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 621284994 Saint Thomas Network 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 12301626 0 0928 X www.stthomas.org X 1986 TN Operates charity clinics and provides lodging for the families of critically ill patients. 15 14 119 14 1027764 -319827 214875 278825 11353214 10162883 119273 -36509 973599 11531580 11534580 1167652 1093673 0 7371033 7343228 0 0 6190348 6395380 14729033 14832281 -3197453 -3297701 52024661 63444691 25866280 40531735 26158381 22912956 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 and the operation of charity clinics in the community. 0 0 12599735 1093673 10141554 Saint Thomas Network operates three charity clinics in the Nashville area. These clinics provide healthcare to people who otherwise might not receive healthcare due to their financial situation. 12599735 1 1 0 0 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 0 0 0 0 1 1 1 0 0 1 55 0 1 119 1 1 1 0 0 0 0 0 0 0 0 15 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Alan Strauss 6152846826 4220 Harding Rd Nashville TN 37205 X Sr Mary Frances Loftin 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 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 Mary Falls Esq 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 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 Patrick Madden Sch O 40.00 X X 0 0 0 Alan Strauss Sch O 40.00 X 0 793345 23849 David Heusinkveld 40.00 X 700710 0 15701 Beverly Turner-Winbush 40.00 X 189848 0 8301 Hugh Holliday 40.00 X 247922 0 5157 Michael Smith 40.00 X 173242 0 16753 Ann Kalisz 40.00 X 124875 0 5795 James Houser End 309 X 0 2057754 17092 1436597 2851099 92648 9 1 1 0 NASHVILLE HEALTHCARE SOLUTIONS 104 WOODMONT BLVD NASHVILLE TN 37024 BILLING/TRANSCRIPTION 1267811 MEDICAL TRANSCRIPTION OF MIDDLE TENNESSE PO BOX 1004 BRENTWOOD TN 37024 TRANSCRIPTION 216146 2 278825 278825 Net Patient Revenue 621400 4703661 4703661 Investment - JVs 621400 2802204 2802204 Community Medicine 621500 1027764 1027764 Medical Research 621500 954369 954369 Lodging Revenue 624200 674885 674885 10162883 666283 699119 -32836 -32836 -32836 187200 67927 119273 119273 119273 Management Fee 561000 974148 974148 Miscellaneous 621990 32287 32287 1006435 11534580 10141554 1027764 86437 1093673 1093673 6232552 4986042 1246510 132002 105602 26400 548546 438837 109709 430128 344102 86026 418911 377020 41891 16906 16906 246261 221635 24626 60836 54752 6084 849690 748805 100885 21440 17152 4288 2791 2233 558 10990 8792 2198 1091072 872858 218214 20972 18875 2097 Purchased Services 1777638 1599874 177764 Bad debt 828648 828648 Maintenance and Repair 183308 146646 36662 Flood Damage Costs 167667 167667 Taxes 107956 97160 10796 590294 452456 137838 14832281 12599735 2232546 0 4211246 4728742 908300 643083 53085 255635 257971 27423742 14041893 13704240 13381849 4409751 4130152 2010618 1214949 26471786 39087945 52024661 63444691 1470090 1666957 90046 60899 355048 351481 23951096 38452398 25866280 40531735 X 26158381 22912956 26158381 22912956 52024661 63444691 X 0 1 1 X 0 X 1075938 99777 19493 214875 278825 1688908 4818035 9124115 10735427 7556600 6332915 38567092 5893973 9223892 10754920 7771475 6611740 40256000 0 0 0 40256000 1226975 1858388 1687843 3021285 2769378 10563869 1226975 1858388 1687843 3021285 2769378 10563869 7120948 11082280 12442763 10792760 9381118 50819869 0.79210 0.81950 0.20790 0.18050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8342648 8342648 16758306 12470032 4288274 1071611 536236 535375 919112 711496 207616 332065 324129 7936 13381849 Investments in Unconsolidated Entities 4130152 C 4130152 Misc Receivables 730228 Intracompany Receivables 38357717 39087945 Intracompany Payables 36484449 Pension Liability 531593 Self Insurance Liability 52101 Minority Interest 1145699 Misc Liabilities 238556 38452398 11534580 14832281 -3297701 52276 52276 -3245425 Part X: Description of Uncertain Tax Positions Under FIN 48: Per the financial statements of Ascension Health (which include the activity of Saint Thomas Network), there is no ASC 740 (fka FIN 48) footnote for the current year. Part XI, Line 8 - Other Adjustments: Transfer to Ascension: -991. Transfer from Ascension: 111231. Reclass balance sheet amounts to related entity: -57964. 1 Saint Thomas Health Services Fund 4220 Harding Road Nashville TN 37205 581663055 501(c)(3) 1062997 Operating Expenses Support Dispensary of Hope 4220 Harding Road Nashville TN 37205 208973035 30676 FMV Pharmaceuticals General Support 1 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: We request that the receiving organization 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. 1 1 0 0 0 0 0 0 0 Alan Strauss (Sch O) 0 503268 0 118366 0 171711 0 4900 0 18949 0 817194 0 0 David Heusinkveld 647686 0 0 0 53024 0 0 0 15701 0 716411 0 0 0 Beverly Turner-Winbush 189751 0 0 0 97 0 0 0 8301 0 198149 0 0 0 Hugh Holliday 247458 0 0 0 464 0 0 0 5157 0 253079 0 0 0 Michael Smith 173080 0 0 0 162 0 0 0 16753 0 189995 0 0 0 James Houser (End 309) 0 215588 0 364551 0 1477615 0 3259 0 13833 0 2074846 0 0 Part I, Line 4a Part I, Line 4a: James Houser received Severance payments of $564,749. Part I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, distributed from the supplemental nonqualified retirement plan in the amount as noted: James Houser - $309,021 Form 990, Part VI, Section A, line 6 Saint Thomas Network has a single corporate member, Saint Thomas Health Services. Form 990, Part VI, Section A, line 7a Saint Thomas Network has a single corporate member, Saint Thomas Health Services, 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 Services. Ascension Health, the sole corporation member of Saint Thomas Health Services, 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 entities 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 individuals was not present when his compensation was decided. Saint Thomas Network does not have any other officers or key employees; therefore, question 15b is more appropriately answered as Not Applicable. 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 Board of Directors Listing: Saint Thomas Health Services is the sole corporate member of Saint Thomas Network. As the sole corporate member, Saint Thomas Health Services retains reserved authority over the certain activity of Saint Thomas Network. Therefore, the Saint Thomas Health Services' board of directors is listed on Form 990, Part VII. Form 990, Part VII: Explanation of Hours for Officers and Key Employees: Officers for Saint Thomas Network provide services to Saint Thomas Health Services and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, were 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, which include the activity of Saint Thomas Network, falls under the specific scope audit. The activity of Saint Thomas Network and other members of Saint Thomas Health Services are reported in the consolidated financial statements of Ascension Health. No individual audit of Saint Thomas Network is completed. Saint Thomas Research Institute LLC 4220 Harding Rd Nashville TN 37205 208018726 Research TN 1928517 5246076 Saint Thomas Network Saint Thomas Emergency Medical Services LLC 4220 Harding Rd Nashville TN 37205 208957092 Ambulance Service TN 1023704 395831 Saint Thomas Network Bellevue Medical Group 4220 Harding Rd Nashville TN 37205 621868848 Physician Practice TN 2216731 738421 Saint Thomas Network Richland Internal Medicine LLC 4220 Harding Rd Nashville TN 37205 621868762 Physician Practice TN -206 4879 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 621775306 Information Technology TN 17648 Saint Thomas Network Saint Thomas Outpatient Cardiac Catheterization Center LLC 4220 Harding Rd Nashville TN 37205 Healthcare 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 Saint Thomas Health Services 4220 Harding Road Nashville TN 37205 581716804 Health System Parent Company TN Section 501(c)(3) schedule A, Line 11c Ascension Health 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 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 outpatient surgery 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 Saint Thomas Network Related 0 0 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 Saint Thomas Network C -100 550747 1.00000 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 -325717 1522876 1.00000 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Saint Thomas Health Services Fund B 1062997 Saint Thomas Health Services Fund C 278825 STHS Heart LLC Q 12084546 Saint Thomas Research Institute LLC Cardiology Series Q 423211 Baptist Healthcare Group Q 777812 Saint Thomas Hospital R 12466026 Saint Thomas Health Services R 1126518 Seton Corporation R 707908 Middle Tennessee Medical Center R 263464