2026-05-12T17:51:52+00:00 2025-06-30 990 2024-07-01 620347580 Saint Thomas West Hospital SAIN 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Jennifer Richter ASSOCIATE VICE PRESIDENT, TAX 3147338000 2026-05-12 2024 2025-03-06 01:10:19Z See Schedule O Fahad Tahir C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 1269964844 false 0928 X See Sch O X 1898 TN To improve the health and well-being of all people in the communities we serve. 14 11 5715 187 0 57234050 16938119 1184231842 1239959635 83905 -186001 8825557 9007587 1250375354 1265719340 6335840 6914703 0 0 348132784 375314315 0 0 0 803300831 780465301 1157769455 1162694319 92605899 103025021 815650131 763762143 588307936 574390003 227342195 189372140 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 WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. false false 912439645 6914703 1240405687 The filing organization is a part of the Ascension Catholic Health Ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. Saint Thomas West Hospital includes Saint Thomas West Hospital, a 448-bed hospital and Saint Thomas Midtown Hospital, a 554-bed hospital. Both campus' provide services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2025, Saint Thomas West Hospital treated 39,720 adults and children for a total of 209,394 patient days of service. The hospital also provided services for 223,501 outpatient visits, which included 13,924 outpatient surgeries and 92,731 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 912439645 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false false false true true true false false true 270 0 true 5715 true false false false false false false false false false false false false X 14 11 false false false false true true true true true false false false false true true true true true false false true true X JOHN WINSTEL 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 ANTHONY HEARD CHAIR 1.0 8.0 X X 0 0 0 FAHAD TAHIR PRESIDENT/CEO, MINISTRY MARKET 0.0 50.0 X X 0 1935347 63504 ROBERT HIGGINS TREASURER 1.0 8.0 X X 0 0 0 SUSAN WEST PHD SECRETARY 1.0 8.0 X X 0 0 0 WANDA LYLE VICE CHAIR 1.0 8.0 X X 0 0 0 AIMEE DECAMILLO DIRECTOR 1.0 8.0 X 0 0 0 BRETT CAMPBELL MD DIRECTOR 1.0 8.0 X 0 0 0 MARC ROSEN MD DIRECTOR 1.0 8.0 X 0 0 0 PHILLIP MIZE DIRECTOR 1.0 8.0 X 0 0 0 RACHEL BALLARD MEHR MD DIRECTOR 0.0 50.0 X 0 391332 53717 RICK ROGERS MD DIRECTOR 1.0 8.0 X 0 0 0 SHANNA JACKSON EDD DIRECTOR 1.0 8.0 X 0 0 0 SISTER CATHERINE BROWN DC DIRECTOR 1.0 8.0 X 0 0 0 STEVEN MAURICE VANHOOK MD DIRECTOR 0.0 50.0 X 0 336751 54599 BRANDON MICHAEL WILLIAMS CFO, MINISTRY MARKET 0.0 50.0 X 0 962523 58336 AMIR HAMAD RN VP, NURSING, WEST 50.0 0 X 315941 0 46904 HARRISON E KISER PRESIDENT, WEST 50.0 0 X 403984 0 53317 JEREMY GRAY VP, OPERATIONS, MIDTOWN (END 7/2024) 50.0 0 X 356493 0 20003 JESSICA DARNELL RN VP, NURSING, MIDTOWN 50.0 0 X 298966 0 42329 JUSTIN BROWN GERTH VP, PHYSICIAN SERVICES 50.0 0 X 482820 0 45219 MARK EDWARD MARSDEN MD CHIEF MEDICAL OFFICER 50.0 0 X 656952 0 51698 STEPHEN MICHAEL BEARDEN VP, OPERATIONS, MIDTOWN 50.0 0 X 299415 0 42467 JENNIFER A MILLER DIRECTOR, PHARMACY 50.0 0 X 244854 0 30083 LAURIE OLIVER DIRECTOR, CLINICAL PROGRAM 50.0 0 X 250304 0 26226 LESLIE A DUNFEE ASSISTANT CHIEF OPERATING OFFICER 50.0 0 X 254225 0 44817 MADING GAI AROU FIRST ASSISTANT, SURGICAL 50.0 0 X 267216 0 50047 TROY LEE MUNN VP, FOUNDATION DEVELOPMENT 50.0 0.0 X 274575 0 41143 ALLEN B WILCOX MD FORMER OFFICER (END 12/2020) 0.0 50.0 X 0 1262616 51565 LISA RENEE DAVIS FORMER OFFICER (END 11/2022) 0.0 50.0 X 0 1516312 40937 TIMOTHY PAUL ADAMS FORMER OFFICER (END 1/2023) 0.0 50.0 X 0 3481746 69093 4105745 9886627 886004 492 true true false TENNESSEE PERFUSION ASSOCIATES 4230 HARDING PIKE STE 202 NASHVILLE TN 37205 MEDICAL SERVICES 4057113 CARDIOVASCULAR ANESTHESIOLOGISTS PC PO BOX 277599 ATLANTA GA 303847599 MEDICAL SERVICES 2323963 NASHVILLE INPATIENT MGMT SVCS 300 20TH AVE N STE G4 NASHVILLE TN 372032244 MANAGEMENT SERVICES 1985000 ADVANCED DIAGNOSTIC IMAGING PC PO BOX 305172 DEPT 116 NASHVILLE TN 372305172 MEDICAL SERVICES 1790527 DIALYSIS ASSOCIATES LLC PO BOX 841103 DALLAS TX 752841103 MEDICAL SERVICES 1349534 23 0 0 0 15243300 1694819 0 16938119 Net Patient Service Revenue 621990 1231571384 1231571384 Rental Income from Affiliates 531120 4774750 4774750 State Program Revenue 900099 2346719 2346719 Pharmacy Revenue 446110 1412173 1412173 Interest Income from Patient Accounts 900099 45580 45580 -190971 -190971 0 0 1239959635 0 0 0 0 0 0 7035738 0 4052845 0 2982893 0 2982893 2982893 0 6659 0 192659 0 -186000 -186001 -186001 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 5311321 5311321 Fitness Club Revenue 713940 147239 147239 Education Revenue 611430 135766 135766 430368 310286 0 120082 6024694 1265719340 1240405687 0 8375534 4429550 4429550 2485153 2485153 3116508 3116508 313624310 295291966 18332344 10816379 10184127 632252 24884693 23430103 1454590 22872425 21343911 1528514 8147 8147 19920 19920 12586 12586 53129600 51564663 1564937 0 50068 48785 1283 1435900 443407 992493 790076 615866 174210 14224683 13274079 950604 2708011 2674371 33640 202132 194622 7510 11598861 11598861 43778099 40852505 2925594 4122638 1704 4120934 Medical Supplies 275917929 275452023 465906 Purchased Services 176816707 91074914 85741793 Management Fee to Affiliate 111529142 111529142 Medical Fees to Affiliates 37174342 37174342 46946460 41895407 5051053 0 1162694319 912439645 250254674 0 14487 14487 5187913 16255346 48672528 1339352 237458165 205290282 0 0 0 0 0 0 24034871 25237592 151988 205968 1078416488 665872701 417465624 412543787 0 0 0 6047022 6135663 511186 909917 76106347 95829749 815650131 763762143 75801569 81737327 0 0 611917 908177 0 0 0 0 0 0 0 0 0 0 511894450 491744499 588307936 574390003 X 227342195 188123846 0 1248294 0 0 0 0 0 0 227342195 189372140 815650131 763762143 X 103025021 -140995076 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12586 12586 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that are specifically allocable to lobbying. THE FILING ORGANIZATION DOES NOT PARTICIPATE OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 5279267 0 273619 0 24985 1632592 3895309 4935383 103 374655 0 30874 0 5279267 4828546 0 143432 0 36595 0 4935383 5206533 0 -341644 0 36343 0 4828546 3450875 646487 1134114 0 24943 0 5206533 0.0 0.3386 0.6614 false true true 0 20912928 20912928 0 762653194 454173634 308479560 0 3717986 2859636 858350 0 267615258 206824402 60790856 0 23517122 2015029 21502093 412543787 Due from Affiliates 75935431 Other Receivables 91523 Deferred Compensation/Retirement/Pension Asset 19212 Physician Guarantee Asset 94122 Estimated 3rd Party Payor Settlements 11415363 Right of Use Operating Lease Asset 8274098 95829749 0 Federal Income Taxes 0 Due to Affiliates 173842656 Deferred Compensation/Retirement/Pension Liability 19212 Estimated 3rd Party Payor Settlement 6891959 Recovery Tail Liability 11682982 Intercompany Debt with Ascension Health Alliance 289490391 Lease Liability 8614352 Accrued Real Estate Tax 1116309 Accrued Sales Use Tax 42778 Medicare Advanced Payments Insurance Advanced Payments Physician Guarantee Liability 43860 491744499 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUNDS ARE HELD BY SAINT THOMAS HEALTH FOUNDATIONS. THE ENDOWMENT FUNDS ARE SPECIFICALLY DESIGNATED POOLS OF ASSETS HELD AND INVESTED BY THE FOUNDATION TO PROVIDE LONG-TERM GROWTH, INTEREST AND DIVIDENDS. ONLY THE INCOME FROM AN ENDOWMENT FUND IS USED. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2025. true true X true X 250 true X 25629246 25629246 0.02204 107095663 64026819 43068844 0.03704 0 0.0 0 0 132724909 64026819 68698090 0.05909 14 28751 6794557 65212 6729345 0.00579 6 815 15792977 15792977 0.01358 0 0.0 0 0.0 8 56 1198046 1008 1197038 0.00103 28 29622 23785580 66220 23719360 0.02040 28 29622 156510489 64093039 92417450 0.07949 0 0.0 0 0.0 2 124750 124750 0.00011 0 0.0 0 0.0 0 0.0 0 0.0 1 90 236376 236376 0.00020 0 0.0 3 90 361126 0 361126 0.00031 false 11137135 0 252628496 243941661 8686835 X true true 1 1 Saint Thomas West Hospital 4220 Harding Pike Nashville TN 37205 https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital 0000000024 X X X A A 1 false false true X X X X X X X X X 24 true true true true X https://healthcare.ascension.org/CHNA X true 24 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER ALIGN COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING EVIDENCE-BASED PRACTICES, PROGRAMS AND RESOURCES; ADDRESSING differences OF SUBGROUPS AND ENABLING MORE ACCESS to HEALTHCARE; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility Reporting Group A Part 1. THE 2024 CHNA FOR ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS WERE CONDUCTED FROM FEBRUARY 2024 TO DECEMBER 2024, AND UTILIZED A MODIFIED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS, WHICH INCORPORATED DATA FROM BOTH PRIMARY AND SECONDARY SOURCES. COMMUNITY INPUT SOURCES INCLUDED INFORMATION PROVIDED BY GROUPS/INDIVIDUALS, E.G., COMMUNITY MEMBERS, HEALTH CARE CONSUMERS, HEALTH CARE PROFESSIONALS, COMMUNITY STAKEHOLDERS, AND MULTI-SECTOR REPRESENTATIVES. SPECIAL ATTENTION WAS GIVEN TO THE NEEDS OF INDIVIDUALS AND POPULATIONS WHO ARE MORE MARGINALIZED AND TO UNMET HEALTH NEEDS OR GAPS IN SERVICES. TIMELINE DAVIDSON COUNTY - FROM FEBRUARY 2024 - DECEMBER 2024, ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR DAVIDSON AND WILLIAMSON COUNTIES AND SOUGHT INPUT FROM PERSONS AND COLLECTED DATA SOURCES WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS EMBEDDING A HEALTH LENS THROUGHOUT THE CHNA PROCESS: - FROM FEBRUARY 1- FEBRUARY 29, 2024, 7 LOCAL REPORTS WERE READ AND ANALYZED AS PART OF AN ENVIRONMENTAL SCAN OF COMMUNITY REPORTS FOR DAVIDSON COUNTY. - BETWEEN FEBRUARY 20, 2024 AND FEBRUARY 27, 2024 DAVIDSON COUNTY'S NASHVILLE HEALTH & LEADERSHIP AND WELL-BEING COUNCIL SELF-ASSESSMENT WAS CONDUCTED WITH 19 PARTICIPANTS. - IN FEBRUARY 2024 A POLICY SCAN WAS COMPLETED BY THE SYCAMORE INSTITUTE TO BETTER IDENTIFY, ANALYZE, AND SUMMARIZE CURRENT POLICIES TO UNDERSTAND THE LANDSCAPE, IDENTIFY GAPS, AND INFORM FUTURE POLICY WORK. - DURING THE CHNA PLANNING PROCESS BETWEEN FEBRUARY 2024 AND SEPTEMBER 2024, IMAGINE NASHVILLE'S CITY-LED ASSESSMENTS AND SOLUTIONS WERE INCLUDED INTO OUR DATA COLLECTION METHODOLOGY. - ON APRIL 29, 2024, 8 METRO NASHVILLE PUBLIC HEALTH DEPARTMENT STAFF MEMBERS PARTICIPATED IN AN IN PERSON HEALTH DEPARTMENT LISTENING SESSION AT METRO NASHVILLE PUBLIC HEALTH DEPARTMENT. - DAVIDSON COUNTY INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED BETWEEN MAY 2024 - AUGUST 2024. - ON SEPTEMBER 17, 2024 - A COMMUNITY MEETING WITH THE DAVIDSON COUNTY NASHVILLE HEALTH & WELL-BEING LEADERSHIP COUNCIL WAS HELD WITH 44 PARTICIPANTS IN ATTENDANCE. PARTICIPANTS WERE ASKED TO REVIEW PRIMARY AND SECONDARY DATA, IDENTIFY AND PRIORITIZE COMMUNITY NEEDS AND DISCUSS SOLUTIONS UTILIZING THE HEALTH FRAMEWORK. -THE PRIORITIZATION PROCESS INCLUDED ONE IN-PERSON OR HYBRID 2-HOUR FACILITATED SESSION HOSTED IN COLLABORATION WITH THE HEALTH COUNCIL IN EACH COUNTY. 44 PARTICIPANTS WERE PRESENT FOR THIS MEETING. THE GOAL OF THIS SESSION, CALLED A COMMUNITY MEETING, IS TO ENGAGE HEALTH COUNCIL AND LOCAL VOICES IN A STREAMLINED PRIORITIZATION PROCESS AND BUILD OUT COMMUNITY RECOMMENDATIONS FOR ACTION AROUND EACH PRIORITY NEED. DUE TO THE SATURATION OF DATA WITHIN DAVIDSON COUNTY, AND TO PROMOTE COLLABORATION BETWEEN VARIOUS DATA AGENCIES, ADDITIONAL DATA WAS PRESENTED FROM IMAGINE NASHVILLE AND METRO SOCIAL SERVICES. -COUNTY SPECIFIC RESULTS FROM METRO NASHVILLE PUBLIC HEALTH DEPARTMENT LISTENING SESSION, ENVIRONMENTAL SCAN OF COMMUNITY REPORTS, NASHVILLE HEALTH & WELLBEING LEADERSHIP COUNCIL SELF-ASSESSMENT, AND THE SECONDARY DATA ANALYSIS AHEAD OF THE COMMUNITY MEETING WITH NASHVILLE HEALTH & WELLBEING LEADERSHIP COUNCIL MEMBERS AND COMMUNITY LEADER PARTICIPANTS. INEQUITIES IDENTIFIED WITHIN THESE RESULTS WERE HIGHLIGHTED TO CENTER THOSE MOST IMPACTED BY THE HEALTH NEEDS IN EACH COMMUNITY. -ATTENDEES WERE ASKED TO REVIEW PREVIOUS NEEDS TO KEEP, AMEND OR SUNSET EACH ONE. PARTICIPANTS MADE DECISIONS ABOUT THE NEEDS USING DATA PROVIDED, THEIR LIVED AND PROFESSIONAL EXPERIENCE AND CRITERIA OUTLINED IN MAPP 2.0 HANDBOOK TO MAKE THESE DECISIONS, (NACCHO, 2023). - HEALTH COUNCIL RECOMMENDATIONS DISCUSSED DURING THE COMMUNITY MEETING WITH THE HEALTH COUNCIL WERE PRESENTED BACK TO HEALTH COUNCIL MEMBERS ON OCTOBER 15, 2024. - DAVIDSON COUNTY NASHVILLE HEALTH & WELL-BEING LEADERSHIP COUNCIL HAD FURTHER REVIEW OF VOTING RESULTS, PRIORITIZING HEALTH NEEDS IN THE COUNTY, AND DISCUSSING SOLUTIONS UTILIZING THE HEALTH FRAMEWORK, HAPPENED BETWEEN NOVEMBER 19, 2024 AND DECEMBER 17, 2024. TIMELINE WILLIAMSON COUNTY: FROM FEBRUARY 2024 - NOVEMBER 2024, ASCENSION SAINT THOMAS MIDTOWN AND WESTS HOSPITALS BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR DAVIDSON AND WILLIAMSON COUNTIES AND SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS: - FEBRUARY 1- FEBRUARY 29, 2024, 3 LOCAL REPORTS WERE READ AND ANALYZED AS PART OF AN ENVIRONMENTAL SCAN OF COMMUNITY REPORTS FOR WILLIAMSON COUNTY. - IN FEBRUARY 2024 A POLICY SCAN WAS COMPLETED BY THE SYCAMORE INSTITUTE TO BETTER IDENTIFY, ANALYZE, AND SUMMARIZE CURRENT POLICIES TO UNDERSTAND THE LANDSCAPE, IDENTIFY GAPS, AND INFORM FUTURE POLICY WORK. - ON APRIL 17, 2024 - 6 WILLIAMSON COUNTY HEALTH DEPARTMENT STAFF MEMBERS ALONG WITH THE HEALTH DEPARTMENT DIRECTOR PARTICIPATED IN AN IN PERSON HEALTH DEPARTMENT LISTENING SESSION AT THE WILLIAMSON COUNTY HEALTH DEPARTMENT. MAY 14, 2024, WILLIAMSON COUNTY HEALTH COUNCIL SELF-ASSESSMENT WAS CONDUCTED. - WILLIAMSON COUNTY INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED BETWEEN MAY 2024- AUGUST 2024. - ON MAY 14, 2024 - 32 PARTICIPANTS ATTENDED THE WILLIAMSON COUNTY HEALTH COUNCIL SELF-ASSESSMENT WHICH GATHERED COMMUNITY FEEDBACK ABOUT THE PRIOR CHNA NEEDS, HOW THEY HAVE CHANGED, ANY BARRIERS FACED IN SOLUTION BUILDING, AND RECOMMENDATIONS FOR FUTURE OR CONTINUED ACTION. - ON AUGUST 14, 2024 - A COMMUNITY MEETING WITH THE WILLIAMSON COUNTY HEALTH COUNCIL WAS HELD WITH 29 PARTICIPANTS IN ATTENDANCE. PARTICIPANTS WERE ASKED TO REVIEW PRIMARY AND SECONDARY DATA, IDENTIFY AND PRIORITIZE COMMUNITY NEEDS AND DISCUSS SOLUTIONS UTILIZING THE HEALTH EQUITY FRAMEWORK. -THE PRIORITIZATION PROCESS INCLUDED ONE IN-PERSON OR HYBRID 2-HOUR FACILITATED SESSION HOSTED IN COLLABORATION WITH THE HEALTH COUNCIL IN EACH COUNTY. 29 PARTICIPANTS WERE PRESENT FOR THIS MEETING. THE GOAL OF THIS SESSION, CALLED A COMMUNITY MEETING, IS TO ENGAGE HEALTH COUNCIL AND LOCAL VOICES IN A STREAMLINED PRIORITIZATION PROCESS AND BUILD OUT COMMUNITY RECOMMENDATIONS FOR ACTION AROUND EACH PRIORITY NEED. -COUNTY SPECIFIC RESULTS FROM WILLIAMSON COUNTY HEALTH DEPARTMENT LISTENING SESSION, ENVIRONMENTAL SCAN OF COMMUNITY REPORTS, WILLIAMSON COUNTY HEALTH COUNCIL SELF-ASSESSMENT, AND THE SECONDARY DATA ANALYSIS AHEAD OF THE COMMUNITY MEETING WITH WILLIAMSON COUNTY HEALTH COUNCIL MEMBERS AND COMMUNITY LEADER PARTICIPANTS. ISSUES IDENTIFIED WITHIN THESE RESULTS WERE HIGHLIGHTED TO CENTER THOSE MOST IMPACTED BY THE HEALTH NEEDS IN EACH COMMUNITY. -ATTENDEES WERE ASKED TO REVIEW PREVIOUS NEEDS TO KEEP, AMEND OR SUNSET EACH ONE. PARTICIPANTS MADE DECISIONS ABOUT THE NEEDS USING DATA PROVIDED, THEIR LIVED AND PROFESSIONAL EXPERIENCE AND CRITERIA OUTLINED IN MAPP 2.0 HANDBOOK TO MAKE THESE DECISIONS, (NACCHO, 2023). - HEALTH COUNCIL RECOMMENDATIONS DISCUSSED DURING THE AUGUST 2024 COMMUNITY MEETING WITH THE HEALTH COUNCIL WERE PRESENTED BACK TO HEALTH COUNCIL MEMBERS ON NOVEMBER 1, 2024. THE CHNA PROCESS IN DAVIDSON COUNTY IS COORDINATED BY THE NASHVILLE HEALTHY & WELL-BEING LEADERSHIP COUNCIL, WHICH HAS STAFFING SUPPORT FROM THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT, ASCENSION SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY AND VANDERBILT UNIVERSITY MEDICAL CENTER COMMUNITY HEALTH TEAM. VUMC AND ASCENSION SAINT THOMAS REGULARLY MET WITH AND GAINED ADVICE FROM THE MPHD, AND ALSO INTERVIEWED THE DIRECTOR OF HEALTH FOR MPHD AS A PART OF THE COMMUNITY INPUT DATA (PRIMARY DATA) METHODOLOGY. ADDITIONALLY, THE NASHVILLE HEALTHY & WELL-BEING LEADERSHIP COUNCIL CONTAINS MEMBERS WHO SERVE IN MEDICALLY UNDERSERVED, UNINSURED AND OTHER POPULATIONS, COMMUNITY-FACING CLINICS, INCLUDING FEDERALLY QUALIFIED HEALTH CENTERS AND CLINICS THAT SERVE LOW-INCOME COMMUNITIES. THESE INDIVIDUALS WERE INSTRUMENTAL IN PROVIDING GUIDANCE, ASSISTANCE AND KNOWLEDGE TO THE COMMUNITY HEALTH IMPROVEMENT PROCESS Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - Facility Reporting Group A Part 2. BETWEEN FEBRUARY 2024 AND APRIL 2024; 27 COMMUNITY MEMBERS WERE INTERVIEWED ACROSS 14 ORGANIZATIONS IN DAVIDSON COUNTY WERE INTERVIEWED TO PROVIDE UNDERSTANDING OF THE NEEDS OF DAVIDSON COUNTY. 38 COMMUNITY MEMBERS WERE INTERVIEWED ACROSS 17 ORGANIZATIONS IN WILLIAMSON COUNTY WERE INTERVIEWED TO PROVIDE UNDERSTANDING OF THE NEEDS OF DAVIDSON COUNTY. THOSE SELECTED WERE CHOSEN BASED ON THEIR KNOWLEDGE OF DAVIDSON AND/OR WILLIAMSON COUNTY AND ITS HEALTH NEEDS. THE HOSPITAL AND METRO NASHVILLE PUBLIC HEALTH DEPARTMENT, NASHVILLE HEALTHY & WELL-BEING LEADERSHIP COUNCIL, WILLIAMSON COUNTY HEALTH COUNCIL AND WILLIAMSON COUNTY HEALTH DEPARTMENT RECOMMENDED THE INTERVIEWEES WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE REQUEST TO PARTICIPATE WAS DONE THROUGH EMAIL COMMUNICATION IN PARTNERSHIP WITH THE NASHVILLE HEALTHY & WELL-BEING LEADERSHIP COUNCIL AND WILLIAMSON COUNTY HEALTH COUNCIL TO COMMUNITY MEMBERS; WHICH REPRESENTS A VERY BROAD SWATH OF THE COMMUNITY REPRESENTING MANY DIFFERENT AGENCIES AND ORGANIZATIONS. DAVIDSON AND WILLIAMSON COUNTY HAD A HEALTH DEPARTMENT LISTENING SESSION AND DAVIDSON AND WILLIAMSON COUNTIES CONDUCTED A SELF ASSESSMENT TO LEARN AND GAIN INSIGHT INTO COMMUNITY NEEDS AMONGST DAVIDSON AND WILLIAMSON COUNTIES. - 8 METRO PUBLIC HEALTH DEPARTMENT STAFF PARTICIPATING IN PERSON AT THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT ON APRIL 29, 2024. - 6 WILLIAMSON COUNTY HEALTH DEPARTMENT STAFF PARTICIPATED IN PERSON AT THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT ON APRIL 17, 2024. IN DAVIDSON COUNTY 19 INDIVIDUALS ACROSS 14 ORGANIZATIONS AND AGENCIES PARTICIPATED IN THE DAVIDSON COUNTY SELF-ASSESSMENT MEETING AND COMPLETED A PARTICIPANT SURVEY. BETWEEN FEBRUARY 20, 2024 AND FEBRUARY 27, 2024 DAVIDSON COUNTY'S HEALTHY NASHVILLE LEADERSHIP AND WELLBEING COUNCIL HEALTH COUNCIL SELF-ASSESSMENT WAS CONDUCTED. IN WILLIAMSON COUNTY 32 PEOPLE ACROSS 17 ORGANIZATIONS AND AGENCIES COMPLETED A SURVEY FOR THE WILLIAMSON COUNTY HEALTH COUNCIL SELF-ASSESSMENT IN PERSON MEETING ON MAY 14, 2024. THE LIST BELOW IS A FULL LISTING OF DAVIDSON AND WILLIAMSON COUNTY SELF-ASSESSMENT INTERVIEWEE LIST. DAVIDSON COUNTY NASHVILLE HEALTH & WELL-BEING LEADERSHIP COUNCIL SELF-ASSESSMENT INTERVIEWEE LIST INCLUDED: THE NASHVILLE FOOD PROJECT METRO PUBLIC HEALTH DEPARTMENT SECOND HARVEST TENNESSEE DEPARTMENT OF HEALTH NURTURE THE NEXT ASCENSION SAINT THOMAS METROPOLITAN PARKS AND RECREATION ASSOCIATION OF INFANT MENTAL HEALTH UNITED WAY OF GREATER NASHVILLE MARTHA O'BRYAN - TENNESSEE ALLIANCE OF ECONOMIC MOBILITY LOVE BEFORE ALL COMMUNITY RESOURCE CENTER TENNESSEE JUSTICE CENTER WILLIAMSON COUNTY HEALTH COUNCIL SELF-ASSESSMENT INTERVIEWEE LIST INCLUDED: WILLIAMSON COUNTY HEALTH DEPARTMENT WILLIAMSON CO. HEALTH DEPARTMENT FAIRVIEW CLINIC LIFELINE PEER PROJECT ERIKA'S SAFE PLACE BRENTWOOD POLICE DEPARTMENT MENTAL HEALTH AMERICA OF THE MIDSOUTH WILLIAMSON COUNTY JUVENILE SERVICES VOLUNTEER BEHAVIORAL HEALTH WILLIAMSON COUNTY SHERIFF'S OFFICE MOTHERS AGAINST DRUNK DRIVING WILLIAMSON COUNTY SCHOOL MERCY COMMUNITY HEALTHCARE WILLIAMSON PREVENTION COALITION FRANKLIN SPECIAL SCHOOL DISTRICT TENNESSEE CHILD SUPPORT EMPLOYMENT AND PARENTING PROGRAM (TCSEPP) WILLIAMSON COUNTY HOMELESS ALLIANCE TN VOICES Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility Reporting Group A. ASCENSION SAINT THOMAS MIDTOWN, ASCENSION SAINT THOMAS WEST, ASCENSION SAINT THOMAS REHAB, ASCENSION SAINT THOMAS BEHAVIORAL HEALTH HOSPITALS, ASCENSION SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SELECT SPECIALTY- NASHVILLE,AND VANDERBILT UNIVERSITY MEDICAL CENTER JOINTLY CONDUCTED THE TAX YEAR 2024 COMMUNITY HEALTH NEEDS ASSESSMENT. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility Reporting Group A. THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPRESENTS A TRUE COLLABORATIVE EFFORT IN ORDER TO GAIN A MEANINGFUL UNDERSTANDING OF THE MOST PRESSING HEALTH NEEDS ACROSS DAVIDSON AND WILLIAMSON COUNTIES. METRO NASHVILLE PUBLIC HEALTH DEPARTMENT (MPHD), NASHVILLE HEALTH & WELLBEING LEADERSHIP COUNCIL, METRO SOCIAL SERVICES (MSS), TENNESSEE DEPARTMENT OF HEALTH, WILLIAMSON COUNTY HEALTH DEPARTMENT, WILLIAMSON COUNTY HEALTH COUNCIL, A COMPLETE DESCRIPTION OF COMMUNITY PARTNER CONTRIBUTIONS IS INCLUDED IN THE FULL CHNA REPORT. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility Reporting Group A Part I. ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS ADDRESSED THE SIGNIFICANT NEEDS OF THE PRIOR CHNA (2021). THE PRIORITY HEALTH NEEDS WERE: ACCESS TO CARE MENTAL HEALTH. AND SUBSTANCE MISUSE ASCENSION SAINT THOMAS WEST AND SAINT THOMAS MIDTOWN HOSPITALS ADDRESSED ALL PRIORITIZED HEALTH NEEDS THAT HAD BEEN IDENTIFIED. THE INFORMATION BELOW DESCRIBES THE ACTIONS TAKEN on THE 2021 CHNA TO ADDRESS EACH PRIORITY NEED AND INDICATORS OF IMPROVEMENT. PRIORITY NEED: ACCESS TO CARE 1. ENHANCE POLICIES AND PROCEDURES THAT SUPPORT INDIVIDUALS IN RECEIVING THE CARE THEY NEED AND WANT BY REMOVING FINANCIAL BARRIERS. FY23 PLANNING CONVERSATIONS HAVE STARTED AND OPPORTUNITIES ARE BEING EXPLORED. FY24 REVIEW OF POLICIES AND PROCEDURES, IDENTIFIED SUBSET OF CLINICS TO ASSESS, OBSERVE AND COMPLETE ASSESSMENT, DEVELOPED SUMMARY OF FINDINGS, POTENTIAL RECOMMENDED ACTION PLAN DEVELOPED, EXPLORED EXPANDING INTERNAL AND EXTERNAL PARTNERSHIPS, ADVOCATE FOR POLICY CHANGE LOCALLY AND NATIONALLY. FY25 LAUNCH A COST RECOVERY PILOT PROGRAM THAT EXPEDITES SSI/SSDI BENEFITS FOR ASCENSION SAINT THOMAS PATIENTS WHO ARE EXPERIENCING HOMELESSNESS AND ENGAGED BY PARK CENTER IN THE ASCENSION SAINT THOMAS MIDTOWN HOSPITAL'S ED. 2. SUPPORT LOCAL COUNTY HEALTH COUNCIL STRUCTURE AND PURPOSE OF IDENTIFYING AND ADDRESSING SHARED TOP HEALTH NEEDS FY23 ACTIVE PARTICIPANT AND REGULAR ATTENDANCE AT HEALTH COUNCIL MEETINGS AND APPROPRIATE WORKGROUPS. FY24 TWO LEADERS SERVING ON DAVIDSON AND WILLIAMSON COUNTY HEALTH COUNCILS, MEETINGS HELD EVERY OTHER MONTH. FY25 CONTINUED TO HAVE LEADERSHIP SERVE ON DAVIDSON AND WILLIAMSON HEALTH COUNCIL CONTINUED TO EXPLORE ORGANIZATIONS THAT ALIGN AND ADDRESS HEALTH PRIORITIES. 3. IMPROVE MATERNAL HEALTH OUTCOMES FY23 MATERNAL HEALTH/COMMUNITY IMPACT MEETING HAPPENING REGULARLY. CONTINUE TO REVIEW SEVERE MATERNAL MORBIDITY DATA. EXPLORING THE OPPORTUNITY OF HIRING A MATERNAL HEALTH NAVIGATOR. HOPE CLINIC $20,000, NURSES FOR NEWBORNS $25,000 COMMUNITY INVESTMENTS. FY24 MATERNAL HEALTH NAVIGATOR HAS BEEN HIRED AND STARTED 11/12/2023. WORKING ON ONBOARDING AND STRATEGY. HOSPITAL LEADERS SERVING ON BOARDS FOR FAMILY AND CHILDREN'S SERVICE, NURTURE THE NEST AND MARCH OF DIMES. COMMUNITY INVESTMENTS TOTALLING $65,000 GIVEN TO FAMILY AND CHILDREN'S SERVICE, NURSES FOR NEWBORNS AND HOPE CLINIC FOR WOMEN AS PART OF THIS WORK. FY25 COMMUNITY INVESTMENTS TOTALLING $75,000 GIVEN TO FAMILY AND CHILDREN'S SERVICE, NURSES FOR NEWBORNS AND HOPE CLINIC FOR WOMEN AS PART OF THIS WORK. MATERNAL HEALTH NAVIGATOR CONTINUES TO SUPPORT PATIENT'S SDOH NEEDS AND CONNECTS THEM TO NECESSARY RESOURCES. 4. BUILDING AND REFINING PIPELINE PROGRAMS TO SUPPORT HEALTHCARE KNOWLEDGE BASE FY23 34 OUT OF THE 57 STUDENTS PASSED THEIR EXAMINATIONS IN DAVIDSON COUNTY THIS YEAR. ACROSS THE ASCENSION SAINT THOMAS NETWORK CERTIFIED CLINICAL MEDICAL ASSISTANT COHORT 1 OF 2023 18 PARTICIPANTS ENROLLED AND 17 PARTICIPANTS TOOK EXAM HAD A 100 PERCENT PASS RATE. CERTIFIED CLINICAL MEDICAL ASSISTANT COHORT 2 OF 2023 28 PARTICIPANTS ENROLLED AND 26 PARTICIPANTS TOOK EXAM 24 PARTICIPANTS PASSED WITH A 92.31 PERCENT PASS RATE. CONTINUED WORK ON DEVELOPMENT OF MEDICAL ASSISTANT TO LICENSED PRACTICAL NURSE WHICH IS A PATHWAY PROGRAM THAT ALLOWS OUR ASSOCIATES TO WORK ON A LICENSED PRACTICAL NURSE LICENSE WHILE CONTINUING TO WORK FULL TIME. FY24 PARTNERING WITH LOCAL HIGH SCHOOL STUDENTS FOR THE SAINT THOMAS SCHOLARS PROGRAM, 44 STUDENTS APPLIED TO THE ASCENSION SAINT THOMAS CCMA PROGRAM AND 32 STUDENTS PASSED THEIR EXAMS TO BECOME CERTIFIED CLINICAL MEDICAL ASSISTANTS. #GOALS OVER 600 STUDENTS TWO DAVIDSON CO. MIDDLE SCHOOLS TO HELP STUDENTS BE ENGAGED WITH SCIENCE AND SCIENCE CAREERS FY25 50 STUDENTS REGISTERED FOR THE ASCENSION SAINT THOMAS HEALTH SCHOLARS PROGRAM THIS YEAR. OF THOSE 50, 44 PASSED THEIR EXAM TO BECOME A CERTIFIED MEDICAL ASSISTANT. 5. INCREASE ACCESS TO CARE THROUGH MOBILE HEALTH FY23 DUE TO STAFFING CHANGES THIS STRATEGY IS ON HOLD. FY24 DUE TO STAFFING AND BUDGET LIMITATIONS THIS STRATEGY REMAINED ON HOLD UNTIL JANUARY 2024. SINCE STARTING SERVICES AGAIN MORE THAN 300 UNINSURED WOMEN HAVE RECEIVED NO-COST MAMMOGRAMS AT 26 LOCATIONS, MORE THAN $16,000 IN CARE. FY25 MORE THAN 300 UNINSURED INDIVIDUALS RECEIVED MAMMOGRAMS AT NO COST FROM THE MOBILE MAMMOGRAM UNIT. 6. PROVIDE FREE OR LOW COST PRESCRIPTIONS FOR QUALIFYING UNDERINSURED AND UNINSURED INDIVIDUALS FY23: DISPENSED 18,825 PRESCRIPTIONS FOR 4,583 INDIVIDUALS IN FY23, AN INVESTMENT VALUED AT MORE THAN $844,000. FY24: DISPENSED 28,298 PRESCRIPTIONS FOR 5,458 INDIVIDUALS IN FY24 AN INVESTMENT VALUED AT MORE THAN $873,000. FT25: DISPENSED 26,572 PRESCRIPTIONS FOR 5,454 INDIVIDUALS IN FY24 AN INVESTMENT VALUED AT MORE THAN $1,282,860. 7. ENHANCE COORDINATION AND NAVIGATION RESOURCES FY23 ENHANCEMENT TO NEIGHBORHOOD RESOURCES PLATFORM TO ASSIST CARE MANAGEMENT WITH REFERRAL OF PATIENTS TO COMMUNITY RESOURCES. COMMUNITY HEALTH WORKER GRANT WRITTEN AND APPROVED VIA THE STATE OF TENNESSEE FOR FUNDING A COMMUNITY HEALTH NAVIGATOR POSITION TO FACILITATE RESOURCE COORDINATION ACROSS THE ASCENSION SAINT THOMAS HOSPITALS AND OUTPATIENT CLINICS. ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS PROVIDED COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS SILOAM HEALTH $30,000 FY24 SDOH SCREENINGS: SOCIAL DETERMINANTS OF HEALTH SCREENER USED TO IDENTIFY NEEDS. SDOH SCREENINGS DATA COLLECTION IS ON-GOING AND NEARLY 60,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET IN FY24. SOCIAL ISOLATION AND ABILITY TO PAY FOR HEALTHCARE SERVICES ARE THE MOST IDENTIFIED ISSUES. COMMUNITY HEALTH WORKERS- ASCENSION SAINT THOMAS WAS AWARDED TWO GRANT FUNDED OPPORTUNITIES TO CREATE THE INFRASTRUCTURES FOR COMMUNITY HEALTH WORKERS ACROSS OUR HEALTHCARE SYSTEM. FY25 CONTINUE TO BUILD AST CHW INFRASTRUCTURE FOR AWARDED COMMUNITY HEALTH WORKER GRANTS. CONTINUED INCREASE OF NEIGHBORHOOD RESOURCES PLATFORM SITE UTILIZATION AND INCREASED RESOURCE BASED SEARCHES ON THE PLATFORM. ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS MADE COMMUNITY INVESTMENTS TO BOLSTER THIS WORK WITH THE FOLLOWING ORGANIZATIONS TOTALING MORE THAN $333,000: YWCA NASHVILLE, ROOM IN THE INN SHOWERUP, FAMILY & CHILDREN'S SERVICE, SILOAM HEALTH, AGEWELL, SENIOR RIDE NASHVILLE NASHVILLE RESCUE MISSION, DREAM STREETS, CATHOLIC COMFORT CARE, HOPE CLINIC, ANCORA TN, OPEN TABLE NASHVILLE, NURSES FOR NEWBORNS, TRANSIT ALLIANCE OF MIDTN, CONEXION AMERICAS INTERFAITH DENTAL, LADIES OF CHARITY 8. IDENTIFY AND ADDRESS BARRIERS TO CARE WITHIN THE COMMUNITY, WITH SPECIAL ATTENTION TO PERSONS WHO ARE UNDERSERVED AND/OR MARGINALIZED FY23 SOCIAL DETERMINANTS OF HEALTH SCREENER USED TO IDENTIFY NEEDS. THERE WERE 45,409 PATIENTS SCREENED SYSTEM WIDE USING THE SOCIAL DETERMINANTS OF HEALTH SCREENER. SOCIAL ISOLATION IS THE MOST IDENTIFIED ISSUE. ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS PROVIDED COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. FY23 FAMILY & CHILDREN'S SERVICE $20,0000, INTERFAITH DENTAL $30,000, NEW BEGINNINGS $20,000, ROOM IN THE INN $20,000, TENNESSEE JUSTICE CENTER $33,333 FY24 ASCENSION SAINT THOMAS WAS AWARDED TWO COMMUNITY HEALTH WORKER (CHW) GRANTS TO FOCUS ON CREATING AN INFRASTRUCTURE FOR CHWS THROUGHOUT THE ASCENSION SAINT THOMAS MINISTRY. ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS PROVIDED COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. FAMILY & CHILDREN'S SERVICE $20,000, INTERFAITH DENTAL $30,000, NURSES FOR NEWBORNS $25,000, OPEN TABLE $10,000, TENNESSEE JUSTICE CENTER $33,333, HOPE CLINIC FOR WOMEN $20,000, TN HEALTHCARE CAMPAIGN $10,000. SOCIAL DETERMINANTS OF HEALTH SCREENER USED TO IDENTIFY NEEDS. SDOH SCREENINGS DATA COLLECTION IS ON-GOING AND NEARLY 60,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET FY25 OVER 78,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET. MORE THAN 8,100 INDIVIDUALS SCREENED FOR SOCIAL DETERMINANTS OF HEALTH NEEDS WITHIN AN INPATIENT SETTING. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - Facility Reporting Group A Part II. ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS PROVIDED COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT TOTALING MORE THAN $350,000 TOWARD THEIR WORK IN ONE OF THE PRIORITIZED NEED AREAS. AGEWELL, ANCORA TN, CATHOLIC COMFORT CARE HOMES, CONEXION AMERICAS, FAMILY & CHILDREN'S SERVICE, HOPE CLINIC FOR WOMEN, INTERFAITH DENTAL, LADIES OF CHARITY, NASHVILLE RESCUE MISSION, NURSES FOR NEWBORNS OPEN TABLE, ROOM IN THE INN, SENIOR RIDE NASHVILLE, SHOWER UP, SILOAM HEALTH, TENNESSEE JUSTICE CENTER, TRANSIT ALLIANCE OF MID TN, WEST NASHVILLE DREAM CENTER, YWCA NASHVILLE. PRIORITY NEED: MENTAL HEALTH 1. INTEGRATE MENTAL HEALTH SERVICES, SUPPORT AND/OR EDUCATION INTO OUTPATIENT SETTINGS AND/OR EMERGENCY DEPARTMENT. FY23 ASCENSION SAINT THOMAS CREATED A SYSTEM WIDE WORKGROUP TO COLLABORATIVELY WORK ON IMPLEMENTATION STRATEGIES TO ADDRESS MENTAL HEALTH EFFORTS. SINCE ANXIETY SCREENING HAS LAUNCHED CONTINUED EFFORTS TO TRACK UTILIZATION CONTINUES AND WORKING TO EXPLORE MINISTRY BREAKDOWN OF DATA. ASCENSION SAINT THOMAS PROVIDED COMMUNITY INVESTMENTS TO AGAPE $25,000, COMMUNITIES IN SCHOOLS $15,000, END SLAVERY $15,000, GILDA'S CLUB $10,000, OASIS CENTER $10,000, SEXUAL ASSAULT CENTER $20,000 FY24 MORE THAN 85,000 INDIVIDUALS SCREENED FOR DEPRESSION IN OUR EMERGENCY DEPARTMENTS AND PRIMARY CARE CLINICS. AST NETWORK MENTAL HEALTH WORKGROUP CONTINUES TO EXPLORE DATA AROUND DEPRESSION SCREENINGS THAT HAPPEN IN ASCENSION SAINT THOMAS ASCENSION MEDICAL GROUP LOCATIONS AND WHAT NEXT STEPS LOOK LIKE FOR PATIENTS. COMMUNITY INVESTMENT FOR MENTAL HEALTH: NASHVILLE RESCUE MISSION: $10,000, COMMUNITY IN SCHOOL $15,000, BUILDING LIVES FOUNDATION $12,000, AGAPE $25,000, SEXUAL ASSAULT CENTER $20,000, OASIS CENTER $10,000, ANCORA TN $10,000, DAVIS HOUSE CHILD ADVOCACY CENTER $10,000, THE NEW BEGINNINGS CENTER $5,000, GILDA'S CLUB $15,000 FOR A TOTAL OF $132,000. FY25 MORE THAN 150,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS THE ASCENSION TENNESSEE MARKET IN PRIMARY CARE SETTINGS AND EMERGENCY DEPARTMENTS. COMMUNITY INVESTMENTS WERE MADE WITH 6 AREA MENTAL HEALTH ORGANIZATIONS TOTALING MORE THAN $100,000: OASIS CENTER, AGAPE, CATHOLIC CHARITIES, SEXUAL ASSAULT CENTER, GILDA'S CLUB, METRO NASHVILLE LIBRARY. PRIORITY NEED: SUBSTANCE MISUSE 1. INCREASE OPPORTUNITIES TO ENGAGE IN SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION AND TREATMENT FY23 32,976 PATIENTS WERE SCREENED SYSTEM WIDE FOR ALCOHOL USE AND 8,437 PATIENTS WERE SCREENED SYSTEM WIDE FOR OPIOID RISK. BEGAN TO SET UP PROCESSES FOR DISPENSING FREE NALOXONE NASAL SPRAY AT ASCENSION SAINT THOMAS MIDTOWN AND ASCENSION SAINT THOMAS WEST THROUGH A STATE GRANT/COUNTY PROGRAM AND ASCENSION RX PHARMACIES. AT ASCENSION SAINT THOMAS WEST THERE IS A MEDICATION ASSISTED THERAPY WORK GROUP THAT MEETS EVERY THREE MONTHS TO DISCUSS THE MAT PROGRAM EFFORTS. X-WAIVERED PHYSICIANS HAVE BEEN REMOVED, WITH AN EASIER PROCESS IN PLACE. ASCENSION SAINT THOMAS CREATED A SYSTEM WIDE WORKGROUP TO COLLABORATIVELY WORK ON IMPLEMENTATION STRATEGIES TO ADDRESS SUBSTANCE MISUSE. ASCENSION SAINT THOMAS PROVIDED COMMUNITY INVESTMENTS TO BUILDING LIVES FOUNDATION $12,000, THE NEXT DOOR $20,000 FY24 FREE NALOXONE NASAL SPRAY NOW THROUGH A STATE GRANT OR COUNTY PROGRAM AT OUR FACILITIES (AND OUR ASCENSION RX PHARMACIES)-HAS BEEN ROLLED OUT AT 11 ASCENSION RX PHARMACIES. 26,630 INDIVIDUALS SCREENED FOR ALCOHOL MISUSE AND MORE THAN 4,000 INDIVIDUALS SCREENED WITH THE OPIOID RISK TOOL. WE CONTINUE TO ENGAGE WITH HOSPITAL LEADERS AND CLINICIANS TO LEARN ABOUT THE REFERRAL PROCESS RELATED TO THE INFORMATION GATHERED BY THESE SCREENERS. COMMUNITY INVESTMENTS GIVEN TO WOMEN OF WORTH TRANSITIONAL HOUSING, THE NEXT DOOR RECOVERY AND RENEWAL HOUSE, A TOTAL OF $35,000. WORKING TO DETERMINE IF PEER RECOVERY NAVIGATOR WOULD BE A DESIRED INTERVENTION FOR ADDRESS SUBSTANCE MISUSE. WE WILL CONTINUE THE CONVERSATION DURING OUR SUBSTANCE MISUSE WORKGROUP MEETINGS. FY25 MORE THAN 83,000 INDIVIDUALS WERE SCREENED FOR ALCOHOL DEPENDENCY ACROSS ASCENSION TENNESSEE AND MORE THAN 10,000 WERE SCREENED FOR OPIOID RISK. COMMUNITY INVESTMENTS OF MORE THAN $50,000 WERE MADE TO THE NEXT DOOR, WOMEN OF WORTH, TN MEDICAL FOUNDATION AND RENEWAL HOUSE. TAX YEAR 2024 CHNA VOTED TOP COMMUNITY PRIORITIZED NEEDS FOR DAVIDSON COUNTY - AWARENESS AND NAVIGATION OF COMMUNITY RESOURCES - ECONOMIC OPPORTUNITY AND JOB SKILL DEVELOPMENT - FOOD ACCESS/ FOOD INSECURITY - HOUSING ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS HAS SELECTED THE COMMUNITY PRIORITIZED NEEDS OUTLINED BELOW TO BE ADDRESSED FOR THE TAX YEAR 2024 CHNA FOR DAVIDSON COUNTY - ACCESS TO CARE - MENTAL HEALTH - SUBSTANCE MISUSE The tax year 2024 CHNA VOTED TOP COMMUNITY PRIORITIZED NEEDS FOR WILLIAMSON COUNTY - ATTAINABLE HOUSING - HEALTH PROMOTION (CHRONIC DISEASE PREVENTION) THROUGH BUILT ENVIRONMENT - MENTAL HEALTH - SUBSTANCE USE (OPIOIDS, TOBACCO, AND PRESCRIPTION MEDICATION) ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS HAS SELECTED THE COMMUNITY PRIORITIZED NEEDS OUTLINED BELOW TO BE ADDRESSED FOR THE tax year 2024 CHNA FOR WILLIAMSON COUNTY - ACCESS TO CARE - MENTAL HEALTH - SUBSTANCE MISUSE NEEDS THAT WILL NOT BE ADDRESSED FOR DAVIDSON AND WILLIAMSON COUNTIES ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS WILL BE ADDRESSING ALL COMMUNITY PRIORITIZED HEALTH NEEDS LISTED ABOVE. ATTAINABLE HOUSING, HEALTH PROMOTION (CHRONIC DISEASE PREVENTION) THROUGH BUILT ENVIRONMENT, MENTAL HEALTH AND SUBSTANCE USE (OPIOIDS, TOBACCO, AND PRESCRIPTION MEDICATION) AWARENESS AND NAVIGATION OF COMMUNITY RESOURCES, ECONOMIC OPPORTUNITY AND JOB SKILL DEVELOPMENT, FOOD ACCESS/ FOOD INSECURITY, AND HOUSING WILL BE ADDRESSED UNDER ACCESS TO CARE. STRATEGIES - FOR ASCENSION SAINT THOMAS MIDTOWN AND WEST HOSPITALS FOR DAVIDSON AND WILLIAMSON COUNTIES (FY26 ACTIONS WILL BE REPORTED WITH THE 2025 TAX YEAR). ACCESS TO CARE: - BUILD A BRIDGE BETWEEN COMMUNITIES AND HEALTHCARE - ENHANCE SEXUAL ASSAULT INFRASTRUCTURE FOR THE COMMUNITY - STRENGTHEN THE HEALTHCARE WORKFORCE - RIGHT CARE, RIGHT PLACE AT THE RIGHT TIME - IMPROVE OVERALL WELL-BEING OF OLDER ADULTS - INCREASE ACCESS TO MEDICAL RESPITES - IMPROVE MATERNAL HEALTH OUTCOMES (ASCENSION SAINT THOMAS MIDTOWN HOSPITAL ONLY) MENTAL HEALTH: - STRENGTHEN SOCIAL INFRASTRUCTURE TO INCREASE COMMUNITY CONNECTIONS - IMPROVING THE HEALTH OF POSTPARTUM MOTHERS (ASCENSION SAINT THOMAS WEST HOSPITAL ONLY) SUBSTANCE MISUSE: - SUPPORTING SUBSTANCE MISUSE PREVENTION AND EDUCATION EFFORTS. 0 Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A PATIENT MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE IF SUCH PATIENT IS DEEMED TO HAVE SUFFICIENT ASSETS TO PAY PURSUANT TO AN "ASSET TEST." THE ASSET TEST INVOLVES A SUBSTANTIVE ASSESSMENT OF A PATIENT'S ABILITY TO PAY BASED ON THE CATEGORIES OF ASSETS MEASURED IN THE FAP APPLICATION. A PATIENT WITH SUCH ASSETS THAT EXCEED 250% OF SUCH PATIENT'S FPL AMOUNT MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC. Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities ASCENSION SAINT THOMAS WEST INVESTED MORE THAN $200,000 IN WORKFORCE DEVELOPMENT WITH THE SAINT THOMAS SCHOLARS PROGRAM. THIS PROGRAM OFFERS HIGH SCHOOL SENIORS IN UNDERSERVED COMMUNITIES HANDS-ON TRAINING IN OUR CLINICS AND HELPS THEM PREPARE FOR THE EXAM TO BECOME A CERTIFIED CLINICAL MEDICAL ASSISTANT. IN FY25, 44 OUT OF 50 STUDENTS WHO APPLIED FOR THE PROGRAM EARNED THEIR CERTIFICATION, AND MANY WILL GO ONTO COLLEGE TO FURTHER THEIR HEALTHCARE EDUCATIONS AND CAREERS. ASCENSION SAINT THOMAS MIDTOWN HOSPITAL PROVIDED TRAUMA INFORMED CARE FROM A CERTIFIED SEXUAL ASSAULT NURSE EXAMINER (SANE) TO 49 COMMUNITY MEMBERS IN FY25. THIS SPECIALIZED CARE IS MADE POSSIBLE BY OUR PARTNERSHIP WITH THE SEXUAL ASSAULT CENTER. ASCENSION SAINT THOMAS MIDTOWN AND ASCENSION SAINT THOMAS WEST HOSPITALS INVESTED $124,750 IN 5 COMMUNITY BUILDING ORGANIZATIONS IN FY24. WITH THESE FUNDS: 1. AMERICAN CANCER SOCIETY'S HOPE LODGE PROVIDED FREE LODGING FOR 630 PATIENTS AND THEIR CAREGIVERS. THE ROAD TO RECOVERY PROGRAM PROVIDES MEDICAL TRANSPORTATION TO 675 INDIVIDUALS. 2.NASHVILLE PUBLIC EDUCATION FOUNDATION PROVIDED LAPTOPS TO STUDENTS THROUGH THEIR TECH GOES HOME PROGRAM. 3.METRO NASHVILLE PARKS FOUNDATION IMPROVED THE PLAYGROUNDS AT AREA PARKS 4. NASHVILLE HEALTH DEVELOPING STRATEGIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) 5. YOUTH ABOUT BUSINESS HOSTED A HEALTHCARE CONFERENCE FOR HIGH SCHOOLERS WHO ARE INTERESTED IN HEALTHCARE CAREERS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from patients who do not qualify for charity care have been exhausted, the corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the corporation's and medicare policies. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 18-20, OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT FOR TAX PURPOSES, BUT IS REPORTED AS SUCH ON OUR AUDITED FINANCIAL STATEMENTS. THE AMOUNTS REPORTED ON SCHEDULE H, PART III INCLUDE ONLY TRADITIONAL MEDICARE AS REFLECTED IN OUR 6/30/25 COST REPORT. IN ADDITION TO TRADITIONAL MEDICARE, OTHER SERVICES ARE PROVIDED TO THE MEDICARE POPULATION AT A LOSS, INCLUDING BUT NOT LIMITED TO MEDICARE ADVANTAGE, OUTPATIENT LAB AND REHABILITATION SERVICES, AND OUTPATIENT MAMMOGRAPHY. THE TOTAL MEDICARE SHORTFALL/SURPLUS FOR THIS TAX YEAR INCLUDING ALL MEDICARE SERVICES IS ($102,526,814). Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SAINT THOMAS WEST HOSPITAL FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. QUALIFYING PATIENT ACCOUNTS THAT ARE STILL OPEN AND BEING PURSUED AS WELL AS ANY NEW BALANCES FOR THE NEXT SIX (6) MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT SUBMITS AN APPLICATION AND IS PENDING A DECISION AND / OR QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES OR UNTIL THEIR APPLICATION IS DENIED IF THEY WERE DEEMED INELIGIBLE. Schedule H, Part V, Section B, Line 16a FAP website A - Saint Thomas West Hospital: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - Saint Thomas West Hospital: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Saint Thomas West Hospital: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment SAINT THOMAS WEST HOSPITAL D/B/A ASCENSION SAINT THOMAS HOSPITAL, A DUAL-CAMPUS FACILITY WITH LOCATIONS AT BOTH 2000 CHURCH STREET AND 4220 HARDING PIKE IN NASHVILLE, TENNESSEE, USE SEVERAL INTERNAL DATABASES AND EXTERNAL REPORTS FROM THIRD PARTIES, INCLUDING GOVERNMENT SOURCES, TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. THE INFORMATION PROVIDES KEY INDICATORS ABOUT HEALTH, and other community factors THAT IDENTIFY AREAS OF FOCUS AND INFORM OUR STRATEGIES. THESE REPORTS INCLUDE, BUT ARE NOT LIMITED TO: -US CENSUS BUREAU -ECONOMIC IMPACT STUDIES -SG2 HEALTHCARE INTELLIGENCE -HEALTHCARE CLAIMS DATASETS -CMS -INTERNAL DATA SETS -ACO, PHYSICIAN SUPPLY, AND ALIGNED HEALTH PARTNERSHIPS SAINT THOMAS WEST HOSPITAL UTILIZES INFORMATION FROM THESE SOURCES TO DEVELOP PROGRAMS AND PROVIDE APPROPRIATE SERVICES NEEDED THROUGHOUT THE REGION. HEALTH CARE NEEDS OF THE OVERALL COMMUNITY ARE CONSIDERED WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance SAINT THOMAS WEST HOSPITAL IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, SAINT THOMAS WEST's FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; SAINT THOMAS WEST PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE AS NOTED IN SCHEDULE H. SAINT THOMAS WEST HOSPITAL WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE ; https://healthcare.ascension.org/financial-assistance/tennessee-ascension-saint-thomas-financial-assistance SAINT THOMAS WEST HOSPITAL MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. SAINT THOMAS WEST HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. SAINT THOMAS WEST HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS, OFFERING COPIES OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AT REGISTRATION AND INCLUDED INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO APPLY ON ALL PATIENT BILLING STATEMENTS. Schedule H, Part VI, Line 4 Community information SAINT THOMAS WEST HOSPITAL SERVES A 10-COUNTY (CHEATHAM, DAVIDSON, DICKSON, HICKMAN, MAURY, MONTGOMERY, ROBERTSON, SUMNER, WILLIAMSON, WILSON) PRIMARY SERVICE AREA. THE TOTAL POPULATION OF THE 10-COUNTY PRIMARY SERVICE AREA IS ESTIMATED TO BE 1,991,421 RESIDENTS IN CALENDAR 2025 AND IS EXPECTED TO INCREASE BY APPROXIMATELY 8.1% TO 2,152,645 RESIDENTS IN FIVE YEARS. THE MEDIAN HOUSEHOLD INCOME OF THE 10-COUNTY PRIMARY SERVICE AREA IS $89,823 BASED ON 2025 ESRI DEMOGRAPHICS DATA. APPROXIMATELY 10.1% OF THE SERVICE AREA RESIDENTS LIVE BELOW THE POVERTY LINE, WITH 19.4% WITHOUT ANY FORM OF INSURANCE OR ENROLLED IN MEDICAID. WITHIN THE 10-COUNTY PRIMARY SERVICE AREA, THERE ARE FIVE COUNTIES FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED, ONE COUNTY DESIGNATED AS PARTIALLY MEDICALLY UNDERSERVED AND ONE COUNTY DESIGNATED AS MEDICALLY UNDERSERVED POPULATION. THERE ARE 17 OTHER ACUTE CARE HOSPITALS LOCATED WITHIN THE PRIMARY SERVICE AREA. Schedule H, Part VI, Line 5 Promotion of community health SAINT THOMAS WEST HOSPITAL IS GOVERNED BY THE ASCENSION SAINT THOMAS BOARD OF DIRECTORS THAT CONSISTS OF PERSONS REPRESENTING DIFFERENT ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ASCENSION SAINT THOMAS' GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. SAINT THOMAS WEST HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. SAINT THOMAS WEST HOSPITAL APPLIES SURPLUS FUNDS FOR IMPROVEMENTS IN PATIENT CARE WITH OVER $37.3M INVESTED BACK INTO PATIENT CARE PROJECTS IN FY25. ADDITIONALLY, THESE FACILITIES SUPPORT ONGOING MEDICAL EDUCATION TO PHYSICIANS AND OTHER PATIENT CARE PROVIDERS. FINALLY, SAINT THOMAS WEST HOSPITAL PROVIDED OVER $92.7M IN CARE TO THE POOR IN FY25 THROUGH ITS AFFILIATED CLINICS OPERATIONS AND HOSPITAL PROGRAMS. The Community Health Needs Assessment and Implementation Strategy information reported herein relate to the tax year ended June 30, 2025. Schedule H, Part VI, Line 6 Affiliated health care system SAINT THOMAS WEST HOSPITAL IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. SAINT THOMAS WEST HOSPITAL OPERATES IN MIDDLE TENNESSEE AND IS PART OF SAINT THOMAS HEALTH D/B/A ASCENSION SAINT THOMAS WHICH OWNS AND OPERATES HEALTH CARE RELATED ENTITIES, INCLUDING 12 HOSPITAL CAMPUSES, IN ADDITION TO A COMPREHENSIVE NETWORK OF AFFILIATED JOINT VENTURES, MEDICAL PRACTICES, CLINICS AND REHABILITATION FACILITIES ACROSS MIDDLE TENNESSEE. true Saint Thomas Medical Partners C/O TAX DEPARTMENT ST LOUIS MO 631455998 621529858 501(c)(3) 3585875 OPERATING SUPPORT SUPPLIES OVERSEAS 1500 Arlington Avenue Louisville KY 40206 272624272 501(c)(3) 157704 cost of supplies surgical supply donation To donate surgical supplies INTERFAITH DENTAL CLINIC 1721 PATTERSON ST Nashville TN 37203 621567615 501(c)(3) 33334 Support of Teeth For Life program Hope Clinic for Women 1810 Hayes Street Nashville TN 37203 621164825 501(c)(3) 25000 Support of pregnancy services for uninsured, low income women ASSOCIATION for GUIDANCE AID PLACEMENT & EMPATHY (AGAPE) 4555 Trousdale Drive Nashville TN 37204 620760716 501(c)(3) 25000 Support of No-Cost Mental Health Counseling SILOAM FAMILY HEALTH CENTER 820 Gale Lane Nashville TN 37204 581867940 501(c)(3) 31000 Support of Community Health Workers program SEXUAL ASSAULT CENTER 101 French Landing Drive Nashville TN 37228 621043294 501(c)(3) 25000 Support of Therapeutic Treatment & Support Services for Sexual Assault Survivors GILDAS CLUB MIDDLE TENNESSEE 1707 Division Street Nashville TN 37203 621614190 501(c)(3) 15000 Support of Gilda's Club Middle TN Cancer Support program THE NEXT DOOR INC 402 22nd Ave North Nashville TN 37203 432001774 501(c)(3) 25000 Support of Addiction Treatment Services for Women Oasis Center Inc 1704 Charlotte Avenue Nashville TN 37203 620968273 501(c)(3) 10000 Support of clinical counseling for at-risk youth Nurses for Newborns 1606 Porter Road Nashville TN 37206 431601329 501(c)(3) 25000 Support of Nurse HOme Visitation Program Family and Childrens Service 2400 Clifton Ave Nashville TN 37209 620499284 501(c)(3) 18750 Support community based healthcare access. ANCORATN PO BOX 160069 Nashville TN 37216 454955577 501(c)(3) 50000 Support of Aftercare Program NASHVILLE RESCUE MISSION 639 LAYFAYETTE STREET Nashville TN 37203 452424130 501(c)(3) 10000 Support of the Residential Life Recovery Program NASHVILLEHEALTH 3810 BEDFORD AVE SUITE 200 Nashville TN 37215 813063375 501(c)(3) 47500 Support of improvement of Nashville's community health OPEN TABLE NASHVILLE 701 GALLATIN PIKE SOUTH MADISON TN 37115 273514899 501(c)(3) 10000 Support of Street Outreach: Foot Clinic RENEWAL HOUSE INC 3600 CLARKSVILLE PIKE Nashville TN 37218 621631055 501(c)(3) 10000 Support of the Family Residential Program W O W TRANSITION HOUSE INC PO BOX 1725 ANTIOCH TN 37013 202573347 501(c)(3) 10000 Support of Recovery Services and Transitional Housing for Women Coming Out of Incarceration AMERICAN CANCER SOCIETY INC PO BOX 332047 Nashville TN 37203 131788491 501(c)(3) 50000 Support Road to Recovery and Nashville Hope Lodge Operations Shared Hospital Services Corporation 641 MAINSTREAM DR NASHVILLE TN 37228 620499284 21805 LAUNDRY SERVICES FOR RONALD MCDONALD HOUSE CATHOLIC CHARITIES DIOCESE OF NASHVILLE 2806 MCGAVOCK PIKE Nashville TN 37214 620679520 501(c)(3) 10000 OPERATING SUPPORT CATHOLIC COMPORT CARE HOMES 9632 S HARPETH ROAD Nashville TN 37221 884022245 501(c)(3) 10000 Support of expansion of Heart of Mary House CONEXION AMERICAS 2195 NOLENSVILLE PIKE Nashville TN 37211 621715618 501(c)(3) 20000 Support of Referral and Resource Navigation COUNCIL ON AGING OF GREATER NASHVILLE PO BOX 158309 Nashville TN 37215 621867122 501(c)(3) 7000 Support of The AgeWell Directory of Services for older adults and caregivers CREATING AN ENVIRONMENT OF SUCCESS INC 3518 WEST HAMILTON AVENUE Nashville TN 37218 621528325 501(c)(3) 9000 Support the Youth About Business Healthcare Conference METRO NASHVILLE PARKS FOUNDATION PO BOX 196340 Nashville TN 37205 473639207 501(c)(3) 11250 Support the Watkins Park NASHVILLE PUBLIC EDUCATION FOUNDATION 615 MAIN STREET SUITE 124 Nashville TN 37206 481266314 501(c)(3) 7000 Support the Tech Goes Home Program NASHVILLE PUBLIC LIBRARY FOUNDATION 615 CHURCH STREET Nashville TN 37219 621681766 501(c)(3) 20000 Support of Be Well at Nashville Public Library YMCA NASHVILLE AND MIDDLE TENNESSEE 1608 WOODMONT BLVD Nashville TN 37215 620475702 501(c)(3) 10000 Support of Domestic Violence Services ROOM IN THE INN 705 DREXEL STREET Nashville TN 37203 620811413 501(c)(3) 10000 Support of Room in the Inn SENIOR RIDE NASHVILLE 44 VANTAGE WAY Nashville TN 37228 814119450 501(c)(3) 25000 Support to help provide rides to seniors for medical appointments, grocery stores, etc. SHOWER UP 6019 THRUSH COURT Spring Hill TN 37174 813713374 501(c)(3) 10000 Support ShowerUp Nashville mobile shower and laundry TENNESSEE JUSTICE CENTER INC 155 LAFAYETTE STREET Nashville TN 37210 621630417 501(c)(3) 53333 Support of Access to Care TENNESSEE MEDICAL FOUNDATION 5141 VIRGINIA WAY SUITE 110 Brentwood TN 37027 620541813 501(c)(3) 10000 Support of TMF-PHP Program THE REFUGE CENTER FOR COUNSELING 103 FORREST CROSSING BLVD SUITE 102 Franklin TN 37064 203931843 501(c)(3) 10000 Support of Youth In Crisis Metal Health Services TRANSIT ALLIANCE OF MIDDLE TENNESSEE 500 11TH AVE N SUITE 200 Nashville TN 37203 271568117 501(c)(3) 10000 Support Transit Together: Public Awareness and Impact of Transportation for Middle Tennessee WEST NASHVILLE DREAM CENTER 520 39TH AVE N Nashville TN 37209 814064177 501(c)(3) 10000 Support Mobile Food Distribution 36 1 SCHOLARSHIPS 72 140430 PATIENT DIALYSYS ASSISTANCE 387 1831894 HOUSING AND REHAB ASSISTANCE 64 512829 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds GRANTS THAT ARE GIVEN TO ORGANIZATIONS OUTSIDE OF OUR RELATED SYSTEM OR FOR THE BENEFIT OF INDIVIDUALS ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF THE ASCENSION HEALTH SYSTEM OVERALL. WHEN GRANTS ARE GIVEN TO RELATED TAX EXEMPT ORGANIZATIONS NO MONITORING IS DONE BECAUSE THOSE ORGANIZATIONS HAVE THE SAME MISSION AND EXEMPT PURPOSES AS THE FILING ORGANIZATION. X true true false true false false false false false false false FAHAD TAHIR PRESIDENT/CEO, MINISTRY MARKET 0 633668 0 1170000 0 131679 0 22425 0 41079 0 1998851 0 0 STEVEN MAURICE VANHOOK MD DIRECTOR 0 309950 0 22500 0 4301 0 21805 0 32794 0 391350 0 0 RACHEL BALLARD MEHR MD DIRECTOR 0 298276 0 89381 0 3675 0 18975 0 34742 0 445049 0 0 LISA RENEE DAVIS FORMER OFFICER (END 11/2022) 0 515561 0 900000 0 100751 0 22425 0 18512 0 1557249 0 0 ALLEN B WILCOX MD FORMER OFFICER (END 12/2020) 0 562443 0 568198 0 131975 0 20700 0 30865 0 1314181 0 0 TIMOTHY PAUL ADAMS FORMER OFFICER (END 1/2023) 0 978542 0 2250000 0 253204 0 18975 0 50118 0 3550839 0 0 BRANDON MICHAEL WILLIAMS CFO, MINISTRY MARKET 0 460740 0 432000 0 69783 0 18975 0 39361 0 1020859 0 0 MARK EDWARD MARSDEN MD CHIEF MEDICAL OFFICER 407801 0 188100 0 61051 0 20700 0 30998 0 708650 0 0 0 JUSTIN BROWN GERTH VP, PHYSICIAN SERVICES 364006 0 115000 0 3814 0 18975 0 26244 0 528039 0 0 0 HARRISON E KISER PRESIDENT, WEST 288380 0 115000 0 604 0 14977 0 38340 0 457301 0 0 0 JEREMY GRAY VP, OPERATIONS, MIDTOWN (END 7/2024) 136354 0 81000 0 139139 0 4237 0 15766 0 376496 0 0 0 AMIR HAMAD RN VP, NURSING, WEST 240155 0 75000 0 786 0 14128 0 32776 0 362845 0 0 0 STEPHEN MICHAEL BEARDEN VP, OPERATIONS, MIDTOWN 215924 0 83473 0 18 0 12933 0 29534 0 341882 0 0 0 JESSICA DARNELL RN VP, NURSING, MIDTOWN 223423 0 75000 0 543 0 10462 0 31867 0 341295 0 0 0 TROY LEE MUNN VP, FOUNDATION DEVELOPMENT 203312 0 35729 0 35534 0 11136 0 30007 0 315718 0 0 0 MADING GAI AROU FIRST ASSISTANT, SURGICAL 259298 0 7768 0 150 0 17487 0 32560 0 317263 0 0 0 LESLIE A DUNFEE ASSISTANT CHIEF OPERATING OFFICER 193800 0 60000 0 425 0 14204 0 30613 0 299042 0 0 0 LAURIE OLIVER DIRECTOR, CLINICAL PROGRAM 214484 0 32738 0 3082 0 13215 0 13011 0 276530 0 0 0 JENNIFER A MILLER DIRECTOR, PHARMACY 211332 0 32458 0 1064 0 15620 0 14463 0 274937 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Jeremy Gray received gross-up payments that were treated as taxable compensation to the individual. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF THE FILING ORGANIZATION IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE FILING ORGANIZATION IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE FILING ORGANIZATION. Form 990, Part IV, Line 24a TAX EXEMPT BONDS THE ORGANIZATION IS PART OF ASCENSION HEALTH SYSTEM. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION, IS A MISSOURI NONPROFIT CORPORATION. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH. ASCENSION HEALTH ALLIANCE IS EITHER THE BORROWER FOR, OR SECURES, TAX EXEMPT HOSPITAL REVENUE BONDS. THE ORGANIZATION MAY HOLD AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH ALLIANCE, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET. Form 990, Part VI, Line 15a & 15B - PROCESS FOR DETERMINING COMPENSATION THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 6 Classes of members or stockholders Saint Thomas West Hospital has a single corporate member, Saint Thomas Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Saint Thomas West Hospital has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the hospital. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Saint Thomas West Hospital's financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health. Ascension Health, the sole corporate member of Saint Thomas Health, has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies s. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE 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. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. Form 990, Part VIII, Line 2f Other Program Service Revenue Income from Joint Ventures - Total Revenue: -56467, Related or Exempt Function Revenue: -56467, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Services to Affiliates - Total Revenue: 1150, Related or Exempt Function Revenue: 1150, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Value Based Revenue - Total Revenue: -135654, Related or Exempt Function Revenue: -135654, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Escheatment Revenue - Total Revenue: 82577, Related or Exempt Function Revenue: 82577, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Late Penalty Fees - Total Revenue: 18989, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 18989; Sponsored Project Revenue - Total Revenue: 15363, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 15363; Other Miscellaneous Revenue - Total Revenue: 317466, Related or Exempt Function Revenue: 227709, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 89757; Retail Sales - Total Revenue: -4027, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -4027; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - -XXX-XX-XXXX; Change in Share of Investees Net Assets - 145108; Total - -XXX-XX-XXXX; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. FORM 990, PAGE 1 - ITEM C PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 4220 HARDING PIKE, NASHVILLE, TN 37205. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. FORM 990, PAGE 1 - ITEM C DOING BUSINESS AS Ascension RX Ascension Saint Thomas Hospital Ascension Saint Thomas Hospital Midtown Ascension Saint Thomas Hospital West Ascension Saint Thomas Midtown Ascension Saint Thomas West FORM 990, PAGE 1 - ITEM J WEBSITE Saint Thomas Midtown Hospital, part of Saint Thomas West Hospital, has its own website as follows: https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital-midtown FORM 990, PAGE 1 - ITEM J ENTITY WEBSITE https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital-west AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true ALEXIAN BROTHERS AMBULATORY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 BEHAVIORAL HEALTH HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BONAVENTURE HOUSE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 OUTPATIENT COMMUNITY MENTAL HEALTH SERVICES IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS COMMUNITY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS FOR WHICH IT IS A MEMBER IL 501(c)(3) Type III-FI ASCENSION HEALTH true ALEXIAN BROTHERS HOSPITAL NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS MEDICAL CARE GROUP NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true ALEXIAN BROTHERS OF SAN JOSE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 ACUTE CARE HOSPITAL (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true ALEXIAN BROTHERS SENIOR MINISTRIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS SERVICES INC 3040 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 431295333 HUD HOUSING MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SPECIALTY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 35233 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS ALLEGAN FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY One Ford Place-5F Detroit MI 48202 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 HEALTH CARE MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EASTWOOD BEHAVIORAL HEALTH One Ford Place-5F Detroit MI 48202 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION One Ford Place-5F Detroit MI 48202 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL One Ford Place-5F Detroit MI 48202 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION LIVING ST VINCENT PACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 872516723 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL One Ford Place-5F Detroit MI 48202 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS One Ford Place-5F Detroit MI 48202 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN One Ford Place-5F Detroit MI 48202 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED 615 N MICHIGAN ST SOUTH BEND IN 46601 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN One Ford Place-5F Detroit MI 48202 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG One Ford Place-5F Detroit MI 48202 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MICHIGAN HOME OFFICE (FKA BORGESS AMBULATORY CARE CORPORATION) C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 PARENT COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION One Ford Place-5F Detroit MI 48202 383526629 FUNDRAISING MI 501(c)(3) 7 ASCENSION PROVIDENCE HOSPITAL true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL One Ford Place-5F Detroit MI 48202 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION One Ford Place-5F Detroit MI 48202 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL One Ford Place-5F Detroit MI 48202 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL One Ford Place-5F Detroit MI 48202 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SETON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH One Ford Place-5F Detroit MI 48202 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION One Ford Place-5F Detroit MI 48202 202961579 FUNDRAISING MI 501(c)(3) 7 ASCENSION ST JOHN HOSPITAL true ASCENSION ST JOHN HOSPITAL One Ford Place-5F Detroit MI 48202 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH HOSPITAL true ASCENSION ST JOSEPH HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 382246366 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA IL 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI ASCENSION SETON FOUNDATION true BORGESS HEALTH ALLIANCE INC 615 N MICHIGAN ST SOUTH BEND IN 46601 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) 10 ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC 4635 WEST COLLEGE AVENUE APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 10 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true FIELD NEUROSCIENCES INSTITUTE 4000 WELLNESS DRIVE MIDLAND MI 48670 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES One Ford Place-5F Detroit MI 48202 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER One Ford Place-5F Detroit MI 48202 382317364 CONVALESCENT CENTER MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM One Ford Place-5F Detroit MI 48202 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM INC true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION 207 N CATHERINE STREET ROOM 205 MOBILE AL 36604 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 7 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM INC true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM INC true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true SAVELLI PROPERTIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN One Ford Place-5F Detroit MI 48202 382820107 SOCIAL WELFARE MI 501(c)(4) ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 35233 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETONUT AUSTIN DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true ST AGNES FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true ST ALEXIUS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) Type I ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE One Ford Place-5F Detroit MI 48202 382244034 PARENT COMPANY MI 501(c)(3) Type II ASCENSION MICHIGAN true ST JOHN SAPULPA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730662663 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST JOSEPH HOSPITAL & HEALTH CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350992717 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431388461 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST JOSEPH'S MINISTRIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521835288 SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST LUKE'S-ST VINCENT'S HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 260479484 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST MARY'S BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431918107 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST MARY'S MEDICAL GROUP LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC true ST MARY'S WARRICK HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352053693 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC true ST VINCENT ANDERSON REGIONAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460877261 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CARMEL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743107055 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CLAY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352112529 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT DUNN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 272192831 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FISHERS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454243702 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FRANKFORT HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352099320 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352052591 PARENT COMPANY IN 501(c)(3) Type III-FI ASCENSION HEALTH true ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461227327 HEALTH AND WELLNESS SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869066 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 356088862 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC true ST VINCENT JENNINGS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351841606 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MADISON COUNTY HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350876389 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MEDICAL GROUP INC C/O TAX 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