2011-05-16T09:13:40-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 581716804 Saint Thomas Health Services SAIN 6152225030 4220 Harding Rd Nashville TN 37205 Alan Strauss 6152225030 2011-05-16 1 5137847100 2009 2016-02-24 21:20:13Z Alan Strauss 4220 Harding Rd Nashville TN 37205 215573927 0 X www.sths.com X 1986 TN Coordinates the management of a non-profit hospital and healthcare delivery system. 15 14 1479 14 134282 -436 1178193 914481 198068289 211731551 -1088010 556906 2755569 2370989 200914041 215573927 317568 115376 0 109683672 114910231 0 0 116536228 121485031 226537468 236510638 -25623427 -20936711 95940445 79222667 168265922 187219594 -72325477 -107996927 Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. 0 0 197848144 115376 213206931 Saint Thomas Health Services is the parent of a four hospital health system in Nashville, TN. As such, it coordinates the management of a non-profit hospital and healthcare delivery system. The community benefits from this coordination by having available a continuum of care which allows for the introduction of the most appropriate and cost effective care. Saint Thomas Heart provides complete cardiac services, from the treatment of chest pain, to minimally invasive surgical procedures that provide quicker recoveries and fewer complications. With over 60 cardiac specialists, 25 regional sites and Tennessee's largest network of accredited Chest Pain Centers, Saint Thomas Heart offers greater access and the experience that comes with seeing more heart patients than anyone in Tennessee. 197848144 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 1 94 0 1 1479 1 1 1 0 0 0 0 0 0 0 0 15 14 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X Alan Strauss 6152846826 4220 Harding Rd Nashville TN 37205 Sister Mary Frances 5.00 X X 0 0 0 James Bearden 5.00 X X 0 0 0 Seth Cooper MD 5.00 X X 0 0 0 Scott Jenkins 5.00 X X 0 0 0 Sally Killian 5.00 X 0 0 0 Matt Murfree Esq 5.00 X 0 0 0 Shirley Zeitlin 5.00 X 0 0 0 Sister Dinah White DC 5.00 X 0 0 0 Clark D Baker 5.00 X 0 0 0 William Coltharp MD 5.00 X 0 0 0 Michael Curb 5.00 X 0 0 0 Brian Wilcox MD 5.00 X 0 0 0 Mary Falls Esq 5.00 X 0 0 0 Randy Laszewski 5.00 X 0 0 0 Patrick Madden Sch O 40.00 X X 0 0 0 Alan Strauss Sch O 40.00 X 793345 0 23849 Wesley Littrell Sch O 40.00 X 811785 0 23714 James Baker MD 40.00 X 1061378 0 16232 Joseph Boyd II MD 40.00 X 1388665 0 17343 Vafa Mansouri MD 40.00 X 1201818 0 11840 Mark Stankewicz MD 40.00 X 1003618 0 14961 Stephen Fahrig MD 40.00 X 989709 0 17057 James Houser End 309 0.00 X 2057754 0 17092 Beverly Weber 0.00 X 712188 0 15321 Angelle Rosata 0.00 X 426291 0 17296 10446551 0 174705 117 1 1 0 Bradley Arant Boult Cummings 414 Union Street Suite 1600 Nashville TN 37219 Legal 2861348 Deloitte PO Box 402901 Atlanta GA 30384 Accounting/Consulting 681402 Jarrard Phillips Cate & Hancock 219 Ward Circle Suite 150 Brentwood TN 37027 Consulting 238466 3 914481 69657 914481 Management Fee Revenue 561000 168633584 168633584 Net Patient Services 621990 43097967 43097967 211731551 -129987 -129987 2827 2827 2827 2827 686893 686893 686893 686893 Misc Revenue 900099 1158894 1024612 134282 Vending Revenue (Coke) 722210 758500 758500 Reimbursed Expenses 900099 450768 450768 2368162 215573927 213206931 134282 1318233 115376 115376 1699801 1359841 339960 91646839 73317471 18329368 3354041 2683233 670808 13406885 10725508 2681377 4802665 3842132 960533 5373750 4836375 537375 3017289 2715560 301729 1160910 928728 232182 5190624 4152499 1038125 4349412 4349412 3389809 3050828 338981 2039321 1631457 407864 5280170 4224136 1056034 390419 58563 331856 56824 8524 48300 19202 15362 3840 6469996 6469996 3700942 2960754 740188 590806 531725 59081 Purchased Services 58223042 49489586 8733456 0 Medical Supplies 7843644 7843644 Bad Debt 4914423 4914423 0 0 Corporate Sponsorship 2057981 1646385 411596 Maintenance and Repair 869046 738689 130357 0 6547421 5237937 1309484 236510638 197848144 38662494 0 1345724 10854731 1870518 1344165 6673707 7080092 202593 453657 17184212 7235756 41721134 31125468 6442626 10595666 845246 829000 892849 535709 60482970 40293891 95940445 79222667 26131034 19904089 379250 775952 2572 141753066 166539553 168265922 187219594 X -72325477 -107996927 -72325477 -107996927 95940445 79222667 X 0 1 1 X 0 X X 0 0 0 Seton Corporation 621869474 03-Hospital 1 1 1 56838302 St Thomas Hospital 620347580 03-Hospital 1 1 1 59255067 Middle Tennessee Medical Center 620475842 03-Hospital 1 1 1 27788301 Hickman Community Hospital 581737573 03-Hospital 1 1 1 979835 4 144861505 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 31961 31961 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: A portion of payments paid to state and local hospital and medical associations are used for lobbying activities by the state and local associations. 1014487 636913 377574 21688948 19569243 2119705 19017699 10919312 8098387 10595666 Intercompany Receivables 17297642 Miscellaneous Account Receivables 759476 Pension Prefunding Investment 13124799 Mutual Fund Capital Accumulation 513422 Deferred Compensation Investment 5159902 Construction in Progress 3438650 40293891 Intercompany Payables 153371381 Self Insurance Liability 1203789 Ascension Health Savings Plan Liability 241344 Accrued Pension and Retirement Benefits 5936998 Deferred Compensation Liability 5159902 Intercompany Debt to Ascension Health 626139 166539553 215573927 236510638 -20936711 663220 -15397959 -14734739 -35671450 Part X: Description of Uncertain Tax Positions Under FIN 48: Per the financial statements of Ascension Health (which include the activity of Saint Thomas Health Services), there is no ASC 740 (fka FIN 48) footnote for the current year. Part XI, Line 8 - Other Adjustments: Net Asset Transfer to Ascension: -14373338. Net Asset Transfer to Ascension - Deferred Pension Costs: -1030388. Pension Adjustment: 5767. 1 Daughters of Charity St Vincent DE Paul 109 Bosley Springs Road Nashville TN 37205 501(C)(3) 10000 General support. Boy Scouts of America Explorers Executive 3414 Hillsboro Road Nashville TN 37215 620477729 501(C)(3) 25000 General support. American Heart Association PO Box 1590 Hagarstown MD 21741 135613797 501(C)(3) 78876 General support. 3 0 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 a 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, but will be more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant. We are in the process of creating a Community Benefit Council for STHS and the plan is to bring all efficacy reports reviewed and analyzed there. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 Alan Strauss (Sch O) 503268 0 118366 0 171711 0 4900 0 18949 0 817194 0 0 0 Wesley Littrell (Sch O) 514505 0 118794 0 178486 0 4900 0 18814 0 835499 0 0 0 James Baker MD 648990 0 396078 0 16310 0 0 0 16232 0 1077610 0 0 0 Joseph Boyd II MD 558459 0 812896 0 17310 0 0 0 17343 0 1406008 0 0 0 Vafa Mansouri MD 635944 0 549842 0 16032 0 0 0 11840 0 1213658 0 0 0 Mark Stankewicz MD 657745 0 328887 0 16986 0 0 0 14961 0 1018579 0 0 0 Stephen Fahrig MD 701160 0 271239 0 17310 0 0 0 17057 0 1006766 0 0 0 James Houser (End 309) 215588 0 364551 0 1477615 0 3259 0 13833 0 2074846 0 0 0 Beverly Weber 116901 0 0 0 595287 0 2503 0 12818 0 727509 0 0 0 Angelle Rosata 75852 0 0 0 350439 0 1152 0 16144 0 443587 0 0 0 Part I, Line 1a Club membership dues were paid for four key employees and reported as taxable income on their respective W-2s. Travel, gross up payments and housing allowance were paid for one key employee and reported as taxable income on the individual's W-2. Part I, Line 4a Part I, Line 4a: The following officers received Severance Payments during the year: - James Houser - $564,749 - Beverly Weber - $392,663 - Angelle Rosata - $263,548 Part I, Line 4b: Programs 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 distributed from the supplemental nonqualified retirement plan in the amount as noted: James Houser - $309,021. X Equipment 2 69657 Cost/Selling Price 0 0 0 Form 990, Part VI, Section A, line 6 Saint Thomas Health Services has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Saint Thomas Health Services has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Saint Thomas Health Services. Form 990, Part VI, Section A, line 7b Ascension 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 meeting 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 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 health systems 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. Individual was not present when compensation was decided. In determining the compensation of other officers 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 compensations, the key employees of the organization were compared to other health systems 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. Individuals were not present when compensation was decided. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Form 990, Part VII Explanation of Hours for Officers and Key Employees: Officers for Saint Thomas Health Services provide services to Saint Thomas Health Services 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. Form 990, Part XI, Line 2: The financial statements of Saint Thomas Health Services fall under the specific scope audit. The activity of Saint Thomas Health Services is reported in the consolidated financial statements of Ascension Health. No individual audit is completed. STHS Heart LLC 4220 Harding Rd Nashville TN 37205 205753831 Healthcare TN 43548725 22932434 Saint Thomas Health Services Dispensary of Hope LLC 102 Woodmont Blvd Suite 700 Nashville TN 37205 Operates Pharmaceutical Wholesaler/Distributor and Mail Order Pharmacy TN 1043076 0 Saint Thomas Health Services Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, line 11a N/A 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 Baptist Healthcare Group 2000 Church Street Nashville TN 37236 621529858 Healthcare Provider TN Section 501(c)(3) Schedule A, line 3 Seton Corporation 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 Hickman Community Health Care Services Inc 135 East Swann Centerville TN 37033 581737573 Hospital TN Section 501(c)(3) Schedule A, Line 3 Baptist Health Care Affiliates Inc 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 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 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 Services Saint Thomas Health Services Fund fka St Thomas Foundation 4220 Harding Road Nashville TN 37205 581663055 Operates Foundation TN Section 501(c)(3) Schedule A, Line 7 Saint Thomas Network 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 Services Seton Corporation 4220 Harding Road Nashville TN 37205 621869474 Acute Care Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health Services St Thomas Hospital 4220 Harding Road Nashville TN 37205 620347580 Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health Services 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 Ave Murfreesboro TN 37130 Operates a Sleep Center TN N/A Middle Tennessee Imaging LLC 400 N Highland Avenue Murfreesboro TN 37219 010570490 Diagnostic Imaging Center TN N/A Murfereesboro 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 Ste 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 Saint Thomas Health Services C 1.00000 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 Saint Thomas Health Services C 1.00000 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 Services Fund C 914481 Seton Corporation Q 226971 Saint Thomas Health Services Fund Q 64721 West End Medical Group Q 147499 Saint Thomas Hospital Q 2707530 Baptist Healthcare Group R 11481699 Saint Thomas Emergency Medical Services R 88928 Saint Thomas Network R 11023486