2021-05-12T18:37:38-05:00 2020-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2019-07-01 620347580 Saint Thomas West Hospital SAIN 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 2021-05-12 true SHAWNA M JANSONS P01222873 3174648600 2019 2022-09-23 18:48:47Z X Ascension Saint Thomas Hospital Ascension Saint Thomas West TIMOTHY P ADAMS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 482751928 false 0928 X https://healthcare.ascension.org/Locations/Tennessee/TNNAS/Nashville-Saint-Thomas-West-Hospital X 1898 TN To improve the health and well-being of all people in the communities we serve. 12 10 2478 140 0 0 252721 9417862 469180564 469528202 1042728 7156 4954985 3724656 475430998 482677876 1411335 1202108 0 121001699 128800760 0 0 306042044 320287595 428455078 450290463 46975920 32387413 319532820 309058570 170860417 240961083 148672403 68097487 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 314311480 1202108 469633981 Saint Thomas West Hospital is a 448-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2020, Saint Thomas West Hospital treated 17,203 adults and children for a total of 94,140 patient days of service. The hospital also provided services for 93,218 outpatient visits, which included 3,432 outpatient surgeries and 32,513 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 FY20. 314311480 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 186 0 true 2478 true false false false false false false false false false false false false X 12 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 (START 1/2020)/DIRECTOR 0.0 50.0 X X 0 1139299 39526 ANTHONY HEARD CHAIR (END 12/2019) 1.0 8.0 X X 0 0 0 DELL CROSSLIN TREASURER 1.0 8.0 X X 0 0 0 LEE MOSS VICE CHAIR (END 12/2019)/CHAIR (START 12/2019) 1.0 8.0 X X 0 0 0 R PATRICK SHEPHERD SECRETARY 1.0 9.0 X X 0 0 0 TIMOTHY P ADAMS PRESIDENT/CEO, MINISTRY MARKET EXECUTIVE 0.0 50.0 X X 0 1558714 35958 EMIL HASSAN DIRECTOR 1.0 8.0 X 0 0 0 MARTHA CROMBIE DIRECTOR 1.0 8.0 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 SUSAN WEST PHD DIRECTOR 1.0 8.0 X 0 0 0 WANDA LYLE DIRECTOR 1.0 8.0 X 0 0 0 LISA R DAVIS CFO, MINISTRY MARKET 0.0 50.0 X 0 707950 27517 HARRISON E KISER VP, OPERATIONS 50.0 0 X 249212 0 36570 MARK E MARSDEN MD CMO 50.0 0 X 558757 0 30548 SAMANTHA L STRATON RN VP, NURSING 50.0 0 X 255846 0 14660 CARMEN G LEFFLER DIRECTOR, PHARMACY 50.0 0 X 228453 0 22841 CHERYL T PARK MANAGER, PHARMACY 50.0 0 X 188575 0 33980 LAURIE OLIVER DIRECTOR, CLINICAL PROGRAMS 50.0 0 X 226865 0 21263 ROBIN R TAGATZ MANAGER, PHARMACY 50.0 0 X 198775 0 36338 STEPHEN D HOLCOMB PHYSICIST 50.0 0 X 197870 0 30692 BERNARD J SHERRY FORMER OFFICER (END 8/2015) 0.0 50.0 X 0 2014890 42315 CRAIG A POLKOW FORMER OFFICER (END 8/2015) 0.0 50.0 X 0 392504 30296 DON E KING FORMER OFFICER (END 12/2017) 0.0 50.0 X 0 1193036 37097 FAHAD TAHIR FORMER OFFICER (END 6/2019) 0.0 50.0 X 0 636952 38920 KAREN L SPRINGER FORMER OFFICER (END 12/2017) 0.0 50.0 X 0 3307981 19564 PAMELA M HESS FORMER OFFICER (END 7/2016) 0.0 50.0 X 0 389331 34788 2104353 11340657 532873 83 true true false CARDIOVASCULAR ANESTHESIOLOGISTS PC 4230 HARDING PIKE STE 435 NASHVILLE TN 372054900 MEDICAL SERVICES 3092397 TENNESSEE PERFUSION ASSOCIATES 4230 HARDING PIKE STE 202 NASHVILLE TN 37205 MEDICAL SERVICES 2565033 ADVANCED DIAGNOSTIC IMAGING PC DEPT 116 PO BOX 305172 NASHVILLE TN 372305172 DIAGNOSTIC SERVICES 1290165 BRIAN A DYER 1045 C AVONDALE RD HENDERSONVILLE TN 37075 MEDICAL SERVICES 581268 ADVANCED BIONICS LLC 28515 WESTINGHOUSE PL VALENCIA CA 913551398 MEDICAL SERVICES 450325 20 34251 9383611 9417862 Net Patient Service Revenue 621990 448300719 448300719 Reimbursement Under Provider Tax Program 900099 19544164 19544164 Pharmacy Revenue 446110 1382312 1382312 Income from Joint Ventures 900099 239990 239990 Services to Affiliates 561000 36921 36921 24096 24096 0 0 469528202 6156 6156 0 0 0 0 1262859 0 74052 1188807 0 1188807 1188807 0 1000 0 0 1000 1000 1000 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 2204041 2204041 Wellness Revenue 713940 183734 183734 Diagnostic Radiology 621500 105779 105779 42295 0 0 42295 2535849 482677876 469633981 0 3626033 1202108 1202108 1145593 0 1145593 0 104232584 99209650 5022934 3450986 3284684 166302 12432968 11833827 599141 7538629 7102852 435777 6476 6476 9943 9943 5381 5381 9711944 8232099 1479845 0 36451 22260 14191 430004 296455 133549 249174 242298 6876 4627560 4434112 193448 83432 63542 19890 27769 27380 389 17978554 16939288 1039266 2562439 2562439 Medical Supplies 98870858 98870858 Management Fee to Affiliate 93371725 93371725 Purchased Services 46220638 29175883 17044755 Provider Tax 27173814 27173814 18921433 6200370 12721063 0 450290463 314311480 135978983 0 8547 8707 12042293 6682474 0 55099992 53649862 0 0 0 0 0 11136944 12678314 241653 113060 525467762 390938581 133532877 134529181 0 0 8002756 6997446 74295 142763 99393463 94256763 319532820 309058570 31353541 31189754 0 266710 321261 0 0 0 0 0 0 139240166 209450068 170860417 240961083 X 148672403 68097487 0 0 0 148672403 68097487 319532820 309058570 X 32387413 -112962329 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5381 5381 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. 4074462 0 115762 739349 3450875 3875780 750 228111 30179 4074462 3587562 250 322007 34039 3875780 3162120 2336 450949 27843 3587562 3819145 75343 -264255 468113 3162120 0.0 0.4235 0.5765 false true true 0 4458348 4458348 0 336929132 249939831 86989301 0 2769430 2125568 643862 0 162418092 133171404 29246688 0 18892760 5701778 13190982 134529181 Due from Affiliates 81773117 Other Receivables 4905218 Deferred Compensation/Retirement/Pension Asset 15899 Physician Guarantee Asset 516665 Estimated 3rd Party Payor Settlements 3470896 Deferred Tax Asset Net Operating Leases 3574968 94256763 0 OTHER LIABILITIES 15162 Due to Affiliates 41064156 Deferred Compensation/Retirement/Pension Liability 15899 Estimated 3rd Party Payor Settlement 977217 Recovery Tail Liability 3038593 Accrued Tax Liability Intercompany Debt with Ascension Health Alliance 93641979 Lease Liability 3588928 Physician Guarantee Liability 80027 Accrued Real Estate Tax 78231 Accrued Sales Use Tax 15751 Medicare Advance Payments 66934125 209450068 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, 2020. true true X true X 250 true X true true true false true true 15026237 0 15026237 0.0334 42631640 38346358 4285282 0.0095 0 0.0 0 0 57657877 38346358 19311519 0.0429 3 228 209764 209764 0.0005 2 33 4429055 4429055 0.0098 0 0.0 0 0.0 21 1266806 1266806 0.0028 26 261 5905625 0 5905625 0.0131 26 261 63563502 38346358 25217144 0.0560 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 4057192 0 213472867 254795907 -41323040 X true true 1 1 Saint Thomas West Hospital 4220 Harding Road Nashville TN 37205 https://healthcare.ascension.org/Locations/Tennessee/TNNAS/Nashville-Saint-Thomas-West-Hospital 0000000024 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 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 MIDTOWN HOSPITAL, SAINT THOMAS WEST HOSPITAL, AND SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, 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. 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 NEW 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 OUR DAVIDSON COUNTY HOSPITALS, WHICH INCLUDE MIDTOWN, WEST, AND HSS, TENNESSEE, BY THE TAX YEAR 2018 CHNA ARE: ACCESS TO CARE MENTAL HEALTH HEALTHY WEIGHT SUBSTANCE ABUSE ALL PRIORITY HEALTH NEEDS WILL BE ADDRESSED. THE PLANNING OF IMPLEMENTATION FOR EACH OF THE FOLLOWING STRATEGIES HAVE BEGUN. WHILE ALL ARE IN PROGRESS, SOME OF THE STRATEGIES 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 WILL BE USED TO TRACK THE QUARTERLY PROGRESS OF EACH INDIVIDUAL STRATEGY FOR EACH FACILITY, CREATING OWNERSHIP FOR HOSPITAL LEADERSHIP. THE PROGRESS OF THESE REPORTS WILL BE 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. ASCENSION SAINT THOMAS INVESTED $367,000 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, AND MENTAL HEALTH. SOME OF THESE PROGRAMS INCLUDE GROWING AND DEVELOPING COMMUNITY GARDENS, SUPPORTING IN-HOME NURSING SUPPORT FOR NEW MOTHERS AND FAMILIES, ASSISTING FAMILIES IN ATTAINING HEALTH INSURANCE, AND HELPING LOW-INCOME WOMEN OF COLOR WITH WEIGHT LOSS AND MENTAL HEALTH STRATEGIES. 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 A HIGH SCHOOL- BASED MEDICAL ASSISTANT TRAINING PROGRAM INTO ANOTHER COUNTY. WE ALSO BEGAN AN ANALYSIS OF OUR MOBILE HEALTH UNITS TO MAXIMIZE THEIR CAPACITY. 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. STRATEGY 2: OPERATE AND EXPAND DISPENSARY OF HOPE PHARMACIES WHICH PROVIDE MEDICATION ASSISTANCE FOR UNINSURED & UNDERINSURED INDIVIDUALS WHO EXPERIENCE FINANCIAL HARDSHIP, AS WELL AS ASSISTING PATIENTS WITH NAVIGATING OTHER COMMUNITY RESOURCES AS NEEDED. STRATEGY 3: DISTRIBUTE DONATED MEDICATION TO CHARITABLE PHARMACIES AND CLINICS. STRATEGY 4: IMPROVE MATERNAL AND INFANT HEALTH THROUGH OFFERING PRENATAL EDUCATION VIA GROUP VISITS. STRATEGY 5: OPERATE SAINT THOMAS HEALTH SCHOLARS TO PROVIDE OPPORTUNITIES FOR STUDENTS IN METRO NASHVILLE PUBLIC SCHOOLS TO ADVANCE THEIR EXPERIENTIAL LEARNING AND OBTAIN INDUSTRY CERTIFICATION IN THE HEALTHCARE FIELD. STRATEGY 6: INCREASE SCREENING COMPLIANCE THROUGH OUR MOBILE HEALTH UNITS, INCLUDING MISSION IN MOTION MOBILE MAMMOGRAPHY. STRATEGY 7: IMPLEMENT COMMUNITY-WIDE MEDICAL MISSIONS AT HOME THAT INTEGRATE MEDICAL, DENTAL, VISION AND BEHAVIORAL HEALTH, ALONG WITH COMMUNITY RESOURCES. STRATEGY 8: IMPROVE ACCESS TO CARE VIA TELEMEDICINE, INCLUDING CONSULTATIONS WHEN ACUTE STROKE SYMPTOMS ARE PRESENT. STRATEGY 9: EXPAND ACCESS TO DENTAL CARE THROUGH DENTAL RESIDENCY PROGRAM AND PRACTICE. STRATEGY 10: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. 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. STRATEGY 2: SUPPORT THE DEVELOPMENT OF A MORE COORDINATED NETWORK TO MEET THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS AND COMMUNITIES IN DAVIDSON COUNTY. STRATEGY 3: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. 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. 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. STRATEGY 3: EXPLORE OPPORTUNITIES FOR COMMUNITY FACING BARIATRIC MODELS OF CARE THAT WOULD REMOVE BARRIERS FOR THE POOR AND VULNERABLE. STRATEGY 4: EXPLORE OPPORTUNITIES TO INCREASE ACCESS AND KNOWLEDGE OF HEALTHY EATING THROUGH NEW PARTNERSHIPS. STRATEGY 5: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. PRIORITIZED NEED #4: SUBSTANCE ABUSE GOAL: DECREASE THE INCIDENCE OF SUBSTANCE MISUSE 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. STRATEGY 2: DEVELOP A MORE COORDINATED NETWORK TO MEET THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS AND COMMUNITIES IN DAVIDSON COUNTY. STRATEGY 3: PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. 0 Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART II SILOAM HEALTH: SUPPORTED THE WORK OF THE SILOAM CLINIC WHICH SERVES THE UNINSURED AND UNDERSERVED IN NASHVILLE WITH A FOCUS ON REFUGEES. THEIR PATIENTS COME FROM OVER 80 COUNTRIES AND SPEAK OVER 70 LANGUAGES. (COMMUNITY HEALTH NEED: ACCESS TO CARE, MENTAL HEALTH) TENNESSEE JUSTICE CENTER (TJC): WORK TOGETHER WITH TJC TO IMPROVE ACCESS TO CARE THROUGH PROVIDING ENROLLMENT ASSISTANCE AND TRAINING. THE HOSPITALS ALSO PROVIDE FINANCIAL SUPPORT TO TJC FOR THIS COLLABORATIVE WORK. (COMMUNITY HEALTH NEED: ACCESS TO CARE) YMCA: SUPPORT A FUND FOR FRONTLINE HEALTHCARE WORKERS PROVIDING FREE CHILDCARE DURING THE COVID-19 OUTBREAK IN EARLY 2020 (COMMUNITY HEALTH NEED: ACCESS TO CARE) Schedule H, Part VI, Line 6 DESCRIPTION OF AFFILIATED GROUP - PART II SAINT THOMAS MEDICAL PARTNERS FAMILY HEALTH CENTERS: THE MISSION OF THE SAINT THOMAS MEDICAL PARTNERS' NETWORK OF FAMILY HEALTH CLINICS IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE TO ALL AGES REGARDLESS OF INSURANCE STATUS OR FINANCIAL RESOURCES. ALL CLINICS ARE STAFFED BY LICENSED MEDICAL PROFESSIONALS. FOR THOSE WHO DO NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY PROGRAM IS USED TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR OUR CHARITY PROGRAM FOR THAT DAY OF SERVICE. IF THE PATIENT IS NOT ELIGIBLE, (AND IS SELF INSURED) FEES ARE DISCOUNTED 46% (WITH ADDITIONAL DISCOUNTS GIVEN FOR PAYING DAY OF SERVICE - NOTE - THIS SELDOM OCCURS AT TIME OF SERVICE AND OCCURS ONLY OCCASIONALLY FOR SELF INSURED PATIENTS AS PART OF THE POST SERVICE BILLING AND COLLECTIONS PROCESS). SAINT THOMAS HEALTH OPERATES 8 PRIMARY CARE SAFETY- NET CLINICS (THE NEWEST ONE OPENED IN FY19), WITH ONE SPECIFICALLY FOCUSED ON WOMEN'S HEALTH CARE. THESE SITES PROVIDED 92,607 PATIENT ENCOUNTERS FOR 38,091 PATIENTS IN FISCAL YEAR 2020. THE CLINICS ARE COMMITTED TO PROVIDING HIGH-QUALITY PRIMARY CARE TO THE UNINSURED AND UNDERINSURED, AND THEY SERVE THE DAVIDSON, HICKMAN, RUTHERFORD AND WARREN COUNTY COMMUNITIES. THESE CLINICS SERVE AS A MEDICAL HOME FOR MANY PATIENTS; ACUTE MEDICAL CARE IS PROVIDED TYPICALLY ON THE SAME DAY, AND PATIENTS WITH CHRONIC ILLNESSES ARE SEEN ROUTINELY. THE CLINICS OFFER A BROAD RANGE OF HEALTH CARE. FOR PATIENTS STRUGGLING WITH MENTAL HEALTH ISSUES, A PSYCHIATRIC NURSE PRACTITIONER AND LICENSED SOCIAL WORKER ARE AVAILABLE AT CERTAIN CLINICS; CHAPLAINCY SERVICES ARE ALSO AN AVAILABLE SUPPORT AT CERTAIN CLINICS. THE CLINICS UTILIZE THE SERVICES OF THE DISPENSARY OF HOPE TO PROVIDE CONVENIENT ACCESS TO FREE AND REDUCED-COST MEDICATIONS. SOCIAL WORKERS AND TRAINED NURSES ALSO HELP PATIENTS REQUEST FREE MEDICATIONS THROUGH THE PATIENT ASSISTANCE PROGRAM REFERRAL SERVICES. THE CLINICS WORK TO ENSURE ACCESS TO SPECIALTY SERVICES BY LINKING PATIENTS TO OTHER RESOURCES WITHIN THE COMMUNITY. THE HOLY FAMILY SOUTH CLINIC, WEST CLINIC, AND SAINT LOUISE CLINIC ALSO OFFER ADDITIONAL SERVICES: EACH CLINIC HAS A NUTRITIONIST AVAILABLE TO HELP PATIENTS WITH BETTER FOOD CHOICES AND INITIATE WEIGHT LOSS IF NEEDED, AND EACH HAS A PHARMACIST ON SITE TO ASSIST WITH MEDICATION MANAGEMENT AND MEDICATION EDUCATION WITHIN THEIR PATIENT POPULATION. ADDITIONALLY, THE SOUTH CLINIC OFFERS CLINICA NUEVA VIDA - A COMPREHENSIVE PRENATAL CARE PROGRAM FOR UNINSURED, LOW INCOME HISPANIC WOMEN IN GREATER NASHVILLE, COMBINED WITH MEDICAL MONITORING. THE SAINT LOUISE CLINIC OFFERS A PHARMACOTHERAPY PROGRAM WITH A STRONG FOCUS ON CONGESTIVE HEART FAILURE. (COMMUNITY HEALTH NEED: ACCESS TO CARE) OUR MISSION IN MOTION: THE MOBILE MAMMOGRAPHY OUTREACH PROGRAM IS DESIGNED TO INCREASE ACCESS TO HIGH QUALITY SCREENING MAMMOGRAPHY FOR ALL WOMEN, WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE IN MIDDLE TENNESSEE. THE PROGRAM PROVIDES SCREENING MAMMOGRAMS IN COLLABORATION WITH LOCAL EMPLOYERS, COMMUNITIES, AND SAFETY NET CLINICS, REDUCING THE BARRIER OF TRANSPORTATION AND INABILITY TO AFFORD TIME AWAY FROM WORK. SCREENING MAMMOGRAMS ARE AVAILABLE TO THE UNINSURED. WHEN INDICATED, OUR MISSION IN MOTION WORKS WITH WOMEN TO CONNECT THEM TO FOLLOW UP CARE. IT IS THE GOAL OF THE PROGRAM TO IMPROVE THE COMPLIANCE RATES FOR SCREENING MAMMOGRAPHY BY MAKING SERVICES ACCESSIBLE AND AFFORDABLE, THUS DECREASING THE LATE STAGE DETECTIONS OF BREAST CANCER FOR WOMEN IN MIDDLE TENNESSEE. WOMEN DELAY THEIR ANNUAL MAMMOGRAMS FOR NUMEROUS REASONS, WITH THE MOST COMMON INCLUDING LACK OF INSURANCE, FINANCIAL BARRIERS, AND THE INABILITY TO TAKE TIME OFF WORK TO RECEIVE ONE. IN FISCAL YEAR 2020, 2,467 SCREENINGS WERE PERFORMED AT 161 STOPS. 298 WOMEN RECEIVED MAMMOGRAPHY SCREENING FOR THE FIRST TIME, AND 721 WOMEN WERE SCREENED WHO HAD NOT HAD A MAMMOGRAM IN OVER TWO YEARS. (COMMUNITY HEALTH NEED: ACCESS TO CARE) ADVOCACY FOR HEALTH: SAINT THOMAS HEALTH IS A FOUNDING MEMBER AND ACTIVE MEMBER OF THE MIDDLE TENNESSEE CONSORTIUM OF SAFETY NET PROVIDERS, WHICH WORKS TO PROVIDE QUALITY, AFFORDABLE MEDICAL HOMES FOR THE UNINSURED AND SPECIALTY CARE SERVICES ON A SLIDING SCALE BASED ON HOUSEHOLD INCOME. SAINT THOMAS HEALTH FOUNDATION SERVES AS THE LEGAL AND FIDUCIARY AGENT TO THE CONSORTIUM. THE BOARD OF DIRECTORS THAT GOVERNS THE CONSORTIUM IS COMPOSED OF HEALTH CARE PROVIDERS AND LOCAL BUSINESS LEADERS WHO SERVE THE LOW-INCOME AND UNINSURED. SAINT THOMAS HEALTH IS COMMITTED TO ENSURING 100% ACCESS TO CARE FOR EVERYONE, WITH SPECIAL ATTENTION TO THOSE WHO LIVE IN POVERTY AND STRUGGLE THE MOST; SAINT THOMAS HEALTH ACTIVELY ADVOCATES FOR HEALTHCARE ACCESS AND COVERAGE FOR ALL PERSONS THROUGH GRASSROOTS OUTREACH AND ONGOING EDUCATIONAL MEETINGS WITH ELECTED OFFICIALS. SAINT THOMAS HEALTH'S ADVOCACY WORK COMMUNICATES CHNA FINDINGS AND WORKS WITH FEDERAL, STATE, AND LOCAL OFFICIALS TO CREATE AND SHAPE PUBLIC POLICY TO MEET THE NEEDS IDENTIFIED BY THE COMMUNITY. SAINT THOMAS HEALTH PROVIDES SPONSORSHIP OF COMMUNITY EVENTS AS WELL AS PRESENTATIONS TO INCREASE AWARENESS AND EDUCATE THE PUBLIC REGARDING HEALTHCARE REFORM AND ACCESS. SAINT THOMAS HEALTH SENIOR LEADERS PARTICIPATE AS ACTIVE BOARD MEMBERS OF NON-PROFIT ORGANIZATIONS WHOSE MISSION IS ALIGNED WITH COMMUNITY HEALTH IMPROVEMENT. SAINT THOMAS HEALTH REPRESENTATIVES ALSO PARTICIPATE IN COUNTY HEALTH COUNCILS. (COMMUNITY HEALTH NEEDS: ACCESS TO CARE). DISPENSARY OF HOPE CHARITABLE PHARMACIES: SINCE 2006, THE DISPENSARY OF HOPE PHARMACY HAS PROVIDED MEDICATION ASSISTANCE FOR UNINSURED AND UNDERINSURED INDIVIDUALS WHO ARE EXPERIENCING FINANCIAL HARDSHIP. IN FISCAL YEAR 2020, 20,497 PRESCRIPTIONS WERE FILLED, A TOTAL VALUE OF $644,147 IN 9,370 TOTAL PATIENT ENCOUNTERS AT THE SAINT THOMAS WEST HOSPITAL LOCATION. THE PHARMACY LOCATED IN RUTHERFORD COUNTY DISPENSED 35,902 PRESCRIPTIONS IN A TOTAL OF 16,704 PATIENT ENCOUNTERS AT A VALUE OF $768,175 IN FISCAL YEAR 2020. A THIRD DISPENSARY OF HOPE LOCATION LOCATED AT SAINT THOMAS MIDTOWN HOSPITAL CAMPUS FILLED 27,351 PRESCRIPTIONS, A TOTAL VALUE OF $468,797 IN 11,470 PATIENT ENCOUNTERS DURING FISCAL YEAR 2020; A FOURTH LOCATION ON THE SAINT THOMAS HICKMAN HOSPITAL CAMPUS DISPENSED 5,983 PRESCRIPTIONS IN A TOTAL OF 4,450 PATIENT ENCOUNTERS AT A VALUE OF $241,020 IN FISCAL YEAR 2020. (COMMUNITY HEALTH NEED: ACCESS TO CARE). Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG 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 SYSTEM, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. EDUCATION OF ELIGIBILITY FOR ASSISTANCE AT SAINT THOMAS WEST HOSPITAL BEGINS AT REGISTRATION WITH SIGNAGE DISPLAYED AT ALL REGISTRATION POINTS NOTIFYING PATIENTS THAT WE HAVE A FINANCIAL ASSISTANCE PROGRAM, AS WELL AS CONTACT INFORMATION FOR THE PATIENT TO USE SHOULD THEY NEED ASSISTANCE. PLAIN LANGUAGE SUMMARIES OF THE FAP CONTAINING THIS INFORMATION ARE ALSO OFFERED TO PATIENTS AT ALL REGISTRATION POINTS. THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ARE ALSO AVAILABLE IN MULTIPLE LANGUAGES BASED ON LEP REQUIREMENTS IN OUR COMMUNITY. SAINT THOMAS WEST HOSPITAL REGISTRATION ASSOCIATES DISCUSS THE ESTIMATED BALANCE THAT WILL BE DUE WITH BOTH INSURED AND SELF-PAY PATIENTS. SHOULD THE ASSOCIATE IDENTIFY THAT THE PATIENT MAY NEED ASSISTANCE WITH THAT BALANCE HE/SHE WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION AND HELP THEM COMPLETE IT, IF NEEDED. ALL SELF-PAY AND UNDERINSURED PATIENTS ARE SCREENED BY SAINT THOMAS WEST HOSPITAL FOR ALTERNATIVE COVERAGE INCLUDING MEDICAID, SSI/SSD, COBRA, STUDENT COVERAGE, AND CRIME VICTIMS' COMPENSATION. IF NO ALTERNATIVE IS IDENTIFIED, THEN AN ASSOCIATE WILL WORK WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. ALSO, CONTACT INFORMATION IS LISTED ON SAINT THOMAS WEST HOSPITAL BILLING STATEMENTS FOR THE PATIENT TO USE IN THE EVENT THEY NEED ASSISTANCE WITH THEIR BALANCES. A PLAIN LANGUAGE SUMMARY IS ALSO MAILED 30 DAYS IN ADVANCE OF AN EXTRAORDINARY COLLECTION ACTIVITY OCCURRING. COLLECTIONS ASSOCIATES HAVE BEEN TRAINED TO OFFER PATIENTS A FINANCIAL ASSISTANCE APPLICATION IF NEEDED BY THE PATIENT. SAINT THOMAS WEST HOSPITAL WORKS WITH THIRD PARTY COLLECTION VENDORS WHO ARE REQUIRED TO FOLLOW THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. A THIRD-PARTY VENDOR IS ALSO USED TO PERFORM PRESUMPTIVE CHARITY SCORING ON ALL ACCOUNTS PRIOR TO BAD DEBT PLACEMENT TO IDENTIFY ANY ACCOUNTS THAT MAY QUALIFY PRESUMPTIVELY FOR FINANCIAL ASSISTANCE EVEN IF A PATIENT DID NOT REQUEST TO APPLY FOR FINANCIAL ASSISTANCE. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, FAP, FAP APPLICATION AND LIST OF PROVIDERS COVERED UNDER THE FAP CAN ALL BE FOUND ON OUR WEBSITE AT HTTPS://HEALTHCARE.ASCENSION.ORG/FINANCIAL-ASSISTANCE ALL REQUIRED LEP LANGUAGES. Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG PATIENTS WITH DEMONSTRATED FINANCIAL NEEDS WITH INCOME GREATER THAN 400% OF THE FPL 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. SAINT THOMAS HEALTH WILL CONSIDER MEDICAL INDIGENCE FOR APPLICANTS EXCEEDING 400% OF THE FPL. WHEN THE TOTAL OUTSTANDING MEDICAL DEBT EXCEEDS THE GROSS HOUSEHOLD INCOME FOR THE PAST YEAR THE PATIENT WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE NOT TO EXCEED A 95% WRITE OFF. A PATIENT ELIGIBLE FOR THE "MEANS TEST" DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES. SAINT THOMAS WEST HOSPITAL ALSO USES INSURANCE STATUS AND RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Saint Thomas Health, EIN: 58-1716804 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. SAINT THOMAS WEST HOSPITAL 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 THAT SOCIAL DETERMINANTS AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS. SAINT THOMAS WEST HOSPITAL AND ITS OTHER SAINT THOMAS CHNA PARTNERING HOSPITALS IMPACTED THE COMMUNITY IN THE FOLLOWING WAYS: SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY ACTIVELY PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES INCLUDING THE HEALTHY NASHVILLE LEADERSHIP COUNCIL (AT LEAST MONTHLY MEETINGS), LOCAL HEALTH FAIRS AND COMMUNITY EVENTS PROVIDING HEALTH EDUCATION. ADDITIONALLY, SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY ASSOCIATES AND LEADERS ARE ACTIVE MEMBERS OF LOCAL COMMUNITY BOARDS THAT WORK TO BUILD EQUITY AND PROMOTE HEALTH IN THE COMMUNITY. OTHER FORMS OF IN-KIND SUPPORT INCLUDE THE DONATION OF LINEN WASHING AND DRYING SERVICES FOR BOTH ROOM IN THE INN, A HOMELESS SHELTER, AND THE RONALD MCDONALD HOUSE, A NON-PROFIT ORGANIZATION SERVING FAMILIES OF CHILDREN WITH CANCER DIAGNOSES. IN FY20, SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS MIDTOWN HOSPITAL AND SAINT THOMAS WEST HOSPITAL SPENT MORE THAN $27,000 ON THESE SERVICES FOR THE COMMUNITY. SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS MIDTOWN HOSPITAL, AND SAINT THOMAS WEST HOSPITAL OFFERED IN-KIND SUPPORT IN THE DONATION OF SPACE TO THE FAITH FAMILY MEDICAL CENTER, WHICH TOTALED OVER $12,000 IN FY20. SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS MIDTOWN HOSPITAL, AND SAINT THOMAS WEST HOSPITAL OFFERED IN-KIND SUPPORT IN THE DONATION OF SPACE TO THE INSIGHT COUNSELING CENTERS, WHICH TOTALED OVER $15,000 IN FY20. ADDITIONALLY, SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS MIDTOWN HOSPITAL, AND SAINT THOMAS WEST HOSPITAL OFFERED IN-KIND SUPPORT IN THE DONATION OF SPACE TO THE NOT-FOR-PROFIT DENTAL CLINIC HOPE SMILES, WHICH TOTALED MORE THAN $20,000 IN FY20. THESE COMMUNITY CONTRIBUTIONS DEMONSTRATE HOW SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS MIDTOWN HOSPITAL, AND SAINT THOMAS WEST HOSPITAL ARE CONTRIBUTING TOWARD SIGNIFICANT SOCIAL DETERMINANTS OF HEALTH THAT AFFECT AN INDIVIDUAL'S QUALITY OF LIFE, AND ULTIMATELY THEIR HEALTH. 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 2020 was $21,353,641 at charges, (4,057,192 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 16-18. 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; Schedule H, Part V, Section B, Line 16b FAP Application website - Saint Thomas West 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; Schedule H, Part VI, Line 2 Needs assessment SAINT THOMAS MIDTOWN HOSPITAL, SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS WEST HOSPITAL, AND SAINT THOMAS HEALTH CONDUCTED AND PREPARED THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING THE 2019 FISCAL YEAR. THIS ASSESSMENT OF HEALTH NEEDS AND COMMUNITY ASSETS ASSISTS IN IDENTIFYING THE UNMET HEALTH NEEDS OF THE COMMUNITY AND PROVIDES REFERENCE FOR EACH ORGANIZATION'S COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY. THE CHNA ALSO WORKS TO ALIGN ORGANIZATIONS' INITIATIVES, PROGRAMS AND ACTIVITIES TO IMPROVE THE HEALTH OF THE COMMUNITY SERVED. SAINT THOMAS MIDTOWN HOSPITAL, SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS WEST HOSPITAL, AND SAINT THOMAS HEALTH CONDUCTED THE ASSESSMENT IN PARTNERSHIP WITH VANDERBILT UNIVERSITY MEDICAL CENTER AND THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT. THE PARTNERING ORGANIZATIONS ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY BEYOND THE SERVICES EACH PROVIDES. IT IS THIS SHARED COMMITMENT AND GOAL OF A HEALTHY COMMUNITY FOR ALL THAT BRINGS THE PARTNERING ORGANIZATIONS, RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM: -TENNESSEE DEPARTMENT OF HEALTH -NASHVILLE METROPOLITAN PLANNING -TENNESSEE DEPARTMENT OF EDUCATION -TENNESSEE DEPARTMENT OF LABOR -UNIVERSITY OF WISCONSIN POPULATION HEALTH -COUNTY HEALTH RANKINGS -FAMILY & CHILDREN'S SERVICES -METRO NASHVILLE SOCIAL SERVICES -TENNESSEE BUREAU OF INVESTIGATION -FEEDING AMERICA -ENROLL AMERICA -US DEPARTMENT OF HEALTH AND HUMAN SERVICES -HEALTHY NASHVILLE -U.S. CENTRAL INTELLIGENCE AGENCY -U.S. CENSUS BUREAU -CENTERS FOR DISEASE CONTROL AND PREVENTION SAINT THOMAS HEALTH TO HEALTH CARE THAT LEAVES NO ONE BEHIND GOES WELL BEYOND DELIVERING THE HIGHEST QUALITY CARE AND MEDICINE. THIS IS A COMMITMENT TO IMPROVING HEALTH BOTH INSIDE AND OUTSIDE HOSPITAL WALLS AND WITHIN THE COMMUNITY WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. SAINT THOMAS HEALTH'S MISSION, VISION AND VALUES ARE KEY FACTORS INFLUENCING THE APPROACH AND COMMITMENT TO ADDRESSING COMMUNITY HEALTH NEEDS THROUGH COMMUNITY BENEFIT ACTIVITIES AND UTILIZING INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. SAINT THOMAS MIDTOWN HOSPITAL, SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS WEST HOSPITAL, AND SAINT THOMAS HEALTH 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 DAVIDSON COUNTY IS ONE OF 95 COUNTIES WITHIN THE STATE OF TENNESSEE AND IS LOCATED IN THE MIDDLE TENNESSEE REGION. TENNESSEE IS LOCATED IN THE SOUTHEASTERN REGION OF THE UNITED STATES. DAVIDSON COUNTY HAS URBAN, SUBURBAN AND RURAL AREAS AND ENCOMPASSES 504 SQUARE MILES, HAVING A POPULATION DENSITY OF 1243.3 PERSONS PER SQUARE MILE. AS OF 2017, DAVIDSON COUNTY WAS HOME TO APPROXIMATELY 691,000 INDIVIDUALS. IT IS A YOUNG COUNTY WITH A MEDIAN AGE OF 34, COMPARED TO THE STATE (38) AND NATION (37). SENIORS (PERSONS AGED 65+) CONSIST OF 11.9% OF THE POPULATION. DAVIDSON COUNTY IS MORE RACIALLY AND ETHNICALLY DIVERSE THAN BOTH THE STATE AND NATION WITH JUST OVER HALF (56%) IDENTIFIED AS WHITE, 27% IDENTIFIED AS AFRICAN-AMERICAN OR BLACK, 4% AS ASIAN, AND 3% AS "MORE THAN ONE RACE." THERE IS A HIGH PERCENTAGE OF RESIDENTS THAT ARE HISPANIC (10%) OR SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (15.7%). THIS IS HIGHER COMPARED TO THE STATE (7%) BUT IS LOWER WHEN COMPARED TO THE NATION (21.3%) (U.S. CENSUS BUREAU, 2017). DAVIDSON COUNTY IS EXPERIENCING RAPID GROWTH WITH A 10.3% INCREASE IN POPULATION BETWEEN 2010 AND 2017 WHICH IS TWO TIMES FASTER THAN THE STATE. THERE IS AN ESTIMATED 15% INCREASE IN POPULATION AND A 22% INCREASE IN JOBS BETWEEN 2015 AND 2025 (NASHVILLE METRO PLANNING ORGANIZATION, 2019). ABOUT 12% (84,672) OF RESIDENTS IN DAVIDSON COUNTY ARE FOREIGN-BORN, A 2% INCREASE FROM 2007. FOREIGN-BORN IS SOMEONE BORN OUTSIDE OF THEIR COUNTRY OF RESIDENCE. FOREIGN-BORN CAN BE NON-CITIZENS, NATURALIZED CITIZENS OF THE COUNTRY IN WHICH THEY LIVE, OR CITIZENS BY DESCENT, TYPICALLY THROUGH A PARENT. THE LARGEST PORTION OF THESE RESIDENTS ARE FROM LATIN AMERICA (43%) FOLLOWED BY ASIA (30%), AND AFRICA (19%). OF THESE FOREIGN-BORN RESIDENTS, 16.7% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND 8.8% REPORTED SPEAKING ENGLISH LESS THAN VERY WELL (U.S. CENSUS BUREAU, 2017). IN 2018, THE FPL WAS $12,140 FOR AN INDIVIDUAL AND $25,100 FOR A FAMILY OF FOUR. 16.9% OF DAVIDSON COUNTY RESIDENTS LIVE IN POVERTY; HIGHER THAN BOTH THE STATE (16.7%) AND THE NATION (14.6%). POVERTY IS MORE PREVALENT IN SOME GEOGRAPHIC AREAS OF THE COUNTY, WITH HIGHEST RATES OF POVERTY (~78.7%). POVERTY VARIES BY RACE. NATIVE HAWAIIAN AND PACIFIC ISLANDERS (62.7%) HAVE THE HIGHEST PERCENT OF POVERTY IN DAVIDSON COUNTY, FOLLOWED BY RESIDENTS WHO IDENTIFY AS SOME OTHER RACE (24%) AND HISPANIC OR LATINO ORIGIN (29.9%). IN TENNESSEE, INDIVIDUALS THAT IDENTIFY AS SOME OTHER RACE HAVE THE HIGHEST PERCENT OF POVERTY (34.2%) FOLLOWED BY NATIVE HAWAIIAN AND PACIFIC ISLANDERS (32.7%). IN THE NATION, AMERICAN INDIAN AND ALASKA NATIVES HAVE THE HIGHEST PERCENT OF POVERTY (26.8%) FOLLOWED BY BLACK OR AFRICAN AMERICANS (25.2%) (U.S. CENSUS BUREAU, 2018). THE CHALLENGES OF POVERTY ALSO EXTEND TO CHILDREN, WITH 27.75% LIVING IN POVERTY. THIS EQUATES TO MORE THAN 37,000 CHILDREN IN DAVIDSON COUNTY. DAVIDSON COUNTY HAS MORE CHILDREN LIVING IN POVERTY WHEN COMPARED TO THE STATE (24.25%) AND THE NATION (20.31%) (COMMUNITY COMMONS, 2018). IN DAVIDSON COUNTY, 12% OF THE POPULATION UNDER THE AGE OF 25 DOES NOT HAVE A HIGH SCHOOL DIPLOMA, THIS IS LOWER THAN THE STATE (13.5%) AND THE NATION (12.7%). THESE RATES ALSO VARY BY GEOGRAPHY AND RACE. IN DAVIDSON COUNTY, 9.77% OF WHITES DO NOT HAVE A HIGH SCHOOL DIPLOMA COMPARED TO 14.4% OF AFRICAN AMERICANS. 39.1% OF RESIDENTS IN THE COUNTY HAVE A BACHELOR'S DEGREE OR HIGHER. THIS IS A 2% INCREASE SINCE 2015 AND 10% HIGHER THAN THE AMOUNT OF THE STATE'S RESIDENTS THAT HOLD A BACHELOR'S DEGREE (26.1%) (U.S. CENSUS BUREAU, 2018). 80.1% OF STUDENTS IN DAVIDSON COUNTY GRADUATED ON TIME IN 2017, WHICH IS LOWER THAN THE STATE (89.1%) AND THE NATION (84%) (THE ANNIE E. CASEY FOUNDATION , 2017). THE 2017 COUNTY RATE DECREASED 1.5% FROM 2015; WHILE STATE AND NATIONAL RATES CONTINUE TO INCREASE. IN DAVIDSON COUNTY, 17.8% OF WORKING-AGE ADULTS ARE UNINSURED. THIS IS HIGHER THAN BOTH THE STATE (15.9%) AND NATIONAL (14.8%) RATES OF UNINSURED. THE RACIAL DISPARITIES IN INSURANCE COVERAGE THROUGHOUT DAVIDSON COUNTY IS 40.2% OF HISPANIC OR LATINO RESIDENTS LACK INSURANCE, WHILE WHITES OF NON-HISPANIC ORIGIN ARE UNINSURED AT A RATE OF 9.4% OVERALL. WHITES AND BLACKS HAVE THE LOWEST UNINSURED RATES IN THE COUNTY, WHILE THOSE OF ASIAN ORIGIN, OF MIXED RACE, AND OTHER GROUPS HAVE FAR HIGHER RATES (U.S. CENSUS BUREAU, N.D.). IN DAVIDSON COUNTY, 6.9% OF CHILDREN UNDER 19 YEARS OF AGE ARE UNINSURED. THIS IS HIGHER THAN THE STATE RATE OVERALL (4.8%) AND THE NATIONAL RATE (5.7%). ACCORDING TO THE TENNESSEE DEPARTMENT OF HEALTH'S 2016 JOINT ANNUAL REPORT OF HOSPITALS, DAVIDSON COUNTY HAS 14 HOSPITALS: 10 GENERAL AND SPECIALTY HOSPITALS WITH A COMBINED 3,339 STAFFED BEDS (3,790 LICENSED BEDS); ONE MENTAL HEALTH HOSPITAL WITH 207 STAFFED BEDS OUT OF 370 LICENSED BEDS; AND 3 LONG TERM/REHAB HOSPITALS WITH 206 STAFFED BEDS OUT OF 210 LICENSED BEDS. THERE ARE AREAS DESIGNATED AS MEDICALLY UNDERSERVED WITHIN DAVIDSON COUNTY. FOR A COMPLETE DESCRIPTION OF THE COMMUNITY DEMOGRAPHICS PLEASE REVIEW THE CHNA AT HEALTHCARE.ASCENSION.ORG/CHNA. Schedule H, Part VI, Line 5 Promotion of community health SAINT THOMAS HEALTH'S GOVERNING BODY CONSISTS OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF THE SAINT THOMAS HEALTH GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. MEDICAL STAFF: THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. PATIENT CARE: OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, TENNCARE, CHAMPUS, TRICARE, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. FINANCIAL ASSISTANCE IS OFFERED, BOTH FULL AND PARTIAL ADJUSTMENTS, TO THOSE WHO CANNOT AFFORD TO PAY (BOTH INSURED AND UNINSURED). SAINT THOMAS FOUNDATION: THE SAINT THOMAS HEALTH FOUNDATION'S PRIMARY AIM IS TO SUPPORT BUILDING ACCESS TO CARE FOR THE UNDERSERVED AND TO AID NEEDY PATIENTS ONCE THEY LEAVE OUR CARE. IN FISCAL YEAR 2020 THE FOUNDATION GRANTED $47,297 FROM OUR TWO LARGEST NEEDY PATIENT FUNDS (IRENE & MELVIN LEWIS NEEDY PATIENT FUND AND THE WATSON BENEVOLENT FUND) TO SUPPORT DISCHARGED PATIENTS WHO NEEDED EXTRA CARE TO HEAL. WE SUPPORTED SUCH THINGS AS GROCERY CARDS, ELECTRICITY BILLS, PHARMACEUTICAL COSTS AND MORE. IN ADDITION TO THESE FUNDS, OVER $10,000 WAS SPENT FOR GAS CARDS, SHORT TERM STAYS IN THE SETON INN AND OTHER PHARMACEUTICAL NEEDS FROM SMALLER AUXILIARY FUNDS FOR CANCER, NICU AND TRANSPLANT PATIENTS. FURTHERMORE, ONE OF THE MOST ACTIVE FUNDS IN THE FOUNDATION IS THE COMMUNITY HEALTH OUTREACH FUND WHICH EXPENDED OVER $238,000 IN FY20 TO SUPPORT THE NEEDS OF PATIENTS TREATED AT OUR FAMILY HEALTH CENTERS AND CLINICS WHICH HELP AN UNDERSERVED SEGMENT OF OUR COMMUNITY POPULATION. THE FOUNDATION ALSO ADMINISTERS A FUND AVAILABLE TO ALL EMPLOYEES OF SAINT THOMAS HEALTH WHO ARE EXPERIENCING HARDSHIP. THIS FUND, THE SISTER JULIANA BEUERLEIN EMPLOYEE FINANCIAL ASSISTANCE FUND, OFFERED SYSTEM-WIDE OVER $116,000 IN ASSISTANCE IN FY20. ADDITIONALLY, THIS YEAR WE ASSISTED ASSOCIATES AFFECTED BY THE TORNADO THAT HIT MIDDLE TENNESSEE IN MARCH BY PROVIDING OVER $43,000 IN ASSISTANCE THROUGH OUR RENEWING HOPE FUND. SAINT THOMAS HEALTH SENIOR LEADERS AND ASSOCIATES PARTICIPATE AS ACTIVE BOARD MEMBERS OF NON-PROFIT ORGANIZATIONS WHOSE MISSIONS ALIGN WITH COMMUNITY HEALTH IMPROVEMENT AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. HEALTH PROFESSIONS EDUCATION: SAINT THOMAS WEST HOSPITAL SERVES AS A CLINICAL SITE FOR STUDENTS ATTENDING MANY OF THE AREA NURSING AND ALLIED HEALTH SCHOOLS. ON AVERAGE MORE THAN 166 STUDENTS PER MONTH HAD CLINICAL TRAINING AT THE HOSPITAL IN FISCAL YEAR 2020, WITH MORE THAN 40,000 HOURS OF CLINICAL INSTRUCTION ON THE HOSPITAL CAMPUS DURING THE YEAR. ADDITIONALLY, SAINT THOMAS WEST SUPPORTS A CLINICAL PASTORAL EDUCATION PROGRAM, OFFERING CHAPLAINCY TRAINING IN THE CLINICAL SETTING. (COMMUNITY HEALTH NEED: ACCESS TO CARE) MEDICAL MISSIONS AT HOME: SAINT THOMAS HEALTH ORGANIZED ONE MEDICAL MISSION EVENT IN DAVIDSON COUNTY, HELD WITHIN A LOW-INCOME COMMUNITY. OTHER MEDICAL MISSION EVENTS IN TWO OTHER COUNTIES DURING FY20 WERE POSTPONED DUE TO COVID-19 CONCERNS. VOLUNTEERS FROM ALL SAINT THOMAS HEALTH ENTITIES PARTICIPATED, AND COMMUNITY VOLUNTEER PROVIDERS OFFERED HEALTH SCREENINGS, REFERRALS, CONSULTATIONS, DENTAL CARE, EYE EXAMS, GLASSES, HEALTH EDUCATION, LAB/PHARMACY SERVICES, AND A HEALTH MINISTRY PRESENCE TO PERSONS WHO OTHERWISE HAVE LIMITED ACCESS TO HEALTH CARE. IN FY20, THIS EVENT SERVED 485 COMMUNITY MEMBERS RESULTING IN 43 SCHEDULED FOLLOW-UP APPOINTMENTS. (COMMUNITY HEALTH NEED: ACCESS TO CARE) SAINT THOMAS HEALTH SCHOLARS: IN PARTNERSHIP WITH METROPOLITAN NASHVILLE PUBLIC SCHOOLS (MNPS), THE PENCIL FOUNDATION, AND THE NASHVILLE AREA CHAMBER OF COMMERCE, SAINT THOMAS HEALTH SUPPORTS THE SAINT THOMAS HEALTH SCHOLARS, A COHORT OF ROUGHLY 55 MNPS SENIORS ACROSS 3 PUBLIC HIGH SCHOOLS IN FY20. THROUGH THE MENTORSHIP OF A SAINT THOMAS HEALTH LICENSED PRACTICING NURSE, STUDENTS ARE GIVEN JOB READINESS AND EXAM PREPARATION BY PROVIDING MENTORING AND HANDS-ON EXPERIENCE IN THE HEALTHCARE FIELD IN HOPES OF PAVING A CAREER PATH FOR THESE SENIORS ONCE THEY GRADUATE FROM HIGH SCHOOL. THE CLINICAL PRACTICE TAKES PLACE AT ASCENSION MEDICAL GROUP CLINICS. THE PROGRAM ALSO PREPARES STUDENTS TO TAKE THE CERTIFIED CLINICAL MEDICAL ASSISTANT CERTIFICATION EXAM AT THE END OF THE SCHOOL YEAR TO BECOME A MEDICAL ASSISTANT. ALL OF THIS AT NO CHARGE TO THE STUDENTS AND THEIR FAMILIES. THE SAINT THOMAS HEALTH MENTOR TRAVELS TO ALL 3 SCHOOLS WEEKLY TO TEACH AND MENTOR. ALSO, THE SCHOLARS ARE BROUGHT TO SAINT THOMAS WEST HOSPITAL AND SAINT THOMAS MIDTOWN HOSPITAL FOR VARIOUS ON SITE CLASSES AND AN ANNUAL CLINICAL SKILLS CHECK OFF DAY. THE PROGRAM HAS GROWN SIGNIFICANTLY-SO MUCH SO THAT THE HEALTH SCHOLARS PROGRAM EXPANDED TO RUTHERFORD COUNTY SCHOOLS, WHICH BEGINS IN FY21. COMMUNITY BENEFIT CASH DONATIONS: A VARIETY OF SUPPORT EFFORTS CONTINUES AS WE WORK IN COLLABORATION WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND WELL-BEING OF OUR COMMUNITY, ESPECIALLY THE POOR AND VULNERABLE, INCLUDING: AGAPE: PROVIDE FUNDS IN SUPPORT OF AGAPE'S SLIDING-FEE PAYMENT SCALE FOR COUNSELING, INCLUDING SPANISH-LANGUAGE COUNSELING. (COMMUNITY HEALTH NEED: MENTAL HEALTH) BEGIN ANEW: PROVIDE FUNDS TO SUPPORT ITS MISSION TO EMPOWER INDIVIDUALS TO BREAK HARMFUL CYCLES CAUSED BY POVERTY BY PROVIDING EDUCATION, MENTORING AND RESOURCES. PROGRAMS OFFERED INCLUDE GED TEST PREPARATION, LIFE AND JOB SKILLS, AND CONVERSATIONAL ENGLISH CLASSES. (COMMUNITY HEALTH NEED: MENTAL HEALTH) BUILDING LIVES FOUNDATION: PROVIDE FUNDS TO SUPPORT BUILDING LIVES, WHICH PROVIDES JOB READINESS TRAINING, HEALTHCARE COORDINATION, VEHICLE, AND HOUSING ASSISTANCE TO HOMELESS VETERANS. (COMMUNITY HEALTH NEED: MENTAL HEALTH, SUBSTANCE MISUSE) CATHOLIC CHARITIES: FUNDS TO SUPPORT ITS WORK AS THE LEAD AGENCY AT THE UNITED WAY'S SOUTH NASHVILLE FAMILY RESOURCE CENTER AND MCGRUDER FAMILY RESOURCE CENTER TO PROVIDE HEALTH EDUCATION, ACCESS TO HEALTHY FOOD, MENTAL HEALTH SERVICES, JOB READINESS TRAINING, ESL AND TUTORING OPPORTUNITIES, AND OTHER SOCIAL SERVICES. (COMMUNITY HEALTH NEED: ACCESS TO CARE, MENTAL HEALTH, AND OBESITY/HEALTHY WEIGHT) FAMILY & CHILDREN'S SERVICES: PROVIDE FUNDS TO CONNECT UNDER AND UNINSURED CONSUMERS TO AFFORDABLE HEALTH COVERAGE AND/OR COMMUNITY BASED LOW AND NO-COST HEALTHCARE. (COMMUNITY NEED: ACCESS TO CARE) HOPE CLINIC FOR WOMEN: PROVIDE FUNDS TO SUPPORT ITS MISSION TO EQUIP WOMEN, MEN AND FAMILIES TO MAKE HEALTHY CHOICES WITH UNPLANNED PREGNANCIES, PREVENTION, PREGNANCY LOSS AND POSTPARTUM DEPRESSION, THROUGH ITS PRENATAL & PARENTING EDUCATION AND THEIR MENTORING AND PROFESSIONAL COUNSELING PROGRAMS AND HEALTH CARE FOR WOMEN. (COMMUNITY HEALTH NEED: MENTAL HEALTH AND ACCESS TO CARE) INTERFAITH DENTAL CLINIC: PROVIDE FUNDS TO SUPPORT ITS MISSION TO PROVIDE ORAL HEALTH CARE AND ORAL HEALTH EDUCATION FOR UNINSURED, LOW-INCOME WORKING PEOPLE, THEIR FAMILIES AND THE ELDERLY. (COMMUNITY HEALTH NEED: ACCESS TO CARE) INSPIRITUS, FORMERLY KNOWN AS LUTHERAN SERVICES IN TENNESSEE: PROVIDE FUNDS TO SUPPORT THE HEALTHY GARDENS INITIATIVE, AN INDIVIDUALIZED RAISED-BED GARDEN PROGRAM BASED IN LOW-INCOME HOUSING COMMUNITIES THAT TEACHES FAMILIES IN POVERTY TO GROW THEIR OWN VEGETABLES, INCREASING THE AMOUNT OF NUTRITIOUS FOOD AVAILABLE AND CONSUMED. (COMMUNITY HEALTH NEED: OBESITY/HEALTHY WEIGHT, MENTAL HEALTH) NEW BEGINNINGS: PROVIDE FUNDS TO SUPPORT ITS HEALTHY LIFESTYLE PROGRAM FOR LOW-INCOME WOMEN. THE PROGRAM USES PHYSICAL FITNESS TRAINING, NUTRITION AND HEALTH EDUCATION, ALONG WITH LIFE COACHING TO IMPROVE OVERALL HEALTH AND WELL-BEING. (COMMUNITY HEALTH NEED: MENTAL HEALTH, OBESITY/HEALTHY WEIGHT) PRESTON TAYLOR MINISTRIES: PROVIDE FUNDS TO SUPPORT ITS MISSION TO EMPOWER CHILDREN AND YOUTH TO REACH THEIR POTENTIAL THROUGH THE PRESTON TAYLOR MINISTRIES ONE-ON-ONE MENTORING PROGRAMS. (COMMUNITY HEALTH NEED: MENTAL HEALTH) ROOM IN THE INN: PROVIDE FUNDS TO SUPPORT ITS MISSION OF SUPPORT FOR PERSONS EXPERIENCING HOMELESSNESS. THE FUNDS ARE RESTRICTED TO HOLISTIC SUPPORT OF HOMELESS INDIVIDUALS WHO HAVE EXPERIENCED A RECENT HOSPITALIZATION AND WHO WOULD BENEFIT FROM A TRANSITIONAL SUPPORTIVE LIVING ENVIRONMENT, INCLUDING NAVIGATION OF THE HEALTH CARE SYSTEM AND OBTAINING NECESSARY MENTAL HEALTH SERVICES. (COMMUNITY HEALTH NEED: ACCESS TO CARE, MENTAL HEALTH) SEXUAL ASSAULT CENTER: PROVIDE FUNDS TO SUPPORT THEIR MISSION TO PROVIDE HEALING FOR THOSE AFFECTED BY SEXUAL ASSAULT AND END SEXUAL VIOLENCE. THE FUNDS ARE RESTRICTED TO PROVIDE TREATMENT AND MENTAL HEALTH SUPPORT TO LOW-INCOME CLIENTS. (COMMUNITY HEALTH NEED: MENTAL HEALTH, ACCESS TO CARE) (continued) Schedule H, Part VI, Line 6 Affiliated health care system SAINT THOMAS WEST HOSPITAL, ESTABLISHED IN 1898, IS A 448-BED HOSPITAL IN NASHVILLE, TENNESSEE. IT PROVIDES EMERGENCY ROOM SERVICES AND COMPREHENSIVE INPATIENT AND OUTPATIENT CARE, INCLUDING TRANSPLANTATION, CARDIAC, AND ONCOLOGY SERVICES. THE HOSPITAL IS PART OF SAINT THOMAS HEALTH SYSTEM AND ASCENSION HEALTH. SAINT THOMAS HEALTH IS MIDDLE TENNESSEE'S FAITH-BASED, NOT-FOR-PROFIT HEALTH CARE SYSTEM UNITED AS ONE HEALING COMMUNITY. SAINT THOMAS HEALTH IS FOCUSED ON TRANSFORMING THE HEALTHCARE EXPERIENCE AND HELPING PEOPLE LIVE HEALTHIER LIVES, WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. THE REGIONAL HEALTH SYSTEM INCLUDED, IN FY20 NINE (9) HOSPITALS: SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS MIDTOWN HOSPITAL AND SAINT THOMAS WEST HOSPITAL IN NASHVILLE, SAINT THOMAS RUTHERFORD HOSPITAL IN MURFREESBORO, SAINT THOMAS HICKMAN HOSPITAL IN CENTERVILLE, SAINT THOMAS STONES RIVER HOSPITAL IN WOODBURY, SAINT THOMAS DEKALB HOSPITAL IN SMITHVILLE, SAINT THOMAS HIGHLANDS HOSPITAL IN SPARTA, AND SAINT THOMAS RIVER PARK HOSPITAL IN MCMINNVILLE. A COMPREHENSIVE NETWORK OF AFFILIATED JOINT VENTURES, MEDICAL PRACTICES, CLINICS AND REHABILITATION FACILITIES COMPLEMENTS THE HOSPITAL SERVICES. THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE, AND NATIONAL LEVEL. SAINT THOMAS HEALTH IS A MEMBER OF ASCENSION, A CATHOLIC ORGANIZATION THAT IS THE LARGEST NOT-FOR-PROFIT HEALTH SYSTEM IN THE UNITED STATES. 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 MINISTRY MARKETS, LOCATED IN 20 STATES AND THE DISTRICT OF COLUMBIA. 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 HEALTH IS COMMITTED TO PROVIDING CARE TO THE COMMUNITIES IT SERVES WITH ATTENTION TO THE POOR AND VULNERABLE. SAINT THOMAS HEALTH'S MISSION PROVIDES A STRONG FOUNDATION AND GUIDANCE FOR ITS WORK AS A CARING MINISTRY OF HEALING, INCLUDING ITS COMMITMENT TO COMMUNITY SERVICE AND TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR ALL. THE SAINT THOMAS HEALTH MISSION, VISION AND VALUES ARE THE KEY FACTORS INFLUENCING THEIR APPROACH AND COMMITMENT TO ADDRESSING COMMUNITY HEALTH NEEDS THROUGH THEIR COMMUNITY BENEFIT ACTIVITY. ASCENSION'S SOCIALLY JUST WAGE AND BENEFITS POLICY, ESTABLISHED IN 2001, APPLIES TO ALL OF ASCENSION, INCLUDING SUBSIDIARY ENTITIES AND CONTRACTUAL THIRD-PARTY VENDOR RELATIONSHIPS. SAINT THOMAS HEALTH AND ASCENSION ARE COMMITTED TO PROVIDING A LIVABLE WAGE TO ALL ASSOCIATES. MINIMUM WAGE WITHIN ASCENSION WAS RAISED TO $12/HOUR DURING FY20. CATHOLIC SOCIAL TEACHING RECOGNIZES THAT EVERYONE HAS A FUNDAMENTAL RIGHT TO SHARE IN THE FRUITS OF HER OR HIS LABOR AND TO HAVE BASIC NEEDS MET, INCLUDING ACCESS TO HEALTHCARE. AN ESSENTIAL COMPONENT OF THE SOCIALLY JUST WAGE POLICY IS THE EMPLOYER SUBSIDIZATION OF THE COST OF HEALTHCARE INSURANCE FOR LOWER-PAID ASSOCIATES. THIS EMPLOYER SUBSIDY, COMBINED WITH THE MINIMUM HOURLY WAGE RATE, PROVIDES AFFECTED ASSOCIATES WITH A DECENT STANDARD OF LIVING AND AFFORDABLE ACCESS TO HEALTHCARE. (COMMUNITY HEALTH NEED: ACCESS TO CARE) SAINT THOMAS HEALTH SUPPORTS A VARIETY OF EFFORTS AND CONTINUES TO WORK IN COLLABORATION WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND WELL-BEING OF OUR COMMUNITY, ESPECIALLY THE POOR AND VULNERABLE, INCLUDING RESTRICTED CASH DONATIONS TO OUTSIDE ORGANIZATIONS, IN-KIND DONATION OF EMPLOYEE TIME/SERVICES TO OUTSIDE ORGANIZATIONS AND REPRESENTATION ON COMMUNITY/NON-PROFIT BOARDS AND COMMITTEES WHICH WORK TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES WE SERVE. AS A SYSTEM, SAINT THOMAS HEALTH SUPPORTS A VARIETY OF EFFORTS SPECIFICALLY AIMED AT PROVIDING SERVICES FOR PERSONS WHO ARE POOR AND VULNERABLE, AND AT IMPROVING THE HEALTH OF THE COMMUNITY. FOR EXAMPLE, IN FISCAL YEAR 2020: CONTINUING MEDICAL EDUCATION: SAINT THOMAS HEALTH OFFERS A VARIETY OF ONLINE ACCREDITED CONTINUING MEDICAL EDUCATION COURSES. ADDITIONALLY, IN-PERSON SEMINARS ON VARIOUS HEALTH TOPICS ARE OFFERED. THE COURSES ARE OPEN TO ALL PHYSICIANS AND HEALTH PROFESSIONALS. DURING FY20, 6 EDUCATIONAL COURSES/SEMINARS WERE OFFERED WITH TOTAL ATTENDANCE OF 495. (COMMUNITY HEALTH NEED: HEALTH EDUCATION AND ACCESS TO CARE) GRADUATE MEDICAL EDUCATION: SAINT THOMAS HEALTH AND ITS AFFILIATES SERVES AS TRAINING SITES FOR UNIVERSITY OF TENNESSEE, MEHARRY MEDICAL COLLEGE AND VANDERBILT UNIVERSITY MEDICAL RESIDENTS. IN FISCAL YEAR 2020, 121 MEDICAL AND DENTAL RESIDENTS RECEIVED GRADUATE MEDICAL EDUCATION TRAINING AT A SAINT THOMAS HEALTH SITE. (COMMUNITY HEALTH NEED: HEALTH EDUCATION AND ACCESS TO CARE) MEDICAL MISSIONS AT HOME: SAINT THOMAS HEALTH ORGANIZED ONE MEDICAL MISSION EVENT IN DAVIDSON COUNTY, HELD WITHIN A LOW-INCOME COMMUNITY. OTHER MEDICAL MISSION EVENTS IN TWO OTHER COUNTIES DURING FY20 WERE POSTPONED DUE TO COVID-19 CONCERNS. VOLUNTEERS FROM ALL SAINT THOMAS HEALTH ENTITIES PARTICIPATED, AND COMMUNITY VOLUNTEER PROVIDERS OFFERED HEALTH SCREENINGS, REFERRALS, CONSULTATIONS, DENTAL CARE, EYE EXAMS, GLASSES, HEALTH EDUCATION, LAB/PHARMACY SERVICES, AND A HEALTH MINISTRY PRESENCE TO PERSONS WHO OTHERWISE HAVE LIMITED ACCESS TO HEALTH CARE. IN FY20, THIS EVENT SERVED 485 COMMUNITY MEMBERS RESULTING IN 43 SCHEDULED FOLLOW-UP APPOINTMENTS. (COMMUNITY HEALTH NEED: ACCESS TO CARE) true CATHOLIC CHARITIES OF TENNESSEE INC 2806 MCGAVOCK PIKE Nashville TN 37214 620679520 501(c)(3) 10000 Support the South Nashville Family Resource Center and the McGruder Family Resource Center (North Nashville) INTERFAITH DENTAL CLINIC 1721 PATTERSON ST Nashville TN 37203 621567615 501(c)(3) 8250 Improving the oral and overall health of the dentally underserved in Middle Tennessee THE NEW BEGINNINGS CENTER 509 CRAIGHEAD ST Nashville TN 37204 900751722 501(c)(3) 20000 Fund the program costs of low-income women Saint Thomas Medical Partners C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 501(c)(3) 1016343 Provide support for Saint Thomas Family Health Center's clinic operations ASSOCIATION for GUIDANCE AID PLACEMENT & EMPATHY (AGAPE) 4555 Trousdale Drive Nashville TN 37204 620760716 501(c)(3) 7500 Provide access to mental health counseling for the Hispanic population SILOAM FAMILY HEALTH CENTER 820 Gale Lane Nashville TN 37204 581867940 501(c)(3) 10000 Further the community health amoung the most poor and vulnerable residents of the greater Nashville area, especially the foreign-born SUPPLIES OVERSEAS 1500 Arlington Avenue Louisville KY 40206 272624272 501(c)(3) 81366 Cost of Supplies Surgical supply donation To donate surgical supplies Room in the Inn 705 Drexel Street Nashville TN 37203 620811413 501(c)(3) 10000 Support Recuperative Care Program Family and Children Service 2400 Clifton Ave Nashville TN 37209 620499284 501(c)(3) 6000 Community based healthcare access program connects under and uninsured consumers to affordable health coverage and/or community based care. Inspiritus Inc PO Box 60597 Nashville TN 37206 581535692 501(c)(3) 6250 Support healthy gardens program to improve healthy weight and mental health to improve public health in areas served by Saint Thomas West. 10 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 737624 0 684375 0 136715 0 14000 0 21958 0 1594672 0 0 ALLEN B WILCOX MD VICE CHAIR (START 1/2020)/DIRECTOR 0 820860 0 310915 0 7524 0 15400 0 24126 0 1178825 0 0 CRAIG A POLKOW FORMER OFFICER (END 8/2015) 0 211402 0 88770 0 92332 0 13369 0 16927 0 422800 0 0 KAREN L SPRINGER FORMER OFFICER (END 12/2017) 0 1180374 0 1821960 0 305647 0 15400 0 4164 0 3327545 0 0 PAMELA M HESS FORMER OFFICER (END 7/2016) 0 283915 0 83752 0 21664 0 18200 0 16588 0 424119 0 0 FAHAD TAHIR FORMER OFFICER (END 6/2019) 0 433639 0 126494 0 76819 0 18200 0 20720 0 675872 0 0 DON E KING FORMER OFFICER (END 12/2017) 0 559792 0 486240 0 147004 0 15400 0 21697 0 1230133 0 0 BERNARD J SHERRY FORMER OFFICER (END 8/2015) 0 841407 0 849745 0 323738 0 18200 0 24115 0 2057205 0 0 LISA R DAVIS CFO, MINISTRY MARKET 0 388909 0 260722 0 58319 0 18200 0 9317 0 735467 0 0 HARRISON E KISER VP, OPERATIONS 210510 0 38318 0 384 0 12128 0 24442 0 285782 0 0 0 SAMANTHA L STRATON RN VP, NURSING 218800 0 35970 0 1076 0 11185 0 3475 0 270506 0 0 0 MARK E MARSDEN MD CMO 396727 0 116964 0 45066 0 15400 0 15148 0 589305 0 0 0 STEPHEN D HOLCOMB PHYSICIST 194480 0 3105 0 285 0 13680 0 17012 0 228562 0 0 0 ROBIN R TAGATZ MANAGER, PHARMACY 172420 0 26322 0 33 0 11952 0 24386 0 235113 0 0 0 LAURIE OLIVER DIRECTOR, CLINICAL PROGRAMS 184238 0 40592 0 2035 0 10506 0 10757 0 248128 0 0 0 CARMEN G LEFFLER DIRECTOR, PHARMACY 192284 0 30871 0 5298 0 14294 0 8547 0 251294 0 0 0 CHERYL T PARK MANAGER, PHARMACY 162321 0 24734 0 1520 0 10644 0 23336 0 222555 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 2019: Craig A. Polkow - $87,692 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 distributions in calendar year 2019. 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 Bond Issuance Saint Thomas West Hospital is a health facility that is part of Ascension Health System. Ascension Health Alliance is the borrower for tax exempt hospital revenue bonds. Saint Thomas West Hospital holds 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: 24096, Related or Exempt Function Revenue: 24096, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Escheatment Revenue - Total Revenue: 35099, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 35099; Hotel/Conference Revenue - Total Revenue: 1504, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1504; Miscellaneous Revenue - Total Revenue: 5692, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5692; 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 ROAD, NASHVILLE, TN 37205. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. 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 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 ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION ALLEGAN HOSPITAL 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 HEALTH CARE MI 501(c)(3) 3 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 III-FI 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) 10 ST JOHN PROVIDENCE 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 HEALTH CARE MI 501(c)(3) 10 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 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 WICHITA 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 MIDTOWN 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 III-FI 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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) Type II 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 MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL true FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 753193633 FOUNDATION WI 501(c)(3) Type I ASCENSION ST CLARE'S HOSPITAL INC true FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391684957 FOUNDATION WI 501(c)(3) Type II SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC 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 HEALTHCARE COLLABORATIVE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION 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 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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) 3 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 DORMANT IN 501(c)(3) 10 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 II 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 HEALTH 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) 7 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 JOHN VILLAS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731077367 NURSING HOME OK 501(c)(3) 10 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 DORMANT 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 FRANKFORT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351531734 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT FRANKFORT HOSPITAL INC true ST VINCENT FRANKFORT HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352099320 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352052591 PARENT COMPANY IN 501(c)(3) Type III-FI ASCENSION HEALTH true ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461227327 HEALTH AND WELLNESS SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869066 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 356088862 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC true ST VINCENT JENNINGS HOSPITAL FOUNDATION INC 301 HENRY STREET NORTH VERNON IN 47265 841703732 DORMANT 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 DEVELOPMENT INC 95 MERRITT BOULEVARD TRUMBULL CT 06611 222554128 REAL ESTATE HOLDINGS CT 501(c)(25) ST VINCENT'S HEALTH SERVICES CORP 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 SERVICES CORP 2800 MAIN STREET BRIDGEPORT CT 06606 222558134 HOLDING COMPANY CT 501(c)(3) Type I ST VINCENT'S MEDICAL CENTER 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 ST VINCENT'S MULTISPECIALTY GROUP INC 2800 MAIN STREET BRIDGEPORT CT 06606 800458769 PHYSICIAN PRACTICES CT 501(c)(3) Type I ST VINCENT'S MEDICAL CENTER true ST VINCENT'S SPECIAL NEEDS CENTER INC 95 MERRITT BOULEVARD TRUMBULL CT 06611 060702617 PROGRAMS FOR SPECIAL NEEDS INDIVIDUALS CT 501(c)(3) 10 ST VINCENT'S HEALTH SERVICES CORP 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 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CHRISTI VILLAGE PONCA CITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731153337 RETIREMENT COMMUNITY OK 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480559086 MANAGEMENT COMPANY KS 501(c)(3) Type III-FI ASCENSION HEALTH SENIOR CARE true VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 930838390 FOUNDATION WI 501(c)(3) 10 ASCENSION ALL SAINTS HOSPITAL INC true WAMEGO HOSPITAL ASSOCIATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721526400 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC true WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392028808 FOUNDATION WI 501(c)(3) Type I ASCENSION SE WISCONSIN HOSPITAL INC true WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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