2015-05-13T13:15:29-05:00 2014-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2013-07-01 620347580 Saint Thomas West Hospital SAIN 6152225030 4220 Harding Rd Nashville TN 37205 Craig Polkow CFO-Saint Thomas Health 6152225030 2015-05-13 1 Alicia Janisch P00741382 5137847100 2013 2016-02-25 16:41:14Z Michael Schlatzlein 4220 Harding Rd Nashville TN 37205 436900324 0 0928 X www.sths.com/west X 1898 TN Provides essential health care services to low-income patients as well as community services. 21 18 2328 302 0 0 1562974 614714 417038827 405831371 21729533 10105378 21952018 17465245 462283352 434016708 33046 1284285 0 0 135208172 110946169 0 0 0 270599366 253964247 405840584 366194701 56442768 67822007 1052783876 186290264 419030316 145166436 633753560 41123828 X To serve all persons, with special attention to those who are poor and vulnerable, while improving the health of individuals and communities. 0 1 337257453 1284285 422494303 Saint Thomas West Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2014, 57% of the value of services rendered was to elderly patients under the Medicare program, and approximately 11% 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. 337257453 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 2328 1 0 0 0 0 0 0 0 0 0 0 0 X 21 18 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X Craig Polkow 6152846826 4220 Harding Rd Nashville TN 37205 X Michael Schatzlein MD Chairman & CEO STHe 1.00 40.00 X X 0 1888568 39912 Craig Polkow Vice Chairman & CFO STHe 1.00 40.00 X X 0 439568 30536 Karen Springer Sec/Treasurer & COO STHe (beg 7/13) 1.00 40.00 X X 0 576074 12507 James Bearden Chairman 1.00 7.00 X 0 0 0 Clark Baker Vice-Chairman 1.00 7.00 X 0 0 0 Mary Falls Esq Secretary STWH Board 1.00 7.00 X 0 0 0 Anthony Heard Treasurer STWH Board 1.00 7.00 X 0 0 0 Samar Ali Board Member (beg 7/13) 1.00 7.00 X 0 0 0 William Anderson Board Member 1.00 7.00 X 0 0 0 Robert Dray MD Board Member 1.00 7.00 X 0 0 0 Robert Hutton MD Board Member (end 12/13) 1.00 7.00 X 0 0 0 Randy Laszewski Board Member 1.00 7.00 X 0 0 0 Mark Marsden MD Board Member (end 11/13) 1.00 7.00 X 0 0 0 Lee Moss Board Member 1.00 7.00 X 0 0 0 Mark Peacock MD Board Member (beg 1/14) 1.00 6.00 X 0 0 0 Mark Peters MD Board Member (beg 11/13) 1.00 6.00 X 0 0 0 Thom Rainer PhD Board Member 1.00 7.00 X 0 0 0 Steve Schwab MD Board Member (beg 7/13) 1.00 7.00 X 0 0 0 Patrick Shepherd Board Member 1.00 8.00 X 0 0 0 Scott Standard MD Board Member 1.00 8.00 X 0 0 0 Sister Dinah White DC Board Member 1.00 8.00 X 0 0 0 Brian Wilcox MD Board Member 1.00 8.00 X 0 0 0 John Williams MD Board Member 1.00 8.00 X 0 0 0 Bernard Sherry President/CEO (beg 7/13) 40.00 40.00 X 0 506352 28091 Don King Chief Operating Officer 40.00 0.00 X 274800 0 27071 Pamela Hess Chief Financial Officer 40.00 40.00 X 270015 0 23577 Jennifer Elliott CNO (beg 6/14) 40.00 40.00 X 0 190177 21384 Eugene Lafranchise MD Physician 40.00 0.00 X 407437 0 35727 Tuan Nguyen MD Physician 40.00 0.00 X 378507 0 25721 James Snyder MD Physician 40.00 0.00 X 316318 0 15609 Steven Tarquine MD Physician 40.00 0.00 X 297627 0 29983 Robert Latham MD Physician 40.00 0.00 X 290754 0 25780 Anna Harb Former CNO (end 11/12) 0.00 0.00 X 328278 0 13979 Kathy McGee Former CNO (end 11/13) 0.00 0.00 X 184810 0 18193 Wesley Littrell Former CEO STHe Affil (end 12/12) 0.00 0.00 X 0 562188 8078 Alan Strauss Former EVP/CFO 0.00 45.00 X 0 703190 50287 2748546 4866117 406435 99 1 1 0 0 614714 614714 Net Patient Svcs Rev 621400 401584213 401584213 Nutrition & Food Svcs 621400 2227781 2227781 Nuclear Pharmacy 621400 1130826 1130826 Joint Venture Income 621400 888551 888551 405831371 9851126 9851126 1354616 579882 774734 774734 774734 2557986 2303734 254252 254252 254252 Provider Tax Revenue 900099 16043916 16043916 Wellness Center 621990 298068 298068 Vending Revenue 624210 27579 27579 320948 320948 16690511 434016708 422494303 0 10907691 X 1284285 1284285 654926 589433 65493 93307505 83976755 9330750 -3397652 -3057887 -339765 13840136 12456122 1384014 6541254 5887129 654125 62069412 52759000 9310412 1500 1500 800 800 40781332 36703199 4078133 60022 60022 5227085 4181668 1045417 210323 199807 10516 6182660 5564394 618266 51076 40861 10215 52425 41940 10485 3072254 2918641 153613 13427521 12084769 1342752 1038477 986553 51924 Medical Supplies 92769117 92769117 0 0 Provider Tax 22195885 22195885 0 0 Repairs & Maintenance 1562740 1406466 156274 0 Dues and Subscriptions 452299 361839 90460 0 4809319 3847455 961864 366194701 337257453 28937248 0 4456188 5654293 49881096 44479882 6860870 8618610 2387065 1691129 412016884 336205001 64163395 75811883 4101509 4101509 691120 1070584 920242633 44862374 1052783876 186290264 23188446 21406066 245486 3250702 395596384 120509668 419030316 145166436 X 633753560 41123828 0 0 633753560 41123828 1052783876 186290264 X 67822007 21150490 -681602229 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10147 10147 0 Part II-B, Line 1: Lobbying expenses represent the portion of dues paid to national and 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. 3727092 662526 757499 101257 5045860 3683757 42664 430651 429980 3727093 4857388 857215 -213919 1816927 3863757 3891084 684281 686399 404376 4857388 3449734 41110 461061 60821 3891084 0.00880 0.51580 0.47540 0 1 1 1236000 1236000 245498906 197738953 47759953 1693843 1670816 23027 157876691 131289155 26587536 5711444 5506077 205367 75811883 Intercompany Accounts Receivable 1613332 Construction in Progress 13739515 Prepaid Pension 18621497 Other Receivables 241070 Receivables from Third Party Payors 8716301 Physician Guarantee Asset 1447624 Other Assets 91944 Security Deposit 391091 44862374 Intercompany Payable 995906 Intercompany Debt to Ascension Health Alliance 102346139 Self Insurance Liability 3943127 Physician Guarantee 451671 Other Liabilities 336802 Valuation Allowance 5950000 AH Savings Plan Liability 1144707 Payable to Third Party Payors 5341316 120509668 X Part V, Line 4: 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. Part X, Line 2: From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Saint Thomas West Hospital: The System accounts for uncertainty in income tax provisions 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, 2014. 1 1 X 1 X 1 X 1 1 1 0 0 10808757 10808757 0.02950 41402542 34438188 6964354 0.01900 52211299 34438188 17773111 0.04850 846487 420856 425631 0.00120 2882950 1463905 1419045 0.00390 2619374 2445093 174281 0.00050 1382445 1382445 0.00380 7731256 4329854 3401402 0.00940 59942555 38768042 21174513 0.05790 0.00000 0.00000 0.00000 0.00000 29527 1665 27862 0.00010 1424 1424 0.00000 0.00000 149753 149753 0.00040 0.00000 180704 1665 179039 0.00050 0 12690819 1473404 133435422 139110854 -5675432 X 1 1 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 1 X X X X X X X X X 12 1 1 1 X Included in Section C, Line 5d X X X X X X X 1 0 1 1 200.000000000000 1 300.000000000000 1 X X X X X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 Saint Thomas West Hospital Part V, Section B, Line 3: Input was received from individuals and groups who represented broad interests of the community through a community phone survey, interviews with community representatives and leaders, and a review of findings at a community health working summit. The CHNA process received input from those with special knowledge of or expertise in public health. The CHNA workgroup included those with experience in health policy advocacy, care of the un- and underinsured and public health training. The workgroup consulted with the local health department and social services departments, who provided input and resources for the CHNA. Stratasan was contracted as a consultant to provide coordination and analysis of a random community survey and facilitated a working community health summit to identify and prioritize health needs. For complete description of CHNA methodology and listing of individuals and organizations that provided input, please review the Hospital's CHNA online at: https://www.sths.com/Pages/Community/Community-Health-Needs-Assessment.aspx Saint Thomas West Hospital Part V, Section B, Line 4: The 2013 CHNA was conducted jointly with Saint Thomas Midtown Hospital, Saint Thomas Hospital for Spinal Surgery, Saint Thomas West Hospital, and Saint Thomas Health system representatives. Saint Thomas West Hospital Part V, Section B, Line 5d: Hospital facility's website:https://www.sths.com/Pages/Community/Community-Health-Needs-Assessment.aspx Saint Thomas West Hospital Part V, Section B, Line 6i: ST West provided the following programs and donations during the tax year to address the CHNA priority needs identified:Need: Access to CarePrograms: Medical Mission at Home; Charity Care Post DischargeDonation: STH Safety Net Primary Care Clinics; Medical Missions Around the World; Project Cure; Room in the Inn; Linen Svc for Ronald McDonald House & Room In the InnNeed: Health Education & Practical ApplicationPrograms: Health Professions Education; Faith Community NursingDonation: Faith Family Medical CenterNeed: Mental & Dental HealthPrograms: Middle TN Oral Health CoalitionDonation: Hope Smiles; Interfaith Dental Clinic; Christian Women's Job Corp; Preston Taylor Ministries; Sexual Assault CenterNeed: Wellness/Obesity/FoodDonation: Catholic Charities; The Little Pantry That CouldNeed: Exercise & SafetyDonation: Mayor's Field DayNeed: Economy/PovertyPrograms: Jobs in Healthcare; Maplewood Academies; MNPS-Workforce DevelopmentDonation: Charity BurialsSaint Thomas Health provided the following programs and donations during the tax year to address the CHNA priority needs identified:Need: Access to CarePrograms: Dispensary of Hope - Distribution Center; Dispensary of Hope Charitable Pharmacy - West; Medical Missions at Home; Safety Net Primary Care Clinics; Mobile MammographyNeed: Health Education & Practical ApplicationPrograms: Health Professions Education - CME Conferences; Health Professions Education - GME; Medical LibraryDonation: United WayNeed: Mental & Dental HealthDonation: Tennessee Suicide Prevention Network; Hope SmilesNeed: Wellness/Obesity/FoodDonation: The Governor's Foundation for Health and Wellness Saint Thomas West Hospital Part V, Section B, Line 7: Hospital facility's CHNA:https://www.sths.com/SiteAssets/Pages/Community-Health-Needs-Assessment/2013_Davidson_Implementation_Strategy.pdf Saint Thomas West Hospital Part V, Section B, Line 12i: We use presumptive scoring to identify charity accounts. Saint Thomas West Hospital Part V, Section B, Line 14g: Signs are posted in waiting rooms and at the admissions offices to notify patients that the hospital has a financial assistance policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the financial assistance policy. The policy is provided at the request of the patient. Saint Thomas West Hospital Part V, Section B, Line 20d: The State of Tennessee legislates that billings cannot exceed 175% cost to charge on most recent Joint Annual Report. Part I, Line 7: The cost of providing charity care, means tested government programs, and 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. Part II, Community Building Activities: Social determinates are the conditions of communities within which people live that effect their health and well-being and include housing, crime, poverty, education, discrimination, and others. Addressing the social determinates of health through community building is an important component in improving the contributing factors that determine the health of the community.Saint Thomas West 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.Jobs in Healthcare: The program provides participants with the necessary training to prepare them to attain the proper skills to care for patients under the direction of a licensed nurse. Participants who successfully complete the course are eligible to sit for the State of Tennessee Certified Nurse Aide Examination. The program is open to unemployed and underemployed adults who have a high school diploma or GED. The program is provided free of charge. During fiscal year 2014, a total of 4 training programs were offered, with a total of 40 (96%) individuals successfully completing the program. (Community Health Need: Poverty and Wellness)Maplewood Academy Program: Saint Thomas West contributes to workforce development in collaboration with Metro-Nashville Public Schools and the PENCIL Program. Saint Thomas Health (STH) is a partner with Maplewood High School's Academy of Sports Medicine and Wellness to provide opportunities for disadvantaged students while meeting the academic standards in place at Metro Nashville Public Schools. STH offers job shadow experiences, tours of facilities, and provides guest speakers for the Academy of Sports Medicine and Wellness. STH supports the Academy showcase, health fairs and advisory board meetings by having employees present and interacting with the students and/or staff. In FY14 a Capstone project was added to the curriculum. (Community Health Need: Poverty and Health Education) Part III, Line 4: The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, 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 the 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. Part III, Line 8: Saint Thomas West Hospital follows 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. Part III, Line 9b: 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. Part VI, Line 2: Community Health Needs Assessment (CHNA) is conducted every three years, with the most recent conducted in fiscal year 2013. 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.For complete description of CHNA methodology, identification of priority needs, and findings, please review the Hospital's CHNA online at: https://www.sths.com/Pages/Community/Community-Health-Needs-Assessment.aspx In addition to any 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. Part VI, Line 3: 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. Brochures 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 Hospital works with third party collection vendors who are required to follow the Hospital's Financial Assistance Policy. Third party vendors are also used to perform "charity scoring", a process that screens incomplete Financial Assistance applications to qualify patients for presumptive charity. Part VI, Line 4: Located in Nashville, Tennessee, Saint Thomas West Hospital ("ST West"), primarily serves residents of Davidson County and adjacent surrounding counties of Middle Tennessee. More than 60% of ST West's emergency visits are from Davidson County. In calendar year 2013, ST West served over 19,000 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 1,243.3 persons per square mile. United States Census Quick Facts for 2013 indicates an estimated population of 658,602 estimates. Community Demographic highlights include: 51.7% Female; 65.8% White; 28.1% African American; 7.0% Persons under 5 years; 10.9% Persons 65 years and over; 85.9% High school graduate or higher (% persons age 25+, 2008-2012); 23.1 minutes, mean travel time to work (2008-2012); $28,519 per capita money income in the past 12 months (2008-2012); $46,676 median household income (2008-2012); and 18.5% persons below poverty level (2008-2012). American Fact Finder, American Community Survey (2010-2012, 3 year estimate) notes, 17.2% of residents and 7.5% of children (ages 0-17), 22.8% ages 18-64, 1.5% 65 years and older, and 25.9% ages 19-25 in Davidson County were uninsured.According to the Tennessee Department of Health's Joint Annual Report of Hospitals, 2012, Davidson County has 15 hospitals: 10 General and Specialty Hospitals with a combined 3,129 staffed beds (3,754 licensed beds); One Mental Health Hospital with 195 staffed beds out of 300 licensed beds; and 4 Long-Term hospitals with 183 staffed beds out of 187 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: https://www.sths.com/Pages/Community/Community-Health-Needs-Assessment.aspx Part VI, Line 5: Saint Thomas West Hospital's ("ST West") governing body is comprised of persons representing diverse aspects and interests of the community. The majority members of the ST West governing body reside in the organization's primary service 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 and sliding scale discounts to those not covered by health insurance.-Saint Thomas Health Foundation: Patients and families also have access to the Irene and Melvin Lewis Fund which assists patients who are financially unable to provide for needed medical-related expenditures. There is also a fund available to employees of Saint Thomas Health who are experiencing hardship. This fund, the Sister Juliana Beurlein Employee Financial Assistance Fund offered system-wide over $90,000 in assistance in FY2014. 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 2014, Librarians assisted over 178 individuals, researching over 183 topics. (Community Health Need: Health Education)-Middle Tennessee Oral Health Coalition: A coalition of oral health stakeholders, formed to address the current oral health system and work towards a sustainable system of care for vulnerable populations in Middle TN. The coalition began in 2014, with the financial support of STH. STH advocacy and community health leaders participate in the coalition. (Community Health Need: Oral Health)-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 82 students per month had clinical training at the hospital in fiscal year 2014, with more than 20,000 hours of clinical instruction on the hospital campus during the year. (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 FCNs. Additionally, the program promotes FCN to congregations as a holistic health and spiritual health promotion strategy. During fiscal year 2014, 27 nurses received training as a FCN, a total of 10 networking meeting were held, with 4 providing continuing education. (Community Health Need: Health Education and Wellness)-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 frequent blood drives in conjunction with the local American Red Cross -Catholic Charities: Both ST West and ST Midtown Hospitals provide funds to support its work as the lead agency at the United Ways' South Nashville Family Resource Center to provide health education, access to healthy food and mental health services. This center is located next to one of STH safety net clinics. (Community Health Need: Wellness, Mental Health, Health Education and Access to Care)-Christian Women's Job Corp of Middle Tennessee: ST West provides 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)-Faith Family Medical Center: ST West provides 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)-Hope Smiles: ST West provides funds to support its mission to provide a safety net for dental care in the West Nashville area and to support its participation in the health systems three Medical Missions at Home events. (Community Health Need: Oral Health)-Interfaith Dental Clinic: ST West provides 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)-Mayors Field Day: ST West provides funds to support the Annual Mayor's Field Day in Nashville, a city-wide initiative to improve the health of residents through physical activity. (Community Health Need: Physical Activity and Wellness) -Preston Taylor Ministries: ST West provides 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: Both 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 provides 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: Both 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)-The Little Pantry That Could: ST West provides funds to support their mission to provide healthy food and nutrition education to the underserved in West Nashville. Funds are restricted to support for acquiring healthy food items and nutritional education for the poor and vulnerable. (Community Health Need: Access to Healthy Food) Part VI, Line 6: 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 corporation 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 Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province, became part of Ascension Healthon April 1, 2013.Mission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured. - Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons.- Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.Certain costs such as graduate medical education and certain other activities are excluded from total operating expenses for purposes of this computation.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 the Nashville Health Ministry of Ascension Health, the largest Catholic and not-for-profit health system in the United States and is known locally as Saint Thomas Health (STH). STH is dedicated to providing accessible, quality healthcare to all patients regardless of their ability to pay. STH owns and operates five hospitals in Middle Tennessee including Saint Thomas Midtown Hospital, Saint Thomas West Hospital and the Saint Thomas Hospital for Spinal Surgery in Nashville, Saint Thomas Rutherford Hospital in Murfreesboro, Tennessee, and Saint Thomas Hickman Hospital in Centerville, Tennessee. In addition, STH provides a variety of ambulatory services through the operation of community primary care clinics, employment of and close alignment with physicians, and partnerships to provide diagnostic imaging, sleep lab, and ambulatory surgery services. As stated in the mission, STH and its affiliates are committed to providing care to the communities it serves with special attention to the poor and vulnerable. Saint Thomas Health's mission provides a strong foundation and guidance for its work as a caring ministry of healing, including its commitment to community service and to provide access to quality health care for all. The Saint Thomas Health Mission, Vision and Values are the key factors influencing their approach and commitment to addressing community health needs through its community benefit activities. Ascension Health's Socially Just Wage and Benefits Policy, established in 2001, applies to all of the Ascension Health Ministry, including subsidiary entities and to contractual third-party vendor relationships.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 improving the health of the community. For example, in fiscal year 2014:Continuing Medical Education: STHe 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 FY14, 23 educational courses/seminars were offered with total attendance of 806. (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 2014, 93 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 three mission-at-home events, one in Davidson County, one in Hickman County, and one in Rutherford County, held within a low income community. Volunteers from all of 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. These events served over 700 community members in total. (Community Health Need: Access to Care)Safety Net Primary Care Clinics: STH operates 4 primary care clinics that provided 48,267 patient encounters in fiscal year 2014. The clinics are committed to providing high-quality primary care to the uninsured and underinsured and serve the Davidson and Rutherford County communities. Acute medical care is provided usually 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 provide one-on-one counseling and group therapy sessions. The clinics utilize the services of the Dispensary of Hope to provide convenient access to free and reduced-cost medications. Social workers 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. (Community Health Need: Access to Care) Part VI, Line 6 (continuted): Our Mission in Motion: The mobile mammography outreach program is designed to increase access to screening mammography 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, thus decreasing the late stage detections of Breast Cancer for women in Middle Tennessee. In fiscal year 2014, 2,459 screening were performed, with 330 women receiving their first mammography. (Community Health Need: Access to Care and Wellness)Advocacy for Health: STH helped to form the Safety Net Consortium of Middle Tennessee to address the needs of the uninsured residents of Middle Tennessee. 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 poor and uninsured. STHe actively advocates for healthcare access and coverage for all persons through ongoing meeting with elected officials and sponsorship of community events and 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. Additionally, STH has a local county health council representative member on each of the three counties: Davidson, Hickman, and Rutherford. (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 the poor and uninsured. The Dispensary of Hope currently serves over 80 communities and 40,000 patients nationwide. All access sites are not-for-profit facilities, licensed to dispense medications. The Dispensary of Hope offers two programs in which access sites can participate. In fiscal year 2014, the Instant Access Program had 49 participating sites and the Diabetic Supply Program had 39 participating sites. The Dispensary of Hope distributed $14,089,944 worth of medications through the Instant Access program (valued at the industry standard "average wholesale price") and $124,646 worth of diabetic supplies (valued at the price charged to access sites). (Community Health Need: Access to Care)Dispensary of Hope Pharmacy: Since 2006, Dispensary of Hope Pharmacy provides medication assistance for uninsured and underinsured individuals who are experiencing financial hardship. In fiscal year 2014, 30,112 prescriptions were filled, with approximately 800 patients seen each month at the Saint Thomas West Hospital location. The pharmacy located in Rutherford County dispensed 27,032 prescriptions. A third pharmacy was opened on the Saint Thomas Midtown Hospital campus in October 2014. (Community Health Need: Access to Care)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 an average of 100 to 110 cancer patients participating in fiscal year 2014. (Community Health Need: Health Education) 1 Catholic Charities of Tennessee Inc 30 White Bridge Rd Nashville TN 37205 620679520 501(c)(3) 44000 Provide funds to the United Ways' South Nashville Family Resource Center. Christian Womens Job Corporations PO Box 22388 Nashville TN 37202 760718734 501(c)(3) 10000 Provide funds to provide education, mentoring and resources to those living in poverty. Faith Family Medical Center 326 21st Avenue North Nashville TN 37203 621816811 501(c)(3) 15000 Provide funds for the health education program, Journey to Health. Hope Smiles 115 Penn Warren Dr Suite 300-301 Brentwood TN 37027 260829468 501(c)(3) 31000 Provide funds for dental care and support for the Medical Missions at Home events in West Nashville. Interfaith Dental Clinic 1721 Patterson Street Nashville TN 37203 621567615 501(c)(3) 21600 Provide funds for oral health care and oral heatlh care education for underprivileged. Preston Taylor Ministries 4014 Indiana Avenue Nashville TN 37209 621757018 501(c)(3) 7460 Provide funds for one-on-one mentoring programs to empower children. The Community Foundation of Middle TN 3833 Cleghorn Ave Ste 400 Nashville TN 37215 621471789 501(c)(3) 7500 Provide funds for the exercise and safety program, Mayor's Field Day. Room in the Inn 705 Drexel Street Nashville TN 37203 620811413 501(c)(3) 75000 Provide funds to support persons experiencing homelessness. Saint Thomas Network 4220 Harding Rd Nashville TN 37205 621868848 501(c)(3) 1066725 Support of the Family Health Center. 9 0 Part I, Line 2: 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. 0 1 0 0 0 0 0 0 0 Michael Schatzlein MD Chairman & CEO STHe 0 857096 0 830248 0 201224 0 7650 0 32262 0 1928480 0 0 Craig Polkow Vice Chairman & CFO STHe 0 434821 0 0 0 4747 0 7650 0 22886 0 470104 0 0 Karen Springer Sec/Treasurer & COO STHe (beg 7/13) 0 570000 0 0 0 6074 0 7650 0 4857 0 588581 0 0 Bernard Sherry President/CEO (beg 7/13) 0 467815 0 0 0 38537 0 7650 0 20441 0 534443 0 0 Don King Chief Operating Officer 273525 0 0 0 1275 0 7587 0 19484 0 301871 0 0 0 Pamela Hess Chief Financial Officer 268755 0 0 0 1260 0 7317 0 16260 0 293592 0 0 0 Jennifer Elliott CNO (beg 6/14) 0 189626 0 0 0 551 0 0 0 21384 0 211561 0 0 Eugene Lafranchise MD Physician 352890 0 53932 0 615 0 7650 0 28077 0 443164 0 0 0 Tuan Nguyen MD Physician 323726 0 54502 0 279 0 7650 0 18071 0 404228 0 0 0 James Snyder MD Physician 304243 0 11275 0 800 0 7650 0 7959 0 331927 0 0 0 Steven Tarquine MD Physician 260764 0 36677 0 186 0 7650 0 22333 0 327610 0 0 0 Robert Latham MD Physician 278084 0 0 0 12670 0 7650 0 18130 0 316534 0 0 0 Anna Harb Former CNO (end 11/12) 0 0 0 0 328278 0 0 0 13979 0 342257 0 0 0 Kathy McGee Former CNO (end 11/13) 146185 0 0 0 38625 0 0 0 18193 0 203003 0 0 0 Wesley Littrell Former CEO STHe Affil (end 12/12) 0 10094 0 0 0 552094 0 0 0 8078 0 570266 0 0 Alan Strauss Former EVP/CFO 0 474049 0 58000 0 171141 0 21675 0 28612 0 753477 0 0 Part I, Line 3 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 Part I, Line 4b 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. The following individuals received payments from the supplemental nonqualified retirement plan in the amount noted: -Anna Harb - $122,739 -Kathy McGee - $4,188 -Bernard Sherry - $32,256 The following individuals received severance payments in the amount noted: -Anna Harb - $205,539 -Kathy McGee - $33,077 -Wes Littrell - $480,256 Schedule J, Part II: The 2013 compensation amounts shown for Alan Strauss were paid by a related organization. $8,236 of the compensation was paid for Mr. Strauss's services as the CFO of Saint Thomas Health. His remaining compensation was paid for his services as the CFO of the related organization. Form 990, Part III, line 3 As of July 1, 2013 the activities of the Saint Thomas Family Center South and Saint Thomas Family Center West were moved to Bellevue Medical Group d/b/a West End Medical Group. Form 990, Part IV, Line 20b Explanation of financial statements: The financial statements of Saint Thomas Health, which included the activity of Saint Thomas West Hospital ("STWH") fall under the specific scope of the audit. The activity of 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, Section A, line 2 Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Saint Thomas Health entity boards. Form 990, Part VI, Section A, line 6 Saint Thomas West Hospital has a single corporate member, Saint Thomas Health. Form 990, Part VI, Section A, line 7a 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, Section A, line 7b 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, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all board members are provided the Form 990 and management team members are available to answer any board members' questions. Form 990, Part VI, Section B, line 12c 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, Section B, line 15 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, Section C, line 19 The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section B Independent Contractor Reporting Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B. Form 990, Part IX, line 11g Purchased Services: Program service expenses 28,905,151. Management and general expenses 3,211,683. Fundraising expenses 0. Total expenses 32,116,834. Physician Fees: Program service expenses 5,090,569. Management and general expenses 565,619. Fundraising expenses 0. Total expenses 5,656,188. Consulting: Program service expenses 1,167,512. Management and general expenses 129,724. Fundraising expenses 0. Total expenses 1,297,236. Misc: Program service expenses 1,539,967. Management and general expenses 171,107. Fundraising expenses 0. Total expenses 1,711,074. Form 990, Part XI, line 9: Transfer to/from Acension for deferred pension 1,787,970. Transfer to/from affiliates - zero IC AR/AP balances -683,390,199. Ascension Health Alliance 4600 Edmundson Road St Louis MO 63134 453358926 National Health System MO section 501(c)(3) Schedule A, Line 11a N/A 0 Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Saint Thomas Health 4220 Harding Road Nashville TN 37205 581716804 System Parent TN Section 501(c)(3) Schedule A, Line 11c Ascension Health 0 Saint Thomas Network 4220 Harding Road Nashville TN 37205 621284994 Health Investment Entity TN Section 501(c)(3) Schedule A, Line 9 Saint Thomas Health 1 Saint Thomas Health Foundations PO Box 380 Nashville TN 37202 581663055 Operates Foundation TN Section 501(c)(3) Schedule A, Line 7 Saint Thomas Network 1 Covenant Care Inc 102 Woodmont Blvd Suite 800 Nashville TN 37205 621695737 Inactive TN Section 501(c)(3) Schedule A, Line 11a Saint Thomas Network 1 Saint Thomas Rutherford Hospital 1700 Medical Center Parkway Murfreesboro TN 37219 620475842 Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 Saint Thomas Rutherford Foundation fka Middle Tennessee Medical Center Fo 1700 Medical Center Parkway Murfreesboro TN 37219 621167917 Foundation TN Section 501(c)(3) Schedule A, Line 11a Saint Thomas Rutherford Hospital 1 Saint Thomas Midtown Hospital 4220 Harding Road Nashville TN 37205 621869474 Acute Care Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 Baptist Hospital Foundation of Nashville Inc 2000 Church Street Nashville TN 37236 581861378 Inactive TN Section 501(c)(3) Schedule A, Line 11a Saint Thomas Midtown Hospital 1 Baptist Health Care Affiliates Inc 2000 Church Street Nashville TN 37236 581509251 Community Health Promotion TN Section 501(c)(3) Schedule A, Line 11a Saint Thomas Network 1 Baptist Health Care Group 2000 Church Street Nashville TN 37236 621529858 Healthcare Provider TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Network 1 Saint Thomas Hickman Hospital 135 East Swan Street Centerville TN 37033 581737573 Hospital TN Section 501(c)(3) Schedule A, Line 3 Baptist Healthcare Affiliates Inc 1 Saint Thomas Home Care 135 East Swan Street Centerville TN 37033 621836937 Home Health Care TN Section 501(c)(3) Schedule A, Line 9 Saint Thomas Hickman Hospital 1 Baptist Womens Health Center LLC 1900 Church Street Suite 300 Nashville TN 37203 621772195 Owns and Operates Specialty Hospital TN N/A Middle Tennessee Ambulatory Surgery Center LP 500 N Highland Ave Murfreesboro TN 37130 Operates Outpatient Surgery Center TN N/A STHS Sleep Center LLC 102 Woodmont Suite 800 Nashville TN 37205 203664894 Operates a Sleep Center TN N/A Baptist Surgery Center LP 1900 Church Street Suite 300 Nashville TN 37203 Operates Outpatient Surgery Center TN N/A Middle Tennessee Imaging LLC 400 N Highland Ave Murfreesboro TN 37219 010570490 Diagnostic Imaging Center TN N/A RADS OF AMERICA LLC PO Box 249 Goodlettsville TN 370700249 Ambulatory Surgery Center TN N/A Murfreesboro Diagnostic Imaging LLC 400 N Highland Ave Murfreesboro TN 37219 200291952 Diagnostic Imaging Center TN N/A Sova Inc 102 Woodmont Boulevard Suite 700 Nashville TN 37205 261319638 Health Services TN N/A C 0 Baptist Health Care Ventures Inc 2000 Church Street Nashville TN 37236 620469214 Holding Company TN N/A C 0 MissionPoint Health Partners 102 Woodmont Boulevard Suite 700 Nashville TN 37205 452958482 Accountable Care Organization TN N/A C 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 Saint Thomas Health Foundations C 614714 Actual Amount Paid Saint Thomas Network J 1066725 Actual Amount Paid Baptist Health Care Affiliates R 11169036 Actual Amount Paid Baptist Health Care Group S 23764047 Actual Amount Paid Saint Thomas Network S 19368440 Actual Amount Paid Saint Thomas Hickman Hospital R 17635311 Actual Amount Paid Saint Thomas Midtown Hospital R 825208635 Actual Amount Paid Saint Thomas Rutherford Hospital R 298369178 Actual Amount Paid Saint Thomas Research Institute LLC Cardiology Series R 3724247 Actual Amount Paid Sova Inc S 74844 Actual Amount Paid Saint Thomas Health S 1249280202 Actual Amount Paid Saint Thomas Health Foundations S 439277 Actual Amount Paid Saint Thomas Health R 35512816 Actual Amount Paid MissionPoint Health Partners R 574021 Actual Amount Paid Ascension Health Alliance R 688126 Actual Amount Paid Ascension Health R 6527809 Actual Amount Paid