2020-05-13T08:32:45-05:00 2019-06-30 990 2018-07-01 620347580 Saint Thomas West Hospital SAIN 3147338000 4220 Harding Rd Nashville TN 37205 Tonya Mershon Tax Officer 2020-05-13 2018 2021-01-29 14:40:06Z Tim Adams 4220 Harding Rd Nashville TN 37205 475590033 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. 13 12 2431 194 0 0 232138 252721 460866575 469180564 2360 1042728 3595090 4954985 464696163 475430998 2635576 1411335 0 118871614 121001699 0 0 0 296801729 306042044 418308919 428455078 46387244 46975920 310811151 319532820 175824435 170860417 134986716 148672403 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 397949666 1411335 469180998 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 2019, Saint Thomas West Hospital treated 17,914 adults and children for a total of 96,737 patient days of service. The hospital also provided services for 110,971 outpatient visits, which included 3,847 outpatient surgeries and 35,967 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 397949666 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 197 0 true 2431 true false false false false false false true false false false false false X 13 12 false false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 ANTHONY HEARD CHAIR 1.0 8.0 X X 0 0 0 LEE MOSS VICE CHAIR 1.0 8.0 X X 0 0 0 PATRICK R SHEPHERD SECRETARY 1.0 8.0 X X 0 0 0 DELL CROSSLIN TREASURER 1.0 8.0 X X 0 0 0 SISTER CATHERINE BROWN DC DIRECTOR 1.0 8.0 X 0 0 0 MARTHA CROMBIE DIRECTOR 1.0 8.0 X 0 0 0 EMIL HASSAN DIRECTOR 1.0 8.0 X 0 0 0 WANDA LYLE DIRECTOR 1.0 8.0 X 0 0 0 STEVE SCHWAB MD DIRECTOR 1.0 8.0 X 0 0 0 SCOTT STANDARD MD DIRECTOR 1.0 8.0 X 0 0 0 SUSAN WEST PhD DIRECTOR 1.0 8.0 X 0 0 0 BRIAN WILCOX MD DIRECTOR 1.0 9.0 X 0 0 0 TIMOTHY P ADAMS DIRECTOR 0.0 50.0 X 0 924219 37295 FAHAD TAHIR CEO 0.0 50.0 X 0 467359 40891 LISA R DAVIS CFO, MINISTRY MARKET 0.0 50.0 X 0 497259 30070 MARK E MARSDEN MD CMO 50.0 0 X 422556 0 39098 SAMANTHA STRATON VP, NURSING 50.0 0 X 182353 0 8384 WILLIAM J MASON MD PHYSICIAN 50.0 0 X 395483 0 40161 STEVEN A EMBRY MD PHYSICIAN 50.0 0 X 308396 0 46050 CHRIS HOFFMAN MD PHYSICIAN 50.0 0 X 248255 0 39480 CARMEN G LEFFLER DIRECTOR, PHARMACY 50.0 0 X 202254 0 22272 STEPHEN D HOLCOMB PHYSICIST 50.0 0 X 191964 0 31175 CRAIG A POLKOW FORMER OFFICER (END 8/2015) 0.0 50.0 X 0 291659 37997 BERNARD J SHERRY FORMER OFFICER (END 8/2015) 0.0 50.0 X 0 1384012 44944 MICHAEL H SCHATZLEIN MD FORMER OFFICER (END 3/2016) 0.0 0.0 X 0 1010804 0 PAMELA M HESS FORMER OFFICER (END 7/2016) 0.0 50.0 X 0 420756 35788 DON E KING FORMER OFFICER (END 12/2017) 0.0 50.0 X 0 708767 40797 KAREN L SPRINGER FORMER OFFICER (END 12/2017) 0.0 50.0 X 0 1414594 22127 JOSEPH R PINO FORMER KEY EMPLOYEE (END 6/2018) 0.0 0.0 X 128168 0 17348 2079429 7119428 533878 70 true true false CARDIOVASCULAR ANESTHESIOLOGISTS PC PO BOX 277599 ATLANTA GA 303847599 MEDICAL SERVICES 3446648 TENNESSEE PERFUSION ASSOCIATES 4230 HARDING PIKE STE 202 NASHVILLE TN 37205 MEDICAL SERVICES 1971833 MATTHEW WALKER COMPREHENSIVE HEALTH CENTER 1035 14TH AVE N NASHVILLE TN 37208 MEDICAL AND DENTAL SERVICES 1602542 ADVANCED DIAGNOSTIC IMAGING PC PO BOX 440460 NASHVILLE TN 372440460 DIAGNOSTIC SERVICES 1179251 ORTHO SURGICALISTS LLC 608 NORRIS AVE NASHVILLE TN 372043708 MEDICAL SERVICES 621246 19 X 252721 252721 Net Patient Service Revenue 621990 448070819 448070819 Reimbursement Under Provider Tax Program 900099 16043916 16043916 Income from Joint Ventures 900099 2805816 2805816 Pharmacy Revenue 446110 1458104 1458104 Services to Affiliates 561000 763648 763648 38261 38261 0 0 469180564 1591 1591 1347216 100172 1247044 0 1247044 1247044 1100000 58863 0 1041137 1041137 1041137 Cafeteria/Vending Revenue 722514 2688475 2688475 Fitness Club Revenue 713940 236461 236461 Escheatment Revenue 900099 59544 59544 723461 434 0 723027 3707941 475430998 469180998 0 5997279 1411335 1411335 652392 652392 98033936 95933978 2099958 3174767 3106761 68006 12077659 11818947 258712 7062945 6869265 193680 9900 9900 4276 4276 9394030 9317097 76933 0 19241 17589 1652 383893 255530 128363 244275 188291 55984 5011056 4870897 140159 78288 72305 5983 63867 63867 18849993 18333090 516903 2530257 2530257 Medical Supplies 102525081 101437465 1087616 Management Fee to Affiliate 83222354 83222354 Purchased Services 44071081 27463834 16607247 Provider Tax 16043916 16043916 23590536 17523145 6067391 0 428455078 397949666 30505412 0 8560 8547 15082487 12042293 55168421 55099992 0 0 0 11153039 11136944 1499456 241653 511589333 378056456 128798508 133532877 0 7407377 8002756 214580 74295 91478723 99393463 310811151 319532820 23095223 31353541 263924 266710 0 152465288 139240166 175824435 170860417 X 134986716 148672403 134986716 148672403 310811151 319532820 X 46975920 -33290233 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4276 4276 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 in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 3875780 750 228111 30179 4074462 3587562 250 322007 34039 3875780 3162120 2336 450949 27843 3587562 3819145 75343 -264255 468113 3162120 3730246 -74437 129591 -33745 3819145 0.0 0.4309 0.5691 false true true 4458348 4458348 334055498 239822004 94233494 2769430 2088243 681187 160356691 130543433 29813258 9949366 5602776 4346590 133532877 Due from Affiliates 83624775 Other Receivables 12851645 Deferred Compensation/Retirement/Pension Asset 15899 Physician Guarantee Asset 641072 Security Deposit Estimated 3rd Party Payor Settlements 2256309 Deferred Tax Asset 3763 99393463 OTHER LIABILITIES 1981 Due to Affiliates 38619308 Deferred Compensation/Retirement/Pension Liability 15899 Estimated 3rd Party Payor Settlement 333011 Physician Guarantee Liability Recovery Tail Liability 4419257 Accrued Tax Liability 103291 Intercompany Debt with Ascension Health Alliance 95663366 Lease Liability 84053 139240166 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, 2019. true true X true X 250 true X true true true false true true 13546701 13546701 0.0316 37886472 34405594 3480878 0.0081 0 0.0 0 0 51433173 34405594 17027579 0.0397 1 21343 21343 0.0000 4457396 1002045 3455351 0.0081 0 0.0 0 0.0 28 12 1443668 1443668 0.0034 29 12 5922407 1002045 4920362 0.0115 29 12 57355580 35407639 21947941 0.0512 2 134052 134052 0.0003 0 0.0 1 5000 5000 0.0000 0 0.0 0 0.0 0 0.0 1 12500 12500 0.0000 0 0.0 0 0.0 4 0 151552 0 151552 0.0004 true 4073984 0 207738612 246793826 -39055214 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 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. IN DAVIDSON COUNTY, SAINT THOMAS COLLABORATED WITH VANDERBILT UNIVERSITY MEDICAL CENTER (VUMC) AND THE METRO PUBLIC HEALTH DEPARTMENT DURING FISCAL YEAR 2019 TO COLLECT DATA FOR THE TAX YEAR 2018 CHNA. 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 The 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 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 the CHNA report. The partnering organizations worked together to design, direct and conduct the assessments of the communities served. Representatives of the organization include those with special knowledge of and/or expertise in public health. STH, VUMC, and MPHD had one community served which overlapped: Davidson County, TN. The partnering organizations collaborated and shared in the analysis of interview and community listening session results. Additionally, STH and VUMC worked together in reviewing secondary data and preparation for community meetings in three other counties: Hickman County, TN; Rutherford County, TN; and Williamson County, TN. Using MAPP, the partnering organizations also collaborated with members of the community to understand the current health needs of Davidson County, including organizations such as, but not limited to: Metro Social Services; Family and Children's Services; United Way of Nashville and the Family Resource Centers; Tennessee Department of Health; Juvenile Justice Center; Mayor's Office of Nashville; Metro Planning Department; Metro Parks Department; Metro Nashville Public Schools, Matthew Walker Comprehensive Health Clinic, ConnectUs Health, Metro Arts, Healthy Nashville Leadership Council, mental health experts, law enforcement officers; and regional health council representatives. While the partnering organizations collaborated with many community agencies and experts, hired consultants were not used during the CHNA process. Community representatives and leaders, who represented a broad interest of the community, were identified by Saint Thomas Health entities, Vanderbilt University Medical Center, the Metro Public Health Department, and Community Input Committee. The interviewee constituency was diverse and included those with professional experience and/or the ability to represent populations which are medically underserved, low-income, minority and/or with chronic disease needs. Community representatives and leaders also included those with special knowledge of and/or expertise in public health. Interviewees represented areas of healthcare services, law enforcement, education, non-profit agencies, faith communities, government representatives, safety net service providers, economic and workforce development, mental/behavioral health services, housing and homelessness and other interest groups working with vulnerable populations. To gather more widespread input from the community, an electronic intercept survey was disseminated to various organizations in the community. The online community survey (English and Spanish), which can be found in the appendix of the CHNA, consisted of four open-ended questions as well as close-ended questions to gather demographic information from respondents. The questions utilized on the survey were adapted from the Kansas City Health Department and the MAPP process with input from the Community Input Sub-Committee. The open-ended questions focused on community assets, issues/concerns, and future goals for the community. Following development of the questions, the survey was translated into Spanish, converted into an electronic survey using REDCap, and piloted for accuracy and timing. The survey was distributed to several networks of the health department as well as health system and community partners. Finally, the qualitative data was analyzed by a team of four reviewers to determine themes and the demographic data was analyzed using Excel. The survey was distributed by the health system, community, and public health networks. 277 responses were fielded from the community survey with all respondents living in Davidson County. 79% of respondents identified female, and 21% identified male. 48% of respondents were between the ages of 40-64, while another 36% were aged 26-39. 81% of respondents were white and15% of respondents were African-American. Approximately 24 of total responses were from the survey distributed in Spanish; an additional 4% of the respondents from the English survey identified as Latino/a, Hispanic or Spanish. In Davidson County, six listening sessions were conducted to identify the first-hand opinions of community members. The goal was to understand individuals' viewpoints on issues facing their community, what health and healthcare barriers exist, and what resources are available or absent. Listening sessions were moderated by the Needs Assessment partners and held at six locations around Davidson County including Hadley Park, Hartman Park, Elizabeth Park Senior Center, Building Lives Foundation, Outreach Base, and Salahadeen Center. Each session had twelve to fifteen individuals in attendance. The participants completed a demographic survey in order to provide insight into the composition of each group, but all responses during the conversation were kept anonymous. The main topics explored in these sessions included quality of life, community assets, obstacles or challenges, and priorities for the future. The listening session guide can be found in Appendix C of the CHNA. The majority of participants were female, 27% were Hispanic or Latino, and 41% were Black or African American. Nearly half of participants spoke a language other than English in the home, and most individuals completed some college, have a college degree, or have a graduate degree. 41% of participants were uninsured or enrolled in Medicaid or Medicare. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - Saint Thomas West Hospital - Part II. Results of the systematic review, community interviews, community listening sessions, and secondary data analysis were presented on January 11, 2019 at the West End Community Church for the Healthy Nashville Summit. 159 persons attended, and invitees included all participants in interviews and community listening sessions, as well as community members with expertise in public health or who work with medically under-served, minority, or low-income populations. The purpose of the summit was to solicit input and consider the broad interests of the community in identifying and prioritizing the community's health needs. In Davidson County, the Summit was facilitated jointly by VUMC, Saint Thomas Health, and the Metro Public Health Department. After being presented with primary and secondary data on several needs, summit attendees provided input into prioritizing the most important health needs within the community. Attendees individually selected between one and three health issues and then discussed these needs with their tablemates, guided by a facilitator. The table consolidated the needs into three health need buckets. These buckets were then entered into an electronic voting system. All participants voted on their top three priorities via the voting system called RedCap. The four health needs with the greatest number of votes were selected as the identified health needs. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Saint Thomas West Hospital. The Tax Year 2018 CHNA was conducted with Saint Thomas Midtown Hospital, Saint Thomas Hospital for Specialty Surgery, and Vanderbilt University Medical Center . Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Saint Thomas West Hospital. The OTHER ORGANIZATIONS WHO SERVED AS a PARTNER IN THE CONDUCTING OF the tax year 2018 CHNA were Saint Thomas Health and and the Metro Public Health Department. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Saint Thomas West Hospital - Part I. For the Tax Year 2018 CHNA, the results of the data review, community interviews, listening sessions and the online community survey were presented to the community representatives and leaders at the January 11th, 2019 Davidson County Health Summit meeting, which included local health department staff, Saint Thomas Health, Vanderbilt Medical Center, and more than fifty additional organization perspectives. The meeting attendees represented covered a broad spectrum of the community, including those focusing on the underserved population. They were asked to provide collective input into the needs of the community. Stakeholders present prioritized the following needs for Davidson County: Access to Affordable Healthcare, Access to and Coordination of Resources/Services, Support Mental Health and Reduce Toxic Stress, Address Basic Needs and Social Determinants, and Equity. 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 in ways that can more meaningfully impact priority areas across a health system and leverage the local assets of communities. The 4 needs chosen appeared in 5 or more of the counties surveyed. The ministry is committed to addressing Summit-specific needs within the 4 broader categories over the course of this cycle. Ascension Saint Thomas' community benefit department also commits significant resources to helping build capacity in other community plans, including the Davidson County CHIP (Community Health Improvement Plan). We are committed to aligning our strategies when possible and finding other opportunities to collaborate for the betterment of the community. 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 tax year 2018 prioritized unmet health needs identified for Davidson County, Tennessee, by this CHNA are: 1) Access to Care 2) Mental Health 3) Obesity 4) Substance Abuse All priority health needs will be addressed. 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 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. The results of the data review, community interviews, listening sessions and the online community survey were presented to the community representatives and leaders at the January 11th, 2019 Davidson County Health Summit meeting, which included local health department staff, Saint Thomas Health, Vanderbilt Medical Center, and more than fifty additional organization perspectives. The meeting attendees represented covered a broad spectrum of the community, including those focusing on the underserved population. They were asked to provide collective input into the needs of the community. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Saint Thomas West Hospital - Part II. ACTIONS TAKEN DURING FISCAL YEAR 2019 ON THE TAX YEAR 2015 CHNA - PARTS II-IV ACCESS TO CARE/CARE COORDINATION Strategy 1: Engage state legislators and other key stakeholders to advocate for expanded access to care in Tennessee. Results: All Tennessee legislators from all counties and neighboring counties/districts we serve were engaged weekly via in person visits, calls, or emails by Chief Advocacy Officer or senior leaders during the months of the legislative sessions. In addition, meetings with TennCare Director and Deputy Director as well as Commissioner of Health and Commissioner of Mental Health and Disabilities. During the Summer and Fall legislators are engaged as well during hospital ministry tours or Summer study meetings, but less frequently. Chief Advocacy Officer conducted followup with Federal legislators and staff visits made in person and engaged regularly in Washington and in the local district regarding health policy. Chief Advocacy Officer appointed to Tennessee Access to Care Board. Health Policies that were discussed and supported included 100% Access and 100% Coverage for All, Medicaid Expansion, Insure Tennessee, 3Star Healthy Plan, Hospital Assessment, Expansion of Ascension PACE, Opioid Epidemic Policy. Balanced Billing, Compact Medicine Policy, Nurse Practice Act, Certificate of Need, 340B, Corporate Practice of Medicine, Sexual Assault Transports, Psych Patient Transports, Rural Hospitals, Rural Health Access, Behavioral Health/Substance Abuse, and Future of Medicaid. Strategy 2: Address the outpatient care needs of recently hospitalized vulnerable individuals by going beyond usual discharge planning. Results: 16 patients received additional healthcare charity resources post discharge. Strategy 3: Operate a Dispensary of Hope Charitable Pharmacy to provide medication assistance for uninsured and underinsured individuals who experience financial hardship, as well as to assist patients with navigating other community resources as needed. Results: In fiscal year 2019 4,562 people had been served in 8,598 encounters at Saint Thomas West Hospital location. At the Saint Thomas Midtown Hospital location,5,328 individuals have been served in 10,315 encounters filling a total of 23,572 prescriptions total value of $427,596 in 10,519 total patient encounters at the Saint Thomas West Hospital location. The Saint Thomas Midtown hospital campus filled 31,783 prescriptions, a total value of $547,751 in 11,244 patient encounters. Strategy 4: Distribute donated medication to charitable pharmacies and clinics. Results: Dispensary of Hope distribution center has expanded in both relationships with pharmaceutical companies to maintain consistent medication supplies and in # of charitable pharmacies throughout the United States. Strategy 5: Provide a medical home for an increased number of uninsured and underinsured individuals, thus expanding their access to a full range of needed medical care. Results: Full service primary care with wraparound services and referral systems in place available at the following Saint Thomas Clinics subsidized by the hospitals: Holy Family Clinic, UT Internal Medicine Clinic, UT OB/GYN Clinic, West Clinic, Maplewood Clinic. These clinics have additional focus on serving the poor and vulnerable, with bilingual services and resources available to meet the needs of those served. Strategy 6: Increase access to healthcare by removing traditional financial and insurance hurdles, through financial assistance and emergency care policies. Results: Policy in place to provide community members with income levels at or below 400% of the Federal Poverty Level with financial assistance as outlined in the Saint Thomas Health Financial Assistance Policy. Strategy 7: Implement community wide Medical Missions at Home that integrate medical, dental, vision and behavioral health, along with broader community resources. Results: A Medical Mission Event was held September 22, 2018. This event served 667 community members in over 2,275 encounters with 155 follow up appointments scheduled. Strategy 8: Convene a Middle Tennessee Oral Health Coalition to improve the oral and overall health of the dentally underserved in Middle Tennessee. Results: A coalition of oral health stakeholders was formed in 2014, with the financial support of STH, to address the current oral health system and work towards a sustainable system of care for vulnerable populations in Middle TN. STH advocacy and community health leaders participate in the coalition. Continue to promote Dental net safety list throughout Middle Tennessee. Strategy 9: Increase breast cancer screening compliance through Our Mission in Motion Mobile Mammography. Results: In 2019 Forty four plus events served 662 plus patients, with 407 plus qualifying for free care 108 plus patients had never had a mammogram and for 383 plus it had been greater than two years. Strategy 10: Improve access to care via telemedicine consultations when acute stroke symptoms are present. Results. Program in place at 10 locations with 115 encounters in FY17, and 7 neurology specialists completing virtual consults. The program continues to grow with patient discharge outcomes and consult times are being tracked. Strategy 11: Expand access to dental care through a new dental residency program and practice. Results: Three way partnership with Saint Thomas West Hospital, Matthew Walker Comprehensive Clinic (FQHC), and University of Tennessee formed to develop dental residency program. Funding ($1.7M) provided in FY18/19 for construction of needed space and equipment to expand Matthew Walker Clinic. First residency group started Summer 2018. Program continues to grow and evolve in 2019. Strategy 12: Provide communitybased organizations with financial support toward their work in one of the Prioritized Need areas. Results: Multiple Organizations Funded: First Steps: To support pediatric outpatient therapy program to ensure services can be received regardless of ability to pay. Hope Clinic for Women: To support prenatal & parenting education, mentoring, and professional counseling programs for women with unplanned pregnancies. Hope Smiles: To support outreach dental work through Medical Missions at Home. Interfaith Dental Clinic: To support oral health care and education for uninsured, low income working people, their families, and the elderly. Metro Public Health Department: To support the department's health portal. Room In The Inn: To support the needs of homeless individuals who have experienced a medically fragile event or recent hospitalization and need a transitional supportive living environment, including navigation of the health care system. Tennessee Justice Center: To improve access to care through providing enrollment assistance and training collaboratively. Siloam Health: To support clinics which serve the uninsured and underserved in Nashville with a focus on refugees. Patients come from over 80 countries and speak over 70 languages. Tennessee State University (TSU): To provide for the purchase of AED equipment for TSU (Historically Black College/University) sports teams. Family and Children's Services: To support Healthcare Access Program to assist and connect people with insurance options and connecting to affordable care through in person and phonebased case management with Spanish, Kurdish, and Arabic capacity. SOCIAL DETERMINANTS Strategy 1: Implement an anti human trafficking initiative throughout Saint Thomas Health so that victims of human trafficking who seek medical care will be identified and connected with the assistance they need. Results: Anti human trafficking initiative started with charter in place. Four training modules and localized protocols have been developed for roll out to all Saint Thomas Health employees. The training modules are available for all employees currently. Training has begun in Davidson County. One clinic, UT Internal Med, has had all staff including physicians trained. Saint Thomas Midtown ED has trained the majority of staff/physicians. Roll out and training will continue to occur throughout all Saint Thomas Health facilities. Strategy 2: Provide resource navigation support to community members in need, recognizing how critical economic stability and social environments that promote good health are to improve an individual's and a community's health. Results: The strategy for the development of a centralized call center in which this resource were to be embedded shifted with the development not at a point to implement this resource during 2019. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Saint Thomas West Hospital - Part III. Strategy 3: Increase healthcare exposure for Maplewood High School and other Metro Nashville Public School (MNPS) students to healthcare as they consider and prepare to enter the healthcare workforce, while increasing access to primary care for members of the surrounding community. Results: Saint Thomas Health Scholars: In partnership with Metro Nashville Public Schools (MNPS), the PENCIL Foundation, and the Nashville Area Chamber of Commerce, ST West and Midtown Hospitals support the Saint Thomas Health Scholars, a cohort of roughly 100 MNPS seniors across 9 public high schools. Through the mentorship of a STH nurse educator, students are given job readiness and exam preparation training for medical industry certification examinations at the end of their senior year. The STH Nurse Educator travels to all 9 schools weekly to teach and mentor, and Scholars are brought to ST West and ST Midtown for various job shadowing and skills testing events throughout the school year. The program started in FY17 and has continued through FY19. Strategy 4: Provide firsthand exposure and experience for sophomores, juniors, and seniors in Metro Nashville Public Results: Through workforce development program with Metro Nashville Public Schools, Schools as they consider and prepare to enter the healthcare workforce.program includes: hospital tours and job shadowing with associates to expose low income high school students to viable, well paying careers in healthcare, encouraging them to consider these career paths which can lead to financial security. Strategy 5: Implement community wide Medical Mission at Home that integrates medical, dental, vision and behavioral health, along with broader community resources. Results: For FY19 Medical Mission Event held September 22, 2018. This event served 667 community members in over 2,275 encounters with 155 followup appointments scheduled. Strategy 6: Improve resource navigation support to community members in need through piloting the addition of a Navigation Specialist to the South Nashville Family Resource Center staff. Results: Multiple attempts of building out capacity of resource navigation at the South Nashville Family Resource Center unsuccessful, partially due to the differing needs within the community and inability to build and maintain trust within the community. Strategy 7: Formalize community partnerships to pilot a model for better meeting the resource needs of residents of a specific geography. Results: Several additional physician clinics with wrap around services added to Davidson County. These practices are new and are still developing partnerships within the community without formalized partnerships in place as of yet. Strategy 8: Provide community based organizations with financial support toward their work in one of the Prioritized Need areas. Results: Catholic Charities: To support work as lead agency for South Nashville and McGruder Family Resource Centers to provide health education, access to healthy food, mental health services, job readiness training, ESL and tutoring opportunities, and other social services. Preston Taylor Ministries: To support mission to empower children and youth to reach their potential though one on one mentoring programs. MENTAL AND EMOTIONAL HEALTH/SUBSTANCE ABUSE Strategy 1: Train and support a network of Faith Community Nurses, to equip them to improve the health of their congregations. Results: Faith Community Nursing (FCN): The program provides community health education and improvement through development of professional faith community nurses. The program provides training, continued education, support, resources and network to area FCNs. Additionally, the program promotes FCN to congregations as a holistic health and spiritual health promotion strategy. During fiscal year 2017, one Foundations of Faith Community Nursing was offered, and a total of 4 networking meetings were held. Demand for the program was low, resulting in the discontinuation of the program. Strategy 2: 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. Results: Patients are screened using the PHQ2 or 9 with appropriate referrals made as needed to advanced nurse practitioner whose sole focus is mental health. Strategy 3: Integrate psychological and pastoral counseling into a primary care site, to care seamlessly for a patient's physical and behavioral health needs within one site of care. Results: Program was in place through 2017, but issues with staffing put the program on hold. Currently, the potential for virtual spiritual care visits is being developed to pilot within some Ascension clinic locations. Strategy 4: Provide community based organizations with financial support toward their work in one of the Prioritized Need areas. Results: End Slavery Tennessee: To support specialized case management and comprehensive aftercare for human trafficking survivors. Nurses for Newborns: To provide a safety net for families most at risk, to help prevent infant mortality, child abuse and neglect through in home nursing visits providing healthcare, education, and positive parenting skills. AGAPE: Support a sliding fee payment scale for counseling, including Spanish language. Catholic Media Production: Support programming focused on the emotional and mental health of community members who listen to radio programming, with a special focus on developing Spanish language broadcasting. Begin Anew: Support for its mission to empower individuals to break harmful cycles caused by poverty by providing education, mentoring and resources. Building Lives Foundation: funds to support job readiness training, healthcare coordination, vehicle, and housing assistance to homeless veterans with substance abuse history. Nashville Symphony: To support Summer Outreach and Music Heals programs, bringing music into communities in need of healing with a focus on low access communities. Sexual Assault Center:To support their mission to provide healing for those affected by sexual assault by funds to assist in providing treatment and mental health support to low income clients. WELLNESS AND DISEASE PREVENTION Strategy 1: Operate and expand a community based breastfeeding clinic to support and educate breastfeeding families. Results: Breastfeeding Outreach Clinic: ST Midtown offers breastfeeding outreach and assistance through a walk in clinic, available to all community members and provided by Certified Lactation Consultants. The service is available to breastfeeding mothers, infants and support persons, regardless of delivery hospital; additional resources, such as breastfeeding classes for first time breastfeeding mothers, are recommended as needed. This outreach program is working to improve the breastfeeding rates for the community, thereby reducing maternal morbidity and improving infant health. Through the end of fiscal year 2017, the clinic saw an average of 106 patients a month. The clinic's hours increased to fifteen hours per week to accommodate community demand. Numbers remain high and capacity increased in FY18 and FY19. Program grew into an additional clinic located at Saint Thomas Rutherford Hospital in Murfreesboro, Tennessee. Strategy 2: Train and support a network of Faith Community Nurses, to equip them to improve the health of their congregations. Results: Faith Community Nursing (FCN): The program provides community health education and improvement through development of professional faith community nurses. The program provides training, continued education, support,resources and network to area FCNs. Additionally, the program promotes FCN to congregations as a holistic health and spiritual health promotion strategy. During fiscal year 2017, one Foundations of Faith Community Nursing was offered, and a total of 4 networking meetings were held. Demand for the program was low, resulting in the discontinuation of the program in FY18. Strategy 3: Implement a community wide campaign that integrates education and barrier reduction to increase breast cancer screening. Results: Breast cancer education and barriers done in conjunction with the Mobile Mammography visits. Education is also done at the locations for screenings by clinic staff within those locations. Strategy 4: Improve maternal and infant health through offering prenatal education via Centering Pregnancy classes and lactation consulting. Results: Holy Family Clinic offers Centering Pregnancy classes in English and Spanish that are conducted by the clinic's trained midwife. The lactation consultant embedded within the clinic also provides individual services to patients. Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - SAINT THOMAS WEST HOSPITAL - PART IV. Strategy 5: Implement a community wide campaign to provide nutrition counseling that will improve food choices. Results: Registered dietician shared among several low income and high risk clinics to provide individual counselling for diabetics, obese, and others, and those at risk for developing chronic diseases. Strategy 6: Increase physical activity by offering weekly exercise classes to community members. Results: Partnership started between Holy Family Clinic and local YMCA to offer classes geared towards the Spanish speaking population and on the bus route at a time most convenient to the targeted population. Strategy 7: Provide community based organizations with financial support toward their work in one of the Prioritized Need areas. Results: Fannie Battle Day Home for Children: To provide fresh fruits and vegetables to supplement meals and snacks for the vulnerable, low income population. Lutheran Services of Tennessee: To support program to initiate individualized gardens in low income housing communities and teach families in poverty to grow and prepare their own vegetables. Nashville Downtown Partnership: To sponsor Bicycle stations at the Downtown Farmers Market and close to Saint Thomas Midtown Hospital, a shared bike program implemented to increase active transportation. New Beginnings: To support a healthy lifestyle program for low income women. The program tracks health metrics and incorporates physical fitness training, nutrition, and health education along with life coaching to improve overall health and well being. 0 Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART II 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: wellness, obesity, and disease prevention/management) Nashville Downtown Partnership: provide support to the b-cycle station at the downtown farmers market. This shared bike program is implemented to increase active transportation and is aligned with healthy people 2020 goals. (community health need: physical activity and wellness) Mathew Walker: provided funds for expansion of dental clinic at Matthew Walker. (community health need: access to care) Metro Public Health Department: provided funds to support the healthynashville.org database. (community health need: social determinants) 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: wellness, obesity, disease prevention/management) 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: social determinants and youth issues) 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/care coordination) 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 and emotional health) 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) 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) Schedule H, Part VI, Line 6 DESCRIPTION OF AFFILIATED GROUP - PART II 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 2019, 3,132 screenings were performed at 203 stops. 388 women received mammography screening for the first time, and 1,117 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 comprised 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 2019, 22,137 prescriptions were filled, a total value of $406,160 in 4,969 total patient encounters at the Saint Thomas West Hospital location. The pharmacy located in Rutherford county dispensed 40,758 prescriptions in a total of 17,294 patient encounters at a value of $520,476 in fiscal year 2019. A third pharmacy located on the Saint Thomas Midtown Hospital campus filled 27,977 prescriptions, a total value of $369,885 in 6,311 patient encounters during fiscal year 2019; a fourth location on the Saint Thomas Hickman Hospital campus dispensed 5,060 prescriptions in a total of 1,134 patient encounters at a value of $185,975 in fiscal year 2019. (community health need: access to care and wellness). 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. Schedule H, Part V, Section B Hospital Websites During the course of the tax year and/or prior to the filing of the return for the taxable year, the filing organization, which is part of a larger health system, transitioned from a separately hosted website (or websites), to being a part of the health system's centrally hosted hospital website. This transition was intended to facilitate public access to information, including enabling the health system to better manage and monitor compliance requirements that IRC Section 501(r) information be made widely available to the public. During and as a result of the migration of hospital facility information to the new central website, it is possible that there may have been brief instances of web access interruption. If so, the filing organization believes that any such interruptions would have been minor and inadvertent, and due to reasonable cause, and that any such instances would have been immediately addressed when identified. The filing organization and health system have established procedures in place as part of its centralized monitoring and management processes that are reasonably designed to address, monitor and promote compliance with the requirements of IRC Section 501(r). In an effort to be fully transparent, the filing organization has chosen to pro-actively disclose on this Form 990 this possibility of very minor and inadvertent web access interruptions that could have occurred in the normal course of migrating locally maintained hospital facility information to an improved centrally managed website. In so disclosing, the organization is not reporting that interruptions in the nature of a Section 501(r) violation in fact occurred. Rather, the organization is pro-actively disclosing that the migration process was undertaken and that, in completing that process, it is possible that brief interruptions in web access may have occurred as the hospital facility data was relocated to the central website. 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 SOCIAL DETERMINATES 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. ADDRESSING THE SOCIAL DETERMINATES OF HEALTH THROUGH COMMUNITY BUILDING IS AN IMPORTANT COMPONENT IN IMPROVING THE CONTRIBUTING FACTORS THAT DETERMINE THE HEALTH OF THE COMMUNITY. SAINT THOMAS WEST HOSPITAL SUPPORTS A VARIETY OF EFFORTS AND CONTINUES TO WORK IN COLLABORATION WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND WELL-BEING OF THE COMMUNITY, ESPECIALLY THE POOR AND VULNERABLE, INCLUDING REPRESENTATION ON COMMUNITY/NON-PROFIT BOARDS AND COMMITTEES WHICH WORK TO IMPROVE THE HEALTH AND ADDRESS ITS SOCIAL DETERMINATES. COMMUNITY SUPPORT: SAINT THOMAS WEST HOSPITAL SUPPORTED THE METRO HEALTH DEPARTMENT WEBSITE: HEALTHYNASHVILLE.ORG THROUGH FINANCIAL DONATION. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT/SAFETY: THE CHIEF ADVOCACY OFFICER SPENDS TIME ADVOCATING FOR POLICY CHANGE THAT DIRECTLY IMPACT THE POOR AND VUNLERABLE. THIS IS DONE THROUGH INDIVIDUAL MEETINGS, COMMITTEE INVOLVEMENT, AND STATE LEGISLATIVE INVOLVEMENT. WORKFORCE DEVELOPMENT: UNDERSTANDING THE STRONG CORRELATION BETWEEN INCOME LEVEL AND PHYSICAL HEALTH, SAINT THOMAS WEST HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH ENGAGEMENT WITH METRO NASHVILLE PUBLIC SCHOOLS. THROUGH HOSPITAL TOURS AND JOB SHADOWS WITH SAINT THOMAS WEST HOSPITAL ASSOCIATES, LOW-INCOME HIGH SCHOOL STUDENTS ARE EXPOSED TO VIABLE, WELL-PAYING CAREERS IN HEALTHCARE, ENCOURAGING THEM TO CONSIDER THESE CAREER PATHS WHICH CAN LEAD TO FINANCIAL SECURITY AND, ULTIMATELY, BETTER OVERALL HEALTH FOR THEMSELVES, THEIR FAMILIES, AND THEIR COMMUNITIES. PHYSICAL IMPROVEMENTS/HOUSING: SAINT THOMAS WEST HOSPITAL PROVIDED $1.5 MILLION TO MATTHEW WALKER FQHC CLINIC IN NASHVILLE TO SUPPORT THE INFRASTRUCTURE CHANGES THAT NEEDED TO OCCUR TO BEGIN A MUCH-NEEDED DENTAL RESIDENCY PROGRAM - A PARTNERSHIP WITH MATTHEW WALKER CLINIC/UT SCHOOL OF DENTISTRY/SAINT THOMAS WEST HOSPITAL. COALITION BUILDING: SAINT THOMAS WEST HOSPITAL SUPPORTS COALITION BUILDING THROUGH HOSPITAL LEADERS' PARTICIPATION ON COMMUNITY BOARDS. REPRESENTING SAINT THOMAS WEST HOSPITAL, ASSOCIATES USE THEIR TIME TO HELP LEAD NONPROFIT ORGANIZATIONS AS THEY WORK TO IMPROVE THE OVERALL WELL-BEING OF THE COMMUNITY. THIS COLLABORATIVE WORK ENCOMPASSES THE ISSUES OF HEALTHCARE, ECONOMIC VITALITY, EDUCATION, HOUSING/HOMELESSNESS, YOUTH ISSUES, AND MORE. ORGANIZATIONS INCLUDE: BETTER BUSINESS BUREAU, WILLIAMSON COUNTY CHAMBER OF COMMERCE, NASHVILLE AREA CHAMBER OF COMMERCE/COE COUNCIL OF ACADEMY PROGRAMS - METRO NASHVILLE PUBLIC SCHOOLS, SILOAM HEALTH, AMERICAN HEART ASSOCIATION, ROOM IN THE INN, SAINT VINCENT DE PAUL SOCIETY, BOY SCOUTS OF AMERICA, AMAZIMA MINISTRIES, HOSPITAL HOSPITALITY HOUSE, HABITAT FOR HUMANITY, NASHVILLE HEALTH, UK MHA BOARD OF ADVISORS, TENNESSEE HOSPITAL ASSOCIATION, NASHVILLE HEALTH CARE COUNCIL, TENNESSEE BUSINESS ROUNDTABLE, ALIVE HOSPICE, AND DIOCESE OF NASHVILLE BOARD. 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 2019 was $22,633,243 at charges, ($4,073,984 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 18-20. 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 IN ADDITION TO THE CHNA COLLABORATION, SAINT THOMAS WEST HOSPITAL AND THE CHNA 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 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's registration associates discuss the estimated balance that will be due with both insured and self-pay patients. Should the associate identify that the patient may need assistance with that balance he/she will provide the patient with a Financial Assistance Application and help them complete it, if needed. All self-pay and underinsured patients are screened by Saint Thomas 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/Locations/Tennessee/TNNAS/Nashville-Saint-Thomas-West-Hospital/Financial-Assistance in all required LEP languages. Schedule H, Part VI, Line 4 Community information LOCATED IN NASHVILLE, TENNESSEE, SAINT THOMAS WEST HOSPITAL, PRIMARILY SERVES RESIDENTS OF DAVIDSON COUNTY AND ADJACENT SURROUNDING COUNTIES OF MIDDLE TENNESSEE AND HAS A STRONG CARDIAC SERVICE LINE AND TRANSPLANT SERVICES (HEART AND KIDNEY). A MAJORITY OF A Saint Thomas West Hospital'S EMERGENCY VISITS ARE FROM DAVIDSON COUNTY. 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 high 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 lower than 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 slightly lower than 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 is comprised 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 underserved and to aid needy patients once they leave our care. In fiscal year 2019 the Foundation granted $81,090 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 $15,000 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 $252,000 in FY19 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 almost $78,000 in assistance in FY19. Saint Thomas Health senior leaders and associates participate as active board members of non-profit organizations whose missions align with community health improvement and addresses 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 142 students per month had clinical training at the hospital in fiscal year 2019, with more than 68,800 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: health education and access to care) Medical missions at home: a medical mission event was held in Davidson county within a low-income community on September 22, 2018. 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, radiology services, and a health ministry presence to persons who otherwise have limited access to health care. this one-day event, which included multiple volunteers and community partners, served 667 community members 78 follow up appointments scheduled. (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 FY19. Through the mentorship of a Saint Thomas Health licensed practicing nurse, students are given job readiness and exam preparation training to sit for the Clinical Certified Medical Assistant (CCMA) certification exam at the end of their senior year. The Saint Thomas Health mentor travels to all 3 schools weekly to teach and mentor, and scholars are brought to Saint Thomas West Hospital and Saint Thomas Midtown hospital for various job shadowing and skills testing events throughout the school year. (Community Health Need: Social Determinants and Youth Issues) Shared linen services for Ronald McDonald house and Room in the Inn: Saint Thomas Midtown and Saint Thomas West Hospital participate in cost sharing of linen expenses for two area non-profits, one which addresses needs of the homeless and one addressing temporary housing for families of hospitalized families. Community Benefit Cash and in-kind contributions: A variety of support 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: In Kind: the hospital has provided access to its conference rooms at no charge to some community organizations whose programs align with its mission. the hospital also grants certain nonprofits whose work aligns with its mission the use of some clinic, office, and storage space free of charge. Agape: provide funds in support of agape's sliding-fee payment scale for counseling, including Spanish-language counseling. (community health need: mental and emotional 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 and emotional 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 and emotional health, care coordination) 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: wellness, social determinants, and youth issues) Catholic Media Productions: provide funds to support its programming intended to support the mental and emotional health of community members who listen to the radio programming, with a special focus on developing Spanish-language broadcasting. (community health need: mental and emotional health) End Slavery Tennessee: provided support to end slavery to provide specialized case management and comprehensive aftercare for human trafficking survivors which tactically addressing the problem through advocacy, prevention and training front line professionals. (community health need: mental health) 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, Care coordination) Fannie Battle Day Home for Children: provide support for fresh fruits and vegetables to be provided during meals and snacks. (community health need: health education and access to healthy food) First Steps: provide funds to support its pediatric outpatient therapy program, specifically to ensure services can be received regardless of ability to pay. (community health need: access to care) Habitat for Humanity: provide funds to support a house build in Davidson County. (community Health need: social determinants) 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) Hope Smiles: provide funds to support its participation in the health system's four medical missions at home events. (community health need: 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) Schedule H, Part VI, Line 6 Affiliated health care system Saint Thomas West hospital (St. Thomas West), established in 1898, is a 541-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 (STH) 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 FY19, 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 HEALTH MINISTRIES, LOCATED IN more than 20 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/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'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 $11/hour during FY15. 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 and wellness) 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 2019: Continuing Medical Education: STH 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 FY19, 9 educational courses/seminars were offered with total attendance of 535. (community health need: health education and access to care) Graduate Medical Education: STH and its affiliates serves as training sites for university of Tennessee, Meharry Medical College and Vanderbilt University medical residents. In fiscal year 2019, 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 three medical mission events, one in Davidson County, one in Warren County, and one in Rutherford County. All of these were held within a low-income community. 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 FY19, these events served 1,394 community members resulting in 205 scheduled follow-up appointments. (community health need: access to care) 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 health care 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, clinic fees are discounted 46% with additional discounts given for paying day of service. For those who qualify for financial assistance, patient balances are adjusted. in addition, private insurance, Medicare and Tenncare are accepted. 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 84,761 patient encounters for 28,173 patients in fiscal year 2019. 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 strong focus on congestive heart failure. (community health need: access to care) true SAINT THOMAS NETWORK 4220 Harding Rd Nashville TN 37205 621868848 501(c)(3) 922435 Provide support for Saint Thomas Family Health Center's clinic operations MATTHEW WALKER COMPREHENSIVE HEALTH CENTER INC 1035 14th Avenue North Nashville TN 37208 621035426 501(c)(3) 102542 To support the renovation of clinical and administrative spaces within the Center and the acquisition of equipment and supplies for the operation of an oral health program CATHOLIC CHARITIES OF TENNESSEE INC 2806 MCGAVOCK PIKE Nashville TN 37214 620679520 501(c)(3) 52000 Support the South Nashville Family Resource Center and the McGruder Family Resource Center (North Nashville) ROOM IN THE INN 705 Drexel Street Nashville TN 37203 620811413 501(c)(3) 40000 Support Recuperative Care Program Nashville Area Habitat for Humanity 414 Harding Place Nashville TN 37211 581636286 501(c)(3) 31500 Help construct home END SLAVERY TENNESSEE PO Box 160069 Nashville TN 37216 454955577 501(c)(3) 25000 Support of survivor care services SILOAM FAMILY HEALTH CENTER 820 Gale Lane Nashville TN 37204 581867940 501(c)(3) 21560 Further the community health amoung the most poor and vulnerable residents of the greater Nashville area, especially the foreign-born THE NEW BEGINNINGS CENTER 509 CRAIGHEAD ST Nashville TN 37204 900751722 501(c)(3) 17500 Fund the program costs of low-income women ASSOCIATION for GUIDANCE AID PLACEMENT & EMPATHY (AGAPE) 4555 Trousdale Drive Nashville TN 37204 620760716 501(c)(3) 13500 Provide access to mental health counseling for the Hispanic population INTERFAITH DENTAL CLINIC 1721 PATTERSON ST Nashville TN 37203 621567615 501(c)(3) 12000 Improving the oral and overall health of the dentally underserved in Middle Tennessee HOPE SMILES 115 Penn Warren Drive Brentwood TN 37027 260829468 501(c)(3) 11000 To improve access to dental care for the underserved in Middle Tennessee NASHVILLE DOWNTOWN PARTNERSHIP 150 4th Ave N Nashville TN 37219 621774641 501(c)(6) 10000 Nashville bike stations Hope Clinic for Women 1810 Hayes Street Nashville TN 37203 621164825 501(c)(3) 8000 Support the Hope Clinic for Women's Bridges to Maternal Care Program FANNIE BATTLE DAY HOME FOR CHILDREN 108 CHAPEL AVE Nashville TN 37206 620476290 501(c)(3) 7500 Support healthy eating initiative BUILDING LIVES FOUNDATION INC PO Box 210184 Nashville TN 37221 205584526 501(c)(3) 7500 Provide support for the Academy Program SEXUAL ASSAULT CENTER 101 French Landing Drive Nashville TN 37228 621043294 501(c)(3) 7500 To support the treatment and support for sexual assault survivors PRESTON TAYLOR MINISTRIES PO Box 90442 Nashville TN 37209 621757018 501(c)(3) 7000 PTM's One-on-One mentoring programs CHRISTIAN WOMEN'S JOB CORPS OF MIDDLE TN'S (DBA BEGIN ANEW OF MIDDLE TN) 420 MAIN STREET Nashville TN 37206 760718734 501(c)(3) 6250 Support the Mental/Emotional Health Case Management and Mentoring program. SUPPLIES OVERSEAS 1500 Arlington Avenue Louisville KY 40206 272624272 501(c)(3) 61755 Cost of Supplies Surgical supply donation To donate surgical supplies 18 1 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 the report include demographic summary of population benefited and 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 DIRECTOR 0 705531 0 100000 0 118688 0 13750 0 23545 0 961514 0 0 CRAIG A POLKOW FORMER OFFICER (END 8/2015) 0 274779 0 13000 0 3880 0 15125 0 22872 0 329656 0 0 BERNARD J SHERRY FORMER OFFICER (END 8/2015) 0 838132 0 259896 0 285984 0 17875 0 27069 0 1428956 0 0 MICHAEL H SCHATZLEIN MD FORMER OFFICER (END 3/2016) 0 0 0 0 0 1010804 0 0 0 0 0 1010804 0 0 PAMELA M HESS FORMER OFFICER (END 7/2016) 0 304974 0 27668 0 88113 0 17875 0 17913 0 456544 0 0 DON E KING FORMER OFFICER (END 12/2017) 0 488507 0 56251 0 164008 0 15125 0 25672 0 749564 0 0 KAREN L SPRINGER FORMER OFFICER (END 12/2017) 0 939685 0 313335 0 161575 0 15125 0 7002 0 1436721 0 0 FAHAD TAHIR CEO 0 427819 0 0 0 39540 0 17875 0 23016 0 508249 0 0 LISA R DAVIS CFO, MINISTRY MARKET 0 382204 0 51555 0 63500 0 17875 0 12195 0 527329 0 0 JOSEPH R PINO FORMER KEY EMPLOYEE (END 6/2018) 118645 0 0 0 9523 0 3750 0 13598 0 145516 0 0 0 MARK E MARSDEN MD CMO 392226 0 0 0 30331 0 15125 0 23973 0 461654 0 0 0 SAMANTHA STRATON VP, NURSING 181484 0 0 0 869 0 5472 0 2913 0 190737 0 0 0 WILLIAM J MASON MD PHYSICIAN 366133 0 28219 0 1130 0 13750 0 26411 0 435644 0 0 0 STEVEN A EMBRY MD PHYSICIAN 277006 0 27147 0 4243 0 17875 0 28175 0 354446 0 0 0 CHRIS HOFFMAN MD PHYSICIAN 197235 0 48443 0 2578 0 14237 0 25243 0 287735 0 0 0 CARMEN G LEFFLER DIRECTOR, PHARMACY 195149 0 4356 0 2748 0 13155 0 9117 0 224526 0 0 0 STEPHEN D HOLCOMB PHYSICIST 191687 0 0 0 277 0 13055 0 18120 0 223139 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A related organization of Saint Thomas West Hospital, uses the following to establish the compensation of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee 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: MICHAEL H SCHATZLEIN, MD - $1,005,862 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 2018. Form 990, Part IV, Line 20b Explanation of financial statements The activity of Saint Thomas West Hospital ("STWH") is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of STWH is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of STWH. 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 IS PERFORMED BY A RELATED ORGANIZATION. THE PROCESS INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS OF THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE, USE OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. THE COMPENSATION COMMITTEE IS CHARGED WITH OVERSEEING THE PROCESS IN A MANNER DESIGNED 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 OTHER OFFICERS OR KEY EMPLOYEES IS PERFORMED BY A RELATED ORGANIZATION. THE PROCESS INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS OF THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE, USE OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. THE COMPENSATION COMMITTEE IS CHARGED WITH OVERSEEING THE PROCESS IN A MANNER DESIGNED 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 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 Rental Income from Affiliates - Total Revenue: 38261, Related or Exempt Function Revenue: 38261, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 51358, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 51358; Late Penalty Fees - Total Revenue: 6945, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 6945; Hotel/Conference Revenue - Total Revenue: 4521, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4521; Education Revenue - Total Revenue: 434, Related or Exempt Function Revenue: 434, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Insurance Proceeds - Total Revenue: 660203, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 660203; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer with Alpha Fund - -33452914; Transfers with Affiliates - 162681; 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. AFFINITY HEALTH SYSTEM 1506 Oneida St Appleton WI 54915 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true AGAPE COMMUNITY CENTER OF MILWAUKEE INC 6100 NORTH 42ND STREET MILWAUKEE WI 53209 391641846 COMMUNITY CENTER WI 501(c)(3) 7 MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES 6801 AIRPORT BLVD MOBILE AL 36608 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true Alexian Brothers - AHS Midwest Region Health Co 2601 Navistar Drive Lisle IL 60532 472360513 Joint Operating Company IL 501(c)(3) Type II NA false Alexian Brothers Ambulatory Group 2601 Navistar Drive Lisle IL 60532 364336931 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates IL 60169 364251848 Behavioral health hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Bonaventure House 825 Wellington Avenue Chicago IL 60657 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 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Outpatient community mental health services IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Community Services 12250 Weber Hill Rd Ste 200 St Louis MO 63127 364344423 PACE- Comprehensive & Coordinated Community Based Services IL 501(c)(3) 10 Ascension Health Senior Care true Alexian Brothers Health System 200 South Wacker Drive Chicago IL 60606 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 2601 Navistar Drive Lisle IL 60532 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 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Medical Care Group NFP 2601 Navistar Drive Lisle IL 60532 471930457 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 60007 362596381 Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Group Specialty Care 2601 Navistar Drive Lisle IL 60532 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true Alexian Brothers of San Jose Inc 2601 Navistar Drive Lisle IL 60532 941530037 Acute care hospital (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true Alexian Brothers Senior Ministries 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 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 12250 Weber Hill Rd Ste 200 St Louis MO 63127 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Specialty Group 2601 Navistar Drive Lisle IL 60532 800710751 Specialty physician practice group IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC 12250 Weber Hill Rd Ste 200 St Louis MO 63127 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE 12250 Weber Hill Rd Ste 200 St Louis MO 63127 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 2660 10TH AVENUE SOUTH NO 505 BIRMINGHAM AL 35205 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME 1190 E 2900 N ROAD CLIFTON IL 60927 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION MICHIGAN CMG 28000 DEQUINDRE ROAD WARREN MI 48092 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION ALL SAINTS HOSPITAL INC 3801 SPRING STREET RACINE WI 53405 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ARIZONA 2202 N FORBES BLVD TUCSON AZ 85745 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS FOUNDATION 1521 GULL ROAD KALAMAZOO MI 49048 237222558 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL 1521 GULL ROAD KALAMAZOO MI 49048 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION 420 W HIGH STREET DOWAGIAC MI 49047 382860459 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL 420 WEST HIGH STREET DOWAGIAC MI 49047 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY 12851 GRAND RIVER BRIGHTON MI 48116 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC 614 MEMORIAL DRIVE CHILTON WI 53014 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension Care Management Insurance Holdings (FKA Global Health Partnership ) 101 South Hanley Ste 450 St Louis MO 63105 461121862 Health care MO 501(c)(3) 7 Ascension Health Alliance true ASCENSION EAGLE RIVER HOSPITAL INC 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION EASTWOOD BEHAVIORAL HEALTH 28000 DEQUINDRE ROAD WARREN MI 48092 381958763 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION GENESYS FOUNDATION ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383591148 FOUNDATION MI 501(c)(3) Type I GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL ONE GENESYS PARKWAY GRAND BLANC MI 484398065 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION GOOD SAMARITAN HOSPITAL INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC PO BOX 45998 ST LOUIS MO 63145 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST 4600 EDMUNDSON RD ST LOUIS MO 63134 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION 101 SOUTH HANLEY SUITE 450 ST LOUIS MO 63105 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE 12250 Weber Hill Road St Louis MO 63127 431227406 PARENT COMPANY MO 501(c)(3) Type I ASCENSION HEALTH true ASCENSION WELFARE BENEFITS TRUST PO BOX 46944 ST LOUIS MO 63146 431601369 TRUST MO 501(c)(9) ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL 28000 DEQUINDRE ROAD WARREN MI 48092 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN 28000 Dequnidre Rd WARREN MI 48092 383494637 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MEDICAL GROUP PROMED 1521 GULL ROAD KALAMAZOO MI 49048 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 BORGESS HEALTH ALLIANCE INC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC 1570 APPLETON RD MENASHA WI 54952 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC 824 ILLINOIS AVENUE STEVENS POINT WI 54481 391965593 MEDICAL GROUP WI 501(c)(3) Type III-FI MINISTRY HEALTH CARE INC true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN 28000 DEQUINDRE ROAD WARREN MI 48092 382631907 HEALTH CARE MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MINISTRY AND MISSION FUND PO BOX 45998 ST LOUIS MO 63145 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC 1506 S ONEIDA STREET APPLETON WI 54915 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION OUR LADY OF VICTORY HOSPITAL INC 1120 PINE STREET STANLEY WI 54768 390807065 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE 6901 MEDICAL PARKWAY WACO TX 76712 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION 22101 MOROSS DETROIT MI 48236 383526629 FUNDRAISING MI 501(c)(3) Type III-FI ST JOHN PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL 16001 WEST NINE MILE ROAD SOUTHFIELD MI 48037 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION FKA CRITTENTON HOSPITAL MEDICAL C ENTER FOUNDATION 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL 1101 W UNIVERSITY DR ROCHESTER MI 48307 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA MI 48054 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SACRED HEART-STMARY'S HOSPITALS INC PO BOX 347 STEVENS POINT WI 54481 391390638 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION SE WISCONSIN HOSPITAL INC 5000 WEST CHAMBERS STREET MILWAUKEE WI 53210 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON 1345 PHILOMENA STREET AUSTIN TX 78723 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH 28000 DEQUINDRE ROAD WARREN MI 48092 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC 3400 MINISTRY PARKWAY WESTON WI 54476 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST FRANCIS HOSPITAL INC 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION 22101 MOROSS DETROIT MI 48236 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION ST JOHN HOSPITAL 28000 DEQUINDRE ROAD WARREN MI 48092 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION 200 HEMLOCK ROAD TAWAS CITY MI 48763 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL true ASCENSION ST JOSEPH'S HOSPITAL 200 HEMLOCK ROAD TAWAS CITY MI 48763 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION 800 S WASHINGTON AVENUE SAGINAW MI 48601 382246366 FUNDRAISING MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL 800 S WASHINGTON AVENUE SAGINAW MI 48601 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MICHAEL'S HOSPITAL INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 390808443 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION STANDISH HOSPITAL 805 WEST CEDEAR STREET STANDISH MI 48658 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS 1345 PHILOMENA STREET AUSTIN TX 78723 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HEALTH PARTNERS INC 8200 E THORN DRIVE WICHITA KS 67226 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC 8200 E THORN DRIVE WICHITA KS 67226 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type III-FI ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC 1823 COLLEGE AVENUE MANHATTAN KS 66502 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC 1 MT CARMEL WAY PITTSBURG KS 66762 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC 14800 W ST TERESA WICHITA KS 67235 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC 929 N SAINT FRANCIS WICHITA KS 67214 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC 8200 E THORN DRIVE WICHITA KS 67226 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC 1151 N ROCK ROAD WICHITA KS 67206 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WISCONSIN LABORATORIES INC 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACYINC 19525 WEST NORTH AVENUE BROOKFIELD WI 53005 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC 2000 CHURCH STREET NASHVILLE TN 37236 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC 2000 CHURCH STREET NASHVILLE TN 37236 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS MIDTOWN HOSPITAL true BLUE LADIES MINERALS INC 1345 PHILOMENA STREET AUSTIN TX 78723 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 1521 GULL ROAD KALAMAZOO MI 49048 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC 1521 GULL ROAD KALAMAZOO MI 49048 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true BORGESS NURSING HOME INC 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC 2202 N FORBES BLVD TUSCON AZ 85716 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH 1000 CARONDELET DRIVE KANSAS CITY MO 63145 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type III-FI ASCENSION HEALTH true CARONDELET HEART & VASCULAR INSTITUTE 2202 N FORBES BLVD TUCSON AZ 85745 561943271 INACTIVE HOSPITAL AZ 501(c)(3) 3 ASCENSION ARIZONA true CARONDELET LONG-TERM CARE FACILITIES INC 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVE AMSTERDAM NY 12010 814769136 MEDICAL GROUP NY 501(c)(3) 3 ST MARY'S HEALTHCARE 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 5455 ALI DRIVE DEPT200 GRAND BLANC MI 484395195 382514708 ADULT DAY CARE MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC 2001 W 86TH STREET INDIANAPOLIS IN 46260 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true CMC FOUNDATION OF CENTRAL TEXAS 1345 PHILOMENA STREET AUSTIN TX 78723 200468031 FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS true COLUMBIA COLLEGE OF NURSING Inc 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 391596986 COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S FOUNDATION INC 400 W RIVER WOODS PKWY GLENDALE WI 53212 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 390807063 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC 2622 W Central Suite 100 Wichita KS 67203 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true CRITTENTON CANCER CENTER 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 383239057 CANCER TREATMENT MI 501(c)(3) 10 ASCENSION PROVIDENCE ROCHESTER HOSPITAL true DELL CHILDREN'S MEDICAL GROUP 1345 PHILOMENA STREET AUSTIN TX 78723 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true DR KATE NEWCOMB CONVALESCENT CENTER INC PO BOX 829 WOODRUFF WI 54568 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 HOWARD YOUNG HEALTH CARE INC true FIELD NEUROSCIENCES INSTITUTE 800 S WASHINGTON AVENUE SAGINAW MI 48601 382790703 MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL true FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC 3400 MINISTRY PARKWAY WESTON WI 54476 753193633 FOUNDATION WI 501(c)(3) Type I ASCENSION ST CLARE'S HOSPITAL INC true FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 391684957 FOUNDATION WI 501(c)(3) Type I SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC true GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER 8481 HOLLY ROAD GRAND BLANC MI 484391812 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GLOBAL SOLIDARITY FUND 101 SOUTH HANLEY SUITE 200 ST LOUIS MO 63105 831078006 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 391627755 FOUNDATION WI 501(c)(3) Type I ASCENSION GOOD SAMARITAN HOSPITAL INC true GULF COAST HEALTH SYSTEM 6801 AIRPORT BLVD MOBILE AL 36608 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC 5151 N 9TH AVENUE PENSACOLA FL 32504 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM true HEALTHCARE COLLABORATIVE 1345 PHILOMENA STREET AUSTIN TX 78723 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true HOWARD YOUNG FOUNDATION INC 240 MAPLE STREET WOODRUFF WI 54568 391521169 CHARITABLE FOUNDATION WI 501(c)(3) 7 HOWARD YOUNG HEALTH CARE INC true HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF WI 54568 391499115 HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER 3500 E FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC 237 SOUTH LOCUST NOWATA OK 74048 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 520 NORTH 4TH AVENUE PASCO WA 99301 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true Lourdes Realty Corporation Inc 169 Riverside Drive Binghamton NY 13905 222873637 Rental of Health Care Facilities NY 501(c)(2) Our Lady of Lourdes Memorial Hospital Inc true MEDICAL SERVICES ENHANCEMENT INC 427 GUY PARK AVE AMSTERDAM NY 12010 141776546 MEDICAL OFFICE BUILDING NY 501(c)(25) ST MARY'S HEALTHCARE true MEDICARE VALUE PARTNERS 2380 E Dempster Street DES PLAINES IL 60016 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC PO BOX 3370 OSHKOSH WI 54903 237140261 FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM true METRO PHYSICIANS INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 943436893 Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC true MINISTRY HEALTH CARE INC 10925 W LAKE PARK DR STE 100 MILWAUKEE WI 53224 391490371 PARENT CORPORATION WI 501(c)(3) Type II ASCENSION HEALTH true MINISTRY WEIGHT MANAGEMENT INC 2251 NORTH SHORE DRIVE RHINELANDER WI 54501 391829015 SPECIALTY HEALTH SERVICES WI 501(c)(3) 3 ASCENSION SACRED HEART-STMARY'S HOSPITALS INC true OUR LADY OF LOURDES HOSPITAL AT PASCO 520 NORTH 4TH AVENUE PASCO WA 99301 910349750 HEALTHCARE WA 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC 169 RIVERSIDE DRIVE BINGHAMTON NY 13905 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC 5285 Lewiston Road Lewiston NY 14092 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES 2380 E Dempster Street DES PLAINES IL 60016 364286236 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE BEHAVIORAL HEALTH 1820 SOUTH 25TH AVENUE BROADVIEW IL 60155 362709982 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE CARE HOME 18927 HICKORY CREEK DR 300 MOKENA IL 60448 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION 200 South Wacker Drive Chicago IL 60606 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK 200 South Wacker Drive Chicago IL 60606 364195126 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE CHICAGO HOSPITALS NETWORK 200 SOUTH WACKER DRIVE CHICAGO IL 60606 362235165 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES 200 SOUTH WACKER DRIVE CHICAGO IL 60606 363330929 FUNDRAISING IL 501(c)(3) 7 Alexian Brothers Health System true PRESENCE HEALTH PARTNERS SERVICES 2380 E DEMPSTER AVE STE 236 DES PLAINES IL 60016 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES 2380 E Dempster Street DES PLAINES IL 60016 363330928 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HOME CARE 18927 HICKORY CREEK DR 300 MOKENA IL 60448 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS 18927 HICKORY CREEK DRIVE 300 MOKENA IL 60448 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND 100 NORTH RIVER ROAD DES PLAINES IL 60016 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRIMARY PHYSICIAN NETWORK LLC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 208775914 DORMANT IN 501(c)(3) 10 ST MARY'S HEALTH INC true PROVIDENCE BUILDING CORPORATION 6801 AIRPORT BLVD MOBILE AL 36608 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION 6801 AIRPORT BLVD MOBILE AL 36608 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION INC 6901 MEDICAL PARKWAY WACO TX 76712 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true PROVIDENCE HEALTH ALLIANCE 6901 MEDICAL PARKWAY WACO TX 76712 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC 1150 VARNUM STREET NE WASHINGTON DC 20017 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC 1150 VARNUM STREET NE WASHINGTON DC 20017 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL 6801 AIRPORT BLVD MOBILE AL 36608 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE HOSPITAL 1150 VARNUM STREET NE WASHINGTON DC 20017 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE PARK INC 300 W Highway 6 Waco TX 76712 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE 1550 BISHOP COURT MOUNT PROSPECT IL 60056 363296367 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true SACRED HEART FOUNDATION INC 5151 N 9TH AVENUE PENSACOLA FL 32504 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true SACRED HEART HEALTH SYSTEM INC 5151 N 9TH AVENUE PENSACOLA FL 32504 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC 5151 N 9TH AVENUE PENSACOLA FL 32504 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM true SACRED HEART REHABILITATION INSTITUTE Inc 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 1200 GRANT BLVD WEST WABASHA MN 55981 410693877 HOSPITAL MN 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 390847631 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 391657410 FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC true SAINT THOMAS HEALTH 4220 HARDING ROAD NASHVILLE TN 37205 581716804 SYSTEM PARENT TN 501(c)(3) Type III-FI ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS PO BOX 380 NASHVILLE TN 37202 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL 135 EAST SWAN STREET CENTERVILLE TN 37033 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH 135 EAST SWAN STREET CENTERVILLE TN 37033 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS 2000 CHURCH STREET NASHVILLE TN 37236 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 SAINT THOMAS NETWORK true SAINT THOMAS MIDTOWN HOSPITAL 4220 HARDING ROAD NASHVILLE TN 37205 621869474 ACUTE CARE HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS NETWORK 4220 HARDING ROAD NASHVILLE TN 37205 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS 4220 HARDING PIKE NASHVILLE TN 37205 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION 1700 MEDICAL CENTER PARKWAY MURFREESBORO TN 37219 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL 1700 MEDICAL CENTER PARKWAY MURFREESBORO TN 37219 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC 520 SOUTH SANTA FE AVE SALINA KS 67401 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true Savelli Properties Inc 2601 Navistar Drive Lisle IL 60532 363308965 Owns or leases properties where healthcare services are delivered IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION 1345 PHILOMENA STREET AUSTIN TX 78723 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS true SETON FAMILY OF DOCTORS 1345 PHILOMENA STREET AUSTIN TX 78723 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS 1345 PHILOMENA STREET AUSTIN TX 78723 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 1345 PHILOMENA STREET AUSTIN TX 78723 742212968 FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS true SETON HAYS FOUNDATION 1345 PHILOMENA STREET AUSTIN TX 78723 262842608 FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS true SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN 28000 DEQUINDRE WARREN MI 48092 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE 1345 PHILOMENA STREET AUSTIN TX 78723 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION 1345 PHILOMENA STREET AUSTIN TX 78723 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS true SETON MANOR INC 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC 900 CATON AVENUE BALTIMORE MD 21229 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT 6801 AIRPORT BLVD MOBILE AL 36608 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY 1345 PHILOMENA STREET AUSTIN TX 78723 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETON WILLIAMSON FOUNDATION 1345 PHILOMENA STREET AUSTIN TX 78723 205330986 FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS true SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP 1345 PHILOMENA STREET AUSTIN TX 78723 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC 415 6TH STREET LEWISTON ID 83501 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true SOUTHERN TIER MEDICAL CARE - NY PC 169 RIVERSIDE DRIVE BINGHAMTON NY 13905 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true ST VINCENT'S AMBULATORY CARE INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE FL 32216 592292041 PHYSICIAN PRACTICE FL 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ST AGNES FOUNDATION 900 CATON AVENUE BALTIMORE MD 21229 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE true ST AGNES HEALTHCARE INC 900 CATON AVENUE BALTIMORE MD 21229 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true St Alexius 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