2017-05-15T10:01:00-05:00 2016-06-30 990 2015-07-01 620347580 Saint Thomas West Hospital SAIN 6152225030 4220 Harding Rd Nashville TN 37205 Lisa Davis CFO-Saint Thomas Health 2017-05-15 2015 2021-01-29 14:40:06Z Karen Springer 4220 Harding Rd Nashville TN 37205 428207079 false 0928 X www.sths.com/west X 1898 TN To provide spiritually centered, holistic care, which sustains and improves the health of individuals and communities. 13 12 2141 252 0 0 6195 205286 410037936 407021200 172360 -4359 20806172 19865503 431022663 427087630 1453076 1679321 0 109578260 113840342 0 0 263792053 270208933 374823389 385728596 56199274 41359034 194960934 224457272 138713962 144282961 56246972 80174311 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 354808357 1679321 424181689 SAINT THOMAS WEST HOSPITAL PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2016, 59.4% OF THE VALUE OF SERVICES RENDERED WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 9.7% OF THE VALUE OF THE SERVICES WAS PROVIDED TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR SAINT THOMAS WEST HOSPITAL GUIDELINES. SEE SCHEDULE H FOR SUPPLEMENTAL INFORMATION ON COMMUNITY BENEFIT. 354808357 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 139 0 true 2141 true false false false false false false false false false false X 13 12 false false false false true true true true true false false false true true true true true false false true true X Lisa Davis 6152846826 4220 Harding Rd Nashville TN 37205 CLARK BAKER CHAIRMAN 1.0 9.0 X X 0 0 0 ANTHONY HEARD VICE CHAIRMAN 1.0 9.0 X X 0 0 0 LEE MOSS TREASURER 1.0 9.0 X X 0 0 0 CRAIG POLKOW VICE CHAIRMAN & CFO STHE (END 8/1/15) 1.0 47.0 X X 0 297173 22367 MICHAEL SCHATZLEIN MD CHAIRMAN & CEO STHE (END 3/12/16) 1.0 63.5 X X 0 2906062 39144 PATRICK R SHEPHERD SECRETARY 1.0 9.0 X X 0 0 0 KAREN SPRINGER SEC/TREASURER & COO STHE (END 3/12/16) CHAIRMAN & CEO STHE (BEGIN 3/13/16) 1.0 49.0 X X 0 1000073 14376 LISA DAVIS SECRETARY & CFO STHE (BEGIN 3/13/16) (INTERIM 8/2/15 - 3/12/16) 1.0 47.0 X X 0 449326 18244 SAMAR ALI BOARD MEMBER 1.0 9.0 X 0 0 0 WILLIAM ANDERSON BOARD MEMBER 1.0 9.0 X 0 0 0 DELL CROSSLIN BOARD MEMBER 1.0 9.0 X 0 0 0 EMIL HASSAN BOARD MEMBER 1.0 9.0 X 0 0 0 MARK PEACOCK MD BOARD MEMBER (END 12/31/15) 1.0 9.0 X 0 0 0 MARK PETERS MD BOARD MEMBER (END 12/31/15) 1.0 9.0 X 0 0 0 STEVE SCHWAB MD BOARD MEMBER 1.0 9.0 X 0 0 0 SCOTT STANDARD MD BOARD MEMBER 1.0 9.0 X 0 0 0 BRIAN WILCOX MD BOARD MEMBER 1.0 9.0 X 0 0 0 JOHN JAY WILLIAMS MD BOARD MEMBER 1.0 9.0 X 0 0 0 SISTER HELEN BREWER DC BOARD MEMBER (BEGIN 7/1/15) 1.0 9.0 X 0 0 0 KEN PETRONI MD BOARD MEMBER (BEGIN 1/1/16) 1.0 9.0 X 0 0 0 NICOLE SCHLECHTER MD BOARD MEMBER (BEGIN 1/1/16) 1.0 9.0 X 0 0 0 PAMELA HESS CHIEF FINANCIAL OFFICER 20.0 20.0 X 368261 0 23773 DON KING COO STW/STM (END 8/29/15) & CEO/PRESIDENT STW/STM (BEGIN 8/30/15) 20.0 20.0 X 230469 215258 52313 BERNARD SHERRY PRES/CEO STW/STM (END 8/29/15) & EVP & COO (8/30/15 - MARCH 2016) 0.0 81.0 X 0 1269608 107852 JENNIFER ELLIOTT CNO 20.0 20.0 X 0 296431 25100 MARK MARSDEN MD CHIEF MEDICAL OFFICER 40.0 0 X 487656 0 51852 CARRIE TEAFORD COO STW/STM (BEGIN 11/22/15) & ASST. COO STW/STM (END 11/21/15) 20.0 20.0 X 21626 321719 23690 KYRIAKOS KYRIAKIDIS MD PHYSICIAN 40.0 0 X 402252 0 25081 EUGENE LAFRANCHISE MD PHYSICIAN 40.0 0 X 569404 0 20767 STEVEN EMBRY MD PHYSICIAN 40.0 0 X 346428 0 9501 JAMES SNYDER MD PHYSICIAN 40.0 0 X 392438 0 16424 JAMES K FLEMING JR MD PHYSICIAN 40.0 0 X 344006 0 15720 ALAN STRAUSS FORMER OFFICER (END 4/2012) 0.0 50.0 X 0 1567370 48771 3162540 8323020 514975 95 true true false TENNESSEE PERFUSION ASSOCIATES 649 SPRINGLAKE DR FRANKLIN TN 37064 MEDICAL 1644631 ST THOMAS MEDICAL GROUP PLLC 4320 HARDING RD STE 400 NASHVILLE TN 37205 MEDICAL 550268 UT METHODIST PHYSICIANS LLC PO BOX 40127 MEMPHIS TN 38104 MEDICAL 500000 ORTHO SURGICALISTS LLC 301 21ST AVE N NASHVILLE TN 37203 MEDICAL 500000 TRUSTAFF PO BOX 63-8231 CINCINNATI OH 452638231 STAFFING 499472 19 X 205286 205286 NET PATIENT SVCS REV 621990 401436941 401436941 INTERCOMPANY RENT 532000 38260 38260 NUCLEAR PHARMACY 621400 1333946 1333946 JOINT VENTURE INCOME 621400 4212053 4212053 0 0 0 0 407021200 214860 214860 1162507 892230 270277 0 270277 270277 8000 227219 0 -219219 -219219 -219219 PROVIDER TAX REVENUE 621990 16043916 16043916 AMERICAN RECOVERY ACT 900099 815458 815458 Cafeteria/Vending 722514 2434737 2434737 301115 301115 0 0 19595226 427087630 424181689 0 2700655 X 1679321 1679321 1116997 1005297 111700 99669360 89702424 9966936 -3532723 -3179451 -353272 9775092 8797583 977509 6811616 6130454 681162 2281410 1939198 342212 33000 33000 -9933 -9933 54932010 50408249 4523761 0 26435 26435 4127775 3302220 825555 571460 542887 28573 5366914 4830223 536691 71160 56928 14232 81884 65507 16377 2196433 2086611 109822 14791529 13312376 1479153 1362456 1294333 68123 MEDICAL SUPPLIES 88969018 88969018 PROVIDER TAX 16043916 16043916 IC MANAGEMENT FEE 72430608 61566017 10864591 MINOR EQUIPMENT 1782883 1604595 178288 5149975 4624216 525759 0 385728596 354808357 30920239 0 12303511 5867691 39712305 50711486 0 0 8973951 9447597 1735683 1634724 475491009 340795739 86241190 134695270 0 4101509 6657232 833885 682698 41058900 14760574 194960934 224457272 20875510 27489716 265583 261312 117572869 116531933 138713962 144282961 X 56246972 80174311 56246972 80174311 194960934 224457272 X 41359034 -17431695 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 19718 19718 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that are specifically allocable to lobbying. Saint Thomas West Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that are specifically allocable to lobbying. Saint Thomas West Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 5211371 112796 -327139 491630 4505398 5045861 15640 175024 25154 5211371 3727093 662526 757499 101257 5045861 3683758 42664 430651 429980 3727093 4857388 857215 -213919 1816926 3683758 0.0 0.5793 0.4207 false true true 4458348 4458348 296498940 209451515 87047425 2022923 1979122 43801 152623875 123786139 28837736 19886923 5578963 14307960 134695270 Intercompany Accounts Receivable 1125728 Prepaid Pension 6151751 Other Receivables 217746 Receivables from Third Party Payors 5760226 Physician Guarantee Asset 923597 Other Assets 232321 Security Deposit 349205 Construction in Progress 14760574 Intercompany Payable 5396946 Intercompany Debt to Ascension Health Alliance 99595256 Self Insurance Liability 1752153 Physician Guarantee 464167 Other Liabilities 34312 Valuation Allowance AH Savings Plan Liability 1249022 Payable to Third Party Payors 8040077 116531933 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, 2016. true true X true X true X true true true false true true 10744462 10744462 0.0279 38804790 34117363 4687427 0.0122 0 0.0 0 0 49549252 34117363 15431889 0.0400 1255251 978513 276738 0.0007 4154447 663676 3490771 0.0090 1918500 1846602 71898 0.0002 62175 62175 0.0002 1816766 1816766 0.0047 0 0 9207139 3488791 5718348 0.0148 0 0 58756391 37606154 21150237 0.0548 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 23660 23660 0.0001 0 0.0 5006 5006 0.0000 0 0.0 0 0 28666 0 28666 0.0001 false 16743673 1014664 129181560 133954270 -4772710 X true true 1 1 Saint Thomas West Hospital 4220 Harding Road Nashville TN 37205 www.sths.com/west 0000000024 X X X Saint Thomas West 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 15 true http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm false false true X 200.0 300.0 X X true true X X X true X http://sthealth.com/patients-and-visitors/financial-assistance X http://sthealth.com/patients-and-visitors/financial-assistance X http://sthealth.com/patients-and-visitors/financial-assistance X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Saint Thomas West 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. For complete description of CHNA methodology and listing of individuals and organizations that provided input, please review the Hospital's CHNA online at: http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessment Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Saint Thomas West Hospital. The 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 West 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 West Hospital. ST West works collaboratively within the community to improve its health around the priority needs it is addressing. All priority needs identified in the 2013 CHNA were addressed by ST West in the tax year. Both ST West and Saint Thomas Health took action in the tax year to impact the priority health needs, through a combination of hospital-operated programs and hospital-provided donations to community organizations. A network of Family Health Centers provided care to uninsured and underinsured community residents, as did the Medical Missions at Home, serving over 25,000 patients in need system-wide. Health education programs operated through Faith Community Nursing, as well as at Faith Family Medical Center, New Beginnings, and Fannie Battle Day Home for Children with financial support from ST West, expanding the resources available to hundreds of low-income women, children and families toward making healthier choices in diet and exercise. The regional dental safety net was strengthened through the efforts of the Middle TN Oral Health Coalition, and both acute and long-term dental needs were addressed through the work of Interfaith Dental Clinic and Hope Smiles. Access to mental health services and opportunities to improve mental health status was expanded through the work of numerous community partners, as listed below, providing the means for community residents to pursue mental health improvement. Similarly, access to wellness resources, and in particular healthy food, was expanded through Lutheran Services in Tennessee's Healthy Garden Initiative in low-income communities, Siloam Family Health Center's community health outreach program to specific ethnic communities, Catholic Charities' food provision resources at a Family Health Center, and One Generation Away's provision of healthy food at partner locations throughout Davidson County. Through these efforts, thousands of pounds of produce were made available and meals were supplemented with healthy food. ST West's partnership with the Nashville Downtown Partnership supported two B-Cycle bike-share stations, expanding the ability for community members to exercise. Partnerships with Maplewood High School and the PENCIL Foundation strengthened the ability of high school students, at Maplewood and throughout Metro Nashville Public Schools, to pursue work or higher education following high school graduation, impacting the root causes of poverty. The following is a complete list of all programs and donations provided by ST West during the tax year to address the priority needs identified in the 2013 CHNA: Need: Access to Care Programs: Medical Mission at Home; Charity Care Post-Discharge Donations: Saint Thomas Medical Partners' Family Health Centers; Hospital Hospitality House; Visitation Hospital Foundation; Enroll America; Medical Missions Around the World; Room in the Inn; Linen Service for Ronald McDonald House and Room in the Inn; Tennessee Justice Center Need: Health Education & Practical Application Programs: Faith Community Nursing; Health Professions Education; Medical Library Donations: Faith Family Medical Center; New Beginnings; Fannie Battle Day Home for Children Need: Mental & Dental Health Programs: Middle TN Oral Health Coalition Donations: Hope Smiles; Interfaith Dental Clinic; Christian Women's Job Corp; Hope Clinic for Women; Preston Taylor Ministries; Sexual Assault Center; Catholic Media Productions; First Steps; End Slavery Tennessee; Insight Counseling Centers; Meharry Medical College Need: Wellness/Obesity/Food Programs: None Donations: Lutheran Services in Tennessee; Siloam Family Health Center; Nashville Symphony; Catholic Charities; One Generation Away Need: Exercise & Safety Programs: None Donations: Nashville Downtown Partnership - B-cycle Need: Poverty/Social Determinants Programs: Maplewood Academy Program Donations: Charity Burials; The Contributor; Corner to Corner; Metro Public Health Department; PENCIL Foundation Saint Thomas Health provided the following programs and donations during the tax year to address the CHNA priority needs identified in the 2013 CHNA: Need: Access to Care Programs: Charity Care Post-Discharge Dispensary of Hope - Distribution Center; Dispensary of Hope Charitable Pharmacies; Medical Missions at Home; Mobile Mammography; Saint Thomas Medical Partners' Family Health Centers; Telemedicine - Stroke Evaluation Donations: Tennessee Charitable Care Network; Beersheba Springs Medical Clinic Need: Health Education & Practical Application Programs: Health Professions Education - CME Conferences; Health Professions Education - GME; Medical Library Donations: None Need: Mental & Dental Health Programs: None Donations: Hope Smiles; United Way Need: Wellness/Obesity/Food Programs: None Donations: None Need: Physical Activity Programs: None Donations: None The 2016 CHNA identified four priority health needs for Davidson County: Access to Care/Care Coordination, Social Determinants, Mental and Emotional Health/Substance Abuse, and Wellness and Disease Prevention. ST Midtown/ST West will provide programs and donations to respond to all four priority health needs. Following the CHNA and identification of these priority needs, ST Midtown/ST West conducted a strategic planning process. Current programs were assessed for alignment with and potential to impact the new set of priority health needs, with many listed above that will continue operating or expand their efforts. New programs were designed to more comprehensively address the priority health needs and will begin operations throughout tax year 2016. Additionally, many of the donations from tax year 2015 will continue, to support the work that other community organizations do toward addressing these priority health needs according to their specific service offerings. New donations will also be granted, to bolster support offered across the priority health needs. There will not be any needs that are not addressed from the most recent CHNA; all needs will be addressed. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Saint Thomas West Hospital. Ran presumptive eligibility. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - Saint Thomas West Hospital. FAP - eligible patients were not charged more than the discount provided to the highest paying payor making up at least 3% of the volume (either count or dollars). 0 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 Foundation: Patients and families of ST DeKalb, ST Hickman, ST Highlands, ST Midtown, ST River Park, ST Stones River and ST West have access to the Irene and Melvin Lewis, Transplant, Mandy Moore, and Francis Gluck Funds which assist patients who are financially unable to provide for needed medical-related expenditures. 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 $76,613 in assistance in FY2016. STH Senior Leaders and associates participate as active board members of non-profit organizations whose mission aligns with community health improvement and addresses social determinates of health. Medical Library: Medical Libraries are located on the campuses of Saint Thomas Midtown Hospital and Saint Thomas West Hospital. Librarians offer assistance in researching health information. Assistance is available to the broader community regardless of where medical care is obtained. In fiscal year 2016, librarians assisted 79 individuals, researching 88 topics. (Community Health Need: Health Education) Health Professions Education: ST West serves as a clinical site for students attending many of the area nursing and allied health schools. An average of 175 students per month had clinical training at the hospital in fiscal year 2016, with more than 42,625 hours of clinical instruction on the hospital campus during the year. Additionally, ST West supports a Clinical Pastoral Education program, offering chaplaincy training in the clinical setting. (Community Health Need: Health Education and Access to Care) Faith Community Nursing (FCN): The program provides community health education and improvement through development of professional faith community nurses. The program provides training, continued education, support, resources and network to area FCN's. Additionally, the program promotes FCN to congregations as a holistic health and spiritual health promotion strategy. During fiscal year 2016, 23 nurses received training as a FCN, and a total of 6 networking meeting were held. (Community Health Need: Health Education and Wellness) Middle Tennessee Oral Health Coalition: A coalition of oral health stakeholders was formed in 2014, with the financial support of STH, to address the current oral health system and work towards a sustainable system of care for vulnerable populations in Middle TN. STH advocacy and community health leaders participate in the coalition. (Community Health Need: Oral Health) Medical Missions at Home: A medical mission event was held in Davidson County within a low income community on September 26, 2015. Volunteers from all STH entities participated, and community volunteer providers offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, 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 795 community members in a total of 2,195 encounters. (Community Health Need: Access to Care) Community Benefit Cash and In-Kind Contributions: ST West 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. American Red Cross: ST West hosts periodic blood drives in conjunction with the local American Red Cross 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 to provide health education, access to healthy food and mental health services. (Community Health Need: Wellness, Mental Health, Health Education and Access to Care) 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. (Community Health Need: Mental Health)Christian Women's Job Corp of Middle Tennessee: 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 Health) Christian Women's Job Corp of Middle Tennessee: 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 Health) 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: Poverty/Social Determinants) End Slavery Tennessee: ST Midtown and ST West provide funds to support its mission of providing comprehensive care for victims of human trafficking in a safe and healing environment. (Community Health Need: Mental Health) Enroll America: ST Midtown, ST Rutherford and ST West provide funds to support its Get Covered America campaign, connecting uninsured individuals with resources to enroll in health insurance. (Community Health Need: Access to Care) Faith Family Medical Center: ST West and ST Midtown Hospitals provide support for its health education program Journey to Health, a comprehensive program aimed to reduce risk factors for obesity and chronic disease. (Community Health Need: Health Education) 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: Mental Health) 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, Health Education, and Access to Care) Hope Smiles: ST West and ST Midtown Hospitals provide funds to support its participation in the health systems three Medical Missions at Home events. (Community Health Need: Oral Health) Hospital Hospitality House of Nashville: ST West and ST Midtown Hospitals provide funds to support families basic needs, lodging, meals and supportive care, during time of extended medical treatment. (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 Health) Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH - PART II 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: Oral Health and Health Education) 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 that teaches families in poverty to grow their own vegetables, increasing the amount of nutritious food available and consumed. (Community Health Need: Wellness/Obesity/Food) Meharry Medical College: ST Midtown and ST West provide funds to support its Elam Symposium, focused on African-American male health needs, in particular mental/emotional health, substance abuse and obesity. (Community Health Need: Mental Health) Metro Public Health Department: ST Midtown and ST West provide funds to support its Healthynashville.org data portal, which provides a centralized data network for use in planning, decision-making, and advocacy around health and social determinants community needs; needs of health equity, built and natural environment, and mental health are emphasized. (Community Health Need: Poverty/Social Determinants) 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 Symphony: ST Midtown and ST West provide funds to support its Sensory Friendly Concert, a concert and community health fair focused on patrons with autism spectrum disorders and strengthening community awareness and resource connections for their needs. (Community Health Need: Wellness/Obesity/Food) 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: Health Education and Wellness) 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/Food) PENCIL Foundation: ST Midtown and ST West provide funds to support the education of future healthcare providers within Metro Nashville Public Schools. (Community Health Need: Poverty/Social Determinants) 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: Mental Health and Wellness) 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) 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 Health and Access to Care) 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 Family Health Center: ST Midtown and ST West provide funds to support its Community Health Outreach program, which trains and deploys Community Health Workers to create a collaborative health education and support network within four target ethnic communities, utilizing a congregational health approach. (Community Health Need: Wellness/Obesity/Food) 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) 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) Schedule H, Part VI, Line 6 PROMOTING THE HEALTH OF THE COMMUNITIES SERVED - PART I Saint Thomas West Hospital (ST West), established in 1898, is a 541-bed hospital in Nashville, Tennessee. It provides emergency room services and comprehensive inpatient and outpatient care, including transplantation and oncology services. The Hospital is part of Saint Thomas 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 FY16, 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. Saint Thomas Health is a member of Ascension, a Catholic organization that is the largest not-for-profit health system in the United States. 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 2016: 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 FY16, 10 educational courses/seminars were offered with total attendance of 875. (Community Health Need: Health Education and Access to Care) Graduate Medical Education: STH and its Affiliates serve as training sites for University of Tennessee, Meharry Medical College and Vanderbilt University medical residents. In fiscal year 2016, 113 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: STH organized four medical mission events, one in Davidson County, one in Hickman County, one in Grundy County and one in Rutherford County, each held within a low-income community. Volunteers from all STH entities participated, and community volunteer providers offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, and a health ministry presence to persons who otherwise have limited access to health care. In FY16, these events served 1,493 community members in a total of 4,827 encounters. (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, clinic fees are discounted 46% with additional discounts given for paying day of service. For those who qualify, clinic fees are based on a sliding scale using federal poverty guidelines. In addition, private insurance, Medicare and TennCare are accepted. STH operates 7 primary care safety-net clinics, with one specifically focused on women's health care. These sites provided 72,566 patient encounters for 24,814 patients in fiscal year 2016. The clinics are committed to providing high-quality primary care to the uninsured and underinsured, and they serve the Davidson, Hickman, and Rutherford 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 women's 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 South and West Clinics offer additional services: Clinica Nueva Vida - a comprehensive prenatal care program for uninsured, low income Hispanic women in Greater Nashville; and The Healthy Lifestyles Program - a program for adults with type 2 diabetes or pre-diabetes utilizing group and individual nutritional counseling, along with cooking and exercise classes, combined with medical monitoring. ST Midtown, ST Rutherford, and ST West provide financial support to the health centers. (Community Health Need: Access to Care) Our Mission in Motion: The mobile mammography outreach program is designed to increase access to high quality screening mammography for all women, with special attention to the poor and vulnerable in Middle Tennessee. The program provides screening mammograms in collaboration with local employers, communities, and safety net clinics, reducing the barrier of transportation and inability to afford time away from work. Screening mammograms are available to the uninsured. When indicated, Our Mission in Motion works with women to connect them to follow up care. It is the goal of the program to improve the compliance rates for screening mammography by making services accessible and affordable, thus decreasing the late stage detections of breast cancer for women in Middle Tennessee. Women delay their annual mammograms for numerous reasons, with the most common including lack of insurance, financial barriers, and the inability to take time off work to receive one. In fiscal year 2016, 3,057 screenings were performed at 204 stops. 221 women received mammography screening for the first time, and 654 women were screened who had not had a mammogram in over two years. (Community Health Need: Access to Care and Wellness) Schedule H, Part VI, Line 6 PROMOTING THE HEALTH OF THE COMMUNITIES SERVED - PART II Advocacy for Health: STH is a founding member and active member of the Middle Tennessee Consortium of Safety Net Providers, which works to provide quality 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. STH is committed to ensuring 100% access to care for everyone, with special attention to those who live in poverty and struggle the most; STH actively advocates for healthcare access and coverage for all persons through grassroots outreach and ongoing meetings with elected officials. STH'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. STH provides sponsorship of community events as well as presentations to increase awareness and educate the public regarding healthcare reform and access. STH Senior Leaders participate as active board members of non-profit organizations whose mission is aligned with community health improvement. STH representatives also participate in county health councils. (Community Health Needs: Access to Care) Dispensary of Hope: Since 2003, Dispensary of Hope has been distributing medication from manufacturers, distributors, and healthcare providers to federally-qualified health centers, free and charitable clinics and pharmacies serving low-income, uninsured patients. At the end of fiscal year 2016, the Dispensary of Hope was distributing medication to 86 access site partners nationwide. All access sites are not-for-profit facilities legally authorized to dispense medications. In fiscal year 2016, there were 186,887 patient encounters with 472,990 prescriptions filled at community pharmacies, dispensary clinics and central fill pharmacies. (Community Health Need: Access to Care and Wellness) Dispensary of Hope Charitable Pharmacy: Since 2006, the Dispensary of Hope Pharmacy has provided medication assistance for uninsured and underinsured individuals who are experiencing financial hardship. In fiscal year 2016, 24,978 prescriptions were filled, a total value of $381,034 in 11,704 total patient encounters at the Saint Thomas West Hospital location; additionally, $107,238.70 worth of medications were obtained through the Prescription Assistance Program. The pharmacy located in Rutherford County dispensed 26,582 prescriptions in a total of 9,600 patient encounters in fiscal year 2016. A third pharmacy located on the Saint Thomas Midtown hospital campus filled 20,352 prescriptions, a total value of $407,938, in 9,002 patient encounters during fiscal year 2016. (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 119 cancer patients participating in fiscal year 2016. (Community Health Need: Health Education and Wellness) Schedule H, Part I, Line 6a Community benefit report prepared by related organization Saint Thomas Health 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 WEST SUPPORTS A VARIETY OF EFFORTS AND CONTINUES TO WORK IN COLLABORATION WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND WELL-BEING OF THE COMMUNITY, ESPECIALLY THE POOR AND VULNERABLE, INCLUDING REPRESENTATION ON COMMUNITY/NON-PROFIT BOARDS AND COMMITTEES WHICH WORK TO IMPROVE THE HEALTH AND ADDRESS ITS SOCIAL DETERMINATES. 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. 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 18. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 West Hospital: Line 16a URL: http://sthealth.com/patients-and-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Saint Thomas West Hospital: Line 16b URL: http://sthealth.com/patients-and-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Saint Thomas West Hospital: Line 16c URL: http://sthealth.com/patients-and-visitors/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment Community Health Needs Assessment (CHNA) is conducted every three years, with the most recent conducted in fiscal year 2016. The CHNA was conducted jointly as noted above. The objectives of the CHNA and subsequent hospital specific implementation strategies were: 1. Provide an unbiased comprehensive assessment of Davidson County's health needs and assets; 2. Use the CHNA to prioritize the Saint Thomas Health Community Benefit Program strategy and 3. Fulfill Internal Revenue Service regulations related to 501(c)(3) non-profit hospital status for federal income taxes. Along with the components cited in Part V, the 2016 CHNA also includes an evaluation of the actions taken to address the priority health needs identified in the 2013 CHNA. For complete description of CHNA methodology, identification of priority needs, and findings, please review the Hospital's CHNA online at: http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessment In addition to the reported CHNA, the organization, Saint Thomas Health (STH), assesses the health needs of the communities it serves through representation on local health councils and non-profits addressing the needs of the underserved. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Education of eligibility for assistance at Saint Thomas West Hospital begins at registration with signage displayed at all registration points notifying patients that we have a Financial Assistance Program, as well as contact information for the patient to use should they need assistance. Plain Language Summaries of the FAP containing this information are also available for patients at all registration points. Saint Thomas West Hospital's registration associates discuss the estimated balance that will be due with both insured and self-pay patients. Should the associate identify that the patient may need assistance with that balance he/she will provide the patient with a Financial Assistance Application and help them complete it, if needed. All self-pay and underinsured patients are screened by Saint Thomas West Hospital for alternative coverage including Medicaid, SSI/SSD, Cobra, student coverage, and crime victims' compensation. If no alternative is identified then an associate will work with the patient to complete a Financial Assistance Application. Also, contact information is listed on Saint Thomas West Hospital billing statements for the patient to use in the event they need assistance with their balances. Collections associates have been trained to offer patients a Financial Assistance application if needed by the patient. Saint Thomas West Hospital works with third party collection vendors who are required to follow the Hospital's Financial Assistance Policy. A third party vendor is also used to perform presumptive charity scoring only 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 and Application can be found on our website at http://sthealth.com/patients-and-visitors/financial-assistance Schedule H, Part VI, Line 4 Community information Located in Nashville, Tennessee, Saint Thomas West Hospital (ST West), primarily serves residents of Davidson County and adjacent surrounding counties of Middle Tennessee. A majority of ST West's emergency visits are from Davidson County. In calendar year 2015, ST West served 17,652 inpatients. 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 2015 indicates an estimated population of 678,889. 2015 Community Demographic highlights include: 51.9% Female; 65.5% White; 28.0% African American; 7.0% Persons under 5 years; 11.2% 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); $29,589 per capita income in the past 12 months (2011-2015); $48,368 median household income (2011-2015); and 17.1% persons in poverty. American Fact Finder, American Community Survey (2011-2015 5Year Estimates) notes 15.2% of the total civilian noninstitutionalized population and 6.5% of children (ages 0-17), 20.3% ages 18-64, 1.1% 65 years and older, and 21.7% ages 19-25 in Davidson County were uninsured. According to the Tennessee Department of Health's Joint Annual Report of Hospitals, 2015, Davidson County has 14 hospitals: 10 General and Specialty Hospitals with a combined 3,258 staffed beds (3,786 licensed beds); One Mental Health Hospital with 207 staffed beds out of 300 licensed beds; and 3 Long Term hospitals with 202 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 30 White Bridge Rd Nashville TN 37205 620679520 501c3 26000 Providing increased access to healthy foods, health education and mental health services to underprivileged individuals Faith Family Medical Center 326 21st Avenue North Nashville TN 37203 621816811 501c3 10000 Provide support for the Journey to Health education program Fannie Battle Day Home for Children 108 Chapel Ave Nashville TN 37206 620476290 501c3 10000 Provide support for the healthy eating program for children and families Interfaith Dental Clinic 1721 Patterson Street Nashville TN 37203 621567615 501c3 26667 Provide support for increase access to dental health services for uninsured and underinsured residents of Middle Tennessee Room in the Inn 705 Drexel Street Nashville TN 37203 620811413 501c3 100000 Provide support for homeless Saint Thomas Network 4220 Harding Rd Nashville TN 37205 621868848 501c3 1047628 Provide support for Saint Thomas Family Health Center's clinic operations Siloam Family Health Center 820 Gale Rd Nashville TN 37204 581867940 501c3 75000 Provide support for health center operations Tennessee Justice Center Inc 301 Charlotte Ave Nashville TN 37201 621630417 501c3 20000 Help vulnerable families access health coverage The New Beginnings Center 509 Craighead St Nashville TN 37204 900751722 501c3 12500 To support reversing obesity with personalized and sustainable wellness Visitation Hospital Foundation PO Box 210270 Nashville TN 37221 621774851 501c3 11240 Assisting the clinic in addressing the needs of mothers and infants in Haiti SHARED HOSPITAL SERVICES CORPORATION 641 MAINSTREAM DR NASHVILLE TN 37228 621035855 19228 Laundry services paid on behalf of Room In The Inn and Ronald McDonald House End Slavery Tennessee 50 Vantage Way Suite 255 Nashville TN 37228 454955577 501c3 24350 Provide support for comprehensive care for victims of human trafficking in a safe and healing environment Nashville Symphony Schermerhorn Symphony Center One Symphony Place Nashville TN 37201 620550979 501c3 12500 To provide patrons with autism spectrum disorders with the opportunity to experience concerts PENCIL Foundation 421 Great Circle Road Suite 100 Nashville TN 37228 581475675 501c3 217500 To educate future healthcare providers within the Metro Nashville Public Schools Hope Clinic for Women 1810 Hayes Street Nashville TN 37203 621164825 501c3 7500 Support the clinic's work of improving mental and physical health outcomes for women facing unplanned pregnancies and women who are uninsured and/or unemployed Hospital Hospitality House of Nashville 214 Reidhurst Avenue Nashville TN 37203 620909363 501c3 7500 To provide a home away from home for families and patients who travel to Nashville for medical care 15 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Organizations requesting grants are asked to submit a request in writing which identifies the community health need the grant will be addressing, along with goals and objectives. Requests are reviewed by the Saint Thomas Health Community Health & Benefit Committee prior to approval. Awarded grantees are asked to submit a report of program/event activities. It is requested the report include demographic summary of population benefited and achieved objectives and impact on health. The reports are reviewed by the Community Health & Benefit Team in a broad manner upon receipt, but will be more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant. false false false false false false false false false CRAIG POLKOW VICE CHAIRMAN & CFO STHE (END 8/1/15) 0 278345 0 0 0 18828 0 7073 0 15294 0 319540 0 0 MICHAEL SCHATZLEIN MD CHAIRMAN & CEO STHE (END 3/12/16) 0 960751 0 1660416 0 284896 0 7950 0 31194 0 2945206 0 0 KAREN SPRINGER SEC/TREASURER & COO STHE (END 3/12/16) CHAIRMAN & CEO STHE (BEGIN 3/13/16) 0 599231 0 220306 0 180536 0 7950 0 6426 0 1014449 0 0 LISA DAVIS SECRETARY & CFO STHE (BEGIN 3/13/16) (INTERIM 8/2/15 - 3/12/16) 0 336027 0 86909 0 26390 0 7950 0 10294 0 467570 0 0 ALAN STRAUSS FORMER OFFICER (END 4/2012) 0 572725 0 826689 0 167956 0 14575 0 34196 0 1616141 0 0 PAMELA HESS CHIEF FINANCIAL OFFICER 284001 0 79666 0 4594 0 7950 0 15823 0 392034 0 0 0 DON KING COO STW/STM (END 8/29/15) & CEO/PRESIDENT STW/STM (BEGIN 8/30/15) 228116 121790 0 92891 2353 577 22512 8238 14802 6761 267783 230257 0 0 BERNARD SHERRY PRES/CEO STW/STM (END 8/29/15) & EVP & COO (8/30/15 - MARCH 2016) 0 787296 0 390502 0 91810 0 57900 0 49952 0 1377460 0 0 JENNIFER ELLIOTT CNO 0 230633 0 64837 0 961 0 7950 0 17150 0 321531 0 0 MARK MARSDEN MD CHIEF MEDICAL OFFICER 377752 0 105808 0 4096 0 31250 0 20602 0 539508 0 0 0 CARRIE TEAFORD COO STW/STM (BEGIN 11/22/15) & ASST. COO STW/STM (END 11/21/15) 21475 234994 0 71844 151 14881 658 6978 1251 14803 23535 343500 0 0 KYRIAKOS KYRIAKIDIS MD PHYSICIAN 331056 0 70819 0 377 0 6835 0 18246 0 427333 0 0 0 EUGENE LAFRANCHISE MD PHYSICIAN 567293 0 960 0 1151 0 7950 0 12817 0 590171 0 0 0 STEVEN EMBRY MD PHYSICIAN 342927 0 2500 0 1001 0 7950 0 1551 0 355929 0 0 0 JAMES SNYDER MD PHYSICIAN 380374 0 10250 0 1814 0 7950 0 8474 0 408862 0 0 0 JAMES K FLEMING JR MD PHYSICIAN 343518 0 320 0 168 0 7950 0 7770 0 359726 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 West Hospital, uses the following to establish the compensation of the organization's CEO: Compensation Committee Independent Compensation Consultant Compensation Survey or Study Approval by the Board or Comensation Committee Form 990, Part IV, Line 20b Explanation of financial statements The activity of Saint Thomas West Hospital ("STWH") is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of STWH is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of STWH. Form 990, Part VI, Line 15 COMPENSATION DETERMINATION IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF SAINT THOMAS WEST HOSPITAL, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER HOSPITALS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN COMPENSATION WAS DECIDED. IN DETERMINING THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS, PERFORMED BY SAINT THOMAS HEALTH, A RELATED ORGANIZATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO OTHER HOSPITALS' EMPLOYEES IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. Form 990, Part VI, Line 6 Classes of members or stockholders Saint Thomas West Hospital has a single corporate member, Saint Thomas Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Saint Thomas West Hospital has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the hospital. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Saint Thomas West Hospital's financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health. Ascension Health, the sole corporate member of Saint Thomas Health, has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Line 11b Review of form 990 by governing body MANAGEMENT WORKS DILIGENTLY TO COMPLETE THE FORM 990 IN A THOROUGH MANNER. DUE TO TIMING, LEADERSHIP REVIEWED THE RETURN IN LIEU OF THE RETURN BEING PROVIDED TO THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 37505, Related or Exempt Function Revenue: 37505, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Wellness Center - Total Revenue: 263610, Related or Exempt Function Revenue: 263610, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 45117032, Program Service Expense: 40605329, Management and General Expenses: 4511703, Fundraising Expenses: ; Physician Contracted Services - Total Expense: 9672230, Program Service Expense: 9672230, Management and General Expenses: , Fundraising Expenses: ; Physician Guarantees - Total Expense: 22169, Program Service Expense: 22169, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 54049, Program Service Expense: 48644, Management and General Expenses: 5405, Fundraising Expenses: ; Other Professional Fees - Total Expense: 66530, Program Service Expense: 59877, Management and General Expenses: 6653, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer To/From Ascension for Pension - -1513386; Deferred Pension Cost - -15918309; ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 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 NETWORK 4220 HARDING ROAD NASHVILLE TN 37205 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3 9 SAINT THOMAS HEALTH true SAINT THOMAS HEALTH FOUNDATIONS PO BOX 380 NASHVILLE TN 37202 581663055 OPERATES FOUNDATION TN 501(c)(3 7 SAINT THOMAS NETWORK true COVENANT CARE INC 102 WOODMONT BLVD SUITE 800 NASHVILLE TN 37205 621695737 INACTIVE TN 501(c)(3 Type I SAINT THOMAS NETWORK true SAINT THOMAS RUTHERFORD HOSPITAL 1700 MEDICAL CENTER PARKWAY MURFREESBORO TN 37219 620475842 HOSPITAL TN 501(c)(3 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION 1700 MEDICAL CENTER PARKWAY MURFREESBORO TN 37219 621167917 FOUNDATION TN 501(c)(3 Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS MIDTOWN HOSPITAL 4220 HARDING ROAD NASHVILLE TN 37205 621869474 ACUTE CARE HOSPITAL TN 501(c)(3 3 SAINT THOMAS HEALTH true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC 2000 CHURCH STREET NASHVILLE TN 37236 581861378 INACTIVE TN 501(c)(3 Type I SAINT THOMAS MIDTOWN HOSPITAL true BAPTIST HEALTH CARE AFFILIATES INC 2000 CHURCH STREET NASHVILLE TN 37236 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3 Type I SAINT THOMAS NETWORK true SAINT THOMAS MEDICAL PARTNERS 2000 CHURCH STREET NASHVILLE TN 37236 621529858 HEALTHCARE PROVIDER TN 501(c)(3 3 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL 135 EAST SWAN STREET CENTERVILLE TN 37033 581737573 HOSPITAL TN 501(c)(3 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS REGIONAL HOSPITALS 4220 HARDING PIKE NASHVILLE TN 37205 474063046 HEALTHCARE PROVIDER TN 501(c)(3 3 SAINT THOMAS HEALTH true SAINT THOMAS HOME CARE 135 EAST SWAN STREET CENTERVILLE TN 37033 621836937 HOME HEALTH CARE TN 501(c)(3 9 SAINT THOMAS HICKMAN HOSPITAL true BAPTIST WOMENS HEALTH CENTER LLC 1900 CHURCH STREET SUITE 300 NASHVILLE TN 37203 621772195 OWNS AND OPERATES SPECIALTY HOSPITAL TN NA N/A 0 STHS SLEEP CENTER LLC 102 WOODMONT BOULEVARD SUITE 800 NASHVILLE TN 37205 203664894 OPERATES A SLEEP CENTER TN NA N/A 0 MIDDLE TENNESSEE IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO TN 37219 010570490 DIAGNOSTIC IMAGING CENTER TN NA N/A 0 RADS OF AMERICA LLC PO BOX 249 GOODLETTSVILLE TN 370700249 200597581 AMBULATORY SURGERY CENTER TN NA N/A 0 MURFREESBORO DIAGNOSTIC IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO TN 37219 200291952 DIAGNOSTIC IMAGING CENTER TN NA N/A 0 MTMC HOSPITALIST SERVICES LLC 1700 MEDICAL CENTER PARKWAY MURFREESBORO TN 37219 621792824 PHYSICIAN SERVICES TN NA N/A 0 SOVA INC 102 WOODMONT BOULEVARD SUITE 700 NASHVILLE TN 37205 261319638 HEALTH SERVICES TN NA C Corporation false BAPTIST HEALTH CARE VENTURES INC 2000 CHURCH STREET NASHVILLE TN 37236 620469214 HOLDING COMPANY TN NA C Corporation false MISSIONPOINT HEALTH PARTNERS 102 WOODMONT BOULEVARD SUITE 700 NASHVILLE TN 37205 452958482 ACCOUTABLE CARE ORGANIZATION TN NA C Corporation false MID-STATE PROPERTIES INC 2000 CHURCH STREET NASHVILLE TN 37236 621232018 PHARMACY TN NA C Corporation false true true true false false false false false false false false false false false false false false true true SAINT THOMAS HEALTH FOUNDATION A 38260 ACTUAL AMOUNT PAID SAINT THOMAS NETWORK B 1047628 ACTUAL AMOUNT PAID BAPTIST HEALTH CARE AFFILIATES S 17079867 ACTUAL AMOUNT PAID SAINT THOMAS MEDICAL PARTNERS S 107066127 ACTUAL AMOUNT PAID SAINT THOMAS HICKMAN HOSPITAL S 7933391 ACTUAL AMOUNT PAID SAINT THOMAS MIDTOWN HOSPITAL S 458796462 ACTUAL AMOUNT PAID SAINT THOMAS RUTHERFORD HOSPITAL S 291764195 ACTUAL AMOUNT PAID SAINT THOMAS NETWORK S 8528673 ACTUAL AMOUNT PAID SAINT THOMAS REGIONAL HOSPITALS S 40147475 ACTUAL AMOUNT PAID SAINT THOMAS HEALTH FOUNDATION C 205286 ACTUAL AMOUNT RECEIVED