Saint Thomas Hickman Hospital

“Many of the persons listed on part vii have a "business relationship" with each other by virtue of sitting on related saint thomas health entity boards.”

“In determining the compensation of the organization's ceo, the process performed by ascension health, a related organization of saint thomas hickman hospital, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The compensation committee reviewed and approved the compensation. In the review of the compensation, the ceo was compared to individuals at 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 committee minutes. The individual was not present when compensation was decided. In determining the compensation of other officers of the organization, the process, performed by saint thomas health, 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 individuals at other health systems in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when compensation was decided.”

“Saint Thomas Hickman Hospital has a single corporate member, Baptist Health Care Affiliates, Inc.”

“Saint Thomas Hickman Hospital has a single corporate member, Baptist Health Care Affiliates, Inc., who has the ability to elect members to the governing body of Saint Thomas Hickman Hospital.”

“All decisions that have a material impact to Saint Thomas Hickman Hospital's financial information or corporation as a whole are subject to approval by its sole corporate member, Baptist Health Care Affiliates, Inc. (a member of Saint Thomas Health). Ascension Health, the sole corporate 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; and system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.”

“Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.”

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”

“The organization will provide any documents open to public inspection upon request.”

“Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B”

“OTHER - Total Revenue: 241545, Related or Exempt Function Revenue: 241545, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“The activity of Saint Thomas Hickman Hospital ("STHH") is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of STHH is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of STHH.”

“Dietary - Total Expense: 459291, Program Service Expense: 344468, Management and General Expenses: 114823, Fundraising Expenses: ; Environmental - Total Expense: 403524, Program Service Expense: 302643, Management and General Expenses: 100881, Fundraising Expenses: ; Medical Services - Total Expense: 572388, Program Service Expense: 429291, Management and General Expenses: 143097, Fundraising Expenses: ; Repairs/Maintenance - Total Expense: 337843, Program Service Expense: 253382, Management and General Expenses: 84461, Fundraising Expenses: ; Other - Total Expense: 41400, Program Service Expense: 31050, Management and General Expenses: 10350, Fundraising Expenses: ; Professional Fees - Total Expense: 544012, Program Service Expense: 408009, Management and General Expenses: 136003, Fundraising Expenses: ;”

“Deferred Pension Cost - -156239; Transfers from Affiliates - 694720;”