2013-05-14T17:19:41-05:00 2012-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2011-07-01 621869474 Seton Corporation SETO 6152845555 4220 Harding Road Nashville TN 37205 Craig Polkow 6152845555 2013-05-14 1 Matthew Montgomery P00492843 5137847100 2011 2016-03-07 17:11:31Z Baptist Hospital Bernard Sherry 4220 Harding Road Nashville TN 37205 450560634 0 0928 X www.baptisthospital.com X 1941 TN Our Catholic Ministry is deducated to spiritually centered, holistic care. 17 16 2654 200 5436893 -532108 217302 124665 393810660 408009657 3164763 61786 2056514 30201766 399249239 438397874 0 0 0 0 135534962 133379754 0 0 0 245502645 262991071 381037607 396370825 18211632 42027049 326411562 354479489 295646669 287495518 30764893 66983971 X Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. 0 0 317116873 421612333 Baptist Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2012, approximately 24% of the value of services rendered were to elderly patients under the Medicare program, and approximately 14% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. 317116873 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 111 0 1 2654 1 1 1 0 0 0 0 0 0 0 0 0 0 X 17 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 TN X Carrie Teaford 6152846060 2000 Church Street Nashville TN 37236 X James Bearden 1.00 X 0 0 0 Clark Baker 1.00 X 0 0 0 Mary Falls Esq 1.00 X 0 0 0 Anthony Heard 1.00 X 0 0 0 William Anderson 1.00 X 0 0 0 William Coltharp MD 1.00 X 0 0 0 Robert Dray MD 1.00 X 0 0 0 Webb Earthman 1.00 X 0 0 0 Robert Hutton MD 1.00 X 0 0 0 Randy Laszewski 1.00 X 0 0 0 Lee Moss 1.00 X 0 0 0 Matt Murfree Esq 1.00 X 0 0 0 Sean Ryan MD 1.00 X 0 0 0 Patrick R Shepard 1.00 X 0 0 0 Sister Dinah White DC 1.00 X 0 0 0 Brian Wilcox MD 1.00 X 0 0 0 Shirley Zeitlin 1.00 X 0 0 0 Michael Schatzlein MD 40.00 X X 0 1208662 37438 Alan Strauss 40.00 X X 0 891630 29684 Wesley Littrell 40.00 X X 0 841124 23349 Bernard Sherry 40.00 X 0 575046 38626 Carrie Teaford 40.00 X 258906 0 25049 Kathleen Hirsch 40.00 X 274591 0 11658 Renee Kessler 40.00 X 344131 0 31351 Naved Mohyuddin Jr MD 40.00 X 256363 0 18018 William Thompson MD 40.00 X 391372 0 27525 Bryan Ward MD 40.00 X 275494 0 23347 Jolanta Diegien MD 40.00 X 247318 0 22834 Dana Bannerman 40.00 X 247924 0 19334 2296099 3516462 308213 9 0 1 0 Nashville Building Services PO Box 330157 Nashville TN 372037501 Cleaning 972513 Quality Perfusion Services LLC 4047 Ironwood Drive Greenbriar TN 37073 Surgical Fees 557498 Ortho Surgicalists LLC 301 21st Ave North Nashville TN 37209 Physician Service 500000 Anatomic Clinical Lab Associates 2010 Church Street Suite 615 Nashville TN 37215 Laboratory Fees 380064 Mid-South Lithotripsy Associates 720 Cool Springs Blvd Ste 500 Franklin TN 37067 Surgical Fees 261550 14 124665 22415 124665 Net Patient Revenue 621990 400425917 400425917 Lab Services 621500 5436893 5436893 Investment in JV 621300 1884690 1884690 Fitness Center 713940 262157 262157 408009657 10280776 12162760 -1881984 -1881984 -1881984 61786 0 61786 61786 61786 Penson Curtailment 722320 10481079 10481079 Cafeteria 722320 2561860 2561860 Service Revenue 621990 1242 1242 19039569 19039569 32083750 438397874 421612333 5436893 11223983 1073826 859061 214765 105407120 84325696 21081424 4483413 3586730 896683 14673086 11738469 2934617 7742309 6193847 1548462 58123720 46498976 11624744 34902456 27921965 6980491 57256 57256 1664606 1331685 332921 6314354 5051483 1262871 85660 68528 17132 69459 55567 13892 9195020 7356016 1839004 16098030 12878424 3219606 1585466 1268373 317093 Medical Supplies 74162486 59329990 14832496 TN Care Coverage Assess 14826756 11861405 2965351 Professional Fees 10954966 8763973 2190993 Bad Debt 9962464 7969971 1992493 24988372 20056714 4931658 396370825 317116873 79253952 0 15012262 1810 42094578 50081204 3561186 3840513 367876 583611 406806764 276019561 137267150 130787203 2714076 947462 125394434 168237686 326411562 354479489 37825170 30116152 645994 3186537 257175505 254192829 295646669 287495518 X 30764893 66983971 0 0 30764893 66983971 326411562 354479489 X 42027049 -5807971 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11321 11321 0 Part IV, Supplemental Information: Part II-B, Line 1(i), Other Lobbying Activites: Lobbying expenses represent the portion of dues paid to national and state hospital associates that is specifically allocable to lobbying. Seton Corporation d/b/a Baptist 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. 278117 260 -10597 0 9128 0 258652 255655 275 42030 0 19843 0 278117 242858 1597 34124 0 22924 0 255655 309962 6413 -56845 0 16672 0 242858 0.00000 0.61860 0.38140 0 1 1 8413839 8413839 199843337 127238196 72605141 3006666 2553480 453186 165808619 140891148 24917471 3942765 25791538 5336737 24397566 130787203 Intercompany Receivables 163352165 Other Assets 533485 Physician Guarantees-FV 1147032 Other Receivables 3205004 168237686 Self-Insurance Liability 1235700 Other Noncurrent Liabilities 5874409 Intercompany Debt to Ascension Health 247082720 254192829 1 1 X 1 X 1 X 1 1 1 0 1 1 16152458 16152458 0.04180 63768444 49005829 14762615 0.03820 79920902 49005829 30915073 0.08000 143052 143052 0.00040 6275422 547664 5727758 0.01480 358049 358049 0.00090 6776523 547664 6228859 0.01610 86697425 49553493 37143932 0.09610 55000 55000 0.00010 55000 55000 0.00010 1 2997546 628361 147973172 143828316 4144856 X 1 1 1 1 Baptist Hospital

2000 Church Street Nashville TN 37236

X X X Baptist Hospital 1 1 1 200.000000000000 1 300.000000000000 1 X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. Part I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services. Part I, L7 Col(f): The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $9,962,464. Part II: Nationally, Tennessee ranks 47th for its infant mortality rate, with more than 700 babies dying each year. A baby born in north Nashville (one of the poorest neighborhoods) has the same chance of survival as a baby born in Sri Lanka. In the last 10 years, low birth weight and prematurity have become the leading causes of infant mortality.Every week, 234 babies are born premature in Tennessee. Even if a child survives a premature birth, the effects can last a lifetime.In an effort to address the high infant mortality and prematurity rates in Tennessee and Davidson County, Baptist Hospital has collaborated with the March of Dimes, Nurses for Newborns and the Public Health Department.We continued this year to build a relationship with the March of Dimes to provide education and information to improve the health of mothers and babies around the areas of preventing birth defects, premature birth and infant mortality. This is accomplished through support of community gatherings and educational endeavors, leadership from the hospital serving on March of Dimes board and committees, leadership and sponsorship of fundraising event activities.Nurses for Newborns of Tennessee exists 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) that provide healthcare, education and positive parenting skills. In addition to providing financial support to the program, Baptist Hospital works closely with an RN to promote visits in the hospital to moms prior to going home so that a relationship can be developed to ensure an easy transition. Various members of the hospital staff serve on NFN board and the hospital does a collection each year for items needed for infants of vulnerable families.The Davidson County public Health Department is leading the efforts in terms of awareness of infant mortality disparity between white and African American babies and gathering of coalitions to provide research and solutions. Various members of Baptist Hospital serve on these committees and participate in the gathering of mortality data for the department.In addition to infant mortality issues, Baptist Hospital joined with the American Red Cross to conduct a Latino CPR Saturday. Aimed at reaching the Spanish speaking population in Nashville/Davidson county, the hospital provided funds and communication support to reach 160 people in improving their life saving skills and further improving the quality of life/health for this minority population. Part III, Line 4: The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible accounts based upon historical write off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the 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. Baptist Hospital Part V, Section B, Line 11h: We use presumptive scoring to identify charity accounts. Baptist Hospital Part V, Section B, Line 19d: The State of Tennessee legislates that billings can not exceed 175% cost to charge on most recent Joint Annual Report. Part VI, Line 2: Our community needs assessment is conducted every 3 years, most recently completed in January 2010. The assessment was a collaborative effort across the facilities of Saint Thomas Health Services including Baptist Hospital to provide a comprehensive review of available data and studies around: demographic trends, socioeconomic and health status indicators, maternal and infant health issues, major disease prevalence, and health resource utilization and needs. It consists of a compilation of public health data as well as the results of a study of the safety net providers in Nashville that included focus groups of 67 key community informants. The assessment is focused on the counties in which STHS hospitals are located and helps provide focus and direction for our collective efforts to be responsive to the key health concerns and needs of the communities we serve. Part VI, Line 3: Education of eligibility for assistance at Baptist 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. Brochures containing this information are also available for patients at all registration points. Baptist Hospital 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 Baptist 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 Baptist Hospital 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. Baptist Hospital 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, Baptist Hospital primarily serves residents of Davidson County and adjacent surrounding counties of Williamson, Sumner, Rutherford, Cheatham, Wilson, Dickson, and Robertson in Middle Tennessee. More than half of Baptist's inpatients are from Davidson County. In 2010, Davidson County's population is estimated to be 655,406 with 17% of residents living below the poverty level; median household income of $46,413; uninsured comprising 15.2% of the population; and racial mix that is predominately Caucasian (59%) followed by 27% African-American, 8% Hispanic 3% Asian, and 3% other categories. Baptist Hospital is the largest not-for-profit community hospital in Middle Tennessee and delivers more babies than any other hospital in the area. Overall, Tennessee residents are rated less healthy than national averages with unfavorable rankings for death rates for cancer, diabetes, heart disease and stroke and unfavorable rankings for risk factors. In fiscal year 2010, Baptist served just over 24,000 inpatients and nearly 7,000 newborns and provided $19.2 million in traditional charity care, unpaid cost of public programs and other community programs and services. Part VI, Line 5: Baptist Hospital continues to work in collaboration with other community agencies to address the health and well being of our community especially the most vulnerable. Other partnerships include:- Faith Family Medical Center: We provide a building located on the hospital campus, at no cost, for a full clinic which addresses the holistic needs of uninsured working poor.- The Comprehensive Care Center: We provide funds to promote the comprehensive care of the people suffering with HIV/AIDs and have staff members serving on the board of directors.- The Interfaith Dental Clinic: We provides funds to support the mission of the Interfaith Dental Clinic to restore, protect, and improve the oral health of uninsured, low-income, working people, their children and the elderly in the greater Nashville area through access to affordable quality dental care, oral disease prevention services, and oral health education. When needed, the hospital provides the medical services for their patients requiring dental surgery through the existing hospital financial assistance policies.- Hospital Hospitality House: We provide funds and a member of the hospital staff serves on the board to directors to support its mission to serve as a home away from home for patients and caregivers seeking medical treatment in Nashville hospitals, providing lodging, meals and other supportive services.- The Sexual Assault Center: We provide funds and engage with the center in community awareness and educational endeavors to further their mission to end sexual violence and provide healing for children, adults and families affected by sexual assault through counseling and education.Some of the other collaborative efforts in the community include bi-monthly blood drives in conjunction with the local American Red Cross; free cardiac screenings; military packages collected and prepared for our men and women overseas; a baby fair providing infant safety, education seminars and health in nutrition for approximately 4-5,000 attendees; sponsoring walks for Heart, Diabetes, and Cancer; and the Diabetes Extravaganza free community event providing health screening and cooking and exercise demonstrations. Part VI, Line 6: Baptist Hospital is part of the Nashville Health Ministry of Ascension Health, the largest Catholic and not-for-profit health system in the United States and is known locally as Saint Thomas Health Services (STHS). STHS is dedicated to providing accessible, quality healthcare to all patients regardless of their ability to pay. STHS owns and operates 4 hospitals in Middle Tennessee including Baptist Hospital and Saint Thomas Hospital in Nashville, Middle Tennessee Medical Center in Murfreesboro, and Hickman Community Hospital in Centerville. In addition, STHS provides a variety of ambulatory services through the operation of an urgent care center and community primary care clinics, employment and close alignment with physicians, and partnerships to provide diagnostic imaging, sleep lab, and ambulatory surgery services. As a system, STHS supports a variety of efforts specifically aimed at providing services for persons who are poor, vulnerable or uninsured. These include focused medical mission events in low income communities (where associates volunteer their time to provide direct healthcare services), primary care clinics that provided 49,000 patient encounters in the last year, and a national distribution center and pharmacy to support a network of dispensing sites and direct-to-patient prescription solutions that provided $5.6 million in available medications for patients unable to afford their prescriptions. STHS actively advocates for healthcare access and coverage for all through ongoing meetings with elected officials (State, Local, and Federal levels) and sponsorship of community events and presentations to increase awareness and educate the public regarding healthcare reform and access. STHS helped to form the Safety Net Consortium of Middle Tennessee to address the needs of the uninsured residents of Middle Tennessee. Saint Thomas Health Services Fund serves as the legal and fiduciary agent to the Consortium. The Consortium is governed by a Board of Directors comprised of health care providers and consumer organization members that serve the poor and uninsured. STHS System wide, for fiscal year 2010, STHS provided more than $44 million in traditional charity care, unpaid cost of public programs and other community programs and services. 1 0 1 0 0 0 0 0 0 0 Michael Schatzlein MD 0 745734 0 339375 0 123553 0 4900 0 32538 0 1246100 0 0 Alan Strauss 0 516869 0 133999 0 240762 0 4900 0 24784 0 921314 0 0 Wesley Littrell 0 520062 0 134488 0 186574 0 0 0 23349 0 864473 0 0 Bernard Sherry 0 419340 0 105123 0 50583 0 17895 0 20731 0 613672 0 0 Carrie Teaford 186039 0 38493 0 34374 0 12795 0 12254 0 283955 0 0 0 Kathleen Hirsch 203748 0 38107 0 32736 0 3821 0 7837 0 286249 0 0 0 Renee Kessler 269481 0 55045 0 19605 0 9892 0 21459 0 375482 0 0 0 Naved Mohyuddin Jr MD 217223 0 38457 0 683 0 0 0 18018 0 274381 0 0 0 William Thompson MD 294951 0 59908 0 36513 0 0 0 27525 0 418897 0 0 0 Bryan Ward MD 238733 0 36271 0 490 0 0 0 23347 0 298841 0 0 0 Jolanta Diegien MD 197653 0 49409 0 256 0 0 0 22834 0 270152 0 0 0 Dana Bannerman 196703 0 49103 0 2118 0 0 0 19334 0 267258 0 0 0 Part I, Line 3 Saint Thomas Health, a related organization of Seton Corporation, uses the following to establish the compensation of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Written Employment Contract - Compensation Surveyor Study - Approval by the Board or Compensation Committee Part I, Line 4b Part I Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990 Schedule J, Part II, Column B in the year paid. Neither contributions to nor distributions from the supplemental nonqualified retirement plan were made in the current year. Program Service Statement Form 990, Part III; Community Benefit Report Baptist Hospital For the Year Ended June 30, 2012 This report illustrates the significant degree to which Baptist Hospital contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Baptist Hospital continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. Ascension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Baptist Hospital has engaged in the following activities to ensure that our mission is accomplished: Unreimbursed Services Provided to the Elderly and the Poor: Baptist Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2012, approximately 24% of the value of services rendered were to elderly patients under the Medicare program, and approximately 14% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. In the spirit of principles adopted by Ascension Health, Baptist Hospital has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. Patient Services Baptist Hospital provides the following in-patient and out-patient medical services to the community: - Allergy & Immunology Cancer Care - Cardiac Services - Cardiology and Cardiothoracic Surgery - Community Education and Outreach - Diagnostic Services - Emergency Services - Endocrinology - Gastroenterology - General Medicine - General Surgery - Gynecology - Hospital-based services - including Anesthesiology, Pathology, and Radiology - Nephrology - Neurosciences - Orthopedic Services - Otolaryngology - Palliative Care - Pulmonary Medicine - Rehabilitation Services - Sleep Medicine (Does Baptist do this or is it Saint Thomas Health - Sports Medicine - Urology - Vascular Services - Women and Children's Services-including Obstetrics, Gynecology and Neonatology - Wellness Center Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. During the fiscal year ending June 30, 2012, Baptist Hospital treated 23,470 adults and children on an inpatient basis for a total of 110,767 patient days of service. The hospital also provided services to outpatients, including 90,110 outpatient visits, 7,313 outpatient surgery patients, and 51,980 emergency and minor care visits. Community Outreach Activities: Baptist Hospital seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, the hospital has developed a number of programs to help achieve its mission. Expanding Awareness, Education, and Health Promotion: Baptist Hospital believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life and has invested significantly in unique, top quality health education and materials to accomplish its goals. The following community classes and programs were provided by Baptist Hospital: - Diabetes Support Groups - Blood Drives - Healthy Cooking School - Annual Baby Fair - March for Babies - Cardiac Seminar - Breast Care Lunch and Learn - Stroke Fair - Weight Loss Surgery Support Group - Faith Family diabetes Community education program - Cardiac Survivors Luncheon - Domestic Medical Mission Clinics: Baptist collaborates with many community organizations to improve community health and expand access to health care including support for the Faith Family Clinic, an independent faith-based clinic for the poor located on the hospital campus at no cost to the clinic. In addition, Baptist continues to be active in networking with other healthcare providers in the Nashville area as part of the Bridges to Care (BTC) program, which links uninsured residents of Nashville to a network of some 35 safety net primary care, dental, mental health, and substance abuse clinics that serve patients based on their ability to pay. The Baptist UT (University of Tennessee) Resident Clinic housed on the Baptist campus is a BTC referral clinic. BTC also provides help with prescription medications and transportation. Baptist Hospital physicians participated in the Bridges to Care Plus program. This program, administered by the Nashville Academy of Medicine, links BTC participants to physician specialists upon referral by their primary care physician. Baptist Hospital provides the appropriate inpatient care services as a participant in this program. Charitable Contributions and Support: Baptist Hospital provides charitable contributions to community organizations where the donation can benefit in the provision of services that address community need. Financial and in-kind donations were made in the last year to the following community organizations: - Hospital Hospitality House - Nurses for Newborns - Interfaith Dental Clinic - Comprehensive Care Center (Baptist Real Estate Cost Center) - Faith Family Clinic (In kind donation of clinic building) In addition, Baptist Hospital participated in other charitable benefit programs as follows: - Red Cross Blood Drives 6 times per year - Heart Walk - Diabetes Walk - Second Harvest Food Bank Drive - Disaster Relief collection for flood victims of Nashville - Susan Komen Race for the Cure Medical Education: In order to provide the best health care to the community, Baptist insures that its clinical personnel receive ongoing medical education including the following educational programs: - Ongoing training programs as appropriate - Monthly CMEs - Variety of ethics, spirituality, and self care classes presented to Residents by the ethicist - Weekly hospital rounds involving the ethicist and Residents - Regularly scheduled palliative care educational lunches Summary Baptist Hospital furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status. Form 990, Part VI, Section A, line 2 Many 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 6 Seton Corporation d/b/a Baptist Hospital has a single corporate member, Saint Thomas Health. Form 990, Part VI, Section A, line 7a Seton Corporation d/b/a Baptist Hospital has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the Seton Corporation d/b/a Baptist Hospital. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to Seton Corporation d/b/a Baptist Hospital financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health. Ascension Health, the sole corporation 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 11 Management, 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 12c The 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 15 In determining the compensation of the organization's CEO, the process, performed by Saint Thomas Health, a related organization of Seton Corporation, 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 CEO was compared to individuals at other hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when 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 of Seton Corporation, 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 individuals at other hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Explanation of Board Directors Listing: Form 990, Part VII, Section A: Saint Thomas Health is the sole corporate memer of Seton Corporation. As the sole corporate member, Saint Thomas Health retains reserved authority over certain activities of Seton Corporation. Therefore, the Saint Thomas Health board of directors is listed on Form 990, Part VII. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Deferred Pension Costs -5,807,971. Total to Form 990, Part XI, Line 5: -5,807,971. Explanation of Financial Statements: Form 990, Part XII, Line 2: The financial statements of Saint Thomas Health which include the activity of Seton Corporation d/b/a Baptist Hospital, fall under the specific scope audit of Ascension Health. The activity of Seton Corporation and other members of Saint Thomas Health are reported in the consolidated financial statements of Ascension Health. No individual audit of Seton Corporation d/b/a Baptist Hospital is completed. Therefore, the attached is the audited financial statements of Ascension Health and affiliates (which include the activity of Seton Corporation). Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Saint Thomas Health 4220 Harding Road Nashville TN 37205 581716804 System Parent TN Section 501(c)(3) Schedule A, Line 11c Ascension Health 0 Saint Thomas Hospital 4220 Harding Road Nashville TN 37205 620347580 Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 Saint Thomas Network 4220 Harding Road Nashville TN 37205 621284994 Health Investment Entity TN Section 501(c)(3) Schedule A, Line 9 Saint Thomas Health 1 Saint Thomas Health Foundations PO Box 380 Nashville TN 37202 581663055 Operates Foundation TN Section 501(c)(3) Schedule A, Line 7 Saint Thomas Network 1 Covenant Care Inc 102 Woodmont Blvd Suite 800 Nashville TN 37205 621695737 Inactive TN Section 501(c)(3) Schedule A, Line 11a Saint Thomas Network 1 Middle Tennessee Medical Center Inc 1700 Medical Center Parkway Murfreesboro TN 37219 620475842 Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 Middle Tennessee Medical Center Foundation 1700 Medical Center Parkway Murfreesboro TN 37219 621167917 Foundation TN Section 501(c)(3) Schedule A, Line 11a Middle Tennessee Medical Center Inc 1 Baptist Hospital Foundation of Nashville Inc 2000 Church Street Nashville TN 37236 581861378 Inactive TN Section 501(c)(3) Schedule A, Line 11a Seton Corporation 1 Baptist Health Care Affiliates Inc 2000 Church Street Nashville TN 37236 581509251 Community Health Promotion TN Section 501(c)(3) Schedule A, Line 11a Seton Corporation 1 Baptist Health Care Group 2000 Church Street Nashville TN 37236 621529858 Healthcare Provider TN Section 501(c)(3) Schedule A, Line 3 Seton Corporation 1 Baptist Saint Thomas Home Care 2000 Church Street Nashville TN 37236 510172298 Inactive TN Section 501(c)(3) Schedule A, Line 9 Seton Corporation 1 Hickman Community Health Care Services Inc 135 East Swan Street Centerville TN 37033 581737573 Hospital TN Section 501(c)(3) Schedule A, Line 3 Baptist Healthcare Affiliates Inc 1 Hickman Community Home Care Inc 135 East Swan Street Centerville TN 37033 621836937 Home Health Care TN Section 501(c)(3) Schedule A, Line 9 Hickman Community Health Care Services Inc 1 Baptist Womens Health Center LLC 1900 Church Street Suite 300 Nashville TN 37203 621772195 Owns and Operates Specialty Hospital TN N/A Middle Tennessee Ambulatory Surgery Center LP 500 N Highland Ave Murfreesboro TN 37130 Operates Outpatient Surgery Center TN N/A St Thomas Research Institute LLC Cardiology Series 102 Woodmont Blvd Nashville TN 37205 264591782 Cardiology Research TN N/A STHS Sleep Center LLC 102 Woodmont Suite 800 Nashville TN 37219 203664894 Operates a Sleep Center TN N/A Baptist Surgery Center LP 1900 Church Street Suite 300 Nashville TN 37203 Operates Outpatient Surgery Center TN N/A Sova Inc 102 Woodmont Boulevard Suite 700 Nashville TN 37205 261319638 Health Services TN N/A C Vincentian Ventures Inc PO Box 380 Nashville TN 37202 621331896 Health Services TN N/A C St Thomas Medical Clinic 4220 Harding Road Nashville TN 37205 621583605 Health Services TN N/A C Baptist Health Care Ventures Inc 2000 Church Street Nashville TN 37236 620469214 Holding Company TN Seton Coporation C -12580 44469 1.00000 Middle Tennessee Network Inc 2000 Church Street Nashville TN 37236 621570989 Health Services TN N/A C MissionPoint Health Partners 102 Woodmont Boulevard Suite 700 Nashville TN 37205 452958482 Accountable Care Organization TN N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Baptist HealthCare Group R 30549523 Actual Amount Paid Saint Thomas Health R 169701350 Actual Amount Paid Saint Thomas Hospital Q 252320455 Actual Amount Paid Saint Thomas Network Q 3363563 Actual Amount Paid Middle Tennessee Medical Center Inc Q 1805743 Actual Amount Paid Baptist Health Care Affiliates Inc R 2920383 Actual Amount Paid Hickman Community Health Care Services Inc R 5253962 Actual Amount Paid Ascension Health R 5206323 Actual Amount Paid