SAINT THOMAS WEST HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAINT THOMAS WEST HOSPITAL (EIN 62-0347580)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201321349349305042
Schema version
2011v1.5
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)
Timestamp2013-05-14T17:19:41-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620347580EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Saint Thomas Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTTHNameControl
Phone6152225030Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCraig PolkowName
TitleCFO-Saint Thomas HealthTitle
Phone6152225030Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatt MontgomeryName
PTINP00492843PTIN
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael SchlatzleinNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14220 Harding RoadAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts516908040GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stthomas.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1898YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionProvides essential health care services to low-income patients as well as community services.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2533TotalNbrEmployees
Total Nbr Volunteers296TotalNbrVolunteers
Total Gross UBI1370621TotalGrossUBI
Net Unrelated Business Txbl Income69421NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2158861ContributionsGrantsPriorYear
Contributions Grants Current Year3423907ContributionsGrantsCurrentYear
Program Service Revenue Prior Year456266062ProgramServiceRevenuePriorYear
Program Service Revenue CY416955075ProgramServiceRevenueCY
Investment Income Prior Year32329885InvestmentIncomePriorYear
Investment Income Current Year23690633InvestmentIncomeCurrentYear
Other Revenue Prior Year3198946OtherRevenuePriorYear
Other Revenue Current Year40610454OtherRevenueCurrentYear
Total Revenue Prior Year493953754TotalRevenuePriorYear
Total Revenue Current Year484680069TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year387789GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY362244GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year146734333SalariesEtcPriorYear
Salaries Etc Current Year136210785SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year286480394OtherExpensePriorYear
Other Expenses Current Year274507568OtherExpensesCurrentYear
Total Expenses Prior Year433602516TotalExpensesPriorYear
Total Expenses Current Year411080597TotalExpensesCurrentYear
Revenues Less Expenses Prior Year60351238RevenuesLessExpensesPriorYear
Revenues Less Expenses CY73599472RevenuesLessExpensesCY
Total Assets BOY800579152TotalAssetsBOY
Total Assets EOY939998471TotalAssetsEOY
Total Liabilities BOY258988460TotalLiabilitiesBOY
Total Liabilities EOY378212944TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY541590692NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY561785527NetAssetsOrFundBalancesEOY
Mission DescriptionTo serve all persons, with special attention to those who are poor and vulnerable, while improving the health of individuals and communities.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense374261800Expense
Grants163494Grants
Revenue431192639Revenue
DescriptionSaint Thomas Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2012, more than 55% of the value of services rendered was to elderly patients under the Medicare program, and approximately 12% of the services were provided to patients who were deemed indigent under state, county, or Saint Thomas Hospital Guidelines. Please see attached supplemental community benefit report for more detailed information.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3875436Expense
Grants198750Grants
Revenue2551480Revenue
DescriptionSaint Thomas Hospital operates health clinics known as Saint Thomas Family Health Centers. These centers provide primary and preventive medical services, gynecology services, mental health services, social services as well as school evaluations and testing. Services cost patients a small fee on a sliding scale based on income. The staff is bilingual (fluent in Spanish and English) and provides services for both children and adults.Description
FieldValueIRS element (for citing)
Total Program Service Expense378137236TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096103NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2533NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Craig PolkowBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6152846826TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14220 Harding RdAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37205ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Michael Schatzlein MD Sch O
Chairman40.00XX0120866237438
Alan Strauss Sch O
Vice Chairman (End 5/12)40.00XX089163029684
Wesley Littrell Sch O
Sec/Treasurer40.00XX084112423349
Clark Baker
Vice Chairman STHe Board5.00X000
James Bearden
Chairman STHe Board5.00X000
Mary Falls Esq
Secretary STHe Board5.00X000
Anthony Heard
Treasurer STHe Board5.00X000
William Anderson
Board Member5.00X000
William Coltharp MD
Board Member (End 10/11)5.00X000
Robert Dray MD
Board Member5.00X000
Robert Hutton MD
Board Member (Start 1/12)5.00X000
Randy Laszewski
Board Member5.00X000
Lee Moss
Board Member (Start 1/12)5.00X000
Matt Murfree Esq
Board Member (End 8/11)5.00X000
Sean Ryan MD
Board Member5.00X000
Patrick Shepherd
Board Member5.00X000
Sister Dinah White DC
Board Member5.00X000
Brian Wilcox MD
Board Member5.00X000
Shirley Zeitlin
Board Member5.00X000
Dawn Rudolph
President/CEO40.00X047656645331
Craig Polkow
Chief Financial Officer40.00X288183030423
Don King Start 1111
Chief Operations Officer40.00X192510574
Anna Harb
CNO/VP Clinical Ops.40.00303054061672X
Tuan Nguyen MD
Physician40.00355193017904X
Robert Latham MD
Chief of Medicine40.00341385021797X
Kyriados Kyriakidis MD
Physician40.00302037018483X
James Snyder MD
Physician40.0030718507930X
E Dale Batchelor MD
Chief Medical Officer40.00753339027139X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2669627TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3417982TotalReportableCompFrmRltdOrgs
Total Other Compensation321724TotalOtherCompensation
Number Individuals GT100 K130NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Tennessee Perfusion Associates
4230 Harding RdNashvilleTN37205Medical Services1355615
Saint Thomas Medical Group
4220 Harding RdNashvilleTN37205Medical Services872495
Ortho Surgicalists LLC
301 21st Ave NorthNashvilleTN37203Medical Services580344
Gresham Smith & Partners
1400 City Center 511 Union StreetNashvilleTN37219Architect Services533278
Nashville Healthcare Solutions
104 Woodmonth Blvd Ste LL50NashvilleTN37205Medical Billing468625
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations3423907RelatedOrganizations
Noncash Contributions1790237NoncashContributions
Total Contributions3423907TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Svcs. Rev.621400405677523405677523
Plaza Pharmacy62140060404445276714763730
Nutrition & Food Svcs62140021854942185494
Joint Venture Income62140021812632181263
Nuclear Pharmacy621400870351870351
FieldValueIRS element (for citing)
Total Program Service Revenue416955075TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23541886TotalRevenueColumn
Exclusion$23,541,886ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real785523Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real23423Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real762100Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column762100TotalRevenueColumn
Exclusion$762,100ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other32353295Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other32204548Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other148747Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column148747TotalRevenueColumn
Exclusion$148,747ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Pension Curtailment62199021688689$21,688,689
Provider Tax Revenue9000991603558816035588
Lab Revenue621990606891606891

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1517186TotalRevenueColumn
Related Or Exempt Function Income1517186RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue39848354TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column484680069TotalRevenueColumn
Related Or Exempt Function Income433744119RelatedOrExemptFunctionIncome
Unrelated Business Revenue1370621UnrelatedBusinessRevenue
Exclusion$46,141,422ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total362244Total
Program Services362244ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total879854Total
Program Services791869ProgramServices
Management And General87985ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total112484785Total
Program Services101236307ProgramServices
Management And General11248478ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total572716Total
Program Services515444ProgramServices
Management And General57272ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14310260Total
Program Services12879234ProgramServices
Management And General1431026ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7963170Total
Program Services7166853ProgramServices
Management And General796317ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total70149991Total
Program Services59627492ProgramServices
Management And General10522499ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total38628756Total
Program Services34765880ProgramServices
Management And General3862876ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total125672Total
Program Services125672ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4011147Total
Program Services3208918ProgramServices
Management And General802229ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total351162Total
Program Services280930ProgramServices
Management And General70232ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7189071Total
Program Services6470164ProgramServices
Management And General718907ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total157424Total
Program Services149553ProgramServices
Management And General7871ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total219849Total
Program Services197864ProgramServices
Management And General21985ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3893858Total
Program Services3699165ProgramServices
Management And General194693ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12207781Total
Program Services10987003ProgramServices
Management And General1220778ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total906807Total
Program Services861467ProgramServices
Management And General45340ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies9684299496842994
Provider Tax2468712024687120
Repairs & Maintenance29425122795386147126
Minor Equipment1212663115203060633

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10980761Total
Program Services9333647ProgramServices
Management And General1647114ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total411080597Total
Program Services378137236ProgramServices
Management And General32943361ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2281681BOY
EOY6353274EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY33383198BOY
EOY271646EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY42523984BOY
EOY49117867EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4767966BOY
EOY6110493EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1899561BOY
EOY2034267EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis371988806LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec314511438LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY50281963BOY
EOY57477368EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4156943BOY
EOY4133651EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY661283856BOY
EOY814499905EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY800579152BOY
EOY939998471EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY37470755BOY
EOY20907186EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY618488BOY
EOY4408068EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY220899217BOY
EOY352897690EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY258988460BOY
EOY378212944EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY541590692BOY
EOY561785527EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY541590692BOY
EOY561785527EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY800579152BOY
EOY939998471EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses73599472ReconcilationRevenueExpenses
Reconcilation Other Changes-53404637ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$17,383OtherActivitiesAmount
Total Lobbying Expenditures IIB17383TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. Saint Thomas 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Beginning Balance0BeginningBalance
Ending Balance0EndingBalance

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4857388BeginningOfYearBalance
Contributions857215Contributions
Investment Earnings Or Losses-213919InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1816927OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance3863757EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3891084BeginningOfYearBalance
Contributions684281Contributions
Investment Earnings Or Losses686399InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures404376OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance4857388EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3449734BeginningOfYearBalance
Contributions41110Contributions
Investment Earnings Or Losses461061InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures60821OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance3891084EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4907787BeginningOfYearBalance
Contributions157824Contributions
Investment Earnings Or Losses-755190InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures860687OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance3449734EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.01000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.53670PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.45330TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2170560OtherCostOrOtherBasis
Book Value2170560BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis219172882OtherCostOrOtherBasis
Depreciation150270024Depreciation
Book Value68902858BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1789883OtherCostOrOtherBasis
Depreciation1730986Depreciation
Book Value58897BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis143039294OtherCostOrOtherBasis
Depreciation156980869Depreciation
Book Value-13941575BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5816187OtherCostOrOtherBasis
Depreciation5529559Depreciation
Book Value286628BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings57477368TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
Intercompany Accounts Receivable335205063
Interest in Investments held by Ascension Health Alliance452731142
Construction in Progress17346031
Prepaid Pension4463746
Miscellaneous Receivables931373
Physician Guarantee682588
Software, Net404194
Other Assets2735768
FieldValueIRS element (for citing)
Total Book Value Other Assets814499905TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Intercompany Payable$235,373,702
Intercompany Debt to Ascension Health Alliance$104,633,285
Valuation Allowance$4,750,000
Payables to Third Party Payors$4,152,013
Self Insurance Liability$3,526,096
Other Liabilities$462,594
FieldValueIRS element (for citing)
Total Of Amounts352897690TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Intended Use of Endowment Funds:Identifier
Return ReferencePart V, Line 4:ReturnReference
ExplanationThe endowment funds are held by Saint Thomas Health Foundations. The endowment funds are specifically designated pools of assets held and invested by the Foundation to provide long-term growth, interest and dividends. Only the income from an endowment fund is used.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14612930TotalCommunityBenefitExpense
Net Community Benefit Expense14612930NetCommunityBenefitExpense
Percent Of Total Expense0.03550PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense39676665TotalCommunityBenefitExpense
Direct Offsetting Revenue35854657DirectOffsettingRevenue
Net Community Benefit Expense3822008NetCommunityBenefitExpense
Percent Of Total Expense0.00930PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense54289595TotalCommunityBenefitExpense
Direct Offsetting Revenue35854657DirectOffsettingRevenue
Net Community Benefit Expense18434938NetCommunityBenefitExpense
Percent Of Total Expense0.04480PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense15704TotalCommunityBenefitExpense
Net Community Benefit Expense15704NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5672841TotalCommunityBenefitExpense
Direct Offsetting Revenue1221187DirectOffsettingRevenue
Net Community Benefit Expense4451654NetCommunityBenefitExpense
Percent Of Total Expense0.01080PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8476652TotalCommunityBenefitExpense
Direct Offsetting Revenue6561463DirectOffsettingRevenue
Net Community Benefit Expense1915189NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense421000TotalCommunityBenefitExpense
Net Community Benefit Expense421000NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14586197TotalCommunityBenefitExpense
Direct Offsetting Revenue7782650DirectOffsettingRevenue
Net Community Benefit Expense6803547NetCommunityBenefitExpense
Percent Of Total Expense0.01650PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense68875792TotalCommunityBenefitExpense
Direct Offsetting Revenue43637307DirectOffsettingRevenue
Net Community Benefit Expense25238485NetCommunityBenefitExpense
Percent Of Total Expense0.06130PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense174834TotalCommunityBuildingExpense
Net Community Building Expense174834NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense600675TotalCommunityBuildingExpense
Net Community Building Expense600675NetCommunityBuildingExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense775509TotalCommunityBuildingExpense
Net Community Building Expense775509NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$10,116,641BadDebtExpenseAmount
Amount Attributable To1628779AmountAttributableTo
Amount Reimbursed By Medicare145548830AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare160057161CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14508331MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Saint Thomas HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14220 Harding RoadAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37205ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saint Thomas HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifier
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. For the information in the table, a cost-to-charge ratio was calculated and applied.
Part II: Saint Thomas Hospital continues to be a leader in Community health improvement and advocacy by supporting access to healthcare services through local clinics, the Mental Health Association, the Dispensary of Hope, community health events, rural area medical missions, and the YWCA of Nashville Domestic Violence Initiative. The partnership with the YWCA began in 2009 with a grant from the Office of Criminal Justice. The grant was used to pay for the subcontracting fees at the YWCA Domestic Violence Shelter, public service announcements, and educational materials so that the YWCA community educators could conduct monthly lunch and learns at all four hospitals in the Saint Thomas Health system. Though the grant ended in April 2011, Saint Thomas Hospital has committed to supporting the YWCA Domestic Violence Shelter and inviting the YWCA community educators to conduct lunch and learns through the STH Domestic Violence Awareness Task force. Saint Thomas Hospital also makes significant contributions to health care workforce development in collaboration with Metro-Davidson Public Schools and the PENCIL Program. Through donations to the PENCIL program, STH sponsors a number of activities at Maplewood High School Sciences Academy. STH also hosted Science Scholars again this year a program offered to high school sophomores who show interest in health-related careers. Over the course of six Saturdays, these students get first hand experience with various medical specialties. Saint Thomas also hosts Jobs in Healthcare, a program providing education, training and employment opportunities to unemployed or underemployed individuals.Saint Thomas Hospital associates represent the hospital on community board for the American Diabetes Association, CCSI, and more.
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.
Part III, Line 8: Saint Thomas 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 V, Section B, Line 11h: We use presumptive scoring to identify charity accounts.Saint Thomas 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.Saint Thomas Hospital
Part VI, Line 2: Saint Thomas Health (STHe), which includes Saint Thomas Hospital ("the hospital") most recently formally surveyed the needs of its own communities, and updated its Community Benefit Plan in 2010. This information was supplemented by focus groups and interviews conducted with over 100 community based heath leaders. In addition, associates from Planning, Mission Services, and Advocacy collaboratively gathered health information from national and state health organizations to understand the most prevalent unmet health needs of the state. Data from local health organizations were also collected regarding each of the three counties in which STHe has hospitals: Davidson, Rutherford and Hickman. In order to ensure that outreach efforts effectively addressed those health needs, a team of representatives from Planning, Mission Services, Advocacy, Outreach Clinics, Physician Services, Foundation, Dispensary of Hope, Finance, and Marketing convened quarterly to update needs and verify that community benefit activities were in line with the authorized plans.
Part VI, Line 3: Education of eligibility for assistance at Saint Thomas 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. Saint Thomas Hospital's registration associates discuss the estimated balance that will be due with both insured and self-pay patients. Should the associate identify that the patient may need assistance with that balance he/she will provide the patient with a Financial Assistance application and help them complete it, if needed. All self-pay and underinsured patients are screened by Saint Thomas Hospital for alternative coverage including Medicaid, SSI/SSD, Cobra, student coverage, and crime victims' compensation. If no alternative is identified then an associate will work with the patient to complete a Financial Assistance application. Also, contact information is listed on Saint Thomas Hospital billing statements for the patient to use in the event they need assistance with their balances. Collections associates have been trained to offer patients a Financial Assistance application if needed by the patient. Saint Thomas 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, Saint Thomas Hospital primarily serves residents of Davidson County and adjacent surrounding counties of Williamson, Sumner, Rutherford, Cheatham, Wilson, Dickson, and Robertson in Middle Tennessee. About 650,000 people live in Davidson County alone. At least 15% of those persons are living in poverty according to federal agencies whose standards for measuring poverty are much lower than this hospital's. The majority of persons are non-Hispanic white (about 67%) and black (about 27%) and between the ages of 19-64 (67%). The most common causes of premature death in this age group are injuries and cancer. For those persons between 19-24 homicide is also a common cause of death. For those persons between 25-65 heart disease is also a cause. One quarter of the population are children 18 years of age and under. The 2009 CHNA noted that Tennessee is among the unhealthiest states ranking 44th out of 50 in the 2009 America's Health Rankings. In 2010, Tennessee moved up to 42nd, but still ranking among the states with the weakest health outcomes. The CHNA also found that the prevalence of preventable chronic disease such as heart attack, stoke, cancer, and diabetes in the communities that Saint Thomas Hospital serves were high.According to America's Health Rankings in 2010, Tennessee continues to be among states with the highest prevalence of smoking, obesity and diabetes. Prevalence of smoking is about 23% of non-Hispanic white and black, Hispanic, and multicultural adults. Prevalence of obesity has been increasing steadily over the past ten years to about 40% of non-Hispanic black and Hispanic adults, and 30% of non-Hispanic white and multicultural adults. Prevalence of diabetes is about 11% among non-Hispanic white and black populations. In addition, America's Health Rankings 2010 reports that Tennessee continues to suffer from high incidence of sick days per month and high violent crime rates. Other challenges to Tennessee's health outcomes include high infant mortality rates and a high rate of cancer deaths. The greatest concerns to Saint Thomas Hospital are the rates of obesity, which is a strong determinant for poor health outcomes, and smoking, which is related to the high incidence of cancer deaths and other poor health outcomes. Metro Social Services reports that workforce and economic opportunity, housing and related assistance, as well as food and nutrition continue to be the greatest unmet health needs in the Metro Nashville/Davidson County.However, Tennessee has shown the greatest decrease in cardiovascular deaths; greatest increases in cholesterol checks, and lowest incidence of high cholesterol according to supplemental measures. The state also demonstrated a slight improvement in the already low prevalence of binge drinking, 8.8%. Tennessee also showed a slight improvement in high school graduation, known to be a determinant for health outcomes. The state showed a slight decrease in violent crime, prevalence of smoking, and number of preventable hospitalizations of Medicare patients; all major challenges to health outcomes in the state. Tennessee was among the states that showed the greatest decrease in children living in poverty, and very high rates of immunization coverage for children, about 94%. America's Health rankings notes that Tennessee has a "ready availability of primary care physicians".
Part VI, Line 5: Saint Thomas Hospital operates an open emergency room open to all persons, regardless of ability to pay. The hospital also has an open medical staff with privileges available to all qualified physicians in the area. The majority of the hospital's governing body is comprised of independent persons who represent diverse aspects and interests of the community. The hospital participates in Medicaid, Medicare, TennCare, CHAMPUS, Tricare, and other government sponsored health care programs. Community organizations have access to the hospital's conference rooms at no charge. Patients and families in need have access to numerous support services to individuals and families who are unable to pay such as free, sliding scale and discounted overnight hotel lodging at the Seton Lodge and Inn at Saint Thomas for families who traveled long distances to visit loved ones. Saint Thomas Hospital makes available meal tickets, taxis, bus tickets and other transportation services to families in need. 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. The Renewing Hope Fund supports victims of disaster both domestically and internationally, like the flood of May 2010. Understanding the importance of dental care, especially for cardiac and transplant patients, the Cecilia Nolan Roy Dental Fund provides dental care for needy patients. The Women's Health Services Fund supports prenatal classes for patients at the Saint Thomas Family Health Centers. There is also a fund available to employees of Saint Thomas Health who are experiencing hardship. Saint Thomas Hospital associates go above and beyond the standards of care to provide assistance with applications for access to public and private support services. Associates have made a habit of charity by frequently organizing drives and participating in local health awareness events. Associates collected carloads of household goods for women and families at the Domestic Violence Shelter. Other associates made knit caps for dozens of chemo patients. Our chaplains gave their time to funerals for long time patients whose families could not afford a service.
Part VI, Line 6: Saint Thomas 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 (STHe). STHe is dedicated to providing accessible, quality healthcare to all patients regardless of their ability to pay. STHe owns and operates four 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, Tennessee. In addition, STHe provides a variety of ambulatory services through the operation of community primary care clinics, employment of and close alignment with physicians, and partnerships to provide diagnostic imaging, sleep lab, and ambulatory surgery services. As a system, STHe supports a variety of efforts specifically aimed at providing services for persons who are poor. For example, in fiscal year 2012 Saint Thomas Health organized another rural area mission. Over six hundred volunteers from all of the Saint Thomas Health entities participated and offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, and a health ministry presence to persons living in rural areas who have limited access to health care. STHe also operates primary care clinics and programs that provide many thousands of patient encounters each year. STHe also advocates for healthcare access and coverage for all persons through sponsorship of community events and presentations and booths to increase awareness and educate the public regarding healthcare reform and access. Saint Thomas Health helped to form the Safety Net Consortium of Middle Tennessee to address the needs of the uninsured residents of Middle Tennessee. Saint Thomas Health Foundation serves as the legal and fiduciary agent to the Consortium. The Board of Directors that governs the Consortium is comprised of health care providers and local business leaders who serve the poor and uninsured. STHe created The Dispensary of Hope, a national distribution center and pharmacy, to support a network of dispensaries and direct-to-patient prescription solutions that provided millions in available medications for patients unable to afford their prescriptions. Saint Thomas Health also supports a variety of efforts to address persistent health needs in the community. For example, STHe is a founding partner and primary supporter of Camp Bluebird. The director of the camp is an associate of Saint Thomas Hospital who draws volunteers from other hospitals in the Saint Thomas Health system as well. Camp Bluebird is the first camp in the Middle Tennessee area designed for adult cancer patients. For three days and two nights volunteers from Saint Thomas Health provide campers with education, support and encouragement in living life after a cancer diagnosis. Saint Thomas Health also partners with other health care organizations to address the persistent unmet health needs of the community.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Hope Family Health Services
12124 HWY 52 Bypass West Suite 5WestmorelandTN37186201944166501(c)(3)70000General Support
Aquinas College
4210 Harding RdNashvilleTN37205620812782501(c)(3)52500General Support
Project Cure
2300 Clifton AveNashvilleTN37209841568566501(c)(3)10000General Support
St Patrick's School
175 St Patricks StreetMcewenTN3710110000General Support
TN Medical Foundation
216 Centerview Dr Suite 304BrentwoodTN37027620541813501(c)(3)10000General Support
Walk Strong Foundation
4230 Harding Rd Suite 900NashvilleTN372057000General Support
St Luke's Community Center
5601 New York AveNashvilleTN37209620484183501(c)(3)5350General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: A request is made to the receiving organization to send a report of the efficacy of the project the grant has funded - at minimum, the number of persons served and some of their demographics, but also any qualitative measures the receiving agency uses to measure success (reading levels improved, jobs successfully obtained after training, etc.). The reports are reviewed by the Mission Integration Team in a broad manner upon receipt, and are more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michael Schatzlein MD Sch O
074573403393750123553049000325380124610000
Alan Strauss Sch O
05168690133999024076204900024784092131400
Wesley Littrell Sch O
05200620134488018657400023349086447300
Dawn Rudolph
0389893067337019336032935012396052189700
Craig Polkow
252951032500027320109570194660318606000
Anna Harb
246069047943090420387300229420364726000
Tuan Nguyen MD
3200060350010186000179040373097000
Robert Latham MD
278323024858038204000217970363182000
Kyriados Kyriakidis MD
27362002654901868000184830320520000
James Snyder MD
277723028662080000079300315115000
E Dale Batchelor MD
43377001093250210244049000222390780478000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 3Saint Thomas Health, a related organization of Saint Thomas Hospital, uses the following to establish the compensations of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Written Employment Contract - Compensation Survey or Study - Approval by the Board or Comensation Committee
Part IIIPart 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. Amounts Paid: Dawn Rudolph - $31,305 Anna Harb - $38,730 Craig Polkow - $10,957Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Gresham Smith and PartnersBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipBoard Member is a PartnerRelationship
Amount Of Transaction533278AmountOfTransaction
Description Of TransactionIndependent Contractor AgreementDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationMr. James Bearden, a Saint Thomas Health Services Board Member, is a partner with the firm of Gresham and Smith. Gresham and Smith is the engineering firm utilized by Saint Thomas Hospital for a surgery project. In accordance with our Conflict of Interest Disclosure Statement and Confidentialty Agreement Policy, Mr. Bearden has filed a disclosure statement addressing this relationship and agreed to refrain from voting or using personal influence on any matter that would represent a conflict of interest.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionFixed AssetsDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901790237NoncashContribsRptdF990
Method Of Determining RevenuesCost/Selling PriceMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationThe amount shown in Schedule M, Line 25, Column (b) represents the number of contributors.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of Audited Financial Statement:Form 990, Part IV, Line 20b:The financial statements of Saint Thomas Health, which include the activity of Saint Thomas Hospital, Inc., fall under the specific scope audit. The activity of Saint Thomas Hospital, Inc. and other members of Saint Thomas Health are reported in the consolidated financial statements of Ascension Health. No individual audit of Saint Thomas Hospital, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health and Affiliates (which include the activity of Saint Thomas Hospital, Inc.
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 Hospital, Inc. has a single corporate member, Saint Thomas Health.
Form 990, Part VI, Section A, line 7aSaint. Thomas Hospital, Inc. has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the hospital.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Saint Thomas Hospital, Inc. 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 designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; and 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, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15In determining the compensation of the organization's CEO, the process performed by Saint Thomas Health, a related organization of Saint Thomas Hospital, 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 that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when 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 Saint Thomas Hospital, 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 19The organization will provide any documents open to public inspection upon request.
Explanation of Hours of officers:Form 990, Part VII, Section A:Officers for Saint Thomas Hospital provide services to Saint Thomas Health and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, where noted with a "Sch O" reference, officers hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for all entities.
Explanation of Board of Directors Listing:Form 990, Part VII, Section A:Saint Thomas Health is the sole corporate member of Saint Thomas Hospital. As the sole corporate member, Saint Thomas Health retains reserved authority over the certain activity of Saint Thomas Hospital. Therefore, the Saint Thomas Health's Board of Directors is listed on Form 990, Part VII.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Net unrealized losses on investments: -32,108,733. Deferred Pension Costs 551,852. Net Asset Transfer From Vincentian Ventures, Inc. 346,407. Net Asset Transfer From Saint Thomas Medical Clinic -11,837. Other Pension Costs -22,182,326. Total to Form 990, Part XI, Line 5: -53,404,637.
Form 990, Part III, Line 4aSaint Thomas Hospital Community Benefit Report FY ending June 30, 2012 Summary Faith-based and non-profit health care organizations have a rich tradition of caring for communities. Community Benefit activities are the specific ways that we work out our faithful commitment to care for those who are most vulnerable in our communities, to care for the well-being of the community in the present and the future. Community Benefit is a category of expenses and services related to care for those who are poor and vulnerable. The total cost of Community Benefit consists of unreimbursed or unpaid cost of services to patients who are uninsured or underinsured; plus a variety of community health, education, charity, and community service activities focused on those who are most vulnerable. - Charity care and Uncompensated/ unpaid/ unreimbursed direct patient services (Category I and II) - $18,434,938 -Care for the poor and community benefits (all community benefit related cost centers plus cost or time, space and in kind contributions) - $6,803,547 Total Community Benefit - $25,238,485 Breakdown of Community Benefit Community Health Improvement, education and research - $15,704 Health Professions Education - $4,451,654 Subsidized healthcare services - $1,915,189 Cash and in-kind contributions to community groups - $421,000 Total Direct Community Benefit - $6,803,547 In FY 12, Saint Thomas Hospital engaged in at over 30 discrete community benefit activities and supported 3 community based clinics. Community Health Improvement and Education: Saint Thomas Family Health Centers: Two primary care clinics for the uninsured and underinsured are conducted by Saint Thomas Hospital. Saint Thomas Family Health Services West, serves an older, more chronically ill patient population that includes first generation impoverished immigrants from more than 35 different countries. Saint Thomas Family Health Center South serves a relatively younger population, including many children, largely drawn from the Hispanic community. These two clinics, located in areas accessible to the target populations, supported more than 13,000 visits during this year. The basic diagnostic and interventional services of primary care are supplemented at these clinics by special outreach and treatment to diabetic patients, at-risk pregnant women and African American women at higher risk for breast cancer. Camp Bluebird: Camp Bluebird is a three-day, two-night camp retreat for adult cancer patients organized and staffed by Saint Thomas Hospital and Saint Thomas Health Associates. The program is funded in part by the Saint Thomas Hospital Foundation. At Camp Bluebird, adult cancer patients have time to listen to one another, learn from one another, share their experiences, and care for one another. The retreat is a peaceful space where adults can adjust to a lifestyle of living with cancer. They have opportunities for education, reflection, and recreation activities like arts, crafts, games, yoga, dancing, and swimming. Medical Mission at Home: In February, associates from Saint Thomas Hospital and Baptist Hospital worked together to deliver 600 hours of medical care, 250 donated hygiene items, and 50 donated eyeglass during a medical mission to those who are uninsured and homeless in Nashville. This impactful model for medical missions is replicated at least twice per year in proximity to each of the Saint Thomas Health anchor hospitals. Loaves and Fishes: Several times each year associates from Saint Thomas Hospital and the Saint Thomas Family Health Canters deliver bags of hygiene items to the Parish Center of the Holy Name Catholic Church in east Nashville where Loaves and Fishes operates. In the fall, associates from the Family Health Centers also administered flu vaccinations to dozens of poor and homeless persons who go to the Parish Center of the Holy Name Catholic Church in East Nashville for midday meals. Faith Community Nurse Coordination and Education: This year Saint Thomas Hospital continued to develop and expand the regional Faith Community Nurse Network. More than 30 faith congregations from around the region convene monthly in collaborative sessions, held to share best practices, engage in continuing education and search for new opportunities for creative engagement. An accredited course, leading to official designation as a Faith Community Nurse, has been designed and is offered on an annual basis, this year "graduating" 15. Nashville CPE Partnership is a collaboration of Saint Thomas Hospital, Baptist Hospital Vanderbilt Hospital, Alive Hospice and McKendree Village, which this year supervised and placed eight Chaplain Residents as well as seasonal pastoral care interns in healthcare and correctional settings. These students, drawn from a diversity of religious traditions, subsequently receive Clinical Pastoral Education credits needed for certification as professional clinical chaplains. Dispensary of Hope at the Plaza Pharmacy: The DOH at Saint Thomas Hospital provides access to needed medication for patients who are uninsured and underinsured. Women's Services: The Center for Women's Health, the Cancer Support Program, and Saint Thomas Heart participated in several events specifically focused on women's health education and screenings. Our Mobile Mammography Unit provided no-cost mammograms for those without individual means at 30 locations throughout the service area. A specific outreach program for breast health awareness was undertaken by staff from Saint Thomas Family Health Center South among the African American community of North Nashville. Health Professions Education: Twenty guest lectures were provided to medical, nursing and pharmaceutical students from Vanderbilt University, Aquinas College and Meharry Medical School on topics related to Spirituality In Medicine, Clinical Ethics and End-of-Life Care. Research: - SPRINT study - Diabetes improvement project of Vanderbilt-Meharry Activities Directed At the Underlying Social Determinants of Health Community Leadership Training: - Four 6-week intensive pastoral care symposia for faith community leaders were conducted during this year. Coalition Building: -Saint Thomas Hospital served on community leadership boards including the American Diabetes Association, CCAI, National Association of Catholic Chaplains Workforce Development Partnerships: - Maplewood High School, Health Science Academy - Science Scholars, a partnership of Saint Thomas Hospital and Metro - Davidson Public Schools in cooperation with the Pencil Foundation - Jobs in Healthcare Training Program, graduated 60 persons who became certified as Patient Care Technicians Awareness Events and Community Service Projects: - Heart Walk for the American Heart Association - Memory Walk for the Alzheimer's Association - "Make a donation, take a plant" event benefiting the Alzheimer's Association - Susan G. Komen Race for the Cure - Gift of Life walk for the Tennessee Kidney Foundation - A group of associates made and delivered knit caps to patients undergoing chemotherapy - Multiple Sclerosis Walk - Jingle Bell Run for the Arthritis Foundation - Ronald McDonald House - Second Harvest Food Bank - Hands-On-Nashville Saint Thomas Hospital is committed to making primary care accessible to all persons, regardless of access to insurance, transportation, or ability to pay. STH supports several community-based clinics accessible near the busiest bus routes and in metro Nashville. Some of these clinics extended their hours this year to accommodate persons and families who work long hours. - Family Health Center South - Family Health Center West - La Clinica Nueva Vida During this year, Saint Thomas Hospital provided extensive administrative and financial assistance to maintain the viability of Hope Clinic in rural Westmoreland, TN Subsidized Healthcare Services: Saint Thomas Hospital is committed to providing the services that serve the needs of the community and improve quality of life, regardless of whether or not those services generate a direct profit. Therefore, there are several departments that would operate at an annual shortfall if not subsidized by the health system. Other subsidized services are those that are unique, that is not comparably provided by any other health systems, in Nashville. - Emergency and Trauma - Behavioral Health Services, specifically designed for medically complicated geriatric patients - Palliative care
Cash and In-kind Contributions To Community Organizations: Saint Thomas Hospital, with support from the Saint Thomas Hospital Foundation, supports several non profit organizations in Nashville who share a similar commitment to care for the community by focusing first on the needs of the most vulnerable persons. Through these contributions, Saint Thomas Hospital support efforts to improve access to housing, jobs, nutrition, education, insurance, and medical services. In-kind - Blood drives - Komen Race for the Cure - Dispensary of Hope - Tennessee Kidney Foundation - YWCA and domestic violence awareness - American Heart Association - Alzheimer's Association - Multiple Sclerosis Society - Mental Health Association - Loaves and Fishes Program - Room In The Inn/Campus for Human Development - Boy Scouts - Project CURE - Nashville flood relief Saint Thomas Hospital supported 13 foundations serving the wider community: - American Diabetes Association - ALS Society - Alzheimer's Association - Cystic Fibrosis Foundation - Heritage Athletics Booster Club - Lupus Foundation - Mental Health Association - Prevent Blindness - Special Olympics - Tennessee Kidney Foundation - Tennessee Medical Foundation - Tennessee Suicide Prevention Saint Thomas Hospital supported 23 local organizations and 15 medical mission teams: Training and development - Christian Women's Job Corp Behavioral health - Pastoral Counseling Center Clinical care - Faith Family Medical Clinic - Interfaith Dental Clinic - Our Kids Center - Hope Family Health Services at Hope Clinic Associate care - Caring Angels General - 61st Ave. UMC - Martha O'Brien Center - Saint Luke's Community Center Mentoring - PENCIL Foundation - Preston Taylor Ministries - Training Ground Track Club Housing, environment - Campus for Human Development (Room In The Inn) - Safe Haven West Food access - Loaves and Fishes - Crop Walk - Second Harvest Food Bank Catholic Community - Saint Patrick's School Mission Outreach - 15 Medical Mission teams - Project CURE - Visitation Hospital - Humble Hands, Mt. Juliet High School Additional Support from the Saint Thomas Hospital Foundation: - Seton Support Center - Renewing Hope support for flood and tornado relief - Project for Neighborhood Aftercare is a school-based aftercare providing expanded learning opportunities to students in need - Catholic Charities North Nashville Outreach Program - Safety Net Consortium - Persons and families in need Direct Patient Care: Saint Thomas Hospital, serves its patients and community with core values rooted in a faith based ministry with particular attention to those who are poor and vulnerable. Certain financial figures unique to non-profit healthcare organizations represent this commitment to delivering the highest quality of health care to those who are most poor and vulnerable, including those who are elderly and those who live below the federal poverty guidelines. Saint Thomas Hospital provides the highest quality of care to all persons, regardless of their ability to pay. Saint Thomas Hospital cares for many persons who are elderly as well as those who are living with disabilities. Additionally, Saint Thomas Hospital cares for patients whose employers do not provide or cannot afford insurance, as well as those who are self employed or for some other reason, otherwise uninsured. During the fiscal year ending June 30, 2012 more than 55% of the value of services rendered was to elderly patients under the Medicare program, and approximately 12% of the services were provided to patients who were deemed indigent under State, county or Saint Thomas Hospital guidelines. Much of their care is covered by Medicaid, Medicare and other means-tested programs. However, the payment that the hospital receives from these programs often does not cover the actual cost of those health care services. In some cases, hospitals incur losses caring for these patients that is, the difference between the actual cost of services and how much these programs pay. Losses are also incurred when patients who are uninsured and underinsured, and qualify for a significant discount in the cost of their care under the health system's Financial Assistance Policy, do not have the means to pay the remaining cost of professional health care services. Altogether, these numbers demonstrate Saint Thomas Hospital's commitment to providing the highest quality care to all persons, particularly those who are poor and vulnerable, regardless of ability to pay.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO Box 45998St LouisMO63134311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Saint Thomas Health
4220 Harding RoadNashvilleTN37205581716804System ParentTNSection 501(c)(3)Schedule A, Line 11cAscension Health0
Saint Thomas Network
4220 Harding RoadNashvilleTN37205621284994Health Investment EntityTNSection 501(c)(3)Schedule A, Line 9Saint Thomas Health1
Saint Thomas Health Foundations
PO Box 380NashvilleTN37202581663055Operates FoundationTNSection 501(c)(3)Schedule A, Line 7Saint Thomas Network1
Covenant Care Inc
102 Woodmont Blvd Suite 800NashvilleTN37205621695737InactiveTNSection 501(c)(3)Schedule A, Line 11aSaint Thomas Network1
Middle Tennessee Medical Center Inc
1700 Medical Center ParkwayMurfreesboroTN37219620475842HospitalTNSection 501(c)(3)Schedule A, Line 3Saint Thomas Health1
Middle Tennessee Medical Center Foundation
1700 Medical Center ParkwayMurfreesboroTN37219621167917FoundationTNSection 501(c)(3)Schedule A, Line 11aMiddle Tennessee Medical Center Inc1
Seton Corporation
4220 Harding RoadNashvilleTN37205621869474Acute Care HospitalTNSection 501(c)(3)Schedule A, Line 3Saint Thomas Health1
Baptist Hospital Foundation of Nashville Inc
2000 Church StreetNashvilleTN37236581861378InactiveTNSection 501(c)(3)Schedule A, Line 11aSeton Corporation1
Baptist Health Care Affiliates Inc
2000 Church StreetNashvilleTN37236581509251Community Health PromotionTNSection 501(c)(3)Schedule A, Line 11aSeton Corporation1
Baptist Health Care Group
2000 Church StreetNashvilleTN37236621529858Healthcare ProviderTNSection 501(c)(3)Schedule A, Line 3Seton Corporation1
Baptist Saint Thomas Home Care
2000 Church StreetNashvilleTN37236510172298InactiveTNSection 501(c)(3)Schedule A, Line 9Seton Corporation1
Hickman Community Health Care Services Inc
135 East Swan StreetCentervilleTN37033581737573HospitalTNSection 501(c)(3)Schedule A, Line 3Baptist Healthcare Affiliates Inc1
Hickman Community Home Care Inc
135 East Swan StreetCentervilleTN37033621836937Home Health CareTNSection 501(c)(3)Schedule A, Line 9Hickman Community Health Care Services Inc1

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
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 BlvdNashvilleTN37205264591782Cardiology ResearchTNN/A
STHS Sleep Center LLC
102 Woodmont Suite 800NashvilleTN37219203664894Operates a Sleep CenterTNN/A
Baptist Surgery Center LP
1900 Church Street Suite 300NashvilleTN37203Operates Outpatient Surgery CenterTNN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Sova Inc
102 Woodmont Boulevard Suite 700NashvilleTN37205261319638Health ServicesTNN/AC
Vincentian Ventures Inc
PO Box 380NashvilleTN37202621331896Health ServicesTNN/AC
St Thomas Medical Clinic
4220 Harding RoadNashvilleTN37205621583605Health ServicesTNN/AC
Baptist Health Care Ventures Inc
2000 Church StreetNashvilleTN37236620469214Holding CompanyTNN/AC
Middle Tennessee Network Inc
2000 Church StreetNashvilleTN37236621570989Health ServicesTNN/AC
MissionPoint Health Partners
102 Woodmont Boulevard Suite 700NashvilleTN37205452958482Accountable Care OrganizationTNN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Saint Thomas Health Foundations
C3426907Actual amount paid
Bapitst Healthcare Affiliates
R2379208Actual amount paid
Baptist Healthcare Group
Q10910988Actual amount paid
Hickman Community Hospital
Q591588Actual amount paid
Seton Corporation
R252320455Actual amount paid
Middle Tennessee Medical Center
R134491128Actual amount paid
Saint Thomas Network
R11705356Actual amount paid
Saint Thomas Health
Q352017258Actual amount paid
Saint Thomas Health Foundations
Q188225Actual amount paid
Ascension Health
R1313770Actual amount paid

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