2022-05-13T23:02:04-05:00 2021-06-30 990 2020-07-01 620347580 Saint Thomas West Hospital SAIN 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 2022-05-13 Tonya Mershon 999009999 2020 2022-09-23 18:48:47Z See Schedule O for a complete list TIMOTHY P ADAMS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 1085302009 false 0928 X https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital X 1898 TN To improve the health and well-being of all people in the communities we serve. 11 10 4896 189 0 0 9417862 17459762 469528202 1059697558 7156 -8031 3724656 4032555 482677876 1081181844 1202108 5246114 0 0 128800760 273155173 0 0 0 320287595 691946140 450290463 970347427 32387413 110834417 309058570 949679305 240961083 1229531800 68097487 -279852495 ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. false false 703592451 5246114 1060162878 Saint Thomas Midtown Hospital was merged into Saint Thomas West Hospital effective 7/1/2020. Therefore, Saint Thomas West Hospital includes Saint Thomas West Hospital, a 448-bed hospital and Saint Thomas Midtown Hospital, a 554-bed hospital. Both campus' provide services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2021, Saint Thomas West Hospital treated 38,469 adults and children for a total of 212,782 patient days of service. The hospital also provided services for 258,868 outpatient visits, which included 11,726 outpatient surgeries and 77,033 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY21. 703592451 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 482 0 true 4896 true false false false false false false false false false false false false X 11 10 true false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 ALLEN B WILCOX MD VICE CHAIR (END 12/2020) 0.0 50.0 X X 0 1164470 47751 ANTHONY HEARD CHAIR (START 1/2021) 1.0 7.0 X X 0 0 0 DELL CROSSLIN TREASURER (END 12/2020)/VICE CHAIR (START 1/2021) 1.0 8.0 X X 0 0 0 LEE MOSS CHAIR (END 12/2020) 1.0 8.0 X X 0 0 0 SUSAN WEST PHD SECRETARY 1.0 8.0 X X 0 0 0 TIMOTHY P ADAMS PRESIDENT/CEO, MINISTRY MARKET EXECUTIVE 0.0 50.0 X X 0 1781953 47127 WANDA LYLE DIRECTOR/TREASURER (START 1/2021) 1.0 8.0 X X 0 0 0 EMIL HASSAN DIRECTOR 1.0 8.0 X 0 0 0 MARCELA GOMEZ DIRECTOR 1.0 7.0 X 0 0 0 SCOTT STANDARD MD DIRECTOR 1.0 8.0 X 0 0 0 SISTER CATHERINE BROWN DC DIRECTOR 1.0 8.0 X 0 0 0 STEVE SCHWAB MD DIRECTOR 1.0 8.0 X 0 0 0 STEVE VANHOOK MD DIRECTOR (START 1/2021) 1.0 7.0 X 0 0 0 LISA R DAVIS CFO, MINISTRY MARKET 0.0 50.0 X 0 723992 33095 HARRISON E KISER VP, OPERATIONS 50.0 0 X 254196 0 36498 JEREMY GRAY VP, OPERATIONS 50.0 0.0 X 328234 0 37846 MARCOS A FERNANDEZ-SCHKLAR RN VP, NURSING 50.0 0.0 X 287184 0 20958 MARK E MARSDEN MD CMO 50.0 0 X 542928 0 35969 SAMANTHA L STRATON RN VP, NURSING 50.0 0 X 265168 0 14969 CARMEN G LEFFLER DIRECTOR, PHARMACY 50.0 0 X 226552 0 21556 JENNIFER A MILLER DIRECTOR, PHARMACY 50.0 0 X 211174 0 34411 LAURIE OLIVER DIRECTOR, CLINICAL PROGRAMS 50.0 0 X 225074 0 22275 NICOLE L SCHLECHTER MEDICAL DIRECTOR 50.0 0 X 355141 0 23814 STEPHEN D HOLCOMB MEDICAL PHYSICIST 50.0 0 X 204771 0 29380 CRAIG A POLKOW FORMER OFFICER (END 8/2015) 0.0 0.0 X 0 127464 0 DON E KING FORMER OFFICER (END 12/2017) 0.0 50.0 X 0 1393490 46609 FAHAD TAHIR FORMER OFFICER (END 6/2019) 0.0 50.0 X 0 607732 45305 KAREN L SPRINGER FORMER OFFICER (END 12/2017) 0.0 50.0 X 0 4264267 35897 PAMELA M HESS FORMER OFFICER (END 7/2016) 0.0 50.0 X 0 372700 39348 2900422 10436068 572808 166 true true false GRESHAM SMITH 222 SECOND AVE S STE 1400 NASHVILLE TN 372012308 CONSTRUCTION SERVICES 3447690 CARDIOVASCULAR ANESTHESIOLOGISTS PC PO BOX 277599 ATLANTA GA 303847599 MEDICAL SERVICES 3117396 TENNESSEE PERFUSION ASSOCIATES 4230 HARDING PIKE STE 202 NASHVILLE TN 37205 MEDICAL SERVICES 2492336 NASHVILLE INPATIENT MGMT SVCS 300 20TH AVE N STE G4 NASHVILLE TN 372032244 MANAGEMENT SERVICES 1769591 ADVANCED DIAGNOSTIC IMAGING PC PO BOX 440460 NASHVILLE TN 372032244 DIAGNOSTIC SERVICES 1217931 38 0 0 0 167526 17292236 0 17459762 Net Patient Service Revenue 621990 1012778902 1012778902 Reimbursement Under Provider Tax Program 900099 40692076 40692076 Rental Income from Affiliates 531120 3675897 3675897 Pharmacy Revenue 446110 1288702 1288702 Income from Joint Ventures 900099 824684 824684 437297 437297 0 0 1059697558 0 0 0 0 0 0 4496888 0 4107984 388904 0 388904 388904 0 4150 0 12181 0 -8031 -8031 -8031 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 3027698 3027698 Escheatment Revenue 900099 158351 158351 Fitness Club Revenue 713940 139436 139436 318166 306969 0 11197 3643651 1081181844 1060162878 0 3559204 5246114 5246114 1823950 0 1823950 0 221939668 214422947 7516721 8160437 7884057 276380 24610342 23776831 833511 16620776 15937383 683393 67228 67228 12337 12337 18110 18110 24119074 20903220 3215854 0 45286 23763 21523 718443 429219 289224 505878 480797 25081 10712267 10271813 440454 143844 114574 29270 80693 78953 1740 41 41 39074007 37467409 1606598 4088449 4088449 Medical Supplies 219547792 217741213 1806579 Management Fee to Affiliate 191632026 191632026 Purchased Services 91355970 55882045 35473925 Provider Tax 63283420 63283420 46541275 29648693 16892582 0 970347427 703592451 266754976 0 8707 16945 6682474 17217097 0 47420 53649862 126271685 0 0 0 0 0 430034 12678314 21904627 113060 278689 1129126617 769801481 134529181 359325136 0 0 0 6997446 7715171 142763 165421 94256763 416307080 309058570 949679305 31189754 65820735 0 0 321261 590108 0 0 0 0 0 0 0 0 0 0 209450068 1163120957 240961083 1229531800 X 68097487 -279852495 0 0 0 0 0 0 0 0 68097487 -279852495 309058570 949679305 X 110834417 -140271195 -318513204 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18110 18110 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that are specifically allocable to lobbying. SAINT THOMAS WEST HOSPITAL DOES NOT PARTICIPATE 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. 3450875 646487 1134114 24943 5206533 4074462 0 115762 739349 3450875 3875780 750 228111 30179 4074462 3587562 250 322007 34039 3875780 3162120 2336 450949 27843 3587562 0.0 0.3402 0.6598 false true true 0 20366561 20366561 0 747909436 519649470 228259966 0 5559945 3796839 1763106 0 308096660 237347869 70748791 0 47194015 9007303 38186712 359325136 Due from Affiliates 372408666 Other Receivables 12739753 Deferred Compensation/Retirement/Pension Asset 16487 Physician Guarantee Asset 1618668 Estimated 3rd Party Payor Settlements 16358599 Right of Use Operating Lease Asset 13164907 416307080 0 OTHER LIABILITIES Due to Affiliates 738835264 Deferred Compensation/Retirement/Pension Liability 16487 Estimated 3rd Party Payor Settlement 2083005 Recovery Tail Liability 6158141 Intercompany Debt with Ascension Health Alliance 309634621 Lease Liability 13309570 Physician Guarantee Liability 516865 Accrued Real Estate Tax 1089540 Accrued Sales Use Tax 25729 Medicare Advance Payments 91365758 Asset Retirement Obligation 80124 Real Estate Security Deposit 5853 1163120957 X Schedule D, Part V, Line 4 Intended uses of endowment funds The endowment funds are held by Saint Thomas Health Foundations. The endowment funds are specifically designated pools of assets held and invested by the Foundation to provide long-term growth, interest and dividends. Only the income from the endowment fund is used. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2021. true true X true X 250 true X true true true false true true 30493297 0 30493297 0.0314 117670117 94149726 23520391 0.0242 0 0.0 0 0 148163414 94149726 54013688 0.0557 10 1226 6270107 6270107 0.0065 3 11700055 11700055 0.0121 4 0 0.0 0 0.0 45 343387 343387 0.0004 62 1226 18313549 0 18313549 0.0189 62 1226 166476963 94149726 72327237 0.0745 0 0.0 0 0.0 3 32241 32241 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 1 124 55626 55626 0.0001 0 0.0 4 124 87867 0 87867 0.0001 false 8744547 0 393740629 460196637 -66456008 X true true 2 1 Saint Thomas West Hospital 4220 Harding Pike Nashville TN 37205 https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital 0000000024 X X X 2 Saint Thomas Midtown Hospital 2000 Church Street Nashville TN 37203 https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital 0000000032 X X X Saint Thomas West Hospital 1 false false true X X X X X X X X X 18 true true true true X https://healthcare.ascension.org/CHNA X true 18 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false Saint Thomas Midtown Hospital 2 false true true X X X X X X X X X 18 true true true true X https://healthcare.ascension.org/CHNA X true 18 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Saint Thomas West Hospital Part I. THE PROCESS INCLUDED A REVIEW OF SECONDARY HEALTH DATA, A SYSTEMATIC REVIEW OF EXISTING COMMUNITY AGENCY REPORTS, AN ONLINE COMMUNITY SURVEY, INTERVIEWS OF COMMUNITY REPRESENTATIVES AND LEADERS, COMMUNITY LISTENING SESSIONS, AND A COMMUNITY HEALTH SUMMIT TO REVIEW FINDINGS AND DISCERN UNMET HEALTH NEEDS. THE COLLABORATING TEAM RECEIVED INPUT FROM PUBLIC HEALTH EXPERTS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENT, SAINT THOMAS HEALTH, VANDERBILT UNIVERSITY MEDICAL CENTER AND THE METRO PUBLIC HEALTH DEPARTMENT TO DESIGN, DIRECT AND CONDUCT THE CHNA. SAINT THOMAS HEALTH (STH) AND VANDERBILT UNIVERSITY MEDICAL CENTER (VUMC) PARTICIPATED IN THE CHNA PROCESS ON BEHALF OF THEIR NON-PROFIT HOSPITALS AND HEALTH SYSTEMS. INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, WAS OBTAINED THROUGH FACE-TO-FACE INTERVIEWS, COMMUNITY LISTENING SESSIONS, AND VIA AN ONLINE COMMUNITY SURVEY (DISTRIBUTED IN ENGLISH AND SPANISH). SAINT THOMAS WEST HOSPITAL AND ITS COLLABORATORS ALSO CONDUCTED A COMPREHENSIVE REVIEW OF RELEVANT SECONDARY DATA. THE PARTNERING TEAM REVIEWED PUBLICLY AVAILABLE SECONDARY DATA FOR THE FOLLOWING HEALTH INDICATOR TOPICS: DEMOGRAPHICS AND SOCIOECONOMIC STATUS, SOCIAL AND NATURAL ENVIRONMENT, ACCESS TO HEALTH CARE, MORBIDITY/MORTALITY, BIRTH OUTCOMES, PREVENTIVE CARE/RISK FACTORS BEHAVIORS, INFECTIOUS DISEASE, AND MENTAL HEALTH. SOCIAL DETERMINANTS ARE THE CONDITIONS OF COMMUNITIES WITHIN WHICH PEOPLE LIVE THAT AFFECT THEIR HEALTH AND WELL-BEING AND INCLUDE HOUSING, CRIME, POVERTY, EDUCATION, DISCRIMINATION, AND OTHERS. SOCIAL DETERMINANTS ARE INCLUDED IN ASSESSMENTS OF HEALTH AND WELL-BEING. ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THROUGH COMMUNITY BUILDING AND IMPROVEMENT INITIATIVES IS A KEY COMPONENT IN IMPROVING THE CONTRIBUTING FACTORS THAT DETERMINE THE HEALTH OF THE COMMUNITY. THE PARTNERING ORGANIZATIONS, THEREFORE, ALSO REVIEWED INDICATORS OF HEALTH RELATED TO SOCIAL DETERMINANTS AS PART OF THIS ASSESSMENT. IN ADDITION, THESE HOSPITALS SOLICITED WRITTEN FEEDBACK ON THE MOST RECENT CHNA ON THE SAINT THOMAS HEALTH COMMUNITY BENEFIT WEBSITE. SPECIFICS OF EACH METHOD ARE DESCRIBED IN DEPTH IN EACH CORRESPONDING SECTION OF THE REPORT. THE PARTNERING ORGANIZATIONS USED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO GUIDE THEIR DAVIDSON COUNTY CHNA WORK. MAPP IS A COMMUNITY-WIDE STRATEGIC PLANNING PROCESS FOR IMPROVING PUBLIC AND COMMUNITY HEALTH; THIS FRAMEWORK HELPS COMMUNITIES PRIORITIZE PUBLIC HEALTH ISSUES, IDENTIFY RESOURCES FOR ADDRESSING THEM, AND ACT TO IMPROVE CONDITIONS THAT SUPPORT HEALTHY LIVING. THE PROCESS ENCOMPASSES FOUR SEPARATE ASSESSMENTS THAT MEASURE THE HEALTH OF THE COMMUNITY IN SEVERAL WAYS. PLEASE NOTE THAT TWO OF THE FOUR MAPP ASSESSMENTS CONDUCTED (LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND FORCES OF CHANGE) ARE CONSIDERED SUPPLEMENTAL AND WILL BE INCLUDED IN THE APPENDICES OF THIS REPORT. THE PARTNERING ORGANIZATIONS WORKED TOGETHER TO DESIGN, DIRECT AND CONDUCT THE ASSESSMENTS OF THE COMMUNITIES SERVED. REPRESENTATIVES OF THE ORGANIZATION INCLUDE THOSE WITH SPECIAL KNOWLEDGE OF AND/OR EXPERTISE IN PUBLIC HEALTH. STH, VUMC, AND MPHD HAD ONE COMMUNITY SERVED WHICH OVERLAPPED: DAVIDSON COUNTY, TN. THE PARTNERING ORGANIZATIONS COLLABORATED AND SHARED IN THE ANALYSIS OF INTERVIEW AND COMMUNITY LISTENING SESSION RESULTS. ADDITIONALLY, STH AND VUMC WORKED TOGETHER IN REVIEWING SECONDARY DATA AND PREPARATION FOR COMMUNITY MEETINGS IN THREE OTHER COUNTIES: HICKMAN COUNTY, TN; RUTHERFORD COUNTY, TN; AND WILLIAMSON COUNTY, TN. USING MAPP, THE PARTNERING ORGANIZATIONS ALSO COLLABORATED WITH MEMBERS OF THE COMMUNITY TO UNDERSTAND THE CURRENT HEALTH NEEDS OF DAVIDSON COUNTY, INCLUDING ORGANIZATIONS SUCH AS, BUT NOT LIMITED TO: METRO SOCIAL SERVICES; FAMILY AND CHILDREN'S SERVICES; UNITED WAY OF NASHVILLE AND THE FAMILY RESOURCE CENTERS; TENNESSEE DEPARTMENT OF HEALTH; JUVENILE JUSTICE CENTER; MAYOR'S OFFICE OF NASHVILLE; METRO PLANNING DEPARTMENT; METRO PARKS DEPARTMENT; METRO NASHVILLE PUBLIC SCHOOLS, MATTHEW WALKER COMPREHENSIVE HEALTH CLINIC, CONNECTUS HEALTH, METRO ARTS, HEALTHY NASHVILLE LEADERSHIP COUNCIL, MENTAL HEALTH EXPERTS, LAW ENFORCEMENT OFFICERS; AND REGIONAL HEALTH COUNCIL REPRESENTATIVES. WHILE THE PARTNERING ORGANIZATIONS COLLABORATED WITH MANY COMMUNITY AGENCIES AND EXPERTS, HIRED CONSULTANTS WERE NOT USED DURING THE CHNA PROCESS. COMMUNITY REPRESENTATIVES AND LEADERS, WHO REPRESENTED A BROAD INTEREST OF THE COMMUNITY, WERE IDENTIFIED BY SAINT THOMAS HEALTH ENTITIES, VANDERBILT UNIVERSITY MEDICAL CENTER, THE METRO PUBLIC HEALTH DEPARTMENT, AND COMMUNITY INPUT COMMITTEE. THE INTERVIEWEE CONSTITUENCY WAS DIVERSE AND INCLUDED THOSE WITH PROFESSIONAL EXPERIENCE AND/OR THE ABILITY TO REPRESENT POPULATIONS WHICH ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND/OR WITH CHRONIC DISEASE NEEDS. COMMUNITY REPRESENTATIVES AND LEADERS ALSO INCLUDED THOSE WITH SPECIAL KNOWLEDGE OF AND/OR EXPERTISE IN PUBLIC HEALTH. INTERVIEWEES REPRESENTED AREAS OF HEALTHCARE SERVICES, LAW ENFORCEMENT, EDUCATION, NON-PROFIT AGENCIES, FAITH COMMUNITIES, GOVERNMENT REPRESENTATIVES, SAFETY NET SERVICE PROVIDERS, ECONOMIC AND WORKFORCE DEVELOPMENT, MENTAL/BEHAVIORAL HEALTH SERVICES, HOUSING AND HOMELESSNESS AND OTHER INTEREST GROUPS WORKING WITH VULNERABLE POPULATIONS. TO GATHER MORE WIDESPREAD INPUT FROM THE COMMUNITY, AN ELECTRONIC INTERCEPT SURVEY WAS DISSEMINATED TO VARIOUS ORGANIZATIONS IN THE COMMUNITY. THE ONLINE COMMUNITY SURVEY (ENGLISH AND SPANISH), WHICH CAN BE FOUND IN THE APPENDIX OF THE CHNA, CONSISTED OF FOUR OPEN-ENDED QUESTIONS AS WELL AS CLOSE-ENDED QUESTIONS TO GATHER DEMOGRAPHIC INFORMATION FROM RESPONDENTS. THE QUESTIONS UTILIZED ON THE SURVEY WERE ADAPTED FROM THE KANSAS CITY HEALTH DEPARTMENT AND THE MAPP PROCESS WITH INPUT FROM THE COMMUNITY INPUT SUB-COMMITTEE. THE OPEN-ENDED QUESTIONS FOCUSED ON COMMUNITY ASSETS, ISSUES/CONCERNS, AND FUTURE GOALS FOR THE COMMUNITY. FOLLOWING DEVELOPMENT OF THE QUESTIONS, THE SURVEY WAS TRANSLATED INTO SPANISH, CONVERTED INTO AN ELECTRONIC SURVEY USING REDCAP, AND PILOTED FOR ACCURACY AND TIMING. THE SURVEY WAS DISTRIBUTED TO SEVERAL NETWORKS OF THE HEALTH DEPARTMENT AS WELL AS HEALTH SYSTEM AND COMMUNITY PARTNERS. FINALLY, THE QUALITATIVE DATA WAS ANALYZED BY A TEAM OF FOUR REVIEWERS TO DETERMINE THEMES AND THE DEMOGRAPHIC DATA WAS ANALYZED USING EXCEL. THE SURVEY WAS DISTRIBUTED BY THE HEALTH SYSTEM, COMMUNITY, AND PUBLIC HEALTH NETWORKS. 277 RESPONSES WERE FIELDED FROM THE COMMUNITY SURVEY WITH ALL RESPONDENTS LIVING IN DAVIDSON COUNTY. 79% OF RESPONDENTS IDENTIFIED FEMALE, AND 21% IDENTIFIED MALE. 48% OF RESPONDENTS WERE BETWEEN THE AGES OF 40-64, WHILE ANOTHER 36% WERE AGED 26-39. 81% OF RESPONDENTS WERE WHITE AND15% OF RESPONDENTS WERE AFRICAN-AMERICAN. APPROXIMATELY 24 OF TOTAL RESPONSES WERE FROM THE SURVEY DISTRIBUTED IN SPANISH; AN ADDITIONAL 4% OF THE RESPONDENTS FROM THE ENGLISH SURVEY IDENTIFIED AS LATINO/A, HISPANIC OR SPANISH. IN DAVIDSON COUNTY, SIX LISTENING SESSIONS WERE CONDUCTED TO IDENTIFY THE FIRST-HAND OPINIONS OF COMMUNITY MEMBERS. THE GOAL WAS TO UNDERSTAND INDIVIDUALS' VIEWPOINTS ON ISSUES FACING THEIR COMMUNITY, WHAT HEALTH AND HEALTHCARE BARRIERS EXIST, AND WHAT RESOURCES ARE AVAILABLE OR ABSENT. LISTENING SESSIONS WERE MODERATED BY THE NEEDS ASSESSMENT PARTNERS AND HELD AT SIX LOCATIONS AROUND DAVIDSON COUNTY INCLUDING HADLEY PARK, HARTMAN PARK, ELIZABETH PARK SENIOR CENTER, BUILDING LIVES FOUNDATION, OUTREACH BASE, AND SALAHADEEN CENTER. EACH SESSION HAD TWELVE TO FIFTEEN INDIVIDUALS IN ATTENDANCE. THE PARTICIPANTS COMPLETED A DEMOGRAPHIC SURVEY IN ORDER TO PROVIDE INSIGHT INTO THE COMPOSITION OF EACH GROUP, BUT ALL RESPONSES DURING THE CONVERSATION WERE KEPT ANONYMOUS. THE MAIN TOPICS EXPLORED IN THESE SESSIONS INCLUDED QUALITY OF LIFE, COMMUNITY ASSETS, OBSTACLES OR CHALLENGES, AND PRIORITIES FOR THE FUTURE. THE LISTENING SESSION GUIDE CAN BE FOUND IN APPENDIX C OF THE CHNA. THE MAJORITY OF PARTICIPANTS WERE FEMALE, 27% WERE HISPANIC OR LATINO, AND 41% WERE BLACK OR AFRICAN AMERICAN. NEARLY HALF OF PARTICIPANTS SPOKE A LANGUAGE OTHER THAN ENGLISH IN THE HOME, AND MOST INDIVIDUALS COMPLETED SOME COLLEGE, HAVE A COLLEGE DEGREE, OR HAVE A GRADUATE DEGREE. 41% OF PARTICIPANTS WERE UNINSURED OR ENROLLED IN MEDICAID OR MEDICARE. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - Saint Thomas West Hospital Part II. RESULTS OF THE SYSTEMATIC REVIEW, COMMUNITY INTERVIEWS, COMMUNITY LISTENING SESSIONS, AND SECONDARY DATA ANALYSIS WERE PRESENTED ON JANUARY 11, 2019 AT THE WEST END COMMUNITY CHURCH FOR THE HEALTHY NASHVILLE SUMMIT. 159 PERSONS ATTENDED, AND INVITEES INCLUDED ALL PARTICIPANTS IN INTERVIEWS AND COMMUNITY LISTENING SESSIONS, AS WELL AS COMMUNITY MEMBERS WITH EXPERTISE IN PUBLIC HEALTH OR WHO WORK WITH MEDICALLY UNDER-SERVED, MINORITY, OR LOW-INCOME POPULATIONS. THE PURPOSE OF THE SUMMIT WAS TO SOLICIT INPUT AND CONSIDER THE BROAD INTERESTS OF THE COMMUNITY IN IDENTIFYING AND PRIORITIZING THE COMMUNITY'S HEALTH NEEDS. IN DAVIDSON COUNTY, THE SUMMIT WAS FACILITATED JOINTLY BY VUMC, SAINT THOMAS HEALTH, AND THE METRO PUBLIC HEALTH DEPARTMENT. AFTER BEING PRESENTED WITH PRIMARY AND SECONDARY DATA ON SEVERAL NEEDS, SUMMIT ATTENDEES PROVIDED INPUT INTO PRIORITIZING THE MOST IMPORTANT HEALTH NEEDS WITHIN THE COMMUNITY. ATTENDEES INDIVIDUALLY SELECTED BETWEEN ONE AND THREE HEALTH ISSUES AND THEN DISCUSSED THESE NEEDS WITH THEIR TABLEMATES, GUIDED BY A FACILITATOR. THE TABLE CONSOLIDATED THE NEEDS INTO THREE HEALTH NEED BUCKETS. THESE BUCKETS WERE THEN ENTERED INTO AN ELECTRONIC VOTING SYSTEM. ALL PARTICIPANTS VOTED ON THEIR TOP THREE PRIORITIES VIA THE VOTING SYSTEM CALLED REDCAP. THE FOUR HEALTH NEEDS WITH THE GREATEST NUMBER OF VOTES WERE SELECTED AS THE IDENTIFIED HEALTH NEEDS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Saint Thomas West Hospital. The Tax Year 2018 CHNA was conducted with Saint Thomas Midtown Hospital, Saint Thomas Hospital for Specialty Surgery, and Vanderbilt University Medical Center . Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Saint Thomas West Hospital. The OTHER ORGANIZATIONS WHO SERVED AS a PARTNER IN THE CONDUCTING OF the tax year 2018 CHNA were Saint Thomas Health and and the Metro Public Health Department. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Saint Thomas West Hospital Part I of II. DURING THE CHNA AND IMPLEMENTATION STRATEGY BRAINSTORMING PHASE ACROSS THE ASCENSION TENNESSEE MINISTRY (7 COUNTIES), COMMUNITY BENEFIT AND HOSPITAL LEADERS AGREED TO A COLLECTIVE IMPACT MODEL TOWARD ADDRESSING NEEDS THAT APPEARED IN MULTIPLE COUNTIES. THIS MODEL IS AN EFFORT TO ALLOCATE RESOURCES (BOTH STAFF AND DOLLARS) IN WAYS THAT CAN MORE MEANINGFULLY IMPACT PRIORITY AREAS. THE 4 NEEDS CHOSEN APPEARED IN 5 OR MORE OF THE COUNTIES SURVEYED. THE MINISTRY IS COMMITTED TO ADDRESSING SUMMIT-SPECIFIC NEEDS WITH THE 4 BROAD CATEGORIES OVER THE COURSE OF THIS CYCLE. ADDITIONALLY, OUR COMMUNITY BENEFIT WORK WILL UTILIZE AN EQUITY AND ADVOCACY FRAMEWORK. THIS WILL ENSURE WE ARE AWARE OF HOW SYSTEMS NEED TO CHANGE TO DECREASE INEQUITIES AND INCREASE EQUITY. EFFECTIVE AND SUSTAINABLE CHANGE IS MOST SUCCESSFUL WHEN PEOPLE AND COMMUNITIES IMPACTED BY THE CHANGE ARE INCLUDED THROUGHOUT THE PROCESS. THE PRIORITIZED UNMET HEALTH NEEDS IDENTIFIED FOR SAINT THOMAS WEST Hospital FOR THE TY2018 CHNA ARE: ACCESS TO CARE MENTAL HEALTH HEALTHY WEIGHT SUBSTANCE ABUSE ALL PRIORITY HEALTH NEEDS WILL BE ADDRESSED. WHILE MOST IMPLEMENTATION STRATEGIES ARE IN PROGRESS, SOME ARE FURTHER ALONG IN THEIR COMPLETION THAN OTHERS DUE TO SETBACKS WITH CAPACITY AND THE COVID-19 PANDEMIC. DURING OUR FIRST YEAR OF ORGANIZING AND PLANNING, A HOSPITAL DASHBOARD FOR EACH FACILITY WAS CREATED, AND HAS BEEN USED TO TRACK THE QUARTERLY PROGRESS OF EACH INDIVIDUAL STRATEGY FOR EACH FACILITY, FOR EACH YEAR OF OUR CURRENT CHNA CYCLE. THIS HELPED TO CREATE OWNERSHIP FOR HOSPITAL LEADERSHIP IN THE COMMUNITY BENEFIT REPORTING PROCESS. THE PROGRESS OF THESE REPORTS HAVE BEEN EMBEDDED IN A BI-MONTHLY MEETING THAT INCLUDES HOSPITAL AND MISSION LEADERS. ADDITIONALLY, THE ASCENSION ABIDE (APPRECIATION - BELONGINGNESS - INCLUSIVITY - DIVERSITY - EQUITY) FRAMEWORK, WAS LAUNCHED TO ASSIST WITH ENHANCING STRATEGIES, INCLUDING CASH DONATIONS TO COMMUNITY PARTNERS, AND THE POPULATIONS THEY SERVE. SAINT THOMAS WEST INVESTED MORE THAN $410,000 INTO THE WORK OF COMMUNITY PARTNER 501(C)3 ORGANIZATIONS IMPLEMENTING PROGRAMS AND SERVICES IN THE CHNA NEED AREAS OF ACCESS TO CARE, HEALTHY WEIGHT, SUBSTANCE ABSUSE AND MENTAL HEALTH. SOME OF THESE PROGRAMS INCLUDE GROWING AND DEVELOPING COMMUNITY GARDENS, EMPOWERING INDIVIDUALS TO OVERCOME OBSTACLES CAUSED BY POVERTY BY PROVIDING EDUCATION, MENTORING AND RESOURCES, ASSISTING FAMILIES IN ATTAINING HEALTH INSURANCE, AND PROVIDING ADDICTION COUNSELING AND MENTAL HEALTH SERVICES TO U.S. MILITARY VETERANS. ADDITIONALLY, WE RE-EVALUATED ALL STRATEGY DEVELOPMENT AND PROGRESS AFTER COVID-19 MADE ITS WAY INTO THE COMMUNITY IN MARCH 2020. WE WORKED WITH OUR COLLEAGUES TO DEVELOP TELEHEALTH AND E-SOLUTIONS FOR SOME OF OUR STRATEGIES, INCLUDING GROWING OUR ONLINE PRESENCE FOR OUR BREASTFEEDING CLINICS AND EXPANDING OUR MOBILE HEALTH AND TELEHEALTH PROGRAMS. SUMMARY OF IMPLEMENTATION STRATEGY PRIORITIZED NEED #1: ACCESS TO CARE GOAL: IMPROVE ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE SERVICES THROUGH INCREASING AVAILABILITY AND AFFORDABILITY OF CARE WHILE ADVOCATING FOR INCREASED HEALTH INSURANCE COVERAGE. STRATEGY 1: OPERATE AND EXPAND A COMMUNITY- FACING BREASTFEEDING OUTREACH CLINIC TO SUPPORT AND EDUCATE BREASTFEEDING FAMILIES. 1410 INDIVIDUALS SERVED IN 2021, INCREASED TELEHEALTH SERVICES TO REACH PATIENTS VIRTUALLY. STRATEGY 2: OPERATE AND EXPAND DISPENSARY OF HOPE PHARMACIES PROVIDE MEDICATION ASSISTANCE FOR UNINSURED & UNDERINSURED INDIVIDUALS WHO EXPERIENCE FINANCIAL HARDSHIP, AS WELL AS ASSISTING PATIENTS WITH NAVIGATING OTHER COMMUNITY RESOURCES AS NEEDED. THERE WERE 43,886 PRESCRIPTIONS FILLED IN OUR DAVIDSON COUNTY DISPENSARIES OF HOPE IN 2021, FOR A TOTAL INVESTMENT OF $776,355. STRATEGY 3: DISTRIBUTE DONATED MEDICATION TO CHARITABLE PHARMACIES AND CLINICS. WE DISCOVERED LAST YEAR THAT THIS DISTRIBUTION CENTER DOES NOT SERVE OUR SPECIFIC COMMUNITY. BECAUSE IT WORKS NATIONALLY, RATHER THAN LOCALLY, WE WILL NO LONGER COUNT THIS PROGRAM TOWARD COMMUNITY BENEFIT. STRATEGY 4: IMPROVE MATERNAL AND INFANT HEALTH THROUGH OFFERING PRENATAL EDUCATION VIA GROUP VISITS. THIS WAS NOT POSSIBLE BECAUSE OF LIMITATIONS TO MEET IN PERSON DUE TO COVID RESTRICTIONS. WILL CONTINUE TO EXPLORE VIRTUAL OR OTHER OPPORTUNITIES IN THE COMING YEAR. STRATEGY 5: OPERATE SAINT THOMAS SCHOLARS TO PROVIDE OPPORTUNITIES FOR STUDENTS IN METRO NASHVILLE PUBLIC SCHOOLS TO ADVANCE THEIR EXPERIENTIAL LEARNING AND OBTAIN INDUSTRY CERTIFICATION IN THE HEALTHCARE FIELD. OF THE 62 STUDENTS WHO APPLIED TO THE SAINT THOMAS SCHOLARS PROGRAM IN 2021, 52 (84%) PASSED THEIR EXAM TO BECOME A CERTIFIED MEDICAL ASSISTANT. WE HAVE SEEN SO MUCH SUCCESS WITH THIS PROGRAM IN DAVIDSON COUNTY, WE HAVE BEGUN WORKING TO EXPAND THE PROGRAM TO BRING OPPORTUNITIES TO STUDENTS IN RUTHERFORD AND HICKMAN COUNTY AS WELL. STRATEGY 6: INCREASE SCREENING COMPLIANCE THROUGH OUR MOBILE HEALTH UNITS, INCLUDING MISSION IN MOTION MOBILE MAMMOGRAPHY. 575 UNINSURED WOMEN RECEIVED MAMMOGRAMS AT NO COST IN OUR MOBILE MAMMOGRAPHY UNIT AT 59 COMMUNITY-FACING EVENTS IN 2021. WHILE THE DOLLARS WILL NOT COUNT TOWARD COMMUNITY BENEFIT DUE TO REIMBURSEMENTS RECEIVED, OUR MOBILE UNIT WAS ONE OF THE FIRST IN OUR COMMUNITY TO OFFER ON-SITE COVID VACCINE CLINICS FOR LOW-INCOME SENIORS IN OUR METRO HOUSING DEVELOPMENTS AND OUR HOMELESS POPULATION, MEETING THEM WHERE THEY ARE NEAR ENCAMPMENTS AND COMMUNITY RESOURCES THEY TRUST. WE CONTINUE TO LOOK FOR NEW OPPORTUNITIES TO LEVERAGE OUR MOBILE HEALTH UNIT TO CONNECT WITH COMMUNITY MEMBERS AND CONNECT THEM WITH RESOURCES THEY NEED. STRATEGY 7: IMPLEMENT COMMUNITY-WIDE MEDICAL MISSIONS AT HOME THAT INTEGRATE MEDICAL, DENTAL, VISION AND BEHAVIORAL HEALTH, ALONG WITH COMMUNITY RESOURCES. THIS PROGRAM IS NOT POSSIBLE UNDER CURRENT COVID SAFETY GUIDELINES. WE ARE TAKING TIME TO REEVALUATE THESE EFFORTS AND WHAT THE COMMUNITY MAY NEED IN A POST-PANDEMIC WORLD. STRATEGY 8: IMPROVE ACCESS TO CARE VIA TELEMEDICINE, INCLUDING CONSULTATIONS WHEN ACUTE STROKE SYMPTOMS ARE PRESENT. WE LEARNED THIS YEAR THAT OUR TELESTROKE SERVICES ARE NOW COVERED BY INSURANCE. BECAUSE WE ARE BILLING AND RECEIVING REIMBURSEMENTS, WE WILL NO LONGER COUNT THIS PROGRAM TOWARD COMMUNITY BENEFIT. STRATEGY 9: EXPAND ACCESS TO DENTAL CARE THROUGH DENTAL RESIDENCY PROGRAM AND PRACTICE. OUR DAVIDSON COUNTY DENTAL RESIDENTS HAD MORE THAN 2,800 PATIENT ENCOUNTERS IN 2021. THIS PROGRAM WILL EXPAND INTO THE MEMPHIS MARKET IN 2022. STRATEGY 10: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. SAINT THOMAS WEST HOSPITAL (along with a related hospital) DONATED NEARLY $150,000 TO AREA NONPROFIT ORGANIZATIONS WHO WORK TOWARD CREATING GREATER ACCESS TO HEALTHCARE FOR UNDERSERVED POPULATIONS IN FY2021. PRIORITIZED NEED #2: MENTAL HEALTH GOAL: SUPPORT MENTAL AND EMOTIONAL HEALTH, DECREASE STIGMA AND INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. STRATEGY 1: PROVIDE MENTAL HEALTH SCREENING, COUNSELING, AND PSYCHIATRIC MEDICATION MANAGEMENT TO COMMUNITY MEMBERS WHO SEEK CARE AT SAINT THOMAS MEDICAL PARTNERS' DAVIDSON FAMILY HEALTH CENTER PCMH SITES. SAINT THOMAS WEST HOSPITAL HAVE IMPLEMENTED A BEHAVIORAL HEALTH SCREENING THAT IS GIVEN TO PATIENTS IN OUR EMERGENCY DEPARTMENTS AS WELL AS OUR PRIMARY CARE CLINICS. APPROXIMATELY 40% OF PATIENTS SCREENED RECEIVED SOME KIND OF BEHAVIORAL HEALTH REFERRAL OR TREATMENT. THIS LENDS AN UPSTREAM APPROACH TO HELPING COMMUNITY MEMBERS IMPROVE MENTAL HEALTH BY INITIATING BEHAVIORAL HEALTHCARE IN THE PRIMARY CARE SETTING. STRATEGY 2: SUPPORT THE DEVELOPMENT OF A MORE COORDINATED NETWORK TO MEET THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS AND COMMUNITIES IN DAVIDSON COUNTY. ASCENSION SAINT THOMAS PARTNERED TO OPEN A NEW BEHAVIORAL HEALTH HOSPITAL AS A JOINT VENTURE IN 2021. WE ARE WORKING ON THIS PARTNERSHIP TO CREATE GREATER ACCESS TO MENTAL HEALTH SERVICES FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. STRATEGY 3: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. SAINT THOMAS WEST hospital (along with a related hospital) GAVE MORE THAN $47,000 TO AREA NONPROFIT ORGANIZATIONS WHO PROVIDE MENTAL HEALTH SERVICES TO VULNERABLE POPULATIONS. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Saint Thomas West Hospital Part II of II. PRIORITIZED NEED #3: OBESITY (HEALTHY WEIGHT) GOAL: PROMOTE AND SUPPORT A HEALTHY LIFESTYLE THROUGH STRENGTHENING COMMUNITY RESOURCES THAT WILL POSITIVELY IMPACT HEALTHY EATING, ACTIVE LIVING, CHRONIC DISEASE MANAGEMENT AND CHRONIC DISEASE PREVENTION. STRATEGY 1: PROVIDE ACCESS TO PHYSICAL ACTIVITY AND NUTRITION EDUCATION AND COUNSELING THROUGH AT LEAST ONE PRIMARY CARE CLINIC. THESE CLASSES HAVE NOT BEEN POSSIBLE DUE TO COVID SAFETY PROTOCOLS. WE HOPE TO RESUME THESE PROGRAMS OR FIND A SAFE ALTERNATIVE THIS YEAR. STRATEGY 2: EXPLORE AND LEARN ABOUT OPPORTUNITIES TO REDUCE FOOD WASTE AND INCREASE THE AMOUNT OF FOOD DONATED TO FOOD BANKS WITH COMMUNITY PARTNERS AND HEALTH SYSTEMS. DUE TO COVID-19, WE HAVE NOT HAD THE CAPACITY TO EXPLORE THIS PROGRAM. IT WILL REMAIN ON OUR LIST FOR FY2022 WITH HOPES TO FIND A STAFF PERSON WITH THE BANDWIDTH TO TAKE ON THIS IMPORTANT WORK. STRATEGY 3: EXPLORE OPPORTUNITIES FOR COMMUNITY FACING BARIATRIC MODELS OF CARE THAT WOULD REMOVE BARRIERS FOR THE POOR AND VULNERABLE. AFTER EXPLORING THIS PROGRAM, IT WAS DECIDED THAT WE DO NOT HAVE THE CAPACITY TO EXPAND IT AT THIS TIME. STRATEGY 4: EXPLORE OPPORTUNITIES TO INCREASE ACCESS AND KNOWLEDGE OF HEALTHY EATING THROUGH NEW PARTNERSHIPS. WE ARE EXPLORING A POTENTIAL PARTNERSHIP WITH KROGER TO COLLABORATE WITH THEIR NO WASTE EFFORT TO BRING NEEDED NUTRITIONAL SUPPORT TO VULNERABLE POPULATIONS. STRATEGY 5: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. SAINT THOMAS WEST HOSPITAL (along with a related hospital) GAVE MORE THAN $150,000 TO AREA NONPROFIT ORGANIZATIONS THAT ARE WORKING TO PROVIDE HEALTHY FOOD, NUTRITIONAL EDUCATION AND COUNSELING AND OPPORTUNITIES FOR PHYSICAL ACTIVITY TO COMMUNITY MEMBERS IN NEED. PRIORITIZED NEED #4: SUBSTANCE ABUSE GOAL: DECREASE THE INCIDENCE OF SUBSTANCE ABSUSE THROUGH IDENTIFYING, TREATING AND/OR REFERRING TO TREATMENT, AND SUPPORTING THOSE IN NEED. STRATEGY 1: BETTER MEET BASIC NEEDS AND SOCIAL DETERMINANTS FOR INDIVIDUALS IN RECOVERY. EXPLORING POSSIBILITIES WITH OUR NEW BEHAVIORAL HEALTH HOSPITAL AND OTHER COMMUNITY PARTNERS IN 2022. STRATEGY 2: DEVELOP A MORE COORDINATED NETWORK TO MEET THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS AND COMMUNITIES IN DAVIDSON COUNTY. EXPLORING POSSIBILITIES WITH OUR NEW BEHAVIORAL HEALTH HOSPITAL AND COMMUNITY PARTNERS IN 2022. ASCENSION SAINT THOMAS LEADERSHIP WAS APPOINTED TO THE MAYOR'S BEHAVIORAL HEALTH AND WELLNESS COUNCIL (BHWAC). THIS COUNCIL WAS ESTABLISHED BY MAYOR DAVID BRILEY'S EXECUTIVE ORDER 003 TO PROMOTE BROAD COLLABORATION BETWEEN GOVERNMENT AND COMMUNITY PARTNERS TO SUPPORT SYSTEMS CHANGE THAT WILL ULTIMATELY BETTER SERVE RESIDENTS AND FAMILIES IN NEED. STRATEGY 3: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. SAINT THOMAS WEST Hospital (along with a related hospital) gave $40,000 TO AREA NONPROFIT ORGANIZATIONS THAT OFFER SUBSTANCE ABSUSE SUPPORT TO VULNERABLE POPULATIONS. Schedule H, Part V, Section B, Line 2 Saint Thomas Midtown merged into Saint Thomas West effective July 01, 2020. Schedule H, Part V, Section B, Line 3E To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SAINT THOMAS MIDTOWN PART I of II. THE PROCESS INCLUDED A REVIEW OF SECONDARY HEALTH DATA, A SYSTEMATIC REVIEW OF EXISTING COMMUNITY AGENCY REPORTS, AN ONLINE COMMUNITY SURVEY, INTERVIEWS OF COMMUNITY REPRESENTATIVES AND LEADERS, COMMUNITY LISTENING SESSIONS, AND A COMMUNITY HEALTH SUMMIT TO REVIEW FINDINGS AND DISCERN UNMET HEALTH NEEDS. THE COLLABORATING TEAM RECEIVED INPUT FROM PUBLIC HEALTH EXPERTS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENT, SAINT THOMAS HEALTH, VANDERBILT UNIVERSITY MEDICAL CENTER AND THE METRO PUBLIC HEALTH DEPARTMENT TO DESIGN, DIRECT AND CONDUCT THE CHNA. SAINT THOMAS HEALTH (STH) AND VANDERBILT UNIVERSITY MEDICAL CENTER (VUMC) PARTICIPATED IN THE CHNA PROCESS ON BEHALF OF THEIR NON-PROFIT HOSPITALS AND HEALTH SYSTEMS. INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, WAS OBTAINED THROUGH FACE-TO-FACE INTERVIEWS, COMMUNITY LISTENING SESSIONS, AND VIA AN ONLINE COMMUNITY SURVEY (DISTRIBUTED IN ENGLISH AND SPANISH). SAINT THOMAS MIDTOWN HOSPITAL AND ITS COLLABORATORS ALSO CONDUCTED A COMPREHENSIVE REVIEW OF RELEVANT SECONDARY DATA. THE PARTNERING TEAM REVIEWED PUBLICLY AVAILABLE SECONDARY DATA FOR THE FOLLOWING HEALTH INDICATOR TOPICS: DEMOGRAPHICS AND SOCIOECONOMIC STATUS, SOCIAL AND NATURAL ENVIRONMENT, ACCESS TO HEALTH CARE, MORBIDITY/MORTALITY, BIRTH OUTCOMES, PREVENTIVE CARE/RISK FACTORS BEHAVIORS, INFECTIOUS DISEASE, AND MENTAL HEALTH. SOCIAL DETERMINANTS ARE THE CONDITIONS OF COMMUNITIES WITHIN WHICH PEOPLE LIVE THAT AFFECT THEIR HEALTH AND WELL-BEING AND INCLUDE HOUSING, CRIME, POVERTY, EDUCATION, DISCRIMINATION, AND OTHERS. SOCIAL DETERMINANTS ARE INCLUDED IN ASSESSMENTS OF HEALTH AND WELL-BEING. ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THROUGH COMMUNITY BUILDING AND IMPROVEMENT INITIATIVES IS A KEY COMPONENT IN IMPROVING THE CONTRIBUTING FACTORS THAT DETERMINE THE HEALTH OF THE COMMUNITY. THE PARTNERING ORGANIZATIONS, THEREFORE, ALSO REVIEWED INDICATORS OF HEALTH RELATED TO SOCIAL DETERMINANTS AS PART OF THIS ASSESSMENT. IN ADDITION, THESE HOSPITALS SOLICITED WRITTEN FEEDBACK ON THE MOST RECENT CHNA ON THE SAINT THOMAS HEALTH COMMUNITY BENEFIT WEBSITE. SPECIFICS OF EACH METHOD ARE DESCRIBED IN DEPTH IN EACH CORRESPONDING SECTION OF THE REPORT. THE PARTNERING ORGANIZATIONS USED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO GUIDE THEIR DAVIDSON COUNTY CHNA WORK. MAPP IS A COMMUNITY-WIDE STRATEGIC PLANNING PROCESS FOR IMPROVING PUBLIC AND COMMUNITY HEALTH; THIS FRAMEWORK HELPS COMMUNITIES PRIORITIZE PUBLIC HEALTH ISSUES, IDENTIFY RESOURCES FOR ADDRESSING THEM, AND ACT TO IMPROVE CONDITIONS THAT SUPPORT HEALTHY LIVING. THE PROCESS ENCOMPASSES FOUR SEPARATE ASSESSMENTS THAT MEASURE THE HEALTH OF THE COMMUNITY IN SEVERAL WAYS. PLEASE NOTE THAT TWO OF THE FOUR MAPP ASSESSMENTS CONDUCTED (LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND FORCES OF CHANGE) ARE CONSIDERED SUPPLEMENTAL AND WILL BE INCLUDED IN THE APPENDICES OF THIS REPORT. THE PARTNERING ORGANIZATIONS WORKED TOGETHER TO DESIGN, DIRECT AND CONDUCT THE ASSESSMENTS OF THE COMMUNITIES SERVED. REPRESENTATIVES OF THE ORGANIZATION INCLUDE THOSE WITH SPECIAL KNOWLEDGE OF AND/OR EXPERTISE IN PUBLIC HEALTH. STH, VUMC, AND MPHD HAD ONE COMMUNITY SERVED WHICH OVERLAPPED: DAVIDSON COUNTY, TN. THE PARTNERING ORGANIZATIONS COLLABORATED AND SHARED IN THE ANALYSIS OF INTERVIEW AND COMMUNITY LISTENING SESSION RESULTS. ADDITIONALLY, STH AND VUMC WORKED TOGETHER IN REVIEWING SECONDARY DATA AND PREPARATION FOR COMMUNITY MEETINGS IN THREE OTHER COUNTIES: HICKMAN COUNTY, TN; RUTHERFORD COUNTY, TN; AND WILLIAMSON COUNTY, TN. USING MAPP, THE PARTNERING ORGANIZATIONS ALSO COLLABORATED WITH MEMBERS OF THE COMMUNITY TO UNDERSTAND THE CURRENT HEALTH NEEDS OF DAVIDSON COUNTY, INCLUDING ORGANIZATIONS SUCH AS, BUT NOT LIMITED TO: METRO SOCIAL SERVICES; FAMILY AND CHILDREN'S SERVICES; UNITED WAY OF NASHVILLE AND THE FAMILY RESOURCE CENTERS; TENNESSEE DEPARTMENT OF HEALTH; JUVENILE JUSTICE CENTER; MAYOR'S OFFICE OF NASHVILLE; METRO PLANNING DEPARTMENT; METRO PARKS DEPARTMENT; METRO NASHVILLE PUBLIC SCHOOLS, MATTHEW WALKER COMPREHENSIVE HEALTH CLINIC, CONNECTUS HEALTH, METRO ARTS, HEALTHY NASHVILLE LEADERSHIP COUNCIL, MENTAL HEALTH EXPERTS, LAW ENFORCEMENT OFFICERS; AND REGIONAL HEALTH COUNCIL REPRESENTATIVES. WHILE THE PARTNERING ORGANIZATIONS COLLABORATED WITH MANY COMMUNITY AGENCIES AND EXPERTS, HIRED CONSULTANTS WERE NOT USED DURING THE CHNA PROCESS. COMMUNITY REPRESENTATIVES AND LEADERS, WHO REPRESENTED A BROAD INTEREST OF THE COMMUNITY, WERE IDENTIFIED BY SAINT THOMAS HEALTH ENTITIES, VANDERBILT UNIVERSITY MEDICAL CENTER, THE METRO PUBLIC HEALTH DEPARTMENT, AND COMMUNITY INPUT COMMITTEE. THE INTERVIEWEE CONSTITUENCY WAS DIVERSE AND INCLUDED THOSE WITH PROFESSIONAL EXPERIENCE AND/OR THE ABILITY TO REPRESENT POPULATIONS WHICH ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND/OR WITH CHRONIC DISEASE NEEDS. COMMUNITY REPRESENTATIVES AND LEADERS ALSO INCLUDED THOSE WITH SPECIAL KNOWLEDGE OF AND/OR EXPERTISE IN PUBLIC HEALTH. INTERVIEWEES REPRESENTED AREAS OF HEALTHCARE SERVICES, LAW ENFORCEMENT, EDUCATION, NON-PROFIT AGENCIES, FAITH COMMUNITIES, GOVERNMENT REPRESENTATIVES, SAFETY NET SERVICE PROVIDERS, ECONOMIC AND WORKFORCE DEVELOPMENT, MENTAL/BEHAVIORAL HEALTH SERVICES, HOUSING AND HOMELESSNESS AND OTHER INTEREST GROUPS WORKING WITH VULNERABLE POPULATIONS. TO GATHER MORE WIDESPREAD INPUT FROM THE COMMUNITY, AN ELECTRONIC INTERCEPT SURVEY WAS DISSEMINATED TO VARIOUS ORGANIZATIONS IN THE COMMUNITY. THE ONLINE COMMUNITY SURVEY (ENGLISH AND SPANISH), WHICH CAN BE FOUND IN THE APPENDIX OF THE CHNA, CONSISTED OF FOUR OPEN-ENDED QUESTIONS AS WELL AS CLOSE-ENDED QUESTIONS TO GATHER DEMOGRAPHIC INFORMATION FROM RESPONDENTS. THE QUESTIONS UTILIZED ON THE SURVEY WERE ADAPTED FROM THE KANSAS CITY HEALTH DEPARTMENT AND THE MAPP PROCESS WITH INPUT FROM THE COMMUNITY INPUT SUB-COMMITTEE. THE OPEN-ENDED QUESTIONS FOCUSED ON COMMUNITY ASSETS, ISSUES/CONCERNS, AND FUTURE GOALS FOR THE COMMUNITY. FOLLOWING DEVELOPMENT OF THE QUESTIONS, THE SURVEY WAS TRANSLATED INTO SPANISH, CONVERTED INTO AN ELECTRONIC SURVEY USING REDCAP, AND PILOTED FOR ACCURACY AND TIMING. THE SURVEY WAS DISTRIBUTED TO SEVERAL NETWORKS OF THE HEALTH DEPARTMENT AS WELL AS HEALTH SYSTEM AND COMMUNITY PARTNERS. FINALLY, THE QUALITATIVE DATA WAS ANALYZED BY A TEAM OF FOUR REVIEWERS TO DETERMINE THEMES AND THE DEMOGRAPHIC DATA WAS ANALYZED USING EXCEL. THE SURVEY WAS DISTRIBUTED BY THE HEALTH SYSTEM, COMMUNITY, AND PUBLIC HEALTH NETWORKS. 277 RESPONSES WERE FIELDED FROM THE COMMUNITY SURVEY WITH ALL RESPONDENTS LIVING IN DAVIDSON COUNTY. 79% OF RESPONDENTS IDENTIFIED FEMALE, AND 21% IDENTIFIED MALE. 48% OF RESPONDENTS WERE BETWEEN THE AGES OF 40-64, WHILE ANOTHER 36% WERE AGED 26-39. 81% OF RESPONDENTS WERE WHITE AND15% OF RESPONDENTS WERE AFRICAN-AMERICAN. APPROXIMATELY 24 OF TOTAL RESPONSES WERE FROM THE SURVEY DISTRIBUTED IN SPANISH; AN ADDITIONAL 4% OF THE RESPONDENTS FROM THE ENGLISH SURVEY IDENTIFIED AS LATINO/A, HISPANIC OR SPANISH. IN DAVIDSON COUNTY, SIX LISTENING SESSIONS WERE CONDUCTED TO IDENTIFY THE FIRST-HAND OPINIONS OF COMMUNITY MEMBERS. THE GOAL WAS TO UNDERSTAND INDIVIDUALS' VIEWPOINTS ON ISSUES FACING THEIR COMMUNITY, WHAT HEALTH AND HEALTHCARE BARRIERS EXIST, AND WHAT RESOURCES ARE AVAILABLE OR ABSENT. LISTENING SESSIONS WERE MODERATED BY THE NEEDS ASSESSMENT PARTNERS AND HELD AT SIX LOCATIONS AROUND DAVIDSON COUNTY INCLUDING HADLEY PARK, HARTMAN PARK, ELIZABETH PARK SENIOR CENTER, BUILDING LIVES FOUNDATION, OUTREACH BASE, AND SALAHADEEN CENTER. EACH SESSION HAD TWELVE TO FIFTEEN INDIVIDUALS IN ATTENDANCE. THE PARTICIPANTS COMPLETED A DEMOGRAPHIC SURVEY IN ORDER TO PROVIDE INSIGHT INTO THE COMPOSITION OF EACH GROUP, BUT ALL RESPONSES DURING THE CONVERSATION WERE KEPT ANONYMOUS. THE MAIN TOPICS EXPLORED IN THESE SESSIONS INCLUDED QUALITY OF LIFE, COMMUNITY ASSETS, OBSTACLES OR CHALLENGES, AND PRIORITIES FOR THE FUTURE. THE LISTENING SESSION GUIDE CAN BE FOUND IN APPENDIX C OF THE CHNA. THE MAJORITY OF PARTICIPANTS WERE FEMALE, 27% WERE HISPANIC OR LATINO, AND 41% WERE BLACK OR AFRICAN AMERICAN. NEARLY HALF OF PARTICIPANTS SPOKE A LANGUAGE OTHER THAN ENGLISH IN THE HOME, AND MOST INDIVIDUALS COMPLETED SOME COLLEGE, HAVE A COLLEGE DEGREE, OR HAVE A GRADUATE DEGREE. 41% OF PARTICIPANTS WERE UNINSURED OR ENROLLED IN MEDICAID OR MEDICARE. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - SAINT THOMAS MIDTOWN PART II of II. RESULTS OF THE SYSTEMATIC REVIEW, COMMUNITY INTERVIEWS, COMMUNITY LISTENING SESSIONS, AND SECONDARY DATA ANALYSIS WERE PRESENTED ON JANUARY 11, 2019 AT THE WEST END COMMUNITY CHURCH FOR THE HEALTHY NASHVILLE SUMMIT. 159 PERSONS ATTENDED, AND INVITEES INCLUDED ALL PARTICIPANTS IN INTERVIEWS AND COMMUNITY LISTENING SESSIONS, AS WELL AS COMMUNITY MEMBERS WITH EXPERTISE IN PUBLIC HEALTH OR WHO WORK WITH MEDICALLY UNDER-SERVED, MINORITY, OR LOW-INCOME POPULATIONS. THE PURPOSE OF THE SUMMIT WAS TO SOLICIT INPUT AND CONSIDER THE BROAD INTERESTS OF THE COMMUNITY IN IDENTIFYING AND PRIORITIZING THE COMMUNITY'S HEALTH NEEDS. IN DAVIDSON COUNTY, THE SUMMIT WAS FACILITATED JOINTLY BY VUMC, SAINT THOMAS HEALTH, AND THE METRO PUBLIC HEALTH DEPARTMENT. AFTER BEING PRESENTED WITH PRIMARY AND SECONDARY DATA ON SEVERAL NEEDS, SUMMIT ATTENDEES PROVIDED INPUT INTO PRIORITIZING THE MOST IMPORTANT HEALTH NEEDS WITHIN THE COMMUNITY. ATTENDEES INDIVIDUALLY SELECTED BETWEEN ONE AND THREE HEALTH ISSUES AND THEN DISCUSSED THESE NEEDS WITH THEIR TABLEMATES, GUIDED BY A FACILITATOR. THE TABLE CONSOLIDATED THE NEEDS INTO THREE HEALTH NEED BUCKETS. THESE BUCKETS WERE THEN ENTERED INTO AN ELECTRONIC VOTING SYSTEM. ALL PARTICIPANTS VOTED ON THEIR TOP THREE PRIORITIES VIA THE VOTING SYSTEM CALLED REDCAP. THE FOUR HEALTH NEEDS WITH THE GREATEST NUMBER OF VOTES WERE SELECTED AS THE IDENTIFIED HEALTH NEEDS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Saint Thomas MIDTOWN Hospital. The Tax Year 2018 CHNA was conducted with Saint Thomas Hospital for Specialty Surgery, Saint Thomas West Hospital, and Vanderbilt University Medical Center. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Saint Thomas MIDTOWN Hospital. The OTHER ORGANIZATIONS WHO SERVED AS a PARTNER IN THE CONDUCTING OF the tax year 2018 CHNA were Saint Thomas Health and and the Metro Public Health Department. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SAINT THOMAS MIDTOWN I of II. DURING THE CHNA AND IMPLEMENTATION STRATEGY BRAINSTORMING PHASE ACROSS THE ASCENSION TENNESSEE MINISTRY (7 COUNTIES), COMMUNITY BENEFIT AND HOSPITAL LEADERS AGREED TO A COLLECTIVE IMPACT MODEL TOWARD ADDRESSING NEEDS THAT APPEARED IN MULTIPLE COUNTIES. THIS MODEL IS AN EFFORT TO ALLOCATE RESOURCES (BOTH STAFF AND DOLLARS) IN WAYS THAT CAN MORE MEANINGFULLY IMPACT PRIORITY AREAS. THE 4 NEEDS CHOSEN APPEARED IN 5 OR MORE OF THE COUNTIES SURVEYED. THE MINISTRY IS COMMITTED TO ADDRESSING SUMMIT-SPECIFIC NEEDS WITH THE 4 BROAD CATEGORIES OVER THE COURSE OF THIS CYCLE. ADDITIONALLY, OUR COMMUNITY BENEFIT WORK WILL UTILIZE AN EQUITY AND ADVOCACY FRAMEWORK. THIS WILL ENSURE WE ARE AWARE OF HOW SYSTEMS NEED TO CHANGE TO DECREASE INEQUITIES AND INCREASE EQUITY. EFFECTIVE AND SUSTAINABLE CHANGE IS MOST SUCCESSFUL WHEN PEOPLE AND COMMUNITIES IMPACTED BY THE CHANGE ARE INCLUDED THROUGHOUT THE PROCESS. THE PRIORITIZED UNMET HEALTH NEEDS IDENTIFIED FOR SAINT THOMAS MIDTOWN Hospital FOR THE TY2018 CHNA ARE: ACCESS TO CARE MENTAL HEALTH HEALTHY WEIGHT SUBSTANCE ABUSE ALL PRIORITY HEALTH NEEDS WILL BE ADDRESSED. WHILE MOST IMPLEMENTATION STRATEGIES ARE IN PROGRESS, SOME ARE FURTHER ALONG IN THEIR COMPLETION THAN OTHERS DUE TO SETBACKS WITH CAPACITY AND THE COVID-19 PANDEMIC. DURING OUR FIRST YEAR OF ORGANIZING AND PLANNING, A HOSPITAL DASHBOARD FOR EACH FACILITY WAS CREATED, AND HAS BEEN USED TO TRACK THE QUARTERLY PROGRESS OF EACH INDIVIDUAL STRATEGY FOR EACH FACILITY, FOR EACH YEAR OF OUR CURRENT CHNA CYCLE. THIS HELPED TO CREATE OWNERSHIP FOR HOSPITAL LEADERSHIP IN THE COMMUNITY BENEFIT REPORTING PROCESS. THE PROGRESS OF THESE REPORTS HAVE BEEN EMBEDDED IN A BI-MONTHLY MEETING THAT INCLUDES HOSPITAL AND MISSION LEADERS. ADDITIONALLY, THE ASCENSION ABIDE (APPRECIATION - BELONGINGNESS - INCLUSIVITY - DIVERSITY - EQUITY) FRAMEWORK, WAS LAUNCHED TO ASSIST WITH ENHANCING STRATEGIES, INCLUDING CASH DONATIONS TO COMMUNITY PARTNERS, AND THE POPULATIONS THEY SERVE. SAINT THOMAS MIDTOWN (along with related hospitals) INVESTED MORE THAN $410,000 INTO THE WORK OF COMMUNITY PARTNER 501(C)3 ORGANIZATIONS IMPLEMENTING PROGRAMS AND SERVICES IN THE CHNA NEED AREAS OF ACCESS TO CARE, HEALTHY WEIGHT, SUBSTANCE ABSUSE AND MENTAL HEALTH. SOME OF THESE PROGRAMS INCLUDE GROWING AND DEVELOPING COMMUNITY GARDENS, EMPOWERING INDIVIDUALS TO OVERCOME OBSTACLES CAUSED BY POVERTY BY PROVIDING EDUCATION, MENTORING AND RESOURCES, ASSISTING FAMILIES IN ATTAINING HEALTH INSURANCE, AND PROVIDING ADDICTION COUNSELING AND MENTAL HEALTH SERVICES TO U.S. MILITARY VETERANS. ADDITIONALLY, WE RE-EVALUATED ALL STRATEGY DEVELOPMENT AND PROGRESS AFTER COVID-19 MADE ITS WAY INTO THE COMMUNITY IN MARCH 2020. WE WORKED WITH OUR COLLEAGUES TO DEVELOP TELEHEALTH AND E-SOLUTIONS FOR SOME OF OUR STRATEGIES, INCLUDING GROWING OUR ONLINE PRESENCE FOR OUR BREASTFEEDING CLINICS AND EXPANDING OUR MOBILE HEALTH AND TELEHEALTH PROGRAMS. SUMMARY OF IMPLEMENTATION STRATEGY PRIORITIZED NEED #1: ACCESS TO CARE GOAL: IMPROVE ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE SERVICES THROUGH INCREASING AVAILABILITY AND AFFORDABILITY OF CARE WHILE ADVOCATING FOR INCREASED HEALTH INSURANCE COVERAGE. STRATEGY 1: OPERATE AND EXPAND A COMMUNITY- FACING BREASTFEEDING OUTREACH CLINIC TO SUPPORT AND EDUCATE BREASTFEEDING FAMILIES. 1410 INDIVIDUALS SERVED IN 2021, INCREASED TELEHEALTH SERVICES TO REACH PATIENTS VIRTUALLY. STRATEGY 2: OPERATE AND EXPAND DISPENSARY OF HOPE PHARMACIES PROVIDE MEDICATION ASSISTANCE FOR UNINSURED & UNDERINSURED INDIVIDUALS WHO EXPERIENCE FINANCIAL HARDSHIP, AS WELL AS ASSISTING PATIENTS WITH NAVIGATING OTHER COMMUNITY RESOURCES AS NEEDED. THERE WERE 43,886 PRESCRIPTIONS FILLED IN OUR DAVIDSON COUNTY DISPENSARIES OF HOPE IN 2021, FOR A TOTAL INVESTMENT OF $776,355. STRATEGY 3: DISTRIBUTE DONATED MEDICATION TO CHARITABLE PHARMACIES AND CLINICS. WE DISCOVERED LAST YEAR THAT THIS DISTRIBUTION CENTER DOES NOT SERVE OUR SPECIFIC COMMUNITY. BECAUSE IT WORKS NATIONALLY, RATHER THAN LOCALLY, WE WILL NO LONGER COUNT THIS PROGRAM TOWARD COMMUNITY BENEFIT. STRATEGY 4: IMPROVE MATERNAL AND INFANT HEALTH THROUGH OFFERING PRENATAL EDUCATION VIA GROUP VISITS. THIS WAS NOT POSSIBLE BECAUSE OF LIMITATIONS TO MEET IN PERSON DUE TO COVID RESTRICTIONS. WILL CONTINUE TO EXPLORE VIRTUAL OR OTHER OPPORTUNITIES IN THE COMING YEAR. STRATEGY 5: OPERATE SAINT THOMAS SCHOLARS TO PROVIDE OPPORTUNITIES FOR STUDENTS IN METRO NASHVILLE PUBLIC SCHOOLS TO ADVANCE THEIR EXPERIENTIAL LEARNING AND OBTAIN INDUSTRY CERTIFICATION IN THE HEALTHCARE FIELD. OF THE 62 STUDENTS WHO APPLIED TO THE SAINT THOMAS SCHOLARS PROGRAM IN 2021, 52 (84%) PASSED THEIR EXAM TO BECOME A CERTIFIED MEDICAL ASSISTANT. WE HAVE SEEN SO MUCH SUCCESS WITH THIS PROGRAM IN DAVIDSON COUNTY, WE HAVE BEGUN WORKING TO EXPAND THE PROGRAM TO BRING OPPORTUNITIES TO STUDENTS IN RUTHERFORD AND HICKMAN COUNTY AS WELL. STRATEGY 6: INCREASE SCREENING COMPLIANCE THROUGH OUR MOBILE HEALTH UNITS, INCLUDING MISSION IN MOTION MOBILE MAMMOGRAPHY. 575 UNINSURED WOMEN RECEIVED MAMMOGRAMS AT NO COST IN OUR MOBILE MAMMOGRAPHY UNIT AT 59 COMMUNITY-FACING EVENTS IN 2021. WHILE THE DOLLARS WILL NOT COUNT TOWARD COMMUNITY BENEFIT DUE TO REIMBURSEMENTS RECEIVED, OUR MOBILE UNIT WAS ONE OF THE FIRST IN OUR COMMUNITY TO OFFER ON-SITE COVID VACCINE CLINICS FOR LOW-INCOME SENIORS IN OUR METRO HOUSING DEVELOPMENTS AND OUR HOMELESS POPULATION, MEETING THEM WHERE THEY ARE NEAR ENCAMPMENTS AND COMMUNITY RESOURCES THEY TRUST. WE CONTINUE TO LOOK FOR NEW OPPORTUNITIES TO LEVERAGE OUR MOBILE HEALTH UNIT TO CONNECT WITH COMMUNITY MEMBERS AND CONNECT THEM WITH RESOURCES THEY NEED. STRATEGY 7: IMPLEMENT COMMUNITY-WIDE MEDICAL MISSIONS AT HOME THAT INTEGRATE MEDICAL, DENTAL, VISION AND BEHAVIORAL HEALTH, ALONG WITH COMMUNITY RESOURCES. THIS PROGRAM IS NOT POSSIBLE UNDER CURRENT COVID SAFETY GUIDELINES. WE ARE TAKING TIME TO REEVALUATE THESE EFFORTS AND WHAT THE COMMUNITY MAY NEED IN A POST-PANDEMIC WORLD. STRATEGY 8: IMPROVE ACCESS TO CARE VIA TELEMEDICINE, INCLUDING CONSULTATIONS WHEN ACUTE STROKE SYMPTOMS ARE PRESENT. WE LEARNED THIS YEAR THAT OUR TELESTROKE SERVICES ARE NOW COVERED BY INSURANCE. BECAUSE WE ARE BILLING AND RECEIVING REIMBURSEMENTS, WE WILL NO LONGER COUNT THIS PROGRAM TOWARD COMMUNITY BENEFIT. STRATEGY 9: EXPAND ACCESS TO DENTAL CARE THROUGH DENTAL RESIDENCY PROGRAM AND PRACTICE. OUR DAVIDSON COUNTY DENTAL RESIDENTS HAD MORE THAN 2,800 PATIENT ENCOUNTERS IN 2021. THIS PROGRAM WILL EXPAND INTO THE MEMPHIS MARKET IN 2022. STRATEGY 10: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. SAINT THOMAS MIDTOWN (along with a related hospital) DONATED NEARLY $150,000 TO AREA NONPROFIT ORGANIZATIONS WHO WORK TOWARD CREATING GREATER ACCESS TO HEALTHCARE FOR UNDERSERVED POPULATIONS IN FY2021. PRIORITIZED NEED #2: MENTAL HEALTH GOAL: SUPPORT MENTAL AND EMOTIONAL HEALTH, DECREASE STIGMA AND INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. STRATEGY 1: PROVIDE MENTAL HEALTH SCREENING, COUNSELING, AND PSYCHIATRIC MEDICATION MANAGEMENT TO COMMUNITY MEMBERS WHO SEEK CARE AT SAINT THOMAS MEDICAL PARTNERS' DAVIDSON FAMILY HEALTH CENTER PCMH SITES. SAINT THOMAS MIDTOWN HOSPITAL HAVE IMPLEMENTED A BEHAVIORAL HEALTH SCREENING THAT IS GIVEN TO PATIENTS IN OUR EMERGENCY DEPARTMENTS AS WELL AS OUR PRIMARY CARE CLINICS. APPROXIMATELY 40% OF PATIENTS SCREENED RECEIVED SOME KIND OF BEHAVIORAL HEALTH REFERRAL OR TREATMENT. THIS LENDS AN UPSTREAM APPROACH TO HELPING COMMUNITY MEMBERS IMPROVE MENTAL HEALTH BY INITIATING BEHAVIORAL HEALTHCARE IN THE PRIMARY CARE SETTING. STRATEGY 2: SUPPORT THE DEVELOPMENT OF A MORE COORDINATED NETWORK TO MEET THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS AND COMMUNITIES IN DAVIDSON COUNTY. ASCENSION SAINT THOMAS PARTNERED TO OPEN A NEW BEHAVIORAL HEALTH HOSPITAL AS A JOINT VENTURE IN 2021. WE ARE WORKING ON THIS PARTNERSHIP TO CREATE GREATER ACCESS TO MENTAL HEALTH SERVICES FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. STRATEGY 3: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. SAINT THOMAS MIDTOWN hospital (along with a related hospital) GAVE MORE THAN $47,000 TO AREA NONPROFIT ORGANIZATIONS WHO PROVIDE MENTAL HEALTH SERVICES TO VULNERABLE POPULATIONS. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - SAINT THOMAS MIDTOWN II of II. PRIORITIZED NEED #3: OBESITY (HEALTHY WEIGHT) GOAL: PROMOTE AND SUPPORT A HEALTHY LIFESTYLE THROUGH STRENGTHENING COMMUNITY RESOURCES THAT WILL POSITIVELY IMPACT HEALTHY EATING, ACTIVE LIVING, CHRONIC DISEASE MANAGEMENT AND CHRONIC DISEASE PREVENTION. STRATEGY 1: PROVIDE ACCESS TO PHYSICAL ACTIVITY AND NUTRITION EDUCATION AND COUNSELING THROUGH AT LEAST ONE PRIMARY CARE CLINIC. THESE CLASSES HAVE NOT BEEN POSSIBLE DUE TO COVID SAFETY PROTOCOLS. WE HOPE TO RESUME THESE PROGRAMS OR FIND A SAFE ALTERNATIVE THIS YEAR. STRATEGY 2: EXPLORE AND LEARN ABOUT OPPORTUNITIES TO REDUCE FOOD WASTE AND INCREASE THE AMOUNT OF FOOD DONATED TO FOOD BANKS WITH COMMUNITY PARTNERS AND HEALTH SYSTEMS. DUE TO COVID-19, WE HAVE NOT HAD THE CAPACITY TO EXPLORE THIS PROGRAM. IT WILL REMAIN ON OUR LIST FOR FY2022 WITH HOPES TO FIND A STAFF PERSON WITH THE BANDWIDTH TO TAKE ON THIS IMPORTANT WORK. STRATEGY 3: EXPLORE OPPORTUNITIES FOR COMMUNITY FACING BARIATRIC MODELS OF CARE THAT WOULD REMOVE BARRIERS FOR THE POOR AND VULNERABLE. AFTER EXPLORING THIS PROGRAM, IT WAS DECIDED THAT WE DO NOT HAVE THE CAPACITY TO EXPAND IT AT THIS TIME. STRATEGY 4: EXPLORE OPPORTUNITIES TO INCREASE ACCESS AND KNOWLEDGE OF HEALTHY EATING THROUGH NEW PARTNERSHIPS. WE ARE EXPLORING A POTENTIAL PARTNERSHIP WITH KROGER TO COLLABORATE WITH THEIR NO WASTE EFFORT TO BRING NEEDED NUTRITIONAL SUPPORT TO VULNERABLE POPULATIONS. STRATEGY 5: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. SAINT THOMAS MIDTOWN HOSPITAL (along with a related hospital) GAVE MORE THAN $150,000 TO AREA NONPROFIT ORGANIZATIONS THAT ARE WORKING TO PROVIDE HEALTHY FOOD, NUTRITIONAL EDUCATION AND COUNSELING AND OPPORTUNITIES FOR PHYSICAL ACTIVITY TO COMMUNITY MEMBERS IN NEED. PRIORITIZED NEED #4: SUBSTANCE ABUSE GOAL: DECREASE THE INCIDENCE OF SUBSTANCE ABSUSE THROUGH IDENTIFYING, TREATING AND/OR REFERRING TO TREATMENT, AND SUPPORTING THOSE IN NEED. STRATEGY 1: BETTER MEET BASIC NEEDS AND SOCIAL DETERMINANTS FOR INDIVIDUALS IN RECOVERY. EXPLORING POSSIBILITIES WITH OUR NEW BEHAVIORAL HEALTH HOSPITAL AND OTHER COMMUNITY PARTNERS IN 2022. STRATEGY 2: DEVELOP A MORE COORDINATED NETWORK TO MEET THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS AND COMMUNITIES IN DAVIDSON COUNTY. EXPLORING POSSIBILITIES WITH OUR NEW BEHAVIORAL HEALTH HOSPITAL AND COMMUNITY PARTNERS IN 2022. ASCENSION SAINT THOMAS LEADERSHIP WAS APPOINTED TO THE MAYOR'S BEHAVIORAL HEALTH AND WELLNESS COUNCIL (BHWAC). THIS COUNCIL WAS ESTABLISHED BY MAYOR DAVID BRILEY'S EXECUTIVE ORDER 003 TO PROMOTE BROAD COLLABORATION BETWEEN GOVERNMENT AND COMMUNITY PARTNERS TO SUPPORT SYSTEMS CHANGE THAT WILL ULTIMATELY BETTER SERVE RESIDENTS AND FAMILIES IN NEED. STRATEGY 3: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. SAINT THOMAS MIDTOWN Hospital (along with a related hospital) gave $40,000 TO AREA NONPROFIT ORGANIZATIONS THAT OFFER SUBSTANCE ABSUSE SUPPORT TO VULNERABLE POPULATIONS. 0 Schedule H, Part I, Line 3c MEDICAL INDIGENCY IN ADDITION TO USING FPG, THE ORGANIZATION ALSO USES MEDICAL INDIGENCY TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PATIENTS WITH DEMONSTRATED FINANCIAL NEEDS WITH INCOME GREATER THAN THE MAXIMUM FPL PERCENTAGE FOR EACH LOCATION MAY BE ELIGIBLE FOR CONSIDERATION UNDER A "MEANS TEST" FOR SOME DISCOUNT OF THEIR CHARGES FOR SERVICES FROM THE ORGANIZATION BASED ON A SUBSTANTIVE ASSESSMENT OF THEIR ABILITY TO PAY. MAXIMUM OWED BY ANY PATIENT PER EPISODE OF CARE OR ACCOUNT IS 10% OF GROSS HOUSEHOLD INCOME. A PATIENT ELIGIBLE FOR THE "MEANS TEST" DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES. Schedule H, Part I, Line 3c INSURANCE STATUS IN ADDITION TO USING FPG, THE ORGANIZATION ALSO USES INSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. FOR A PATIENT THAT PARTICIPATES IN CERTAIN INSURANCE PLANS THAT DEEM THE ORGANIZATION TO BE "OUT-OF-NETWORK," THE ORGANIZATION MAY REDUCE OR DENY THE FINANCIAL ASSISTANCE THAT WOULD OTHERWISE BE AVAILABLE TO A PATIENT BASED UPON A REVIEW OF PATIENT'S INSURANCE INFORMATION AND OTHER PERTINENT FACTS AND CIRCUMSTANCES. Schedule H, Part I, Line 3c RESIDENCY IN ADDITION TO USING FPG, THE ORGANIZATION ALSO USES RESIDENCY TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. WITHIN THE FINANCIAL ASSISTANCE POLICY, "Community" means the twelve (12) Counties of Middle Tennessee which include: Cannon, Davidson, Dekalb, Hickman, Rutherford, Warren, White, Montgomery, Putnam, sumner, Williamson, Wilson. A Patient will also be deemed to be a member of the Organization's Community if the emergency and medically necessary care the Patient requires is continuity of emergency and medically necessary care received at another Ascension Health facility where the Patient has qualified for financial assistance for such emergency and medically necessary care. Schedule H, Part I, Line 3c ASSET TEST IN ADDITION TO USING FPG, THE ORGANIZATION ALSO USES AN ASSET TEST TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance IN CERTAIN SITUATIONS if such Patient is deemed to have sufficient assets to pay pursuant to an "Asset Test." The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost 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. Schedule H, Part II Community Building Activities RESEARCH SHOWS QUALITY OF LIFE PLAYS A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES WHICH FOCUS ON IMPROVING QUALITY OF LIFE BY MAKING A POSITIVE IMPACT ON THE SOCIAL DETERMINANTS OF HEALTH WITHIN A COMMUNITY, ULTIMATELY IMPROVE THE OVERALL HEALTH STATUS OF THAT COMMUNITY. SAINT THOMAS WEST HOSPITAL (ALONG WITH RELATED HOSLPITALS) OFERED IN-KIND SUPPORT IN THE DONATION OF SPACE TO THE FAITH FAMILY MEDICAL CENTER, WHICH TOTALED OVER $4,000 IN FY21. THIS CLINIC PROVIDES ACCESS TO PRIMARY CARE FOR UNINSURED PERSONS, ONE OF OUR PRIORITIZED COMMUNITY NEEDS. IN 2021, SAINT THOMAS WEST HOSPITAL (ALONG WITH RELATED HOSPITALS) OFFERED IN-KIND SUPPORT WITH A DONATION OF SPACE TO INSIGHT COUNSELING CENTERS, VALUED AT MORE THAN $13,000. THIS DONATION OF SPACE INCREASED ACCESS TO MENTAL HEALTHCARE SERVICES FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS, A GREAT NEED IN DAVIDSON COUNTY AND BEYOND. ADDITIONALLY, SAINT THOMAS WEST HOSPITAL (ALONG WITH RELATED HOSPITALS) INVESTED MORE THAN $55,000 IN WORKFORCE DEVELOPMENT WITH THE SAINT THOMAS SCHOLARS PROGRAM. THIS PROGRAM OFFERS HIGH SCHOOL SENIORS IN UNDERSERVED COMMUNITIES HANDS-ON TRAINING IN OUR CLINICS AND HELPS THEM PREPARE FOR THE EXAM TO BECOME A CERTIFIED MEDICAL ASSISTANT. THIS YEAR, 84% OF STUDENTS WHO APPLIED FOR THE PROGRAM EARNED THEIR CERTIFICATION, AND MANY WILL GO ONTO COLLEGE TO FURTHER THEIR HEALTHCARE EDUCATIONS AND CAREERS. THE PROGRAM HAS BEEN SO SUCCESSFUL IN DAVIDSON COUNTY, WE WILL BE IMPLEMENTING IT IN RUTHERFORD AND HICKMAN COUNTIES IN FY22 TO REACH EVEN MORE UNDERSERVED YOUTH, AND HELP BOLSTER THE HEALTHCARE WORKFORCE OF TOMORROW. THESE COMMUNITY BUILDING ACTIVITIES DEMONSTRATE HOW SAINT THOMAS WEST HOSPITAL IS CONTRIBUTING TOWARD SIGNIFICANT SOCIAL DETERMINANTS OF HEALTH THAT AFFECT AN INDIVIDUAL'S QUALITY OF LIFE AND THEREBY, HEALTH. IMPROVING HEALTH AT THE INDIVIDUAL LEVEL HELPS TO CREATE A HEALTHIER COMMUNITY OVERALL. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2021 was $47,211,441 at charges, ($8,744,547 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology Saint Thomas West Hospital has a very robust financial assistance program; therefore, no estimate is made for bad debt attributable to financial assistance eligible patients. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OF ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH FOOTNOTE #2 DISCUSSES BAD DEBT EXPENSE (IMPLICIT PRICE CONCESSIONS) AND IS LOCATED ON PAGES 14-17 Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SAINT THOMAS WEST HOSPITAL FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. Schedule H, Part V, Section B, Line 16a FAP website - Saint Thomas West Hospital: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; - Saint Thomas Midtown Hospital: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Saint Thomas West Hospital: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; - Saint Thomas Midtown Hospital: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Saint Thomas West Hospital: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; - Saint Thomas Midtown Hospital: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment Saint Thomas West Hospital d/b/a Ascension Saint Thomas Hospital, a dual-campus facility with locations at both 2000 Church Street and 4220 Harding Pike in Nashville, Tennessee uses several internal databases and external reports from third parties, including government sources, to assess the healthcare needs of the communities served. The information provides key indicators about health, socioeconomic status, disparities, and other demographics that identify areas of focus and inform our strategies. These reports include, but are not limited to: -US Census Bureau -Economic Impact Studies -Sg2 healthcare intelligence -Healthcare claims datasets -CMS -Internal data sets -ACO, physician supply, and aligned Health Partnerships Saint Thomas West Hospital utilizes information from these sources to develop programs and provide appropriate services needed throughout the region. In addition, Saint Thomas Health d/b/a Ascension Saint Thomas considers the health care needs of the overall community when evaluating internal financial and operational decisions Schedule H, Part VI, Line 3 Patient education of eligibility for assistance SAINT THOMAS WEST HOSPITAL IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HEALTH CARE SYSTEM, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, SAINT THOMAS WEST HOSPITAL'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; SAINT THOMAS WEST HOSPITAL PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. SAINT THOMAS WEST HOSPITAL WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE SAINT THOMAS WEST HOSPITAL MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. SAINT THOMAS WEST HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER, AND WEBSITE, HTTPS://HEALTHCARE.ASCENSION.ORG/FINANCIAL-ASSISTANCE SAINT THOMAS WEST HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. Schedule H, Part VI, Line 4 Community information Saint Thomas West Hospital serves a 45-county service area with eight counties making up the primary service area (PSA) and 75.8% of the hospital's annual admissions. The PSA has approximately 1.9M residents and is projected to grow by 6% in the next five years. Median age in the PSA is 36.3. Projected five-year median age is 37.5. In the PSA, the 18-44 age range is growing by 1.9% and the 65+ age range is growing by 22.7% over the next 5 years. PSA median household income is $72,184. Within the eight-county primary service area, there are three counties designated as a medically underserved area, one county designated as a medically underserved population and one county designated as a partially medically underserved area. There are thirty-two other acute care hospitals located within the primary service area. Schedule H, Part VI, Line 5 Promotion of community health Saint Thomas West Hospital is governed by the Ascension Saint Thomas Board of Directors that is comprised of persons representing diverse aspects and interests of the community. Many members of Ascension Saint Thomas' governing body reside in the organization's primary service area and who are neither employees nor independent contractors of the organization, nor family members thereof. Saint Thomas West Hospital extends medical staff privileges to all qualified physicians in its communities for some or all of its departments or specialties. Saint Thomas West Hospital applied surplus funds for improvements in patient care with over $51.9M invested back into patient care projects in FY21. Additionally, these facilities support ongoing medical education to physicians and other patient care providers. Finally, Saint Thomas West Hospital provided over $72.4M in care to the poor in FY21 through its affiliated clinics operations and hospital programs. Schedule H, Part VI, Line 6 Affiliated health care system Saint Thomas West Hospital is a Member of Ascension. Ascension Health Alliance, d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or health ministries, located in 19 of the United States and the District of Columbia. Ascension Health is the sole corporate member of Saint Thomas Health d/b/a Ascension Saint Thomas. Ascension is sponsored by Ascension Sponsor, a public juridic person. The participating entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. Saint Thomas West Hospital operates facilities in the primary service area of Middle Tennessee and is part of Saint Thomas Health d/b/a Ascension Saint Thomas which owns and operates health care related entities, including 10 hospital campuses, in addition to a comprehensive network of affiliated joint ventures, medical practices, clinics and rehabilitation facilities across Middle Tennessee. true Saint Thomas Medical Partners 2000 Church Street Nashville TN 37236 621529858 501(c)(3) 4647883 OPERATING SUPPORT INTERFAITH DENTAL CLINIC 1721 PATTERSON ST NASHVILLE TN 37203 621567615 501(c)(3) 36834 SUPPORT FOR GENERAL DENTISTRY TO LOW INCOME, UNINSURED AND UNDERSERVED SILOAM FAMILY HEALTH CENTER 820 Gale Lane Nashville TN 37204 581867940 501(c)(3) 24960 COMMUNITY HEALTH WORKERS: ADVANCING HEALTH EQUITY IN NASHVILLE'S IMMIGRANT AND REFUGEE POPULATIONS THE NEW BEGINNINGS CENTER 509 CRAIGHEAD ST STE 100 Nashville TN 37204 900751722 501(c)(3) 24320 THE NEW BEGINNINGS CENTER SUPPORT VILLAGE AT GLENCLIFF PO Box 110266 Nashville TN 37222 273514899 501(c)(3) 24000 SUPPORT FOR MEALS FOR RESIDENTS OF VILLAGE AT GLENCLIFF Room in the Inn 705 Drexel Street Nashville TN 37203 620811413 501(c)(3) 21816 ROOM IN THE INN HOMELESS SHELTER SUPPORT CATHOLIC CHARITIES OF TENNESSEE INC 2806 MCGAVOCK PIKE Nashville TN 37214 620679520 501(c)(3) 20000 OPERATING SUPPORT ASSOCIATION for GUIDANCE AID PLACEMENT & EMPATHY (AGAPE) 4555 Trousdale Drive Nashville TN 37204 620760716 501(c)(3) 20000 MENTAL HEALTH COUNSELING FOR HISPANIC CLIENTS THE NASHVILLE FOOD PROJECT INC 5904 California Avenue Nashville TN 37209 452905951 501(c)(3) 20000 THE NASHVILLE FOOD PROJECT FOOD ASSISTANCE PROGRAM SUPPORT Hope Clinic for Women 1810 Hayes Street Nashville TN 37203 621164825 501(c)(3) 16000 PREGNANCY RESOURCES SUPPORT YMCA of Middle Tennessee 1000 Church Street Nashville TN 37203 620476243 501(c)(3) 16000 SECOND HARVES FOOD BANK OF MIDDLE TENNESEE SUPPORT NASHVILLEHEALTH 40 Burton Hills Blvd Suite 370 Nashville TN 37215 813063375 501(c)(3) 16000 NASHVILLE HEALTH PROGRAM SUPPORT Inspiritus Inc PO Box 60597 Nashville TN 37206 581535692 501(c)(3) 15166 SURVIVING TO THRIVING PROGRAM SUPPORT BUILDING LIVES FOUNDATION INC PO Box 210184 Nashville TN 37221 205584526 501(c)(3) 12000 THERAPY SERVICES FOR VETERANS THE NEXT DOOR INC 402 22nd Ave North Nashville TN 37203 432001774 501(c)(3) 12000 SUPPORT FOR ADDICTION TREATMENT IN WOMEN Family and Children Service 2400 Clifton Ave Nashville TN 37209 620499284 501(c)(3) 10000 OPERATING SUPPORT SEXUAL ASSAULT CENTER 101 French Landing Drive Nashville TN 37228 621043294 501(c)(3) 9600 THERAPEUTIC TREATMENT & SUPPORT SERVICES FOR SEXUAL ASSAULT SURVIVORS Tennessee Justine Center 211 7th Ave North Nashville TN 37219 621630417 501(c)(3) 9168 INDIVIDUAL ASSISTANCE PROGRAM SUPPORT CHRISTIAN WOMEN'S JOB CORPS OF MIDDLE TN'S (DBA BEGIN ANEW OF MIDDLE TN) 420 MAIN STREET Nashville TN 37206 760718734 501(c)(3) 8000 SUPPORT FOR EQUIPING MEN AND WOMEN WITH LIFE AND CAREER SKILLS GILDAS CLUB MIDDLE TENNESSEE 1707 Division Street Nashville TN 37203 621614190 501(c)(3) 8000 CANCER SUPPORT PROGRAM PENCIL FOUNDATION 7199 Cockrill Bend Blvd Nashville TN 37209 581475675 501(c)(3) 8000 SUPPORT TO TENNESSEE PUBLIC SCHOOLS RENEWAL HOUSE INC PO Box 280356 Nashville TN 37228 621631055 501(c)(3) 8000 FAMILY RESIDENTIAL PROGRAM SUPPORT SUPPLIES OVERSEAS 1500 Arlington Avenue Louisville KY 40206 272624272 501(c)(3) 258367 COST SURGICAL SUPPLIES OPERATING SUPPORT 23 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Organizations requesting grants are asked to submit a request in writing which identifies the community health need the grant will be addressing, along with goals and objectives. Requests are reviewed by the Saint Thomas Health Community Health & Benefit Committee prior to approval. Awarded grantees are asked to submit a report of program/event activities. It is requested that the report include a demographic summary of population benefited, achieved objectives and impact on health. The reports are reviewed by the Community Health & Benefit Team in a broad manner upon receipt, but will be more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant. true true false false false false false false false TIMOTHY P ADAMS PRESIDENT/CEO, MINISTRY MARKET EXECUTIVE 0 765160 0 886308 0 130485 0 14250 0 32877 0 1829080 0 0 ALLEN B WILCOX MD VICE CHAIR (END 12/2020) 0 746117 0 359223 0 59130 0 15675 0 32076 0 1212221 0 0 PAMELA M HESS FORMER OFFICER (END 7/2016) 0 295818 0 70247 0 6635 0 18525 0 20823 0 412048 0 0 DON E KING FORMER OFFICER (END 12/2017) 0 614630 0 673387 0 105473 0 15675 0 30934 0 1440099 0 0 CRAIG A POLKOW FORMER OFFICER (END 8/2015) 0 0 0 0 0 127464 0 0 0 0 0 127464 0 0 KAREN L SPRINGER FORMER OFFICER (END 12/2017) 0 1249620 0 2693840 0 320807 0 17100 0 18797 0 4300164 0 0 FAHAD TAHIR FORMER OFFICER (END 6/2019) 0 448751 0 106033 0 52948 0 18525 0 26780 0 653037 0 0 LISA R DAVIS CFO, MINISTRY MARKET 0 422721 0 256845 0 44426 0 18525 0 14570 0 757087 0 0 MARCOS A FERNANDEZ-SCHKLAR RN VP, NURSING 229799 0 35589 0 21796 0 17163 0 3795 0 308142 0 0 0 JEREMY GRAY VP, OPERATIONS 271480 0 43649 0 13105 0 14113 0 23733 0 366080 0 0 0 HARRISON E KISER VP, OPERATIONS 217352 0 36395 0 449 0 11072 0 25426 0 290694 0 0 0 MARK E MARSDEN MD CMO 418131 0 98054 0 26743 0 15675 0 20294 0 578897 0 0 0 SAMANTHA L STRATON RN VP, NURSING 228461 0 35589 0 1118 0 12366 0 2603 0 280137 0 0 0 CARMEN G LEFFLER DIRECTOR, PHARMACY 204752 0 16245 0 5555 0 12475 0 9081 0 248108 0 0 0 JENNIFER A MILLER DIRECTOR, PHARMACY 194278 0 16242 0 654 0 12870 0 21541 0 245585 0 0 0 LAURIE OLIVER DIRECTOR, CLINICAL PROGRAMS 199524 0 23695 0 1855 0 11108 0 11167 0 247349 0 0 0 NICOLE L SCHLECHTER MEDICAL DIRECTOR 321455 0 30677 0 3009 0 13324 0 10490 0 378955 0 0 0 STEPHEN D HOLCOMB MEDICAL PHYSICIST 204188 0 125 0 458 0 11395 0 17985 0 234151 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization during calendar year 2020: Craig A. Polkow - $120,000 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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. NO INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2020. Form 990, Part IV, Line 20b Explanation of financial statements The activity of Saint Thomas West Hospital is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Saint Thomas West Hospital is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Saint Thomas West Hospital. Form 990, Part IV, Line 24a TAX EXEMPT BONDS THE FILING ENTITY IS A HEALTH FACILITY THAT IS PART OF ASCENSION HEALTH SYSTEM. ASCENSION HEALTH ALLIANCE ISEITHERTHE BORROWER FOR,OR SECURES,TAX EXEMPT HOSPITAL REVENUE BONDS. THE FILING ENTITYMAYHOLD AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH ALLIANCE, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET. Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Timothy P Adams and Lisa R Davis - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders Saint Thomas West Hospital has a single corporate member, Saint Thomas Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Saint Thomas West Hospital 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, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Saint Thomas West Hospital's financial information or corporation as a whole are subject to approval by its sole corporate member, 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; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX, IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. Form 990, Part VIII, Line 2f Other Program Service Revenue Contracted Services Revenue - Total Revenue: 32495, Related or Exempt Function Revenue: 32495, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Services to Affiliates - Total Revenue: 382318, Related or Exempt Function Revenue: 382318, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; INTEREST INCOME FROM PATIENT ACCOUNTS - Total Revenue: 22484, Related or Exempt Function Revenue: 22484, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Education Revenue - Total Revenue: 39295, Related or Exempt Function Revenue: 39295, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Fees - Total Revenue: 50, Related or Exempt Function Revenue: 50, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellanous Revenue - Total Revenue: 278821, Related or Exempt Function Revenue: 267624, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 11197; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - -XXX-XX-XXXX; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant Saint Thomas West Hospital is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 4220 HARDING PIKE, NASHVILLE, TN 37205. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. FORM 990 PAGE 1 BOX C D/B/A NAMES Ascension RX Ascension Saint Thomas Hospital Ascension Saint Thomas Hospital West Ascension Saint Thomas Midtown Ascension Saint Thomas West Box J Website Saint Thomas Midtown Hospital, part of Saint Thomas West Hospital, has its own website as follows: https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital-midtown AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true Alexian Brothers Ambulatory Group C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Behavioral Health Hospital C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 Behavioral health hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Bonaventure House C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 Housing and supportive care services for persons with HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Center for Mental Health C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 Outpatient community mental health services IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Community Services C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- Comprehensive & Coordinated Community Based Services IL 501(c)(3) 10 Ascension Health Senior Care true Alexian Brothers Health System C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 Supports the provision of healthcare services for related corporations for which it is a member IL 501(c)(3) Type III-FI Ascension Health true Alexian Brothers Hospital Network C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 Supports the provision of healthcare services for related corporations IL 501(c)(3) Type III-FI Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Medical Care Group NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Center C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Group Specialty Care C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true Alexian Brothers of San Jose Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 Acute care hospital (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true Alexian Brothers Senior Ministries C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 Supports the provision of healthcare for related corporations IL 501(c)(3) Type II Alexian Brothers Health System true Alexian Brothers Services Inc 3040 W Salt Creek Ln Arlington Heights IL 60005 431295333 HUD housing MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Specialty Group C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 Specialty physician practice group IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 Interstate Plaza Drive Hammond IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION BORGESS ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension Care Management Insurance Holdings C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 Health care MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EAGLE RIVER HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION EASTWOOD BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type II ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION GOOD SAMARITAN HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391627755 FOUNDATION WI 501(c)(3) Type II ASCENSION GOOD SAMARITAN HOSPITAL INC true ASCENSION GOOD SAMARITAN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391965593 MEDICAL GROUP WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION OUR LADY OF VICTORY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807065 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391390638 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL true ASCENSION ST JOSEPH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MICHAEL'S HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391657410 FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC true ASCENSION ST MICHAEL'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808443 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS HEART & VASCULAR INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA MO 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC true BORGESS AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVENUE AMSTERDAM NY 120101054 814769136 MEDICAL GROUP NY 501(c)(3) 3 ST MARY'S HEALTHCARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 Ascension Health Senior Care true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 Ascension Health Senior Care true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true CMC FOUNDATION OF CENTRAL TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807063 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true DR KATE NEWCOMB CONVALESCENT CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 HOWARD YOUNG HEALTH CARE INC true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM true HOWARD YOUNG HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391499115 HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LaVerna Terrace Housing Corporation 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true Lourdes Realty Company Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222873637 Rental of Health Care Facilities NY 501(c)(2) Our Lady of Lourdes Memorial Hospital Inc true MEDICAL SERVICES ENHANCEMENT INC 425 GUY PARK AVENUE AMSTERDAM NY 12010 141776546 MEDICAL OFFICE BUILDING NY 501(c)(25) ST MARY'S HEALTHCARE true MEDICARE VALUE PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM true METRO PHYSICIANS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 943436893 Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRIMARY PHYSICIAN NETWORK LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 208775914 HEALTH CARE IN 501(c)(3) Type I ST MARY'S HEALTH INC true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT ELIZABETH'S HOSPITAL OF WABASHA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 410693877 HOSPITAL MN 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390847631 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS MIDTOWN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621869474 ACUTE CARE HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true Savelli Properties Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 Owns or leases properties where healthcare services are delivered IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true SOUTHERN TIER MEDICAL CARE - NY PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true ST AGNES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true St Alexius Medical Center C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) Type I ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382244034 PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true ST JOHN SAPULPA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730662663 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST JOSEPH HOSPITAL & HEALTH CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350992717 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431388461 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 510168321 FUNDRAISING ID 501(c)(3) Type I SJRMC Inc true ST JOSEPH'S MINISTRIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521835288 SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST LUKE'S-ST VINCENT'S HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 260479484 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST MARY'S AT HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351899560 DME/HOME CARE IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351679526 INVESTMENT SERVICES IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S HEALTHCARE 427 GUY PARK AVENUE AMSTERDAM NY 120101054 141347719 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true ST MARY'S MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431918107 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST MARY'S MEDICAL GROUP LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC true ST MARY'S OHIO VALLEY HEARTCARE LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273474697 HEALTHCARE IN 501(c)(3) Type I ST MARY'S MEDICAL GROUP LLC true ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205342518 AMBULANCE SERVICES IN 501(c)(4) ST MARY'S HEALTH SERVICES INC true ST MARY'S WARRICK HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352053693 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC true ST VINCENT ANDERSON REGIONAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460877261 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CARMEL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743107055 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CLAY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352112529 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT DUNN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 272192831 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FISHERS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454243702 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT 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VINCENT HOSPITAL AND HEALTH CARE CENTER INC true ST VINCENT JENNINGS HOSPITAL FOUNDATION INC 301 HENRY STREET NORTH VERNON IN 47265 841703732 INACTIVE IN 501(c)(3) 1 ST VINCENT JENNINGS HOSPITAL INC true ST VINCENT JENNINGS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351841606 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MADISON COUNTY HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350876389 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 272039417 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT CARMEL HOSPITAL INC true ST VINCENT MERCY HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311066871 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT MADISON COUNTY HEALTH SYSTEM INC true ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352133006 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT RANDOLPH HOSPITAL INC true ST VINCENT RANDOLPH HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352103153 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT RAS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471289091 RETAIL AMBULATORY SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT SALEM HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 270847538 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT SETON SPECIALTY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351712001 LONG TERM CARE HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743130159 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT WILLIAMSPORT HOSPITAL INC true ST VINCENT WILLIAMSPORT HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350784551 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT'S AMBULATORY CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592292041 PHYSICIAN PRACTICE FL 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ST VINCENT'S BIRMINGHAM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288864 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S BLOUNT C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630909073 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S COLLEGE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 061331677 INACTIVE CT 501(c)(3) 10 STVINCENT'S MEDICAL CENTER true ST VINCENT'S EAST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630578923 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S FOUNDATION OF ALABAMA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630868066 FUNDRAISING AL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592219923 FUND RAISING FL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM INC true ST VINCENT'S HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630931008 HEALTH SYSTEM AL 501(c)(3) Type III-FI ASCENSION HEALTH true ST VINCENT'S HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593650609 PARENT ENTITY FL 501(c)(3) Type II ASCENSION HEALTH true ST VINCENT'S MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 060646886 HOSPITAL AND SYSTEM PARENT CT 501(c)(3) 3 ASCENSION HEALTH true ST VINCENT'S MEDICAL CENTER FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222558132 FUNDRAISING CT 501(c)(3) 7 ST VINCENT'S MEDICAL CENTER true ST VINCENT'S MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590624449 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461523194 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SVH REAL ESTATE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205002285 REAL ESTATE HOLDING COMPANY IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true THE HEALTH SOURCE GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382427678 PRG RELATED INVESTMENTS MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true THE HOWARD YOUNG MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390873606 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true THE SETON COVE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742727509 SPIRITUALITY CENTER TX 501(c)(3) Type II ASCENSION TEXAS true TRI-COUNTY CLINICAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562712 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true TWENTY-SIX DOORS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742855201 TO HOLD TITLE TO REAL PROPERTY TX 501(c)(25) SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC true UNIVERSAL HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630932323 PHYSICIAN GROUP AL 501(c)(3) Type II ST VINCENT'S HEALTH SYSTEM true VIA CHRISTI FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364943550 FOUNDATION KS 501(c)(3) 7 ASCENSION VIA CHRISTI HEALTH INC true VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481236589 PACE (SNF) KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE GEORGETOWN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481129325 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE HAYS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202828680 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST 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