2011-05-16T14:41:49-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 651257719 Ascension Health Information Services ASCE 3147338000 PO Box 45998 St Louis MO 631455998 Elizabeth C Foshage 3147338000 2011-05-16 1 5137847100 2009 2016-02-24 21:20:13Z Mark Barner PO Box 45998 St Louis MO 631455998 558146042 0 0928 X www.ascensionhealth.org X 2005 MO Information technology support organization for over 30 multiple location healthcare systems. 3 1 1201 0 1298376 -1818 0 525002728 555401336 305272 2584829 4203 159877 525312203 558146042 5100 0 0 113351813 124132559 0 0 406044207 422528456 519401120 546661015 5911083 11485027 92029935 74900817 80476462 99345995 11553473 -24445178 Ascension Health Information Services is an information technology support organization for over thirty multiple location, multiple corporation healthcare systems organized and operated by its parent, Ascension Health, to fulfill the mission and purpose defined by the Daughters of Charity of St. Vincent DePaul, the Congregation of St. Joseph and the Congregation of St. Joseph of Carondelet. 0 0 527003807 554262837 Ascension Health Information Services (AHIS) was formed to provide information technology (I.T.) and application support services to the member entities of Ascension Health. AHIS services are funded by the affiliated entities through the collection of service fees. In return and in addition to providing I.T. and application support services, AHIS provides an array of services including strategic leadership, development of strategies around information technology investments, consolidation of I.T. contracts, and efficient and cost-effective installation and support for system investments. Ascension Health, a tax-exempt entity, is the parent of this organization and all member entities are related to the sponsors of Ascension Health. 527003807 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 173 0 1 1201 1 1 1 0 0 0 0 0 0 0 0 3 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IN MO X Rob Binek 3147338252 4600 Edmundson Road St louis MO 63134 Robert J Henkel Sch O 40.00 X X 0 1732895 51805 Mark Barner Sch O 40.00 X X 0 745870 18186 Sister Bernice Coreil 1.00 X 0 0 0 Stanley P Simpson 40.00 X 339134 0 18196 Claudia Allen 40.00 X 485620 0 40252 Timothy Stettheimer 40.00 X 432136 0 38822 Mary Paul 40.00 X 501197 0 46050 Gerry Lewis 40.00 X 339689 0 24570 Gregory Jones 40.00 X 480398 0 40746 Christopher A Young 40.00 X 439889 0 37596 George Dix 40.00 X 296472 0 119108 Frank Negro End 83109 40.00 X 344281 0 21650 Mark Amey End 82109 40.00 X 298080 0 24581 Sherry Browne End 123108 0.00 X 0 493368 570 3956896 2972133 482132 210 1 1 0 Computer Sciences Corporation 1109 S Green River Evansville IN 47715 IT /Support Services 213426792 Cerner 2800 Rockcreek Pkwy Kansas City MO 64117 Software Maintenance/Hosting Services 62051740 McKession Information System PO Box 409521 Atlanta GA 303849521 Software Maintenance/Hosting Services 17410764 Siemens Medical Solutions 51 Vally Stream Pkwy Malvern PA 19355 IT Consulting Services 10522531 Amicas Inc Dept at 49979 Atlanta GA 311929979 Software Maintenance/Hosting Services 7063158 145 Service Fees 900099 555401336 554102960 1298376 555401336 2584829 2584829 Miscellaneous Income 900099 159877 159877 159877 558146042 554262837 1298376 2584829 2265666 2265666 98830875 95220074 3610801 6839482 6711992 127490 9520747 9271158 249589 6675789 6622861 52928 9555567 9555567 242089650 239886582 2203068 14894040 15489003 -594963 141969435 141953237 16198 66426 44386 22040 1731146 1638090 93056 1120651 805018 315633 174819 174819 120118 119705 413 5189 5189 Contracted Services 4907108 1317865 3589243 0 Equip Rent/Maintenance 4770210 4748318 21892 0 Taxes 351283 342207 9076 0 Employment/Recruitment 170547 117569 52978 0 Professional Dues 45215 44190 1025 0 557052 231067 325985 546661015 527003807 19657208 0 59580187 33231563 5378189 13061483 26352412 26557854 10434259 8860892 338207 1573367 380940 476550 92029935 74900817 68020505 83367933 51922 12455957 15926140 80476462 99345995 X 0 0 0 0 11553473 -24445178 11553473 -24445178 92029935 74900817 X 0 1 1 X 0 X X X 0 0 0 See Part IV 311662309 See Part IV 1 546661015 1 546661015 Schedule A, Part IV, Supplemental Information: Part I, Line 11(i): Name of Supported Organizations: Northeast, Southeast, East Central and West Central provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph and the Congregation of St. Joseph of Carondelet and their affiliated organizations provided that such organizations are described under section 501(c)(3) of the Code and are classified as public charities under sections 509(a)(1) and 509(a)(2) of the Code. 1900779 1881786 18993 77160 35561 41599 8456320 6943545 1512775 1573367 Pension and Deferred Compensation Liability 15926140 15926140 558146042 546661015 11485027 2788992 -50272670 -47483678 -35998651 Part X: Description of Uncertain Tax Positions Under FIN 48: Per the financial statements of Ascension Health (which include the activity of Ascension Health Information Services), there is no current year ASC 740 (fka FIN 48) footnote. Part XI, Line 8 - Other Adjustments: Transfer to Related Entity: -48443964. Change in Deferred Pension Cost: -1828706. X 1 1 X X X 1 1 0 0 0 0 0 0 0 Robert J Henkel (Sch O) 0 991816 0 392500 0 348579 0 35291 0 16514 0 1784700 0 0 Mark Barner (Sch O) 0 455951 0 182515 0 107404 0 11025 0 7161 0 764056 0 0 Stanley P Simpson 275320 0 39733 0 24081 0 11025 0 7171 0 357330 0 0 0 Claudia Allen 335539 0 88509 0 61572 0 27057 0 13195 0 525872 0 0 0 Timothy Stettheimer 301311 0 79244 0 51581 0 18255 0 20567 0 470958 0 0 0 Mary Paul 351745 0 90618 0 58834 0 33570 0 12480 0 547247 0 0 0 Gerry Lewis 312478 0 0 0 27211 0 7794 0 16776 0 364259 0 0 0 Gregory Jones 316063 0 112339 0 51996 0 22850 0 17896 0 521144 0 0 0 Christopher A Young 323327 0 81216 0 35346 0 18129 0 19467 0 477485 0 0 0 George Dix 246358 0 49920 0 194 0 110979 0 8129 0 415580 0 0 0 Frank Negro (End 83109) 156396 0 56828 0 131057 0 3215 0 18435 0 365931 0 0 0 Mark Amey (End 82109) 163844 0 0 0 134236 0 3670 0 20911 0 322661 0 0 0 Sherry Browne (End 123108) 0 4918 0 0 0 488450 0 76 0 494 0 493938 0 0 Part I, Line 1a With respect to the boxes checked on Part I, Question 1a, Ascension Health Information Services has various policies in place with respect benefits provided to its executives. Benefits listed and checked under this question are considered taxable compensation. In these circumstances the value of the benefit is included in that given executive's compensation. Part I, Line 4a Severance Payments: Mark Amey (End 8/21/09) - $298,080 Sherry Browne (End 12/31/08) - $493,368 Frank Negro (End 8/31/09) - $344,281 Part I, Line 4b: 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. Persons Receiving Payments: Robert Henkel - $77,939 Mark Barner - $33,471 Timothy Stettheimer - $12,107 Gregory Jones - $19,483 Christopher Young - $16,316 Sherry Brown (End 12/31/08) - $80,886 Frank Negro (End 8/31/09) - $8,189 Form 990, Part VI, Section A, line 6 Ascension Health Information Services has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Ascension Health Information Services has a single corporate member, Ascension Health who has the ability to elect members to the governing body of the Ascension Health Information 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. 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 compensation of the organization's top management official, the process performed by Ascension Health, a related entity that paid the top management official, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Ascension Health Compensation Committee of the Board engaged an independent compensation consultant to advise the Committee with respect to the compensation of the top management official. Then the Ascension Health Compensation Committee reviewed and approved the compensation. In the review of the compensation, the top management official was compared to individuals in other comparable organizations that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when his compensation was decided. In determining 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 Ascension Health Compensation Committee of the Board engaged an independent compensation consultant to advise the Committee with respect to the executive team members. Then the Ascension Health Compensation 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 in other comparable organizations that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. Ascension Health Information Services performed all of the above procedures to obtain the rebuttable presumption respecting compensation arrangements (per IRC Section 4958). Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Form 990, Part VII: Officers for Ascension Health Information Services provide services to Ascension Health and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore all officers, directors, trustees, and key employees hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees represent aggregate hours worked per week for all entities. Amounts paid for the services of Sister Bernice Coreil are paid directly to her religious province; therefore, her compensation on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees is zero. Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 Ascension Health Q 48443964 Ascension Health Q 2201874 Ascension Health R 2836601 Ascension Health N 2045255 Ascension Health R 8215630