SAINT THOMAS WEST HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SAINT THOMAS WEST HOSPITAL (EIN 62-0347580)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201721359349303202
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-15T10:01:00-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN620347580EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Thomas West HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone6152225030PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14220 Harding RdAddressLine1Txt
CityNashvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37205ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLisa DavisPersonNm
Person TitleCFO-Saint Thomas HealthPersonTitleTxt
Signature2017-05-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Karen SpringerBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14220 Harding RdAddressLine1Txt
CityNashvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37205ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$428,207,079GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sths.com/westWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1898FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTo provide spiritually centered, holistic care, which sustains and improves the health of individuals and communities.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2141TotalEmployeeCnt
Total Volunteers252TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,195PYContributionsGrantsAmt
CY Contributions Grants$205,286CYContributionsGrantsAmt
PY Program Service Revenue$410,037,936PYProgramServiceRevenueAmt
CY Program Service Revenue$407,021,200CYProgramServiceRevenueAmt
PY Investment Income$172,360PYInvestmentIncomeAmt
CY Investment Income-$4,359CYInvestmentIncomeAmt
PY Other Revenue$20,806,172PYOtherRevenueAmt
CY Other Revenue$19,865,503CYOtherRevenueAmt
PY Total Revenue$431,022,663PYTotalRevenueAmt
CY Total Revenue$427,087,630CYTotalRevenueAmt
PY Grants And Similar Paid$1,453,076PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,679,321CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$109,578,260PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$113,840,342CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$263,792,053PYOtherExpensesAmt
CY Other Expenses$270,208,933CYOtherExpensesAmt
PY Total Expenses$374,823,389PYTotalExpensesAmt
CY Total Expenses$385,728,596CYTotalExpensesAmt
PY Revenues Less Expenses$56,199,274PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$41,359,034CYRevenuesLessExpensesAmt
Total Assets BOY$194,960,934TotalAssetsBOYAmt
Total Assets EOY$224,457,272TotalAssetsEOYAmt
Total Liabilities BOY$138,713,962TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,282,961TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,246,972NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$80,174,311NetAssetsOrFundBalancesEOYAmt
MissionOur Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$354,808,357ExpenseAmt
Grant$1,679,321GrantAmt
Revenue$424,181,689RevenueAmt
DescSAINT THOMAS WEST HOSPITAL PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2016, 59.4% OF THE VALUE OF SERVICES RENDERED WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 9.7% OF THE VALUE OF THE SERVICES WAS PROVIDED TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR SAINT THOMAS WEST HOSPITAL GUIDELINES. SEE SCHEDULE H FOR SUPPLEMENTAL INFORMATION ON COMMUNITY BENEFIT.Desc
Total Program Service Expenses$354,808,357TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document139IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2141EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lisa DavisBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6152846826PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14220 Harding RdAddressLine1Txt
CityNashvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37205ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CLARK BAKER
CHAIRMAN1.09.0Yes (X)Yes (X)$0$0$0
ANTHONY HEARD
VICE CHAIRMAN1.09.0Yes (X)Yes (X)$0$0$0
LEE MOSS
TREASURER1.09.0Yes (X)Yes (X)$0$0$0
CRAIG POLKOW
VICE CHAIRMAN & CFO STHE (END 8/1/15)1.047.0Yes (X)Yes (X)$0$297,173$22,367
MICHAEL SCHATZLEIN MD
CHAIRMAN & CEO STHE (END 3/12/16)1.063.5Yes (X)Yes (X)$0$2,906,062$39,144
PATRICK R SHEPHERD
SECRETARY1.09.0Yes (X)Yes (X)$0$0$0
KAREN SPRINGER
SEC/TREASURER & COO STHE (END 3/12/16) CHAIRMAN & CEO STHE (BEGIN 3/13/16)1.049.0Yes (X)Yes (X)$0$1,000,073$14,376
LISA DAVIS
SECRETARY & CFO STHE (BEGIN 3/13/16) (INTERIM 8/2/15 - 3/12/16)1.047.0Yes (X)Yes (X)$0$449,326$18,244
SAMAR ALI
BOARD MEMBER1.09.0Yes (X)$0$0$0
WILLIAM ANDERSON
BOARD MEMBER1.09.0Yes (X)$0$0$0
DELL CROSSLIN
BOARD MEMBER1.09.0Yes (X)$0$0$0
EMIL HASSAN
BOARD MEMBER1.09.0Yes (X)$0$0$0
MARK PEACOCK MD
BOARD MEMBER (END 12/31/15)1.09.0Yes (X)$0$0$0
MARK PETERS MD
BOARD MEMBER (END 12/31/15)1.09.0Yes (X)$0$0$0
STEVE SCHWAB MD
BOARD MEMBER1.09.0Yes (X)$0$0$0
SCOTT STANDARD MD
BOARD MEMBER1.09.0Yes (X)$0$0$0
BRIAN WILCOX MD
BOARD MEMBER1.09.0Yes (X)$0$0$0
JOHN JAY WILLIAMS MD
BOARD MEMBER1.09.0Yes (X)$0$0$0
SISTER HELEN BREWER DC
BOARD MEMBER (BEGIN 7/1/15)1.09.0Yes (X)$0$0$0
KEN PETRONI MD
BOARD MEMBER (BEGIN 1/1/16)1.09.0Yes (X)$0$0$0
NICOLE SCHLECHTER MD
BOARD MEMBER (BEGIN 1/1/16)1.09.0Yes (X)$0$0$0
PAMELA HESS
CHIEF FINANCIAL OFFICER20.020.0Yes (X)$368,261$0$23,773
DON KING
COO STW/STM (END 8/29/15) & CEO/PRESIDENT STW/STM (BEGIN 8/30/15)20.020.0Yes (X)$230,469$215,258$52,313
BERNARD SHERRY
PRES/CEO STW/STM (END 8/29/15) & EVP & COO (8/30/15 - MARCH 2016)0.081.0Yes (X)$0$1,269,608$107,852
JENNIFER ELLIOTT
CNO20.020.0$0$296,431$25,100Yes (X)
MARK MARSDEN MD
CHIEF MEDICAL OFFICER40.00$487,656$0$51,852Yes (X)
CARRIE TEAFORD
COO STW/STM (BEGIN 11/22/15) & ASST. COO STW/STM (END 11/21/15)20.020.0$21,626$321,719$23,690Yes (X)
KYRIAKOS KYRIAKIDIS MD
PHYSICIAN40.00$402,252$0$25,081Yes (X)
EUGENE LAFRANCHISE MD
PHYSICIAN40.00$569,404$0$20,767Yes (X)
STEVEN EMBRY MD
PHYSICIAN40.00$346,428$0$9,501Yes (X)
JAMES SNYDER MD
PHYSICIAN40.00$392,438$0$16,424Yes (X)
JAMES K FLEMING JR MD
PHYSICIAN40.00$344,006$0$15,720Yes (X)
ALAN STRAUSS
FORMER OFFICER (END 4/2012)0.050.0$0$1,567,370$48,771Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,162,540TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,323,020TotReportableCompRltdOrgAmt
Total Other Compensation$514,975TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K95IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TENNESSEE PERFUSION ASSOCIATES
649 SPRINGLAKE DRFRANKLINTN37064MEDICAL$1,644,631
ST THOMAS MEDICAL GROUP PLLC
4320 HARDING RD STE 400NASHVILLETN37205MEDICAL$550,268
UT METHODIST PHYSICIANS LLC
PO BOX 40127MEMPHISTN38104MEDICAL$500,000
ORTHO SURGICALISTS LLC
301 21ST AVE NNASHVILLETN37203MEDICAL$500,000
TRUSTAFF
PO BOX 63-8231CINCINNATIOH452638231STAFFING$499,472
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$205,286RelatedOrganizationsAmt
Total Contributions$205,286TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVCS REV621990$401,436,941$401,436,941
INTERCOMPANY RENT532000$38,260$38,260
NUCLEAR PHARMACY621400$1,333,946$1,333,946
JOINT VENTURE INCOME621400$4,212,053$4,212,053

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$407,021,200TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$214,860TotalRevenueColumnAmt
Exclusion$214,860ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,162,507RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$892,230RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$270,277RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$270,277TotalRevenueColumnAmt
Exclusion$270,277ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$8,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$227,219OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$219,219OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$219,219TotalRevenueColumnAmt
Exclusion-$219,219ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PROVIDER TAX REVENUE621990$16,043,916$16,043,916
AMERICAN RECOVERY ACT900099$815,458$815,458
Cafeteria/Vending722514$2,434,737$2,434,737

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$301,115TotalRevenueColumnAmt
Related Or Exempt Func Income$301,115RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$19,595,226OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$427,087,630TotalRevenueColumnAmt
Related Or Exempt Func Income$424,181,689RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,700,655ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,679,321TotalAmt
Program Services$1,679,321ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,116,997TotalAmt
Program Services$1,005,297ProgramServicesAmt
Management And General$111,700ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$99,669,360TotalAmt
Program Services$89,702,424ProgramServicesAmt
Management And General$9,966,936ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$3,532,723TotalAmt
Program Services-$3,179,451ProgramServicesAmt
Management And General-$353,272ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,775,092TotalAmt
Program Services$8,797,583ProgramServicesAmt
Management And General$977,509ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,811,616TotalAmt
Program Services$6,130,454ProgramServicesAmt
Management And General$681,162ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,281,410TotalAmt
Program Services$1,939,198ProgramServicesAmt
Management And General$342,212ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,000TotalAmt
Management And General$33,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total-$9,933TotalAmt
Management And General-$9,933ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$54,932,010TotalAmt
Program Services$50,408,249ProgramServicesAmt
Management And General$4,523,761ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,435TotalAmt
Program Services$26,435ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,127,775TotalAmt
Program Services$3,302,220ProgramServicesAmt
Management And General$825,555ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$571,460TotalAmt
Program Services$542,887ProgramServicesAmt
Management And General$28,573ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,366,914TotalAmt
Program Services$4,830,223ProgramServicesAmt
Management And General$536,691ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$71,160TotalAmt
Program Services$56,928ProgramServicesAmt
Management And General$14,232ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$81,884TotalAmt
Program Services$65,507ProgramServicesAmt
Management And General$16,377ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,196,433TotalAmt
Program Services$2,086,611ProgramServicesAmt
Management And General$109,822ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,791,529TotalAmt
Program Services$13,312,376ProgramServicesAmt
Management And General$1,479,153ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,362,456TotalAmt
Program Services$1,294,333ProgramServicesAmt
Management And General$68,123ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$88,969,018$88,969,018
PROVIDER TAX$16,043,916$16,043,916
IC MANAGEMENT FEE$72,430,608$61,566,017$10,864,591
MINOR EQUIPMENT$1,782,883$1,604,595$178,288

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,149,975TotalAmt
Program Services$4,624,216ProgramServicesAmt
Management And General$525,759ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$385,728,596TotalAmt
Program Services$354,808,357ProgramServicesAmt
Management And General$30,920,239ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,303,511BOYAmt
EOY$5,867,691EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,712,305BOYAmt
EOY$50,711,486EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,973,951BOYAmt
EOY$9,447,597EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,735,683BOYAmt
EOY$1,634,724EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$475,491,009LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$340,795,739LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$86,241,190BOYAmt
EOY$134,695,270EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,101,509BOYAmt
EOY$6,657,232EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$833,885BOYAmt
EOY$682,698EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,058,900BOYAmt
EOY$14,760,574EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$194,960,934BOYAmt
EOY$224,457,272EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,875,510BOYAmt
EOY$27,489,716EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$265,583BOYAmt
EOY$261,312EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,572,869BOYAmt
EOY$116,531,933EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$138,713,962BOYAmt
EOY$144,282,961EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,246,972BOYAmt
EOY$80,174,311EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,246,972BOYAmt
EOY$80,174,311EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$194,960,934BOYAmt
EOY$224,457,272EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$41,359,034ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$17,431,695OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$19,718OtherActivitiesAmt
Total Lobbying Expenditures$19,718TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLobbying expenses represent the portion of dues paid to state hospital associations that are specifically allocable to lobbying. Saint Thomas West Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLobbying expenses represent the portion of dues paid to state hospital associations that are specifically allocable to lobbying. Saint Thomas West Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,211,371BeginningYearBalanceAmt
Contributions$112,796ContributionsAmt
Investment Earnings Or Losses-$327,139InvestmentEarningsOrLossesAmt
Other Expenditures$491,630OtherExpendituresAmt
End Year Balance$4,505,398EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,045,861BeginningYearBalanceAmt
Contributions$15,640ContributionsAmt
Investment Earnings Or Losses$175,024InvestmentEarningsOrLossesAmt
Other Expenditures$25,154OtherExpendituresAmt
End Year Balance$5,211,371EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,727,093BeginningYearBalanceAmt
Contributions$662,526ContributionsAmt
Investment Earnings Or Losses$757,499InvestmentEarningsOrLossesAmt
Other Expenditures$101,257OtherExpendituresAmt
End Year Balance$5,045,861EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,683,758BeginningYearBalanceAmt
Contributions$42,664ContributionsAmt
Investment Earnings Or Losses$430,651InvestmentEarningsOrLossesAmt
Other Expenditures$429,980OtherExpendituresAmt
End Year Balance$3,727,093EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,857,388BeginningYearBalanceAmt
Contributions$857,215ContributionsAmt
Investment Earnings Or Losses-$213,919InvestmentEarningsOrLossesAmt
Other Expenditures$1,816,926OtherExpendituresAmt
End Year Balance$3,683,758EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.5793PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.4207TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,458,348OtherCostOrOtherBasisAmt
Book Value$4,458,348BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$296,498,940OtherCostOrOtherBasisAmt
Depreciation$209,451,515DepreciationAmt
Book Value$87,047,425BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,022,923OtherCostOrOtherBasisAmt
Depreciation$1,979,122DepreciationAmt
Book Value$43,801BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,623,875OtherCostOrOtherBasisAmt
Depreciation$123,786,139DepreciationAmt
Book Value$28,837,736BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,886,923OtherCostOrOtherBasisAmt
Depreciation$5,578,963DepreciationAmt
Book Value$14,307,960BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$134,695,270TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
Intercompany Accounts Receivable$1,125,728
Prepaid Pension$6,151,751
Other Receivables$217,746
Receivables from Third Party Payors$5,760,226
Physician Guarantee Asset$923,597
Other Assets$232,321
Security Deposit$349,205
Construction in Progress
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,760,574TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Intercompany Payable$5,396,946
Intercompany Debt to Ascension Health Alliance$99,595,256
Self Insurance Liability$1,752,153
Physician Guarantee$464,167
Other Liabilities$34,312
Valuation Allowance
AH Savings Plan Liability$1,249,022
Payable to Third Party Payors$8,040,077
FieldValueIRS element (for citing)
Total Liability$116,531,933TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe endowment funds are held by Saint Thomas Health Foundations. The endowment funds are specifically designated pools of assets held and invested by the Foundation to provide long-term growth, interest and dividends. Only the income from an endowment fund is used.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteTHE SYSTEM 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. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2016.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,744,462TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,744,462NetCommunityBenefitExpnsAmt
Total Expense0.0279TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,804,790TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,117,363DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,687,427NetCommunityBenefitExpnsAmt
Total Expense0.0122TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$49,549,252TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,117,363DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,431,889NetCommunityBenefitExpnsAmt
Total Expense0.0400TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,255,251TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$978,513DirectOffsettingRevenueAmt
Net Community Benefit Expns$276,738NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,154,447TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$663,676DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,490,771NetCommunityBenefitExpnsAmt
Total Expense0.0090TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,918,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,846,602DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,898NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,175TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,175NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,816,766TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,816,766NetCommunityBenefitExpnsAmt
Total Expense0.0047TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$9,207,139TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,488,791DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,718,348NetCommunityBenefitExpnsAmt
Total Expense0.0148TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$58,756,391TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,606,154DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,150,237NetCommunityBenefitExpnsAmt
Total Expense0.0548TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,660TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,660NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,006TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,006NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$28,666TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,666NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$16,743,673BadDebtExpenseAmt
Bad Debt Expense Attributable$1,014,664BadDebtExpenseAttributableAmt
Reimbursed By Medicare$129,181,560ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$133,954,270CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,772,710MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Thomas West HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14220 Harding RoadAddressLine1Txt
CityNashvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37205ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.sths.com/westWebsiteAddressTxt
State License0000000024StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saint Thomas West HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessmOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessmStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://sthealth.com/patients-and-visitors/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://sthealth.com/patients-and-visitors/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://sthealth.com/patients-and-visitors/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Saint Thomas West Hospital. The CHNA process included input from those with special knowledge of or expertise in public health. The partnering organizations had representatives with experience and/or training in public health. Additionally, the local public health department participated during the design of the CHNA process and participated in the interviews and the community health summit. Throughout the CHNA process the partnering organizations also received input from those with special knowledge of or expertise in public health. Individual interviews and the Community Health Summit included community members with special knowledge and/or expertise in public health. All interviews, listening sessions, secondary data analysis, and community review of findings were conducted with the goal of obtaining an assessment of health needs and assets that not only represent the broad interests of Davidson County, Tennessee, but pays special attention to the underserved, low-income, minority and vulnerable populations. This lens of special attention to at-risk populations was then used in selection of interviewees, sites for community listening sessions, and attendees of the community health summit. Input from persons representing broad interests of the community and populations which are underserved, low-income, minority and/or with chronic disease needs were included through interviews of community representatives and leaders, community listening sessions, and a community health summit. While the partnering organizations collaborated with many community agencies and experts, consultants were not used during the CHNA process. For complete description of CHNA methodology and listing of individuals and organizations that provided input, please review the Hospital's CHNA online at: http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessment
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Saint Thomas West Hospital. The 2016 CHNA was conducted in partnership between Saint Thomas Health and Vanderbilt University Medical Center. Saint Thomas Health partnering hospitals for the Davidson County CHNA include Saint Thomas Midtown Hospital, Saint Thomas Hospital for Specialty Surgery, and Saint Thomas West Hospital.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Saint Thomas West Hospital. Other organizations who served as partners in the conducting of this CHNA include the Metro Nashville Public Health Department, Metro Social Services, Family and Children's Services, United Way of Nashville and the Family Resource Centers.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Saint Thomas West Hospital. ST West works collaboratively within the community to improve its health around the priority needs it is addressing. All priority needs identified in the 2013 CHNA were addressed by ST West in the tax year. Both ST West and Saint Thomas Health took action in the tax year to impact the priority health needs, through a combination of hospital-operated programs and hospital-provided donations to community organizations. A network of Family Health Centers provided care to uninsured and underinsured community residents, as did the Medical Missions at Home, serving over 25,000 patients in need system-wide. Health education programs operated through Faith Community Nursing, as well as at Faith Family Medical Center, New Beginnings, and Fannie Battle Day Home for Children with financial support from ST West, expanding the resources available to hundreds of low-income women, children and families toward making healthier choices in diet and exercise. The regional dental safety net was strengthened through the efforts of the Middle TN Oral Health Coalition, and both acute and long-term dental needs were addressed through the work of Interfaith Dental Clinic and Hope Smiles. Access to mental health services and opportunities to improve mental health status was expanded through the work of numerous community partners, as listed below, providing the means for community residents to pursue mental health improvement. Similarly, access to wellness resources, and in particular healthy food, was expanded through Lutheran Services in Tennessee's Healthy Garden Initiative in low-income communities, Siloam Family Health Center's community health outreach program to specific ethnic communities, Catholic Charities' food provision resources at a Family Health Center, and One Generation Away's provision of healthy food at partner locations throughout Davidson County. Through these efforts, thousands of pounds of produce were made available and meals were supplemented with healthy food. ST West's partnership with the Nashville Downtown Partnership supported two B-Cycle bike-share stations, expanding the ability for community members to exercise. Partnerships with Maplewood High School and the PENCIL Foundation strengthened the ability of high school students, at Maplewood and throughout Metro Nashville Public Schools, to pursue work or higher education following high school graduation, impacting the root causes of poverty. The following is a complete list of all programs and donations provided by ST West during the tax year to address the priority needs identified in the 2013 CHNA: Need: Access to Care Programs: Medical Mission at Home; Charity Care Post-Discharge Donations: Saint Thomas Medical Partners' Family Health Centers; Hospital Hospitality House; Visitation Hospital Foundation; Enroll America; Medical Missions Around the World; Room in the Inn; Linen Service for Ronald McDonald House and Room in the Inn; Tennessee Justice Center Need: Health Education & Practical Application Programs: Faith Community Nursing; Health Professions Education; Medical Library Donations: Faith Family Medical Center; New Beginnings; Fannie Battle Day Home for Children Need: Mental & Dental Health Programs: Middle TN Oral Health Coalition Donations: Hope Smiles; Interfaith Dental Clinic; Christian Women's Job Corp; Hope Clinic for Women; Preston Taylor Ministries; Sexual Assault Center; Catholic Media Productions; First Steps; End Slavery Tennessee; Insight Counseling Centers; Meharry Medical College Need: Wellness/Obesity/Food Programs: None Donations: Lutheran Services in Tennessee; Siloam Family Health Center; Nashville Symphony; Catholic Charities; One Generation Away Need: Exercise & Safety Programs: None Donations: Nashville Downtown Partnership - B-cycle Need: Poverty/Social Determinants Programs: Maplewood Academy Program Donations: Charity Burials; The Contributor; Corner to Corner; Metro Public Health Department; PENCIL Foundation Saint Thomas Health provided the following programs and donations during the tax year to address the CHNA priority needs identified in the 2013 CHNA: Need: Access to Care Programs: Charity Care Post-Discharge Dispensary of Hope - Distribution Center; Dispensary of Hope Charitable Pharmacies; Medical Missions at Home; Mobile Mammography; Saint Thomas Medical Partners' Family Health Centers; Telemedicine - Stroke Evaluation Donations: Tennessee Charitable Care Network; Beersheba Springs Medical Clinic Need: Health Education & Practical Application Programs: Health Professions Education - CME Conferences; Health Professions Education - GME; Medical Library Donations: None Need: Mental & Dental Health Programs: None Donations: Hope Smiles; United Way Need: Wellness/Obesity/Food Programs: None Donations: None Need: Physical Activity Programs: None Donations: None The 2016 CHNA identified four priority health needs for Davidson County: Access to Care/Care Coordination, Social Determinants, Mental and Emotional Health/Substance Abuse, and Wellness and Disease Prevention. ST Midtown/ST West will provide programs and donations to respond to all four priority health needs. Following the CHNA and identification of these priority needs, ST Midtown/ST West conducted a strategic planning process. Current programs were assessed for alignment with and potential to impact the new set of priority health needs, with many listed above that will continue operating or expand their efforts. New programs were designed to more comprehensively address the priority health needs and will begin operations throughout tax year 2016. Additionally, many of the donations from tax year 2015 will continue, to support the work that other community organizations do toward addressing these priority health needs according to their specific service offerings. New donations will also be granted, to bolster support offered across the priority health needs. There will not be any needs that are not addressed from the most recent CHNA; all needs will be addressed.
Schedule H, Part V, Section B, Line 20 Facility , 1Facility , 1 - Saint Thomas West Hospital. Ran presumptive eligibility.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Saint Thomas West Hospital. FAP - eligible patients were not charged more than the discount provided to the highest paying payor making up at least 3% of the volume (either count or dollars).
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART IThe Saint Thomas Health's governing body is comprised of persons representing diverse aspects and interests of the community. Many members of the Saint Thomas Health governing body reside in the organization's primary service area; who are neither employees nor independent contractors of the organization, nor family members thereof. Medical Staff: The organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties. Patient care: ST West operates an emergency room open to all persons, regardless of ability to pay. The hospital participates in Medicaid, Medicare, TennCare, CHAMPUS, Tricare, and other government-sponsored health care programs. ST West provides financial assistance, both full and partial adjustments, to those who cannot afford to pay (both insured and uninsured). Saint Thomas Health Foundation: Patients and families of ST DeKalb, ST Hickman, ST Highlands, ST Midtown, ST River Park, ST Stones River and ST West have access to the Irene and Melvin Lewis, Transplant, Mandy Moore, and Francis Gluck Funds which assist patients who are financially unable to provide for needed medical-related expenditures. There is also a fund available to all employees of Saint Thomas Health who are experiencing hardship. This fund, the Sister Juliana Beurlein Employee Financial Assistance Fund, offered system-wide over $76,613 in assistance in FY2016. STH Senior Leaders and associates participate as active board members of non-profit organizations whose mission aligns with community health improvement and addresses social determinates of health. Medical Library: Medical Libraries are located on the campuses of Saint Thomas Midtown Hospital and Saint Thomas West Hospital. Librarians offer assistance in researching health information. Assistance is available to the broader community regardless of where medical care is obtained. In fiscal year 2016, librarians assisted 79 individuals, researching 88 topics. (Community Health Need: Health Education) Health Professions Education: ST West serves as a clinical site for students attending many of the area nursing and allied health schools. An average of 175 students per month had clinical training at the hospital in fiscal year 2016, with more than 42,625 hours of clinical instruction on the hospital campus during the year. Additionally, ST West supports a Clinical Pastoral Education program, offering chaplaincy training in the clinical setting. (Community Health Need: Health Education and Access to Care) Faith Community Nursing (FCN): The program provides community health education and improvement through development of professional faith community nurses. The program provides training, continued education, support, resources and network to area FCN's. Additionally, the program promotes FCN to congregations as a holistic health and spiritual health promotion strategy. During fiscal year 2016, 23 nurses received training as a FCN, and a total of 6 networking meeting were held. (Community Health Need: Health Education and Wellness) Middle Tennessee Oral Health Coalition: A coalition of oral health stakeholders was formed in 2014, with the financial support of STH, to address the current oral health system and work towards a sustainable system of care for vulnerable populations in Middle TN. STH advocacy and community health leaders participate in the coalition. (Community Health Need: Oral Health) Medical Missions at Home: A medical mission event was held in Davidson County within a low income community on September 26, 2015. Volunteers from all STH entities participated, and community volunteer providers offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, and a health ministry presence to persons who otherwise have limited access to health care. This one-day event, which included multiple volunteers and community partners, served 795 community members in a total of 2,195 encounters. (Community Health Need: Access to Care) Community Benefit Cash and In-Kind Contributions: ST West supports a variety of efforts and continues to work in collaboration with other community agencies to address the health and well-being of our community, especially the poor and vulnerable, including: The hospital has provided access to its conference rooms at no charge to some community organizations whose programs align with its mission. American Red Cross: ST West hosts periodic blood drives in conjunction with the local American Red Cross Catholic Charities: ST West and ST Midtown Hospitals provide funds to support its work as the lead agency at the United Way's South Nashville Family Resource Center to provide health education, access to healthy food and mental health services. (Community Health Need: Wellness, Mental Health, Health Education and Access to Care) Catholic Media Productions: ST Midtown and ST West provide funds to support its programming intended to support the mental and emotional health of community members who listen to the radio programming. (Community Health Need: Mental Health)Christian Women's Job Corp of Middle Tennessee: ST West and ST Midtown Hospitals provide funds to support its mission to empower individuals to break harmful cycles caused by poverty by providing education, mentoring and resources. Programs offered include GED test preparation, Life and Job Skills, and Conversational English Classes. (Community Health Need: Mental Health) Christian Women's Job Corp of Middle Tennessee: ST West and ST Midtown Hospitals provide funds to support its mission to empower individuals to break harmful cycles caused by poverty by providing education, mentoring and resources. Programs offered include GED test preparation, Life and Job Skills, and Conversational English Classes. (Community Health Need: Mental Health) Corner to Corner: ST Midtown and ST West provide funds to support its Launch program, a business entrepreneurship academy for underserved individuals and communities that equips community members experiencing a lack of economic opportunity to plan, start and grow small businesses. (Community Health Need: Poverty/Social Determinants) End Slavery Tennessee: ST Midtown and ST West provide funds to support its mission of providing comprehensive care for victims of human trafficking in a safe and healing environment. (Community Health Need: Mental Health) Enroll America: ST Midtown, ST Rutherford and ST West provide funds to support its Get Covered America campaign, connecting uninsured individuals with resources to enroll in health insurance. (Community Health Need: Access to Care) Faith Family Medical Center: ST West and ST Midtown Hospitals provide support for its health education program Journey to Health, a comprehensive program aimed to reduce risk factors for obesity and chronic disease. (Community Health Need: Health Education) Fannie Battle Day Home for Children: ST West and ST Midtown Hospitals provide support for fresh fruits and vegetables to be provided during meals and snacks. (Community Health Need: Health Education and Access to Healthy Food) First Steps: ST Midtown and ST West provide funds to support its pediatric outpatient therapy program, specifically to ensure services can be received regardless of ability to pay. (Community Health Need: Mental Health) Hope Clinic for Women: ST West and Midtown provide funds to support its mission to equip women, men and families to make healthy choices with unplanned pregnancies, prevention, pregnancy loss and postpartum depression, through its Prenatal & Parenting Education and their Mentoring and professional counseling programs and health care for women. (Community Health Need: Mental Health, Health Education, and Access to Care) Hope Smiles: ST West and ST Midtown Hospitals provide funds to support its participation in the health systems three Medical Missions at Home events. (Community Health Need: Oral Health) Hospital Hospitality House of Nashville: ST West and ST Midtown Hospitals provide funds to support families basic needs, lodging, meals and supportive care, during time of extended medical treatment. (Community Health Need: Access to Care) Insight Counseling Centers: ST Midtown, ST Rutherford and ST West provide funds to support its Community Access Program, through which clients are extended financial assistance to remove financial barriers to needed mental health counseling support. (Community Health Need: Mental Health)
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART IIInterfaith Dental Clinic: ST West, ST Midtown, and ST Rutherford Hospitals provide funds to support its mission to provide oral health care and oral health education for uninsured, low-income working people, their families and the elderly. (Community Health Need: Oral Health and Health Education) Lutheran Services in Tennessee: ST Hickman, ST Midtown, ST Rutherford and ST West provide funds to support the Healthy Gardens initiative, an individualized raised-bed garden program that teaches families in poverty to grow their own vegetables, increasing the amount of nutritious food available and consumed. (Community Health Need: Wellness/Obesity/Food) Meharry Medical College: ST Midtown and ST West provide funds to support its Elam Symposium, focused on African-American male health needs, in particular mental/emotional health, substance abuse and obesity. (Community Health Need: Mental Health) Metro Public Health Department: ST Midtown and ST West provide funds to support its Healthynashville.org data portal, which provides a centralized data network for use in planning, decision-making, and advocacy around health and social determinants community needs; needs of health equity, built and natural environment, and mental health are emphasized. (Community Health Need: Poverty/Social Determinants) Nashville Downtown Partnership: ST West sponsors the B-cycle station at the Downtown Farmers Market. This shared bike program is implemented to increase active transportation and is aligned with Healthy People 2020 goals. (Community Health Need: Physical Activity and Wellness) Nashville Symphony: ST Midtown and ST West provide funds to support its Sensory Friendly Concert, a concert and community health fair focused on patrons with autism spectrum disorders and strengthening community awareness and resource connections for their needs. (Community Health Need: Wellness/Obesity/Food) New Beginnings: ST West and ST Midtown provide funds to support its healthy lifestyle program for low-income women. The program uses physical fitness training, nutrition and health education, along with life coaching to improve overall health and well-being. (Community Health Need: Health Education and Wellness) One Generation Away: ST Hickman, ST Midtown, ST Rutherford and ST West provide funds to support its mission of increasing access to healthy foods to those experiencing food insecurity. (Community Health Need: Wellness/Obesity/Food) PENCIL Foundation: ST Midtown and ST West provide funds to support the education of future healthcare providers within Metro Nashville Public Schools. (Community Health Need: Poverty/Social Determinants) Preston Taylor Ministries: ST West and ST Midtown Hospitals provide funds to support its mission to empower children and youth to reach their potential through the Preston Taylor Ministries one-on-one mentoring programs. (Community Health Need: Mental Health and Wellness) Room In The Inn: ST West and ST Midtown Hospitals provide funds to support its mission of support for persons experiencing homelessness. The funds are restricted to holistic support of homeless individuals who have experienced a recent hospitalization and who would benefit from a transitional supportive living environment, including navigation of the health care system and obtaining necessary mental health services. (Community Health Need: Access to Care) Sexual Assault Center: ST West, ST Midtown, and ST Rutherford provide funds to support their mission to provide healing for those affected by sexual assault and end sexual violence. The funds are restricted to provide treatment and mental health support to low-income clients. (Community Health Need: Mental Health and Access to Care) Shared Linen services for Ronald McDonald House and Room In The Inn: ST Midtown and ST West Hospitals participate in cost sharing of linen expenses for two area non-profits, one which addresses needs of the homeless and one addressing temporary housing for families of hospitalized families. (Community Health Need: Access to Care) Siloam Family Health Center: ST Midtown and ST West provide funds to support its Community Health Outreach program, which trains and deploys Community Health Workers to create a collaborative health education and support network within four target ethnic communities, utilizing a congregational health approach. (Community Health Need: Wellness/Obesity/Food) Tennessee Justice Center (TJC): ST Midtown, ST Rutherford, and ST West work together with TJC to improve access to care through providing enrollment assistance and training. The hospitals also provide financial support to TJC for this collaborative work. (Community Health Need: Access to Care) The Contributor: ST Midtown and ST West provide funds to support its Where To Turn in Nashville annual resource guide, providing direction to options for help for people experiencing poverty. (Community Health Need: Poverty/Social Determinants)
Schedule H, Part VI, Line 6 PROMOTING THE HEALTH OF THE COMMUNITIES SERVED - PART ISaint Thomas West Hospital (ST West), established in 1898, is a 541-bed hospital in Nashville, Tennessee. It provides emergency room services and comprehensive inpatient and outpatient care, including transplantation and oncology services. The Hospital is part of Saint Thomas Health. Saint Thomas Health (STH) is Middle Tennessee's faith-based, not-for-profit health care system united as one healing community. Saint Thomas Health is focused on transforming the healthcare experience and helping people live healthier lives, with special attention to the poor and vulnerable. The regional health system included, in FY16, nine (9) hospitals: Saint Thomas Hospital for Specialty Surgery, Saint Thomas Midtown Hospital and Saint Thomas West Hospital in Nashville, Saint Thomas Rutherford Hospital in Murfreesboro, Saint Thomas Hickman Hospital in Centerville, Saint Thomas Stones River Hospital in Woodbury, Saint Thomas DeKalb Hospital in Smithville, Saint Thomas Highlands Hospital in Sparta, and Saint Thomas River Park Hospital in McMinnville. A comprehensive network of affiliated joint ventures, medical practices, clinics and rehabilitation facilities complements the hospital services. Saint Thomas Health is a member of Ascension, a Catholic organization that is the largest not-for-profit health system in the United States. Saint Thomas Health is committed to providing care to the communities it serves with attention to the poor and vulnerable. STH's mission provides a strong foundation and guidance for its work as a caring ministry of healing, including its commitment to community service and to provide access to quality healthcare for all. The STH Mission, Vision and Values are the key factors influencing their approach and commitment to addressing community health needs through their community benefit activity. Ascension's Socially Just Wage and Benefits Policy, established in 2001, applies to all of Ascension, including subsidiary entities and contractual third-party vendor relationships. Saint Thomas Health and Ascension are committed to providing a livable wage to all associates. Minimum wage within Ascension was raised to $11/hour during FY15. Catholic Social Teaching recognizes that each individual has a fundamental right to share in the fruits of her or his labor and to have basic needs met, including access to healthcare. An essential component of the Socially Just Wage Policy is the employer subsidization of the cost of healthcare insurance for lower-paid associates. This employer subsidy, combined with the minimum hourly wage rate, provides affected associates with a decent standard of living and affordable access to healthcare. (Community Health Need: Access to Care and Wellness) Saint Thomas Health supports a variety of efforts and continues to work in collaboration with other community agencies to address the health and well-being of our community, especially the poor and vulnerable, including restricted cash donations to outside organizations, in-kind donation of employee time/services to outside organizations and representation on community/non-profit boards and committees which work to improve the health and quality of life of the communities we serve. As a system, STH supports a variety of efforts specifically aimed at providing services for persons who are poor and vulnerable, and at improving the health of the community. For example, in fiscal year 2016: Continuing Medical Education: STH offers a variety of online accredited continuing medical education courses. Additionally, in-person seminars on various health topics are offered. The courses are open to all physicians and health professionals. During FY16, 10 educational courses/seminars were offered with total attendance of 875. (Community Health Need: Health Education and Access to Care) Graduate Medical Education: STH and its Affiliates serve as training sites for University of Tennessee, Meharry Medical College and Vanderbilt University medical residents. In fiscal year 2016, 113 medical residents received graduate medical education training at a Saint Thomas Health site. (Community Health Need: Health Education and Access to Care) Medical Missions at Home: STH organized four medical mission events, one in Davidson County, one in Hickman County, one in Grundy County and one in Rutherford County, each held within a low-income community. Volunteers from all STH entities participated, and community volunteer providers offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, and a health ministry presence to persons who otherwise have limited access to health care. In FY16, these events served 1,493 community members in a total of 4,827 encounters. (Community Health Need: Access to Care) Saint Thomas Medical Partners Family Health Centers: The mission of the Saint Thomas Medical Partners' network of family health clinics is to serve the community by providing health care to all ages regardless of insurance status or financial resources. All clinics are staffed by licensed medical professionals. For those who do not have insurance, clinic fees are discounted 46% with additional discounts given for paying day of service. For those who qualify, clinic fees are based on a sliding scale using federal poverty guidelines. In addition, private insurance, Medicare and TennCare are accepted. STH operates 7 primary care safety-net clinics, with one specifically focused on women's health care. These sites provided 72,566 patient encounters for 24,814 patients in fiscal year 2016. The clinics are committed to providing high-quality primary care to the uninsured and underinsured, and they serve the Davidson, Hickman, and Rutherford County communities. These clinics serve as a medical home for many patients; acute medical care is provided typically on the same day, and patients with chronic illnesses are seen routinely. The clinics offer a broad range of women's health care. For patients struggling with mental health issues, a Psychiatric Nurse Practitioner and licensed social worker are available at certain clinics; chaplaincy services are also an available support at certain clinics. The clinics utilize the services of the Dispensary of Hope to provide convenient access to free and reduced-cost medications. Social workers and trained nurses also help patients request free medications through the Patient Assistance Program Referral Services. The clinics work to ensure access to specialty services by linking patients to other resources within the community. The South and West Clinics offer additional services: Clinica Nueva Vida - a comprehensive prenatal care program for uninsured, low income Hispanic women in Greater Nashville; and The Healthy Lifestyles Program - a program for adults with type 2 diabetes or pre-diabetes utilizing group and individual nutritional counseling, along with cooking and exercise classes, combined with medical monitoring. ST Midtown, ST Rutherford, and ST West provide financial support to the health centers. (Community Health Need: Access to Care) Our Mission in Motion: The mobile mammography outreach program is designed to increase access to high quality screening mammography for all women, with special attention to the poor and vulnerable in Middle Tennessee. The program provides screening mammograms in collaboration with local employers, communities, and safety net clinics, reducing the barrier of transportation and inability to afford time away from work. Screening mammograms are available to the uninsured. When indicated, Our Mission in Motion works with women to connect them to follow up care. It is the goal of the program to improve the compliance rates for screening mammography by making services accessible and affordable, thus decreasing the late stage detections of breast cancer for women in Middle Tennessee. Women delay their annual mammograms for numerous reasons, with the most common including lack of insurance, financial barriers, and the inability to take time off work to receive one. In fiscal year 2016, 3,057 screenings were performed at 204 stops. 221 women received mammography screening for the first time, and 654 women were screened who had not had a mammogram in over two years. (Community Health Need: Access to Care and Wellness)
Schedule H, Part VI, Line 6 PROMOTING THE HEALTH OF THE COMMUNITIES SERVED - PART IIAdvocacy for Health: STH is a founding member and active member of the Middle Tennessee Consortium of Safety Net Providers, which works to provide quality medical homes for the uninsured and specialty care services on a sliding scale based on household income. Saint Thomas Health Foundation serves as the legal and fiduciary agent to the Consortium. The Board of Directors that governs the Consortium is comprised of health care providers and local business leaders who serve the low-income and uninsured. STH is committed to ensuring 100% access to care for everyone, with special attention to those who live in poverty and struggle the most; STH actively advocates for healthcare access and coverage for all persons through grassroots outreach and ongoing meetings with elected officials. STH's advocacy work communicates CHNA findings and works with federal, state, and local officials to create and shape public policy to meet the needs identified by the community. STH provides sponsorship of community events as well as presentations to increase awareness and educate the public regarding healthcare reform and access. STH Senior Leaders participate as active board members of non-profit organizations whose mission is aligned with community health improvement. STH representatives also participate in county health councils. (Community Health Needs: Access to Care) Dispensary of Hope: Since 2003, Dispensary of Hope has been distributing medication from manufacturers, distributors, and healthcare providers to federally-qualified health centers, free and charitable clinics and pharmacies serving low-income, uninsured patients. At the end of fiscal year 2016, the Dispensary of Hope was distributing medication to 86 access site partners nationwide. All access sites are not-for-profit facilities legally authorized to dispense medications. In fiscal year 2016, there were 186,887 patient encounters with 472,990 prescriptions filled at community pharmacies, dispensary clinics and central fill pharmacies. (Community Health Need: Access to Care and Wellness) Dispensary of Hope Charitable Pharmacy: Since 2006, the Dispensary of Hope Pharmacy has provided medication assistance for uninsured and underinsured individuals who are experiencing financial hardship. In fiscal year 2016, 24,978 prescriptions were filled, a total value of $381,034 in 11,704 total patient encounters at the Saint Thomas West Hospital location; additionally, $107,238.70 worth of medications were obtained through the Prescription Assistance Program. The pharmacy located in Rutherford County dispensed 26,582 prescriptions in a total of 9,600 patient encounters in fiscal year 2016. A third pharmacy located on the Saint Thomas Midtown hospital campus filled 20,352 prescriptions, a total value of $407,938, in 9,002 patient encounters during fiscal year 2016. (Community Health Need: Access to Care and Wellness) Camp Bluebird: STH is a founding partner and primary supporter of Camp Bluebird and draws volunteers from Saint Thomas Health, the community and other community hospitals. Camp Bluebird was the first camp in the Middle Tennessee area designed for adult cancer patients. For three days and two nights volunteers provide adult campers with education, support and encouragement in living life after a cancer diagnosis. Camp is held each Spring and Fall, with 119 cancer patients participating in fiscal year 2016. (Community Health Need: Health Education and Wellness)
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationSaint Thomas Health
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe 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). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building ActivitiesSOCIAL DETERMINATES ARE THE CONDITIONS OF COMMUNITIES WITHIN WHICH PEOPLE LIVE THAT AFFECT THEIR HEALTH AND WELL-BEING AND INCLUDE HOUSING, CRIME, POVERTY, EDUCATION, DISCRIMINATION, AND OTHERS. ADDRESSING THE SOCIAL DETERMINATES OF HEALTH THROUGH COMMUNITY BUILDING IS AN IMPORTANT COMPONENT IN IMPROVING THE CONTRIBUTING FACTORS THAT DETERMINE THE HEALTH OF THE COMMUNITY. ST WEST SUPPORTS A VARIETY OF EFFORTS AND CONTINUES TO WORK IN COLLABORATION WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND WELL-BEING OF THE COMMUNITY, ESPECIALLY THE POOR AND VULNERABLE, INCLUDING REPRESENTATION ON COMMUNITY/NON-PROFIT BOARDS AND COMMITTEES WHICH WORK TO IMPROVE THE HEALTH AND ADDRESS ITS SOCIAL DETERMINATES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAfter 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.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 18.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsA 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 assistanceThe organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply and the financial assistance program is followed.
Schedule H, Part V, Section B, Line 16a FAP website- Saint Thomas West Hospital: Line 16a URL: http://sthealth.com/patients-and-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website- Saint Thomas West Hospital: Line 16b URL: http://sthealth.com/patients-and-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Saint Thomas West Hospital: Line 16c URL: http://sthealth.com/patients-and-visitors/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentCommunity Health Needs Assessment (CHNA) is conducted every three years, with the most recent conducted in fiscal year 2016. The CHNA was conducted jointly as noted above. The objectives of the CHNA and subsequent hospital specific implementation strategies were: 1. Provide an unbiased comprehensive assessment of Davidson County's health needs and assets; 2. Use the CHNA to prioritize the Saint Thomas Health Community Benefit Program strategy and 3. Fulfill Internal Revenue Service regulations related to 501(c)(3) non-profit hospital status for federal income taxes. Along with the components cited in Part V, the 2016 CHNA also includes an evaluation of the actions taken to address the priority health needs identified in the 2013 CHNA. For complete description of CHNA methodology, identification of priority needs, and findings, please review the Hospital's CHNA online at: http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessment In addition to the reported CHNA, the organization, Saint Thomas Health (STH), assesses the health needs of the communities it serves through representation on local health councils and non-profits addressing the needs of the underserved.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceEducation of eligibility for assistance at Saint Thomas West Hospital begins at registration with signage displayed at all registration points notifying patients that we have a Financial Assistance Program, as well as contact information for the patient to use should they need assistance. Plain Language Summaries of the FAP containing this information are also available for patients at all registration points. Saint Thomas West Hospital's registration associates discuss the estimated balance that will be due with both insured and self-pay patients. Should the associate identify that the patient may need assistance with that balance he/she will provide the patient with a Financial Assistance Application and help them complete it, if needed. All self-pay and underinsured patients are screened by Saint Thomas West Hospital for alternative coverage including Medicaid, SSI/SSD, Cobra, student coverage, and crime victims' compensation. If no alternative is identified then an associate will work with the patient to complete a Financial Assistance Application. Also, contact information is listed on Saint Thomas West Hospital billing statements for the patient to use in the event they need assistance with their balances. Collections associates have been trained to offer patients a Financial Assistance application if needed by the patient. Saint Thomas West Hospital works with third party collection vendors who are required to follow the Hospital's Financial Assistance Policy. A third party vendor is also used to perform presumptive charity scoring only all accounts prior to bad debt placement to identify any accounts that may qualify presumptively for financial assistance even if a patient did not request to apply for financial assistance. A plain language summary of the Financial Assistance Policy and Application can be found on our website at http://sthealth.com/patients-and-visitors/financial-assistance
Schedule H, Part VI, Line 4 Community informationLocated in Nashville, Tennessee, Saint Thomas West Hospital (ST West), primarily serves residents of Davidson County and adjacent surrounding counties of Middle Tennessee. A majority of ST West's emergency visits are from Davidson County. In calendar year 2015, ST West served 17,652 inpatients. Davidson County is one of 95 counties within the state of Tennessee and is located in the Middle Tennessee region. Tennessee is located in the Southeastern region of the United States. Davidson County has urban, suburban and rural areas and encompasses 504 square miles, having a population density of 1243.3 persons per square mile. United States Census Quick Facts for 2015 indicates an estimated population of 678,889. 2015 Community Demographic highlights include: 51.9% Female; 65.5% White; 28.0% African American; 7.0% Persons under 5 years; 11.2% Persons 65 years and over; 87.3% High school graduate or higher (% persons age 25+, 2011-2015); 23.8 minutes, mean travel time to work (2011-2015); $29,589 per capita income in the past 12 months (2011-2015); $48,368 median household income (2011-2015); and 17.1% persons in poverty. American Fact Finder, American Community Survey (2011-2015 5Year Estimates) notes 15.2% of the total civilian noninstitutionalized population and 6.5% of children (ages 0-17), 20.3% ages 18-64, 1.1% 65 years and older, and 21.7% ages 19-25 in Davidson County were uninsured. According to the Tennessee Department of Health's Joint Annual Report of Hospitals, 2015, Davidson County has 14 hospitals: 10 General and Specialty Hospitals with a combined 3,258 staffed beds (3,786 licensed beds); One Mental Health Hospital with 207 staffed beds out of 300 licensed beds; and 3 Long Term hospitals with 202 staffed beds out of 210 licensed beds. There are areas designated as medically underserved within Davidson County. For a complete description of the community demographics and selection for CHNA purposes, please review the Hospital's CHNA online at: http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessment

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
Catholic Charities
30 White Bridge RdNashvilleTN37205620679520501c3$26,000Providing increased access to healthy foods, health education and mental health services to underprivileged individuals
Faith Family Medical Center
326 21st Avenue NorthNashvilleTN37203621816811501c3$10,000Provide support for the Journey to Health education program
Fannie Battle Day Home for Children
108 Chapel AveNashvilleTN37206620476290501c3$10,000Provide support for the healthy eating program for children and families
Interfaith Dental Clinic
1721 Patterson StreetNashvilleTN37203621567615501c3$26,667Provide support for increase access to dental health services for uninsured and underinsured residents of Middle Tennessee
Room in the Inn
705 Drexel StreetNashvilleTN37203620811413501c3$100,000Provide support for homeless
Saint Thomas Network
4220 Harding RdNashvilleTN37205621868848501c3$1,047,628Provide support for Saint Thomas Family Health Center's clinic operations
Siloam Family Health Center
820 Gale RdNashvilleTN37204581867940501c3$75,000Provide support for health center operations
Tennessee Justice Center Inc
301 Charlotte AveNashvilleTN37201621630417501c3$20,000Help vulnerable families access health coverage
The New Beginnings Center
509 Craighead StNashvilleTN37204900751722501c3$12,500To support reversing obesity with personalized and sustainable wellness
Visitation Hospital Foundation
PO Box 210270NashvilleTN37221621774851501c3$11,240Assisting the clinic in addressing the needs of mothers and infants in Haiti
SHARED HOSPITAL SERVICES CORPORATION
641 MAINSTREAM DRNASHVILLETN37228621035855$19,228Laundry services paid on behalf of Room In The Inn and Ronald McDonald House
End Slavery Tennessee
50 Vantage Way Suite 255NashvilleTN37228454955577501c3$24,350Provide support for comprehensive care for victims of human trafficking in a safe and healing environment
Nashville Symphony
Schermerhorn Symphony CenterNashvilleTN37201620550979501c3$12,500To provide patrons with autism spectrum disorders with the opportunity to experience concertsOne Symphony Place
PENCIL Foundation
421 Great Circle Road Suite 100NashvilleTN37228581475675501c3$217,500To educate future healthcare providers within the Metro Nashville Public Schools
Hope Clinic for Women
1810 Hayes StreetNashvilleTN37203621164825501c3$7,500Support the clinic's work of improving mental and physical health outcomes for women facing unplanned pregnancies and women who are uninsured and/or unemployed
Hospital Hospitality House of Nashville
214 Reidhurst AvenueNashvilleTN37203620909363501c3$7,500To provide a home away from home for families and patients who travel to Nashville for medical care
FieldValueIRS element (for citing)
Total501c3 Org15Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationOrganizations requesting grants are asked to submit a request in writing which identifies the community health need the grant will be addressing, along with goals and objectives. Requests are reviewed by the Saint Thomas Health Community Health & Benefit Committee prior to approval. Awarded grantees are asked to submit a report of program/event activities. It is requested the report include demographic summary of population benefited and achieved objectives and impact on health. The reports are reviewed by the Community Health & Benefit Team in a broad manner upon receipt, but will be more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRAIG POLKOW
VICE CHAIRMAN & CFO STHE (END 8/1/15)$0$278,345$0$0$0$18,828$0$7,073$0$15,294$0$319,540$0$0
MICHAEL SCHATZLEIN MD
CHAIRMAN & CEO STHE (END 3/12/16)$0$960,751$0$1,660,416$0$284,896$0$7,950$0$31,194$0$2,945,206$0$0
KAREN SPRINGER
SEC/TREASURER & COO STHE (END 3/12/16) CHAIRMAN & CEO STHE (BEGIN 3/13/16)$0$599,231$0$220,306$0$180,536$0$7,950$0$6,426$0$1,014,449$0$0
LISA DAVIS
SECRETARY & CFO STHE (BEGIN 3/13/16) (INTERIM 8/2/15 - 3/12/16)$0$336,027$0$86,909$0$26,390$0$7,950$0$10,294$0$467,570$0$0
ALAN STRAUSS
FORMER OFFICER (END 4/2012)$0$572,725$0$826,689$0$167,956$0$14,575$0$34,196$0$1,616,141$0$0
PAMELA HESS
CHIEF FINANCIAL OFFICER$284,001$0$79,666$0$4,594$0$7,950$0$15,823$0$392,034$0$0$0
DON KING
COO STW/STM (END 8/29/15) & CEO/PRESIDENT STW/STM (BEGIN 8/30/15)$228,116$121,790$0$92,891$2,353$577$22,512$8,238$14,802$6,761$267,783$230,257$0$0
BERNARD SHERRY
PRES/CEO STW/STM (END 8/29/15) & EVP & COO (8/30/15 - MARCH 2016)$0$787,296$0$390,502$0$91,810$0$57,900$0$49,952$0$1,377,460$0$0
JENNIFER ELLIOTT
CNO$0$230,633$0$64,837$0$961$0$7,950$0$17,150$0$321,531$0$0
MARK MARSDEN MD
CHIEF MEDICAL OFFICER$377,752$0$105,808$0$4,096$0$31,250$0$20,602$0$539,508$0$0$0
CARRIE TEAFORD
COO STW/STM (BEGIN 11/22/15) & ASST. COO STW/STM (END 11/21/15)$21,475$234,994$0$71,844$151$14,881$658$6,978$1,251$14,803$23,535$343,500$0$0
KYRIAKOS KYRIAKIDIS MD
PHYSICIAN$331,056$0$70,819$0$377$0$6,835$0$18,246$0$427,333$0$0$0
EUGENE LAFRANCHISE MD
PHYSICIAN$567,293$0$960$0$1,151$0$7,950$0$12,817$0$590,171$0$0$0
STEVEN EMBRY MD
PHYSICIAN$342,927$0$2,500$0$1,001$0$7,950$0$1,551$0$355,929$0$0$0
JAMES SNYDER MD
PHYSICIAN$380,374$0$10,250$0$1,814$0$7,950$0$8,474$0$408,862$0$0$0
JAMES K FLEMING JR MD
PHYSICIAN$343,518$0$320$0$168$0$7,950$0$7,770$0$359,726$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationFormAndLineReferenceDesc
ExplanationAscension Health, a related organization of Saint Thomas West Hospital, uses the following to establish the compensation of the organization's CEO: Compensation Committee Independent Compensation Consultant Compensation Survey or Study Approval by the Board or Comensation CommitteeExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part IV, Line 20b Explanation of financial statementsThe activity of Saint Thomas West Hospital ("STWH") is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of STWH is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of STWH.
Form 990, Part VI, Line 15 COMPENSATION DETERMINATIONIN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF SAINT THOMAS WEST HOSPITAL, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER HOSPITALS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN COMPENSATION WAS DECIDED. IN DETERMINING THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS, PERFORMED BY SAINT THOMAS HEALTH, A RELATED ORGANIZATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO OTHER HOSPITALS' EMPLOYEES IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES.
Form 990, Part VI, Line 6 Classes of members or stockholdersSaint Thomas West Hospital has a single corporate member, Saint Thomas Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySaint Thomas West Hospital has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the hospital.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to Saint Thomas West Hospital's financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health. Ascension Health, the sole corporate member of Saint Thomas Health, has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyMANAGEMENT WORKS DILIGENTLY TO COMPLETE THE FORM 990 IN A THOROUGH MANNER. DUE TO TIMING, LEADERSHIP REVIEWED THE RETURN IN LIEU OF THE RETURN BEING PROVIDED TO THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Revenue - Total Revenue: 37505, Related or Exempt Function Revenue: 37505, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Wellness Center - Total Revenue: 263610, Related or Exempt Function Revenue: 263610, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPurchased Services - Total Expense: 45117032, Program Service Expense: 40605329, Management and General Expenses: 4511703, Fundraising Expenses: ; Physician Contracted Services - Total Expense: 9672230, Program Service Expense: 9672230, Management and General Expenses: , Fundraising Expenses: ; Physician Guarantees - Total Expense: 22169, Program Service Expense: 22169, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 54049, Program Service Expense: 48644, Management and General Expenses: 5405, Fundraising Expenses: ; Other Professional Fees - Total Expense: 66530, Program Service Expense: 59877, Management and General Expenses: 6653, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTransfer To/From Ascension for Pension - -1513386; Deferred Pension Cost - -15918309;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
SAINT THOMAS HEALTH
4220 HARDING ROADNASHVILLETN37205581716804SYSTEM PARENTTN501(c)(3Type III-FIASCENSION HEALTHfalse
SAINT THOMAS NETWORK
4220 HARDING ROADNASHVILLETN37205621284994HEALTH INVESTMENT ENTITYTN501(c)(39SAINT THOMAS HEALTHYes (true)
SAINT THOMAS HEALTH FOUNDATIONS
PO BOX 380NASHVILLETN37202581663055OPERATES FOUNDATIONTN501(c)(37SAINT THOMAS NETWORKYes (true)
COVENANT CARE INC
102 WOODMONT BLVD SUITE 800NASHVILLETN37205621695737INACTIVETN501(c)(3Type ISAINT THOMAS NETWORKYes (true)
SAINT THOMAS RUTHERFORD HOSPITAL
1700 MEDICAL CENTER PARKWAYMURFREESBOROTN37219620475842HOSPITALTN501(c)(33SAINT THOMAS HEALTHYes (true)
SAINT THOMAS RUTHERFORD FOUNDATION
1700 MEDICAL CENTER PARKWAYMURFREESBOROTN37219621167917FOUNDATIONTN501(c)(3Type ISAINT THOMAS RUTHERFORD HOSPITALYes (true)
SAINT THOMAS MIDTOWN HOSPITAL
4220 HARDING ROADNASHVILLETN37205621869474ACUTE CARE HOSPITALTN501(c)(33SAINT THOMAS HEALTHYes (true)
BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC
2000 CHURCH STREETNASHVILLETN37236581861378INACTIVETN501(c)(3Type ISAINT THOMAS MIDTOWN HOSPITALYes (true)
BAPTIST HEALTH CARE AFFILIATES INC
2000 CHURCH STREETNASHVILLETN37236581509251COMMUNITY HEALTH PROMOTIONTN501(c)(3Type ISAINT THOMAS NETWORKYes (true)
SAINT THOMAS MEDICAL PARTNERS
2000 CHURCH STREETNASHVILLETN37236621529858HEALTHCARE PROVIDERTN501(c)(33SAINT THOMAS NETWORKYes (true)
SAINT THOMAS HICKMAN HOSPITAL
135 EAST SWAN STREETCENTERVILLETN37033581737573HOSPITALTN501(c)(33BAPTIST HEALTH CARE AFFILIATES INCYes (true)
SAINT THOMAS REGIONAL HOSPITALS
4220 HARDING PIKENASHVILLETN37205474063046HEALTHCARE PROVIDERTN501(c)(33SAINT THOMAS HEALTHYes (true)
SAINT THOMAS HOME CARE
135 EAST SWAN STREETCENTERVILLETN37033621836937HOME HEALTH CARETN501(c)(39SAINT THOMAS HICKMAN HOSPITALYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtOwnershipOwnershipPct
BAPTIST WOMENS HEALTH CENTER LLC
1900 CHURCH STREET SUITE 300NASHVILLETN37203621772195OWNS AND OPERATES SPECIALTY HOSPITALTNNAN/A0
STHS SLEEP CENTER LLC
102 WOODMONT BOULEVARD SUITE 800NASHVILLETN37205203664894OPERATES A SLEEP CENTERTNNAN/A0
MIDDLE TENNESSEE IMAGING LLC
400 N HIGHLAND AVENUEMURFREESBOROTN37219010570490DIAGNOSTIC IMAGING CENTERTNNAN/A0
RADS OF AMERICA LLC
PO BOX 249GOODLETTSVILLETN370700249200597581AMBULATORY SURGERY CENTERTNNAN/A0
MURFREESBORO DIAGNOSTIC IMAGING LLC
400 N HIGHLAND AVENUEMURFREESBOROTN37219200291952DIAGNOSTIC IMAGING CENTERTNNAN/A0
MTMC HOSPITALIST SERVICES LLC
1700 MEDICAL CENTER PARKWAYMURFREESBOROTN37219621792824PHYSICIAN SERVICESTNNAN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SOVA INC
102 WOODMONT BOULEVARD SUITE 700NASHVILLETN37205261319638HEALTH SERVICESTNNAC Corporationfalse
BAPTIST HEALTH CARE VENTURES INC
2000 CHURCH STREETNASHVILLETN37236620469214HOLDING COMPANYTNNAC Corporationfalse
MISSIONPOINT HEALTH PARTNERS
102 WOODMONT BOULEVARD SUITE 700NASHVILLETN37205452958482ACCOUTABLE CARE ORGANIZATIONTNNAC Corporationfalse
MID-STATE PROPERTIES INC
2000 CHURCH STREETNASHVILLETN37236621232018PHARMACYTNNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT THOMAS HEALTH FOUNDATION
A$38,260ACTUAL AMOUNT PAID
SAINT THOMAS NETWORK
B$1,047,628ACTUAL AMOUNT PAID
BAPTIST HEALTH CARE AFFILIATES
S$17,079,867ACTUAL AMOUNT PAID
SAINT THOMAS MEDICAL PARTNERS
S$107,066,127ACTUAL AMOUNT PAID
SAINT THOMAS HICKMAN HOSPITAL
S$7,933,391ACTUAL AMOUNT PAID
SAINT THOMAS MIDTOWN HOSPITAL
S$458,796,462ACTUAL AMOUNT PAID
SAINT THOMAS RUTHERFORD HOSPITAL
S$291,764,195ACTUAL AMOUNT PAID
SAINT THOMAS NETWORK
S$8,528,673ACTUAL AMOUNT PAID
SAINT THOMAS REGIONAL HOSPITALS
S$40,147,475ACTUAL AMOUNT PAID
SAINT THOMAS HEALTH FOUNDATION
C$205,286ACTUAL AMOUNT RECEIVED

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