numerous factors at multiple levels- from lifestyle behaviors (e.g., healthy eating and active living) to clinical care (e.g., access to medical services) to social and economic factors (e.g., poverty) to the physical environment (e.g., air quality)-which have an impact on the community's health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	The St. Vincent's Medical Center Financial Assistance Program screens patients for all programs that will assist in covering medical expenses, including federal and state programs, free bed funds, and income-based financial assistance. At the time of pre-registration and registration, all patients without insurance are referred to an on-site Financial Counselor for an initial screening. The Financial Counselor assesses the patient's needs and begins the appropriate Financial Assistance application. Financial Assistance staff members are trained on how to qualify patients for the various Medicaid, Charity Care, and financial assistance programs. The staff regularly attends community meetings and information update sessions to remain updated on changes to state and federal assistance programs. In addition, all billing and collections notices inform patients that they may call the Charity Counselor. If a patient contacts the billing or collection agencies and inquires about financial assistance, they will be directed to the Charity Counselor. A patient can request financial assistance at any point in the revenue cycle. St. Vincent's has two full time charity care counselors, both located at St. Vincent's Medical Center. Information on financial assistance options is posted in the admitting and registration areas, the Emergency Room, Case Management area, Customer Service, and Patient Access departments. Contact information is clearly visible and information is printed in both English and Spanish. The Financial Assistance program is highlighted on the organization's external website with direct links to contact information and the application for assistance. A financial assistance brochure has been developed and is available to patients and families at the time of registration. This brochure is displayed in the Emergency Department, Urgent Care Centers, Multi-Specialty Group physician practices, Case Management, Customer Service, and Patient Access departments. The brochure, application and requirement check list are also mailed upon request. By virtue of its location and mission, SVMC's uncompensated care costs were $47.9 million in FY 2019, based on charges, including charity care and bad debt.
Schedule H, Part VI, Line 7 State filing of community benefit report	CT

Schedule H (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

St Vincent's Medical Center

Employer identification number

06-0646886

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CRAIG A CORDOLA FACHE DIRECTOR (START 7/2019)	(i) (ii)	0 ------------- 807,674	0 ------------- 79,826	0 ------------- 88,128	0 ------------- 13,750	0 ------------- 28,219	0 ------------- 1,017,597	0 ------------- 0
2JOSEPH R IMPICCICHE JD DIRECTOR (END 6/2019)	(i) (ii)	0 ------------- 756,431	0 ------------- 1,083,300	0 ------------- 266,588	0 ------------- 24,177	0 ------------- 45,065	0 ------------- 2,175,561	0 ------------- 0
3PATRICIA A MARYLAND DRPH DIRECTOR (END 6/2019)	(i) (ii)	0 ------------- 1,157,282	0 ------------- 2,149,974	0 ------------- 837,580	0 ------------- 17,875	0 ------------- 29,113	0 ------------- 4,191,824	0 ------------- 0
4CHRISTINE K MCCOY JD DIRECTOR (START 7/2019)	(i) (ii)	0 ------------- 430,762	0 ------------- 465,750	0 ------------- 105,329	0 ------------- 17,875	0 ------------- 33,077	0 ------------- 1,052,794	0 ------------- 0
5ANTHONY J SPERANZO DIRECTOR	(i) (ii)	0 ------------- 1,013,601	0 ------------- 1,630,125	0 ------------- 501,610	0 ------------- 27,017	0 ------------- 21,978	0 ------------- 3,194,331	0 ------------- 0
6STUART G MARCUS MD FORMER OFFICER (END 7/2016)	(i) (ii)	0 ------------- 583,010	0 ------------- 223,224	0 ------------- 83,489	0 ------------- 16,500	0 ------------- 1,868	0 ------------- 908,091	0 ------------- 0
7VINCENT C CAPONI FORMER OFFICER (END 6/2017)	(i) (ii)	0 ------------- 236,612	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 236,612	0 ------------- 0
8DAWN M RUDOLPH PRESIDENT/CEO	(i) (ii)	304,259 ------------- 84,920	0 ------------- 0	16,428 ------------- 35,926	10,989 ------------- 4,136	14,142 ------------- 3,964	345,818 ------------- 128,947	0 ------------- 0
9CHRISTOPHER G GIVEN CFO	(i) (ii)	0 ------------- 280,395	0 ------------- 0	0 ------------- 14,789	0 ------------- 16,500	0 ------------- 8,254	0 ------------- 319,938	0 ------------- 0
10CINDY CZAPLINSKI FORMER KEY EMPLOYEE (END 12/2017)	(i) (ii)	0 ------------- 0	0 ------------- 0	224,101 ------------- 0	0 ------------- 0	0 ------------- 0	224,101 ------------- 0	0 ------------- 0
11DANIEL GOTTSCHALL MD CHIEF CLINICAL OFFICER	(i) (ii)	397,454 ------------- 0	0 ------------- 0	29,668 ------------- 0	15,125 ------------- 0	31,325 ------------- 0	473,572 ------------- 0	0 ------------- 0
12DIANNE J AUGER SVP & CHIEF STRATEGY OFFICER	(i) (ii)	334,772 ------------- 0	0 ------------- 0	31,459 ------------- 0	15,125 ------------- 0	20,563 ------------- 0	401,919 ------------- 0	0 ------------- 0
13DALE DANOWSKI SVP, CNO & COO	(i) (ii)	336,337 ------------- 0	0 ------------- 0	29,520 ------------- 0	17,875 ------------- 0	19,589 ------------- 0	403,321 ------------- 0	0 ------------- 0
14CORINA MARCU MD DIO/Chief Qual & Educ Officer	(i) (ii)	319,506 ------------- 0	7,689 ------------- 0	1,032 ------------- 0	16,500 ------------- 0	31,810 ------------- 0	376,537 ------------- 0	0 ------------- 0
15JOSEPH MATTANA MD CHAIR MEDICINE/DIRECTOR MEDICAL EDUCATION	(i) (ii)	314,822 ------------- 0	0 ------------- 0	3,096 ------------- 0	13,750 ------------- 0	37,064 ------------- 0	368,732 ------------- 0	0 ------------- 0
16ROBERT B BROWN PROG DIR-PHY RESIDENT/STUDENTS	(i) (ii)	222,502 ------------- 0	0 ------------- 0	6,187 ------------- 0	14,803 ------------- 0	23,428 ------------- 0	266,920 ------------- 0	0 ------------- 0
17MELISSA J LANZA STAFF NURSE ICU	(i) (ii)	214,116 ------------- 0	267 ------------- 0	2,663 ------------- 0	13,418 ------------- 0	25,249 ------------- 0	255,713 ------------- 0	0 ------------- 0
18BROOKE A KARLSEN VICE PRESIDENT	(i) (ii)	205,026 ------------- 0	0 ------------- 0	10,823 ------------- 0	14,054 ------------- 0	22,020 ------------- 0	251,923 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	St. Vincent's Medical Center included imputed income for individuals listed in Part VII. St. Vincent's Medical Center "grossed up" applicable expenses and included in the employees' W-2 as additional taxable compensation.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	A RELATED ORGANIZATION OF ST. VINCENT'S MEDICAL CENTER USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S SENIOR ADMINISTRATOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2018: CINDY CZAPLINKSI - $216,311
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE NON-QUALIFIED RETIREMENT PLAN DURING calendar YEAR 2018.

Schedule J (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

St Vincent's Medical Center

Employer identification number

06-0646886

Return Reference	Explanation
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	The process for determining compensation of the organization's CEO, Executive Director, or Top Management Official is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	The process for determining compensation of the organization's other officers or key employees is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.
Form 990, Part VI, Line 6 Classes of members or stockholders	ST. VINCENT'S MEDICAL CENTER HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	ST. VINCENT'S MEDICAL CENTER HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. VINCENT'S MEDICAL CENTER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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 AND MAJOR TRANSACTIONS; GOVERNING DOCUMENTS; APPOINTMENTS/REMOVALS; EVALUATION; DEBT LIMITS; STRATEGIC AND FINANCIAL PLANS; ASSETS; SYSTEM POLICIES AND PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION PER THE SYSTEM AUTHORITY MATRIX.
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, OFFICER, KEY EMPLOYEE, 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 COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE, OR 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 PURPOSE.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
Form 990, Part VII, Section A Related Entities	THE ORGANIZATION UTILIZES AN AFFILIATE AS THE COMMON PAY AGENT. EMPLOYEES REPORTED IN PART VII MAY HAVE DUTIES THAT IMPACT MULTIPLE RELATED ENTITIES. TOTAL AVERAGE HOURS WORKED AND COMPENSATION AND BENEFITS PAID ARE REPORTED. IN DOING SO, IF AVAILABLE, A COMMON LAW EMPLOYER ANALYSIS IS USED TO DETERMINE WHETHER THE HOURS AND COMPENSATION/BENEFITS ARE REPORTABLE AS ATTRIBUTABLE DIRECTLY TO THE FILING ORGANIZATION OR ANOTHER ENTITY; OTHERWISE, THE BEST AVAILABLE INFORMATION HAS BEEN USED AS THE BASIS FOR ALLOCATIONS UTILIZED IN THE REPORTING.
Form 990, Part VII, Section A Hours Reported	Dawn M. Rudolph worked for multiple organizations during the year and devoted 50 hours per week to each during the portions of the year that she worked for each organization.
Form 990, Part VIII, Line 2f Other Program Service Revenue	DHMAS DIVERSION - Total Revenue: 752146, Related or Exempt Function Revenue: 752146, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; LAB REVENUE - Total Revenue: 373824, Related or Exempt Function Revenue: 348066, Unrelated Business Revenue: 25758, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PHO - Total Revenue: 150353, Related or Exempt Function Revenue: 150353, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; INCOME FROM JV - Total Revenue: 148803, Related or Exempt Function Revenue: 148803, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; AFFILIATE RENT - Total Revenue: 104533, Related or Exempt Function Revenue: 104533, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OTHER PATIENT SERVICE REVENUE - Total Revenue: 18311, Related or Exempt Function Revenue: 18311, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; ADMIN FEES - Total Revenue: -35, Related or Exempt Function Revenue: -35, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	TELEPHONE FEE - Total Revenue: 1893, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1893; MEDICAL RECORDS FEES - Total Revenue: 2472, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2472; EDUCATION REVENUE - Total Revenue: 8094, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 8094; LATE PENALTY FEE - Total Revenue: -2071, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -2071; RESEARCH REVENUE - Total Revenue: 500, Related or Exempt Function Revenue: 500, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISCELLANEOUS REVENUE - Total Revenue: 111247, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 111247; GIFT SHOP - Total Revenue: 49894, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 49894; CORPORATE TRANSACTIONS AND OTHER - Total Revenue: 39454, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 39454; CABLE TV - Total Revenue: 19097, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 19097; ESCHEATMENT - Total Revenue: 9726, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 9726; OTHER REAL ESTATE REVENUE - Total Revenue: -58603, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -58603; RET HRA NONOP - Total Revenue: -71767, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -71767;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST IN ST. VINCENT'S MEDICAL CENTER FOUNDATION, INC. - -753170; TRANSFERS WITH ALPHA FUND - -49959228; FAS 158 PENSION ADJUSTMENT - -15877846; TRANSFERS WITH AFFILIATES - -488614;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

St Vincent's Medical Center

Employer identification number

06-0646886

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) ST VINCENT'S MEDICAL CENTER CO-MANAGEMENT LLC 2800 MAIN STREET BRIDGEPORT,CT06606 06-0646886	MANAGEMENT COMPANY	CT	ST VINCENT'S MEDICAL CENTER - SEE NOTE ON SCH R PART VII

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)AFFINITY HEALTH SYSTEM 1506 Oneida St Appleton,WI54915 39-1568866	HEALTH SYSTEM	IL	501(c)(3)	Type II	MINISTRY HEALTH CARE INC	Yes
(2)AGAPE COMMUNITY CENTER OF MILWAUKEE INC 6100 NORTH 42ND STREET MILWAUKEE,WI53209 39-1641846	COMMUNITY CENTER	WI	501(c)(3)	7	MINISTRY HEALTH CARE INC	Yes
(3)ALABAMA PROVIDENCE HEALTHCARE SERVICES 6801 AIRPORT BLVD MOBILE,AL36608 46-2847744	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	10	GULF COAST HEALTH SYSTEM	Yes
(4)Alexian Brothers - AHS Midwest Region Health Co 2601 Navistar Drive Lisle,IL60532 47-2360513	Joint Operating Company	IL	501(c)(3)	Type II	NA		No
(5)Alexian Brothers Ambulatory Group 2601 Navistar Drive Lisle,IL60532 36-4336931	Physician services	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(6)Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates,IL60169 36-4251848	Behavioral health hospital	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(7)Alexian Brothers Bonaventure House 825 Wellington Avenue Chicago,IL60657 36-3527899	Housing and supportive care services for persons with HIV/AIDS	IL	501(c)(3)	10	Alexian Brothers Health System	Yes
(8)Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights,IL60004 36-3045007	Outpatient community mental health services	IL	501(c)(3)	10	Alexian Brothers Health System	Yes
(9)Alexian Brothers Community Services 12250 Weber Hill Rd Ste 200 St Louis,MO63127 36-4344423	PACE- Comprehensive & Coordinated Community Based Services	TN	501(c)(3)	10	Ascension Health Senior Care	Yes
(10)Alexian Brothers Health System 200 South Wacker Drive Chicago,IL60606 36-3260495	Supports the provision of healthcare services for related corporations for which it is a member	IL	501(c)(3)	Type III-FI	Ascension Health	Yes
(11)Alexian Brothers Hospital Network 2601 Navistar Drive Lisle,IL60532 36-3276552	Supports the provision of healthcare services for related corporations	IL	501(c)(3)	Type III-FI	Alexian Brothers Health System	Yes
(12)ALEXIAN BROTHERS LANSDOWNE VILLAGE 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 43-1470362	SKILLED NURSING FACILITY	MO	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(13)Alexian Brothers Medical Care Group NFP 2601 Navistar Drive Lisle,IL60532 47-1930457	Physician services	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(14)Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village,IL60007 36-2596381	Acute care hospital	TX	501(c)(3)	3	Alexian Brothers Health System	Yes
(15)Alexian Brothers Medical Group Specialty Care 2601 Navistar Drive Lisle,IL60532 81-1110738	SPECIALTY PHYSICIAN PRACTICE GROUP	IL	501(c)(3)	3	ALEXIAN BROTHERS HEALTH SYSTEM	Yes
(16)Alexian Brothers of San Jose Inc 2601 Navistar Drive Lisle,IL60532 94-1530037	Acute care hospital (sold in 1998)	TX	501(c)(3)	Type I	Alexian Brothers Health System	Yes
(17)Alexian Brothers Senior Ministries 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 36-4484290	Supports the provision of healthcare for related corporations	IL	501(c)(3)	Type II	Alexian Brothers Health System	Yes
(18)Alexian Brothers Services Inc 3040 W Salt Creek Ln Arlington Heights,IL60005 43-1295333	HUD housing	MO	501(c)(3)	10	Alexian Brothers Health System	Yes
(19)ALEXIAN BROTHERS SHERBROOKE VILLAGE 12250 Weber Hill Rd Ste 200 St Louis,MO63127 43-1592502	SKILLED NURSING FACILITY	MO	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(20)Alexian Brothers Specialty Group 2601 Navistar Drive Lisle,IL60532 80-0710751	Specialty physician practice group	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(21)ALEXIAN VILLAGE OF MILWAUKEE INC 12250 Weber Hill Rd Ste 200 St Louis,MO63127 39-1351584	CONTINUING CARE RETIREMENT COMMUNITY	WI	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(22)ALEXIAN VILLAGE OF TENNESSEE 12250 Weber Hill Rd Ste 200 St Louis,MO63127 62-1136742	CONTINUING CARE RETIREMENT COMMUNITY	TN	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(23)ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 Interstate Plaza Drive Hammond,IN46234 20-3238867	HEALTH CARE	IN	501(c)(3)	3	Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK	Yes
(24)AMERICAN SPORTS MEDICINE INSTITUTE 2660 10TH AVENNUE SOUTH NO 505 BIRMINGHAM,AL35205 63-0952490	SPORTS MEDICINE	AL	501(c)(3)	7	ST VINCENT'S BIRMINGHAM	Yes
(25)ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME 1190 E 2900 N ROAD CLIFTON,IL60927 36-2841358	RETIREMENT COMMUNITY	IL	501(c)(3)	10	PRESENCE LIFE CONNECTIONS	Yes
(26)ASCENSION MICHIGAN CMG 28000 DEQUINDRE ROAD WARREN,MI48092 38-2601348	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes
(27)ASCENSION ALL SAINTS HOSPITAL INC 3801 SPRING STREET RACINE,WI53405 39-1264986	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(28)ASCENSION ARIZONA 2202 N FORBES BLVD TUCSON,AZ85745 86-0455920	HOSPITAL	AZ	501(c)(3)	3	ASCENSION HEALTH	Yes
(29)ASCENSION BORGESS FOUNDATION 1521 GULL ROAD KALAMAZOO,MI49048 23-7222558	FUNDRAISING	MI	501(c)(3)	Type III-FI	ASCENSION BORGESS HOSPITAL	Yes
(30)ASCENSION BORGESS HOSPITAL 1521 GULL ROAD KALAMAZOO,MI49048 38-1360526	HEALTHCARE SERVICES	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(31)ASCENSION BORGESS LEE FOUNDATION 420 W HIGH STREET DOWAGIAC,MI49047 38-2860459	FUNDRAISING	MI	501(c)(3)	Type III-FI	ASCENSION BORGESS-LEE HOSPITAL	Yes
(32)ASCENSION BORGESS-LEE HOSPITAL 420 WEST HIGH STREET DOWAGIAC,MI49047 38-1490190	HEALTHCARE SERVICES	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(33)ASCENSION BRIGHTON CENTER FOR RECOVERY 12851 GRAND RIVER BRIGHTON,MI48116 38-1576680	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(34)ASCENSION CALUMET HOSPITAL INC 614 MEMORIAL DRIVE CHILTON,WI53014 39-0905385	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(35)Ascension Care Management Insurance Holdings (FKA Global Health Partnership )101 South Hanley Ste 450 St Louis,MO63105 46-1121862	Health care	MO	501(c)(3)	7	Ascension Health Alliance	Yes
(36)ASCENSION EAGLE RIVER HOSPITAL INC 201 HOSPITAL ROAD EAGLE RIVER,WI54521 39-0985690	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(37)ASCENSION EASTWOOD BEHAVIORAL HEALTH 28000 DEQUINDRE ROAD WARREN,MI48092 38-1958763	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes
(38)ASCENSION GENESYS FOUNDATION ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-3591148	FOUNDATION	MI	501(c)(3)	Type I	GENESYS HEALTH SYSTEM	Yes
(39)ASCENSION GENESYS HOSPITAL ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-2377821	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(40)ASCENSION GOOD SAMARITAN HOSPITAL INC 601 SOUTH CENTER AVENUE MERRILL,WI54452 39-0808503	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(41)ASCENSION HEALTH PO BOX 45998 ST LOUIS,MO63145 31-1662309	NATIONAL HEALTH	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE		No
(42)ASCENSION HEALTH - IS INC PO BOX 45998 ST LOUIS,MO63145 65-1257719	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(43)ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS,MO63145 45-3358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA		No
(44)ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST4600 EDMUNDSON RD ST LOUIS,MO63134 36-7046706	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(45)ASCENSION HEALTH GLOBAL MISSION 101 SOUTH HANLEY SUITE 450 ST LOUIS,MO63105 65-1205990	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(46)ASCENSION HEALTH SENIOR CARE 12250 Weber Hill Road St Louis,MO63127 43-1227406	PARENT COMPANY	MO	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(47)ASCENSION WELFARE BENEFITS TRUST PO BOX 46944 ST LOUIS,MO63146 43-1601369	TRUST	MO	501(c)(9)		ASCENSION HEALTH	Yes
(48)ASCENSION LIVING - LAKESHORE AT SIENA INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 82-4710412	RETIREMENT COMMUNITY	WI	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(49)ASCENSION MACOMB OAKLAND HOSPITAL 28000 DEQUINDRE ROAD WARREN,MI48092 38-3322109	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(50)ASCENSION MEDICAL GROUP MICHIGAN 28000 Dequnidre Rd WARREN,MI48092 38-3494637	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes
(51)ASCENSION MEDICAL GROUP PROMED 1521 GULL ROAD KALAMAZOO,MI49048 38-3193801	HEALTHCARE SERVICES	MI	501(c)(3)	10	BORGESS HEALTH ALLIANCE INC	Yes
(52)ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC 1570 APPLETON RD MENASHA,WI54952 39-1127163	CLINICAL HEALTHCARE SERVICES	WI	501(c)(3)	3	AFFINITY HEALTH SYSTEM	Yes
(53)ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC 824 ILLINOIS AVENUE STEVENS POINT,WI54481 39-1965593	MEDICAL GROUP	WI	501(c)(3)	Type III-FI	MINISTRY HEALTH CARE INC	Yes
(54)ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1791586	MEDICAL GROUP	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(55)ASCENSION MICHIGAN 28000 DEQUINDRE ROAD WARREN,MI48092 38-2631907	HEALTH CARE	MI	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(56)ASCENSION MINISTRY AND MISSION FUND PO BOX 45998 ST LOUIS,MO63145 27-3174701	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(57)ASCENSION NE WISCONSIN INC 1506 S ONEIDA STREET APPLETON,WI54915 39-0816818	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(58)ASCENSION OUR LADY OF VICTORY HOSPITAL INC 1120 PINE STREET STANLEY,WI54768 39-0807065	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(59)ASCENSION PROVIDENCE 6901 MEDICAL PARKWAY WACO,TX76712 74-1109636	HEALTHCARE SERVICES	TX	501(c)(3)	3	ASCENSION TEXAS	Yes
(60)ASCENSION PROVIDENCE FOUNDATION 22101 MOROSS DETROIT,MI48236 38-3526629	FUNDRAISING	MI	501(c)(3)	Type III-FI	ST JOHN PROVIDENCE	Yes
(61)ASCENSION PROVIDENCE HOSPITAL 16001 WEST NINE MILE ROAD SOUTHFIELD,MI48037 38-1358212	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(62)ASCENSION PROVIDENCE ROCHESTER FOUNDATION FKA CRITTENTON HOSPITAL MEDICAL C ENTER FOUNDATION1101 WEST UNIVERSITY DR ROCHESTER,MI48307 38-2627336	SUPPORTING	MI	501(c)(3)	Type I	ASCENSION PROVIDENCE ROCHESTER HOSPITAL	Yes
(63)ASCENSION PROVIDENCE ROCHESTER HOSPITAL 1101 W UNIVERSITY DR ROCHESTER,MI48307 38-1359247	GENERAL HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(64)ASCENSION RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA,MI48054 38-3160564	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(65)ASCENSION SACRED HEART-STMARY'S HOSPITALS INC PO BOX 347 STEVENS POINT,WI54481 39-1390638	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(66)ASCENSION SE WISCONSIN HOSPITAL INC 5000 WEST CHAMBERS STREET MILWAUKEE,WI53210 39-0816857	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(67)ASCENSION SETON 1345 PHILOMENA STREET AUSTIN,TX78723 74-1109643	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	3	ASCENSION TEXAS	Yes
(68)ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH 28000 DEQUINDRE ROAD WARREN,MI48092 38-2262856	HEALTH CARE	MI	501(c)(3)	3	ST JOHN PROVIDENCE	Yes
(69)ASCENSION ST CLARE'S HOSPITAL INC 3400 MINISTRY PARKWAY WESTON,WI54476 72-1531917	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(70)ASCENSION ST FRANCIS HOSPITAL INC 3237 SOUTH 16TH STREET MILWAUKEE,WI53215 39-0907740	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(71)ASCENSION ST JOHN FOUNDATION 22101 MOROSS DETROIT,MI48236 20-2961579	FUNDRAISING	MI	501(c)(3)	7	ST JOHN PROVIDENCE	Yes
(72)ASCENSION ST JOHN HOSPITAL 28000 DEQUINDRE ROAD WARREN,MI48092 38-1359063	HEALTH CARE	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(73)ASCENSION ST JOSEPH FOUNDATION 200 HEMLOCK ROAD TAWAS CITY,MI48763 01-0790428	FUNDRAISING	MI	501(c)(3)	Type I	ASCENSION ST JOSEPH'S HOSPITAL	Yes
(74)ASCENSION ST JOSEPH'S HOSPITAL 200 HEMLOCK ROAD TAWAS CITY,MI48763 38-1443395	HEALTH CARE	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(75)ASCENSION ST MARY'S FOUNDATION 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-2246366	FUNDRAISING	MI	501(c)(3)	Type II	ASCENSION ST MARY'S HOSPITAL	Yes
(76)ASCENSION ST MARY'S HOSPITAL 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-0997730	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(77)ASCENSION ST MICHAEL'S HOSPITAL INC 900 ILLINOIS AVENUE STEVENS POINT,WI54481 39-0808443	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(78)ASCENSION STANDISH HOSPITAL 805 WEST CEDEAR STREET STANDISH,MI48658 38-1671120	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(79)ASCENSION TEXAS 1345 PHILOMENA STREET AUSTIN,TX78723 45-4364243	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(80)ASCENSION VIA CHRISTI HEALTH PARTNERS INC 8200 E THORN DRIVE WICHITA,KS67226 48-0958974	MANAGEMENT COMPANY	KS	501(c)(3)	10	ASCENSION VIA CHRISTI HEALTH INC	Yes
(81)ASCENSION VIA CHRISTI HEALTH INC 8200 E THORN DRIVE WICHITA,KS67226 48-1172107	HEALTH SYSTEM PARENT	KS	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(82)ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC 1823 COLLEGE AVENUE MANHATTAN,KS66502 48-1186704	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HEALTH INC	Yes
(83)ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC 1 MT CARMEL WAY PITTSBURG,KS66762 48-0543778	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HEALTH INC	Yes
(84)ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC 14800 W ST TERESA WICHITA,KS67235 27-1965272	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HEALTH INC	Yes
(85)ASCENSION VIA CHRISTI HOSPITALS WICHITA INC 929 N SAINT FRANCIS WICHITA,KS67214 48-1172106	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HEALTH INC	Yes
(86)ASCENSION VIA CHRISTI PROPERTY SERVICES INC 8200 E THORN DRIVE WICHITA,KS67226 48-0948571	PROPERTY MANAGEMENT	KS	501(c)(4)		ASCENSION VIA CHRISTI HOSPITALS WICHITA INC	Yes
(87)ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC 1151 N ROCK ROAD WICHITA,KS67206 48-1158274	REHABILITATION HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HOSPITALS WICHITA INC	Yes
(88)ASCENSION WISCONSIN LABORATORIES INC 3237 SOUTH 16TH STREET MILWAUKEE,WI53215 39-1701402	LABORATORY	WI	501(c)(3)	10	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(89)ASCENSION WISCONSIN PHARMACYINC 19525 WEST NORTH AVENUE BROOKFIELD,WI53005 39-1613624	PHARMACY	WI	501(c)(3)	10	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(90)BAPTIST HEALTH CARE AFFILIATES INC 2000 CHURCH STREET NASHVILLE,TN37236 58-1509251	COMMUNITY HEALTH PROMOTION	TN	501(c)(3)	Type I	SAINT THOMAS NETWORK	Yes
(91)BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC 2000 CHURCH STREET NASHVILLE,TN37236 58-1861378	INACTIVE	TN	501(c)(3)	Type I	SAINT THOMAS MIDTOWN HOSPITAL	Yes
(92)BLUE LADIES MINERALS INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2971975	OWN OIL AND MINERAL RIGHTS, REAL ESTATE	TX	501(c)(3)	Type III-FI	SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC	Yes
(93)BORGESS AMBULATORY CARE CORPORATION 1521 GULL ROAD KALAMAZOO,MI49048 38-2468823	HOLDING COMPANY	MI	501(c)(3)	3	BORGESS HEALTH ALLIANCE INC	Yes
(94)BORGESS HEALTH ALLIANCE INC 1521 GULL ROAD KALAMAZOO,MI49048 38-2335286	HEALTH SYSTEM PARENT	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes
(95)BORGESS NURSING HOME INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 38-2555589	SKILLED NURSING FACILITY	MI	501(c)(3)	3	ASCENSION HEALTH SENIOR CARE	Yes
(96)CARONDELET FOUNDATION INC 2202 N FORBES BLVD TUSCON,AZ85716 86-0749574	FOUNDATION	AZ	501(c)(3)	Type I	ASCENSION ARIZONA	Yes
(97)CARONDELET HEALTH 1000 CARONDELET DRIVE KANSAS CITY,MO63145 43-1276738	HEALTH SYSTEM PARENT	MO	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(98)CARONDELET HEART & VASCULAR INSTITUTE 2202 N FORBES BLVD TUCSON,AZ85745 56-1943271	INACTIVE HOSPITAL	AZ	501(c)(3)	3	ASCENSION ARIZONA	Yes
(99)CARONDELET LONG-TERM CARE FACILITIES INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 74-2505427	SKILLED NURSING FACILITY	MO	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(100)CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVE AMSTERDAM,NY12010 81-4769136	MEDICAL GROUP	NY	501(c)(3)	3	ST MARY'S HEALTHCARE	Yes
(101)CATALPA HEALTH INC N4642 COUNTY N APPLETON,WI54914 45-4681563	BEHAVIORAL HEALTH SERVICES	WI	501(c)(3)	3	AFFINITY HEALTH SYSTEM	Yes
(102)CENTER FOR GERONTOLOGY 5455 ALI DRIVE DEPT200 GRAND BLANC,MI484395195 38-2514708	ADULT DAY CARE	MI	501(c)(3)	Type I	GENESYS AMBULATORY HEALTH SERVICES	Yes
(103)CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC 2001 W 86TH STREET INDIANAPOLIS,IN46260 35-1869951	FREESTANDING OUTPATIENT CENTER	IN	501(c)(3)	Type III-FI	ST VINCENT HEALTH INC	Yes
(104)CMC FOUNDATION OF CENTRAL TEXAS 1345 PHILOMENA STREET AUSTIN,TX78723 20-0468031	FUNDRAISING	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(105)COLUMBIA COLLEGE OF NURSING Inc 4425 NORTH PORT WASHINGTON ROAD GLENDALE,WI53212 39-1596986	COLLEGE	WI	501(c)(3)	2	COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC	Yes
(106)COLUMBIA ST MARY'S FOUNDATION INC 400 W RIVER WOODS PKWY GLENDALE,WI53212 39-1494981	FOUNDATION	WI	501(c)(3)	7	COLUMBIA ST MARY'S INC	Yes
(107)COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE,WI53212 39-0806315	HOSPITAL	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes
(108)COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE,WI53212 39-0807063	HOSPITAL	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes
(109)COLUMBIA ST MARY'S HOSPITAL INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1834639	HEALTH SYSTEM	WI	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(110)CORNERSTONE ASSISTED LIVING INC 2622 W Central Suite 100 Wichita,KS67203 48-1241079	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(111)CRITTENTON CANCER CENTER 1101 WEST UNIVERSITY DR ROCHESTER,MI48307 38-3239057	CANCER TREATMENT	MI	501(c)(3)	10	ASCENSION PROVIDENCE ROCHESTER HOSPITAL	Yes
(112)DELL CHILDREN'S MEDICAL GROUP 1345 PHILOMENA STREET AUSTIN,TX78723 74-2800601	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(113)DR KATE NEWCOMB CONVALESCENT CENTER INC PO BOX 829 WOODRUFF,WI54568 39-1357365	NURSING/ASSISTED LIVING SERVICES	WI	501(c)(3)	10	HOWARD YOUNG HEALTH CARE INC	Yes
(114)FIELD NEUROSCIENCES INSTITUTE 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-2790703	MEDICAL RESEARCH ORGANIZATION	MI	501(c)(3)	10	ASCENSION ST MARY'S HOSPITAL	Yes
(115)FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC 3400 MINISTRY PARKWAY WESTON,WI54476 75-3193633	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST CLARE'S HOSPITAL INC	Yes
(116)FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc 611 SAINT JOSEPH AVENUE MARSHFIELD,WI54449 39-1684957	FOUNDATION	WI	501(c)(3)	Type I	SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC	Yes
(117)GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC,MI484395195 38-2371754	HEALTH SRVCS/STAFFING/PROP MNGT	MI	501(c)(3)	Type II	GENESYS HEALTH SYSTEM	Yes
(118)GENESYS CONVALESCENT CENTER 8481 HOLLY ROAD GRAND BLANC,MI484391812 38-2317364	CONVALESCENT CENTER	MI	501(c)(3)	3	GENESYS AMBULATORY HEALTH SERVICES	Yes
(119)GENESYS HEALTH SYSTEM ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-3339703	HEALTH SYSTEM PARENT	MI	501(c)(3)	Type II	ASCENSION MICHIGAN	Yes
(120)GLOBAL SOLIDARITY FUND 101 SOUTH HANLEY SUITE 200 ST LOUIS,MO63105 83-1078006	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(121)GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL,WI54452 39-1627755	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION GOOD SAMARITAN HOSPITAL INC	Yes
(122)GULF COAST HEALTH SYSTEM 6801 AIRPORT BLVD MOBILE,AL36608 63-0934712	HEALTH SYSTEM	AL	501(c)(3)	Type III-FI	ST VINCENT'S HEALTH SYSTEM	Yes
(123)HAVEN OF OUR LADY OF PEACE INC 5151 N 9TH AVENUE PENSACOLA,FL32504 59-3620346	NURSING HOME	FL	501(c)(3)	10	SACRED HEART HEALTH SYSTEM	Yes
(124)HEALTHCARE COLLABORATIVE 1345 PHILOMENA STREET AUSTIN,TX78723 27-3220767	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(125)HOWARD YOUNG FOUNDATION INC 240 MAPLE STREET WOODRUFF,WI54568 39-1521169	CHARITABLE FOUNDATION	WI	501(c)(3)	7	HOWARD YOUNG HEALTH CARE INC	Yes
(126)HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF,WI54568 39-1499115	HOME OFFICE	WI	501(c)(3)	Type II	MINISTRY HEALTH CARE INC	Yes
(127)JANE PHILLIPS MEMORIAL MEDICAL CENTER 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-0606129	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(128)JANE PHILLIPS NOWATA HOSPITAL INC 237 SOUTH LOCUST NOWATA,OK74048 73-1440267	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(129)LaVerna Terrace Housing Corporation 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA,IL60448 36-3438977	LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS	IL	501(c)(3)	10	PRESENCE LIFE CONNECTIONS	Yes
(130)LOURDES FOUNDATION 520 NORTH 4TH AVENUE PASCO,WA99301 91-1528577	FUNDRAISING	WA	501(c)(3)	Type I	OUR LADY OF LOURDES HOSPITAL AT PASCO	Yes
(131)Lourdes Realty Corporation Inc 169 Riverside Drive Binghamton,NY13905 22-2873637	Rental of Health Care Facilities	NY	501(c)(2)		Our Lady of Lourdes Memorial Hospital Inc	Yes
(132)MEDICAL SERVICES ENHANCEMENT INC 427 GUY PARK AVE AMSTERDAM,NY12010 14-1776546	MEDICAL OFFICE BUILDING	NY	501(c)(25)		ST MARY'S HEALTHCARE	Yes
(133)MEDICARE VALUE PARTNERS 2380 E Dempster Street DES PLAINES,IL60016 36-3495969	HEALTH CARE	IL	501(c)(3)	10	Presence Health Partners Services	Yes
(134)MERCY HEALTH FOUNDATION INC PO BOX 3370 OSHKOSH,WI54903 23-7140261	FOUNDATION	WI	501(c)(3)	10	AFFINITY HEALTH SYSTEM	Yes
(135)METRO PHYSICIANS INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 94-3436893	Medical Group	WI	501(c)(3)	3	ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC	Yes
(136)MINISTRY HEALTH CARE INC 10925 W LAKE PARK DR STE 100 MILWAUKEE,WI53224 39-1490371	PARENT CORPORATION	WI	501(c)(3)	Type II	ASCENSION HEALTH	Yes
(137)MINISTRY WEIGHT MANAGEMENT INC 2251 NORTH SHORE DRIVE RHINELANDER,WI54501 39-1829015	SPECIALTY HEALTH SERVICES	WI	501(c)(3)	3	ASCENSION SACRED HEART-STMARY'S HOSPITALS INC	Yes
(138)OUR LADY OF LOURDES HOSPITAL AT PASCO 520 NORTH 4TH AVENUE PASCO,WA99301 91-0349750	HEALTHCARE	WA	501(c)(3)	3	ASCENSION HEALTH	Yes
(139)OUR LADY OF LOURDES MEMORIAL HOSPITAL INC 169 RIVERSIDE DRIVE BINGHAMTON,NY13905 15-0532221	HOSPITAL	NY	501(c)(3)	3	ASCENSION HEALTH	Yes
(140)OUR LADY OF PEACE INC 5285 Lewiston Road Lewiston,NY14092 16-1608735	SKILLED NURSING FACILITY	NY	501(c)(3)	3	ASCENSION HEALTH SENIOR CARE	Yes
(141)OWASSO MEDICAL FACILITY INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-3700131	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(142)PRESENCE AMBULATORY SERVICES 2380 E Dempster Street DES PLAINES,IL60016 36-4286236	HEALTH CARE	IL	501(c)(3)	10	Presence Care Transformation Corporation	Yes
(143)PRESENCE BEHAVIORAL HEALTH 1820 SOUTH 25TH AVENUE BROADVIEW,IL60155 36-2709982	HEALTH CARE	IL	501(c)(3)	10	Presence Care Transformation Corporation	Yes
(144)PRESENCE CARE HOME 18927 HICKORY CREEK DR 300 MOKENA,IL60448 46-0483587	HEALTH CARE	IL	501(c)(3)	10	PRESENCE CARE TRANSFORMATION CORPORATION	Yes
(145)PRESENCE CARE TRANSFORMATION CORPORATION 200 South Wacker Drive Chicago,IL60606 36-3366652	MGMT SUPPORT	IL	501(c)(3)	Type III-FI	Alexian Brothers Health System	Yes
(146)PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK 200 South Wacker Drive Chicago,IL60606 36-4195126	HEALTH CARE	IL	501(c)(3)	3	Presence Care Transformation Corporation	Yes
(147)PRESENCE CHICAGO HOSPITALS NETWORK 200 SOUTH WACKER DRIVE CHICAGO,IL60606 36-2235165	HEALTH CARE	IL	501(c)(3)	3	Presence Care Transformation Corporation	Yes
(148)PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES 200 SOUTH WACKER DRIVE CHICAGO,IL60606 36-3330929	FUNDRAISING	IL	501(c)(3)	7	Alexian Brothers Health System	Yes
(149)PRESENCE HEALTH PARTNERS SERVICES 2380 E DEMPSTER AVE STE 236 DES PLAINES,IL60016 36-2644178	HEALTH CARE	IL	501(c)(3)	Type II	Alexian Brothers Health System	Yes
(150)PRESENCE HEALTHCARE SERVICES 2380 E Dempster Street DES PLAINES,IL60016 36-3330928	HEALTH CARE	IL	501(c)(3)	3	Presence Care Transformation Corporation	Yes
(151)PRESENCE HOME CARE 18927 HICKORY CREEK DR 300 MOKENA,IL60448 46-0483581	HEALTH CARE	IL	501(c)(3)	10	PRESENCE CARE TRANSFORMATION CORPORATION	Yes
(152)PRESENCE LIFE CONNECTIONS 18927 HICKORY CREEK DRIVE 300 MOKENA,IL60448 37-1127787	RETIREMENT COMMUNITY	IL	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(153)PRESENCE SENIOR SERVICES CHICAGOLAND 100 NORTH RIVER ROAD DES PLAINES,IL60016 23-7061646	RETIREMENT COMMUNITY	IL	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(154)PRIMARY PHYSICIAN NETWORK LLC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 20-8775914	DORMANT	IN	501(c)(3)	10	ST MARY'S HEALTH INC	Yes
(155)PROVIDENCE BUILDING CORPORATION 6801 AIRPORT BLVD MOBILE,AL36608 63-0914564	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(2)		GULF COAST HEALTH SYSTEM	Yes
(156)PROVIDENCE FOUNDATION 6801 AIRPORT BLVD MOBILE,AL36608 63-0915493	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	7	GULF COAST HEALTH SYSTEM	Yes
(157)PROVIDENCE FOUNDATION INC 6901 MEDICAL PARKWAY WACO,TX76712 74-2683112	SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE	TX	501(c)(3)	Type I	ASCENSION PROVIDENCE	Yes
(158)PROVIDENCE HEALTH ALLIANCE 6901 MEDICAL PARKWAY WACO,TX76712 74-2696970	PHYSICIAN PRACTICES	TX	501(c)(3)	3	ASCENSION PROVIDENCE	Yes
(159)PROVIDENCE HEALTH FOUNDATION INC 1150 VARNUM STREET NE WASHINGTON,DC20017 52-1275583	FUNDRAISING ORGANIZATION	DC	501(c)(3)	Type I	PROVIDENCE HOSPITAL	Yes
(160)PROVIDENCE HEALTH SERVICES INC 1150 VARNUM STREET NE WASHINGTON,DC20017 52-1275587	PHYSICIAN PRACTICES	DC	501(c)(3)	Type I	PROVIDENCE HOSPITAL	Yes
(161)PROVIDENCE HOSPITAL 6801 AIRPORT BLVD MOBILE,AL36608 63-0288861	HOSPITAL	AL	501(c)(3)	3	GULF COAST HEALTH SYSTEM	Yes
(162)PROVIDENCE HOSPITAL 1150 VARNUM STREET NE WASHINGTON,DC20017 53-0196636	HOSPITAL	DC	501(c)(3)	3	ASCENSION HEALTH	Yes
(163)PROVIDENCE PARK INC 300 W Highway 6 Waco,TX76712 61-1759304	SKILLED NURSING FACILITY	TX	501(c)(3)	3	ASCENSION HEALTH SENIOR CARE	Yes
(164)RAINBOW HOSPICE AND PALLIATIVE CARE 1550 BISHOP COURT MOUNT PROSPECT,IL60056 36-3296367	HEALTH CARE	IL	501(c)(3)	10	Presence Care Transformation Corporation	Yes
(165)SACRED HEART FOUNDATION INC 5151 N 9TH AVENUE PENSACOLA,FL32504 59-2436597	FOUNDATION	FL	501(c)(3)	7	SACRED HEART HEALTH SYSTEM	Yes
(166)SACRED HEART HEALTH SYSTEM INC 5151 N 9TH AVENUE PENSACOLA,FL32504 59-0634434	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(167)SACRED HEART HEALTH VENTURES INC 5151 N 9TH AVENUE PENSACOLA,FL32504 57-1183283	INVESTMENT	FL	501(c)(3)	Type I	SACRED HEART HEALTH SYSTEM	Yes
(168)SACRED HEART REHABILITATION INSTITUTE Inc 4425 NORTH PORT WASHINGTON ROAD GLENDALE,WI53212 39-0902199	REHAB SERVICES	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes
(169)SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 1200 GRANT BLVD WEST WABASHA,MN55981 41-0693877	HOSPITAL	MN	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(170)SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC 611 SAINT JOSEPH AVENUE MARSHFIELD,WI54449 39-0847631	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(171)SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC 900 ILLINOIS AVENUE STEVENS POINT,WI54481 39-1657410	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST MICHAEL'S HOSPITAL INC	Yes
(172)SAINT THOMAS HEALTH 4220 HARDING ROAD NASHVILLE,TN37205 58-1716804	SYSTEM PARENT	TN	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(173)SAINT THOMAS HEALTH FOUNDATIONS PO BOX 380 NASHVILLE,TN37202 58-1663055	OPERATES FOUNDATION	TN	501(c)(3)	7	SAINT THOMAS NETWORK	Yes
(174)SAINT THOMAS HICKMAN HOSPITAL 135 EAST SWAN STREET CENTERVILLE,TN37033 58-1737573	HOSPITAL	TN	501(c)(3)	3	BAPTIST HEALTH CARE AFFILIATES INC	Yes
(175)SAINT THOMAS HOME HEALTH 135 EAST SWAN STREET CENTERVILLE,TN37033 62-1836937	HOME HEALTH CARE	TN	501(c)(3)	10	SAINT THOMAS HICKMAN HOSPITAL	Yes
(176)SAINT THOMAS MEDICAL PARTNERS 2000 CHURCH STREET NASHVILLE,TN37236 62-1529858	HEALTHCARE PROVIDER	TN	501(c)(3)	10	SAINT THOMAS NETWORK	Yes
(177)SAINT THOMAS MIDTOWN HOSPITAL 4220 HARDING ROAD NASHVILLE,TN37205 62-1869474	ACUTE CARE HOSPITAL	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes
(178)SAINT THOMAS NETWORK 4220 HARDING ROAD NASHVILLE,TN37205 62-1284994	HEALTH INVESTMENT ENTITY	TN	501(c)(3)	10	SAINT THOMAS HEALTH	Yes
(179)SAINT THOMAS REGIONAL HOSPITALS 4220 HARDING PIKE NASHVILLE,TN37205 47-4063046	HOSPITALS	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes
(180)SAINT THOMAS RUTHERFORD FOUNDATION 1700 MEDICAL CENTER PARKWAY MURFREESBORO,TN37219 62-1167917	FOUNDATION	TN	501(c)(3)	Type I	SAINT THOMAS RUTHERFORD HOSPITAL	Yes
(181)SAINT THOMAS RUTHERFORD HOSPITAL 1700 MEDICAL CENTER PARKWAY MURFREESBORO,TN37219 62-0475842	HOSPITAL	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes
(182)SAINT THOMAS WEST HOSPITAL 4220 HARDING ROAD NASHVILLE,TN37205 62-0347580	HOSPITAL	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes
(183)SALINA REGIONAL HOME MEDICAL SERVICES LLC 520 SOUTH SANTA FE AVE SALINA,KS67401 43-1948057	MEDICAL EQUIPMENT	KS	501(c)(3)	10	ASCENSION VIA CHRISTI HEALTH PARTNERS INC	Yes
(184)Savelli Properties Inc 2601 Navistar Drive Lisle,IL60532 36-3308965	Owns or leases properties where healthcare services are delivered	IL	501(c)(2)		Alexian Brothers Health System	Yes
(185)SETON CLINICAL ENTERPRISE CORPORATION 1345 PHILOMENA STREET AUSTIN,TX78723 45-4364681	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(186)SETON FAMILY OF DOCTORS 1345 PHILOMENA STREET AUSTIN,TX78723 26-4562522	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(187)SETON FAMILY OF PEDIATRIC SURGEONS 1345 PHILOMENA STREET AUSTIN,TX78723 27-1311790	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(188)SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2212968	FUNDRAISING	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(189)SETON HAYS FOUNDATION 1345 PHILOMENA STREET AUSTIN,TX78723 26-2842608	FUNDRAISING	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(190)SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN 28000 DEQUINDRE WARREN,MI48092 38-2820107	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes
(191)SETON HOSPITALIST SERVICE 1345 PHILOMENA STREET AUSTIN,TX78723 45-2498998	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	ASCENSION SETON	Yes
(192)SETON INSURANCE SERVICES CORPORATION 1345 PHILOMENA STREET AUSTIN,TX78723 45-4364813	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(193)SETON MANOR INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 23-2960726	SKILLED NURSING FACILITY	PA	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(194)SETON MEDICAL GROUP INC 900 CATON AVENUE BALTIMORE,MD21229 39-2064992	PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY	MD	501(c)(3)	10	ASCENSION MEDICAL GROUP LLC	Yes
(195)SETON MEDICAL MANAGEMENT 6801 AIRPORT BLVD MOBILE,AL36608 63-0937704	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	Type II	GULF COAST HEALTH SYSTEM	Yes
(196)SETON ORAL & MAXILLOFACIAL SURGERY 1345 PHILOMENA STREET AUSTIN,TX78723 42-1670843	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(197)SETON PROPERTY CORPORATION OF NORTH ALABAMA 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 23-7326976	REAL ESTATE	AL	501(c)(2)		ST VINCENT'S HEALTH SYSTEM	Yes
(198)SETON WILLIAMSON FOUNDATION 1345 PHILOMENA STREET AUSTIN,TX78723 20-5330986	FUNDRAISING	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(199)SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP 1345 PHILOMENA STREET AUSTIN,TX78723 74-2869762	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(200)SJRMC INC 415 6TH STREET LEWISTON,ID83501 82-0204264	HOSPITAL	ID	501(c)(3)	3	ASCENSION HEALTH	Yes
(201)SOUTHERN TIER MEDICAL CARE - NY PC 169 RIVERSIDE DRIVE BINGHAMTON,NY13905 82-1103087	HEALTHCARE	NY	501(c)(3)	3	OUR LADY OF LOURDES MEMORIAL HOSPITAL INC	Yes
(202)ST VINCENT'S AMBULATORY CARE INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-2292041	PHYSICIAN PRACTICE	FL	501(c)(3)	10	ASCENSION MEDICAL GROUP LLC	Yes
(203)ST AGNES FOUNDATION 900 CATON AVENUE BALTIMORE,MD21229 52-1415083	FUNDRAISING	MD	501(c)(3)	Type I	ST AGNES HEALTHCARE	Yes
(204)ST AGNES HEALTHCARE INC 900 CATON AVENUE BALTIMORE,MD21229 52-0591657	HOSPITAL	MD	501(c)(3)	3	ASCENSION HEALTH	Yes
(205)St Alexius Medical Center 1555 Barrington Road Hoffman Estates,IL60194 36-4251846	Acute care hospital	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(206)ST CATHERINE LABOURE MANOR INC 1750 Stockton Street Jacksonville,FL32204 59-1878316	SKILLED NURSING FACILITY	FL	501(c)(3)	3	ASCENSION HEALTH SENIOR CARE	Yes
(207)ST ELIZABETH HOSPITAL FOUNDATION INC 1506 S ONEIDA STREET APPLETON,WI54915 39-1256677	FOUNDATION	WI	501(c)(3)	7	AFFINITY HEALTH SYSTEM	Yes
(208)ST JOHN AUXILIARY INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0999759	HEALTH CARE	OK	501(c)(3)	10	ST JOHN HEALTH SYSTEM INC	Yes
(209)ST JOHN BROKEN ARROW INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 38-3833117	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(210)ST JOHN BUILDING CORPORATION 1923 SOUTH UTICA AVENUE TULSA,OK74104 61-1659782	REAL ESTATE	OK	501(c)(2)		ST JOHN HEALTH SYSTEM INC	Yes
(211)ST JOHN HEALTH SYSTEM FOUNDATION INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1133139	HEALTH CARE	OK	501(c)(3)	7	ST JOHN HEALTH SYSTEM INC	Yes
(212)ST JOHN HEALTH SYSTEM INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1215174	SYSTEM PARENT	OK	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(213)ST JOHN MEDICAL CENTER INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0579286	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(214)ST JOHN PROVIDENCE 28000 DEQUINDRE ROAD WARREN,MI48092 38-2244034	PARENT	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes
(215)ST JOHN SAPULPA INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0662663	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(216)ST JOHN VILLAS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1077367	NURSING HOME	OK	501(c)(3)	10	ST JOHN HEALTH SYSTEM INC	Yes
(217)ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC 1907 W SYCAMORE STREET KOKOMO,IN46901 23-7313206	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST JOSEPH HOSPITAL & HEALTH CENTER INC	Yes
(218)ST JOSEPH HOSPITAL & HEALTH CENTER INC 1907 W SYCAMORE STREET KOKOMO,IN46901 35-0992717	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(219)ST JOSEPH MEDICAL CENTER FOUNDATION 1000 CARONDELET DRIVE KANSAS CITY,MO63145 43-1388461	FUNDRAISING	MO	501(c)(3)	Type III-FI	CARONDELET HEALTH	Yes
(220)ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC 415 6TH STREET LEWISTON,ID83501 51-0168321	FUNDRAISING	ID	501(c)(3)	Type I	SJRMC Inc	Yes
(221)ST JOSEPH'S MINISTRIES INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 52-1835288	SKILLED NURSING FACILITY	MD	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(222)ST LUKE'S-ST VINCENT'S HEALTHCARE INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 26-0479484	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(223)ST MARY'S - ST JOSEPH HEALTH SYSTEM 800 S WASHINGTON AVENUE SAGINAW,MI48601 46-1084363	SUPPORTING ORGANIZATION	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes
(224)ST MARY'S AT HOME INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1899560	DME/HOME CARE	IN	501(c)(3)	Type I	ST MARY'S HEALTH INC	Yes
(225)ST MARY'S BUILDING CORPORATION 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 23-7248362	REAL ESTATE HOLDING COMPANY	IN	501(c)(2)		ST MARY'S HEALTH INC	Yes
(226)ST MARY'S CARE PARTNERS INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1899562	TAX-EXEMPT AFFILIATE REIMBURSEMENTS	IN	501(c)(3)	Type I	ST MARY'S HEALTH INC	Yes
(227)ST MARY'S HEALTH FOUNDATION INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 23-7045370	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST MARY'S HEALTH INC	Yes
(228)ST MARY'S HEALTH SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1679526	INVESTMENT SERVICES	IN	501(c)(3)	Type III-FI	ST MARY'S HEALTH INC	Yes
(229)ST MARY'S HEALTH INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-0869065	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(230)ST MARY'S HEALTHCARE 427 GUY PARK AVE AMSTERDAM,NY12010 14-1347719	HOSPITAL	NY	501(c)(3)	3	ASCENSION HEALTH	Yes
(231)ST MARY'S MEDICAL CENTER FOUNDATION 1000 CARONDELET DRIVE KANSAS CITY,MO63145 43-1918107	FUNDRAISING	MO	501(c)(3)	Type III-FI	CARONDELET HEALTH	Yes
(232)ST MARY'S MEDICAL GROUP LLC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 26-1356310	PHYSICIAN PROFESSIONAL SERVICES	IN	501(c)(3)	10	ST VINCENT MEDICAL GROUP INC	Yes
(233)ST MARY'S OHIO VALLEY HEARTCARE LLC 901 ST MARYS DRIVE EVANSVILLE,IN47714 27-3474697	DORMANT	IN	501(c)(3)	Type I	ST MARY'S MEDICAL GROUP LLC	Yes
(234)ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 20-5342518	AMBULANCE SERVICES	IN	501(c)(4)		ST MARY'S HEALTH SERVICES INC	Yes
(235)ST MARY'S WARRICK HOSPITAL INC 1116 MILLIS AVENUE BOONVILLE,IN47601 35-1343019	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(236)ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC 2015 JACKSON STREET ANDERSON,IN46016 35-2053693	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT ANDERSON REGIONAL HOSPITAL INC	Yes
(237)ST VINCENT ANDERSON REGIONAL HOSPITAL INC 2015 JACKSON STREET ANDERSON,IN46016 46-0877261	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(238)ST VINCENT CARMEL HOSPITAL INC 13500 N MERIDIAN STREET CARMEL,IN46032 74-3107055	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(239)ST VINCENT CLAY HOSPITAL INC 1206 E NATIONAL AVENUE BRAZIL,IN47834 35-2112529	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(240)ST VINCENT DUNN HOSPITAL INC 1600 23RD STREET BEDFORD,IN47421 27-2192831	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(241)ST VINCENT FISHERS HOSPITAL INC 13861 OLIO ROAD FISHERS,IN46037 45-4243702	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(242)ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC 1300 S JACKSON FRANKFORT,IN46041 35-1531734	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT FRANKFORT HOSPITAL INC	Yes
(243)ST VINCENT FRANKFORT HOSPITAL INC 1300 S JACKSON FRANKFORT,IN46041 35-2099320	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(244)ST VINCENT HEALTH INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS,IN46290 35-2052591	PARENT COMPANY	IN	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(245)ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC 8333 NAAB ROAD STE 301 INDIANAPOLIS,IN46260 46-1227327	HEALTH AND WELLNESS SERVICES	IN	501(c)(3)	10	ST VINCENT HEALTH INC	Yes
(246)ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC 2001 W 86TH STREET INDIANAPOLIS,IN46260 35-0869066	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(247)ST VINCENT HOSPITAL FOUNDATION INC 8402 Harcourt Rd Ste 210 INDIANAPOLIS,IN46260 35-6088862	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC	Yes
(248)ST VINCENT JENNINGS HOSPITAL FOUNDATION INC 301 HENRY STREET NORTH VERNON,IN47265 84-1703732	DORMANT	IN	501(c)(3)	1	ST VINCENT JENNINGS HOSPITAL INC	Yes
(249)ST VINCENT JENNINGS HOSPITAL INC 301 HENRY STREET NORTH VERNON,IN47265 35-1841606	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(250)ST VINCENT MADISON COUNTY HEALTH SYSTEM INC 1331 SOUTH A STREET ELWOOD,IN46036 35-0876389	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(251)ST VINCENT MEDICAL GROUP INC 8425 HARCOURT ROAD INDIANAPOLIS,IN46260 27-2039417	PHYSICIAN PROFESSIONAL SERVICES	IN	501(c)(3)	10	ST VINCENT CARMEL HOSPITAL INC	Yes
(252)ST VINCENT MERCY HOSPITAL FOUNDATION INC 1331 SOUTH A STREET ELWOOD,IN46036 31-1066871	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT MADISON COUNTY HEALTH SYSTEM INC	Yes
(253)ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC 473 GREENVILLE AVENUE WINCHESTER,IN47394 35-2133006	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT RANDOLPH HOSPITAL INC	Yes
(254)ST VINCENT RANDOLPH HOSPITAL INC 473 GREENVILLE AVENUE WINCHESTER,IN47394 35-2103153	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(255)ST VINCENT RAS INC 10330 N MERIDIAN STREET STE 400N INDIANAPOLIS,IN46290 47-1289091	RETAIL AMBULATORY SERVICES	IN	501(c)(3)	10	ST VINCENT HEALTH INC	Yes
(256)ST VINCENT SALEM HOSPITAL INC 911 N SHELBY STREET SALEM,IN47167 27-0847538	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(257)ST VINCENT SETON SPECIALTY HOSPITAL INC 8050 TOWNSHIP LINE RD INDIANAPOLIS,IN46260 35-1712001	LONG TERM CARE HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(258)ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC 412 N MONROE STREET WILLIAMSPORT,IN47993 74-3130159	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT WILLIAMSPORT HOSPITAL INC	Yes
(259)ST VINCENT WILLIAMSPORT HOSPITAL INC 412 N MONROE STREET WILLIAMSPORT,IN47993 35-0784551	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(260)ST VINCENT'S BIRMINGHAM 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0288864	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes
(261)ST VINCENT'S BLOUNT 150 GILBREATH DRIVE ONEONTA,AL35121 63-0909073	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes
(262)ST VINCENT'S COLLEGE INC 2800 MAIN STREET BRIDGEPORT,CT06606 06-1331677	COLLEGE OF HEALTH SCIENCE	CT	501(c)(3)	2	STVINCENT'S MEDICAL CENTER	Yes
(263)ST VINCENT'S DEVELOPMENT INC 95 MERRITT BOULEVARD TRUMBULL,CT06611 22-2554128	REAL ESTATE HOLDINGS	CT	501(c)(25)		ST VINCENT'S HEALTH SERVICES CORP	Yes
(264)ST VINCENT'S EAST 50 MEDICAL PARK EAST DRIVE BIRMINGHAM,AL35235 63-0578923	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes
(265)ST VINCENT'S FOUNDATION OF ALABAMA INC 1 Medical Park East Drive BIRMINGHAM,AL35235 63-0868066	FUNDRAISING	AL	501(c)(3)	7	ST VINCENT'S HEALTH SYSTEM	Yes
(266)ST VINCENT'S FOUNDATION INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-2219923	FUND RAISING	FL	501(c)(3)	7	ST VINCENT'S HEALTH SYSTEM INC	Yes
(267)ST VINCENT'S HEALTH SERVICES CORP 2800 MAIN STREET BRIDGEPORT,CT06606 22-2558134	HOLDING COMPANY	CT	501(c)(3)	Type I	ST VINCENT'S MEDICAL CENTER	Yes
(268)ST VINCENT'S HEALTH SYSTEM 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0931008	HEALTH SYSTEM	AL	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(269)ST VINCENT'S HEALTH SYSTEM INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-3650609	PARENT ENTITY	FL	501(c)(3)	Type II	ASCENSION HEALTH	Yes
(270)ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 46-1523194	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(271)ST VINCENT'S MEDICAL CENTER FOUNDATION INC 2800 MAIN STREET BRIDGEPORT,CT06606 22-2558132	FUNDRAISING	CT	501(c)(3)	7	ST VINCENT'S HEALTH SERVICES CORP	Yes
(272)ST VINCENT'S MEDICAL CENTER INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-0624449	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(273)ST VINCENT'S MULTISPECIALTY GROUP INC 2800 MAIN STREET BRIDGEPORT,CT06606 80-0458769	PHYSICIAN PRACTICES	CT	501(c)(3)	Type I	ST VINCENT'S MEDICAL CENTER	Yes
(274)ST VINCENT'S SPECIAL NEEDS CENTER INC 95 MERRITT BOULEVARD TRUMBULL,CT06611 06-0702617	PROGRAMS FOR SPECIAL NEEDS INDIVIDUALS	CT	501(c)(3)	10	ST VINCENT'S HEALTH SERVICES CORP	Yes
(275)SVH REAL ESTATE INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS,IN46290 20-5002285	REAL ESTATE HOLDING COMPANY	IN	501(c)(3)	Type III-FI	ST VINCENT HEALTH INC	Yes
(276)THE CENTURIONS 2202 N FORBES BLVD TUCSON,AZ85745 85-4088322	FOUNDATION	AZ	501(c)(3)	Type I	CARONDELET FOUNDATION INC	Yes
(277)THE HEALTH SOURCE GROUP 5455 ALI DR DEPT 200 GRAND BLANC,MI484395195 38-2427678	PRG RELATED INVESTMENTS	MI	501(c)(3)	Type I	GENESYS HEALTH SYSTEM	Yes
(278)THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF,WI54568 39-0873606	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(279)THE SETON COVE INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2727509	SPIRITUALITY CENTER	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(280)TRI-COUNTY CLINICAL 1345 PHILOMENA STREET AUSTIN,TX78723 26-4562712	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(281)TWENTY-SIX DOORS INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2855201	TO HOLD TITLE TO REAL PROPERTY	TX	501(c)(25)		SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC	Yes
(282)UNIVERSAL HEALTH SERVICES 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0932323	PHYSICIAN GROUP	AL	501(c)(3)	Type II	ST VINCENT'S HEALTH SYSTEM	Yes
(283)VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-1236589	PACE (SNF)	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(284)VIA CHRISTI VILLAGE GEORGETOWN INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-1129325	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(285)VIA CHRISTI VILLAGE HAYS INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 20-2828680	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(286)VIA CHRISTI VILLAGE MANHATTAN INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-1078862	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(287)VIA CHRISTI VILLAGE MCLEAN INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-1247723	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(288)VIA CHRISTI VILLAGE PITTSBURG INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 74-3070971	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(289)VIA CHRISTI VILLAGE PONCA CITY INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 73-1153337	RETIREMENT COMMUNITY	OK	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(290)VIA CHRISTI VILLAGES INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-0559086	MANAGEMENT COMPANY	KS	501(c)(3)	Type III-FI	ASCENSION HEALTH SENIOR CARE	Yes
(291)VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC 3807 SPRING STREET RACINE,WI53405 93-0838390	FOUNDATION	WI	501(c)(3)	10	ASCENSION ALL SAINTS HOSPITAL INC	Yes
(292)WAMEGO HOSPITAL ASSOCIATION INC 711 Genn Drive Wamego,KS66547 72-1526400	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC	Yes
(293)WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC 3237 SOUTH 16TH STREET MILWAUKEE,WI53215 39-2028808	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION SE WISCONSIN HOSPITAL INC	Yes
(294)WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC 5000 WEST CHAMBERS STREET MILWAUKEE,WI53210 39-1636804	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION SE WISCONSIN HOSPITAL INC	Yes
(295)WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION INC 3805B SPRING STREET RACINE,WI53405 39-1570877	FOUNDATION	WI	501(c)(3)	7	ASCENSION ALL SAINTS HOSPITAL INC	Yes
(296)WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL AUXILIARY 19333 WEST NORTH AVENUE BROOKFIELD,WI53045 39-6068950	AUXILIARY	WI	501(c)(3)	Type III-FI	ASCENSION SE WISCONSIN HOSPITAL INC	Yes
(297)WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST FRANCIS AND FRANKLIN INC 3237 SOUTH 16TH STREET MILWAUKEE,WI53215 32-0135258	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST FRANCIS HOSPITAL INC	Yes
(298)WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 39-1486775	RETIREMENT COMMUNITY	WI	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(299)WHEATON FRANCISCAN HEALTHCARE-CIRCLE OF LIFE FOUNDATION INC 4300 BROWN DEER ROAD SUITE 250 BROWN DER,WI53223 56-2426294	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION WISCONSIN PHARMACY INC	Yes
(300)WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1568865	PARENT CORPORATION	IL	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Alexian Rehabilitation Services LLC 935 Beisner Elk Grove Village,IL60007 30-0221481	Rehabilitation hospital	IL	NA	N/A
(2) ALVERNO CLINICAL LABORATORIES LLC 2434 INTERSTATE PLAZA DRIVE HAMMOND,IN46324 20-3240648	MEDICAL SERVICE	IN	NA	N/A
(3) AMBROSE PARKWOOD WEST II LLC 55 MONUMENTAL CIRCLE STE 450 INDIANAPOLIS,IN46204 27-0532924	LAND HOLDINGS	IN	NA	N/A
(4) AMBULATORY SURGERY CENTER LP 818 N Emporia Ste 108 WICHITA,KS67214 48-1114690	SURGERY CENTER	KS	NA	N/A
(5) ASCENSION ALPHA FUND LLC 101 SOUTH HANLEY ROAD SUITE 200 ST LOUIS,MO63105 90-0786464	INVESTMENTS	MO	NA	N/A
(6) ASCENSION VIA CHRISTI IMAGING MANHATTAN LLC 1823 College Avenue MANHATTAN,KS66502 48-1251984	RADIOLOGY SERVICES	KS	NA	N/A
(7) ASCENSION WISCONSIN EMERUS JV LLC 8040 EXCELSOIR DRIVE SUITE 400 MADISON,WI53717 38-4118568	ACUTE CARE HOSPITALS	WI	NA	N/A
(8) BAPTIST WOMENS HEALTH CENTER LLC 1900 CHURCH STREET SUITE 300 NASHVILLE,TN37203 62-1772195	OWNS AND OPERATES SPECIALTY HOSPITAL	TN	NA	N/A
(9) BELMONTHARLEM SURGERY CENTER LLC 3101 NORTH HARLEM CHICAGO,IL60634 41-2237162	MEDICAL SERVICE	IL	NA	N/A
(10) Bonaventure Medical Foundation LLC 2601 Navistar Drive Lisle,IL60532 36-3978153	Manages managed care contracts	DE	NA	N/A
(11) Borgess Health Partners LLC 28000 DeQuindre Warren,MI48092 38-2648846	MANAGED CARE	MI	NA	N/A
(12) CARMEL AMBULATORY SURGERY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL,IN46032 32-0014795	AMBULATORY SURGERY CENTER	IN	NA	N/A
(13) CENTRAL TEXAS LAUNDRY LLC 4255 PROFIT STREET SAN ANTONIO,TX78219 74-2613749	LAUNDRY SERVICES	TX	NA	N/A
(14) CHV III LP 101 SOUTH HANLEY ROAD ST LOUIS,MO63105 45-4486925	INVESTMENTS	MO	NA	N/A
(15) CHV IV LP 101 SOUTH HANLEY ROAD ST LOUIS,MO63105 81-3953953	INVESTMENTS	MO	NA	N/A
(16) ENDOSCOPY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL,IN46032 32-0029881	ENDOSCOPY CENTER	IN	NA	N/A
(17) ENDOSCOPY GROUP LLC 4810 NORTH DAVIS HIGHWAY PENSACOLA,FL32503 59-3519881	MEDICAL SERVICES	FL	NA	N/A
(18) Hospital Consolidated Laboratories LLC 39595 W 10 Mile Rd Novi,MI48375 38-3318428	LAB SERVICES	MI	NA	N/A
(19) INTERVENTIONAL REHABILITATION CENTER LLC 1549 AIRPORT BOULEVARD STE 420 PENSACOLA,FL32503 59-3673361	MEDICAL SERVICES	FL	NA	N/A
(20) KANSAS SURGERY AND RECOVERY CENTER LLC 2770 North Webb Road WICHITA,KS67226 48-1148580	SURGERY CENTER	KS	NA	N/A
(21) KENOSHA DIGESTIVE HEALTH CENTER 1033 N MAYFAIR ROAD SUITE 101 WAUWATUSA,WI53226 84-2167873	DIGESTIVE HEALTH	WI	NA	N/A
(22) Lourdes Health Support LLC 333 Butternut Drive Suite 100 Dewitt,NY13214 16-1611707	Medical Equipment Provider	NY	NA	N/A
(23) MIDDLE TENNESSEE IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO,TN37219 01-0570490	DIAGNOSTIC IMAGING CENTER	TN	NA	N/A
(24) MURFREESBORO DIAGNOSTIC IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO,TN37219 20-0291952	DIAGNOSTIC IMAGING CENTER	TN	NA	N/A
(25) NAAB ROAD SURGERY CENTER LLC 8260 NAAB ROAD STE 100 INDIANAPOLIS,IN46260 35-1991390	AMBULATORY SURGERY CENTER	IN	NA	N/A
(26) Oklahoma Cancer Specialists Real Estate Company LLC 12697 E 51st St South TULSA,OK74146 61-1774455	REAL ESTATE HOLDING	OK	NA	N/A
(27) Open MRI of Michigan 411 W 13 MILE ROAD MADISON HEIGHTS,MI48071 38-3544539	MRI Center	MI	NA	N/A
(28) ORTHOPEDIC SURGERY CENTER OF THE FOX VALLEY LLC 2223 LIME KILN ROAD SUITE 101 GREEN BAY,WI54311 84-2016212	SURGERY CENTER	WI	NA	N/A
(29) PET LLC 5149 NORTH 9TH AVENUE SUITE 124 PENSACOLA,FL32504 59-3788701	MEDICAL SERVICES	FL	NA	N/A
(30) PREMIER RADIOLOGY WISCONSIN LLC 500 W BROWN DEER ROAD SUITE 202 BAYSIDE,WI53217 83-3180104	RADIOLOGY	WI	NA	N/A
(31) Presence Lakeshore Gastroenterology LLC 150 N River Road Suite 210 Des Plaines,IL60016 81-1750563	Medical Service	IL	NA	N/A
(32) PROFESSIONAL CLINICAL LABORATORIES LLC 113 E 4TH ST MICHIGAN CITY,IN46360 30-0711211	MEDICAL SERVICES	IN	NA	N/A
(33) RADS OF AMERICA LLC PO BOX 249 GOODLETTSVILLE,TN370700249 20-0597581	AMBULATORY SURGERY CENTER	TN	NA	N/A
(34) SAINT THOMAS HOME RECOVERY CARE LLC 49 MUSIC SQUARE WEST SUITE 401 NASHVILLE,TN37203 84-2100096	MEDICAL AND REHABILITATION SERVICES	TN	NA	N/A
(35) SOUTH COAST REAL ESTATE VENTURE LLC 5907 HIGHWAY 90 MOSS POINT,MS39563 45-5599047	OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING	MS	NA	N/A
(36) ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 20-0708162	OUTPATIENT SURGERY	AL	NA	N/A
(37) ST VINCENT'S SLEEP DISORDER CENTER 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-1282288	SLEEP DISORDER CENTER	AL	NA	N/A
(38) STVINCENT HEART CENTER OF INDIANA LLC 10580 N MERIDIAN STREET INDIANAPOLIS,IN46290 36-4492612	HEART HOSPITAL	IN	NA	N/A
(39) STHS SLEEP CENTER LLC 102 WOODMONT BOULEVARD SUITE 800 NASHVILLE,TN37205 20-3664894	OPERATES A SLEEP CENTER	TN	NA	N/A
(40) The Michigan Institute for Advanced Surgery LLC 1375 S Lapeer Rd 109 Lake Orion,MI48360 03-0444972	OUTPATIENT SERVICES	MI	NA	N/A
(41) TOWNE CENTRE SURGERY CENTER LLC 4599 TOWNE CENTRE SAGINAW,MI48604 20-4943843	OUTPATIENT SERVICES	MI	NA	N/A
(42) TRI-STATE COMMUNITY CLINICS LLC 8601 N KENTUCKY AVENUE STE J EVANSVILLE,IN47711 27-0885968	PRIMARY CARE PHYSICIAN PRACTICES	IN	NA	N/A
(43) VIA CHRISTI MERCY CLINIC LLC 1 Mt Carmel Place Pittsburg,KS66762 81-2927645	MEDICAL SERVICES	KS	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) ADVANTAGE HEALTHCO INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2698151	HEALTH SERVICES	TX	NA	C Corporation			Yes
(2) ADVENT INC 28000 DEQUINDRE WARREN,MI48092 38-2971743	RENTAL REAL ESTATE	MI	NA	C Corporation			Yes
(3) AFFILIATED HEALTH SERVICES INC 28000 DEQUINDRE WARREN,MI48092 38-2292922	MEDICAL SERVICES	MI	NA	C Corporation			Yes
(4) AFFILIATED MEDICAL SERVICES LABORATORY INC 2916 E CENTRAL WICHITA,KS67214 48-1239522	MEDICAL LABORATORY	KS	NA	C Corporation			Yes
(5) AH INCUBATIONS ACCELERATOR INC 101 SOUTH HANLEY ROAD SUITE 450 ST LOUIS,MO63105 45-5078523	MEDICAL SERVICE	MO	NA	C Corporation			Yes
(6) ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC 3900 SOUTH GRAND ST LOUIS,MO63118 94-3465394	HOUSING	MO	NA	C Corporation			Yes
(7) Alexian Brothers Health Providers Association Inc 2601 Navistar Drive Lisle,IL60532 36-3853286	Messenger model IPA	IL	NA	C Corporation			Yes
(8) Alexian Village of Elk Grove 3040 W Salt Creek Arlington Heights,IL60005 35-2211303	Tax credit financed housing	IL	NA	C Corporation			Yes
(9) AMITA HEALTH CLINICALLY INTEGRATED NETWORK LLC 2601 NAVISTAR DRIVE LISLE,IL60532 80-0967178	MANAGED CARE	IL	NA	C Corporation			Yes
(10) ASCENSION CAPITAL UK LIMITED FOUNTAIN HOUSE 130 FENCHURCH STREET LONDON,ENGLANDEC3M5DJ UK	INSURANCE	UK	NA	C Corporation			Yes
(11) Ascension Care Management Health Partners Tennessee 102 WOODMONT BOULEVARD SUITE 700 NASHVILLE,TN37205 45-2958482	ACCOUTABLE CARE ORGANIZATION	TN	NA	C Corporation			Yes
(12) ASCENSION CARE MANAGEMENT HEALTH PARTNERS INC 101 SOUTH HANLEY ROAD SUITE 200 CLAYTON,MO63105 45-4413419	MEDICAL SERVICE	MO	NA	C Corporation			Yes
(13) ASCENSION CARE MANAGEMENT HOLDINGS LTD AND SUBSIDIARIES 8220 IRVING STERLING HEIGHTS,MI48312 38-3269272	INSURANCE AND TPA	MI	NA	C Corporation			Yes
(14) ASCENSION HEALTH INSURANCE LIMITED PO BOX 1159 GRAND CAYMAN,BahamasKY11102 CJ	INSURANCE	CJ	NA	C Corporation			Yes
(15) ASCENSION HEALTH MASTER PENSION TRUST 11775 BORMAN DRIVE SUITE 200 ST LOUIS,MO63146 36-6891022	TRUST	MO	NA	Trust			Yes
(16) ASCENSION HEALTH RISK PURCHASING GROUP 101 SOUTH HANLEY ROAD SUITE 450 ST LOUIS,MO63105 27-4176480	SUPPORTING ORGANIZATION	MO	NA	C Corporation			Yes
(17) ASCENSION MEDICAL GROUP VIA CHRISTI PA 3311 EAST MURDOCK WICHITA,KS67208 48-0993446	PROFESSIONAL ASSOCIATION	KS	NA	C Corporation			Yes
(18) ASCENSION VENTURES CORPORATION 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-1217059	MISC HEALTHCARE SERVICES	AL	NA	C Corporation			Yes
(19) BAPTIST HEALTH CARE VENTURES INC 2000 CHURCH STREET NASHVILLE,TN37236 62-0469214	HOLDING COMPANY	TN	NA	C Corporation			Yes
(20) BAYLEY CONDOMINIUM ASSOCIATION 2121 HIGHLAND AVENUE SOUTH BIRMINGHAM,AL35205 63-1209915	CONDOMINIUM ASSOCIATION	AL	NA	C Corporation			Yes
(21) BEECHER BALLENGER SERVICES ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-2497922	HOLDING COMPANY	MI	NA	C Corporation			Yes
(22) CARONDELET MEDICAL GROUP INC 2202 N FORBES BLVD TUCSON,AZ85745 86-0836126	MEDICAL GROUP	AZ	NA	C Corporation			Yes
(23) CARONDELET SPECIALIST GROUP INC 2202 N FORBES BLVD TUCSON,AZ85745 28-1558773	PHYSICIAN PRACTICE	AZ	NA	C Corporation			Yes
(24) CLINICAL HOLDINGS CORP 101 SOUTH HANLEY ROAD SUITE 200 CLAYTON,MO63105 45-3802297	HOLDING COMPANY	MO	NA	C Corporation			Yes
(25) CONSOLIDATED PHARMACY SERVICES INC AND SUBSIDIARIES 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE,FL32216 59-3398033	RETAIL PHARMACY & PATIENT TRANSPORT	FL	NA	C Corporation			Yes
(26) Corbett Corporation 169 Riverside Drive Binghamton,NY13905 16-1268267	Property Management	NY	NA	C Corporation			Yes
(27) CRITTENTON DEVELOPMENT CORPORATION 2251 N SQUIRREL RD STE 310 AUBURN HILLS,MI48326 38-2594115	REAL ESTATE	MI	NA	C Corporation			Yes
(28) CRITTENTON MEDICAL PHARMACY INC 1135 West University Dr 105 ROCHESTER,MI48307 20-3773341	PHARMACY SERVICES	MI	NA	C Corporation			Yes
(29) DELL CHILDREN'S HEALTH ALLIANCE 1345 PHILOMENA STREET AUSTIN,TX78723 27-1311909	HEALTH SERVICES	TX	NA	C Corporation			Yes
(30) EASTSIDE VENTURES 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0846221	MISC HEALTHCARE SERVICES	AL	NA	C Corporation			Yes
(31) FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC 1 SHIRCLIFF WAY JACKSONVILLE,FL32204 26-1983355	CONDOMINIUM ASSOCIATION	FL	NA	C Corporation			Yes
(32) FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 34-1983857	CONDO ASSOCIATION	WI	NA	C Corporation			Yes
(33) GENESYS PRACTICE PARTNERS 5445 ALI DRIVE DEPT 200 GRAND BLANC,MI48439 03-0516871	EMPLOYED PHY PRACTICE	MI	NA	C Corporation			Yes
(34) GULF COAST DIVERSIFIED INC 5154 NORTH 9TH AVENUE PENSACOLA,FL32507 59-2432798	INVESTMENT	FL	NA	C Corporation			Yes
(35) HEALTHNET OF ALABAMA INC PO BOX 830605 BIRMINGHAM,AL352830605 63-1027511	PREFERRED PROVIDER ORGANIZATION	AL	NA	C Corporation			Yes
(36) HOWARD YOUNG CLINICS INC 240 MAPLE STREET WOODRUFF,WI54568 39-1969706	HEALTHCARE	WI	NA	C Corporation			Yes
(37) INDIAN CREEK CENTER INC 101 S Hanley Ste 200 St Louis,MO63105 48-0956627	MANAGEMENT	MO	NA	C Corporation			Yes
(38) INTEGRATED HEALTHCARE SYSTEMS INC 3311 EAST MURDOCK WICHITA,KS67208 48-0941549	CLINIC SERVICES	KS	NA	C Corporation			Yes
(39) MADISON MEDICAL AFFILIATES INC 4425 N PORT WASHINGTON RD GLENDALE,WI53212 39-1855720	HEALTHCARE	WI	NA	C Corporation			Yes
(40) MID-STATE PROPERTIES INC 2000 CHURCH STREET NASHVILLE,TN37236 62-1232018	INACTIVE	TN	NA	C Corporation			Yes
(41) MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC 6801 AIRPORT BLVD MOBILE,AL36608 46-1130426	HEALTHCARE SERVICES	MS	NA	C Corporation			Yes
(42) OMNI MEDICAL GROUP INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1335536	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(43) PHYSICIAN SUPPORT SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1437252	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(44) PHYSICIANS OF PASCO CONDOMINIUMS ASSOC 520 NORTH 4TH AVENUE PASCO,WA99301 45-3691641	PROPERTY MANAGEMENT	WA	NA	C Corporation			Yes
(45) PRESENCE PROPERTIES INC 100 NORTH RIVER ROAD DES PLAINES,IL60016 36-3520630	MEDICAL	IL	NA	C Corporation			Yes
(46) PRESENCE SERVICE CORPORATION 2380 E DEMPSTER STREET DES PLAINES,IL60016 36-4314354	MEDICAL	IL	NA	C Corporation			Yes
(47) PRESENCE VENTURES INC 100 NORTH RIVER ROAD DES PLAINES,IL60016 37-1168085	MEDICAL	IL	NA	C Corporation			Yes
(48) PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC 4425 N Port Washington Rd GLENDALE,WI53212 20-8042108	CONDO ASSOCIATION	WI	NA	C Corporation			Yes
(49) PROVIDENCE PARK Inc PO BOX 850429 MOBILE,AL36685 63-0886846	REAL ESTATE	AL	NA	C Corporation			Yes
(50) REGIONAL MEDICAL LABORATORIES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1131608	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(51) RESOURCE PHARMACIES INC 1150 VARNUM STREET NE WASHINGTON,DC20017 52-1410076	RETAIL PHARMACY	DC	NA	C Corporation			Yes
(52) SETON INSURANCE COMPANY 1345 PHILOMENA STREET AUSTIN,TX78723 47-5395483	HEALTH SERVICES	TX	NA	C Corporation			Yes
(53) SETON ACCOUNTABLE CARE ORGANIZATION INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2677756	HEALTH SERVICES	TX	NA	C Corporation			Yes
(54) SETON HEALTH ALLIANCE 1345 PHILOMENA STREET AUSTIN,TX78723 45-3047469	HEALTH SERVICES	TX	NA	C Corporation			Yes
(55) SETON HEALTH PLAN INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2725348	HMO	TX	NA	C Corporation			Yes
(56) SETON MSO INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2870455	HEALTH SERVICES	TX	NA	C Corporation			Yes
(57) SETON PHARMACY INC 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE,FL32216 59-3001427	RETAIL PHARMACY	FL	NA	C Corporation			Yes
(58) SETON PHYSICIAN HOSPITAL NETWORK 1345 PHILOMENA STREET AUSTIN,TX78723 74-2643825	HEALTH SERVICES	TX	NA	C Corporation			Yes
(59) SOVA INC 102 WOODMONT BOULEVARD SUITE 700 NASHVILLE,TN37205 26-1319638	HEALTH SERVICES	TN	NA	C Corporation			Yes
(60) ST AGNES HEALTH VENTURES INC 900 CATON AVENUE BALTIMORE,MD21229 52-1733632	HOLDING COMPANY	MD	NA	C Corporation			Yes
(61) ST JOHN ANESTHESIA SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-3690446	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(62) ST JOHN PHYSICIANS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1321032	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(63) ST JOHN URGENT CARE CLINICS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-4990275	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(64) ST JOSEPH HEALTH ENTERPRISES 200 HEMLOCK ROAD TAWAS CITY,MI48764 38-2686747	OTHER MEDICAL	MI	NA	C Corporation			Yes
(65) St Mary's Health 800 S Washington Avenue Saginaw,MI48601 38-3477017	Dormant	MI	NA	C Corporation			Yes
(66) ST MARY'S MEDICAL GROUP INC 3700 WASHINGTON AVE EVANSVILLE,IN47750 35-2076827	INVESTMENT	IN	NA	C Corporation			Yes
(67) St Vincent's Strategic Ventures Inc 4205 Belfort Road Suite 4030 Jacksonville,FL33213 59-3133073	LEASING	FL	NA	C Corporation			Yes
(68) SUNFLOWER ASSURANCE LTD PO BOX 1085 GRAND CAYMAN,BahamasKY11102 CJ	INSURANCE	CJ	NA	C Corporation			Yes
(69) TEXTILE SYSTEMS INC 817 WALBRIDGE KALAMAZOO,MI49007 38-2705047	LAUNDRY SERVICES	MI	NA	C Corporation			Yes
(70) Thelen Corporation 3040 Salt Creek Lane Arlington Heights,IL60005 36-3266316	Owns/ leases property; joint venture partner	IL	NA	C Corporation			Yes
(71) TRAVEL SERVICES CORPORATION PO BOX 45998 ST LOUIS,MO631455998 26-3764978	TRAVEL SERVICES	MO	NA	C Corporation			Yes
(72) US HEALTH HOLDINGS LTD AND SUBSIDIARIES 8220 IRVING STERLING HEIGHTS,MI48312 38-3269272	INSURANCE AND TPA	MI	NA	C Corporation			Yes
(73) UTICA SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1057650	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(74) VCH IOWA PC 8200 E THORN DRIVE WICHITA,KS67226 27-3983977	PROFESSIONAL ASSOCIATION	IA	NA	C Corporation			Yes
(75) VCH IOWA PC TRUST 8200 E THORN DRIVE WICHITA,KS67226 27-6937322	BENEFICIARY TRUST	IA	NA	Trust			Yes
(76) VIA CHRISTI CLINIC SERVICES INC 8200 E THORN DRIVE WICHITA,KS67226 27-3984287	CLINIC SERVICES	KS	NA	C Corporation			Yes
(77) VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC 8200 E THORN DRIVE WICHITA,KS67226 48-2872857	ACO	KS	NA	C Corporation			Yes
(78) VINCENTIAN VENTURES OF NORTH ALABAMA INC 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0965456	MISC HEALTHCARE SERVICES	AL	NA	C Corporation			Yes
(79) VINCENTURES INC 95 MERRITT BOULEVARD TRUMBULL,CT06611 06-1211417	INACTIVE	CT	NA	C Corporation			Yes
(80) WHEATON FRANCISCAN ENTERPRISES INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1985204	HOLDING CO	WI	NA	C Corporation			Yes
(81) WHEATON FRANCISCAN HOLDINGS INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1836357	HOLDING CO	WI	NA	C Corporation			Yes
(82) WHEATON FRANCISCAN MEDICAL GROUP - SUSSEX INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1361100	HEALTHCARE	WI	NA	C Corporation			Yes
(83) WHEATON FRANCISCAN PROVIDER NETWORK INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1952140	PROVIDER CONTRACT	WI	NA	C Corporation			Yes
(84) WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC 10101 SOUTH 27TH STREET FRANKLIN,WI53123 30-0659830	CONDO ASSOCIATION	WI	NA	C Corporation			Yes
(85) L GILBRAITH INSURANCE SPC LTD	INSURANCE	CJ	NA	C Corporation			Yes

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ASCENSION HEALTH IS INC	P	124,028	Fair Market Value
(2) ST VINCENT'S COLLEGE INC	K	450,825	Fair Market Value
(3) ST VINCENT'S COLLEGE INC	R	523,313	Fair Market Value
(4) ST VINCENT'S DEVELOPMENT INC	K	553,972	Fair Market Value
(5) ST VINCENT'S DEVELOPMENT INC	P	235,362	Fair Market Value
(6) ST VINCENT'S DEVELOPMENT INC	S	302,461	Fair Market Value
(7) ST VINCENT'S MEDICAL CENTER FOUNDATION INC	Q	77,318	Fair Market Value
(8) ST VINCENT'S MEDICAL CENTER FOUNDATION INC	R	6,152,925	Fair Market Value
(9) ST VINCENT'S MEDICAL CENTER FOUNDATION INC	P	195,123	Fair Market Value
(10) ST VINCENT'S MEDICAL CENTER FOUNDATION INC	C	2,057,491	Fair Market Value
(11) ST VINCENT'S MULTISPECIALTY GROUP INC	J	61,576	Fair Market Value
(12) ST VINCENT'S MULTISPECIALTY GROUP INC	Q	4,273,335	Fair Market Value
(13) ST VINCENT'S MULTISPECIALTY GROUP INC	O	17,656,381	Fair Market Value
(14) ST VINCENT'S MULTISPECIALTY GROUP INC	P	5,666,552	Fair Market Value
(15) ST VINCENT'S MULTISPECIALTY GROUP INC	S	226,391	Fair Market Value
(16) ST VINCENT'S MULTISPECIALTY GROUP INC	R	295,124	Fair Market Value
(17) ST VINCENT'S SPECIAL NEEDS CENTER INC	Q	472,237	Fair Market Value

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
Schedule R, Part I SCHEDULE R, PART 1 - COLUMNS (D) AND (E) - TOTAL INCOME AND END-OF-YEAR ASSETS	THE DISREGARDED ENTITIES ARE IDENTIFIABLE ENTITIES OF ST. VINCENT'S MEDICAL CENTER. ALL INCOME AND ASSETS ARE RECORDED ON THE 990. THERE IS NOT SEPARATE ACCOUNTING MAINTAINED FOR THESE ENTITIES AND THUS, SCH R PART 1 COLUMNS (D) AND (E) ARE NOT REPORTED WITH VALUES SINCE NOT AVAILABLE.

Schedule R (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	4
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	1
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	2,559
6	Total number of volunteers (estimate if necessary) .............	6	161
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	25,758
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,071,405	3,979,720
9	Program service revenue (Part VIII, line 2g) .........	425,693,775	405,398,733
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	90,502	744,569
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,703,513	4,226,917
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	434,559,195	414,349,939
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	156,409,442	156,150,370
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	249,873,548	226,823,199
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	406,282,990	382,973,569
19	Revenue less expenses. Subtract line 18 from line 12.......	28,276,205	31,376,370
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	258,794,218	233,895,068
21	Total liabilities (Part X, line 26).............	136,719,627	147,522,965
22	Net assets or fund balances. Subtract line 21 from line 20.....	122,074,591	86,372,103

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 308,462,908 including grants of $ ) (Revenue $ 405,399,233 )
	ST. VINCENT'S MEDICAL CENTER IS A HOSPITAL CAMPUS LICENSED FOR 473 BEDS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2019, ST. VINCENT'S MEDICAL CENTER RECORDED APPROXIMATELY 22,400 EQUIVALENT DISCHARGES FOR A TOTAL OF APPROXIMATELY 130,000 EQUIVALENT PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR APPROXIMATELY 179,000 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 7,000 OUTPATIENT SURGERIES AND APPROXIMATELY 62,000 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses308,462,908

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,011,727	12,916,326	666,197

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) STUART G MARCUS MD FORMER OFFICER (END 7/2016)	0.0 .......................50.0	X	0	889,723	18,368
(19) VINCENT C CAPONI FORMER OFFICER (END 6/2017)	0.0 .......................35.0	X	0	236,612	0
(20) CINDY CZAPLINSKI FORMER KEY EMPLOYEE (END 12/2017)	0.0 .......................0	X	224,101	0	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,057,491
e	Government grants (contributions)		1e	1,922,229

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		3,979,720

		Business Code
2a	NET PATIENT SERVICE REVENUE	621990	394,262,632	394,262,632
b	PHARMACY REVENUE	446110	4,306,478	4,306,478
c	SERVICES TO AFFILIATES	900099	2,913,897	2,913,897
d	CONTRACTED SERVICES REVENUE	900099	1,306,399	1,306,399
e	SHARED SAVINGS	900099	1,061,392	1,061,392
f	All other program service revenue.		1,547,935	1,522,177	25,758	0
g	Total. Add lines 2a–2f ....		405,398,733

3 Investment income (including dividends, interest, and othersimilar amounts) ......			303,357			303,357
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,058,242
b	Less: rental expenses
c	Rental income or (loss)	0	2,058,242
d	Net rental income or (loss)......			2,058,242			2,058,242
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	441,212
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	441,212	0
d	Net gain or (loss).....			441,212			441,212
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA/VENDING REVENUE		722514	1,453,873			1,453,873
b	PARKING REVENUE		812930	462,018			462,018
c	SECURITY REVENUE		900099	142,848			142,848
d	All other revenue ....			109,936	500	0	109,436
e	Total. Add lines 11a–11d ......			2,168,675
12	Total revenue. See Instructions......			414,349,939	405,373,475	25,758	4,970,986

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,624,630	473,572	1,151,058
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	118,802,922	110,688,667	8,114,255
7	Other salaries and wages
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,140,841	4,788,529	352,312
9	Other employee benefits .......	21,803,025	20,189,154	1,613,871
10	Payroll taxes ...........	8,778,952	8,156,209	622,743
11	Fees for services (non-employees):
a	Management ......	870,077	811,713	58,364
b	Legal .........	94,493		94,493
c	Accounting ...........	330,729		330,729
d	Lobbying ...........	119,524		119,524
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	8,096,264	6,710,888	1,385,376	0
12	Advertising and promotion ....	842,712	833,857	8,855
13	Office expenses .......	1,105,826	595,144	510,682
14	Information technology ......	923,740	305,573	618,167
15	Royalties ..
16	Occupancy ...........	7,556,565	7,073,275	483,290
17	Travel ............	275,447	205,761	69,686
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	455,172	331,444	123,728
20	Interest ...........	2,050,032		2,050,032
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	24,528,459	17,335,976	7,192,483
23	Insurance ...	5,524,718		5,524,718
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	54,794,547	51,987,406	2,807,141
b	PROVIDER TAX	35,061,234	35,061,234
c	PHYSICIAN FEE TO AFFILIATE	23,454,974	18,313,898	5,141,076
d	PURCHASED SERVICES	51,393,975	17,176,592	34,217,383
e	All other expenses	9,344,711	7,424,016	1,920,695	0
25	Total functional expenses. Add lines 1 through 24e	382,973,569	308,462,908	74,510,661	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			8,864	1	9,542
2	Savings and temporary cash investments .........			8,259,004	2	803,799
3	Pledges and grants receivable, net ......			178,604	3	0
4	Accounts receivable, net .............			41,140,363	4	37,132,816
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			4,594,028	8	4,903,443
9	Prepaid expenses and deferred charges ......			1,270,798	9	925,734
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	440,933,960
b	Less: accumulated depreciation	10b	294,994,607	154,295,871	10c	145,939,353
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			235,758	13	75,011
14	Intangible assets ...............			14,259,896	14	9,664,165
15	Other assets. See Part IV, line 11 ...........			34,551,032	15	34,441,205
16	Total assets. Add lines 1 through 15 (must equal line 34)...			258,794,218	16	233,895,068

17	Accounts payable and accrued expenses .....	21,541,547	17	19,302,283
18	Grants payable ...	0	18	0
19	Deferred revenue .........	1,216,005	19	108,405
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	113,962,075	25	128,112,277
26	Total liabilities. Add lines 17 through 25..	136,719,627	26	147,522,965

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	91,571,852	27	56,622,007
28	Temporarily restricted net assets ...........	16,101,131	28	15,338,719
29	Permanently restricted net assets	14,401,608	29	14,411,377
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	122,074,591	33	86,372,103
34	Total liabilities and net assets/fund balances ........	258,794,218	34	233,895,068