2019-05-13T19:09:27-05:00 2018-06-30 990 2017-07-01 621869474 Saint Thomas Midtown Hospital SAIN 3147338000 4220 Harding Road Nashville TN 37205 Tonya Mershon Tax Officer 2019-05-13 2017 2019-02-21 02:37:17Z Tim Adams 4220 Harding Road Nashville TN 37205 469833072 false 0928 X https://www.sthealth.com/locations/saint-thomas-midtown-hospital X 1941 TN To provide spiritually centered, holistic care, which sustains and improves the health of individuals and communities. 13 12 2290 156 0 0 421820 378480 447503730 461646180 2321020 -49089 17391803 96661 467638373 462072232 2992351 3207038 0 0 116247261 118101851 0 0 0 293694064 303650047 412933676 424958936 54704697 37113296 196211575 201854304 349406253 342147117 -153194678 -140292813 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. false false 327402052 3207038 461897343 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. 327402052 true true false true false false false false true true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 201 0 true 2290 true false false false false false false true false false false X 13 12 false false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 KAREN L SPRINGER PRESIDENT & CEO, MINISTRY MARKET (END 12/2017) 0.0 50.0 X X 0 1546333 20737 ANTHONY HEARD CHAIRMAN 1.0 10.0 X X 0 0 0 LEE MOSS VICE-CHAIRMAN 1.0 10.0 X X 0 0 0 PATRICK R SHEPHERD SECRETARY 1.0 10.0 X X 0 0 0 DELL CROSSLIN TREASURER 1.0 10.0 X X 0 0 0 TIMOTHY P ADAMS PRESIDENT & CEO, MINISTRY MARKET (START 1/2018) 0.0 50.0 X X 0 0 0 SISTER HELEN BREWER DC BOARD MEMBER 1.0 10.0 X 0 0 0 MARTHA CROMBIE BOARD MEMBER (START 1/2018) 1.0 9.0 X 0 0 0 EMIL HASSAN BOARD MEMBER 1.0 10.0 X 0 0 0 WANDA LYLE BOARD MEMBER (START 1/2018) 1.0 9.0 X 0 0 0 STEVE SCHWAB MD BOARD MEMBER 1.0 10.0 X 0 0 0 SCOTT STANDARD MD BOARD MEMBER 1.0 10.0 X 0 0 0 SUSAN WEST PhD BOARD MEMBER 1.0 10.0 X 0 0 0 BRIAN WILCOX MD BOARD MEMBER 1.0 10.0 X 0 0 0 LISA DAVIS CFO, MINISTRY MARKET 8.0 42.0 X 0 683601 29896 DON E KING CEO & PRESIDENT - SAINT THOMAS WEST & MIDTOWN (END 12/2017) 7.0 43.0 X 0 782385 41936 SHALIN SHAH CFO (END 2/2018) 25.0 25.0 X 0 361439 17780 FAHAD TAHIR CEO (START 12/2017) 15.0 35.0 X 0 496937 40712 PETER J LINDQUIST CNO - SAINT THOMAS WEST & MIDTOWN (END 3/2018) 50.0 0.0 X 334125 8434 12610 JOSEPH PINO COO (START 7/2017 - END 6/2018) 25.0 25.0 X 122037 156435 41713 GEOFFREY H SMALLWOOD MD CMO 50.0 0 X 479851 0 34502 CARRIE B TEAFORD COO - SAINT THOMAS WEST & MIDTOWN (END 12/2017) 25.0 25.0 X 0 309315 28043 JOSEPH R BOONE PHYSICIST, MEDICAL 50.0 0 X 175361 0 36250 KIMBERLY BRANCH-HAYES PHYSICIAN 50.0 0 X 285082 0 37120 DUSTIN DIEZ PHYSICIST, MEDICAL 50.0 0 X 185110 0 30227 BRANDY B GREENE MANAGER, PHARMACY 50.0 0 X 174331 0 38193 JENNIFER A MILLER DIRECTOR, PHARMACY 50.0 0 X 207999 0 35163 JENNIFER ELLIOTT FORMER KEY EMPLOYEE (END 12/2016) 0.0 0.0 X 267319 0 6027 PAMELA M HESS FORMER OFFICER (END 7/2016) 0.0 55.0 X 0 688053 35645 MICHAEL H SCHATZLEIN MD FORMER OFFICER (END 3/2016) 0.0 0.0 X 0 1051835 11195 BERNARD J SHERRY FORMER OFFICER (END 8/2015) 0.0 50.0 X 0 2088531 45582 ALAN STRAUSS FORMER OFFICER (END 4/2012) 0.0 0.0 X 0 580133 623 2231215 8753431 543954 64 true true false DIVERSIFIED CLINICAL SERVICES 4500 SALISBURY ROAD SUITE 300 JACKSONVILLE FL 32216 WOUND MANAGEMENT SERVICES 1991483 NASHVILLE INPATIENT MGMT SVCS 300 20TH AVE N STE 105 NASHVILLE TN 37203 MEDICAL SERVICES 1517750 DSH MGMT SYSTEMS LLC 46191 WESTLAKE DR STE 200 STERLING VA 20165 MEDICAL SERVICES 1208627 TN WOMENS CARE 2011 MURPHY AVE STE 400 NASHVILLE TN 37203 MEDICAL SERVICES 659834 SYNTHES USA SALES 1101 SYNTHES AVE MONUMENT CO 80132 MEDICAL SERVICES 641137 19 X 0 0 0 378480 0 0 378480 Net Patient Service Revenue 621990 439712542 439712542 Income from Joint Ventures 621400 3283645 3283645 Rental Income from Affiliates 531120 3425716 3425716 Reimbursement Under Provider Tax Program 900099 14837456 14837456 Pharmacy Revenue 446110 261661 261661 125160 125160 0 0 461646180 32769 32769 0 0 0 0 5267504 0 7678982 -2411478 0 -2411478 -2411478 0 0 81858 0 -81858 -81858 -81858 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 2485799 2485799 Lactation Boutique 900099 117490 117490 Education Revenue 616000 133673 133673 -228823 0 0 -228823 2508139 462072232 461897343 0 -203591 3207038 3207038 1003828 973713 30115 94335142 91830118 2505024 4169488 4058732 110756 11608072 11299561 308511 6985321 6799593 185728 10248 10248 16059 16059 4438582 3639161 799421 0 64771 64151 620 693660 243061 450599 484925 402530 82395 7002979 2002788 5000191 46333 38162 8171 30259 29259 1000 8353078 8353078 17206238 15485614 1720624 1385178 115 1385063 Purchased Services 90032515 14265938 75766577 Medical Supplies 92240984 91390553 850431 Provider Tax 24631829 14837456 9794373 Management Fee to Affiliate 44752808 44752808 12259601 22081701 -9822100 0 424958936 327402052 97556884 0 9028 9055 0 0 49804167 54076322 0 0 0 0 0 0 7653775 8578536 1175263 1258848 450084080 319419892 131388639 130664188 0 0 0 619597 614852 840099 335718 4721007 6316785 196211575 201854304 20029818 24647266 0 0 266718 269549 0 0 0 0 0 0 0 0 0 0 329109717 317230302 349406253 342147117 X -153194678 -140292813 0 0 0 0 -153194678 -140292813 196211575 201854304 X 37113296 -24211431 X false true X true false X false false false false false false false false true 16059 16059 false 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. 570290 711 50237 10074 611164 504481 1250 72061 7502 570290 553839 261 -35795 13824 504481 547548 652 17883 12244 553839 457351 542 94297 4642 547548 0.0 0.5072 0.4928 false true true 9772112 9772112 327313283 236495915 90817368 3062620 1210960 1851660 104350633 78859769 25490864 5585432 2853248 2732184 130664188 Other Noncurrent Liabilities 81272 Due to Affiliates 78571361 Deferred Compensation/Retirement/Pension Liability Savings Plan Liability Estimated 3rd Party Payor Settlement 2663943 Physician Guarantee Liability 90545 Recovery Tail Liability 5834109 Accrued Tax Liability 832713 Debt with Ascension Health Alliance 229156359 317230302 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUNDS ARE HELD BY SAINT THOMAS HEALTH FOUNDATIONS. THE ENDOWMENT FUNDS ARE SPECIFICALLY DESIGNATED POOLS OF ASSETS HELD AND INVESTED BY THE FOUNDATION TO PROVIDE LONG-TERM GROWTH, INTEREST AND DIVIDENDS. ONLY THE INCOME FROM 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. true true X true X 250 true X true true true false true true 17906028 0 17906028 0.0421 63560310 49183940 14376370 0.0338 0 0.0 0 0 81466338 49183940 32282398 0.0760 3 7685 759300 261663 497637 0.0012 2 1436 5134309 545315 4588994 0.0108 0 0 0 0 0 0.0 0 0 0 0 0 0.0 37 0 3214903 0 3214903 0.0076 42 9121 9108512 806978 8301534 0.0195 42 9121 90574850 49990918 40583932 0.0955 1 0 698 0 698 0.0000 0 0 0 0 0 0.0 1 0 5000 0 5000 0.0000 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 0 3750 0 3750 0.0000 1 0 12500 0 12500 0.0000 1 240 2270 0 2270 0.0000 0 0 0 0 0 0.0 5 240 24218 0 24218 0.0001 true 3035882 0 139439857 161681892 -22242035 X true true 1 1 Saint Thomas Midtown Hospital 2000 Church Street Nashville TN 37203 https://www.sthealth.com/locations/saint-thomas-midtown-hospital 0000000032 X X X Saint Thomas Midtown Hospital 1 false false true X X X X X X X X X 15 true true true true X http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm X true 16 true http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm false true X 250.0 400.0 X X true true X X X true X https://www.sthealth.com/patients-and-visitors/financial-assistance X https://www.sthealth.com/patients-and-visitors/financial-assistance X https://www.sthealth.com/patients-and-visitors/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Saint Thomas 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. 1 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 true CATHOLIC CHARITIES OF TENNESSEE INC 2806 MCGAVOCK PIKE NASHVILLE TN 37214 620679520 501(c)(3) 52000 Support the South Nashville Family Resource Center and the McGruder Family Resource Center (North Nashville) FANNIE BATTLE DAY HOME FOR CHILDREN 108 CHAPEL AVE NASHVILLE TN 37206 620476290 501(c)(3) 10000 Support healthy eating initiative INTERFAITH DENTAL CLINIC 1721 PATTERSON ST NASHVILLE TN 37203 621567615 501(c)(3) 20000 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) 9750 Help vulnerable families access health coverage THE NEW BEGINNINGS CENTER 509 CRAIGHEAD ST NASHVILLE TN 37204 900751722 501(c)(3) 17500 Fund the program costs of low-income women SAINT THOMAS NETWORK 4220 HARDING RD NASHVILLE TN 37205 621868848 501(c)(3) 2817277 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) 6000 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) 25000 To strengthen the outreach, housing support and chaplaincy programs HOPE SMILES 115 PENN WARREN DRIVE BRENTWOOD TN 37027 260829468 501(c)(3) 9000 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) 18750 To support one year of CPE residency ASSOCIATION FOR GUIDANCE AID PLACEMENT & EMPATHY (AGAPE) 4555 TROUSDALE DRIVE NASHVILLE TN 37204 620760716 501(c)(3) 12500 Provide access to mental health counseling for the Hispanic population BUILDING LIVES FOUNDATION INC PO BOX 210184 NASHVILLE TN 37221 205584526 501(c)(3) 7500 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) 6250 Support the Mental/Emotional Health Case Management and Mentoring program. CORNER TO CORNER 812 NORTH 5TH STREET NASHVILLE TN 37207 473007704 501(c)(3) 6250 To support the Business Entrepreneurship Academy for Underserved Communities NASHVILLE DOWNTOWN PARTNERSHIP 150 4TH AVE N NASHVILLE TN 37219 621774641 501(c)(6) 10000 Nashville bike stations PRESTON TAYLOR MINISTRIES PO BOX 90442 NASHVILLE TN 37209 621757018 501(c)(3) 7000 PTM's One-on-One mentoring programs END SLAVERY TENNESSEE PO BOX 160069 NASHVILLE TN 37216 454955577 501(c)(3) 25000 Support of survivor care services SILOAM FAMILY HEALTH CENTER 820 GALE LANE NASHVILLE TN 37204 581867940 501(c)(3) 20750 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) 8000 To support the treatment and support for sexual assault survivors CITZENS FOR GREATER MOBILITY PO BOX 190497 NASHVILLE TN 37219 822505929 12500 To support the Transit for Nashville campaign UNITED WAY OF METRO NASHVILLE 250 VENTURE CIRCLE NASHVILLE TN 37228 620533104 501(c)(3) 25000 To support the implementation of the Family Empowerment Program SUPPLIES OVERSEAS 1500 ARLINGTON AVENUE LOUISVILLE KY 40206 272624272 501(c)(3) 50012 Cost of Supplies Surgical Supplies Donation To donate surgical supplies 20 2 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Organizations requesting grants are asked to submit a request in writing which identifies the community health need the grant will be addressing, along with goals and objectives. Requests are reviewed by the Saint Thomas Health Community Health & Benefit Committee prior to approval. Awarded grantees are asked to submit a report of program/event activities. It is requested the report include demographic summary of population benefited and achieved objectives and impact on health. The reports are reviewed by the Community Health & Benefit Team in a broad manner upon receipt, but will be more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant. true true false false false false false false false KAREN L SPRINGER PRESIDENT & CEO, MINISTRY MARKET (END 12/2017) 0 609681 0 772708 0 163944 0 14850 0 5887 0 1567070 0 0 PAMELA M HESS FORMER OFFICER (END 7/2016) 0 325338 0 104808 0 257907 0 16200 0 19445 0 723699 0 0 MICHAEL H SCHATZLEIN MD FORMER OFFICER (END 3/2016) 0 37007 0 0 0 1014828 0 1704 0 9491 0 1063029 0 0 BERNARD J SHERRY FORMER OFFICER (END 8/2015) 0 839075 0 950848 0 298608 0 17550 0 28032 0 2134113 0 0 ALAN STRAUSS FORMER OFFICER (END 4/2012) 0 0 0 0 0 580133 0 0 0 623 0 580756 0 0 LISA DAVIS CFO, MINISTRY MARKET 0 383610 0 237201 0 62790 0 17550 0 12346 0 713498 0 0 DON E KING CEO & PRESIDENT - SAINT THOMAS WEST & MIDTOWN (END 12/2017) 0 456783 0 276549 0 49054 0 14850 0 27086 0 824321 0 0 SHALIN SHAH CFO (END 2/2018) 0 273273 0 59229 0 28937 0 13500 0 4280 0 379219 0 0 FAHAD TAHIR CEO (START 12/2017) 0 343995 0 118825 0 34117 0 17550 0 23162 0 537649 0 0 JENNIFER ELLIOTT FORMER KEY EMPLOYEE (END 12/2016) 5855 0 0 0 261464 0 0 0 6027 0 273346 0 0 0 PETER J LINDQUIST CNO - SAINT THOMAS WEST & MIDTOWN (END 3/2018) 240220 8403 81650 0 12255 31 9126 274 2889 321 346139 9030 0 0 JOSEPH PINO COO (START 7/2017 - END 6/2018) 120812 98264 0 52822 1225 5348 6208 6173 15092 14240 143336 176848 0 0 GEOFFREY H SMALLWOOD MD CMO 365833 0 90038 0 23981 0 14850 0 19652 0 514353 0 0 0 CARRIE B TEAFORD COO - SAINT THOMAS WEST & MIDTOWN (END 12/2017) 0 161670 0 72030 0 75616 0 13454 0 14590 0 337359 0 0 JOSEPH R BOONE PHYSICIST, MEDICAL 174667 0 0 0 694 0 11970 0 24280 0 211611 0 0 0 KIMBERLY BRANCH-HAYES PHYSICIAN 284502 0 0 0 579 0 11688 0 25432 0 322202 0 0 0 DUSTIN DIEZ PHYSICIST, MEDICAL 177463 0 7500 0 148 0 7615 0 22612 0 215337 0 0 0 BRANDY B GREENE MANAGER, PHARMACY 150651 0 23381 0 299 0 11181 0 27012 0 212524 0 0 0 JENNIFER A MILLER DIRECTOR, PHARMACY 180632 0 26974 0 392 0 11789 0 23373 0 243162 0 0 0 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. 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. 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