TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) James Bearden Chairman	5.00	X		0	0
(2) Clark Baker Vice Chairman	5.00	X		0	0
(3) Mary Falls Esq Secretary	5.00	X		0	0
(4) Scott Jenkins Treasurer	5.00	X		0	0
(5) William Coltharp MD Board Member	5.00	X		0	0
(6) R Seth Cooper MD Board Member	5.00	X		0	0
(7) Michael Curb Board Member	5.00	X		0	0
(8) Webb Earthman Board Member	5.00	X		0	0
(9) Anthony Heard Board Member	5.00	X		0	0
(10) Sally Killian MD Board Member	5.00	X		0	0
(11) Randy Laszewski Board Member	5.00	X		0	0
(12) Matt Murfree Esq Board Member	5.00	X		0	0
(13) Sean Ryan Board Member	5.00	X		0	0
(14) Sister Dinah White DC Board Member	5.00	X		0	0
(15) Brian Wilcox MD Board Member	5.00	X		0	0
(16) Shirley Zeitlin Board Member	5.00	X		0	0
(17) Mike Schatzlein MD Sch O President/CEO STHe	40.00	X	X	565,713	11,549

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) Edwin Dale Batchelor MD Chief Medical Officer	40.00	X			499,723	0	21,361
(19) Dawn Rudolph President/CEO STH	40.00	X			0	104,233	1,618
(20) Robert Latham Chief of Medicine	40.00	X			302,662	0	29,162
(21) Anna Harb CNO/VP Clinical Operations	40.00	X			254,174	0	42,531
(22) Craig Polkow Chief Operating Officer	40.00	X			38,641	0	2,219
(23) Lisa Davis Sch O VP Finance	40.00	X			0	234,996	24,709
(24) Kyriakos Kyriakidis MD Physician	40.00		X		346,391	0	21,072
(25) Steven Embry MD Physician	40.00		X		323,224	0	172
(26) Tuan Nguyen MD Physician	40.00		X		309,710	0	23,404
(27) Steven Tarquine MD Physician	40.00		X		300,579	0	24,933
(28) James Snyder MD Physician	40.00		X		290,685	0	9,951
(29) Les Donahue Sch O Former CEO STH (end 6/10)	0.00			X	0	429,423	12,468
(30) Mark McGinnis Former COO (end 12/09)	0.00			X	318,119	0	14,743

(A) Name and business address	(B) Description of services	(C) Compensation
Tennessee Perfusion Associates 4230 Harding Rd Nashville,TN37205	Medical Services	1,410,451
Saint Thomas Medical Group 4230 Harding Rd Nashville,TN37205	Medical Services	830,406
Ortho Surgicalists LLC 301 21st Ave North Nashville,TN37203	Medical Services	531,982
Pathology Associates of St Thomas 4220 Harding Rd Nashville,TN37205	Medical Services	531,982
Gresham Smith & Partners 1400 City Center 511 Union Street Nashville,TN37219	Architect Services	366,782
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 8

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	387,789	387,789
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,904,300	1,523,440	380,860
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	113,550,998	90,840,798	22,710,200
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	7,549,008	6,039,206	1,509,802
9	Other employee benefits .......	15,608,557	12,486,846	3,121,711
10	Payroll taxes ...........	8,121,470	6,497,176	1,624,294
11	Fees for services (non-employees):
a	Management ......	64,728,986	55,019,638	9,709,348
b	Legal .........
c	Accounting ...........	14,835		14,835
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	36,733,462	32,356,219	4,377,243
12	Advertising and promotion ....	176,651	176,651
13	Office expenses .......	8,806,183		8,806,183
14	Information technology ......	154,707	139,236	15,471
15	Royalties ..
16	Occupancy ...........	7,273,457	6,649,006	624,451
17	Travel ............	168,594	134,875	33,719
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	56,297	45,038	11,259
20	Interest ...........	4,192,394	3,353,915	838,479
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	13,244,659	11,920,193	1,324,466
23	Insurance ..............	701,781	631,603	70,178
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	Medical Supplies	97,371,551	97,371,551
b	Bad Debt	29,912,533	29,912,533	0	0
c	Provider Tax	12,495,580	12,495,580	0	0
d	Repairs & Maintenace	3,879,562	3,685,583	193,979
e	Minor Equipment	1,535,986	1,382,387	153,599	0
f	All other expenses	5,033,176	3,444,608	1,588,568
25	Total functional expenses. Add lines 1 through 24f	433,602,516	376,493,871	57,108,645	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	3,828,757	1	2,281,681
2	Savings and temporary cash investments .......	25,229,029	2	33,383,198
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	40,381,772	4	42,523,984
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	5,718,585	8	4,767,966
9	Prepaid expenses and deferred charges ............	1,763,406	9	1,899,561
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	366,725,270
b	Less: accumulated depreciation. .....	10b	316,443,307	56,318,402	10c	50,281,963
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..	4,205,518	13	4,156,943
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	542,502,728	15	661,283,856
16	Total assets. Add lines 1 through 15 (must equal line 34)...	679,948,197	16	800,579,152
	17	Accounts payable and accrued expenses .	31,959,255	17	37,470,755
18	Grants payable ..........		18
19	Deferred revenue ..........	1,319,669	19	618,488
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	225,016,044	25	220,899,217
26	Total liabilities. Add lines 17 through 25.....	258,294,968	26	258,988,460
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	421,653,229	27	541,590,692
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	421,653,229	33	541,590,692
34	Total liabilities and net assets/fund balances .....	679,948,197	34	800,579,152

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Saint Thomas Hospital Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Saint Thomas Hospital Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

11,442

Total. lines 1c through 1i ...................................

11,442

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Explanation of Other Lobbying Activities:	Part II-B, Line 1i:	Lobbying expenses represent the portion of dues paid to national and state hospital associates that are specifically allocable to lobbying. St. Thomas Hospital, Inc. 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.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	2,170,560		2,170,560
b	Buildings ................	172,142,698	145,830,867	26,311,831
c	Leasehold improvements ............	1,789,883	1,716,072	73,811
d	Equipment ................	184,416,275	162,999,703	21,416,572
e	Other .................	6,205,854	5,896,665	309,189
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				50,281,963

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Intercompany Accounts Receivable				244,614,456
(2) Health System Depository Account				399,422,384
(3) Construction in Progress				10,332,087
(4) Prepaid Pension				3,154,813
(5) Physician Guarentee				1,042,235
(6) Software, net				672,659
(7) Other Assets				169,092
(8) Miscellaneous Receivables				1,876,130

Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				661,283,856

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
Intercompany Payable		107,994,143
Intercompany Debt to Ascension Health		105,391,473
Self Insurance Liability		3,331,003
Payables to Third Party Payors		3,330,841
Other Liabilities		851,757




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		220,899,217
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

If "Yes," does the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			9,936,525		9,936,525	2.460 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			36,555,008	29,549,469	7,005,539	1.740 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....			46,491,533	29,549,469	16,942,064	4.200 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	10	34,193	2,380,202		2,380,202	0.590 %
f Health professions education (from Worksheet 5) ..	23	916	3,505,848	1,071,021	2,434,827	0.600 %
g Subsidized health services (from Worksheet 6) ..	3	219	8,454,217	6,674,011	1,780,206	0.440 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..			635,282		635,282	0.160 %
jTotal Other Benefits ...	36	35,328	14,975,549	7,745,032	7,230,517	1.790 %
kTotal. Add lines 7d and 7j. ..	36	35,328	61,467,082	37,294,501	24,172,581	5.990 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	2	120	72,521	72,521	0.020 %
9	Other	1		338,592	338,592	0.080 %
10	Total	3	120	411,113	411,113	0.100 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

13,079,188

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

2,734,858

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

147,650,324

Enter Medicare allowable costs of care relating to payments on line 5.....

156,985,348

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-9,335,024

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %
11 Shared Hospital Services	Laundry Services	48.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	Saint Thomas Hospital 4220 Harding Road Nashville,TN37205	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
		Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 29912533.
		Part II: Saint Thomas Hospital continues to be a leader in Community health improvement and advocacy by supporting access to healthcare services through local clinics, the Mental Health Association, the Dispensary of Hope, community health events, rural area medical missions, and the YWCA of Nashville Domestic Violence Initiative. The partnership with the YWCA began in 2009 with a grant from the Office of Criminal Justice. The grant was used to pay for the subcontracting fees at the YWCA Domestic Violence Shelter, public service announcements, and educational materials so that the YWCA community educators could conduct monthly lunch and learns at all four hospitals in the Saint Thomas Health system. Though the grant ended in April 2011, Saint Thomas Hospital has committed to supporting the YWCA Domestic Violence Shelter and inviting the YWCA community educators to conduct lunch and learns through the STH Domestic Violence Awareness Task force. Saint Thomas Hospital also makes significant contributions to health care workforce development in collaboration with Metro-Davidson Public Schools and the PENCIL Program. Through donations to the PENCIL program, STH sponsors a number of activities at Maplewood High School Sciences Academy. STH also hosted Science Scholars again this year - a program offered to high school sophomores who show interest in health-related careers. Over the course of six Saturdays, these students get first hand experience with various medical specialties. Saint Thomas also hosts Jobs in Healthcare, a program providing education, training and employment opportunities to unemployed or underemployed individuals.Saint Thomas Hospital associates represent the hospital on community board for the American Diabetes Association, CCSI, and more
		Part III, Line 4: The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible accounts based upon historical write off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the organization follows established guidelines for placing certain past due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization's policies.The organization's share of bad debt expense in 2011 was $29,912,533.
		Part III, Line 8: Saint Thomas Hospital follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
		Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.
		Part VI, Line 2: Saint Thomas Health (STHe), which includes Saint Thomas Hospital ("the hospital") most recently surveyed the needs of its own communities in 2009, and finalized a Community Benefit Plan in 2010. This information was supplemented by focus groups and interviews conducted by Ascension Health the prior year, the national Catholic health care organization of which STHe is a constituent part. Consultants from Ascension Health conducted interviews with over 100 community based heath leaders. For the Nashville's broad service area, Ascension recommended that STHe focus on "expansion of clinic-based services for the poor," "engaging local and regional physicians to provide greater care for the poor and uninsured," and "expansion of the Middle Tennessee Safety Net Consortium (MTSNC) and the volunteer specialty panel." Then, consultants from Ascension Health conducted focus groups of 67 key community informants and literature review of safety net models in order to make recommendations regarding the expansion of the Middle Tennessee Safety Net Consortium. As a result, Ascension's consultants suggested that STHe focus on fortifying the Safety Net to include attention to chronic disease, support for the underlying causes of health needs, access to specialty care, adult dental care, mental health, respite care particularly for the homeless, access to pharmacy services for the uninsured and care coordination. Saint Thomas Health took these recommendations very seriously. In addition, associates from Planning, Mission Services, and Advocacy collaboratively gathered health information from national and state health organizations to understand the most prevalent unmet health needs of the state. Data from local health organizations were also collected regarding each of the three counties in which STHe has hospitals: Davidson, Rutherford and Hickman. In order to ensure that outreach efforts effectively address those health needs; a team of representatives from Planning, Mission Services, Advocacy, clinics, Physician services, the Foundation, Dispensary of Hope, Finance, and Marketing was convened at a half-day retreat to agree upon a set of recommendations from which each hospital would develop its community benefit plan. Having found the combination of focus groups and community health data to be fruitful, STHe associates in Mission services, Planning and Advocacy are once again compiling national, state and local community health data and planning focus groups to better understand the experienced health needs of communities.
		Part VI, Line 3: Education of eligibility for assistance at Saint Thomas Hospital begins at registration with signage displayed at all registration points notifying patients that we have a Financial Assistance program, as well as contact information for the patient to use should they need assistance. Brochures containing this information are also available for patients at all registration points. Saint Thomas Hospital's registration associates discuss the estimated balance that will be due with both insured and self-pay patients. Should the associate identify that the patient may need assistance with that balance he/she will provide the patient with a Financial Assistance application and help them complete it, if needed. All self-pay and underinsured patients are screened by Saint Thomas Hospital for alternative coverage including Medicaid, SSI/SSD, Cobra, student coverage, and crime victims' compensation. If no alternative is identified then an associate will work with the patient to complete a Financial Assistance application. Also, contact information is listed on Saint Thomas Hospital billing statements for the patient to use in the event they need assistance with their balances. Collections associates have been trained to offer patients a Financial Assistance application if needed by the patient. Saint Thomas Hospital works with third party collection vendors who are required to follow the hospitals Financial Assistance policy. Third party vendors are also used to perform "charity scoring", a process that screens incomplete Financial Assistance applications to qualify patients for presumptive charity.
		Part VI, Line 4: Located in Nashville, Tennessee, Saint Thomas Hospital primarily serves residents of Davidson County and adjacent surrounding counties of Williamson, Sumner, Rutherford, Cheatham, Wilson, Dickson, and Robertson in Middle Tennessee. About 650,000 people live in Davidson County alone. At least 15% of those persons are living in poverty according to federal agencies whose standards for measuring poverty are much lower than this hospital's. The majority of persons are non-Hispanic white (about 67%) and black (about 27%) and between the ages of 19-64 (67%). The most common causes of premature death in this age group are injuries and cancer. For those persons between 19-24 homicide is also a common cause of death. For those persons between 25-65 heart disease is also a cause. One quarter of the population are children 18 years of age and under. The 2009 CHNA noted that Tennessee is among the unhealthiest states ranking 44th out of 50 in the 2009 America's Health Rankings. In 2010, Tennessee moved up to 42nd, but still ranking among the states with the weakest health outcomes. The CHNA also found that the prevalence of preventable chronic disease such as heart attack, stoke, cancer, and diabetes in the communities that Saint Thomas Hospital serves were high.According to America's Health Rankings in 2010, Tennessee continues to be among states with the highest prevalence of smoking, obesity and diabetes. Prevalence of smoking is about 23% of non-Hispanic white and black, Hispanic, and multicultural adults. Prevalence of obesity has been increasing steadily over the past ten years to about 40% of non-Hispanic black and Hispanic adults, and 30% of non-Hispanic white and multicultural adults. Prevalence of diabetes is about 11% among non-Hispanic white and black populations. In addition, America's Health Rankings 2010 reports that Tennessee continues to suffer from high incidence of sick days per month and high violent crime rates. Other challenges to Tennessee's health outcomes include high infant mortality rates and a high rate of cancer deaths. The greatest concerns to Saint Thomas Hospital are the rates of obesity, which is a strong determinant for poor health outcomes, and smoking, which is related to the high incidence of cancer deaths and other poor health outcomes. Metro Social Services reports that workforce and economic opportunity, housing and related assistance, as well as food and nutrition continue to be the greatest unmet health needs in the Metro Nashville/Davidson County.However, Tennessee has shown the greatest decrease in cardiovascular deaths; greatest increases in cholesterol checks, and lowest incidence of high cholesterol according to supplemental measures. The state also demonstrated a slight improvement in the already low prevalence of binge drinking, 8.8%. Tennessee also showed a slight improvement in high school graduation, known to be a determinant for health outcomes. The state showed a slight decrease in violent crime, prevalence of smoking, and number of preventable hospitalizations of Medicare patients; all major challenges to health outcomes in the state. Tennessee was among the states that showed the greatest decrease in children living in poverty, and very high rates of immunization coverage for children, about 94%. America's Health rankings notes that Tennessee has a "ready availability of primary care physicians."
		Part VI, Line 6: Saint Thomas Hospital operates an open emergency room open to all persons, regardless of ability to pay. The hospital also has an open medical staff with privileges available to all qualified physicians in the area. The majority of the hospital's governing body is comprised of independent persons who represent diverse aspects and interests of the community. The hospital participates in Medicaid, Medicare, TennCare, CHAMPUS, Tricare, and other government sponsored health care programs. Community organizations have access to the hospital's conference rooms at no charge. Patients and families in need have access to numerous support services to individuals and families who are unable to pay such as free, sliding scale and discounted overnight hotel lodging at the Seton Lodge and Inn at Saint Thomas for families who traveled long distances to visit loved ones. Saint Thomas Hospital makes available meal tickets, taxis, bus tickets and other transportation services to families in need. Patients and families also have access to the Irene and Melvin Lewis fund which assists patients who are financially unable to provide for needed medical-related expenditures. The Renewing Hope Fund supports victims of disaster both domestically and internationally, like the flood of May 2010. Understanding the importance of dental care, especially for cardiac and transplant patients, the Cecilia Nolan Roy Dental Fund provides dental care for needy patients. The Women's Health Services Fund supports prenatal classes for patients at the Saint Thomas Family Health Centers. There is also a fund available to employees of Saint Thomas Health who are experiencing hardship. This fund, the Sister Juliana Beurlein Employee Financial Assistance Fund offered over $100,000 in assistance in FY2011. Saint Thomas Hospital associates go above and beyond the standards of care to provide assistance with applications for access to public and private support services. Associates have made a habit of charity by frequently organizing drives and participating in local health awareness events. Associates collected carloads of household goods for women and families at the Domestic Violence Shelter. Other associates made knit caps for dozens of chemo patients. Our chaplains gave their time to funerals for long time patients whose families could not afford a service.
		Part VI, Line 7: Saint Thomas Hospital is part of the Nashville Health Ministry of Ascension Health, the largest Catholic and not-for-profit health system in the United States and is known locally as Saint Thomas Health (STHe). STHe is dedicated to providing accessible, quality healthcare to all patients regardless of their ability to pay. STHe owns and operates four hospitals in Middle Tennessee including Baptist Hospital and Saint Thomas Hospital in Nashville, Middle Tennessee Medical Center in Murfreesboro, and Hickman Community Hospital in Centerville, Tennessee. In addition, STHe provides a variety of ambulatory services through the operation of an urgent care center, community primary care clinics, employment of and close alignment with physicians, and partnerships to provide diagnostic imaging, sleep lab, and ambulatory surgery services. As a system, STHe supports a variety of efforts specifically aimed at providing services for persons who are poor. For example, in fiscal year 2011 Saint Thomas Health organized another rural area mission. Over six hundred volunteers from all of the Saint Thomas Health entities participated and offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, and a health ministry presence to persons living in rural areas who have limited access to health care. STHe also operates primary care clinics and programs that provide many thousands of patient encounters each year. STHe also advocates for healthcare access and coverage for all persons through sponsorship of community events and presentations and booths to increase awareness and educate the public regarding healthcare reform and access. Saint Thomas Health helped to form the Safety Net Consortium of Middle Tennessee to address the needs of the uninsured residents of Middle Tennessee. Saint Thomas Health Foundation serves as the legal and fiduciary agent to the Consortium. The Board of Directors that governs the Consortium is comprised of health care providers and local business leaders who serve the poor and uninsured. STHe created The Dispensary of Hope, a national distribution center and pharmacy, to support a network of dispensaries and direct-to-patient prescription solutions that provided millions in available medications for patients unable to afford their prescriptions. Saint Thomas Health also supports a variety of efforts to address persistent health needs in the community. For example, STHe is a founding partner and primary supporter of Camp Bluebird. The director of the camp is an associate of Saint Thomas Hospital who draws volunteers from other hospitals in the Saint Thomas Health system as well. Camp Bluebird is the first camp in the Middle Tennessee area designed for adult cancer patients. For three days and two nights volunteers from Saint Thomas Health provide campers with education, support and encouragement in living life after a cancer diagnosis. Saint Thomas Health also partners with other health care organizations to address the persistent unmet health needs of the community. In fiscal year 2011, Saint Thomas Health made a significant contribution to a diabetes improvement project of Vanderbilt-Meharry.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
Saint Thomas Hospital Inc

Employer identification number
62-0347580

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Acquinas College4210 Harding Road Nashville,TN37205	62-0812782	501(c)(3)	127,500	General Support
(2) Faith Family Medical326 21st Ave North Nashville,TN37203	62-1816811	501(c)(3)	10,000	General Support
(3) Hope Family Health Services12124 HWY 52 Bypass West Suite 5 Westmoreland,TN37186	20-1944166	501(c)(3)	20,000	General Support
(4) Interfaith Dental Clinic1721 Patterson Street Nashville,TN37205	62-1567615	501(c)(3)	10,000	General Support
(5) Loaves & Fishes ProgramHoly Name Parish 521 Woodland Nashville,TN37206			12,000	General Support
(6) Preston Taylor MinistriesPO Box 90442 Nashville,TN37209	62-1757018	501(c)(3)	6,500	General Support
(7) Project Cure2300 Clifton Ave Nashville,TN37209	84-1568566	501(c)(3)	10,000	General Support
(8) Room in the InnPO Box 25309 Nashville,TN37203	62-0811413	501(c)(3)	50,000	General Support
(9) Safe Haven Family Shelter1234 3rd Avenue South Nashville,TN37210	62-1807653	501(c)(3)	6,000	General Support
(10) St Patrick's School175 St Patricks Street McEwen,TN37101			10,000	General Support
(11) Tennessee Kidney Foundation95 White Bridge Road Suite 300 Nashville,TN372152613	27-0812507	501(c)(3)	6,250	General Support
(12) Visitation Hospital Foundation2500 21st Ave S Suite 207 Nashville,TN37212	62-1774851	501(c)(3)	50,000	General Support

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
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.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Mike Schatzlein MD Sch O	(i) (ii)	0 352,812	0 150,000	0 62,901	0 0	0 11,549	0 577,262	0 0
(2) Edwin Dale Batchelor MD	(i) (ii)	391,426 0	20,418 0	87,879 0	4,900 0	16,461 0	521,084 0	0 0
(3) Robert Latham	(i) (ii)	271,317 0	8,657 0	22,688 0	10,755 0	18,407 0	331,824 0	0 0
(4) Anna Harb	(i) (ii)	215,224 0	30,995 0	7,955 0	24,055 0	18,476 0	296,705 0	0 0
(5) Lisa Davis Sch O	(i) (ii)	0 201,289	0 13,121	0 20,586	0 18,918	0 5,791	0 259,705	0 0
(6) Kyriakos Kyriakidis MD	(i) (ii)	302,058 0	41,040 0	3,293 0	4,900 0	16,172 0	367,463 0	0 0
(7) Steven Embry MD	(i) (ii)	213,575 0	23,778 0	85,871 0	0 0	172 0	323,396 0	0 0
(8) Tuan Nguyen MD	(i) (ii)	283,601 0	25,735 0	374 0	4,900 0	18,504 0	333,114 0	0 0
(9) Steven Tarquine MD	(i) (ii)	274,961 0	25,316 0	302 0	4,900 0	20,033 0	325,512 0	0 0
(10) James Snyder MD	(i) (ii)	247,684 0	42,809 0	192 0	4,900 0	5,051 0	300,636 0	0 0
(11) Les Donahue Sch O	(i) (ii)	0 214,272	0 0	0 215,151	0 4,338	0 8,130	0 441,891	0 0
(12) Mark McGinnis	(i) (ii)	4,240 0	0 0	313,879 0	0 0	14,743 0	332,862 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	Part I, Line 1a	Club membership dues were paid for an officer and reported as taxable income on the individual's W-2.
Supplemental Information	Part III	Part I, Line 3: Saint Thomas Health, a related organization of Saint Thomas Hospital uses the following to establish the compensation of the organization's CEO: -Compensation Committee, -Independent Compensation Consultant, -Written Employment Contract, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee Part I, Lines 4a-4b: Mark McGinnis received severance payments of $272,087. Part I, Lines 4a-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. The filing organization made contributions to and/or payments from the supplemental nonqualified retirement plan in the amounts as noted: Steven A. Embry - $85,443 Robert Latham - $5,855 Anna Harb - $19,395 Lisa Davis - $14,450

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Gresham Smith and Partners	Board Member is a Director and Officer of Gresham, Smith & Partners	366,782	Independent Contractor Arrangement		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
		Mr. James Bearden, a Saint Thomas Health Board Member, is a partner with the firm of Gresham and Smith. Gresham and Smith is the engineering firm utilized by Saint Thomas Hospital for a surgery project. In accordance with our Conflict of Interest Disclosure Statement and Confidentialty Agreement Policy, Mr. Bearden has filed a disclosure statement addressing this relationship and agreed to refrain from voting or using personal influence on any matter that would represent a conflict of interest.

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part I

Types of Property

	(a) Check if applicable	(b) Number of Contributions or items contributed	(c) Contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Fixed Assets )	X	1	621,468	Cost/Selling Price
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash

contributions? ............................

32a

If "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) 2010

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
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.

Schedule M (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Identifier	Return Reference	Explanation
New Program Services	Form 990, Part III, line 2	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 undertaken.
Explanation of Attached Audited Financial Statements:	Form 990, Part IV, Line 20b:	The financial statements of Saint Thomas Health, which include the activity of Saint Thomas Hospital, Inc., fall under the specific scope audit. The activity of Saint Thomas Hospital, Inc. and other members of Saint Thomas Health are reported in the consolidated financial statements of Ascension Health. No individual audit of Saint Thomas Hospital, Inc. is completed. Therefore the attached audited financial statements are of Ascension Health and Affiliates (which include the activity of Saint Thomas Hospital, Inc).
Form 990, Part VI, Section A, line 6		St. Thomas Hospital, Inc. has a single corporate member, St. Thomas Health.
Form 990, Part VI, Section A, line 7a		St. Thomas Hospital, Inc. has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the hospital.
Form 990, Part VI, Section A, line 7b		All decisions that have a material impact to St. Thomas Hospital, Inc. 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 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 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 other hospitals 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 individual was not present when 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 other hospitals' 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.
	Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Explanation of Hours of Officers:	Form 990, Part VII, Section A:	Officers for St. Thomas Hospital 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, 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.
Explanation of Board of Directors Listing:	Form 990, Part VII, Section A:	Saint Thomas Health is the sole corporate member of Saint Thomas Hospital. As the sole corporate member, Saint Thomas Health retains reserved authority over the certain activity of Saint Thomas Hospital. Therefore, the Saint Thomas Health's board of directors is listed on Form 990, Part VII.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized gains on investments: 27,411,375. Deferred Pension Costs 21,914,515. Net Asset Transfer From Dekalb Hospital 10,260,335. Total to Form 990, Part XI, Line 5: 59,586,225.
	Community Benefit Report	Saint Thomas Hospital Community Benefit Report FY ending June 30, 2011 Summary Faith-based and non-profit health care organizations have a rich tradition of caring for communities. Community Benefit activities are the specific ways that we work out our faithful commitment to care for those who are most vulnerable in our communities, to care for the well-being of the community in the present and the future. Community Benefit is a category of expenses and services related to care for those who are poor and vulnerable. The total cost of Community Benefit consists of unreimbursed or unpaid cost of services to patients who are uninsured or underinsured; plus a variety of community health, education, charity, and community service activities focused on those who are most vulnerable. - Charity care and Uncompensated/ unpaid/ unreimbursed direct patient services (Category I and II) - $16,942,064 - Care for the poor and community benefits (all community benefit related cost centers plus cost or time, space and in kind contributions) - $7,230,517 Total Community Benefit - $24,172,581 Breakdown of Community Benefit - Community Health Improvement, education and research - $2,380,202 - Health Professions Education - $2,434,827 - Subsidized healthcare services - $1,780,206 - Cash and in-kind contributions to community groups - $635,282 Total Direct Community Benefit - $7,230,517 In FY 11, Saint Thomas Hospital engaged in at least 28 community benefit activities, supported 3 community based clinics (out of the 7 total clinics in the Saint Thomas Health system) Community Health Improvement and Education Camp Bluebird: Camp Bluebird is a three-day, two-night camp retreat for adult cancer patients organized and staffed by Saint Thomas Hospital and Saint Thomas Health Associates. The program is funded in part by the Saint Thomas Hospital Foundation. At Camp Bluebird, adult cancer patients have time to listen to one another, learn from one another, share their experiences, and care for one another. The retreat is a peaceful space where adults can adjust to a lifestyle of living with cancer. They have opportunities for education, reflection, and recreation activities like arts, crafts, games, yoga, dancing, and swimming. Medical Mission at Home: In February, associates from Saint Thomas Hospital and Baptist Hospital worked together to deliver 600 hours of medical care, 250 donated hygiene items, and 50 donated eyeglass during a medical mission to those who are uninsured and homeless in Nashville. This impactful model for medical missions is replicated at least twice per year in proximity to each of the Saint Thomas Health anchor hospitals. Loaves and Fishes: Several times each year associates from Saint Thomas Hospital and the Saint Thomas Family Health Canters deliver bags of hygiene items to the Parish Center of the Holy Name Catholic Church in east Nashville where Loaves and Fishes operates. In the fall, associates from the Family Health Centers also administered flu vaccinations to dozens of poor and homeless persons who go to the Parish Center of the Holy Name Catholic Church in East Nashville for midday meals. Faith Community Nurse education: This year Saint Thomas Hospital hosted its inaugural Faith Community Nurse program. The course is for RNs interested in promoting holistic health and minimizing health in their congregations, and preparing their congregations to have the same impact on the wider community. Classes are continuing twice each year. Nashville CPE Partnership is a collaboration of Saint Thomas Hospital, Baptist Hospital Vanderbilt Hospital, McKendree Village, which oversees six Chaplain Residents as well as seasonal pastoral care interns who subsequently receive Clinical Pastoral Education credits needed for certification as clinical chaplains. Students come from a diversity of religious traditions. Dispensary of Hope at the Plaza Pharmacy: The DOH at Saint Thomas Hospital, MTMC, Family Health Centers, Centerville and Lyle Clinics provides access to needed medication for patients who are uninsured and underinsured. The Center for Women Health, the Cancer Support Program, and Saint Thomas Heart participated in several events focused on women's health education and screenings. Health Professions Education: Guest lecture to Vanderbilt medical students on Spirituality and medicine Guest lecture to nursing students at Aquinas college Guest lecture to Meharry Medical students on clinical ethics and end-of-life care Research: SPRINT study Diabetes improvement project of Vanderbilt-Meharry Saint Thomas Hospital also engages in activities that serve to build the underlying social determinants for good health, such as employment, education, and strong communities. Community leadership training: Pastoral care symposium for faith community leaders Coalition Building: Community leadership boards of the American Diabetes Association, CCAI, National Association of Catholic Chaplains Workforce Development: Maplewood High School, Health Science Academy Science Scholars Jobs in Healthcare Associates also gave their own time to several awareness events and community service projects: Heart Walk for the American Heart Association Memory Walk for the Alzheimer's Association "Make a donation, take a plant" event benefiting the Alzheimer's Association Susan G. Komen Race for the Cure Gift of Life walk for the Tennessee Kidney Foundation A group of associates led by Nancy Armour Baker made and delivered knit caps to patients undergoing chemotherapy Multiple Sclerosis Walk Jingle Bell Run for the Arthritis Foundation Ronald McDonald House Second Harvest Food Bank Nashville flood relief Saint Thomas Hospital is committed to making primary care accessible to all persons, regardless of access to insurance, transpiration, or ability to pay. STH supports several community-based clinics accessible near the busiest bus routes and in metro Nashville. Some of these clinics extended their hours this year to accommodate persons and families who work long hours. Family Health Center South Family Health Center West La Clinica Nueva Vida Subsidized healthcare services Saint Thomas Hospital is committed to providing the services that serve the needs of the community and improve quality of life, regardless of whether or not those services generate a direct profit. Therefore, there are several departments that would operate at an annual shortfall if not subsidized by the health system. Other subsidized services are those that are unique, that is not comparably provided by any other health systems, in Nashville. Emergency and Trauma Behavioral Health Services Palliative care Cash and in-kind contributions to community organizations Saint Thomas Hospital, with support from the Saint Thomas Hospital Foundation, supports several non profit organizations in Nashville who share a similar commitment to car for the community by focusing first on the needs of the most vulnerable persons. Through these contributions, Saint Thomas Hospital can support efforts to improve access to housing, jobs, nutrition, education, insurance, and medical services. In-kind Blood drives Komen for the Cure Dispensary of Hope Tennessee Kidney Foundation YWCA and domestic violence awareness American Heart Association Alzheimer's Association Multiple Sclerosis Loaves and Fishes Boy Scouts Project CURE Nashville flood relief Saint Thomas Hospital gave $28,250 to support 13 foundations serving the wider community: American Diabetes Association ALS Society Alzheimer's Association Cystic Fibrosis Foundation Heritage Athletics Booster Club Lupus Foundation Mental Health Association Prevent Blindness Special Olympics Tennessee Kidney Foundation Tennessee Medical Foundation Tennessee Suicide Prevention Saint Thomas Hospital gave $241,250 to support 22 local organizations and 16 medical mission teams: Training and development Christian Women's Job Corp Behavioral health Pastoral Counseling Center Clinical care Faith Family Medical Clinic Interfaith Dental Clinic Our Kids Center Hope Family Health Services at Hope Clinic Associate care: Caring Angels General 61st Ave. UMC Martha O'Brien Center Saint Luke's Community Center Mentoring PENCIL Foundation Preston Taylor Training Ground Track Club Housing, environment Campus for Human Development (Room In The Inn) Safe Haven West Food access Loaves and Fishes Crop Walk Catholic Community Saint Patrick's School Mission Outreach: 16 Medical Mission teams Project CURE Visitation Hospital Humble Hands, Mt. Juliet High School
		Additional Support from the Saint Thomas Hospital Foundation Seton Support Center Renewing Hope support for flood and tornado relief Project for Neighborhood Aftercare is a school-based aftercare providing expanded learning opportunities to students in need Catholic Charities North Nashville Outreach Program Safety Net Consortium Persons and families in need Direct Patient Care Saint Thomas Hospital, serves its patients and community with core values rooted in a faith based ministry with particular attention to those who are poor and vulnerable. Certain financial figures unique to non-profit healthcare organizations represent this commitment to delivering the highest quality of health care to those who are most poor and vulnerable, including those who are elderly and those who live below the federal poverty guidelines. Saint Thomas Hospital provides the highest quality of care to all persons, regardless of their ability to pay. STH cares for many persons who are elderly as well as those who are living with disabilities. Additionally, Saint Thomas Hospital cares for patients whose employers do not provide or cannot afford insurance, as well as those who are self employed or for some other reason, otherwise uninsured. In 2011, 65.74% of the value of services rendered were to patients who participate in government-sponsored insurance programs or were uninsured. - Medicaid (other than TennCare) - 0.51% - Medicare HMO - 12.01% - Medicare - 42.75% - Tenncare - 5.63% - Bridges to Care - 0.00% - Uninsured - 4.84% Much of their care is covered by Medicaid, Medicare and other means-tested programs. However, the payment that the hospital receives from these programs often does not cover the actual cost of those health care services. In some cases, hospitals incur losses caring for these patients -that is, the difference between the actual cost of services and how much these programs pay. Losses are also incurred when patients who are uninsured and underinsured, and qualify for a significant discount in the cost of their care under the health system's Financial Assistance Policy, do not have the means to pay the remaining cost of professional health care services. Altogether, these numbers demonstrate Saint Thomas Hospital's commitment to providing the highest quality care to all persons, particularly those who are poor and vulnerable, regardless of ability to pay.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Saint Thomas Hospital Inc

Employer identification number

62-0347580

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Ascension Health PO Box 45998 St Louis,MO63134 31-1662309	National Health System	MO	Section 501(c)(3)	Schedule A, Line 11a	N/A		No
(2) Saint Thomas Health 4220 Harding Rd Nashville,TN37205 58-1716804	Health System Parent Company	TN	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health		No
(3) Saint Thomas Network 4220 Harding Road Nashville,TN37205 62-1284994	Health Investment Entity	TN	Section 501(c)(3)	Schedule A, Line 9	Saint Thomas Health	Yes
(4) Saint Thomas Health Foundations FKA Saint Thomas Health Services Fund 4220 Harding Road Nashville,TN37205 58-1663055	Operates Foundation	TN	Section 501(c)(3)	Schedule A, Line 7	Saint Thomas Network	Yes
(5) Middle Tennessee Medical Center Inc 400 N Highland Avenue Murfreesboro,TN37219 62-0475842	Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Saint Thomas Health	Yes
(6) Middle Tennessee Medical Center Development Foundation 400 N Highland Avenue Murfreesboro,TN37219 62-1167917	Foundation	TN	Section 501(c)(3)	Schedule A, Line 11a	Middle Tennessee Medical Center Inc	Yes
(7) Seton Corporation 4220 Harding Road Nashville,TN37205 62-1869474	Acute Care Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Saint Thomas Health	Yes
(8) Baptist Health Care Group 2000 Church Street Nashville,TN37236 62-1529858	Healthcare Provider	TN	Section 501(c)(3)	Schedule A, Line 3	Seton Corporation	Yes
(9) Baptist Saint Thomas Home Care 2000 Church Street Nashville,TN37236 51-0172298	Home Health Care	TN	Section 501(c)(3)	Schedule A, Line 9	Seton Corporation	Yes
(10) Baptist Hospital Foundation of Nashville Inc 2000 Church Street Nashville,TN37236 58-1861378	Inactive	TN	Section 501(c)(3)	Schedule A, Line 11a	Seton Corporation	Yes
(11) Baptist Health Care Affiliates Inc 2000 Church Street Nashville,TN37236 58-1509251	Community Health Promotion	TN	Section 501(c)(3)	Schedule A, Line 11a	Seton Corporation	Yes
(12) Hickman Community Health Services Inc 135 East Swan St Centerville,TN37033 58-1737573	Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Baptist Healthcare Affiliates Inc	Yes
(13) Hickman Community Home Care Inc 135 East Swan St Centerville,TN37033 62-1836937	Home Health Care	TN	Section 501(c)(3)	Schedule A, Line 9	Hickman Community Health Care Services Inc	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Baptist Womens Health Center LLC dba The Center For Spinal Surgery 2011 Murphy Avenue Nashville,TN37203 62-1772195	Owns and Operates Specialty Hospital	TN	N/A
(2) Middle Tennessee Ambulatory Surgery Center LP 500 N Highland Avenue Murfreesboro,TN37130	Operates Outpatient Surgery Center	TN	N/A
(3) Middle Tennessee Imaging LLC 400 N Highland Avenue Murfreesboro,TN37219 01-0570490	Diagnostic Imaging Center	TN	N/A
(4) Murfreesboro Diagnostic Imaging LLC 400 N Highland Avenue Murfreesboro,TN37219 20-0291952	Diagnostic Imaging Center	TN	N/A
(5) Nashville Diagnostic Imaging LLC 30 Burton Hills Blvd Suite 165 Nashville,TN37215	Inactive	TN	N/A
(6) STHS Sleep Center LLC 618 Church Street Suite 520 Nashville,TN37219 20-3664894	Operates a Sleep Center	TN	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) Mid-State Properties Inc 2000 Church Street Nashville,TN37236 62-1232018	Pharmacy	TN	N/A	C
(2) Sova Inc 102 Woodmont Blvd Suite 700 Nashville,TN37205 26-1319638	Health Services	TN	N/A	C
(3) Vincentian Ventures Inc 4220 Harding Road Nashville,TN37205 62-1331896	Health Services	TN	N/A	C
(4) Comp Plus Inc 2000 Church Street Nashville,TN37236 62-1626010	Healthcare	TN	N/A	C
(5) Manaco Management Services Inc 400 North Highland Avenue Murfreesboro,TN37130 62-1718479	Health Services	TN	N/A	C
(6) St Thomas Medical Clinic 4220 Harding Road Nashville,TN37205 62-1583605	Health Services	TN	N/A	C
(7) Baptist Health Care Ventures Inc 2000 Church Street Nashville,TN37236 62-0469214	Holding Company	TN	N/A	C
(8) Middle Tennessee Network Inc 2000 Church Street Nashville,TN37236 62-1570989	Health Services	TN	N/A	C
(9) Health Net Reserve Inc 44 Vantage Way Suite 300 Nashville,TN37202 62-1540604	Health Management	TN	N/A	C

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Saint Thomas Health Foundations	C	2,158,861	Actual Amount Paid
(2) Baptist Health Care Group	Q	5,876,772	Actual Amount Paid
(3) Middle Tennessee Medical Center	Q	23,272,878	Actual Amount Paid
(4) Saint Thomas Network	Q	2,945,120	Actual Amount Paid
(5) Saint Thomas Health	Q	33,228,763	Actual Amount Paid
(6) Saint Thomas Health Foundations	R	477,461	Actual Amount Paid
(7) SOVA Inc	Q	266,519	Actual Amount Paid
(8) Seton Corporation	R	22,025,173	Actual Amount Paid

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Provides essential health care services to low-income patients as well as community services.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	16
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,606
6	Total number of volunteers (estimate if necessary) ....	6	281
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	770,761
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	152,408

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,006,279	2,158,861
9	Program service revenue (Part VIII, line 2g) .........	425,840,810	456,266,062
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	26,138,909	32,329,885
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,738,928	3,198,946
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	455,724,926	493,953,754
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	459,688	387,789
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	136,922,219	146,734,333
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	257,894,838	286,480,394
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	395,276,745	433,602,516
19	Revenue less expenses. Subtract line 18 from line 12......	60,448,181	60,351,238
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	679,948,197	800,579,152
21	Total liabilities (Part X, line 26)............	258,294,968	258,988,460
22	Net assets or fund balances. Subtract line 21 from line 20 .....	421,653,229	541,590,692

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 373,186,947 including grants of $ 387,789 ) (Revenue $ 455,917,350 )
	Saint Thomas Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2011, more than 54% of the value of services rendered was to elderly patients under the Medicare program, and approximately 6% of the services were provided to patients who were deemed indigent under state, county, or Saint Thomas Hospital Guidelines. Please see attached supplemental community benefit report for more detailed information.

4b	(Code: ) (Expenses $ 3,306,924 including grants of $ ) (Revenue $ 1,617,162 )
	Saint Thomas Hospital operates health clinics known as Saint Thomas Family Health Centers. These centers provide primary and preventive medical services, gynecology services, mental health services, social services as well as school evaluations and testing. Services cost patients a small fee on a sliding scale based on income. The staff is bilingual (fluent in Spanish and English) and provides services for both children and adults.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 376,493,871

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,983,908	1,334,365	239,892

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		2,158,861
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$ 621,468
h	Total. Add lines 1a-1f.......			2,158,861
			Business Code
2a	Net Patient Revenue		621,400	446,967,974	446,967,974
b	Plaza Pharmacy		621,400	5,422,021	4,651,260	770,761
c	Nutrition & Food Svcs		621,400	2,534,972	2,534,972
d	Nuclear Pharmacy		621,400	841,717	841,717
e	Joint Venture Income		621,400	455,170	455,170
f	All other program service revenue .			44,208	44,208
g	Total. Add lines 2a–2f........			456,266,062
3	Investment income (including dividends, interest
	and other similar amounts).....			31,960,058			31,960,058
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	783,023
b	Less: rental expenses	24,376
c	Rental income or (loss)	758,647
d	Net rental income or (loss).......			758,647			758,647
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		740,253
b	Less: cost or other basis and sales expenses		370,426
c	Gain or (loss)		369,827
d	Net gain or (loss)..........			369,827			369,827
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Lab Revenue		621,990	483,491	483,491
b	Fitness Center Members		621,990	381,570			381,570
c	Vending Machine Rev.		621,990	19,518			19,518
d	All other revenue ....			1,555,720	1,555,720
e	Total. Add lines 11a–11d ......			2,440,299
12	Total revenue. See Instructions....			493,953,754	457,534,512	770,761	33,489,620


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			3,828,757	1	2,281,681
2	Savings and temporary cash investments .......			25,229,029	2	33,383,198
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			40,381,772	4	42,523,984
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			5,718,585	8	4,767,966
9	Prepaid expenses and deferred charges ............			1,763,406	9	1,899,561
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	366,725,270
b	Less: accumulated depreciation. .....	10b	316,443,307	56,318,402	10c	50,281,963
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..			4,205,518	13	4,156,943
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			542,502,728	15	661,283,856
16	Total assets. Add lines 1 through 15 (must equal line 34)...			679,948,197	16	800,579,152
17	Accounts payable and accrued expenses .			31,959,255	17	37,470,755
18	Grants payable ..........				18
19	Deferred revenue ..........			1,319,669	19	618,488
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			225,016,044	25	220,899,217
26	Total liabilities. Add lines 17 through 25.....			258,294,968	26	258,988,460
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			421,653,229	27	541,590,692
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			421,653,229	33	541,590,692
34	Total liabilities and net assets/fund balances .....			679,948,197	34	800,579,152