Saint Thomas Midtown Hospital: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
Saint Thomas Midtown Hospital (EIN 62-1869474)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-13
IRS object ID
201511339349303456
Schema version
2013v4.0
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)
Return2015-05-13T13:15:29-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN621869474EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Thomas Midtown HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone6152845555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14220 Harding RoadAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37205ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCraig PolkowPersonNm
Person TitleCFO-Saint Thomas HealthPersonTitleTxt
Phone6152845555PhoneNum
Signature2015-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAlicia JanischPreparerPersonNm
PTINP00741382PTIN
Phone5137847100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael SchatzleinPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14220 Harding RoadAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$420,476,803GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sths.com/midtownWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionOur Catholic Ministry is dedicated to spiritually centered, holistic care.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee2290TotalEmployeeCnt
Total Volunteers176TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,020,588PYContributionsGrantsAmt
CY Contributions Grants$868,322CYContributionsGrantsAmt
PY Program Service Revenue$398,456,859PYProgramServiceRevenueAmt
CY Program Service Revenue$391,044,216CYProgramServiceRevenueAmt
PY Investment Income$111,894PYInvestmentIncomeAmt
CY Investment Income-$8,938CYInvestmentIncomeAmt
PY Other Revenue$18,589,528PYOtherRevenueAmt
CY Other Revenue$15,909,262CYOtherRevenueAmt
PY Total Revenue$421,178,869PYTotalRevenueAmt
CY Total Revenue$407,812,862CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$897,755CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$127,495,835PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$115,568,898CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$255,155,198PYOtherExpensesAmt
CY Other Expenses$251,671,854CYOtherExpensesAmt
PY Total Expenses$382,651,033PYTotalExpensesAmt
CY Total Expenses$368,138,507CYTotalExpensesAmt
PY Revenues Less Expenses$38,527,836PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,674,355CYRevenuesLessExpensesAmt
Total Assets BOY$384,570,936TotalAssetsBOYAmt
Total Assets EOY$184,862,653TotalAssetsEOYAmt
Total Liabilities BOY$278,175,542TotalLiabilitiesBOYAmt
Total Liabilities EOY$293,943,633TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$106,395,394NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$109,080,980NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$338,736,939ExpenseAmt
Grant$897,755GrantAmt
Revenue$407,220,400RevenueAmt
DescSaint Thomas Midtown Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2014, 41% of the value of services rendered was to elderly patients under the Medicare program, and approximately 12% of the value of the services was provided to patients who were deemed indigent under state, county, or Saint Thomas Midtown Hospital guidelines. See Schedule H for supplemental information on community benefit.Desc
Total Program Service Expenses$338,736,939TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2290EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Pam HessBusinessNameLine1
FieldValueIRS element (for citing)
Phone6152844479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Church StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37236ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
James Bearden
Chairman1.007.00Yes (X)$0$0$0
Clark Baker
Vice-Chairman1.007.00Yes (X)$0$0$0
Mary Falls Esq
Secretary STH Board1.007.00Yes (X)$0$0$0
Anthony Heard
Treasurer STH Board1.007.00Yes (X)$0$0$0
Samar Ali
Board Member (beg 7/13)1.007.00Yes (X)$0$0$0
William Anderson
Board Member1.007.00Yes (X)$0$0$0
Robert Dray MD
Board Member1.007.00Yes (X)$0$0$0
Robert Hutton MD
Board Member (end 12/13)1.007.00Yes (X)$0$0$0
Randy Laszewski
Board Member1.007.00Yes (X)$0$0$0
Mark Marsden MD
Board Member (end 11/13)1.007.00Yes (X)$0$0$0
Lee Moss
Board Member1.008.00Yes (X)$0$0$0
Mark Peacock MD
Board Member (beg 1/14)1.006.00Yes (X)$0$0$0
Mark Peters MD
Board Member (beg 11/13)1.006.00Yes (X)$0$0$0
Thom Rainer MD
Board Member1.007.00Yes (X)$0$0$0
Steve Schwab MD
Board Member (beg 7/13)1.007.00Yes (X)$0$0$0
Patrick R Shepherd
Board Member1.008.00Yes (X)$0$0$0
Scott Standard MD
Board Member1.008.00Yes (X)$0$0$0
Sister Dinah White DC
Board Member1.008.00Yes (X)$0$0$0
Brian Wilcox MD
Board Member1.008.00Yes (X)$0$0$0
John Jay Williams MD
Board Member1.008.00Yes (X)$0$0$0
Michael Schatzlein MD
President/CEO STHe1.0040.00Yes (X)$0$1,888,568$39,912Yes (X)
Craig Polkow
Vice-Chairman & CFO STHe1.0040.00Yes (X)$0$439,568$30,536Yes (X)
Karen Springer
Sec/Treasurer1.0040.00Yes (X)$0$576,074$12,507Yes (X)
Bernard Sherry
President/CEO40.0040.00$0$506,352$28,091Yes (X)
Jennifer Elliot
CNO/VP Clinical Opert.(beg 6/14)40.0040.00$190,177$0$21,384Yes (X)
Pam Hess
CFO (beg 6/14)40.0040.00$0$270,015$23,577Yes (X)
Renee Kessler
COO (end 6/14)40.000.00$338,931$0$26,461Yes (X)
Don King
COO (beg 6/14)40.0040.00$0$274,800$27,071Yes (X)
Retty Thomas-Mattu MD
Physician40.000.00$433,306$0$27,612Yes (X)
Daniel Carmody MD
Physician40.000.00$354,059$0$26,394Yes (X)
Dana Bannerman MD
Physician40.000.00$352,929$0$24,685Yes (X)
Naved Mohyuddin Jr MD
Physician40.000.00$350,121$0$26,813Yes (X)
Geoffrey Smallwood MD
Physician40.000.00$354,984$0$30,327Yes (X)
Wesley Littrell
Former Sec/Treasurer0.000.00$0$562,188$8,078Yes (X)
Alan Strauss
Former EVP/CFO0.000.00$0$703,190$50,287Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,374,507TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,220,755TotReportableCompRltdOrgAmt
Total Other Compensation$403,735TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K81IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$868,322RelatedOrganizationsAmt
Noncash Contributions$868,322NoncashContributionsAmt
Total Contributions$868,322TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue621990$387,721,772$387,721,772
Ancillary Revenue621300$1,787,067$1,787,067
Rental Income900099$1,535,377$1,535,377
FieldValueIRS element (for citing)
Total Program Service Revenue$391,044,216TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,192,573RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$12,539,802RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$2,347,229RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,347,229TotalRevenueColumnAmt
Exclusion-$2,347,229ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$115,201OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$124,139OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$8,938OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,938TotalRevenueColumnAmt
Exclusion-$8,938ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
TN Care Coverage Assmn621990$14,837,456$14,837,456
Cafeteria/Vending Reve722320$2,080,307$2,080,307
Medicaid Meaningful Us900099$828,223$828,223

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$510,505TotalRevenueColumnAmt
Related Or Exempt Func Income$510,505RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$18,256,491OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$407,812,862TotalRevenueColumnAmt
Related Or Exempt Func Income$407,220,400RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$275,860ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$897,755TotalAmt
Program Services$897,755ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$641,766TotalAmt
Program Services$577,589ProgramServicesAmt
Management And General$64,177ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$92,021,487TotalAmt
Program Services$82,819,338ProgramServicesAmt
Management And General$9,202,149ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,003,558TotalAmt
Program Services$1,803,202ProgramServicesAmt
Management And General$200,356ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,155,328TotalAmt
Program Services$12,739,795ProgramServicesAmt
Management And General$1,415,533ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,746,759TotalAmt
Program Services$6,072,083ProgramServicesAmt
Management And General$674,676ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$64,455,656TotalAmt
Program Services$54,787,308ProgramServicesAmt
Management And General$9,668,348ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$359TotalAmt
Management And General$359ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total-$53,019TotalAmt
Management And General-$53,019ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,382TotalAmt
Program Services$8,444ProgramServicesAmt
Management And General$938ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,474,640TotalAmt
Program Services$38,227,176ProgramServicesAmt
Management And General$4,247,464ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$28,323TotalAmt
Program Services$25,491ProgramServicesAmt
Management And General$2,832ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$840,024TotalAmt
Program Services$756,022ProgramServicesAmt
Management And General$84,002ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$228,983TotalAmt
Program Services$206,085ProgramServicesAmt
Management And General$22,898ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,608,915TotalAmt
Program Services$5,048,023ProgramServicesAmt
Management And General$560,892ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$56,117TotalAmt
Program Services$50,505ProgramServicesAmt
Management And General$5,612ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$61,231TotalAmt
Program Services$55,108ProgramServicesAmt
Management And General$6,123ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,786,522TotalAmt
Program Services$7,007,870ProgramServicesAmt
Management And General$778,652ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,588,858TotalAmt
Program Services$14,929,972ProgramServicesAmt
Management And General$1,658,886ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$382,648TotalAmt
Program Services$344,383ProgramServicesAmt
Management And General$38,265ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$76,560,079$76,560,079$0$0
TN Care Coverage Assmnt$28,418,877$28,418,877$0$0
Minor Equipment$1,336,685$1,203,017$133,668$0
Maintenance & Repair$1,067,178$960,460$106,718$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,820,396TotalAmt
Program Services$5,238,357ProgramServicesAmt
Management And General$582,039ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$368,138,507TotalAmt
Program Services$338,736,939ProgramServicesAmt
Management And General$29,401,568ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,127BOYAmt
EOY$2,326EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,429,571BOYAmt
EOY$46,026,800EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,557,436BOYAmt
EOY$5,336,567EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$351,561BOYAmt
EOY$1,402,204EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$417,760,766LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$300,883,559LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$121,605,415BOYAmt
EOY$116,877,207EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$980,399BOYAmt
EOY$938,221EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$7,302,697BOYAmt
EOY$6,497,112EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$210,341,730BOYAmt
EOY$7,782,216EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$384,570,936BOYAmt
EOY$184,862,653EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,819,092BOYAmt
EOY$22,353,031EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,126,685BOYAmt
EOY$2,719,715EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$250,229,765BOYAmt
EOY$268,870,887EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$278,175,542BOYAmt
EOY$293,943,633EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$106,395,394BOYAmt
EOY-$109,080,980EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$106,395,394BOYAmt
EOY-$109,080,980EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$384,570,936BOYAmt
EOY$184,862,653EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,674,355ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$255,150,729OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$9,382OtherActivitiesAmt
Total Lobbying Expenditures$9,382TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associates that is specifically allocable to lobbying. Saint Thomas Midtown 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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$457,351BeginningYearBalanceAmt
Contributions$542ContributionsAmt
Investment Earnings Or Losses$94,297InvestmentEarningsOrLossesAmt
Other Expenditures$4,642OtherExpendituresAmt
End Year Balance$547,548EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$258,652BeginningYearBalanceAmt
Contributions$150,943ContributionsAmt
Investment Earnings Or Losses$58,940InvestmentEarningsOrLossesAmt
Other Expenditures$11,184OtherExpendituresAmt
End Year Balance$457,351EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$278,117BeginningYearBalanceAmt
Contributions$260ContributionsAmt
Investment Earnings Or Losses-$10,597InvestmentEarningsOrLossesAmt
Other Expenditures$9,128OtherExpendituresAmt
End Year Balance$258,652EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$255,655BeginningYearBalanceAmt
Contributions$275ContributionsAmt
Investment Earnings Or Losses$42,030InvestmentEarningsOrLossesAmt
Other Expenditures$19,843OtherExpendituresAmt
End Year Balance$278,117EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$242,858BeginningYearBalanceAmt
Contributions$1,597ContributionsAmt
Investment Earnings Or Losses$34,124InvestmentEarningsOrLossesAmt
Other Expenditures$22,924OtherExpendituresAmt
End Year Balance$255,655EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.57000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.43000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,147,749OtherCostOrOtherBasisAmt
Book Value$10,147,749BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,712,382OtherCostOrOtherBasisAmt
Depreciation$50,944,448DepreciationAmt
Book Value$20,767,934BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$509,145OtherCostOrOtherBasisAmt
Depreciation$306,854DepreciationAmt
Book Value$202,291BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,236,760OtherCostOrOtherBasisAmt
Depreciation$49,281,228DepreciationAmt
Book Value$5,955,532BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$280,154,730OtherCostOrOtherBasisAmt
Depreciation$200,351,029DepreciationAmt
Book Value$79,803,701BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$116,877,207TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Est Settlements to Third Party Payors$6,591,067
Self-Insurance Liability$4,009,115
AH Savings Plan Liablity$1,149,813
Physician Guarantee Liability$591,932
Intercompany Payables$10,837,161
Intercompany Debt to Ascension Health$241,719,652
Pension and Other Post Retirement Liab$1,571,837
Misc. Noncurrent Liabilities$2,386,686
Deferred Rent Liability$13,624
FieldValueIRS element (for citing)
Total Liability$268,870,887TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationFrom the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Saint Thomas Midtown Hospital: The System accounts for uncertainty in income tax provisions 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, 2014.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,275,049TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,275,049NetCommunityBenefitExpnsAmt
Total Expense0.03330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,473,286TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,974,299DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,498,987NetCommunityBenefitExpnsAmt
Total Expense0.02580TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,748,335TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,974,299DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,774,036NetCommunityBenefitExpnsAmt
Total Expense0.05910TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$842,421TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$431,648DirectOffsettingRevenueAmt
Net Community Benefit Expns$410,773NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,601,583TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$578,203DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,023,380NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,043,575TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,043,575NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,487,579TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,009,851DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,477,728NetCommunityBenefitExpnsAmt
Total Expense0.01210TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,235,914TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,984,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,251,764NetCommunityBenefitExpnsAmt
Total Expense0.07120TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,802TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,802NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$898TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$898NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,700NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$9,069,349BadDebtExpenseAmt
Bad Debt Expense Attributable$980,397BadDebtExpenseAttributableAmt
Reimbursed By Medicare$80,740,588ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$87,930,614CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,190,026MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Thomas Midtown HospitalBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Church StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Website Addresshttps://www.sths.com/midtownWebsiteAddressTxt
State License0000000032StateLicenseNum
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 Midtown HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)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 Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLIncluded in Section C, Line 5dOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Uninsured DiscountYes (X)UninsuredDiscountInd
State RegulationYes (X)StateRegulationInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Saint Thomas Midtown HospitalPart V, Section B, Line 3: Input was received from individuals and groups who represented broad interests of the community through a community phone survey, interviews with community representatives and leaders, and a review of findings at a community health working summit. The CHNA process received input from those with special knowledge of or expertise in public health. The CHNA workgroup included those with experience in health policy advocacy, care of the un- and underinsured and public health training. The workgroup consulted with the local health department and social services departments, who provided input and resources for the CHNA. Stratasan was contracted as a consultant to provide coordination and analysis of a random community survey and facilitated a working community health summit to identify and prioritize health needs. For complete description of CHNA methodology and listing of individuals and organizations that provided input, please review the Hospital's CHNA online at: https://www.sths.com/SiteAssets/Pages/Community-Health-Needs-Assessment/2013_Davidson_CHNA.pdf
Saint Thomas Midtown HospitalPart V, Section B, Line 4: The 2012 CHNA was conducted jointly with Saint Thomas Midtown Hospital, Saint Thomas Hospital for Spinal Surgery, Saint Thomas West Hospital, and Saint Thomas Health system representatives.
Saint Thomas Midtown HospitalPart V, Section B, Line 5d: https://www.sths.com/SiteAssets/Pages/Community-Health-Needs-Assessment/2013_Davidson_CHNA.pdf
Saint Thomas Midtown HospitalPart V, Section B, Line 6i: The implementation strategy may be found at: https://www.sths.com/Pages/Community/Community-Health-Needs-Assessment.aspx ST Midtown Hospital provided the following programs and donations during the tax year to address the CHNA priority needs identified:Need: Access to CarePrograms: Medical Mission at Home; Charity Care Post DischargeDonation: STH Safety Net Primary Care Clinics; Faith Family Medical Center; Room in the Inn; Linen Svc for Ronald McDonald House & Room in the InnNeed: Health Education & Practical ApplicationPrograms: Health Professions Education; Faith Community NursingDonation: Catholic CharitiesNeed: Mental & Dental HealthPrograms: Middle TN Oral Health CoalitionDonation: Hope Clinic for Women; Hope Smiles; Interfaith Dental ClinicNeed: Wellness/Obesity/FoodDonation: Nurses for NewbornsNeed: Exercise & SafetyDonation: Bicycle ProgramNeed: Economy/PovertyPrograms: Jobs in Healthcare; Maplewood Academies; MNPS-Workforce DevelopmentDonation: Charity BurialsSaint Thomas Health provided the following programs and donations during the tax year to address the CHNA priority needs identified:Need: Access to CarePrograms: Dispensary of Hope - Distribution Center; Dispensary of Hope Charitable Pharmacy - West; Medical Missions at Home; Safety Net Primary Care Clinics; Mobile MammographyNeed: Health Education & Practical ApplicationPrograms: Health Professions Education - CME Conferences; Health Professions Education - GME; Medical LibraryDonation: United WayNeed: Mental & Dental HealthDonation: Tennessee Suicide Prevention Network; Hope SmilesNeed: Wellness/Obesity/FoodDonation: The Governor's Foundation for Health and Wellness
Saint Thomas Midtown HospitalPart V, Section B, Line 12i: We use presumptive scoring to identify charity accounts.
Saint Thomas Midtown HospitalPart V, Section B, Line 14g: Signs are posted in waiting rooms and at the admissions offices to notify patients that the hospital has a financial assistance policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the financial assistance policy. The policy is provided at the request of the patient.
Saint Thomas Midtown HospitalPart V, Section B, Line 20d: The State of Tennessee legislates that billings cannot exceed 175% cost to charge on most recent Joint Annual Report.
Other:For the hospital's complete Implementation Strategy, please review online at:https://www.sths.com/SiteAssets/Pages/Community-Health-Needs-Assessment/2013_Davidson_Implementation_Strategy.pdf

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table.
Part II, Community Building Activities:Social determinates are the conditions of communities within which people live that effect 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. Saint Thomas Midtown 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 representation on community/non-profit boards and committees which work to improve the health and address its social determinates.
Part III, Line 4:The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies.
Part III, Line 8:Saint Thomas Midtown Hospital follows the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Part III, Line 9b:The 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.
Part VI, Line 2:Community Health Needs Assessment (CHNA) is conducted every three years, with the most recent conducted in fiscal year 2013. 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.For complete description of CHNA methodology, identification of priority needs, and findings, please review the Hospital's CHNA online at: https://www.sths.com/SiteAssets/Pages/Community-Health-Needs-Assessment/2013_Davidson_CHNA.pdfIn 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.
Part VI, Line 3:Education of eligibility for assistance at Saint Thomas Midtown Hospital ("ST Midtown") 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. Brochures containing this information are also available for patients at all registration points. ST Midtown 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 ST Midtown for alternative coverage including Medicaid, SSI/SSD, COBRA, student coverage, and crime victims' compensation. If no alternative is identified, an associate will work with the patient to complete a Financial Assistance Application. Also, contact information is listed on ST Midtown billing statements for the patient to use in the event they need assistance with their balances, and collections associates have been trained to offer patients a Financial Assistance Application if needed by the patient. ST Midtown works with third party collection vendors who are required to follow the hospital's Financial Assistance Policy. Third party vendors are also used to perform "charity scoring," a process that screens incomplete Financial Assistance Applications to qualify patients for presumptive charity.
Part VI, Line 4:Located in Nashville, Tennessee, Saint Thomas Midtown Hospital (ST Midtown), primarily serves residents of Davidson County and adjacent surrounding counties in Middle Tennessee. In calendar year 2013, over 80% of emergency room cases and over half of Tennessee inpatients originated within the county. ST Midtown served over 28,000 inpatients, including over 6,000 newborns.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 1,243.3 persons per square mile. United States Census Quick Facts for 2013 indicates an estimated population of 658,602. Community Demographic highlights include: 51.7% Female; 65.8% White; 28.1% African American; 7.0% Persons under 5 years; 10.9% Persons 65 years and over; 85.9% High school graduate or higher (% persons age 25+, 2008-2012); 23.1 minutes, mean travel time to work (2008-2012); $28,519 per capita money income in the past 12 months (2008-2012); $46,676 median household income (2008-2012); and 18.5% persons below poverty level (2008-2012). American Fact Finder, American Community Survey (2010-2012, 3 year estimate) notes, 17.2% of residents and 7.5% of children (ages 0-17), 22.8% ages 18-64, 1.5% 65 years and older, and 25.9% ages 19-25 in Davidson County were uninsured.According to the Tennessee Department of Health's Joint Annual Report of Hospitals, 2012, Davidson County has 15 hospitals: 10 General and Specialty Hospitals with a combined 3,129 staffed beds (3,754 licensed beds); One Mental Health Hospital with 195 staffed beds out of 300 licensed beds; and 4 Long Term hospitals with 183 staffed beds out of 187 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: https://www.sths.com/SiteAssets/Pages/Community-Health-Needs-Assessment/2013_Davidson_CHNA.pdf
Part VI, Line 5:The Saint Thomas Health's governing body is comprised of persons representing diverse aspects and interests of the community. The majority members of the Saint Thomas Health governing body reside in the organization's primary service 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 Midtown 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 Midtown provides financial assistance and sliding scale discounts to those not covered by health insurance. -Saint Thomas Health Foundation: Patients and families also have access to the Irene and Melvin Lewis Fund which assists patients who are financially unable to provide for needed medical-related expenditures. There is also a fund available to employees of Saint Thomas Health who are experiencing hardship. This fund, the Sister Juliana Beurlein Employee Financial Assistance Fund offered system-wide over $90,000 in assistance in FY2014. 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 2014, Librarians assisted over 178 individuals, researching over 183 topics. (Community Health Need: Health Education)-Middle Tennessee Oral Health Coalition: A coalition of oral health stakeholders, formed to address the current oral health system and work towards a sustainable system of care for vulnerable populations in Middle TN. The coalition began in 2014, with the financial support of STH. STH advocacy and community health leaders participate in the coalition. (Community Health Need: Oral Health)-Health Professions Education: ST Midtown serves as a clinical site for students attending many of the area nursing and allied health schools. An average of 57 students per month had clinical training at the hospital in fiscal year 2014, with more than 21,000 hours of clinical instruction on the hospital campus during the year. (Community Health Need: Health Education and Access to Care)-Community Benefit Cash and In-Kind Contributions: ST Midtown 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 Midtown hosts frequent blood drives in conjunction with the local American Red Cross. (Community Health Need: Access to Care)-Catholic Charities: Both ST West and ST Midtown Hospitals provide funds to support its work as the lead agency at the United Ways' South Nashville Family Resource Center to provide health education, access to healthy food and mental health services. This center is located next to one of STH safety net clinics. (Community Health Need: Wellness, Mental Health, Health Education and Access to Care)-Faith Family Medical Center: ST Midtown provides a building located on the hospital campus at no cost, for a primary care medical clinic which addresses the holistic health needs of the uninsured working poor. (Community Health Need: Access to Care and Health Education)-Hope Smiles: ST Midtown provides funds to support its mission to provide a safety net for dental care in the West Nashville area and to support its participation in the health systems three Medical Missions at Home events. (Community Health Need: Oral Health)-Interfaith Dental Clinic: ST Midtown provides 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)-Hope Clinic for Women: ST Midtown provides funds to support its mission to equip women, men and families to make healthy choices with unplanned pregnancies, prevention, pregnancy loss and postpartum depression. (Community Health Need: Mental Health)-Nurses for Newborns: ST Midtown provides funds to support its mission to provide a safety net for families most at-risk, to help prevent infant mortality, child abuse and neglect through in-home nursing visits (up to 2 years) which provide healthcare, education and positive parenting skills. Additionally, ST Midtown works closely with Nurses for Newborns to promote a visit with a Nurses for Newborn representative for families prior to going home so that a relationship may be developed to ensure an easy transition. Various members of the hospital staff serve and have served on the Nurses for Newborns board. (Community Health Need: Wellness, Health Education, and Mental Health)-Room In The Inn: Both 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)-Shared Linen services for Ronald McDonald House and Room In The Inn - Both 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)
Part VI, Line 6:Ascension Health Alliance, d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporation that own and operate local healthcare facilities, or Health Ministries, located in 23 of the United States and the District of Columbia.Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province, became part of Ascension Healthon April 1, 2013.Mission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:-Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured. -Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons.-Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.-Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.Certain costs such as graduate medical education and certain other activities are excluded from total operating expenses for purposes of this computation.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2
Catholic Charities
1 Kimball StreetAmsterdamNY12010350867980501(c)(3)$8,000Provide funds to the United Ways' South Nashville Family Resource Center.
Hope Clinic for Women
1810 Hayes StreetNashvilleTN37203621164825501(c)(3)$10,000Provide funds to help women and families make health choices regarding pregnancies.
Hope Smiles
115 Penn Warren Drive Suite 300-301BrentwoodTN37027260829468501(c)(3)$31,000Provide funds for dental care and support for the Medical Missions at Home events in West Nashville.300-301
Interfaith Dental Clinic
1721 Patterson StreetNashvilleTN37203621567615501(c)(3)$21,600Provide funds for oral health care and oral health education for underprivileged.
Nurses for Newborns Foundation
50 Vantage Way Suite 101NashvilleTN37228431601329501(c)(3)$55,000Provide funds to help prevent infant mortality, child abuse and neglect.
Saint Thomas Network
4220 Harding RoadNashvilleTN37205621284994501(c)(3)$709,655Donation to Clinic.
Room in the Inn
705 Drexel StreetNashvilleTN37203620811413501(c)(3)$62,500Provide funds to support persons experiencing homelessness.
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2: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/even 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)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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
Michael Schatzlein MD
President/CEO STHe$0$857,096$0$830,248$0$201,224$0$7,650$0$32,262$0$1,928,480$0$0
Craig Polkow
Vice-Chairman & CFO STHe$0$434,821$0$0$0$4,747$0$7,650$0$22,886$0$470,104$0$0
Karen Springer
Sec/Treasurer$0$570,000$0$0$0$6,074$0$7,650$0$4,857$0$588,581$0$0
Bernard Sherry
President/CEO$0$467,815$0$0$0$38,537$0$7,650$0$20,441$0$534,443$0$0
Jennifer Elliot
CNO/VP Clinical Opert.(beg 6/14)$189,626$0$0$0$551$0$0$0$21,384$0$211,561$0$0$0
Pam Hess
CFO (beg 6/14)$0$268,755$0$0$0$1,260$0$7,317$0$16,260$0$293,592$0$0
Renee Kessler
COO (end 6/14)$287,397$0$0$0$51,534$0$7,650$0$18,811$0$365,392$0$0$0
Don King
COO (beg 6/14)$0$273,525$0$0$0$1,275$0$7,587$0$19,484$0$301,871$0$0
Retty Thomas-Mattu MD
Physician$377,322$0$55,744$0$240$0$7,650$0$19,962$0$460,918$0$0$0
Daniel Carmody MD
Physician$339,571$0$14,288$0$200$0$7,464$0$18,930$0$380,453$0$0$0
Dana Bannerman MD
Physician$339,523$0$13,188$0$218$0$7,271$0$17,414$0$377,614$0$0$0
Naved Mohyuddin Jr MD
Physician$334,088$0$15,788$0$245$0$7,311$0$19,502$0$376,934$0$0$0
Geoffrey Smallwood MD
Physician$347,894$0$0$0$7,090$0$7,650$0$22,677$0$385,311$0$0$0
Wesley Littrell
Former Sec/Treasurer$0$10,094$0$0$0$552,094$0$0$0$8,078$0$570,266$0$0
Alan Strauss
Former EVP/CFO$0$474,049$0$58,000$0$171,141$0$21,675$0$28,612$0$753,477$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Ascension Health, a related organization of Saint Thomas Midtown 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 Compensation Committee
Part I, Lines 4a-bEligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received severance payments in the amount noted: Renee Kessler $45,729 Wesley Littrell $480,256 The following individuals received payments from the supplemental nonqualified retirement plan in the amount noted: Wesley Littrell $71,292 Michael Schatzlein $179,379 Bernard Sherry $32,256 Alan Strauss $8,236
Schedule J, Part IIThe 2013 compensation amounts shown for Alan Strauss were paid by a related organization. $8,236 of the compensation was paid for Mr. Strauss's services as the CFO of Saint Thomas Health. His remaining compensation was paid for services as the CFO of the related organization.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescFixed AssetsDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$868,322NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost/Selling PriceMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationThe number reported on Schedule M, Part I, Column b represents the number of contributors.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Saint Thomas Health entity boards.
Form 990, Part VI, Section A, line 6Saint Thomas Midtown Hospital has a single corporate member, Saint Thomas Health.
Form 990, Part VI, Section A, line 7aSaint Thomas Midtown Hospital has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the Saint Thomas Midtown Hospital.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Saint Thomas Midtown Hospital 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 designated a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.
Form 990, Part VI, Section B, line 12cThe 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, 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, Section B, line 15In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of Saint Thomas Midtown 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 organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when his 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, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section BIndependent Contractor Reporting Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.
Form 990, Part IX, line 11gDietary Purchase Services - Labor, Supplies, Other: Program service expenses 9,357,970. Management and general expenses 1,039,774. Fundraising expenses 0. Total expenses 10,397,744. Laundry Purchase Services - Labor, Supplies, Other: Program service expenses 1,189,740. Management and general expenses 132,193. Fundraising expenses 0. Total expenses 1,321,933. Medical Purchased Services - Labor, Equipment Rent, Other: Program service expenses 12,829,169. Management and general expenses 1,425,463. Fundraising expenses 0. Total expenses 14,254,632. TriMedx Purchased Services - Labor and Other: Program service expenses 6,659,195. Management and general expenses 739,911. Fundraising expenses 0. Total expenses 7,399,106. Other Purchase Services - Accounting/Billing/HR/Info Systems/Printing Copy: Program service expenses 1,125,978. Management and general expenses 125,109. Fundraising expenses 0. Total expenses 1,251,087. Physician Contracted Services: Program service expenses 7,065,124. Management and general expenses 785,014. Fundraising expenses 0. Total expenses 7,850,138.
Form 990, Part XI, line 9:Deferred Pension Cost -99,313. Transfer to/from Affiliates -255,051,416.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health Alliance
4600 Edmunson RoadSt LouisMO63134453358926National Health SystemMOsection 501(c)(3)Schedule A, Line 11aN/A0
Ascension Health
PO Box 45998St LouisMO63134311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11a0Ascension Health Alliance
Saint Thomas Health
4220 Harding RoadNashvilleTN37205581716804System ParentTNSection 501(c)(3)Schedule A, Line 11c0Ascension Health
Saint Thomas West Hospital
4220 Harding RoadNashvilleTN37205620347580HospitalTNSection 501(c)(3)Schedule A, Line 3Yes (1)Saint Thomas Health
Saint Thomas Network
4220 Harding RoadNashvilleTN37205621284994Health Investment EntityTNSection 501(c)(3)Schedule A, Line 9Yes (1)Saint Thomas Health
Saint Thomas Health Foundations
PO Box 380NashvilleTN37202581663055Operates FoundationTNSection 501(c)(3)Schedule A, Line 7Yes (1)Saint Thomas Network
Covenant Care Inc
102 Woodmont Blvd Suite 800NashvilleTN37205621695737InactiveTNSection 501(c)(3)Schedule A, Line 11aYes (1)Saint Thomas Network
Saint Thomas Rutherford Hospital
1700 Medical Center ParkwayMurfreesboroTN37219620475842HospitalTNSection 501(c)(3)Schedule A, Line 3Yes (1)Saint Thomas Health
Saint Thomas Rutherford Foundation fka Middle Tennessee Medical Center Fou
1700 Medical Center ParkwayMurfreesboroTN37219621167917FoundationTNSection 501(c)(3)Schedule A, Line 11aYes (1)Saint Thomas Rutherford Hospital
Baptist Hospital Foundation of Nashville Inc
2000 Church StreetNashvilleTN37236581861378InactiveTNSection 501(c)(3)Schedule A, Line 11aYes (1)Saint Thomas Midtown Hospital
Baptist Health Care Affiliates Inc
2000 Church StreetNashvilleTN37236581509251Community Health PromotionTNSection 501(c)(3)Schedule A, Line 11aYes (1)Saint Thomas Network
Baptist Health Care Group
2000 Church StreetNashvilleTN37236621529858Healthcare ProviderTNSection 501(c)(3)Schedule A, Line 3Yes (1)Saint Thomas Network
Saint Thomas Hickman Hospital
135 East Swan StreetCentervilleTN37033581737573HospitalTNSection 501(c)(3)Schedule A, Line 3Yes (1)Baptist Healthcare Affiliates Inc
Saint Thomas Home Care
135 East Swan StreetCentervilleTN37033621836937Home Health CareTNSection 501(c)(3)Schedule A, Line 9Yes (1)Saint Thomas Hickman Hospital

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Baptist Womens Health Center LLC
1900 Church Street Suite 300NashvilleTN37203621772195Owns and Operates Specialty HospitalTNN/A
Middle Tennessee Ambulatory Surgery Center LP
500 N Highland AveMurfreesboroTN37130Operates Outpatient Surgery CenterTNN/A
St Thomas Research Institute LLC Cardiology Series
102 Woodmont BoulevardNashvilleTN37205264591782Cardiology ResearchTNN/A
STHS Sleep Center LLC
102 Woodmont Suite 800NashvilleTN37205203664894Operates a Sleep CenterTNN/A
Baptist Surgery Center LP
1900 Church Street Suite 300NashvilleTN37203Operates Outpatient Surgery CenterTNN/A
Middle Tennessee Imaging LLC
400 N Highland AvenueMurfreesboroTN37219010570490Diagnostic Imaging CenterTNN/A
RADS of America
PO Box 249GoodlettsvilleTN37070Ambulatory Surgery CenterTNN/A
Murfreedboro Diagnostic Imaging LLC
400 N Highland AvenueMurfreesboroTN37219200291952Diagnostic Imaging CenterTNN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeAmtOwnershipOwnershipPct
Sova Inc
102 Woodmont Boulevard Suite 700NashvilleTN37205261319638Health ServicesTNN/AC0
Baptist Health Care Ventures Inc
2000 Church StreetNashvilleTN37236620469214Holding CompanyTNCYes (1)Saint Thomas Midtown Hospital$952,0001.00000
MissionPoint Health Partners
102 Woodmont Boulevard Suite 700NashvilleTN37205452958482Accountable Care OrganizationTNN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Saint Thomas Network
B$709,655Actual Amount Transferred
Saint Thomas Health Foundations
C$868,322Actual Amount Transferred
Baptist Health Care Affiliates Inc
R$3,818,168Actual Amount Transferred
Baptist Health Care Ventures Inc
S$578,904Actual Amount Transferred
Baptist Health Care Group
R$39,315,483Actual Amount Transferred
Baptist Health Care Affiliates Inc
S$155,381Actual Amount Transferred
Saint Thomas Network
S$12,325Actual Amount Transferred
Saint Thomas Hickman Hospital
S$14,679,045Actual Amount Transferred
Saint Thomas Rutherford Hospital
S$1,834,890Actual Amount Transferred
Saint Thomas Network
S$12,965,039Actual Amount Transferred
Saint Thomas Research Institute LLC Cardiology Series
S$54,576Actual Amount Transferred
Saint Thomas Health
R$536,127,997Actual Amount Transferred
Saint Thomas Health Foundations
S$263,282Actual Amount Transferred
Saint Thomas West Hospital
S$825,203,772Actual Amount Transferred
Saint Thomas Health
R$1,390,678Actual Amount Transferred
MissionPoint Health Partners
R$118,397Actual Amount Transferred
Ascension Health Alliance
S$163,644Actual Amount Transferred
Ascension Health
S$319,964Actual Amount Transferred

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