2012-05-14T15:38:03-05:00 2011-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2010-07-01 620347580 Saint Thomas Hospital Inc STTH 6152225030 4220 Harding Rd Nashville TN 37205 Lisa Davis 6152846845 2012-05-14 1 Alicia Janisch 5137847100 2010 2016-02-24 21:20:13Z Lisa Davis 4220 Harding Rd Nashville TN 37205 494348556 0 0928 X www.stthomas.org X 1898 TN Provides essential health care services to low-income patients as well as community services. 17 16 2606 281 770761 152408 2006279 2158861 425840810 456266062 26138909 32329885 1738928 3198946 455724926 493953754 459688 387789 0 0 136922219 146734333 0 0 0 257894838 286480394 395276745 433602516 60448181 60351238 679948197 800579152 258294968 258988460 421653229 541590692 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. 1 0 373186947 387789 455917350 Saint Thomas Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2011, more than 54% of the value of services rendered was to elderly patients under the Medicare program, and approximately 6% 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. 3306924 1617162 Saint 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. 376493871 1 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 103 0 1 2606 1 1 1 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Lisa Davis 6152846845 4220 Harding Rd Nashville TN 37205 X James Bearden 5.00 X 0 0 0 Clark Baker 5.00 X 0 0 0 Mary Falls Esq 5.00 X 0 0 0 Scott Jenkins 5.00 X 0 0 0 William Coltharp MD 5.00 X 0 0 0 R Seth Cooper MD 5.00 X 0 0 0 Michael Curb 5.00 X 0 0 0 Webb Earthman 5.00 X 0 0 0 Anthony Heard 5.00 X 0 0 0 Sally Killian MD 5.00 X 0 0 0 Randy Laszewski 5.00 X 0 0 0 Matt Murfree Esq 5.00 X 0 0 0 Sean Ryan 5.00 X 0 0 0 Sister Dinah White DC 5.00 X 0 0 0 Brian Wilcox MD 5.00 X 0 0 0 Shirley Zeitlin 5.00 X 0 0 0 Mike Schatzlein MD Sch O 40.00 X X 0 565713 11549 Edwin Dale Batchelor MD 40.00 X 499723 0 21361 Dawn Rudolph 40.00 X 0 104233 1618 Robert Latham 40.00 X 302662 0 29162 Anna Harb 40.00 X 254174 0 42531 Craig Polkow 40.00 X 38641 0 2219 Lisa Davis Sch O 40.00 X 0 234996 24709 Kyriakos Kyriakidis MD 40.00 X 346391 0 21072 Steven Embry MD 40.00 X 323224 0 172 Tuan Nguyen MD 40.00 X 309710 0 23404 Steven Tarquine MD 40.00 X 300579 0 24933 James Snyder MD 40.00 X 290685 0 9951 Les Donahue Sch O 0.00 X 0 429423 12468 Mark McGinnis 0.00 X 318119 0 14743 2983908 1334365 239892 118 1 1 0 Tennessee Perfusion Associates 4230 Harding Rd Nashville TN 37205 Medical Services 1410451 Saint Thomas Medical Group 4230 Harding Rd Nashville TN 37205 Medical Services 830406 Ortho Surgicalists LLC 301 21st Ave North Nashville TN 37203 Medical Services 531982 Pathology Associates of St Thomas 4220 Harding Rd Nashville TN 37205 Medical Services 531982 Gresham Smith & Partners 1400 City Center 511 Union Street Nashville TN 37219 Architect Services 366782 8 2158861 621468 2158861 Net Patient Revenue 621400 446967974 446967974 Plaza Pharmacy 621400 5422021 4651260 770761 Nutrition & Food Svcs 621400 2534972 2534972 Nuclear Pharmacy 621400 841717 841717 Joint Venture Income 621400 455170 455170 44208 44208 456266062 31960058 31960058 783023 24376 758647 758647 758647 740253 370426 369827 369827 369827 Lab Revenue 621990 483491 483491 Fitness Center Members 621990 381570 381570 Vending Machine Rev. 621990 19518 19518 1555720 1555720 2440299 493953754 457534512 770761 33489620 387789 387789 1904300 1523440 380860 113550998 90840798 22710200 7549008 6039206 1509802 15608557 12486846 3121711 8121470 6497176 1624294 64728986 55019638 9709348 14835 14835 36733462 32356219 4377243 176651 176651 8806183 8806183 154707 139236 15471 7273457 6649006 624451 168594 134875 33719 56297 45038 11259 4192394 3353915 838479 13244659 11920193 1324466 701781 631603 70178 Medical Supplies 97371551 97371551 Bad Debt 29912533 29912533 0 0 Provider Tax 12495580 12495580 0 0 Repairs & Maintenace 3879562 3685583 193979 Minor Equipment 1535986 1382387 153599 0 5033176 3444608 1588568 433602516 376493871 57108645 0 3828757 2281681 25229029 33383198 40381772 42523984 5718585 4767966 1763406 1899561 366725270 316443307 56318402 50281963 4205518 4156943 542502728 661283856 679948197 800579152 31959255 37470755 1319669 618488 225016044 220899217 258294968 258988460 X 421653229 541590692 421653229 541590692 679948197 800579152 X 60351238 59586225 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11442 11442 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: Lobbying expenses represent the portion of dues paid to national and state hospital associates that are specifically allocable to lobbying. St. Thomas Hospital, Inc. 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. 2170560 2170560 172142698 145830867 26311831 1789883 1716072 73811 184416275 162999703 21416572 6205854 5896665 309189 50281963 Intercompany Accounts Receivable 244614456 Health System Depository Account 399422384 Construction in Progress 10332087 Prepaid Pension 3154813 Physician Guarentee 1042235 Software, net 672659 Other Assets 169092 Miscellaneous Receivables 1876130 661283856 Intercompany Payable 107994143 Intercompany Debt to Ascension Health 105391473 Self Insurance Liability 3331003 Payables to Third Party Payors 3330841 Other Liabilities 851757 220899217 1 1 1 X 1 X 1 1 1 0 0 9936525 9936525 0.02460 36555008 29549469 7005539 0.01740 46491533 29549469 16942064 0.04200 10 34193 2380202 2380202 0.00590 23 916 3505848 1071021 2434827 0.00600 3 219 8454217 6674011 1780206 0.00440 635282 635282 0.00160 36 35328 14975549 7745032 7230517 0.01790 36 35328 61467082 37294501 24172581 0.05990 2 120 72521 72521 0.00020 1 338592 338592 0.00080 3 120 411113 411113 0.00100 0 13079188 2734858 147650324 156985348 -9335024 X 1 1 1 Shared Hospital Services Laundry Services 0.48000 1 1 Saint Thomas Hospital

4220 Harding Road Nashville TN 37205

X X X NA 1 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. For the information in the table, a cost-to-charge ratio was calculated and applied. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 29912533. 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 organization 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 organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization's policies.The organization's share of bad debt expense in 2011 was $29,912,533. 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 VI, Line 2: Saint Thomas Health (STHe), which includes Saint Thomas Hospital ("the hospital") most recently surveyed the needs of its own communities in 2009, and finalized a Community Benefit Plan in 2010. This information was supplemented by focus groups and interviews conducted by Ascension Health the prior year, the national Catholic health care organization of which STHe is a constituent part. Consultants from Ascension Health conducted interviews with over 100 community based heath leaders. For the Nashville's broad service area, Ascension recommended that STHe focus on "expansion of clinic-based services for the poor," "engaging local and regional physicians to provide greater care for the poor and uninsured," and "expansion of the Middle Tennessee Safety Net Consortium (MTSNC) and the volunteer specialty panel." Then, consultants from Ascension Health conducted focus groups of 67 key community informants and literature review of safety net models in order to make recommendations regarding the expansion of the Middle Tennessee Safety Net Consortium. As a result, Ascension's consultants suggested that STHe focus on fortifying the Safety Net to include attention to chronic disease, support for the underlying causes of health needs, access to specialty care, adult dental care, mental health, respite care particularly for the homeless, access to pharmacy services for the uninsured and care coordination. Saint Thomas Health took these recommendations very seriously. 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 address those health needs; a team of representatives from Planning, Mission Services, Advocacy, clinics, Physician services, the Foundation, Dispensary of Hope, Finance, and Marketing was convened at a half-day retreat to agree upon a set of recommendations from which each hospital would develop its community benefit plan. Having found the combination of focus groups and community health data to be fruitful, STHe associates in Mission services, Planning and Advocacy are once again compiling national, state and local community health data and planning focus groups to better understand the experienced health needs of communities. 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 hospitals 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 6: 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. This fund, the Sister Juliana Beurlein Employee Financial Assistance Fund offered over $100,000 in assistance in FY2011. 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 7: 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 an urgent care center, 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 2011 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. In fiscal year 2011, Saint Thomas Health made a significant contribution to a diabetes improvement project of Vanderbilt-Meharry. 1 Acquinas College 4210 Harding Road Nashville TN 37205 620812782 501(c)(3) 127500 General Support Faith Family Medical 326 21st Ave North Nashville TN 37203 621816811 501(c)(3) 10000 General Support Hope Family Health Services 12124 HWY 52 Bypass West Suite 5 Westmoreland TN 37186 201944166 501(c)(3) 20000 General Support Interfaith Dental Clinic 1721 Patterson Street Nashville TN 37205 621567615 501(c)(3) 10000 General Support Loaves & Fishes Program Holy Name Parish 521 Woodland Nashville TN 37206 12000 General Support Preston Taylor Ministries PO Box 90442 Nashville TN 37209 621757018 501(c)(3) 6500 General Support Project Cure 2300 Clifton Ave Nashville TN 37209 841568566 501(c)(3) 10000 General Support Room in the Inn PO Box 25309 Nashville TN 37203 620811413 501(c)(3) 50000 General Support Safe Haven Family Shelter 1234 3rd Avenue South Nashville TN 37210 621807653 501(c)(3) 6000 General Support St Patrick's School 175 St Patricks Street McEwen TN 37101 10000 General Support Tennessee Kidney Foundation 95 White Bridge Road Suite 300 Nashville TN 372152613 270812507 501(c)(3) 6250 General Support Visitation Hospital Foundation 2500 21st Ave S Suite 207 Nashville TN 37212 621774851 501(c)(3) 50000 General Support 10 2 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. X 1 1 1 1 0 0 0 0 0 0 0 Mike Schatzlein MD Sch O 0 352812 0 150000 0 62901 0 0 0 11549 0 577262 0 0 Edwin Dale Batchelor MD 391426 0 20418 0 87879 0 4900 0 16461 0 521084 0 0 0 Robert Latham 271317 0 8657 0 22688 0 10755 0 18407 0 331824 0 0 0 Anna Harb 215224 0 30995 0 7955 0 24055 0 18476 0 296705 0 0 0 Lisa Davis Sch O 0 201289 0 13121 0 20586 0 18918 0 5791 0 259705 0 0 Kyriakos Kyriakidis MD 302058 0 41040 0 3293 0 4900 0 16172 0 367463 0 0 0 Steven Embry MD 213575 0 23778 0 85871 0 0 0 172 0 323396 0 0 0 Tuan Nguyen MD 283601 0 25735 0 374 0 4900 0 18504 0 333114 0 0 0 Steven Tarquine MD 274961 0 25316 0 302 0 4900 0 20033 0 325512 0 0 0 James Snyder MD 247684 0 42809 0 192 0 4900 0 5051 0 300636 0 0 0 Les Donahue Sch O 0 214272 0 0 0 215151 0 4338 0 8130 0 441891 0 0 Mark McGinnis 4240 0 0 0 313879 0 0 0 14743 0 332862 0 0 0 Part I, Line 1a Club membership dues were paid for an officer and reported as taxable income on the individual's W-2. Supplemental Information Part III Part I, Line 3: Saint Thomas Health, a related organization of Saint Thomas Hospital uses the following to establish the compensation of the organization's CEO: -Compensation Committee, -Independent Compensation Consultant, -Written Employment Contract, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee Part I, Lines 4a-4b: Mark McGinnis received severance payments of $272,087. Part I, Lines 4a-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. The filing organization made contributions to and/or payments from the supplemental nonqualified retirement plan in the amounts as noted: Steven A. Embry - $85,443 Robert Latham - $5,855 Anna Harb - $19,395 Lisa Davis - $14,450 Gresham Smith and Partners Board Member is a Director and Officer of Gresham, Smith & Partners 366782 Independent Contractor Arrangement 0 Mr. James Bearden, a Saint Thomas Health 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. X Fixed Assets 1 621468 Cost/Selling Price 0 0 0 Method for Determining Number of Contributors: Part I, Column (b): The amount shown in Schedule M, Line 25, Column (b) represents the number of contributors. New Program Services Form 990, Part III, line 2 During the fiscal year ended 06/30/2011, Saint Thomas Network transferred operation of three charity clinics to Saint Thomas Hospital. No other program services activities were undertaken. Explanation of Attached Audited Financial Statements: 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 6 St. Thomas Hospital, Inc. has a single corporate member, St. Thomas Health. Form 990, Part VI, Section A, line 7a St. 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 7b All decisions that have a material impact to St. 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; 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. Management presents the Form to the board, or a designated committee, to review. 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 conflicts 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 15 In determining the compensation of the organization's CEO, the process performed by Saint Thomas Health, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when compensation was decided. In determining the compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Explanation of Hours of Officers: Form 990, Part VII, Section A: Officers for St. 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 gains on investments: 27,411,375. Deferred Pension Costs 21,914,515. Net Asset Transfer From Dekalb Hospital 10,260,335. Total to Form 990, Part XI, Line 5: 59,586,225. Community Benefit Report Saint Thomas Hospital Community Benefit Report FY ending June 30, 2011 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) - $16,942,064 - Care for the poor and community benefits (all community benefit related cost centers plus cost or time, space and in kind contributions) - $7,230,517 Total Community Benefit - $24,172,581 Breakdown of Community Benefit - Community Health Improvement, education and research - $2,380,202 - Health Professions Education - $2,434,827 - Subsidized healthcare services - $1,780,206 - Cash and in-kind contributions to community groups - $635,282 Total Direct Community Benefit - $7,230,517 In FY 11, Saint Thomas Hospital engaged in at least 28 community benefit activities, supported 3 community based clinics (out of the 7 total clinics in the Saint Thomas Health system) Community Health Improvement and Education 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 education: This year Saint Thomas Hospital hosted its inaugural Faith Community Nurse program. The course is for RNs interested in promoting holistic health and minimizing health in their congregations, and preparing their congregations to have the same impact on the wider community. Classes are continuing twice each year. Nashville CPE Partnership is a collaboration of Saint Thomas Hospital, Baptist Hospital Vanderbilt Hospital, McKendree Village, which oversees six Chaplain Residents as well as seasonal pastoral care interns who subsequently receive Clinical Pastoral Education credits needed for certification as clinical chaplains. Students come from a diversity of religious traditions. Dispensary of Hope at the Plaza Pharmacy: The DOH at Saint Thomas Hospital, MTMC, Family Health Centers, Centerville and Lyle Clinics provides access to needed medication for patients who are uninsured and underinsured. The Center for Women Health, the Cancer Support Program, and Saint Thomas Heart participated in several events focused on women's health education and screenings. Health Professions Education: Guest lecture to Vanderbilt medical students on Spirituality and medicine Guest lecture to nursing students at Aquinas college Guest lecture to Meharry Medical students on clinical ethics and end-of-life care Research: SPRINT study Diabetes improvement project of Vanderbilt-Meharry Saint Thomas Hospital also engages in activities that serve to build the underlying social determinants for good health, such as employment, education, and strong communities. Community leadership training: Pastoral care symposium for faith community leaders Coalition Building: Community leadership boards of the American Diabetes Association, CCAI, National Association of Catholic Chaplains Workforce Development: Maplewood High School, Health Science Academy Science Scholars Jobs in Healthcare Associates also gave their own time to several 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 led by Nancy Armour Baker 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 Nashville flood relief Saint Thomas Hospital is committed to making primary care accessible to all persons, regardless of access to insurance, transpiration, 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 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 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 car for the community by focusing first on the needs of the most vulnerable persons. Through these contributions, Saint Thomas Hospital can support efforts to improve access to housing, jobs, nutrition, education, insurance, and medical services. In-kind Blood drives Komen for the Cure Dispensary of Hope Tennessee Kidney Foundation YWCA and domestic violence awareness American Heart Association Alzheimer's Association Multiple Sclerosis Loaves and Fishes Boy Scouts Project CURE Nashville flood relief Saint Thomas Hospital gave $28,250 to support 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 gave $241,250 to support 22 local organizations and 16 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 Training Ground Track Club Housing, environment Campus for Human Development (Room In The Inn) Safe Haven West Food access Loaves and Fishes Crop Walk Catholic Community Saint Patrick's School Mission Outreach: 16 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. STH 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. In 2011, 65.74% of the value of services rendered were to patients who participate in government-sponsored insurance programs or were uninsured. - Medicaid (other than TennCare) - 0.51% - Medicare HMO - 12.01% - Medicare - 42.75% - Tenncare - 5.63% - Bridges to Care - 0.00% - Uninsured - 4.84% 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. Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A 0 Saint Thomas Health 4220 Harding Rd Nashville TN 37205 581716804 Health System Parent Company TN Section 501(c)(3) Schedule A, Line 11c Ascension Health 0 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 FKA Saint Thomas Health Services Fund 4220 Harding Road Nashville TN 37205 581663055 Operates Foundation TN Section 501(c)(3) Schedule A, Line 7 Saint Thomas Network 1 Middle Tennessee Medical Center Inc 400 N Highland Avenue Murfreesboro TN 37219 620475842 Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 Middle Tennessee Medical Center Development Foundation 400 N Highland Avenue Murfreesboro TN 37219 621167917 Foundation TN Section 501(c)(3) Schedule A, Line 11a Middle Tennessee Medical Center Inc 1 Seton Corporation 4220 Harding Road Nashville TN 37205 621869474 Acute Care Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 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 Home Health Care TN Section 501(c)(3) Schedule A, Line 9 Seton Corporation 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 Hickman Community Health Services Inc 135 East Swan St 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 St 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 dba The Center For Spinal Surgery 2011 Murphy Avenue Nashville TN 37203 621772195 Owns and Operates Specialty Hospital TN N/A Middle Tennessee Ambulatory Surgery Center LP 500 N Highland Avenue Murfreesboro TN 37130 Operates Outpatient Surgery Center TN N/A Middle Tennessee Imaging LLC 400 N Highland Avenue Murfreesboro TN 37219 010570490 Diagnostic Imaging Center TN N/A Murfreesboro Diagnostic Imaging LLC 400 N Highland Avenue Murfreesboro TN 37219 200291952 Diagnostic Imaging Center TN N/A Nashville Diagnostic Imaging LLC 30 Burton Hills Blvd Suite 165 Nashville TN 37215 Inactive TN N/A STHS Sleep Center LLC 618 Church Street Suite 520 Nashville TN 37219 203664894 Operates a Sleep Center TN N/A Mid-State Properties Inc 2000 Church Street Nashville TN 37236 621232018 Pharmacy TN N/A C Sova Inc 102 Woodmont Blvd Suite 700 Nashville TN 37205 261319638 Health Services TN N/A C Vincentian Ventures Inc 4220 Harding Road Nashville TN 37205 621331896 Health Services TN N/A C Comp Plus Inc 2000 Church Street Nashville TN 37236 621626010 Healthcare TN N/A C Manaco Management Services Inc 400 North Highland Avenue Murfreesboro TN 37130 621718479 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 N/A C Middle Tennessee Network Inc 2000 Church Street Nashville TN 37236 621570989 Health Services TN N/A C Health Net Reserve Inc 44 Vantage Way Suite 300 Nashville TN 37202 621540604 Health Management TN N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Saint Thomas Health Foundations C 2158861 Actual Amount Paid Baptist Health Care Group Q 5876772 Actual Amount Paid Middle Tennessee Medical Center Q 23272878 Actual Amount Paid Saint Thomas Network Q 2945120 Actual Amount Paid Saint Thomas Health Q 33228763 Actual Amount Paid Saint Thomas Health Foundations R 477461 Actual Amount Paid SOVA Inc Q 266519 Actual Amount Paid Seton Corporation R 22025173 Actual Amount Paid