2012-05-14T09:52:24-05:00 2011-06-30 Deloitte Tax LLP 250 East Fifth street Suite 1900 Cincinnati OH 45202 990 2010-07-01 621284994 Saint Thomas Network SAIN 6152225030 4220 Harding Rd Nashville TN 37205 Lisa Davis 6152846845 2012-05-11 1 Alicia Janisch 5137847100 2010 2016-02-24 21:20:13Z Lisa Davis 4220 Harding Rd Nashville TN 37205 14916557 0 0928 X www.stthomas.org X 1986 TN To promote and support all programs and activities for the benefit of Saint Thomas Hospital. 17 16 210 17 1103418 -708368 278825 0 10162883 7103846 119273 4268444 973599 1285580 11534580 12657870 1093673 1123038 0 0 7343228 6063864 0 0 0 6395380 3484135 14832281 10671037 -3297701 1986833 63444691 83738916 40531735 56591222 22912956 27147694 X To promote and support all programs and other activities in the interest of and for the exempt purposes of Ascension Health and Saint Thomas Hospital including the provision of lodging for the families of critically ill patients and same-day surgery patients, operating a physician practice, performing research and investing in equity partnerships with other health care organizations. 0 1 3715255 2454230 West End Medical Group is a group of Board Certified Internal Medicine Physicians and Nurse Practitioners dedicated to provide convenient and comprehensive care for our patients. The team of doctors and Nurse Practitioner are highly skilled and trained and have been practicing for more than 30 years collectively. 2070578 1844951 Saint Thomas Research Institute is a community-based clinical research site based in Nashville, Tennessee. Focused on high quality research practices, the Institute works effectively with sponsors, physicians, and patients to improve the health of the community through our conduct of research. Acting as a partner and system-wide resource, the Research Institute launches studies and enrolls patients quickly, which allows physicians to spend more time with their patients. 1811786 1103418 Saint Thomas Emergency Medical Services (STEMS) is an A-Rated Ambulance and event medicine company providing exceptional patient care, unmatched customer service and a full spectrum of medical transport services for Middle Tennessee. 1514708 1123038 1936108 Saint Thomas Network operates Seton Lodge and the Inn at Saint Thomas. Seton Lodge is a 50 room motel on the grounds of Saint Thomas Hospital that provides low cost accommodations for family members residing outside Davidson County whose relatives are in critical care or special care. The Inn at Saint Thomas is a similar 50 room motel providing pre-surgical accommodations for patients traveling to Saint Thomas from long distances. Saint Thomas Network is partnered with other healthcare organizations to further the mission of providing spiritually centered, holistic care that sustains and improves the health of the communities it serves. These partnerships provide an out patient cardiac catheterization center, an outpatient neurosurgical center and several ambulatory surgery centers in the middle Tennessee area. 1514708 1123038 1936108 9112327 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 47 0 1 210 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 1.00 X X 0 0 0 Clark Baker 1.00 X X 0 0 0 Mary Falls Esq 1.00 X X 0 0 0 Scott Jenkins 1.00 X X 0 0 0 William Coltharp MD 1.00 X 0 0 0 R Seth Cooper MD 1.00 X 0 0 0 Micael Curb 1.00 X 0 0 0 Webb Earthman 1.00 X 0 0 0 Anthony Heard 1.00 X 0 0 0 Sally Killian MD 1.00 X 0 0 0 Randy Laszewski 1.00 X 0 0 0 Matt Murfree Esq 1.00 X 0 0 0 Sean Ryan 1.00 X 0 0 0 Sister Dinah White DC 1.00 X 0 0 0 Brian Wilcox MD 1.00 X 0 0 0 Shirley Zeitlin 1.00 X 0 0 0 Mike Schatzlein MD Sch O 40.00 X X 0 565713 11549 Alan Strauss Sch O 40.00 X 0 955744 78361 David Heusinkveld MD 40.00 X 641582 0 15723 Hugh Holliday MD 40.00 X 227389 0 5690 Michael Smith MD 40.00 X 172582 0 16788 Beverly Turner-Winbush MD 40.00 X 168377 0 8311 Stephanie Wilwayco MD 40.00 X 121779 0 21018 James Houser 0.00 X 0 768090 10601 1331709 2289547 168041 8 1 1 0 Nashville Health Care Solutions 104 Woodmont Blvd Nashville TN 37024 Billing/Transcription 908507 Williams Mailing Service PO Box 292998 Nashville TN 37229 Printing/Mailing Services 308208 Medical Transcription of Middle Tennesse PO Box 1004 Brentwood TN 37024 Transcription 123380 3 Investment - JVs 621400 2402745 2402745 Net Patient Revenue 621400 2388301 2388301 Community Medicine 621500 1103418 1103418 Lodging Revenue 624200 625424 625424 Medical Research 621500 583958 583958 7103846 22526 22526 596424 649123 -52699 -52699 -52699 5855482 1609564 4245918 4245918 4245918 Management Fee 561000 1260993 1260993 77286 77286 1338279 12657870 7338707 1103418 4215745 1123038 1123038 4635031 3708025 927006 272293 217834 54459 668233 534586 133647 488307 390646 97661 6183 6183 1532249 1379024 153225 9239 9239 232566 209309 23257 52387 47148 5239 876130 788517 87613 8326 7493 833 2180 1744 436 13867 11094 2773 236363 212727 23636 19484 17536 1948 Flood Damage Costs 200018 200018 0 0 Maintenance and Repair 160267 128214 32053 0 Bad debt 60251 60251 0 0 Minor Equipment 29816 29816 0 0 44809 29885 14924 10671037 9112327 1558710 0 4728742 7912025 643083 109429 257971 21281 24453993 13705939 13381849 10748054 4130152 11416977 1214949 1214949 39087945 52316201 63444691 83738916 1666957 1341427 60899 100727 351481 348645 38452398 54800423 40531735 56591222 X 22912956 27147694 22912956 27147694 63444691 83738916 X 1986833 2247905 X 0 1 1 X 0 X 99777 19493 214875 278825 612970 9124115 10735427 7556600 6332915 3597683 37346740 9223892 10754920 7771475 6611740 3597683 37959710 0 0 0 37959710 1858388 1687843 3021285 2769378 2372572 11709466 1858388 1687843 3021285 2769378 2372572 11709466 11082280 12442763 10792760 9381118 5970255 49669176 0.76430 0.79210 0.23570 0.20790 X 7320024 7320024 15014819 12118568 2896251 986282 580521 405761 805236 683794 121442 327632 323056 4576 10748054 Investments in Unconsolidated Entities 12794277 C Long-term Investment Sleep Center -1377300 C 11416977 Intercompany Receivables 50911284 Miscellaneous Receivables 753563 Prepaid Pension Asset 651354 52316201 Intercompany Payables 54388734 Miscellaneous Liabilities 174171 Pension Liability 165438 Self Insurance Liability 72080 54800423 1 Saint Thomas Health Services Fund 4220 Harding Rd Nashville TN 37205 581663055 501(c)(3) 1123038 General Support 1 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. 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 Alan Strauss Sch O 0 498152 0 47346 0 410246 0 58281 0 20080 0 1034105 0 0 David Heusinkveld MD 158261 0 451321 0 32000 0 0 0 15723 0 657305 0 0 0 Hugh Holliday MD 138448 0 88228 0 713 0 0 0 5690 0 233079 0 0 0 Michael Smith MD 151402 0 9742 0 11438 0 0 0 16788 0 189370 0 0 0 Beverly Turner-Winbush MD 132532 0 35744 0 101 0 0 0 8311 0 176688 0 0 0 James Houser 0 0 0 0 0 768090 0 0 0 10601 0 778691 0 0 Part I, Lines 4a-b The following officer received Severance Payments during the year: James Houser - $760,802. Part I, Line 4a-b: 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: Stephanie D. Wilwayco - $26,956 Alan Strauss - $53,381 Changes in Program Services Form 990, Part III, line 3 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 discontinued. Form 990, Part VI, Section A, line 6 Saint Thomas Network has a single corporate member, Saint Thomas Health. Form 990, Part VI, Section A, line 7a Saint Thomas Network has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the Saint Thomas Network. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to Saint Thomas Network 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 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 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 individuals at other health systems in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining the compensation of other officers or key employees of the organization, the process 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 employees in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Explanation of Board of Directors Listing: Form 990, Part VII, Section A: Saint Thomas Health is the sole corporate member of Saint Thomas Network. As the sole corporate member, St. Thomas Health retains reserved authority over the certain activity of Saint Thomas Network. Therefore, the Saint Thomas Health's Board of Directors is listed on Form 990, Part VII. Explanation of Hours for Officers: Form 990, Part VII, Section A: Officers of Saint Thomas Network 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 "Schedule 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Transfer from Ascension for pension 1,102,206. Noncontrolling Interest Activity 1,145,699. Total to Form 990, Part XI, Line 5: 2,247,905. Saint Thomas Research Institute LLC 4220 Harding Rd Nashville TN 37205 208018726 Research TN 1844951 7081080 Saint Thomas Network Saint Thomas Emergency Medical Services LLC 4220 Harding Rd Nashville TN 37205 208957092 Ambulance Services TN 1103418 463011 Saint Thomas Network Bellevue Medical Group 4220 Harding Rd Nashville TN 37205 621868848 Physician Practice TN 2454230 2133169 Saint Thomas Network Saint Thomas Outpatient Cardiac Catheterization Center LLC 4220 Harding Rd Nashville TN 37205 621775306 Outpatient Services TN 22478 Saint Thomas Network Richland Internal Medicine LLC 4220 Harding Rd Nashville TN 37205 621868762 Physician Practice TN 4887 Saint Thomas Network Children & Adults Medical Group LLC 4220 Harding Rd Nashville TN 37205 621868855 Physician Practice TN Saint Thomas Network USLIFELINK Inc 4220 Harding Rd Nashville TN 37205 621284994 Information Technology TN Saint Thomas Network 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 Hospital Inc 4220 Harding Road Nashville TN 37205 620347580 Hospital TN Section 501(c)(3) Schedule A, Line 3 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 Saint Thomas Network 904462 786370 0 0 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 Saint Thomas Network C 550647 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 Saint Thomas Network C 1522876 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 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 Saint Thomas Health Foundations B 1123038 Actual Amount Paid Saint Thomas Health Heart LLC O 10373953 Actual Amount Paid Baptist Health Care Group O 1615742 Actual Amount Paid Saint Thomas Research Institute LLC Cardiology Series O 258026 Actual Amount Paid Saint Thomas Health O 832621 Actual Amount Paid Saint Thomas Hospital P 7376430 Actual Amount Paid Seton Corporation dba Baptist Hospital P 6012505 Actual Amount Paid Middle Tennessee Medical Center P 2998634 Actual Amount Paid Baptist Health Care Affiliates P 2020258 Actual Amount Paid Saint Thomas Hospital Q 2115024 Actual Amount Paid