2013-05-14T17:19:41-05:00 2012-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2011-07-01 581716804 Saint Thomas Health SAIN 6152846826 4220 Harding Rd Nashville TN 37205 Craig Polkow 6152846826 2013-05-14 1 Matthew A Montgomery P00492843 5137847100 2011 2016-03-07 17:11:31Z Michael Schatzlein 4220 Harding Rd Nashville TN 37205 236028271 0 X www.sths.com X 1986 TN Coordinates the management of a non-profit hospital and healthcare delivery system. 15 14 1235 15 127392 216 439436 676790 229492568 228477811 1182010 1568733 2390594 5304937 233504608 236028271 217667 616895 0 0 122434507 120631395 0 0 0 134018006 133340585 256670180 254588875 -23165572 -18560604 75714094 746471376 221152744 928126937 -145438650 -181655561 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, which sustains and improves the health of the individuals and communities. We are advocates for a compassionate and just society through our actions and our words. 0 0 153478963 616895 190001152 Saint Thomas Health is the parent of a five hospital health system in Nashville, Tennessee. 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. 60650576 39690615 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 to cardiac care, and the experience that comes with seeing more heart patients than anyone in Tennessee. 214129539 1 1 0 1 0 0 0 0 0 0 1 0 0 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 1 0 0 0 1 1 1 1 0 0 1 65 0 1 1235 1 1 1 0 0 0 0 0 0 0 0 0 X 15 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Craig Polkow 6152846826 4220 Harding Rd Nashville TN 37205 X James Bearden 1.00 X 0 0 0 Clark Baker 1.00 X 0 0 0 Mary Falls Esq 1.00 X 0 0 0 Anthony Heard 1.00 X 0 0 0 William Anderson 1.00 X 0 0 0 William Coltharp MD 1.00 X 0 0 0 Robert Dray MD 1.00 X 0 0 0 Webb Earthman 1.00 X 0 0 0 Robert Hutton MD 1.00 X 0 0 0 Randy Laszewski 1.00 X 0 0 0 Lee Moss 1.00 X 0 0 0 Matt Murfree Esq 1.00 X 0 0 0 Sean Ryan MD 1.00 X 0 0 0 Michael Schatzlein MD Sch O 40.00 X X 1208662 0 37438 Patrick Shepherd 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 Alan Strauss 40.00 X 891630 0 29684 Wesley Littrell 40.00 X 841124 0 23349 Vafa Mansouri MD 40.00 X 1254012 0 17233 Joseph Boyd MD 40.00 X 1197699 0 17182 Guy Mioton MD 40.00 X 1121375 0 17094 James Baker MD 40.00 X 1098877 0 17645 Stephen Fahrig MD 40.00 X 1052987 0 9512 James Houser 0.00 X 684615 0 3101 9350981 0 172238 117 1 1 0 Bradley Arant Boult Cummings 414 Union Street Suite 1600 Nashville TN 37219 Legal 3694392 Cardiology Group PC 1801 N Jackson Street Suite 100 Tullahoma TN 37388 Physician Services 1950926 Jarrard Phillips Cate & Hancock 219 Ward Circle Suite 150 Brentwood TN 37027 Consulting 326502 Deloitte PO Box 402901 Atlanta GA 30384 Accounting/Consulting 254028 4 676790 155095 676790 Management Fee Revenue 561000 192056825 192056825 Net Pt. Rev STHS Heart 621990 37293035 37293035 Ancillary Revenue 621000 -872049 -872049 228477811 1003783 1003783 3725 0 3725 3725 3725 564950 0 564950 564950 564950 Pension Curtailment 900099 3201614 3201614 Vending Revenue (Coke) 722210 758250 758250 Event Revenue 900099 194743 194743 1146605 1019213 127392 5301212 236028271 229691767 127392 5532322 616895 616895 3211690 2569352 642338 95824392 76530432 19293960 2727158 2181726 545432 13478861 10783089 2695772 5389294 4311435 1077859 9775491 8797942 977549 3108421 3108421 1335253 1335253 75561719 68005547 7556172 6172062 6172062 3095458 1851821 1243637 1534157 1380741 153416 5520496 4968446 552050 486945 389556 97389 384957 307966 76991 22947 20652 2295 7907599 7907599 3331306 2998175 333131 574961 517465 57496 Medical Supplies 9340910 9340910 0 0 Maintenance and Repair 1346981 1144934 202047 0 Dues and Subscriptions 645057 645057 0 0 Income Tax 1634 0 1634 0 3194231 2687737 506494 254588875 214129539 40459336 0 1160433 36546 21243070 5843723 6319383 483441 800214 5265901 7599453 20688447 16371903 3179526 4316544 11403300 13262447 535709 535709 47842061 692358010 75714094 746471376 20890251 20455459 466562 441810 199795931 907229668 221152744 928126937 X -145438650 -181655561 0 0 -145438650 -181655561 75714094 746471376 X -18560604 -17656307 X 0 1 1 X 0 X X 0 0 0 Seton Corporation 621869474 03-Hospital 1 1 1 58123720 Saint Thomas Hospital 620347580 03-Hospital 1 1 1 67605580 Middle Tennessee Medical Center 620475842 03-Hospital 1 1 1 36069778 Hickman Community Hospital 581737573 03-Hospital 1 1 1 976412 4 162775490 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 130298 130298 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. Saint Thomas Health 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. 0 0 1014487 838138 176349 19370798 15311983 4058815 303162 221782 81380 4316544 Pension Prefunding Investment 20408834 Software 22507898 Construction in Progress 3273554 Deferred Compensation Investment 6481882 Intercompany Receivables 639089063 Miscellaneous Accounts Receivables 596779 692358010 Intercompany Payables 894856302 Deferred Compensation Liability 6481882 Accrued Pension and Retirement Benefits 3432373 Self Insurance Liability 1139887 Debt to Ascension Health 616619 Deferred Rent 436644 Ascension Health Savings Plan Liability 234801 Misc Liabilities 31160 907229668 1 American Heart Association PO Box 4002900 Des Moines IA 50430 135613797 501(c)(3) 325000 General Support March of Dimes Foundation 1101 Kermit Drive Ste 201 Nashville TN 37217 131846366 501(c)(3) 60000 General Support Middle Tennessee eHealth Connect 500 Interstate Blvd South Nashville TN 37210 270878619 501(c)(3) 49575 General Support National Multiple Sclerosis Society 214 Overlook Circle Suite 153 Brentwood TN 37027 620693217 501(c)(3) 35000 General Support Catholic Charities 30 Whitebridge Rd Nashville TN 37205 620679520 501(c)(3) 20000 General Support American Diabetes Association 220 Great Circle Rd Nashville TN 37228 131623888 501(c)(3) 15000 General Support Daughters of Charity St Vincent DePaul 109 Bosley Springs Rd Nashville TN 37205 501(c)(3) 15000 General Support Cable Foundation 2200 21st Ave South Ste 252 Nashville TN 37212 061620781 501(c)(3) 10500 General Support Community Nashville 1704 Charlotte Avenue Suite 110 Nashville TN 37203 10000 General Support Susan G Komen Foundation 2323 Crestmoor Rd Nashville TN 37215 751835298 501(c)(3) 10000 General Support Tennessee Breast Cancer Coalition 3939 Old Hickory Blvd Old Hickory TN 37138 621637548 501(c)(3) 7700 General Support 10 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. X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 Michael Schatzlein MD Sch O 745734 0 339375 0 123553 0 4900 0 32538 0 1246100 0 0 0 Alan Strauss 516869 0 133999 0 240762 0 4900 0 24784 0 921314 0 0 0 Wesley Littrell 520062 0 134488 0 186574 0 0 0 23349 0 864473 0 0 0 Vafa Mansouri MD 633087 0 603696 0 17229 0 0 0 17233 0 1271245 0 0 0 Joseph Boyd MD 558546 0 621185 0 17968 0 0 0 17182 0 1214881 0 0 0 Guy Mioton MD 656343 0 461864 0 3168 0 0 0 17094 0 1138469 0 0 0 James Baker MD 647538 0 433122 0 18217 0 0 0 17645 0 1116522 0 0 0 Stephen Fahrig MD 703128 0 331496 0 18363 0 0 0 9512 0 1062499 0 0 0 James Houser 0 0 0 0 684615 0 0 0 3101 0 687716 0 0 0 Part I, Line 1a Gross-up payments, and housing allowance were paid for one officer and reported as taxable income on the individual's W-2. Club membership dues were paid for two officers and reported as taxable inocome on their W-2s. Part I, Lines 4a-b The following officers received Severance Payments during the year: James Houser - $198,979 Part I, Lines 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: James Houser - $179,475 X Equipment 1 155095 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. Form 990, Part VI, Section A, line 2 Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Saint Thomas Health entity boards. Form 990, Part VI, Section A, line 6 Saint Thomas Health has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Saint Thomas Health has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Saint Thomas Health. 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. 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 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. Individual was not present when his 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 compensation, the other officers or key employees of the organization were 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. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Explanation of Hours for Officers and Key Employees: Form 990, Part VII, Section A: Officers for Saint Thomas Health 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, officer's 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: Net unrealized losses on investments: -1,236,941. Net Asset Transfer to Ascension -15,146,172. Net Asset Transfer from Ascension - Deferred Pension Costs 1,954,365. Pension Adjustment -3,227,559. Total to Form 990, Part XI, Line 5: -17,656,307. STHS Heart LLC 4220 Harding Road Nashville TN 37205 205753831 Healthcare TN 39690615 12736348 Saint Thomas Health Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Saint Thomas Hospital 4220 Harding Road Nashville TN 37205 620347580 Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 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 PO Box 380 Nashville TN 37202 581663055 Operates Foundation TN Section 501(c)(3) Schedule A, Line 7 Saint Thomas Network 1 Covenant Care Inc 102 Woodmont Blvd Suite 800 Nashville TN 37205 621695737 Inactive TN Section 501(c)(3) Schedule A, Line 11a Saint Thomas Network 1 Middle Tennessee Medical Center Inc 1700 Medical Center Parkway Murfreesboro TN 37219 620475842 Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 Middle Tennessee Medical Center Foundation 1700 Medical Center Parkway 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 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 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 Inactive TN Section 501(c)(3) Schedule A, Line 9 Seton Corporation 1 Hickman Community Health Care Services Inc 135 East Swan Street 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 Street 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 1900 Church Street Suite 300 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 St Thomas Research Institute LLC Cardiology Series 102 Woodmont Blvd Nashville TN 37205 264591782 Cardiology Research TN N/A STHS Sleep Center LLC 102 Woodmont Suite 800 Nashville TN 37219 203664894 Operates a Sleep Center TN N/A Baptist Surgery Center LP 1900 Church Street Suite 300 Nashville TN 37203 Operates Outpatient Surgery Center TN N/A Sova Inc 102 Woodmont Boulevard Suite 700 Nashville TN 37205 261319638 Health Services TN Saint Thomas Health C -184079 67383 1.00000 Vincentian Ventures Inc PO Box 380 Nashville TN 37202 621331896 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 C -100 MissionPoint Health Partners 102 Woodmont Boulevard Suite 700 Nashville TN 37205 452958482 Accountable Care Organization TN Saint Thomas Health C -2335735 1.00000 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Saint Thomas Health Foundations C 676790 Actual Amount Paid Saint Thomas Network Q 3402744 Actual Amount Paid Hickman Community Hospital Q 5897734 Actual Amount Paid Seton Corporation Q 169701350 Actual Amount Paid Middle TN Medical Center Q 88998267 Actual Amount Paid Saint Thomas Hospital R 352017258 Actual Amount Paid Baptist Health Care Group R 13692409 Actual Amount Paid Ascension Health R 294129 Actual Amount Paid