Saint Thomas Midtown Hospital: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: Saint Thomas Midtown Hospital (EIN 62-1869474)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-13
IRS object ID: 201911339349307546
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-13T19:09:27-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	621869474	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Saint Thomas Midtown Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SAIN	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4220 Harding Road	AddressLine1Txt
City	Nashville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37205	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2019-05-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Tim Adams	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4220 Harding Road	AddressLine1Txt
City	Nashville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37205	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$469,833,072	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.sthealth.com/locations/saint-thomas-midtown-hospital	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	To provide spiritually centered, holistic care, which sustains and improves the health of individuals and communities.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2290	TotalEmployeeCnt
Total Volunteers	156	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$421,820	PYContributionsGrantsAmt
CY Contributions Grants	$378,480	CYContributionsGrantsAmt
PY Program Service Revenue	$447,503,730	PYProgramServiceRevenueAmt
CY Program Service Revenue	$461,646,180	CYProgramServiceRevenueAmt
PY Investment Income	$2,321,020	PYInvestmentIncomeAmt
CY Investment Income	-$49,089	CYInvestmentIncomeAmt
PY Other Revenue	$17,391,803	PYOtherRevenueAmt
CY Other Revenue	$96,661	CYOtherRevenueAmt
PY Total Revenue	$467,638,373	PYTotalRevenueAmt
CY Total Revenue	$462,072,232	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,992,351	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,207,038	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$116,247,261	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$118,101,851	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$293,694,064	PYOtherExpensesAmt
CY Other Expenses	$303,650,047	CYOtherExpensesAmt
PY Total Expenses	$412,933,676	PYTotalExpensesAmt
CY Total Expenses	$424,958,936	CYTotalExpensesAmt
PY Revenues Less Expenses	$54,704,697	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,113,296	CYRevenuesLessExpensesAmt
Total Assets BOY	$196,211,575	TotalAssetsBOYAmt
Total Assets EOY	$201,854,304	TotalAssetsEOYAmt
Total Liabilities BOY	$349,406,253	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$342,147,117	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$153,194,678	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$140,292,813	NetAssetsOrFundBalancesEOYAmt
Mission	Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$327,402,052	ExpenseAmt
Grant	$3,207,038	GrantAmt
Revenue	$461,897,343	RevenueAmt
Desc	Saint Thomas Midtown Hospital is a 539-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Saint Thomas Midtown Hospital treated 22,926 adults and children for a total of 106,798 patient days of service. The hospital also provided services for 149,261 outpatient visits, which included 5,900 outpatient surgeries and 50,762 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Desc
Total Program Service Expenses	$327,402,052	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	201	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2290	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARA OBRIEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3147338070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11775 BORMAN DRIVE	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KAREN L SPRINGER
PRESIDENT & CEO, MINISTRY MARKET (END 12/2017)	0.0	50.0	Yes (X)	Yes (X)	$0	$1,546,333	$20,737
ANTHONY HEARD
CHAIRMAN	1.0	10.0	Yes (X)	Yes (X)	$0	$0	$0
LEE MOSS
VICE-CHAIRMAN	1.0	10.0	Yes (X)	Yes (X)	$0	$0	$0
PATRICK R SHEPHERD
SECRETARY	1.0	10.0	Yes (X)	Yes (X)	$0	$0	$0
DELL CROSSLIN
TREASURER	1.0	10.0	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY P ADAMS
PRESIDENT & CEO, MINISTRY MARKET (START 1/2018)	0.0	50.0	Yes (X)	Yes (X)	$0	$0	$0
SISTER HELEN BREWER DC
BOARD MEMBER	1.0	10.0	Yes (X)		$0	$0	$0
MARTHA CROMBIE
BOARD MEMBER (START 1/2018)	1.0	9.0	Yes (X)		$0	$0	$0
EMIL HASSAN
BOARD MEMBER	1.0	10.0	Yes (X)		$0	$0	$0
WANDA LYLE
BOARD MEMBER (START 1/2018)	1.0	9.0	Yes (X)		$0	$0	$0
STEVE SCHWAB MD
BOARD MEMBER	1.0	10.0	Yes (X)		$0	$0	$0
SCOTT STANDARD MD
BOARD MEMBER	1.0	10.0	Yes (X)		$0	$0	$0
SUSAN WEST PhD
BOARD MEMBER	1.0	10.0	Yes (X)		$0	$0	$0
BRIAN WILCOX MD
BOARD MEMBER	1.0	10.0	Yes (X)		$0	$0	$0
LISA DAVIS
CFO, MINISTRY MARKET	8.0	42.0		Yes (X)	$0	$683,601	$29,896
DON E KING
CEO & PRESIDENT - SAINT THOMAS WEST & MIDTOWN (END 12/2017)	7.0	43.0		Yes (X)	$0	$782,385	$41,936
SHALIN SHAH
CFO (END 2/2018)	25.0	25.0		Yes (X)	$0	$361,439	$17,780
FAHAD TAHIR
CEO (START 12/2017)	15.0	35.0		Yes (X)	$0	$496,937	$40,712
PETER J LINDQUIST
CNO - SAINT THOMAS WEST & MIDTOWN (END 3/2018)	50.0	0.0			$334,125	$8,434	$12,610	Yes (X)
JOSEPH PINO
COO (START 7/2017 - END 6/2018)	25.0	25.0			$122,037	$156,435	$41,713	Yes (X)
GEOFFREY H SMALLWOOD MD
CMO	50.0	0			$479,851	$0	$34,502	Yes (X)
CARRIE B TEAFORD
COO - SAINT THOMAS WEST & MIDTOWN (END 12/2017)	25.0	25.0			$0	$309,315	$28,043	Yes (X)
JOSEPH R BOONE
PHYSICIST, MEDICAL	50.0	0			$175,361	$0	$36,250		Yes (X)
KIMBERLY BRANCH-HAYES
PHYSICIAN	50.0	0			$285,082	$0	$37,120		Yes (X)
DUSTIN DIEZ
PHYSICIST, MEDICAL	50.0	0			$185,110	$0	$30,227		Yes (X)
BRANDY B GREENE
MANAGER, PHARMACY	50.0	0			$174,331	$0	$38,193		Yes (X)
JENNIFER A MILLER
DIRECTOR, PHARMACY	50.0	0			$207,999	$0	$35,163		Yes (X)
JENNIFER ELLIOTT
FORMER KEY EMPLOYEE (END 12/2016)	0.0	0.0			$267,319	$0	$6,027			Yes (X)
PAMELA M HESS
FORMER OFFICER (END 7/2016)	0.0	55.0			$0	$688,053	$35,645			Yes (X)
MICHAEL H SCHATZLEIN MD
FORMER OFFICER (END 3/2016)	0.0	0.0			$0	$1,051,835	$11,195			Yes (X)
BERNARD J SHERRY
FORMER OFFICER (END 8/2015)	0.0	50.0			$0	$2,088,531	$45,582			Yes (X)
ALAN STRAUSS
FORMER OFFICER (END 4/2012)	0.0	0.0			$0	$580,133	$623			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,231,215	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,753,431	TotReportableCompRltdOrgAmt
Total Other Compensation	$543,954	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	64	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DIVERSIFIED CLINICAL SERVICES
4500 SALISBURY ROAD	SUITE 300	JACKSONVILLE	FL	32216	WOUND MANAGEMENT SERVICES	$1,991,483
NASHVILLE INPATIENT MGMT SVCS
300 20TH AVE N STE 105		NASHVILLE	TN	37203	MEDICAL SERVICES	$1,517,750
DSH MGMT SYSTEMS LLC
46191 WESTLAKE DR STE 200		STERLING	VA	20165	MEDICAL SERVICES	$1,208,627
TN WOMENS CARE
2011 MURPHY AVE STE 400		NASHVILLE	TN	37203	MEDICAL SERVICES	$659,834
SYNTHES USA SALES
1101 SYNTHES AVE		MONUMENT	CO	80132	MEDICAL SERVICES	$641,137

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$378,480	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$378,480	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621990	$439,712,542	$439,712,542
Income from Joint Ventures	621400	$3,283,645	$3,283,645
Rental Income from Affiliates	531120	$3,425,716	$3,425,716
Reimbursement Under Provider Tax Program	900099	$14,837,456	$14,837,456
Pharmacy Revenue	446110	$261,661	$261,661

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$125,160	TotalRevenueColumnAmt
Related Or Exempt Func Income	$125,160	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$461,646,180	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,769	TotalRevenueColumnAmt
Exclusion	$32,769	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,267,504	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,678,982	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,411,478	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,411,478	TotalRevenueColumnAmt
Exclusion	-$2,411,478	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$81,858	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$81,858	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$81,858	TotalRevenueColumnAmt
Exclusion	-$81,858	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Vending Revenue	722514	$2,485,799	$2,485,799
Lactation Boutique	900099	$117,490		$117,490
Education Revenue	616000	$133,673		$133,673

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$228,823	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$228,823	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,508,139	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$462,072,232	TotalRevenueColumnAmt
Related Or Exempt Func Income	$461,897,343	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$203,591	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,207,038	TotalAmt
Program Services	$3,207,038	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,003,828	TotalAmt
Program Services	$973,713	ProgramServicesAmt
Management And General	$30,115	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,335,142	TotalAmt
Program Services	$91,830,118	ProgramServicesAmt
Management And General	$2,505,024	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,169,488	TotalAmt
Program Services	$4,058,732	ProgramServicesAmt
Management And General	$110,756	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,608,072	TotalAmt
Program Services	$11,299,561	ProgramServicesAmt
Management And General	$308,511	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,985,321	TotalAmt
Program Services	$6,799,593	ProgramServicesAmt
Management And General	$185,728	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$10,248	TotalAmt
Management And General	$10,248	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$16,059	TotalAmt
Management And General	$16,059	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,438,582	TotalAmt
Program Services	$3,639,161	ProgramServicesAmt
Management And General	$799,421	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$64,771	TotalAmt
Program Services	$64,151	ProgramServicesAmt
Management And General	$620	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$693,660	TotalAmt
Program Services	$243,061	ProgramServicesAmt
Management And General	$450,599	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$484,925	TotalAmt
Program Services	$402,530	ProgramServicesAmt
Management And General	$82,395	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,002,979	TotalAmt
Program Services	$2,002,788	ProgramServicesAmt
Management And General	$5,000,191	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$46,333	TotalAmt
Program Services	$38,162	ProgramServicesAmt
Management And General	$8,171	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$30,259	TotalAmt
Program Services	$29,259	ProgramServicesAmt
Management And General	$1,000	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,353,078	TotalAmt
Management And General	$8,353,078	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,206,238	TotalAmt
Program Services	$15,485,614	ProgramServicesAmt
Management And General	$1,720,624	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,385,178	TotalAmt
Program Services	$115	ProgramServicesAmt
Management And General	$1,385,063	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$90,032,515	$14,265,938	$75,766,577
Medical Supplies	$92,240,984	$91,390,553	$850,431
Provider Tax	$24,631,829	$14,837,456	$9,794,373
Management Fee to Affiliate	$44,752,808	$44,752,808

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,259,601	TotalAmt
Program Services	$22,081,701	ProgramServicesAmt
Management And General	-$9,822,100	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$424,958,936	TotalAmt
Program Services	$327,402,052	ProgramServicesAmt
Management And General	$97,556,884	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,028	BOYAmt
EOY	$9,055	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$49,804,167	BOYAmt
EOY	$54,076,322	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,653,775	BOYAmt
EOY	$8,578,536	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,175,263	BOYAmt
EOY	$1,258,848	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$450,084,080	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$319,419,892	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$131,388,639	BOYAmt
EOY	$130,664,188	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$619,597	BOYAmt
EOY	$614,852	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$840,099	BOYAmt
EOY	$335,718	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,721,007	BOYAmt
EOY	$6,316,785	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$196,211,575	BOYAmt
EOY	$201,854,304	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,029,818	BOYAmt
EOY	$24,647,266	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$266,718	BOYAmt
EOY	$269,549	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$329,109,717	BOYAmt
EOY	$317,230,302	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$349,406,253	BOYAmt
EOY	$342,147,117	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$153,194,678	BOYAmt
EOY	-$140,292,813	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$153,194,678	BOYAmt
EOY	-$140,292,813	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$196,211,575	BOYAmt
EOY	$201,854,304	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,113,296	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$24,211,431	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$16,059	OtherActivitiesAmt
Total Lobbying Expenditures	$16,059	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT ARE SPECIFICALLY ALLOCABLE TO LOBBYING. SAINT THOMAS MIDTOWN 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.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT ARE SPECIFICALLY ALLOCABLE TO LOBBYING. SAINT THOMAS MIDTOWN 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.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$570,290	BeginningYearBalanceAmt
Contributions	$711	ContributionsAmt
Investment Earnings Or Losses	$50,237	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,074	OtherExpendituresAmt
End Year Balance	$611,164	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$504,481	BeginningYearBalanceAmt
Contributions	$1,250	ContributionsAmt
Investment Earnings Or Losses	$72,061	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,502	OtherExpendituresAmt
End Year Balance	$570,290	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$553,839	BeginningYearBalanceAmt
Contributions	$261	ContributionsAmt
Investment Earnings Or Losses	-$35,795	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,824	OtherExpendituresAmt
End Year Balance	$504,481	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$547,548	BeginningYearBalanceAmt
Contributions	$652	ContributionsAmt
Investment Earnings Or Losses	$17,883	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,244	OtherExpendituresAmt
End Year Balance	$553,839	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$457,351	BeginningYearBalanceAmt
Contributions	$542	ContributionsAmt
Investment Earnings Or Losses	$94,297	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,642	OtherExpendituresAmt
End Year Balance	$547,548	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.5072	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.4928	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,772,112	OtherCostOrOtherBasisAmt
Book Value	$9,772,112	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$327,313,283	OtherCostOrOtherBasisAmt
Depreciation	$236,495,915	DepreciationAmt
Book Value	$90,817,368	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,062,620	OtherCostOrOtherBasisAmt
Depreciation	$1,210,960	DepreciationAmt
Book Value	$1,851,660	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$104,350,633	OtherCostOrOtherBasisAmt
Depreciation	$78,859,769	DepreciationAmt
Book Value	$25,490,864	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,585,432	OtherCostOrOtherBasisAmt
Depreciation	$2,853,248	DepreciationAmt
Book Value	$2,732,184	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$130,664,188	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Other Noncurrent Liabilities	$81,272
Due to Affiliates	$78,571,361
Deferred Compensation/Retirement/Pension Liability
Savings Plan Liability
Estimated 3rd Party Payor Settlement	$2,663,943
Physician Guarantee Liability	$90,545
Recovery Tail Liability	$5,834,109
Accrued Tax Liability	$832,713
Debt with Ascension Health Alliance	$229,156,359

Field	Value	IRS element (for citing)
Total Liability	$317,230,302	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 AN 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, 2018.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,906,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,906,028	NetCommunityBenefitExpnsAmt
Total Expense	0.0421	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,560,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,183,940	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,376,370	NetCommunityBenefitExpnsAmt
Total Expense	0.0338	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$81,466,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,183,940	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,282,398	NetCommunityBenefitExpnsAmt
Total Expense	0.0760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	7685	PersonsServedCnt
Total Community Benefit Expns	$759,300	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$261,663	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$497,637	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1436	PersonsServedCnt
Total Community Benefit Expns	$5,134,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$545,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,588,994	NetCommunityBenefitExpnsAmt
Total Expense	0.0108	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	37	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,214,903	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,214,903	NetCommunityBenefitExpnsAmt
Total Expense	0.0076	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	9121	PersonsServedCnt
Total Community Benefit Expns	$9,108,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$806,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,301,534	NetCommunityBenefitExpnsAmt
Total Expense	0.0195	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	9121	PersonsServedCnt
Total Community Benefit Expns	$90,574,850	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,990,918	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,583,932	NetCommunityBenefitExpnsAmt
Total Expense	0.0955	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$698	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$698	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,750	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,500	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	240	PersonsServedCnt
Total Community Benefit Expns	$2,270	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,270	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	240	PersonsServedCnt
Total Community Benefit Expns	$24,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,218	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,035,882	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$139,439,857	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$161,681,892	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,242,035	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Saint Thomas Midtown Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2000 Church Street	AddressLine1Txt
City	Nashville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37203	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.sthealth.com/locations/saint-thomas-midtown-hospital	WebsiteAddressTxt
State License	0000000032	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Saint Thomas Midtown Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.sthealth.com/patients-and-visitors/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.sthealth.com/patients-and-visitors/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.sthealth.com/patients-and-visitors/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Saint Thomas Midtown Hospital. The CHNA process included input from those with special knowledge of or expertise in public health. The partnering organizations had representatives with experience and/or training in public health. Additionally, the local public health department participated during the design of the CHNA process and participated in the interviews and the community health summit. Throughout the CHNA process the partnering organizations also received input from those with special knowledge of or expertise in public health. Individual interviews and the Community Health Summit included community members with special knowledge and/or expertise in public health. All interviews, listening sessions, secondary data analysis, and community review of findings were conducted with the goal of obtaining an assessment of health needs and assets that not only represent the broad interests of Davidson County, Tennessee, but pays special attention to the underserved, low-income, minority and vulnerable populations. This lens of special attention to at-risk populations was then used in selection of interviewees, sites for community listening sessions, and attendees of the community health summit. Input from persons representing broad interests of the community and populations which are underserved, low-income, minority and/or with chronic disease needs were included through interviews of community representatives and leaders, community listening sessions, and a community health summit. While the partnering organizations collaborated with many community agencies and experts, consultants were not used during the CHNA process. Individual interviews were conducted in the Spring of 2015 with 33 community leaders and representatives. In addition, 6 listening sessions (4 English/1 Spanish/1 Burmese), with a total of 58 people, were held during April 2015. A community health summit was held September 10, 2015. Attendees were representative of the community and local and state leaders - 76 of the 119 invitees attended the summit. The summit attendees provided collective input into the needs of the community and available resources after the results of the secondary data review, community interviews, and survey were presented. Organizations providing input included: Meharry School of Dentistry, Metro Nashville Public Schools, Council on Aging, Jobs for Life, 61st Avenue United Methodist Church, Interdenominational Ministers Fellowship, Family & Children's Services, Healthy Nashville Leadership Council, Mayor's Office, 58th Legislative District, Nashville Government, Belmont University School of Health Sciences, Meharry Medical College, Metro Homelessness Commission, Saint Thomas Health, Nashville General Hospital, Vanderbilt Hospital, HCA Foundation, Urban Housing Solutions, Second Harvest Food Bank, Catholic Charities, Conexion Americas, Nashville Latino Health Coalition, Metro Police Department, Tennessee Justice Center, Crimestoppers, Mental Health America, YWCA, Metro Public Health Department, TSU, Center for Immigrants and Refugees of TN, Safety Net Consortium of Middle TN, Faith Family Clinic, Siloam Health, Matthew Walker Comprehensive Care Clinics, and MTA.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Saint Thomas Midtown Hospital. The fiscal year 2016 CHNA was conducted in partnership between Saint Thomas Health and Vanderbilt University Medical Center. Saint Thomas Health partnering hospitals for the Davidson County CHNA include Saint Thomas Midtown Hospital, Saint Thomas Hospital for Specialty Surgery, and Saint Thomas West Hospital.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Saint Thomas Midtown Hospital. Other organizations who served as partners in the conducting of this CHNA include the Metro Nashville Public Health Department, Metro Social Services, Family and Children's Services, United Way of Nashville and the Family Resource Centers.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Saint Thomas Midtown Hospital. ST MIDTOWN WORKS COLLABORATIVELY WITHIN THE COMMUNITY TO IMPROVE HEALTH. ST MIDTOWN PROVIDED THE FOLLOWING PROGRAMS AND DONATIONS DURING THE TAX YEAR TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE FISCAL YEAR 2016 CHNA: NEED: ACCESS TO CARE/CARE COORDINATION PROGRAMS: MEDICAL MISSION AT HOME HEALTH PROFESSIONS EDUCATION MEDICAL LIBRARY LINEN SERVICE FOR RONALD MCDONALD HOUSE AND ROOM IN THE INN DONATIONS: SAINT THOMAS MEDICAL PARTNERS' FAMILY HEALTH CENTERS (UT INTERNAL MEDICINE CLINIC, MAPLEWOOD CLINIC, HOLY FAMILY CLINIC, UT/OBGYN CLINIC), TENNESSEE JUSTICE CENTER, HOPE SMILES, FIRST STEPS, INTERFAITH DENTAL CLINIC, HOPE CLINIC FOR WOMEN, SILOAM HEALTH, TENNESSEE STATE UNIVERSITY, METRO HEALTH DEPARTMENT NEED: SOCIAL DETERMINANTS/ YOUTH ISSUES PROGRAMS: MAPLEWOOD ACADEMY (SAINT THOMAS SCHOLARS) METRO NASHVILLE PUBLIC SCHOOLS WORKFORCE DEVELOPMENT DONATIONS: THE CONTRIBUTOR, CORNER TO CORNER, PRESTON TAYLOR MINISTRIES, CATHOLIC CHARITIES, CITIZENS FOR GREATER MOBILITY, UNITED WAY, OPEN TABLE NASHVILLE NEED: MENTAL AND EMOTIONAL HEALTH/ SUBSTANCE ABUSE PROGRAMS: NONE DONATIONS: BEGIN ANEW, SEXUAL ASSAULT CENTER, CATHOLIC MEDIA PRODUCTIONS, INSIGHT COUNSELING CENTERS, AGAPE, BUILDING LIVES FOUNDATION, OPEN TABLE NASHVILLE, THE NEXT DOOR, END SLAVERY TENNESSEE NEED: WELLNESS, OBESITY, AND DISEASE PREVENTION/ MANAGEMENT PROGRAMS BREASTFEEDING OUTREACH CLINIC DONATIONS: NEW BEGINNINGS, NASHVILLE DOWNTOWN PARTNERSHIP - B-CYCLE, FANNIE BATTLE DAY HOME FOR CHILDREN, LUTHERAN SERVICES OF TENNESSEE, ONE GENERATION AWAY, NASHVILLE FOOD PROJECT IN ADDITION, SAINT THOMAS HEALTH PROVIDED THE FOLLOWING PROGRAMS AND DONATIONS DURING THE TAX YEAR TO ADDRESS THE CHNA PRIORITY NEEDS IDENTIFIED IN THE FY2016 CHNA: NEED: ACCESS TO CARE/CARE COORDINATION PROGRAMS: CHARITY CARE POST-DISCHARGE * DISPENSARY OF HOPE CHARITABLE PHARMACIES (2 LOCATIONS) * MEDICAL MISSIONS AT HOME (3 EVENTS) * MOBILE MAMMOGRAPHY * TELEMEDICINE STROKE EVALUATION DONATIONS: HOPE SMILES, TENNESSEE JUSTICE CENTER NEED: SOCIAL DETERMINANTS/YOUTH ISSUES PROGRMS: * METRO NASHVILLE PUBLIC SCHOOLS WORKFORCE DEVELOPMENT * HEALTH PROFESSIONS EDUCATION CME CONFERENCES; * MEDICAL LIBRARY DONATIONS: NONE NEED: MENTAL AND EMOTIONAL HEALTH/SUBSTANCE ABUSE PROGRAMS: NONE AT THE SYSTEM LEVEL, ALL AT THE HOSPITAL LEVEL DONATIONS: NONE NEED: WELLNESS, OBESITY, AND DISEASE PREVENTION/MANAGEMENT PROGRAMS: NONE AT THE SYSTEM LEVEL, ALL AT THE HOSPITAL LEVEL DONATIONS: NONE ALL IDENTIFIED NEEDS WERE ADDRESSED IN FY18.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6b Community Benefit Report	Saint Thomas Midtown Hospital is included in the consolidated community benefit report prepared by Saint Thomas Health ("STH").
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART I	THE 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: ST WEST 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. ST WEST PROVIDES FINANCIAL ASSISTANCE, BOTH FULL AND PARTIAL ADJUSTMENTS, TO THOSE WHO CANNOT AFFORD TO PAY (BOTH INSURED AND UNINSURED). SAINT THOMAS HEALTH FOUNDATIONS: ONE SIGNIFICANT WAY IN WHICH SAINT THOMAS HEALTH EXTENDS HELP AND SUPPORT INTO THE COMMUNITY TO PROMOTE HEALTH AND WELLBEING IS THROUGH THE WORK OF THE SAINT THOMAS HEALTH FOUNDATIONS. THE CORNERSTONE WORK OF THE FOUNDATION IS SUPPORTING THE NEEDS OF PATIENTS AND FAMILIES OF SAINT THOMAS DEKALB, SAINT THOMAS HICKMAN, SAINT THOMAS HIGHLANDS, SAINT THOMAS MIDTOWN, SAINT THOMAS RIVER PARK, SAINT THOMAS STONES RIVER AND SAINT THOMAS WEST, PARTICULARLY THOSE WHO ARE STRUGGLING FINANCIALLY. A VARIETY OF FUNDS INCLUDING THE IRENE AND MELVIN LEWIS, TRANSPLANT FUND, MANDY MOORE FUND, THE FRANCIS GLUCK FUND AND THE WATSON BENEVOLENT FUND ARE SPECIFICALLY DESIGNED TO PAY FOR MEDICAL RELATED COSTS AS WELL AS HOUSEHOLD EXPENSES TO ENSURE NEEDY PATIENTS LEAVING OUR HOSPITALS CAN PROPERLY HEAL AT HOME. OVER $76,000 WAS EXPENDED IN FY2018 TO THE INDIVIDUAL NEEDS OF SUCH PATIENTS. FURTHERMORE, ONE OF THE MOST ACTIVE FUNDS IN THE FOUNDATION IS THE COMMUNITY HEALTH OUTREACH FUND WHICH EXPENDED OVER $595,000 IN FY18 TO SUPPORT THE NEEDS OF PATIENTS TREATED AT OUR FAMILY HEALTH CENTERS AND CLINICS WHICH HELP AN UNDERSERVED SEGMENT OF OUR COMMUNITY POPULATION. THERE IS ALSO A FUND AVAILABLE TO ALL EMPLOYEES OF SAINT THOMAS HEALTH WHO ARE EXPERIENCING HARDSHIP. THIS FUND, THE SISTER JULIANA BEURLEIN EMPLOYEE FINANCIAL ASSISTANCE FUND, OFFERED SYSTEM-WIDE OVER $84,000 IN ASSISTANCE IN FY18. STH SENIOR LEADERS AND ASSOCIATES PARTICIPATE AS ACTIVE BOARD MEMBERS OF NON-PROFIT ORGANIZATIONS WHOSE MISSION ALIGNS WITH COMMUNITY HEALTH IMPROVEMENT AND ADDRESSES SOCIAL DETERMINANTS OF HEALTH. BREASTFEEDING OUTREACH CLINIC: SAINT THOMAS 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 HAD A TOTAL OF 2,082 VISITS WITH 1,102 RETURN VISITS. SURVEYS SHOWED AN AVERAGE OF 90% OF MOTHERS STILL BREASTFEEDING AT 6 MONTHS. (COMMUNITY HEALTH NEED: WELLNESS AND HEALTH EDUCATION) HEALTH PROFESSIONS EDUCATION: ST MIDTOWN SERVES AS A CLINICAL SITE FOR STUDENTS ATTENDING MANY OF THE AREA NURSING AND ALLIED HEALTH SCHOOLS. AN AVERAGE OF 119 STUDENTS PER MONTH HAD CLINICAL TRAINING AT THE HOSPITAL IN FISCAL YEAR 2018, WITH MORE THAN 73,000 HOURS OF CLINICAL INSTRUCTION ON THE HOSPITAL CAMPUS DURING THE YEAR. (COMMUNITY HEALTH NEED: ACCESS TO CARE) MEDICAL MISSIONS AT HOME: A MEDICAL MISSION EVENT WAS HELD IN DAVIDSON COUNTY WITHIN A LOW-INCOME COMMUNITY ON SEPTEMBER 30, 2017. VOLUNTEERS FROM ALL STH 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 776 COMMUNITY MEMBERS IN A TOTAL OF 2354 ENCOUNTERS. 129 FOLLOW UP APPOINTMENTS SCHEDULED. (COMMUNITY HEALTH NEED: ACCESS TO CARE) METRO PUBLIC HEALTH DEPARTMENT: ST WEST AND ST RUTHERFORD SUPPORTED THE WORK OF THE METRO HEALTH DEPARTMENT IN SUPPORT OF THEIR HEALTH PORTAL. IN ADDITION, MEMBERS OF SAINT THOMAS HEALTH SERVE ON MULTIPLE COMMITTEES AND COLLABORATIVE EFFORTS OF THE LOCAL HEALTH DEPARTMENT. (COMMUNITY HEALTH NEED: SOCIAL DETERMINANTS/ACCESS TO CARE) COMMUNITY BENEFIT CASH AND IN-KIND CONTRIBUTIONS: ST MIDTOWN 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: 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.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART II	AGAPE: ST WEST AND ST MIDTOWN PROVIDE FUNDS IN SUPPORT OF AGAPE'S SLIDING-FEE PAYMENT SCALE FOR COUNSELING, INCLUDING SPANISH-LANGUAGE COUNSELING. (COMMUNITY HEALTH NEED: MENTAL AND EMOTIONAL HEALTH) AMERICAN RED CROSS: ST MIDTOWN HOSTS PERIODIC BLOOD DRIVES IN CONJUNCTION WITH THE LOCAL AMERICAN RED CROSS. (COMMUNITY HEALTH NEED: ACCESS TO CARE) CATHOLIC CHARITIES: ST WEST AND ST MIDTOWN HOSPITALS PROVIDE 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: ST MIDTOWN AND ST WEST 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) BEGIN ANEW: ST WEST AND ST MIDTOWN HOSPITALS 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: ST WEST AND MIDTOWN 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) CORNER TO CORNER: ST MIDTOWN AND ST WEST PROVIDE FUNDS TO SUPPORT ITS LAUNCH PROGRAM, A BUSINESS ENTREPRENEURSHIP ACADEMY FOR UNDERSERVED INDIVIDUALS AND COMMUNITIES THAT EQUIPS COMMUNITY MEMBERS EXPERIENCING A LACK OF ECONOMIC OPPORTUNITY TO PLAN, START AND GROW SMALL BUSINESSES. (COMMUNITY HEALTH NEED: SOCIAL DETERMINANTS) END SLAVERY TENNESSEE: ST WEST AND ST MIDTOWN HOSPITALS PROVIDED SUPPORT TO END SLAVERY TO PROVIDE SPECIALIZED CASE MANAGEMENT AND COMPREHENSIVE AFTERCARE FOR HUMAN TRAFFICKING SURVIVORSWHICH TACTICALLY ADDRESSING THE PROBLEM THROUGH ADVOCACY, PREVENTION AND TRAINING FRONT LINE PROFESSIONALS. (COMMUNIT HEALTH NEED: MENTAL HEALTH) FANNIE BATTLE DAY HOME FOR CHILDREN: ST WEST AND ST MIDTOWN HOSPITALS 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: ST MIDTOWN AND ST WEST 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) HOPE CLINIC FOR WOMEN: ST WEST AND MIDTOWN 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: ST WEST AND ST MIDTOWN HOSPITALS PROVIDE FUNDS TO SUPPORT ITS PARTICIPATION IN THE HEALTH SYSTEM'S FOUR MEDICAL MISSIONS AT HOME EVENTS. (COMMUNITY HEALTH NEED: ACCESS TO CARE) INSIGHT COUNSELING CENTERS: ST MIDTOWN, ST RUTHERFORD AND ST WEST PROVIDE FUNDS TO SUPPORT ITS COMMUNITY ACCESS PROGRAM, THROUGH WHICH CLIENTS ARE EXTENDED FINANCIAL ASSISTANCE TO REMOVE FINANCIAL BARRIERS TO NEEDED MENTAL HEALTH COUNSELING SUPPORT. (COMMUNITY HEALTH NEED: MENTAL AND EMOTIONAL HEALTH) INTERFAITH DENTAL CLINIC: ST WEST, ST MIDTOWN, AND ST RUTHERFORD HOSPITALS 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) LUTHERAN SERVICES IN TENNESSEE: ST HICKMAN, ST MIDTOWN, ST RUTHERFORD AND ST WEST 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: ST WEST SPONSORS 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) NASHVILLE FOOD PROJECT: ST WEST AND ST MIDTOWN HOSPITALS SUPPORTED THE MISSION OF BRINGING PEOPLE TOGETHER TO GROW, COOK AND SHARE NOURISHGIN FOOD, WITH THE GOASL OF CULTIVATING COMMUNITY AND ALLEVIATING HUNGER IN OUR CITY. (COMMUNITY HEALTH NEED: WELLNESS/SOCIAL DETERMINANTS) NEW BEGINNINGS: ST WEST AND ST MIDTOWN 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) ONE GENERATION AWAY: ST HICKMAN, ST MIDTOWN, ST RUTHERFORD AND ST WEST PROVIDE FUNDS TO SUPPORT ITS MISSION OF INCREASING ACCESS TO HEALTHY FOODS TO THOSE EXPERIENCING FOOD INSECURITY. (COMMUNITY HEALTH NEED: WELLNESS, OBESITY, DISEASE PREVENTION/MANAGEMENT) OPEN TABLE NASHVILLE: ST MIDTOWN AND ST WEST SUPPORT OPEN TABLE NASHVILLE'S STREET CHAPLAINCY RESIDENCY PROGRAM, OFFERING CHAPLAINCY SERVICES TO THOSE LIVING ON THE STREET, AS WELL AS SUPPORT FOR OPEN TABLE'S GENERAL STREET OUTREACH WORKER PROGRAM. (COMMUNITY HEALTH NEED: MENTAL AND EMOTIONAL HEALTH) PRESTON TAYLOR MINISTRIES: ST WEST AND ST MIDTOWN HOSPITALS 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: ST WEST AND ST MIDTOWN HOSPITALS 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: ST WEST, ST MIDTOWN, AND ST RUTHERFORD 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) SHARED LINEN SERVICES FOR RONALD MCDONALD HOUSE AND ROOM IN THE INN: ST MIDTOWN AND ST WEST HOSPITALS 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 HEALTH NEED: ACCESS TO CARE) SILOAM HEALTH: ST MIDTOWN AND ST WEST HOSPITALS 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 COUNTIRES AND SPEAK OVER 70 LANGUAGES. (COMMUNITY HEALTH NEED: ACCESS TO CARE) TENNESSEE JUSTICE CENTER (TJC): ST MIDTOWN, ST RUTHERFORD, AND ST WEST 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) TENNESSEE STATE UNIVERSITY (TSU): ST THOMAS MIDTOWN AND ST THOMAS WEST PROVIDED FUNDING FOR THE PURCHASE OF AED EQUIPMENT FOR TSU, AN HISTORICALLY BLACK COLLEGE/UNIVERSITY. (COMMUNITY HEALTH NEED: ACCESS TO CARE) THE CONTRIBUTOR: ST MIDTOWN AND ST WEST PROVIDE FUNDS TO SUPPORT ITS WHERE TO TURN IN NASHVILLE ANNUAL RESOURCE GUIDE, PROVIDING DIRECTION TO OPTIONS FOR HELP FOR PEOPLE EXPERIENCING POVERTY. (COMMUNITY HEALTH NEED: POVERTY/SOCIAL DETERMINANTS) THE NEXT DOOR: SUPPORTED BY ST WEST AND ST MIDTOWN, THE NEXT DOOR OFFERS DRUG TREATMENT AND REHABILITATION TO WOMEN, INCLUDING PREGNANT WOMEN. THIS INCLUDES A RESIDENTIAL FACILITY WITH MEDICALLY-MONITORED DETOX CAPABILITIES, AS WELL AS IOP PROGRAMS. (COMMUNITY HEALTH NEED: MENTAL AND EMOTIONAL HEALTH AND SUBSTANCE ABUSE) UNITED WAY: ST WEST AND ST MIDTOWN HOSPITALS SUPPORT THE ONGOING WORK OF THE UNITED WAY NASHVILLE THROUGH RESTICTED DONATIONS TO SUPPORT SPECIFIC PROGRAMS PROVIDING SUPPORT TO THOSE MOST VULNERABLE. (COMMUNITY HEALTH NEED: SOCIAL DETERMINANTS)
Schedule H, Part VI, Line 6 Part I	SAINT THOMAS MIDTOWN HOSPITAL, ESTABLISHED IN 1918, IS A 683-BED HOSPITAL IN NASHVILLE, TENNESSEE. IT PROVIDES EMERGENCY ROOM SERVICES AND COMPREHENSIVE INPATIENT AND OUTPATIENT CARE, INCLUDING OBSTETRICAL SERVICES AND A LEVEL III NEONATAL INTENSIVE CARE UNIT. 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 FY17, 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 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING 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 ORDE ROF ST. FRANCIS OF ASSISI -US/CARIBBEAN PROVINCE. SAINT THOMAS HEALTH IS COMMITTED TO PROVIDING CARE TO THE COMMUNITIES IT SERVES WITH ATTENTION TO THE POOR AND VULNERABLE. STH'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 STH 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 EACH INDIVIDUAL 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, STH 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 2018: 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 FY18, 8 EDUCATIONAL COURSES/SEMINARS WERE OFFERED WITH TOTAL ATTENDANCE OF 337. (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 2018, 119 MEDICAL 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 HICKMAN COUNTY, AND ONE IN RUTHERFORD COUNTY, EACH 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 FY18, THESE EVENTS SERVED 1,211 COMMUNITY MEMBERS IN OVER OF 3,519 ENCOUNTERS 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 FY18), WITH ONE SPECIFICALLY FOCUSED ON WOMEN'S HEALTH CARE. THESE SITES PROVIDED 82,999 PATIENT ENCOUNTERS FOR 28,041 PATIENTS IN FISCAL YEAR 2018. 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.
Schedule H, Part VI, Line 6 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 2018, 2,914 SCREENINGS WERE PERFORMED AT 198 STOPS. 368 WOMEN RECEIVED MAMMOGRAPHY SCREENING FOR THE FIRST TIME, AND 1,071 WOMEN WERE SCREENED WHO HAD NOT HAD A MAMMOGRAM IN OVER TWO YEARS. (COMMUNITY HEALTH NEED: ACCESS TO CARE AND WELLNESS) ADVOCACY FOR HEALTH: SAINT THOMAS HELATH 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 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 HELATH 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 2018, 25,049 PRESCRIPTIONS WERE FILLED, A TOTAL VALUE OF $427,596 IN 10,519 TOTAL PATIENT ENCOUNTERS AT THE SAINT THOMAS WEST HOSPITAL LOCATION; ADDITIONALLY, $47,595.45 WORTH OF MEDICATIONS WERE OBTAINED THROUGH THE PRESCRIPTION ASSISTANCE PROGRAM. THE PHARMACY LOCATED IN RUTHERFORD COUNTY DISPENSED 37,434 PRESCRIPTIONS IN A TOTAL OF 15,117 PATIENT ENCOUNTERS AT A VALUE OF $630,171 IN FISCAL YEAR 2018. A THIRD PHARMACY LOCATED ON THE SAINT THOMAS MIDTOWN HOSPITAL CAMPUS FILLED 31,783 PRESCRIPTIONS, A TOTAL VALUE OF $547,751, IN 11,244 PATIENT ENCOUNTERS DURING FISCAL YEAR 2018; A NEW, FOURTH LOCATION ON THE SAINT THOMAS HICKMAN HOSPITAL CAMPUS DISPENSED 2,566 PRESCRIPITONS IN A TOTAL OF 1,242 PATEINT ENCOUNTERS AT A VALUE OF $106,355 IN FISCAL YEAR 2018. (COMMUNITY HEALTH NEED: ACCESS TO CARE AND WELLNESS). CAMP BLUEBIRD: STH IS A FOUNDING PARTNER AND PRIMARY SUPPORTER OF CAMP BLUEBIRD AND DRAWS VOLUNTEERS FROM SAINT THOMAS HEALTH, THE COMMUNITY AND OTHER COMMUNITY HOSPITALS. CAMP BLUEBIRD WAS THE FIRST CAMP IN THE MIDDLE TENNESSEE AREA DESIGNED FOR ADULT CANCER PATIENTS. FOR THREE DAYS AND TWO NIGHTS VOLUNTEERS PROVIDE ADULT CAMPERS WITH EDUCATION, SUPPORT AND ENCOURAGEMENT IN LIVING LIFE AFTER A CANCER DIAGNOSIS. CAMP IS HELD EACH SPRING AND FALL, WITH 120 CANCER PATIENTS PARTICIPATING IN FISCAL YEAR 2018. (COMMUNITY HEALTH NEED: HEALTH EDUCATION AND WELLNESS)
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. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building Activities	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. ST MIDTOWN 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 REPRESENTATION ON COMMUNITY/NON-PROFIT BOARDS AND COMMITTEES WHICH WORK TO IMPROVE THE HEALTH AND ADDRESS ITS SOCIAL DETERMINATES. WORKFORCE DEVELOPMENT: UNDERSTANDING THE STRONG CORRELATION BETWEEN INCOME LEVEL AND PHYSICAL HEALTH, SAINT THOMAS MIDTOWN HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH ENGAGEMENT WITH METRO NASHVILLE PUBLIC SCHOOLS. THROUGH HOSPITAL TOURS AND JOB SHADOWS WITH ST. THOMAS 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. COALITION BUILDING: SAINT THOMAS MIDTOWN HOSPITAL SUPPORTS COALITION BUILDING THROUGH HOSPITAL LEADERS' PARTICIPATION ON COMMUNITY BOARDS. REPRESENTING SAINT THOMAS, 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, 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 2018 was $13,508,071 at charges, ($3,035,882 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21.
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	The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply and the financial assistance program is followed.
Schedule H, Part V, Section B, Line 16a FAP website	- Saint Thomas Midtown Hospital: Line 16a URL: https://www.sthealth.com/patients-and-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Saint Thomas Midtown Hospital: Line 16b URL: https://www.sthealth.com/patients-and-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Saint Thomas Midtown Hospital: Line 16c URL: https://www.sthealth.com/patients-and-visitors/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	Saint Thomas Midtown Hospital uses 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 Institute - County Health Ratings -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 -US Central Intelligence Agency -US Census Bureau -Centers for Disease Control and Prevention Saint Thomas Midtown Hospital utilizes information from these secondary sources to develop programs and provide services throughout the region. In addition, Saint Thomas Midtown Hospital 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 Midtown 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 Midtown 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 Midtown 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 Midtown 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 Midtown 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 http://sthealth.com/patients-and-visitors/financial-assistance in all required LEP languages.
Schedule H, Part VI, Line 4 Community information	LOCATED IN NASHVILLE, TENNESSEE, SAINT THOMAS MIDTOWN HOSPITAL (ST MIDTOWN), PRIMARILY SERVES RESIDENTS OF DAVIDSON COUNTY AND ADJACENT SURROUNDING COUNTIES IN MIDDLE TENNESSEE. OVER 80% OF EMERGENCY ROOM CASES AND OVER HALF OF INPATIENTS ORIGINATE FROM WITHIN THE 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. UNITED STATES CENSUS QUICK FACTS FOR 2016 INDICATES AN ESTIMATED POPULATION OF 684,410. 2016 COMMUNITY DEMOGRAPHIC HIGHLIGHTS INCLUDE: 51.8% FEMALE; 65.2% WHITE; 28.1% AFRICAN AMERICAN; 6.9% PERSONS UNDER 5 YEARS; 11.5% PERSONS 65 YEARS AND OVER; 87.3% HIGH SCHOOL GRADUATE OR HIGHER (% PERSONS AGE 25+, 2011-2015); 23.8 MINUTES, MEAN TRAVEL TIME TO WORK (2011-2015); $28,589 PER CAPITA INCOME IN THE PAST 12 MONTHS (2011-2015); $48,368 MEDIAN HOUSEHOLD INCOME (2011-2015); AND 17.1% PERSONS IN POVERTY (2011-2015). AMERICAN FACT FINDER, AMERICAN COMMUNITY SURVEY (2010-2014 5YEAR ESTIMATES) NOTES 16.4% OF THE TOTAL CIVILIAN NONINSTITUTIONALIZED POPULATION AND 7.1% OF CHILDREN (AGES 0-17), 21.8% AGES 18-64, 1.3% 65 YEARS AND OLDER, AND 24.2% AGES 19-25 IN DAVIDSON COUNTY WERE UNINSURED. ACCORDING TO THE TENNESSEE DEPARTMENT OF HEALTH'S 2016 JOINT ANNUAL REPORT OF HOSPITALS HTTPS://APPS.HEALTH.TN.GOV/PUBLICJARS/DEFAULT.ASPX 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 AND SELECTION FOR CHNA PURPOSES, PLEASE REVIEW THE HOSPITAL'S CHNA ONLINE AT: HTTP://WWW.STHEALTH.COM/ABOUT-US/MISSION-INTEGRATION/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
CATHOLIC CHARITIES OF TENNESSEE INC
2806 MCGAVOCK PIKE	NASHVILLE	TN	37214	620679520	501(c)(3)	$52,000	Support the South Nashville Family Resource Center and the McGruder Family Resource Center (North Nashville)
FANNIE BATTLE DAY HOME FOR CHILDREN
108 CHAPEL AVE	NASHVILLE	TN	37206	620476290	501(c)(3)	$10,000	Support healthy eating initiative
INTERFAITH DENTAL CLINIC
1721 PATTERSON ST	NASHVILLE	TN	37203	621567615	501(c)(3)	$20,000	Improving the oral and overall health of the dentally underserved in Middle Tennessee
TENNESSEE JUSTICE CENTER INC
301 CHARLOTTE AVE	NASHVILLE	TN	37201	621630417	501(c)(3)	$9,750	Help vulnerable families access health coverage
THE NEW BEGINNINGS CENTER
509 CRAIGHEAD ST	NASHVILLE	TN	37204	900751722	501(c)(3)	$17,500	Fund the program costs of low-income women
SAINT THOMAS NETWORK
4220 HARDING RD	NASHVILLE	TN	37205	621868848	501(c)(3)	$2,817,277	Provide support for Saint Thomas Family Health Center's clinic operations
HOPE CLINIC FOR WOMEN
1810 HAYES STREET	NASHVILLE	TN	37203	621164825	501(c)(3)	$6,000	Support the Hope Clinic for Women's Bridges to Maternal Care Program
OPEN TABLE NASHVILLE
210 MORTON AVE	NASHVILLE	TN	37211	273514899	501(c)(3)	$25,000	To strengthen the outreach, housing support and chaplaincy programs
HOPE SMILES
115 PENN WARREN DRIVE	BRENTWOOD	TN	37027	260829468	501(c)(3)	$9,000	To improve access to dental care for the underserved in Middle Tennessee
THE NEXT DOOR
402 22ND AVENUE NORTH	NASHVILLE	TN	37203	432001774	501(c)(3)	$18,750	To support one year of CPE residency
ASSOCIATION FOR GUIDANCE AID PLACEMENT & EMPATHY (AGAPE)
4555 TROUSDALE DRIVE	NASHVILLE	TN	37204	620760716	501(c)(3)	$12,500	Provide access to mental health counseling for the Hispanic population
BUILDING LIVES FOUNDATION INC
PO BOX 210184	NASHVILLE	TN	37221	205584526	501(c)(3)	$7,500	Provide support for the Academy Program
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)	$6,250	Support the Mental/Emotional Health Case Management and Mentoring program.
CORNER TO CORNER
812 NORTH 5TH STREET	NASHVILLE	TN	37207	473007704	501(c)(3)	$6,250	To support the Business Entrepreneurship Academy for Underserved Communities
NASHVILLE DOWNTOWN PARTNERSHIP
150 4TH AVE N	NASHVILLE	TN	37219	621774641	501(c)(6)	$10,000	Nashville bike stations
PRESTON TAYLOR MINISTRIES
PO BOX 90442	NASHVILLE	TN	37209	621757018	501(c)(3)	$7,000	PTM's One-on-One mentoring programs
END SLAVERY TENNESSEE
PO BOX 160069	NASHVILLE	TN	37216	454955577	501(c)(3)	$25,000	Support of survivor care services
SILOAM FAMILY HEALTH CENTER
820 GALE LANE	NASHVILLE	TN	37204	581867940	501(c)(3)	$20,750	Further the community health among the most poor and vulnerable residents of the greater Nashville area, especially the foreign-born
SEXUAL ASSAULT CENTER
101 FRENCH LANDING DRIVE	NASHVILLE	TN	37228	621043294	501(c)(3)	$8,000	To support the treatment and support for sexual assault survivors
CITZENS FOR GREATER MOBILITY
PO BOX 190497	NASHVILLE	TN	37219	822505929		$12,500	To support the Transit for Nashville campaign
UNITED WAY OF METRO NASHVILLE
250 VENTURE CIRCLE	NASHVILLE	TN	37228	620533104	501(c)(3)	$25,000	To support the implementation of the Family Empowerment Program
SUPPLIES OVERSEAS
1500 ARLINGTON AVENUE	LOUISVILLE	KY	40206	272624272	501(c)(3)		To donate surgical supplies	$50,012	Cost of Supplies	Surgical Supplies Donation

Field	Value	IRS element (for citing)
Total501c3 Org	20	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KAREN L SPRINGER
PRESIDENT & CEO, MINISTRY MARKET (END 12/2017)	$0	$609,681	$0	$772,708	$0	$163,944	$0	$14,850	$0	$5,887	$0	$1,567,070	$0	$0
PAMELA M HESS
FORMER OFFICER (END 7/2016)	$0	$325,338	$0	$104,808	$0	$257,907	$0	$16,200	$0	$19,445	$0	$723,699	$0	$0
MICHAEL H SCHATZLEIN MD
FORMER OFFICER (END 3/2016)	$0	$37,007	$0	$0	$0	$1,014,828	$0	$1,704	$0	$9,491	$0	$1,063,029	$0	$0
BERNARD J SHERRY
FORMER OFFICER (END 8/2015)	$0	$839,075	$0	$950,848	$0	$298,608	$0	$17,550	$0	$28,032	$0	$2,134,113	$0	$0
ALAN STRAUSS
FORMER OFFICER (END 4/2012)	$0	$0	$0	$0	$0	$580,133	$0	$0	$0	$623	$0	$580,756	$0	$0
LISA DAVIS
CFO, MINISTRY MARKET	$0	$383,610	$0	$237,201	$0	$62,790	$0	$17,550	$0	$12,346	$0	$713,498	$0	$0
DON E KING
CEO & PRESIDENT - SAINT THOMAS WEST & MIDTOWN (END 12/2017)	$0	$456,783	$0	$276,549	$0	$49,054	$0	$14,850	$0	$27,086	$0	$824,321	$0	$0
SHALIN SHAH
CFO (END 2/2018)	$0	$273,273	$0	$59,229	$0	$28,937	$0	$13,500	$0	$4,280	$0	$379,219	$0	$0
FAHAD TAHIR
CEO (START 12/2017)	$0	$343,995	$0	$118,825	$0	$34,117	$0	$17,550	$0	$23,162	$0	$537,649	$0	$0
JENNIFER ELLIOTT
FORMER KEY EMPLOYEE (END 12/2016)	$5,855	$0	$0	$0	$261,464	$0	$0	$0	$6,027	$0	$273,346	$0	$0	$0
PETER J LINDQUIST
CNO - SAINT THOMAS WEST & MIDTOWN (END 3/2018)	$240,220	$8,403	$81,650	$0	$12,255	$31	$9,126	$274	$2,889	$321	$346,139	$9,030	$0	$0
JOSEPH PINO
COO (START 7/2017 - END 6/2018)	$120,812	$98,264	$0	$52,822	$1,225	$5,348	$6,208	$6,173	$15,092	$14,240	$143,336	$176,848	$0	$0
GEOFFREY H SMALLWOOD MD
CMO	$365,833	$0	$90,038	$0	$23,981	$0	$14,850	$0	$19,652	$0	$514,353	$0	$0	$0
CARRIE B TEAFORD
COO - SAINT THOMAS WEST & MIDTOWN (END 12/2017)	$0	$161,670	$0	$72,030	$0	$75,616	$0	$13,454	$0	$14,590	$0	$337,359	$0	$0
JOSEPH R BOONE
PHYSICIST, MEDICAL	$174,667	$0	$0	$0	$694	$0	$11,970	$0	$24,280	$0	$211,611	$0	$0	$0
KIMBERLY BRANCH-HAYES
PHYSICIAN	$284,502	$0	$0	$0	$579	$0	$11,688	$0	$25,432	$0	$322,202	$0	$0	$0
DUSTIN DIEZ
PHYSICIST, MEDICAL	$177,463	$0	$7,500	$0	$148	$0	$7,615	$0	$22,612	$0	$215,337	$0	$0	$0
BRANDY B GREENE
MANAGER, PHARMACY	$150,651	$0	$23,381	$0	$299	$0	$11,181	$0	$27,012	$0	$212,524	$0	$0	$0
JENNIFER A MILLER
DIRECTOR, PHARMACY	$180,632	$0	$26,974	$0	$392	$0	$11,789	$0	$23,373	$0	$243,162	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, a related organization of Saint Thomas Midtown 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: Jennifer Elliott - $223,077 Alan Strauss - $579,377 Michael H Schatzlein, MD - $961,539
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 current year distributions.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 20b Explanation of Financial Statements	The activity of Saint Thomas Midtown Hospital ("STMH") is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of STMH is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of STMH.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ASCENSION HEALTH AND ITS SUBSIDIARY ORGANIZATIONS. ASCENSION HEALTH IS THE NATIONAL HEALTH SYSTEM PARENT. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS PERFORMED BY SAINT THOMAS HEALTH AND ITS SUBSIDIARY ORGANIZATIONS. SAINT THOMAS HEALTH IS THE MINISTRY HEALTH SYSTEM PARENT. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	Saint Thomas Midtown 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 Midtown Hospital has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the Saint Thomas Midtown Hospital.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to Saint Thomas Midtown Hospital financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health.
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 INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS 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, 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	Services to Affiliates - Total Revenue: 113545, Related or Exempt Function Revenue: 113545, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: -34, Related or Exempt Function Revenue: -34, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Shared Savings Revenue - Total Revenue: 11649, Related or Exempt Function Revenue: 11649, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Escheatment Revenue - Total Revenue: 104693, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 104693; Hotel/Conference Revenue - Total Revenue: 7121, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 7121; Miscellaneous Revenue - Total Revenue: -350292, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -350292; Parking Revenue - Total Revenue: 9655, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 9655;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfers with Affiliates - 225743; Transfers with ALPHA - -24437174;
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant	SAINT THOMAS MIDTOWN 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998	ST LOUIS	MO	631355998	453358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA	false
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	false
SAINT THOMAS HEALTH
4220 HARDING ROAD	NASHVILLE	TN	37205	581716804	SYSTEM PARENT	TN	501(c)(3)	Type III-FI	ASCENSION HEALTH	false
SAINT THOMAS WEST HOSPITAL
4220 HARDING ROAD	NASHVILLE	TN	37205	620347580	HOSPITAL	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes (true)
SAINT THOMAS NETWORK
4220 HARDING ROAD	NASHVILLE	TN	37205	621284994	HEALTH INVESTMENT ENTITY	TN	501(c)(3)	10	SAINT THOMAS HEALTH	Yes (true)
SAINT THOMAS RUTHERFORD HOSPITAL
1700 MEDICAL CENTER PARKWAY	MURFREESBORO	TN	37219	620475842	HOSPITAL	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes (true)
SAINT THOMAS REGIONAL HOSPITALS
4220 HARDING PIKE	NASHVILLE	TN	37205	474063046	HOSPITALS	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes (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	Yes (true)
SAINT THOMAS HEALTH FOUNDATIONS
PO BOX 380	NASHVILLE	TN	37202	581663055	OPERATES FOUNDATION	TN	501(c)(3)	7	SAINT THOMAS NETWORK	Yes (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	Yes (true)
SAINT THOMAS RUTHERFORD FOUNDATION
1700 MEDICAL CENTER PARKWAY	MURFREESBORO	TN	37219	621167917	FOUNDATION	TN	501(c)(3)	Type I	SAINT THOMAS RUTHERFORD HOSPITAL	Yes (true)
SAINT THOMAS HICKMAN HOSPITAL
135 EAST SWAN STREET	CENTERVILLE	TN	37033	581737573	HOSPITAL	TN	501(c)(3)	3	BAPTIST HEALTH CARE AFFILIATES INC	Yes (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	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
BAPTIST WOMENS HEALTH CENTER LLC
1900 CHURCH STREET SUITE 300	NASHVILLE	TN	37203	621772195	OWNS AND OPERATES SPECIALTY HOSPITAL	TN	NA	N/A
STHS SLEEP CENTER LLC
102 WOODMONT BOULEVARD SUITE 800	NASHVILLE	TN	37205	203664894	OPERATES A SLEEP CENTER	TN	NA	N/A
MIDDLE TENNESSEE IMAGING LLC
400 N HIGHLAND AVENUE	MURFREESBORO	TN	37219	010570490	DIAGNOSTIC IMAGING CENTER	TN	NA	N/A
RADS OF AMERICA LLC
PO BOX 249	GOODLETTSVILLE	TN	370700249	200597581	AMBULATORY SURGERY CENTER	TN	NA	N/A
MURFREESBORO DIAGNOSTIC IMAGING LLC
400 N HIGHLAND AVENUE	MURFREESBORO	TN	37219	200291952	DIAGNOSTIC IMAGING CENTER	TN	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
SOVA INC
102 WOODMONT BOULEVARD SUITE 700	NASHVILLE	TN	37205	261319638	HEALTH SERVICES	TN	NA	C Corporation	Yes (true)
BAPTIST HEALTH CARE VENTURES INC
2000 CHURCH STREET	NASHVILLE	TN	37236	620469214	HOLDING COMPANY	TN	SAINT THOMAS MIDTOWN HOSPITAL	C Corporation	Yes (true)	$0	$0	1
MID-STATE PROPERTIES INC
2000 CHURCH STREET	NASHVILLE	TN	37236	621232018	INACTIVE	TN	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
STHS SLEEP CENTER LLC
J	$162,403	FAIR MARKET VALUE
STHS SLEEP CENTER LLC
L	$57,635	FAIR MARKET VALUE
STHS SLEEP CENTER LLC
Q	$67,728	FAIR MARKET VALUE
SAINT THOMAS WEST HOSPITAL
L	$244,910	FAIR MARKET VALUE
SAINT THOMAS WEST HOSPITAL
M	$41,751,949	FAIR MARKET VALUE
SAINT THOMAS WEST HOSPITAL
P	$628,850	FAIR MARKET VALUE
SAINT THOMAS NETWORK
B	$2,817,277	FAIR MARKET VALUE
SAINT THOMAS NETWORK
J	$93,985	FAIR MARKET VALUE
SAINT THOMAS NETWORK
K	$74,117	FAIR MARKET VALUE
SAINT THOMAS NETWORK
M	$134,028	FAIR MARKET VALUE
SAINT THOMAS NETWORK
Q	$329,947	FAIR MARKET VALUE
SOVA INC
Q	$81,163	FAIR MARKET VALUE
SAINT THOMAS HEALTH FOUNDATIONS
C	$378,480	FAIR MARKET VALUE