﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2009v1.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-05-16T16:00:43-05:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>Deloitte Tax LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>250 East Fifth Street Suite 1900</AddressLine1>
        <City>Cincinnati</City>
        <State>OH</State>
        <ZIPCode>45202</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>620347580</EIN>
      <Name>
        <BusinessNameLine1>Saint Thomas Hospital Inc</BusinessNameLine1>
      </Name>
      <NameControl>STTH</NameControl>
      <Phone>6152225030</Phone>
      <USAddress>
        <AddressLine1>4220 Harding Rd</AddressLine1>
        <City>Nashville</City>
        <State>TN</State>
        <ZIPCode>37205</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Alan Strauss</Name>
      <Title>CFO - St Thomas Health Services</Title>
      <Phone>6152846826</Phone>
      <DateSigned>2011-05-16</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Phone>5137847100</Phone>
    </Preparer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>Alan Strauss</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>4220 Harding Rd</AddressLine1>
        <City>Nashville</City>
        <State>TN</State>
        <ZIPCode>37205</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>455785621</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <GroupExemptionNumber>0928</GroupExemptionNumber>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>www.stthomas.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1898</YearFormation>
      <StateLegalDomicile>TN</StateLegalDomicile>
      <ActivityOrMissionDescription>Provides essential health care services to low-income patients as well as community services.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>15</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>14</NbrIndependentVotingMembers>
      <TotalNbrEmployees>2581</TotalNbrEmployees>
      <TotalNbrVolunteers>232</TotalNbrVolunteers>
      <TotalGrossUBI>855344</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>2592516</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>2006279</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>393395471</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>425840810</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>-52011553</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>26138909</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>2730561</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>1738928</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>346706995</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>455724926</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>377759</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>459688</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>134855955</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>136922219</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>236730915</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>257894838</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>371964629</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>395276745</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-25257634</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>60448181</RevenuesLessExpensesCY>
      <TotalAssetsBOY>595311223</TotalAssetsBOY>
      <TotalAssetsEOY>679948197</TotalAssetsEOY>
      <TotalLiabilitiesBOY>262754916</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>258294968</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>332556307</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>421653229</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>343355193</Expense>
      <Grants>459688</Grants>
      <Revenue>426437771</Revenue>
      <Description>Saint Thomas Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2010, more than XX% of the value of services rendered was to elderly patients under the Medicare program, and approximately X% of the services were provided to patients who were deemed indigent under state, county, or Saint Thomas Hospital Guidelines. Please see attached supplemental community benefit report for more detailed information.</Description>
      <TotalProgramServiceExpense>343355193</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="RetDoc1040000001">1</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital referenceDocumentId="RetDoc1041500001">1</Hospital>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt referenceDocumentId="RetDoc1042900001">0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId="RetDoc1043400001">1</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>96</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>2581</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>1</UnrelatedBusinessIncome>
      <Form990-TFiled>1</Form990-TFiled>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <NbrVotingGoverningBodyMembers>15</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>14</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>1</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>1</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>1</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>1</WrittenPolicyOrProcedure>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>Alan Strauss</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>6152846826</TelephoneNumber>
        <AddressUS>
          <AddressLine1>4220 Harding Rd</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Sister Mary Frances</NamePerson>
        <Title>Loftin, D.C.-Chairman</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Bearden</NamePerson>
        <Title>Vice Chairman</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>R Seth Cooper MD</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Scott Jenkins</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Clark D Baker</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William Coltharp MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Curb</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Falls Esq</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sally Killian MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Randy Laszewski</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sister Dinah White DC</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Matt Murfree Esq</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Shirley Zeitlin</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian Wilcox MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patrick Madden Sch O</NamePerson>
        <Title>President/CEO-STHS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Les Donahue Sch O</NamePerson>
        <Title>President/CEO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>579861</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19445</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Edwin Dale Batchelor MD</NamePerson>
        <Title>Chief Medical Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>532459</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20153</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark McGinnis</NamePerson>
        <Title>COO (End 12/09)</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>542241</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25396</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Anna Harb</NamePerson>
        <Title>Chief Nursing Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>288664</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>34067</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lisa Davis</NamePerson>
        <Title>VP Finance</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>244439</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10493</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kyriakos Kyriakidis MD</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>298003</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24235</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Snyder MD</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>302149</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9710</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Tuan Nguyen MD</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>284869</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27795</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Latham MD</NamePerson>
        <Title>Chief of Medicine</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>282531</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20426</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Steven Tarquine MD</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>260062</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25084</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2790978</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>824300</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>216804</TotalOtherCompensation>
      <NumberIndividualsGT100K>130</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Tennessee Perfusion Associates</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4230 Harding Rd</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37205</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Services</DescriptionOfServices>
        <Compensation>1214251</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Saint Thomas Medical Group</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4230 Harding Rd</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37205</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Services</DescriptionOfServices>
        <Compensation>747044</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Ortho Surgicalists LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>301 21st Ave North</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37203</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Services</DescriptionOfServices>
        <Compensation>580344</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Pathology Associates of St Thomas</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4220 Harding Rd</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37205</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Services</DescriptionOfServices>
        <Compensation>361422</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <RelatedOrganizations>2006279</RelatedOrganizations>
      <NoncashContributions>1277889</NoncashContributions>
      <TotalContributions>2006279</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Service Re</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>417273200</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>417273200</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Plaza Pharmacy</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>5280918</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4425574</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>855344</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Nutrition and Food Ser</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>2409682</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2409682</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Nuclear Pharmacy</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>877010</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>877010</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>425840810</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>25804538</TotalRevenueColumn>
        <ExclusionAmount>25804538</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>770884</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>770884</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>770884</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>770884</RelatedOrExemptFunctionIncome>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>395066</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>60695</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>334371</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>334371</TotalRevenueColumn>
        <ExclusionAmount>334371</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>Other Revenue</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>681421</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>681421</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Fitness Center</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>286623</TotalRevenueColumn>
        <ExclusionAmount>286623</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>968044</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>455724926</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>426437771</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>855344</UnrelatedBusinessRevenue>
        <ExclusionAmount>26425532</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>459688</Total>
        <ProgramServices>459688</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>2079162</Total>
        <ProgramServices>1663330</ProgramServices>
        <ManagementAndGeneral>415832</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>107095257</Total>
        <ProgramServices>85676206</ProgramServices>
        <ManagementAndGeneral>21419051</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>5210987</Total>
        <ProgramServices>4168790</ProgramServices>
        <ManagementAndGeneral>1042197</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>14646863</Total>
        <ProgramServices>11717490</ProgramServices>
        <ManagementAndGeneral>2929373</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>7889950</Total>
        <ProgramServices>6311960</ProgramServices>
        <ManagementAndGeneral>1577990</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>57169700</Total>
        <ProgramServices>48538312</ProgramServices>
        <ManagementAndGeneral>8631388</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>1924523</Total>
        <ProgramServices>1723064</ProgramServices>
        <ManagementAndGeneral>201459</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>8515</Total>
        <ManagementAndGeneral>8515</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>8297016</Total>
        <ProgramServices>6637613</ProgramServices>
        <ManagementAndGeneral>1659403</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>44752</Total>
        <ProgramServices>44752</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>4559666</Total>
        <ProgramServices>3647733</ProgramServices>
        <ManagementAndGeneral>911933</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>275515</Total>
        <ProgramServices>247963</ProgramServices>
        <ManagementAndGeneral>27552</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>7034063</Total>
        <ProgramServices>5891708</ProgramServices>
        <ManagementAndGeneral>1142355</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>160438</Total>
        <ProgramServices>128350</ProgramServices>
        <ManagementAndGeneral>32088</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>51857</Total>
        <ProgramServices>7779</ProgramServices>
        <ManagementAndGeneral>44078</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>3251839</Total>
        <ProgramServices>2601471</ProgramServices>
        <ManagementAndGeneral>650368</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>14593564</Total>
        <ProgramServices>11674851</ProgramServices>
        <ManagementAndGeneral>2918713</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>2246098</Total>
        <ProgramServices>1796878</ProgramServices>
        <ManagementAndGeneral>449220</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
        <Total>91396267</Total>
        <ProgramServices>91396267</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>26812447</Total>
        <ProgramServices>26812447</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Purchased Services</Description>
        <Total>26803604</Total>
        <ProgramServices>21442883</ProgramServices>
        <ManagementAndGeneral>5360721</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Maintenance and Repair</Description>
        <Total>3873712</Total>
        <ProgramServices>3098970</ProgramServices>
        <ManagementAndGeneral>774742</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Minor Equipment</Description>
        <Total>1536783</Total>
        <ProgramServices>1383105</ProgramServices>
        <ManagementAndGeneral>153678</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>7854479</Total>
        <ProgramServices>6283583</ProgramServices>
        <ManagementAndGeneral>1570896</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>395276745</Total>
        <ProgramServices>343355193</ProgramServices>
        <ManagementAndGeneral>51921552</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2595755</BOY>
        <EOY>3828757</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>17669523</BOY>
        <EOY>25229029</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>47070178</BOY>
        <EOY>40381772</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>7865196</BOY>
        <EOY>5718585</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1987994</BOY>
        <EOY>1763406</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>363884975</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>307566573</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>66889395</BOY>
        <EOY>56318402</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsProgramRelated>
        <BOY>4205518</BOY>
        <EOY>4205518</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>447027664</BOY>
        <EOY>542502728</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>595311223</BOY>
        <EOY>679948197</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>29165279</BOY>
        <EOY>31959255</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>1709508</BOY>
        <EOY>1319669</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>73802</BOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>231806327</BOY>
        <EOY>225016044</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>262754916</BOY>
        <EOY>258294968</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>332556307</BOY>
        <EOY>421653229</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>332556307</BOY>
        <EOY>421653229</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>595311223</BOY>
        <EOY>679948197</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>16365</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>16365</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i:</Identifier>
        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>1236000</OtherCostOrOtherBasis>
        <BookValue>1236000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>170370700</OtherCostOrOtherBasis>
        <Depreciation>140080430</Depreciation>
        <BookValue>30290270</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1704554</OtherCostOrOtherBasis>
        <Depreciation>1592650</Depreciation>
        <BookValue>111904</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>180165020</OtherCostOrOtherBasis>
        <Depreciation>156741808</Depreciation>
        <BookValue>23423212</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>10408701</OtherCostOrOtherBasis>
        <Depreciation>9151685</Depreciation>
        <BookValue>1257016</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>56318402</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Intercompany Accounts Receivable</Description>
        <BookValue>184545503</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Miscellaneous Receivables</Description>
        <BookValue>395184</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Physician Guarantee</Description>
        <BookValue>1276896</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Assets</Description>
        <BookValue>15897</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Construction in Progress</Description>
        <BookValue>996271</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Health System Depository Account</Description>
        <BookValue>355272977</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>542502728</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Self Insurance Liability</Description>
        <Amount>3488525</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Payables to Third Party Payors</Description>
        <Amount>2231541</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Pension Liability</Description>
        <Amount>15829471</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Liabilities</Description>
        <Amount>985353</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Intercompany Payable</Description>
        <Amount>96232409</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Intercompany Debt to Ascension Health</Description>
        <Amount>106248745</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>225016044</TotalOfAmounts>
      <TotalRevenue>455724926</TotalRevenue>
      <TotalExpenses>395276745</TotalExpenses>
      <ExcessOrDeficitForYear>60448181</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>24708271</NetUnrealizedGLOnInvestments>
      <OtherAmount>3940470</OtherAmount>
      <TotalAdjustments>28648741</TotalAdjustments>
      <ExcessOrDeficitPerFS>89096922</ExcessOrDeficitPerFS>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>Per the financial statements of Ascension Health (which include the activity of Saint Thomas Hospital, Inc.), there is no ASC 740 (fka FIN 48) footnote for the current year.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Net Assets Released from Restriction: 285397. Deferred Pension Costs: 3954662. Net Asset Transfer to Ascension: -299589.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>0</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>5887919</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>5887919</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01600</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>20967346</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13895400</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7071946</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01920</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>26855265</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13895400</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12959865</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03520</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <PersonsServed>142</PersonsServed>
        <TotalCommunityBenefitExpense>20489</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>20489</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>20</NumberOfActivitiesOrPrograms>
        <PersonsServed>109</PersonsServed>
        <TotalCommunityBenefitExpense>3462133</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>375071</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3087062</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00840</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>249</PersonsServed>
        <TotalCommunityBenefitExpense>5567386</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4725570</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>841816</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00230</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>634069</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>634069</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00170</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>27</NumberOfActivitiesOrPrograms>
        <PersonsServed>500</PersonsServed>
        <TotalCommunityBenefitExpense>9684077</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5100641</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4583436</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01250</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>27</NumberOfActivitiesOrPrograms>
        <PersonsServed>500</PersonsServed>
        <TotalCommunityBenefitExpense>36539342</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>18996041</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>17543301</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04770</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>40</PersonsServed>
        <TotalCommunityBuildingExpense>33340</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>33340</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <TotalCommunityBuildingExpense>164500</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>164500</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Other>
      <Total>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>40</PersonsServed>
        <TotalCommunityBuildingExpense>197840</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>197840</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseAmount>26812447</BadDebtExpenseAmount>
      <AmountAttributableTo>818952</AmountAttributableTo>
      <AmountReimbursedByMedicare>200124410</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>197779544</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>2344866</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>Shared Hospital Services</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Laundry Services</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.48000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>St Thomas Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>4220 Harding Road</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <CostingMethodUsed>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 costing 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.</CostingMethodUsed>
        <BadDebtFootnote>Part III, Line 4: The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible 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 bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the organization 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 organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization's policies.The organization's share of bad debt expense in 2009 was $26,812,447.</BadDebtFootnote>
        <DebtCollectionPolicy>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.</DebtCollectionPolicy>
        <NeedsAssessment>Part VI, Line 2: Our community needs assessment is conducted every 3 years, most recently completed in January 2010. The assessment was a collaborative effort across the facilities of Saint Thomas Health Services including Saint Thomas Hospital to provide a comprehensive review of available data and studies around: demographic trends, socioeconomic and health status indicators, maternal and infant health issues, major disease prevalence, and health resource utilization and needs. It consists of a compilation of public health data as well as the results of a study of the safety net providers in Nashville that included focus groups of 67 key community informants. The assessment is focused on the counties in which STHS hospitals are located and helps provide focus and direction for our collective efforts to be responsive to the key health concerns and needs of the communities we serve.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: Education of eligibility for assistance at Saint Thomas 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 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 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 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 hospitals 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.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: Located in Nashville, Tennessee, Saint Thomas Hospital serves the local market of Davidson County and surrounding adjacent counties (Williamson, Sumner, Rutherford, Cheatham, Wilson, Dickson, and Robertson Counties in Middle Tennessee) but also reaches out to serve a broad geographic region within a 100 mile radius of Nashville across Middle Tennessee and Southern Kentucky given the nature of its specialty care services. Davidson County is urban with the other counties being suburban or rural. Davidson County's population is estimated to be 655,406 in 2010 with 17% of residents living below the poverty level; median household income of $46,413; uninsured comprising 15.2% of the population; and racial mix that is predominately (59%) Caucasian followed by 27% African-American, 8% Hispanic 3% Asian, and 3% other categories. The broad geographic served includes 45 counties in TN and 24 in KY with a total population of 3,250,000. Overall, Tennessee residents are rated less healthy than national averages with unfavorable rankings for death rates for cancer, diabetes, heart disease and stroke and unfavorable rankings for risk factors. In fiscal year 2010, Saint Thomas Hospital served almost 23,000 inpatients and provided $17.4 million in traditional charity care, unpaid cost of public programs and other community programs and services.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: Community Building Activities - -Saint Thomas/Nashville CPE Partnership: Saint Thomas Hospital serves as the anchor partner and provides management for this coalition of pastoral care departments at Baptist Hospital, Vanderbilt University Medical Center, McKendrie Village Retirement Center, and Alive Hospice to provide pastoral care training programs to community clergy. In 2010 six local clergy participated in the six month, 120 hour extern program composed of classroom didactics and supervised clinical intervention. -Jobs in Healthcare: Saint Thomas Hospital conducted 4 four-week programs designed to train students to become certified nurse aides. Students are selected on the basis of economic need. The 160 hour training program combines classroom instruction and hands-on experience with demonstration of competency mastery. In 2010 56 students successfully completed the courses.-Domestic Violence Awareness Initiative: Saint Thomas Hospital participates in a coalition of community healthcare providers and the YWCA to increase community awareness of domestic violence. Activities include educational presentations for healthcare workers to enhance ability to recognize signs and symptoms of abuse, supportive communication skills, and community resources for referral. -Nashville Flood Disaster Response: In May 2010 the Nashville area experienced severe flooding that crippled the city, devastated homes and destroyed local communities. Saint Thomas afforded all associates up to 8 hours of paid time off to participate in the many church and civic programs of rescue and restoration that were conducted in response to the disaster. Saint Thomas organized a national collection of clothing and household items and staffed a free distribution effort to persons impacted by the flood.-Attended Standards Work Group: Saint Thomas participates on this coalition of regional health care providers that plans for the uninterrupted delivery of healthcare in situations of national, regional and local disaster.-Dispensary of Hope: A licensed pharmacy that provides free acute prescription medication assistance and long-term medication Patient assistance Programs to uninsured persons.-Science Scholars: A program offered to high school sophomores from Metro Davidson County Public Schools, providing first-hand information about, and engagement with, various medical specialties through six all day Saturday sessions. The purpose of the program, conducted in concert with the Pencil Foundation and the Nashville Chamber of Commerce, is designed to encourage exploration into, and heighten interest in, careers in healthcare. This program hosted 40 high school sophomores during fiscal year 2010.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: Saint Thomas continued in 2010 to work collaboratively as a partner with numerous community agencies to improve the health and well-being of our community, especially those in the community who are poor and vulnerable. These relationships included:-Loaves &amp; Fishes - a program that provides daily meals, counseling and supportive care to the homeless conducted by Catholic Charities at Holy Name Catholic Church.-Second Harvest - a program that provides food to those in need.-Campus for Human Development - an organization that provides shelter, food, job training, drug and alcohol rehabilitation, and other social services for the homeless.-Safe Haven - a program that provides transitional housing, job coaching and life skills-Preston-Taylor School - engagement with this socio-economically deprived area school through which Saint Thomas associates provide student mentoring, health education, and recreational opportunities.-St. Luke's Community Center - supportive job training services for disadvantaged unemployed persons.-Faith Family Clinic - a primary medical clinic providing low cost medical services for the uninsured working poor.-Hope Clinic for Women - medical, counseling and supportive services for unmarried, pregnant young women.-Interfaith Dental - affordable dental care for employed, uninsured low-income persons, their children and the elderly.-Our Kids - medical evaluation and crisis counseling to children in response to child sexual abuse.-Hope family Health Center - rural primary care health clinic serving uninsured and underinsured patients in Macon County, TN.-Pastoral Care and Counseling - provision of counseling services for the Hispanic population.-Christian Women's Job Corps - provides training and mentoring to working poor women and men seeking basic skills necessary for employment and self-sufficiency.Other collaborative efforts include supportive endeavors with the Mental Health Association, the March of Dimes, American Heart Association, Red Cross, and Komen Race for the Cure.</OtherInformation>
        <AffiliatedHealthCareSystem>Part VI, Line 7: Saint Thomas 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 Services (STHS). STHS is dedicated to providing accessible, quality healthcare to all patients regardless of their ability to pay. STHS owns and operates 4 hospitals in Middle Tennessee including Baptist Hospital and Saint Thomas Hospital in Nashville, Middle Tennessee Medical Center in Murfreesboro, and Hickman Community Hospital in Centerville. In addition, STHS provides a variety of ambulatory services through the operation of an urgent care center and community primary care clinics, employment and close alignment with physicians, and partnerships to provide diagnostic imaging, sleep lab, and ambulatory surgery services. As a system, STHS support a variety of efforts specifically aimed at providing services for persons who are poor, vulnerable or uninsured that include focused medical mission events in low income communities (where associates volunteer their time to provide direct healthcare services), primary care clinics that provided 49,000 patient encounters in the last year, and a national distribution center and pharmacy to support a network of dispensing sites and direct-to-patient prescription solutions that provided $5.6 million in available medications for patients unable to afford their prescriptions. STHS actively advocates for healthcare access and coverage for all through ongoing meetings with elected officials (State, Local, and Federal levels) and sponsorship of community events and presentations to increase awareness and educate the public regarding healthcare reform and access. STHS helped to form the Safety Net Consortium of Middle Tennessee to address the needs of the uninsured residents of Middle Tennessee. Saint Thomas Health Services Fund serves as the legal and fiduciary agent to the Consortium. The Consortium is governed by a Board of Directors comprised of health care providers and consumer organization members that serve the poor and uninsured. STHS System wide, for fiscal year 2010, STHS provided more than $50 million in traditional charity care, unpaid cost of public programs and other community programs and services.</AffiliatedHealthCareSystem>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Acqinas College</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4210 Harding Rd</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EINOfRecipient>620812782</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>52500</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Dominican Sisters of St Cecelia</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>801 Dominican Drive</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37228</ZIPCode>
        </AddressUS>
        <AmountOfCashGrant>60000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Room in the Inn</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 25309</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Visitation Hospital Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2500 21st Ave South Suite 207</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37212</ZIPCode>
        </AddressUS>
        <EINOfRecipient>621774851</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Faith Family Medical</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>326 21st Ave North</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EINOfRecipient>621816811</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Hope Clinic For Women</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1810 Hayes Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EINOfRecipient>621164825</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Hope Family Health Services</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>12124 Hwy 52 Bypass West Suite 5</AddressLine1>
          <City>Westmoreland</City>
          <State>TN</State>
          <ZIPCode>37186</ZIPCode>
        </AddressUS>
        <EINOfRecipient>201944166</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Interfaith Dental Clinic</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1721 Patterson St</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EINOfRecipient>621567615</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Loaves &amp; Fishes Program</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>Holy Name Parish 521 Woodland</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37206</ZIPCode>
        </AddressUS>
        <AmountOfCashGrant>12000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Pencil Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>421 Great Circle Rd Suite 100</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37228</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581475675</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Preston Taylor Ministries</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 90442</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37209</ZIPCode>
        </AddressUS>
        <EINOfRecipient>621757018</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6500</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Project Cure</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2300 Cliftion Ave</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37209</ZIPCode>
        </AddressUS>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>St Luke's Community Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5601 New York Ave</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37209</ZIPCode>
        </AddressUS>
        <EINOfRecipient>620484183</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6375</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>St Patrick's School</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>175 St Patricks St</AddressLine1>
          <City>McEwen</City>
          <State>TN</State>
          <ZIPCode>37101</ZIPCode>
        </AddressUS>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Mental Health Assoc of Mid Tennessee</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2416 21st Ave S Suite 201</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37212</ZIPCode>
        </AddressUS>
        <EINOfRecipient>620637710</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Community Benefit</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>10</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>5</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: A request is made to the receiving organization to send a report of the efficiency of the project the grant has funded - at a minimum, the number of persons served and some of their demogrpahics, but also any qualitative measures the reciving agency uses to measure success (reading levels improved, jobs successfully obtained after training, etc.). The reports are reviewed by the Mission Integration 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. We are in the process of creating a Community Benefit Council for STHS and the plan is to bring all efficacy reports reviewed and analyzed there.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Les Donahue (Sch O)</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>435460</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>97098</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>47303</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>4900</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14545</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>599306</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Edwin Dale Batchelor MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>333014</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>59045</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>140400</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4900</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15253</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>552612</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Mark McGinnis</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>258164</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>77354</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>206723</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4900</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20496</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>567637</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Anna Harb</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>246641</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>34112</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>7911</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>14171</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19896</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>322731</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Lisa Davis</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>189841</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>32802</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>21796</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>4306</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>6187</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>254932</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Kyriakos Kyriakidis MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>287404</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>7617</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2982</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4900</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19335</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>322238</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>James Snyder MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>290482</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10660</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1007</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4900</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4810</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>311859</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Tuan Nguyen MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>278345</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>6250</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>274</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4181</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23614</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>312664</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Robert Latham MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>281131</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1400</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4900</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15526</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>302957</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Steven Tarquine MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>253190</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>6625</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>247</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4900</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20184</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>285146</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Club membership dues were paid for an officer and reported as taxable income on the individual's W-2.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Mark McGinnis received severance payments of $16,658. 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. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amount as noted: Anna Harb - $9,829 The following individual received payments from the supplemental nonqualified retirement plan in the amount as noted: Lisa Davis - $4,486</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 3: Saint Thomas Health Services, a related organization of Saint Thomas Hospital uses the following to establish the compensation of the organization's CEO: -Compensation Committee, -Independent Compensation Consultant, -Written Employment Contract, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Fixed Assets</Description>
        <NumberOfContributions>11</NumberOfContributions>
        <NoncashContribsRptdF990>1277889</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Cost/Selling Price</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>St. Thomas Hospital, Inc. has a single corporate member, St. Thomas Health Services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>St. Thomas Hospital, Inc. has a single corporate member, Saint Thomas Health Services, who has the ability to elect members to the governing body of the hospital.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>All decisions that have a material impact to St. Thomas Hospital, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health Services. Ascension Health, the sole corporation member of Saint Thomas Health Services, 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 &amp; major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic &amp; financial plans; assets; system policies &amp; procedures. These areas are subject to certain levels of approval by ascension per the system authority matrix.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Management, including certain officers, works diligently to complete the form 990 and attached schedules in a thorough manner. Management presents the form to the board, or a designated committee, to review. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>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 meeting 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 conflicts 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>In determining the compensation of the organization's CEO, the process performed by Saint Thomas Health Services, 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 CEO was compared to 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 board minutes. The individual was not present when his compensation was decided. In determining the compensation of other officers or key employees of the organization, the process 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 compensations, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization will provide any documents open to public inspection upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VII:</Identifier>
        <ReturnReference>Explanation of Hours for Officers, Directors and Key Employees:</ReturnReference>
        <Explanation>Officers for St. Thomas Hospital provide services to Saint Thomas Health Services and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, where noted with a "Sch O" reference, officers hours reported on Form 990, Part VII, compensation of officers, directors, trustees, key employees, highest compensated employees, and independent contractors represent aggregate hours worked per week for all entities. Explanation of Board of Directors: Saint Thomas Health Services is the sole corporate member of Saint Thomas Hospital. As the sole corporate member, St. Thomas Health Services retains reserved authority over the certain activity of Saint Thomas Hospital. Therefore, the Saint Thomas Health Services' board of directors is listed on Form 990, Part VII.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 2:</Identifier>
        <Explanation>The financial statements of Saint Thomas Health Services, which include the activity of Saint Thomas Hospital, Inc., falls under the specific scope audit. The activity of Saint Thomas Hospital, Inc. and other members of Saint Thomas Health Services are reported in the consolidated financial statements of Ascension Health. No individual audit of Saint Thomas Hospital, Inc. is completed.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Ascension Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 45998</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63134</ZIPCode>
        </AddressUS>
        <EIN>311662309</EIN>
        <PrimaryActivities>National Health System</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Saint Thomas Health Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4220 Harding Road</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EIN>581716804</EIN>
        <PrimaryActivities>Health System Parent Company</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 11c</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Ascension Health</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baptist Health Care Affiliates Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
        </AddressUS>
        <EIN>581509251</EIN>
        <PrimaryActivities>Community Health Promotion</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Seton Corporation</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baptist Healthcare Group</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
        </AddressUS>
        <EIN>621529858</EIN>
        <PrimaryActivities>Healthcare Provider</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Seton Corporation</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baptist Saint Thomas Home Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
        </AddressUS>
        <EIN>510172298</EIN>
        <PrimaryActivities>Home Health Care</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Seton Corporation</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Hickman Community Health Care Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>135 East Swann</AddressLine1>
          <City>Centerville</City>
          <State>TN</State>
          <ZIPCode>37033</ZIPCode>
        </AddressUS>
        <EIN>581737573</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Baptist Health Care Affiliates Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Hickman Community Home Care Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>135 East Swan St</AddressLine1>
          <City>Centerville</City>
          <State>TN</State>
          <ZIPCode>37033</ZIPCode>
        </AddressUS>
        <EIN>621836937</EIN>
        <PrimaryActivities>Home Health Care</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Hickman Community Health Care Services Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Middle Tennessee Medical Center Development Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>400 N Highland Avenue</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37219</ZIPCode>
        </AddressUS>
        <EIN>621167917</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Middle Tennessee Medical Center Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Middle Tennessee Medical Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>400 N Highland Avenue</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37219</ZIPCode>
        </AddressUS>
        <EIN>620475842</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Saint Thomas Health Services</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Saint Thomas Health Services Fund fka St Thomas Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4220 Harding Road</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EIN>581663055</EIN>
        <PrimaryActivities>Operates Foundation</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Saint Thomas Network</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Saint Thomas Network</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4220 Harding Road</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EIN>621284994</EIN>
        <PrimaryActivities>Health Investment Entity</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Saint Thomas Health Services</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Seton Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4220 Harding road</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EIN>621869474</EIN>
        <PrimaryActivities>Acute Care Hospital</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>saint Thomas Health Services</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Baptist Womens Health Center LLC dba the Center for Spinal Surgery</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2011 Murphy Avenue</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>621772195</EIN>
        <PrimaryActivity>Owns and Operates Specialty Hospital</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Middle Tennessee Ambulatory Surgery Center LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>500 N Highland Ave</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37130</ZIPCode>
        </AddressUS>
        <PrimaryActivity>Operates Outpatient Surgery Center</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Middle Tennessee Imaging LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>400 N Highland Avenue</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37219</ZIPCode>
        </AddressUS>
        <EIN>010570490</EIN>
        <PrimaryActivity>Diagnostic Imaging Center</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Murfereesboro Diagnostic Imaging LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>400 N Highland Avenue</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37219</ZIPCode>
        </AddressUS>
        <EIN>200291952</EIN>
        <PrimaryActivity>Diagnostic Imaging Center</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Nashville Diagnostic Imaging LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 Burton Hills Blvd Ste 165</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37215</ZIPCode>
        </AddressUS>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>STHS Sleep Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>618 Church Street Suite 520</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37219</ZIPCode>
        </AddressUS>
        <EIN>203664894</EIN>
        <PrimaryActivity>Operates a Sleep Center</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mid-State Properties Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
        </AddressUS>
        <EIN>621232018</EIN>
        <PrimaryActivity>Pharmacy</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Sova Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>102 Woodmont Blvd Suite 700</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EIN>261319638</EIN>
        <PrimaryActivity>Health Services</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Vincentian Ventures Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4220 Harding Road</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EIN>621331896</EIN>
        <PrimaryActivity>Health Services</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Comp Plus Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
        </AddressUS>
        <EIN>621626010</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Manaco Management Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>400 North Highland Avenue</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37130</ZIPCode>
        </AddressUS>
        <EIN>621718479</EIN>
        <PrimaryActivity>Health Services</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Thomas Medical Clinic</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4220 Harding Road</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EIN>621583605</EIN>
        <PrimaryActivity>Health Services</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Baptist Health Care Ventures Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
        </AddressUS>
        <EIN>620469214</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Middle Tennessee Network Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
        </AddressUS>
        <EIN>621570989</EIN>
        <PrimaryActivity>Health Services</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Health Net Reserve Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>44 Vantage Way Suite 300</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37202</ZIPCode>
        </AddressUS>
        <EIN>621540604</EIN>
        <PrimaryActivity>Health Management</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Saint Thomas Health Services Fund</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>2006279</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baptist Healthcare Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>5118082</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Middle TN Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>46288211</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Saint Thomas Network</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>9071251</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Thomas Research Institute LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>1441927</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Thomas Health Services Heart LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3987481</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Thomas Emergency Management Services LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>766772</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>West End Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>1422906</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sova Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>235703</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Saint Thomas Health Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>6695339</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Saint Thomas Health Services Fund</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>2752169</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Richland Internal Medicine LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>236083</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Seton Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>7576114</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>