2024-05-14T14:10:31+00:00 2023-06-30 990 2022-07-01 581716804 Saint Thomas Health SAIN 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 3147338000 2024-05-14 Tonya Mershon 999009999 2022 2023-04-26 12:10:37Z See Sch O Fahad Tahir C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200298363 false X N/A X 1986 TN Coordinates the management of a non-profit hospital and healthcare delivery system to improve the health and well-being of all people in the communities we serve. 16 12 1807 12 4035962 0 1613157 192530 237071074 167168625 0 24201739 2627829 2331426 241312060 193894320 1634818 2389763 0 0 81230747 69083625 0 0 0 181512851 101330421 264378416 172803809 -23066356 21090511 103404738 115302526 56346913 43503723 47057825 71798803 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 71885503 2389763 167786191 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 HEALTH IS THE PARENT OF A TEN HOSPITAL HEALTH SYSTEM (including consolidated joint venture hospitals) IN NASHVILLE, TN. AS SUCH, IT COORDINATES THE MANAGEMENT OF A NON-PROFIT HOSPITAL AND HEALTHCARE DELIVERY SYSTEM. THE COMMUNITY BENEFITS FROM THIS COORDINATION BY HAVING AVAILABLE A CONTINUUM OF CARE WHICH ALLOWS FOR THE INTRODUCTION OF THE MOST APPROPRIATE AND COST EFFECTIVE CARE. 71885503 true true false true false false false false true true false true 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 true true true true false false true 266 0 true 1807 true true true false false false false false false false false false false false X 16 12 false false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 ANTHONY HEARD CHAIR 1.0 8.0 X X 0 0 0 DELL CROSSLIN VICE CHAIR 1.0 8.0 X X 0 0 0 FAHAD TAHIR PRESIDENT/CEO, MINISTRY MARKET EXECUTIVE (START 1/2023) 0.0 50.0 X X 0 687374 30607 SUSAN WEST PHD SECRETARY 1.0 8.0 X X 0 0 0 TIMOTHY PAUL ADAMS PRESIDENT/CEO, MINISTRY 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0 0 VIA CHRISTI VILLAGE GEORGETOWN INC 481129325 9 false 0 0 VIA CHRISTI VILLAGE HAYS INC 202828680 9 false 0 0 VIA CHRISTI VILLAGE MANHATTAN INC 481078862 9 false 0 0 VIA CHRISTI VILLAGE MCLEAN INC 481247723 9 false 0 0 VIA CHRISTI VILLAGE PITTSBURG INC 743070971 9 false 0 0 VIA CHRISTI VILLAGE PONCA CITY INC 731153337 9 false 0 0 VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC 930838390 9 false 0 0 WAMEGO HOSPITAL ASSOCIATION INC 721526400 3 false 0 0 WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS INC 391486775 9 false 0 0 173 0 0 false true true true true false true true false false false false false false false false false false true false Schedule A, Part IV, Section B, Line 1 POWER TO APPOINT DIRECTORS THE ASCENSION SPONSOR (THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING RELIGIOUS SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH) DETERMINES THE PHILOSOPHY, MISSION, VISION, VALUES AND EXPECTATIONS OF THE SYSTEM, AND APPOINTS THE BOARD FOR ASCENSION HEALTH ALLIANCE, DELEGATING THAT APPOINTMENT POWER WITHIN THE SYSTEM, WITH THE ASCENSION SPONSOR RETAINING ULTIMATE CONTROL OVER GOVERNANCE MATTERS. THE FILING ORGANIZATION CARRIES OUT THE PURPOSES OF THE ASCENSION SPONSOR BY SUPPORTING THE ASCENSION SPONSOR AND ASCENSION HEALTH MINISTRY ENTITIES THAT PROVIDE CARE AND HEALING IN THEIR RESPECTIVE COMMUNITIES. Schedule A, Part IV, Section B, Line 2 CONTROL BY SUPPORTED ORGANIZATIONS THE ASCENSION SPONSOR (THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING RELIGIOUS SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH) DETERMINES THE PHILOSOPHY, MISSION, VISION, VALUES AND EXPECTATIONS OF THE SYSTEM, AND, AS APPLIED WITHIN A FRAMEWORK OF DELEGATION, RETAINS ULTIMATE CONTROL OF GOVERNANCE WITHIN THE SYSTEM. THE FILING ORGANIZATION CARRIES OUT THE PURPOSES OF THE ASCENSION SPONSOR BY SUPPORTING THE ASCENSION SPONSOR AND ASCENSION HEALTH MINISTRY ENTITIES THAT PROVIDE CARE AND HEALING IN THEIR RESPECTIVE COMMUNITIES. IN ANSWERING "NO" TO PART IV, SECTION B, LINE 2, THE ORGANIZATION IS CONSIDERING THE ASCENSION SPONSOR'S DIRECT CONTROL AS WELL AS ITS ULTIMATE CONTROL OVER THE OTHER SUPPORTED ORGANIZATIONS THROUGHOUT THE SYSTEM. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE IN THE GOVERNING DOCUMENTS OF THE FILING ORGANIZATION AS DESCRIBED: The Corporation is organized exclusively for charitable, religious, educational and scientific purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (or the corresponding provision of any future United States Internal Revenue Law) {the "Code"), including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under Section 501 (c)(3) of the Code. Further, the Corporation is organized and at all times shall be operated exclusively for the benefit of, to perform the functions of, and to carry out the purposes of Ascension Sponsor, and such other of its subsidiary organizations that qualify under Section 501 (c)(3) and under Section 509(a)(1) or Section 509(a)(2) of the Code. Such supported organizations are listed at Part I. Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) SUPPORTED ORGANIZATIONS NOT REQUIRED TO OBTAIN A SEPARATE IRS DETERMINATION OF STATUS ARE EITHER CONSIDERED AN INSTRUMENTALITY OF THE CATHOLIC CHURCH OR ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AND HAVE BEEN VERIFIED TO BE DESCRIBED IN EITHER 509(A)(1) OR 509 (A)(2) ACCORDING TO THEIR MOST RECENT FORM 990 FILING. IN ADDITION, SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN IS A 501(c)(4), BUT SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(a)(2). Schedule A, Part IV, Section A, Line 3b Qualified Under 501C(4)(5) Or (6) STARTING IN TAX YEAR 2014 (FISCAL YEAR ENDING JUNE 30, 2015) THE SUPPORT TEST FOR ORGANIZATIONS DESCRIBED IN 509(A)(2) AS REPORTED IN FORM 990, SCHEDULE A, PART III HAS BEEN COMPLETED TO CONFIRM THAT SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2). Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2)(B) Purposes SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL AND SCIENTIFIC PURPOSES AND ITS PURPOSES ARE CONSISTENT WITH AND SUPPORTIVE OF THE CORPORATE PURPOSES OF ASCENSION HEALTH AND ASCENSION HEALTH ALLIANCE. IN FURTHERANCE OF ITS MISSION AND IN AN EFFORT TO REDUCE THE GOVERNMENT'S FINANCIAL BURDEN, SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN PROVIDES ESSENTIAL HEALTH CARE SERVICES, SUCH AS PRIMARY CARE, SPECIALTY CARE AND DIAGNOSTIC IMAGING FACILITIES THAT SERVE LOW-INCOME PATIENTS AS WELL AS COMMUNITY SERVICES. A REVIEW IS DONE ANNUALLY TO CONFIRM THAT THE ACTIVITIES OF SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN ARE IN LINE WITH THEIR MISSION AND THAT SUPPORT PROVIDED IS USED SOLELY FOR CHARITABLE PURPOSES. AS PART OF THIS REVIEW, REVENUE STREAMS AND EXPENSES ARE REVIEWED AND THE SUPPORT TEST FOR ORGANIZATIONS DESCRIBED IN 509(A)(2) IS CALCULATED TO CONFIRM THAT THIS TEST IS SATISFIED. Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. (I)/(II) THE ORGANIZATION ADDED SUPPORTED ORGANIZATIONS, AS FOLLOWS: BORGESS HEALTH ALLIANCE, INC., EIN 38-2335286, STATUS CHANGED TO PUBLICLY SUPPORTED IN FY21 THE ORGANIZATION REMOVED SUPPORTED ORGANIZATIONS, AS FOLLOWS: ASCENSION EAGLE RIVER HOSPITAL, INC., EIN 39-0985690, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION GOOD SAMARITAN HOSPITAL, INC., EIN 39-0808503, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC., EIN 39-1965593, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION OUR LADY OF VICTORY HOSPITAL, INC., EIN 39-0807065, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC., EIN 39-1390638, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION ST. MICHAEL'S HOSPITAL, INC., EIN 39-0808443, NO LONGER A RELATED PARTY AS OF 08/21 COLUMBIA ST. MARY'S HOSPITAL OZAUKEE, INC., EIN 39-0807063, DISSOLVED 03/22 DR. KATE NEWCOMB CONVALESCENT CENTER, INC., EIN 39-1357365, DISSOLVED 12/21 METRO PHYSICIANS, INC., EIN 94-3436893, DISSOLVED 01/22 SAINT JOSEPH'S HOSPITAL OF MARSHFIELD, INC., EIN 39-0847631, DISSOLVED 12/21 SETON HOSPITALIST SERVICE, EIN 45-2498998, STATUS CHANGED TO SUPPORTING ORGANIZATION IN FY23 THE HOWARD YOUNG MEDICAL CENTER, INC., EIN 39-0873606, NO LONGER A RELATED PARTY AS OF 08/21 GENESYS CONVALESCENT CENTER, EIN 38-2317364, STATUS CHANGED TO SUPPORTING ORGANIZATION IN FY20 MERCY HEALTH FOUNDATION, INC., EIN 23-7140261, STATUS CHANGED TO SUPPORTING ORGANIZATION IN FY22 (III)/(IV) THE ORGANIZING/GOVERNING DOCUMENTS OF THE ORGANIZATION PROVIDE THAT THE ORGANIZATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE ASCENSION AND FOUNDING RELIGIOUS SPONSORS, IN SUPPORT OF THOSE ORGANIZATIONS AND AFFILIATED ORGANIZATIONS CLASSIFIED AS PUBLIC CHARITIES UNDER SECTIONS 509(A)(1) OR 509(A)(2) OF THE CODE. THAT DIRECTION PROVIDES THE AUTHORITY FOR THE CHANGES DESCRIBED ABOVE, WHICH WERE ACCOMPLISHED ACCORDING TO THE FORM OF TRANSACTION THAT EITHER ADDED THE ORGANIZATION TO THE ASCENSION SYSTEM OR CAUSED ITS REMOVAL OR ANY CHANGES THAT AFFECT AN ENTITY'S REPORTING STATUS FOR THIS PURPOSE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1339 1339 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO STATE and local chamber associations THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. THE FILING ORGANIZATION DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 4897416 39758 52956 51028 4939102 5071044 28527 -158276 43879 4897416 4046053 71514 994311 40834 5071044 2375785 1648428 71014 49174 4046053 2249930 52807 128639 55591 2375785 0.0 0.3603 0.6397 false true true 0 4468885 4468885 0 3323587 1358883 1964704 0 1708827 1629362 79465 0 57958436 40527468 17430968 0 8099362 1652863 6446499 30390521 Urgent Team Management LLC 5543137 C Select Specialty Hospital - Nashville LLC 1137004 C 6680141 Due from Affiliates 54454456 Other Receivables 3078554 Right of Use Asset Operating Lease 4363464 Other Miscellaneous Assets Lease Receivable 21498 Deferred Tax Asset 50576 61968548 0 Due to Affiliates 31354192 Debt with Ascension Health Alliance 526052 Lease Liabilities 4882876 Accrued Sales & Use Tax Liability 36763120 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUNDS ARE HELD BY SAINT THOMAS HEALTH FOUNDATIONS. THE ENDOWMENT FUNDS ARE SPECIFICALLY DESIGNATED POOLS OF ASSETS HELD AND INVESTED BY THE FOUNDATION TO PROVIDE LONG-TERM GROWTH, INTEREST AND DIVIDENDS. ONLY THE INCOME FROM AN ENDOWMENT FUND IS USED. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2023. true true X true X 250 true X true false true true -35089 0 0.0 5370441 3838859 1531582 0.0076 0 0.0 0 0 5335352 3838859 1531582 0.0076 17563 2076335 18672 2057663 0.0102 0 0.0 0 0.0 0 0.0 3 91358 91358 0.0005 17566 0 2167693 18672 2149021 0.0106 17566 0 7503045 3857531 3680603 0.0182 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 753917 0 11393841 12630169 -1236328 X true true 3 1 Select Specialty Hospital - Nashville 2000 Hayes Street Suite 1502 Nashville TN 37203 https://www.selectspecialtyhospitals.com/locations-and-tours/tn/nashville/nashville/ 144 X X 2 Saint Thomas Behavioral Health 300 Great Circle Rd Nashville TN 37228 https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-behavior 34634 X Behavioral Health 3 Saint Thomas Rehabilitation Hospital 310 21st Avenue North Nashville TN 37203 https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-rehabili 192 X X Select Specialty Hospital - Nashville 1 true false true X X X X X X X X 21 true true true true X https://healthcare.ascension.org/en/chna X true 21 true https://healthcare.ascension.org/en/chna false true X 250.0 400.0 X X X X true true X X X true X https://www.selectspecialtyhospitals.com/locations-and-tours/tn/nashville/nashville-west/#anchorFAP X https://www.selectspecialtyhospitals.com/locations-and-tours/tn/nashville/nashville-west/#anchorFAP X https://www.selectspecialtyhospitals.com/locations-and-tours/tn/nashville/nashville-west/#anchorFAP X X X X X X true X false X X X X false X X false false Saint Thomas Behavioral Health 2 true false true X X X X X X X X 21 true true true true X https://healthcare.ascension.org/en/chna X true 21 true https://healthcare.ascension.org/en/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 Saint Thomas Rehabilitation Hospital 3 true false true X X X X X X X X 21 true true true true X https://healthcare.ascension.org/en/chna X true 21 true https://healthcare.ascension.org/en/chna false true X 250.0 400.0 X X X X true true X X X true X https://www.ascensionsaintthomasrehabhospital.com/patient-experience/financial-assistance-policy X https://www.ascensionsaintthomasrehabhospital.com/patient-experience/financial-assistance-policy X https://www.ascensionsaintthomasrehabhospital.com/patient-experience/financial-assistance-policy X X X X X X X true X false X X X X false X X false false Schedule H, Part V, Section B, Line 3E TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Select Specialty Hospital - Nashville. SELECT SPECIALTY HOSPITAL - NASHVILLE COMPLETED ITS TAX YEAR 2021 CHNA IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS: -HEALTHY NASHVILLE LEADERSHIP COUNCIL (HNLC) -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT (MPHD) -VANDERBILT UNIVERSITY MEDICAL CENTER - OFFICE OF HEALTH EQUITY -KATHRYN A. MATHES, PHD, MEASUREMENT MATTERS, LLC -TENNESSEE IMMIGRANT & REFUGEE RIGHTS COALITION -ELMAHABA CENTER THE HEALTHY NASHVILLE LEADERSHIP COUNCIL COLLABORATED WITH SELECT SPECIALTY HOSPITAL - NASHVILLE BY PROVIDING ADVISORY SUPPORT ON MANY CHNA DECISIONS, DEVELOPING THE CHNA SUBCOMMITTEE FOR PRIORITIZATION, AND UTILIZING A HEALTH EQUITY LENS DURING ALL PHASES. THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT PROVIDED SIGNIFICANT SUPPORT TO ASCENSION SAINT THOMAS DURING THE CHNA PROCESS, INCLUDING COORDINATING INTERVIEWEES, SURVEY LINK DISTRIBUTION, HEALTH COUNCIL MEETING FACILITATIONS, AND SIGNIFICANT ANALYSIS FROM THE EPIDEMIOLOGY DEPARTMENT WHILE PRIORITIZING COMMUNITY HEALTH NEEDS. COMPLETED ITS TAX YEAR 2021 CHNA IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS: -HEALTHY NASHVILLE LEADERSHIP COUNCIL (HNLC) -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT (MPHD) -VANDERBILT UNIVERSITY MEDICAL CENTER - OFFICE OF HEALTH EQUITY -KATHRYN A. MATHES, PHD, MEASUREMENT MATTERS, LLC -TENNESSEE IMMIGRANT & REFUGEE RIGHTS COALITION -ELMAHABA CENTER THE HEALTHY NASHVILLE LEADERSHIP COUNCIL COLLABORATED WITH SELECT SPECIALTY HOSPITAL - NASHVILLE BY PROVIDING ADVISORY SUPPORT ON MANY CHNA DECISIONS, DEVELOPING THE CHNA SUBCOMMITTEE FOR PRIORITIZATION, AND UTILIZING A HEALTH EQUITY LENS DURING ALL PHASES. THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT PROVIDED SIGNIFICANT SUPPORT TO ASCENSION SAINT THOMAS DURING THE CHNA PROCESS, INCLUDING COORDINATING INTERVIEWEES, SURVEY LINK DISTRIBUTION, HEALTH COUNCIL MEETING FACILITATIONS, AND SIGNIFICANT ANALYSIS FROM THE EPIDEMIOLOGY DEPARTMENT WHILE PRIORITIZING COMMUNITY HEALTH NEEDS. VANDERBILT UNIVERSITY MEDICAL CENTER'S OFFICE OF HEALTH EQUITY HAS PARTNERED WITH ASCENSION SAINT THOMAS HOSPITAL FACILITIES ON THE PREVIOUS THREE CHNAS IN DAVIDSON COUNTY AND ENJOY A CLOSE RELATIONSHIP ON MANY OF THE ACTIVITIES THAT TOOK PLACE TO CONNECT ON COMMUNITY ENGAGEMENT, GATHER COMMUNITY INPUT, ANALYZE DATA, PRIORITIZE NEEDS, AND RESPOND TO COMMUNITY HEALTH COUNCILS. DR. KATHRYN MATHES CONTRACTED WITH SELECT SPECIALTY HOSPITAL - NASHVILLE AND VANDERBILT UNIVERSITY MEDICAL CENTER'S OFFICE OF HEALTH EQUITY TO PROVIDE ANALYSIS FOR THE ONLINE COMMUNITY SURVEY FROM NOVEMBER 2021 TO JANUARY 2022. DR. MATHES HELPED TO CATEGORIZE RESPONSES IN ALIGNMENT WITH THE TEAM'S SOCIAL-ECOLOGICAL MODEL, QUANTIFY AND CODE THE RESPONSES, IDENTIFY THEMES THAT THE COMMUNITY WAS RAISING, AND ASSESS ANALYSIS OF RESPONSES BY COUNTY, AGE, RACE, AND ZIP CODE. SELECT SPECIALTY HOSPITAL - NASHVILLE AND THE VANDERBILT UNIVERSITY OFFICE OF HEALTH EQUITY CONTRACTED WITH BOTH THE TENNESSEE IMMIGRANT AND REFUGEE RIGHTS COALITION (TIRRC) AND THE ELMAHABA CENTER TO IDENTIFY AND CONDUCT INTERVIEWS WITH COMMUNITY MEMBERS IN BOTH SPANISH AND ARABIC. SELECT SPECIALTY HOSPITAL - NASHVILLE IS GRATEFUL FOR THESE PARTNERSHIPS AND EXPERTISE. WE LOOK FORWARD TO MORE WAYS TO WORK TOGETHER TO IMPROVE THE HEALTH OF THE COMMUNITY. IN JANUARY 2021, ASCENSION SAINT THOMAS BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR DAVIDSON COUNTY AND WILLIAMSON COUNTY AND SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS: PLANNING MEETINGS WITH COMMUNITY PARTNERS TOOK PLACE BETWEEN JANUARY 2021-JUNE 2021. -26 LOCAL REPORTS FROM COMMUNITY PARTNERS WERE READ, ANALYZED AND CATALOGED AS A PART OF AN ENVIRONMENTAL SCAN FOR DAVIDSON COUNTY BETWEEN MARCH - SEPTEMBER 2021. -11 LOCAL REPORTS FROM COMMUNITY PARTNERS WERE READ, ANALYZED AND CATALOGED AS A PART OF AN ENVIRONMENTAL SCAN FOR WILLIAMSON COUNTY BETWEEN MARCH - SEPTEMBER 2021. INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED BETWEEN NOVEMBER 2021 - FEBRUARY 2022. -37 COMMUNITY MEMBERS REPRESENTING MANY SECTORS OF THE COMMUNITY, INCLUDING ARABIC AND SPANISH-SPEAKING CITIZENS, PARTICIPATED IN STAKEHOLDER INTERVIEWS IN DAVIDSON COUNTY. -22 COMMUNITY MEMBERS REPRESENTING MANY SECTORS OF THE COMMUNITY, INCLUDING ARABIC AND SPANISH-SPEAKING CITIZENS, PARTICIPATED IN STAKEHOLDER INTERVIEWS IN WILLIAMSON COUNTY. -A COMMUNITY SURVEY WAS DISTRIBUTED AND 366 RESPONSES WERE COLLECTED FROM NOVEMBER 1, 2021 THROUGH DECEMBER 3, 2021 IN DAVIDSON COUNTY. -A COMMUNITY SURVEY WAS DISTRIBUTED AND 177 RESPONSES WERE COLLECTED FROM NOVEMBER 1, 2021 THROUGH DECEMBER 3, 2021 IN WILLIAMSON COUNTY. HEALTHY NASHVILLE LEADERSHIP COUNCIL CHNA SUBCOMMITTEE: -FEBRUARY 8, 2022 - REVIEW ALL CHNA DATA, CONSIDER HEALTH EQUITY QUESTIONS AND VIEWS FROM OTHERS IN SUBCOMMITTEE, VOTE ON TOP NEEDS -FEBRUARY 10, 2022 - REVIEW VOTING RESULTS, PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS IN THE COUNTY, DISCUSS SOLUTIONS UTILIZING HEALTH EQUITY FRAMEWORK WILLIAMSON COUNTY HEALTH COUNCIL CHNA SUBCOMMITTEE: MARCH 1, 2022 - REVIEW ALL CHNA DATA, CONSIDER HEALTH EQUITY QUESTIONS AND VIEWS FROM OTHERS IN SUBCOMMITTEE, VOTE ON TOP NEEDS MARCH 3, 2022 - REVIEW VOTING RESULTS, PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS IN THE COUNTY, DISCUSS SOLUTIONS UTILIZING HEALTH EQUITY FRAMEWORK THE CHNA PROCESS IN DAVIDSON COUNTY IS COORDINATED BY THE HEALTHY NASHVILLE LEADERSHIP COUNCIL, WHICH HAS STAFFING SUPPORT FROM THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT, SELECT SPECIALTY HOSPITAL - NASHVILLE AND VANDERBILT UNIVERSITY'S OFFICE OF HEALTH EQUITY. 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 1-1 INTERVIEW METHODOLOGY. ADDITIONALLY, THE HEALTHY NASHVILLE LEADERSHIP COUNCIL CONTAINS MEMBERS WHO SERVE IN 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 6a Facility , 1 Facility , 1 - Select Specialty Hospital - Nashville. FOR THE TAX YEAR 2021 CHNA, SELECT SPECIALTY HOSPITAL - NASHVILLE COLLABORATED WITH: VANDERBILT UNIVERSITY MEDICAL CENTER SAINT THOMAS BEHAVIORAL HEALTH SAINT THOMAS REHABILITATION HOSPITAL SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY SAINT THOMAS WEST HOSPITAL SAINT THOMAS MIDTOWN HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Select Specialty Hospital - Nashville. -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT -HEALTHY NASHVILLE LEADERSHIP COUNCIL -DR. KATHRYN MATHES (CONTRACTOR FOR COMMUNITY SURVEY ANALYSIS) -TENNESSEE IMMIGRANT AND REFUGEE RIGHTS COALITION (TIRRC) (A COMMUNITY GROUP WHO ASSISTED IN CONDUCTING INTERVIEWS WITH COMMUNITY MEMBERS IN SPANISH) -ELMAHABA CENTER (A COMMUNITY CENTER WHO ASSISTED IN CONDUCTING INTERVIEWS WITH COMMUNITY MEMBERS IN ARABIC) Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Select Specialty Hospital - Nashville. ASCENSION SAINT THOMAS REHABILITATION HOSPITAL AND SELECT SPECIALTY HOSPITAL-NASHVILLE WERE NEW JOINT VENTURE PARTNERSHIPS IN 2022. ASCENSION SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL WAS A NEW JOINT VENTURE PARTNERSHIP IN 2021.TO CREATE CONSISTENCY AND LEVERAGE WE CONDUCTED THE CHNA AND IS IN THE SAME TIME FRAME AS OUR OTHER HOSPITALS. THESE FACILITIES WERE NOT PARTICIPATING IN 501(R) ACTIVITIES PRIOR TO 2021. FOLLOWING THE COMPLETION OF THE TAX YEAR 2021 CHNA ASSESSMENT, SIGNIFICANT NEEDS WERE FURTHER NARROWED DOWN TO A SET OF PRIORITIZED NEEDS THAT THE HOSPITAL WILL ADDRESS WITHIN THE IMPLEMENTATION STRATEGY. TO ARRIVE AT THE PRIORITIZED NEEDS, SELECT SPECIALTY HOSPITAL - NASHVILLE COLLABORATED WITH THE DAVIDSON COUNTY AND WILLIAMSON COUNTY HEALTH DEPARTMENTS AND THE DAVIDSON COUNTY AND WILLIAMSON COUNTY HEALTH COUNCILS TO FACILITATE DISCUSSIONS DURING DAVIDSON AND WILLIAMSON HEALTH COUNCIL MEETINGS IN FEBRUARY AND MARCH 2022 TO PRIORITIZE THE TOP NEEDS IN THEIR RESPECTIVE COMMUNITIES. COMMUNITY MEMBERS IN DAVIDSON COUNTY CHOSE TO PRIORITIZE FIVE NEEDS: WHOLE HEALTH, HOUSING/TRANSPORTATION, FOOD ACCESS/FOOD INSECURITY, ECONOMIC OPPORTUNITY AND JOB SKILL DEVELOPMENT AND AWARENESS AND NAVIGATION OF COMMUNITY RESOURCES. COMMUNITY MEMBERS IN WILLIAMSON COUNTY PRIORITIZED FOUR NEEDS: AFFORDABLE HOUSING, MENTAL HEALTH, HEALTHY LIVING AND PREVENTION AND SUBSTANCE MISUSE. SELECT SPECIALTY HOSPITAL - NASHVILLE IDENTIFIED ADDITIONAL CRITERIA TO PRIORITIZE THE SIGNIFICANT NEEDS INCLUDING: -HEALTH EQUITY LENS AND FRAMEWORK - HAVE DISPARITIES FOR LOW-INCOME AND PEOPLE OF COLOR BEEN IDENTIFIED THROUGH THE CHNA PROCESS? -FEASIBILITY - THE ABILITY TO MAKE PROGRESS AND CAPTURE DATA RELATED TO HEALTH IMPACT. -COMMUNITY READINESS AND MOMENTUM - IS THE COMMUNITY READY TO ADDRESS OR MODIFY INTERVENTIONS TO ADDRESS THE ISSUE? -ALIGNMENT WITH OTHERS - IS THIS NEED IN ALIGNMENT WITH OUR ORGANIZATION'S STRENGTHS? HAS THIS NEED ALSO BEEN IDENTIFIED IN THE COMMUNITY? -SOCIAL DETERMINANTS OF HEALTH FOLLOWING THE COMPLETION OF THE TAX YEAR 2021 CHNA, SELECT SPECIALTY HOSPITAL - NASHVILLE HAS SELECTED THE PRIORITIZED NEEDS OUTLINED BELOW FOR ITS TAX YEAR 2021 IMPLEMENTATION STRATEGY. ASCENSION HAS DEFINED "PRIORITIZED NEEDS'' AS THE SIGNIFICANT NEEDS WHICH HAVE BEEN PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREE-YEAR CHNA CYCLE: -ACCESS TO CARE - THIS NEED WAS SELECTED BECAUSE ACCESS TO CARE IS IN ALIGNMENT WITH THE ORGANIZATIONAL STRENGTHS AND PRIORITIES, AND WAS IDENTIFIED AS A TOP PRIORITY BY MOST ASCENSION TENNESSEE MINISTRIES. -MENTAL HEALTH - THIS NEED WAS SELECTED BECAUSE MENTAL HEALTH WAS ONE OF THE OVERALL TOP NEEDS IDENTIFIED BY ASCENSION TENNESSEE MINISTRIES DURING THE 2021 CHNA PROCESS. -SUBSTANCE MISUSE - THIS NEED WAS SELECTED BECAUSE SUBSTANCE MISUSE WAS ONE OF THE OVERALL TOP NEEDS IDENTIFIED BY ASCENSION TENNESSEE MINISTRIES DURING THE 2021 CHNA PROCESS. SELECT SPECIALTY HOSPITAL - NASHVILLE UNDERSTANDS THE IMPORTANCE OF ALL THE HEALTH NEEDS OF THE COMMUNITY AND IS COMMITTED TO PLAYING AN ACTIVE ROLE IN IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES. FOR THE PURPOSES OF THIS IMPLEMENTATION STRATEGY, SELECT SPECIALTY HOSPITAL - NASHVILLE HAS CHOSEN TO FOCUS ITS EFFORTS ON THE PRIORITIES LISTED ABOVE. DURING THE CHNA AND IMPLEMENTATION STRATEGY BRAINSTORMING PHASE ACROSS THE ASCENSION TENNESSEE MINISTRY (8 COUNTIES), COMMUNITY BENEFIT AND HOSPITAL LEADERS AGREED TO A COLLECTIVE IMPACT MODEL TOWARD ADDRESSING NEEDS THAT APPEARED IN MULTIPLE COUNTIES.THIS MODEL IS AN EFFORT TO ALLOCATE RESOURCES IN WAYS THAT CAN MORE MEANINGFULLY IMPACT PRIORITY AREAS. THE 3 NEEDS CHOSEN (ACCESS TO CARE, MENTAL HEALTH, AND SUBSTANCE MISUSE) WERE PRIORITIZED IN 5 OR MORE OF THE (8) COUNTIES SURVEYED. HOWEVER, ADDITIONAL NEEDS AND SOCIAL DRIVERS THAT WERE IDENTIFIED IN EACH COMMUNITY WILL BE MONITORED AND ADDRESSED THROUGH FOCUS PRIORITY AREAS. THE TAX YEAR 2021 IMPLEMENTATION STRATEGIES ARE BASED ON PRIORITIZED NEEDS FROM THE HOSPITAL'S MOST RECENT CHNA. THESE STRATEGIES AND ACTION PLANS REPRESENT WHERE THE HOSPITAL WILL FOCUS ITS COMMUNITY EFFORTS OVER THE NEXT THREE YEARS. WHILE THESE REMAIN A PRIORITY, THE HOSPITAL WILL CONTINUE TO OFFER ADDITIONAL PROGRAMS AND SERVICES TO MEET THE NEEDS OF THE COMMUNITY, WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. PRIORITIZED HEALTH NEED: ACCESS TO CARE -SUPPORT BRINGING TOGETHER DIFFERENT SECTORS TO UTILIZE LOCAL DATA TO WORK TOGETHER ON SOLUTIONS FOR SHARED TOP HEALTH NEEDS -FY23 IN MARCH PARTNERED WITH SECOND HARVEST FOOD BANK TO HOST FOOD DRIVE COLLECTIONS PRIORITIZED HEALTH NEED: SUBSTANCE MISUSE -INCREASE OPPORTUNITIES TO ENGAGE IN SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION AND TREATMENT -FY23 no action steps taken PRIORITIZED HEALTH NEED: MENTAL HEALTH -INTEGRATE MENTAL HEALTH SERVICES, SUPPORT AND/OR EDUCATION INTO PRIMARY CARE CLINICS AND/OR EMERGENCY -FY23 no action steps taken ASCENSION SAINT THOMAS HAS DEVELOPED A MEASUREMENT AND EVALUATION PROCESS FOR THE IMPLEMENTATION STRATEGY. THE MINISTRY AND 501R COMMITTEE FOR ASCENSION SAINT THOMAS WILL MONITOR AND EVALUATE THE ACTION PLANS OUTLINED IN THIS PLAN FOR THE PURPOSE OF REPORTING AND DOCUMENTING THE IMPACT THESE ACTION PLANS HAVE ON THE COMMUNITY. ASCENSION SAINT THOMAS USES A TRACKING SYSTEM TO CAPTURE COMMUNITY BENEFIT ACTIVITIES AND IMPLEMENTATION. TO ENSURE ACCOUNTABILITY, DATA WILL BE AGGREGATED INTO AN ANNUAL COMMUNITY BENEFIT REPORT THAT WILL BE MADE AVAILABLE TO THE COMMUNITY. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Select Specialty Hospital - Nashville. Select Specialty Hospital - Nashville did not do presumptive scoring as they do not have access to a presumptive scoring tool. Saint Thomas Health is not the operating partner in this joint venture. Schedule H, Part V, Section B, Line 3E TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Saint Thomas Behavioral Health. SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL COMPLETED ITS TAX YEAR 2021 CHNA IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS: -HEALTHY NASHVILLE LEADERSHIP COUNCIL (HNLC) -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT (MPHD) -VANDERBILT UNIVERSITY MEDICAL CENTER - OFFICE OF HEALTH EQUITY -KATHRYN A. MATHES, PHD, MEASUREMENT MATTERS, LLC -TENNESSEE IMMIGRANT & REFUGEE RIGHTS COALITION -ELMAHABA CENTER THE HEALTHY NASHVILLE LEADERSHIP COUNCIL COLLABORATED WITH SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL BY PROVIDING ADVISORY SUPPORT ON MANY CHNA DECISIONS, DEVELOPING THE CHNA SUBCOMMITTEE FOR PRIORITIZATION, AND UTILIZING A HEALTH EQUITY LENS DURING ALL PHASES. THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT PROVIDED SIGNIFICANT SUPPORT TO ASCENSION SAINT THOMAS DURING THE CHNA PROCESS, INCLUDING COORDINATING INTERVIEWEES, SURVEY LINK DISTRIBUTION, HEALTH COUNCIL MEETING FACILITATIONS, AND SIGNIFICANT ANALYSIS FROM THE EPIDEMIOLOGY DEPARTMENT WHILE PRIORITIZING COMMUNITY HEALTH NEEDS. COMPLETED ITS 2021 CHNA IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS: -HEALTHY NASHVILLE LEADERSHIP COUNCIL (HNLC) -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT (MPHD) -VANDERBILT UNIVERSITY MEDICAL CENTER - OFFICE OF HEALTH EQUITY -KATHRYN A. MATHES, PHD, MEASUREMENT MATTERS, LLC -TENNESSEE IMMIGRANT & REFUGEE RIGHTS COALITION -ELMAHABA CENTER THE HEALTHY NASHVILLE LEADERSHIP COUNCIL COLLABORATED WITH SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL BY PROVIDING ADVISORY SUPPORT ON MANY CHNA DECISIONS, DEVELOPING THE CHNA SUBCOMMITTEE FOR PRIORITIZATION, AND UTILIZING A HEALTH EQUITY LENS DURING ALL PHASES. THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT PROVIDED SIGNIFICANT SUPPORT TO ASCENSION SAINT THOMAS DURING THE CHNA PROCESS, INCLUDING COORDINATING INTERVIEWEES, SURVEY LINK DISTRIBUTION, HEALTH COUNCIL MEETING FACILITATIONS, AND SIGNIFICANT ANALYSIS FROM THE EPIDEMIOLOGY DEPARTMENT WHILE PRIORITIZING COMMUNITY HEALTH NEEDS. VANDERBILT UNIVERSITY MEDICAL CENTER'S OFFICE OF HEALTH EQUITY HAS PARTNERED WITH SAINT THOMAS HOSPITAL FACILITIES ON THE PREVIOUS THREE CHNAS IN DAVIDSON COUNTY AND ENJOY A CLOSE RELATIONSHIP ON MANY OF THE ACTIVITIES THAT TOOK PLACE TO CONNECT ON COMMUNITY ENGAGEMENT, GATHER COMMUNITY INPUT, ANALYZE DATA, PRIORITIZE NEEDS, AND RESPOND TO COMMUNITY HEALTH COUNCILS. DR. KATHRYN MATHES CONTRACTED WITH SAINT THOMAS BEHAVIORAL HEALTH HOSPITALAND VANDERBILT UNIVERSITY MEDICAL CENTER'S OFFICE OF HEALTH EQUITY TO PROVIDE ANALYSIS FOR THE ONLINE COMMUNITY SURVEY FROM NOVEMBER 2021 TO JANUARY 2022. DR. MATHES HELPED TO CATEGORIZE RESPONSES IN ALIGNMENT WITH THE TEAM'S SOCIAL-ECOLOGICAL MODEL, QUANTIFY AND CODE THE RESPONSES, IDENTIFY THEMES THAT THE COMMUNITY WAS RAISING, AND ASSESS ANALYSIS OF RESPONSES BY COUNTY, AGE, RACE, AND ZIP CODE. SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL AND THE VANDERBILT UNIVERSITY OFFICE OF HEALTH EQUITY CONTRACTED WITH BOTH THE TENNESSEE IMMIGRANT AND REFUGEE RIGHTS COALITION (TIRRC) AND THE ELMAHABA CENTER TO IDENTIFY AND CONDUCT INTERVIEWS WITH COMMUNITY MEMBERS IN BOTH SPANISH AND ARABIC. SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL, AND SELECT SPECIALTY HOSPITAL - NASHVILLE IS GRATEFUL FOR THESE PARTNERSHIPS AND EXPERTISE. WE LOOK FORWARD TO MORE WAYS TO WORK TOGETHER TO IMPROVE THE HEALTH OF THE COMMUNITY. IN JANUARY 2021, ASCENSION SAINT THOMAS BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR DAVIDSON COUNTY AND WILLIAMSON COUNTY AND SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS: PLANNING MEETINGS WITH COMMUNITY PARTNERS TOOK PLACE BETWEEN JANUARY 2021-JUNE 2021. -26 LOCAL REPORTS FROM COMMUNITY PARTNERS WERE READ, ANALYZED AND CATALOGED AS A PART OF AN ENVIRONMENTAL SCAN FOR DAVIDSON COUNTY BETWEEN MARCH - SEPTEMBER 2021. -11 LOCAL REPORTS FROM COMMUNITY PARTNERS WERE READ, ANALYZED AND CATALOGED AS A PART OF AN ENVIRONMENTAL SCAN FOR WILLIAMSON COUNTY BETWEEN MARCH - SEPTEMBER 2021. INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED BETWEEN NOVEMBER 2021 - FEBRUARY 2022. -37 COMMUNITY MEMBERS REPRESENTING MANY SECTORS OF THE COMMUNITY, INCLUDING ARABIC AND SPANISH-SPEAKING CITIZENS, PARTICIPATED IN STAKEHOLDER INTERVIEWS IN DAVIDSON COUNTY. -22 COMMUNITY MEMBERS REPRESENTING MANY SECTORS OF THE COMMUNITY, INCLUDING ARABIC AND SPANISH-SPEAKING CITIZENS, PARTICIPATED IN STAKEHOLDER INTERVIEWS IN WILLIAMSON COUNTY. -A COMMUNITY SURVEY WAS DISTRIBUTED AND 366 RESPONSES WERE COLLECTED FROM NOVEMBER 1, 2021 THROUGH DECEMBER 3, 2021 IN DAVIDSON COUNTY. -A COMMUNITY SURVEY WAS DISTRIBUTED AND 177 RESPONSES WERE COLLECTED FROM NOVEMBER 1, 2021 THROUGH DECEMBER 3, 2021 IN WILLIAMSON COUNTY. HEALTHY NASHVILLE LEADERSHIP COUNCIL CHNA SUBCOMMITTEE: -FEBRUARY 8, 2022 - REVIEW ALL CHNA DATA, CONSIDER HEALTH EQUITY QUESTIONS AND VIEWS FROM OTHERS IN SUBCOMMITTEE, VOTE ON TOP NEEDS -FEBRUARY 10, 2022 - REVIEW VOTING RESULTS, PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS IN THE COUNTY, DISCUSS SOLUTIONS UTILIZING HEALTH EQUITY FRAMEWORK WILLIAMSON COUNTY HEALTH COUNCIL CHNA SUBCOMMITTEE: MARCH 1, 2022 - REVIEW ALL CHNA DATA, CONSIDER HEALTH EQUITY QUESTIONS AND VIEWS FROM OTHERS IN SUBCOMMITTEE, VOTE ON TOP NEEDS MARCH 3, 2022 - REVIEW VOTING RESULTS, PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS IN THE COUNTY, DISCUSS SOLUTIONS UTILIZING HEALTH EQUITY FRAMEWORK THE CHNA PROCESS IN DAVIDSON COUNTY IS COORDINATED BY THE HEALTHY NASHVILLE LEADERSHIP COUNCIL, WHICH HAS STAFFING SUPPORT FROM THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT, SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL AND VANDERBILT UNIVERSITY'S OFFICE OF HEALTH EQUITY. 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 1-1 INTERVIEW METHODOLOGY. ADDITIONALLY, THE HEALTHY NASHVILLE LEADERSHIP COUNCIL CONTAINS MEMBERS WHO SERVE IN 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 6a Facility , 1 Facility , 1 - Saint Thomas Behavioral Health. VANDERBILT UNIVERSITY MEDICAL CENTER SELECT SPECIALTY HOSPITAL - NASHVILLE SAINT THOMAS REHABILITATION HOSPITAL SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY SAINT THOMAS WEST HOSPITAL SAINT THOMAS MIDTOWN HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Saint Thomas Behavioral Health. -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT -HEALTHY NASHVILLE LEADERSHIP COUNCIL -DR. KATHRYN MATHES (CONTRACTOR FOR COMMUNITY SURVEY ANALYSIS) -TENNESSEE IMMIGRANT AND REFUGEE RIGHTS COALITION (TIRRC) (A COMMUNITY GROUP WHO ASSISTED IN CONDUCTING INTERVIEWS WITH COMMUNITY MEMBERS IN SPANISH) -ELMAHABA CENTER (A COMMUNITY CENTER WHO ASSISTED IN CONDUCTING INTERVIEWS WITH COMMUNITY MEMBERS IN ARABIC) Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Saint Thomas Behavioral Health. FOLLOWING THE COMPLETION OF THE TAX YEAR 2021 CHNA ASSESSMENT, SIGNIFICANT NEEDS WERE FURTHER NARROWED DOWN TO A SET OF PRIORITIZED NEEDS THAT THE HOSPITAL WILL ADDRESS WITHIN THE IMPLEMENTATION STRATEGY. TO ARRIVE AT THE PRIORITIZED NEEDS,SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL COLLABORATED WITH THE DAVIDSON COUNTY AND WILLIAMSON COUNTY HEALTH DEPARTMENTS AND THE DAVIDSON COUNTY AND WILLIAMSON COUNTY HEALTH COUNCILS TO FACILITATE DISCUSSIONS DURING DAVIDSON AND WILLIAMSON HEALTH COUNCIL MEETINGS IN FEBRUARY AND MARCH 2022 TO PRIORITIZE THE TOP NEEDS IN THEIR RESPECTIVE COMMUNITIES. COMMUNITY MEMBERS IN DAVIDSON COUNTY CHOSE TO PRIORITIZE FIVE NEEDS: WHOLE HEALTH, HOUSING/TRANSPORTATION, FOOD ACCESS/FOOD INSECURITY, ECONOMIC OPPORTUNITY AND JOB SKILL DEVELOPMENT AND AWARENESS AND NAVIGATION OF COMMUNITY RESOURCES. COMMUNITY MEMBERS IN WILLIAMSON COUNTY PRIORITIZED FOUR NEEDS: AFFORDABLE HOUSING, MENTAL HEALTH, HEALTHY LIVING AND PREVENTION AND SUBSTANCE MISUSE. SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL IDENTIFIED ADDITIONAL CRITERIA TO PRIORITIZE THE SIGNIFICANT NEEDS INCLUDING: -HEALTH EQUITY LENS AND FRAMEWORK - HAVE DISPARITIES FOR LOW-INCOME AND PEOPLE OF COLOR BEEN IDENTIFIED THROUGH THE CHNA PROCESS? -FEASIBILITY - THE ABILITY TO MAKE PROGRESS AND CAPTURE DATA RELATED TO HEALTH IMPACT. -COMMUNITY READINESS AND MOMENTUM - IS THE COMMUNITY READY TO ADDRESS OR MODIFY INTERVENTIONS TO ADDRESS THE ISSUE? -ALIGNMENT WITH OTHERS - IS THIS NEED IN ALIGNMENT WITH OUR ORGANIZATION'S STRENGTHS? HAS THIS NEED ALSO BEEN IDENTIFIED IN THE COMMUNITY? -SOCIAL DETERMINANTS OF HEALTH FOLLOWING THE COMPLETION OF THE TAX YEAR 2021 CHNA, SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL HAS SELECTED THE PRIORITIZED NEEDS OUTLINED BELOW FOR ITS TAX YEAR 2021 IMPLEMENTATION STRATEGY. ASCENSION HAS DEFINED "PRIORITIZED NEEDS'' AS THE SIGNIFICANT NEEDS WHICH HAVE BEEN PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREE-YEAR CHNA CYCLE: -ACCESS TO CARE - THIS NEED WAS SELECTED BECAUSE ACCESS TO CARE IS IN ALIGNMENT WITH THE ORGANIZATIONAL STRENGTHS AND PRIORITIES, AND WAS IDENTIFIED AS A TOP PRIORITY BY MOST ASCENSION TENNESSEE MINISTRIES. -MENTAL HEALTH - THIS NEED WAS SELECTED BECAUSE MENTAL HEALTH WAS ONE OF THE OVERALL TOP NEEDS IDENTIFIED BY ASCENSION TENNESSEE MINISTRIES DURING THE 2021 CHNA PROCESS. -SUBSTANCE MISUSE - THIS NEED WAS SELECTED BECAUSE SUBSTANCE MISUSE WAS ONE OF THE OVERALL TOP NEEDS IDENTIFIED BY ASCENSION TENNESSEE MINISTRIES DURING THE 2021 CHNA PROCESS. SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL UNDERSTANDS THE IMPORTANCE OF ALL THE HEALTH NEEDS OF THE COMMUNITY AND IS COMMITTED TO PLAYING AN ACTIVE ROLE IN IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES. FOR THE PURPOSES OF THIS IMPLEMENTATION STRATEGY, SAINT THOMAS BEHAVIORAL HEALTH HOSPITALHAS CHOSEN TO FOCUS ITS EFFORTS ON THE PRIORITIES LISTED ABOVE. DURING THE CHNA AND IMPLEMENTATION STRATEGY BRAINSTORMING PHASE ACROSS THE ASCENSION TENNESSEE MINISTRY (8 COUNTIES), COMMUNITY BENEFIT AND HOSPITAL LEADERS AGREED TO A COLLECTIVE IMPACT MODEL TOWARD ADDRESSING NEEDS THAT APPEARED IN MULTIPLE COUNTIES.THIS MODEL IS AN EFFORT TO ALLOCATE RESOURCES IN WAYS THAT CAN MORE MEANINGFULLY IMPACT PRIORITY AREAS. THE 3 NEEDS CHOSEN (ACCESS TO CARE, MENTAL HEALTH, AND SUBSTANCE MISUSE) WERE PRIORITIZED IN 5 OR MORE OF THE (8) COUNTIES SURVEYED. HOWEVER, ADDITIONAL NEEDS AND SOCIAL DRIVERS THAT WERE IDENTIFIED IN EACH COMMUNITY WILL BE MONITORED AND ADDRESSED THROUGH FOCUS PRIORITY AREAS. THE TAX YEAR 2021 IMPLEMENTATION STRATEGIES ARE BASED ON PRIORITIZED NEEDS FROM THE HOSPITAL'S MOST RECENT CHNA. THESE STRATEGIES AND ACTION PLANS REPRESENT WHERE THE HOSPITAL WILL FOCUS ITS COMMUNITY EFFORTS OVER THE NEXT THREE YEARS. WHILE THESE REMAIN A PRIORITY, THE HOSPITAL WILL CONTINUE TO OFFER ADDITIONAL PROGRAMS AND SERVICES TO MEET THE NEEDS OF THE COMMUNITY, WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. PRIORITIZED HEALTH NEED: ACCESS TO CARE -SUPPORT BRINGING TOGETHER DIFFERENT SECTORS TO UTILIZE LOCAL DATA TO WORK TOGETHER ON SOLUTIONS ---FOR SHARED TOP HEALTH NEEDS -FY23 ACTIVE PARTNER IN THE PARTNERS IN CARE PROGRAM VIA THE METRO NASHVILLE POLICE DEPARTMENT. THIS PROGRAM IS A COLLABORATION WITH LOCAL LAW ENFORCEMENT, MENTAL HEALTH COOPERATIVE, AND OTHER METRO NASHVILLE GOVERNMENT AGENCIES TO BETTER IMPROVE ACCESS TO CARE FOR PERSONS THAT ARE EXPERIENCING BEHAVIORAL HEALTH CRISIS. PRIORITIZED HEALTH NEED: SUBSTANCE MISUSE -INCREASE OPPORTUNITIES TO ENGAGE IN SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION AND TREATMENT -FY23 EXPLORING OPPORTUNITIES TO PARTNER AND INVEST IN THE LOCAL COMMUNITY PRIORITIZED HEALTH NEED: MENTAL HEALTH -INTEGRATE MENTAL HEALTH SERVICES, SUPPORT AND/OR EDUCATION INTO PRIMARY CARE CLINICS AND/OR EMERGENCY -FY23 ACTIVE PARTICIPANT IN THE WILLIAMSON COUNTY HEALTH COUNCIL MEETINGS AND MENTAL HEALTH WORKGROUP. CONTINUED EFFORTS TO JOIN LOCAL COMMUNITY HEALTH COUNCIL AND OTHER COMMUNITY BOARDS THAT FOCUS ON THE PRIORITY OF MENTAL HEALTH ASCENSION SAINT THOMAS HAS DEVELOPED A MEASUREMENT AND EVALUATION PROCESS FOR THE IMPLEMENTATION STRATEGY. THE MINISTRY AND 501R COMMITTEE FOR ASCENSION SAINT THOMAS WILL MONITOR AND EVALUATE THE ACTION PLANS OUTLINED IN THIS PLAN FOR THE PURPOSE OF REPORTING AND DOCUMENTING THE IMPACT THESE ACTION PLANS HAVE ON THE COMMUNITY. ASCENSION SAINT THOMAS USES A TRACKING SYSTEM TO CAPTURE COMMUNITY BENEFIT ACTIVITIES AND IMPLEMENTATION. TO ENSURE ACCOUNTABILITY, DATA WILL BE AGGREGATED INTO AN ANNUAL COMMUNITY BENEFIT REPORT THAT WILL BE MADE AVAILABLE TO THE COMMUNITY. Schedule H, Part V, Section B, Line 3E TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Saint Thomas Rehabilitation Hospital. SAINT THOMAS REHABILITATION HOSPITAL COMPLETED ITS TAX YEAR 2021 CHNA IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS: -HEALTHY NASHVILLE LEADERSHIP COUNCIL (HNLC) -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT (MPHD) -VANDERBILT UNIVERSITY MEDICAL CENTER - OFFICE OF HEALTH EQUITY -KATHRYN A. MATHES, PHD, MEASUREMENT MATTERS, LLC -TENNESSEE IMMIGRANT & REFUGEE RIGHTS COALITION -ELMAHABA CENTER THE HEALTHY NASHVILLE LEADERSHIP COUNCIL COLLABORATED WITH ASCENSION SAINT THOMAS REHABILITATION HOSPITAL, ASCENSION SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL, AND SELECT SPECIALTY HOSPITAL - NASHVILLE BY PROVIDING ADVISORY SUPPORT ON MANY CHNA DECISIONS, DEVELOPING THE CHNA SUBCOMMITTEE FOR PRIORITIZATION, AND UTILIZING A HEALTH EQUITY LENS DURING ALL PHASES. THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT PROVIDED SIGNIFICANT SUPPORT TO ASCENSION SAINT THOMAS DURING THE CHNA PROCESS, INCLUDING COORDINATING INTERVIEWEES, SURVEY LINK DISTRIBUTION, HEALTH COUNCIL MEETING FACILITATIONS, AND SIGNIFICANT ANALYSIS FROM THE EPIDEMIOLOGY DEPARTMENT WHILE PRIORITIZING COMMUNITY HEALTH NEEDS. COMPLETED ITS TAX YEAR 2021 CHNA IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS: -HEALTHY NASHVILLE LEADERSHIP COUNCIL (HNLC) -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT (MPHD) -VANDERBILT UNIVERSITY MEDICAL CENTER - OFFICE OF HEALTH EQUITY -KATHRYN A. MATHES, PHD, MEASUREMENT MATTERS, LLC -TENNESSEE IMMIGRANT & REFUGEE RIGHTS COALITION -ELMAHABA CENTER THE HEALTHY NASHVILLE LEADERSHIP COUNCIL COLLABORATED WITH SAINT THOMAS REHABILITATION HOSPITAL BY PROVIDING ADVISORY SUPPORT ON MANY CHNA DECISIONS, DEVELOPING THE CHNA SUBCOMMITTEE FOR PRIORITIZATION, AND UTILIZING A HEALTH EQUITY LENS DURING ALL PHASES. THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT PROVIDED SIGNIFICANT SUPPORT TO ASCENSION SAINT THOMAS DURING THE CHNA PROCESS, INCLUDING COORDINATING INTERVIEWEES, SURVEY LINK DISTRIBUTION, HEALTH COUNCIL MEETING FACILITATIONS, AND SIGNIFICANT ANALYSIS FROM THE EPIDEMIOLOGY DEPARTMENT WHILE PRIORITIZING COMMUNITY HEALTH NEEDS. VANDERBILT UNIVERSITY MEDICAL CENTER'S OFFICE OF HEALTH EQUITY HAS PARTNERED WITH SAINT THOMAS HOSPITAL FACILITIES ON THE PREVIOUS THREE CHNAS IN DAVIDSON COUNTY AND ENJOY A CLOSE RELATIONSHIP ON MANY OF THE ACTIVITIES THAT TOOK PLACE TO CONNECT ON COMMUNITY ENGAGEMENT, GATHER COMMUNITY INPUT, ANALYZE DATA, PRIORITIZE NEEDS, AND RESPOND TO COMMUNITY HEALTH COUNCILS. DR. KATHRYN MATHES CONTRACTED WITH SAINT THOMAS REHABILITATION HOSPITAL AND VANDERBILT UNIVERSITY MEDICAL CENTER'S OFFICE OF HEALTH EQUITY TO PROVIDE ANALYSIS FOR THE ONLINE COMMUNITY SURVEY FROM NOVEMBER 2021 TO JANUARY 2022. DR. MATHES HELPED TO CATEGORIZE RESPONSES IN ALIGNMENT WITH THE TEAM'S SOCIAL-ECOLOGICAL MODEL, QUANTIFY AND CODE THE RESPONSES, IDENTIFY THEMES THAT THE COMMUNITY WAS RAISING, AND ASSESS ANALYSIS OF RESPONSES BY COUNTY, AGE, RACE, AND ZIP CODE. SAINT THOMAS REHABILITATION HOSPITALAND THE VANDERBILT UNIVERSITY OFFICE OF HEALTH EQUITY CONTRACTED WITH BOTH THE TENNESSEE IMMIGRANT AND REFUGEE RIGHTS COALITION (TIRRC) AND THE ELMAHABA CENTER TO IDENTIFY AND CONDUCT INTERVIEWS WITH COMMUNITY MEMBERS IN BOTH SPANISH AND ARABIC. SAINT THOMAS REHABILITATION HOSPITAL IS GRATEFUL FOR THESE PARTNERSHIPS AND EXPERTISE. WE LOOK FORWARD TO MORE WAYS TO WORK TOGETHER TO IMPROVE THE HEALTH OF THE COMMUNITY. IN JANUARY 2021, ASCENSION SAINT THOMAS BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR DAVIDSON COUNTY AND WILLIAMSON COUNTY AND SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS: PLANNING MEETINGS WITH COMMUNITY PARTNERS TOOK PLACE BETWEEN JANUARY 2021-JUNE 2021. -26 LOCAL REPORTS FROM COMMUNITY PARTNERS WERE READ, ANALYZED AND CATALOGED AS A PART OF AN ENVIRONMENTAL SCAN FOR DAVIDSON COUNTY BETWEEN MARCH - SEPTEMBER 2021. -11 LOCAL REPORTS FROM COMMUNITY PARTNERS WERE READ, ANALYZED AND CATALOGED AS A PART OF AN ENVIRONMENTAL SCAN FOR WILLIAMSON COUNTY BETWEEN MARCH - SEPTEMBER 2021. INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED BETWEEN NOVEMBER 2021 - FEBRUARY 2022. -37 COMMUNITY MEMBERS REPRESENTING MANY SECTORS OF THE COMMUNITY, INCLUDING ARABIC AND SPANISH-SPEAKING CITIZENS, PARTICIPATED IN STAKEHOLDER INTERVIEWS IN DAVIDSON COUNTY. -22 COMMUNITY MEMBERS REPRESENTING MANY SECTORS OF THE COMMUNITY, INCLUDING ARABIC AND SPANISH-SPEAKING CITIZENS, PARTICIPATED IN STAKEHOLDER INTERVIEWS IN WILLIAMSON COUNTY. -A COMMUNITY SURVEY WAS DISTRIBUTED AND 366 RESPONSES WERE COLLECTED FROM NOVEMBER 1, 2021 THROUGH DECEMBER 3, 2021 IN DAVIDSON COUNTY. -A COMMUNITY SURVEY WAS DISTRIBUTED AND 177 RESPONSES WERE COLLECTED FROM NOVEMBER 1, 2021 THROUGH DECEMBER 3, 2021 IN WILLIAMSON COUNTY. HEALTHY NASHVILLE LEADERSHIP COUNCIL CHNA SUBCOMMITTEE: -FEBRUARY 8, 2022 - REVIEW ALL CHNA DATA, CONSIDER HEALTH EQUITY QUESTIONS AND VIEWS FROM OTHERS IN SUBCOMMITTEE, VOTE ON TOP NEEDS -FEBRUARY 10, 2022 - REVIEW VOTING RESULTS, PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS IN THE COUNTY, DISCUSS SOLUTIONS UTILIZING HEALTH EQUITY FRAMEWORK WILLIAMSON COUNTY HEALTH COUNCIL CHNA SUBCOMMITTEE: MARCH 1, 2022 - REVIEW ALL CHNA DATA, CONSIDER HEALTH EQUITY QUESTIONS AND VIEWS FROM OTHERS IN SUBCOMMITTEE, VOTE ON TOP NEEDS MARCH 3, 2022 - REVIEW VOTING RESULTS, PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS IN THE COUNTY, DISCUSS SOLUTIONS UTILIZING HEALTH EQUITY FRAMEWORK THE CHNA PROCESS IN DAVIDSON COUNTY IS COORDINATED BY THE HEALTHY NASHVILLE LEADERSHIP COUNCIL, WHICH HAS STAFFING SUPPORT FROM THE METRO NASHVILLE PUBLIC HEALTH DEPARTMENT, SAINT THOMAS REHABILITATION HOSPITALAND VANDERBILT UNIVERSITY'S OFFICE OF HEALTH EQUITY. 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 1-1 INTERVIEW METHODOLOGY. ADDITIONALLY, THE HEALTHY NASHVILLE LEADERSHIP COUNCIL CONTAINS MEMBERS WHO SERVE IN 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 6a Facility , 1 Facility , 1 - Saint Thomas Rehabilitation Hospital. VANDERBILT UNIVERSITY MEDICAL CENTER SELECT SPECIALTY HOSPITAL - NASHVILLE SAINT THOMAS BEHAVIORAL HEALTH SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY SAINT THOMAS WEST HOSPITAL SAINT THOMAS MIDTOWN HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Saint Thomas Rehabilitation Hospital. -METRO NASHVILLE PUBLIC HEALTH DEPARTMENT -HEALTHY NASHVILLE LEADERSHIP COUNCIL -DR. KATHRYN MATHES (CONTRACTOR FOR COMMUNITY SURVEY ANALYSIS) -TENNESSEE IMMIGRANT AND REFUGEE RIGHTS COALITION (TIRRC) (A COMMUNITY GROUP WHO ASSISTED IN CONDUCTING INTERVIEWS WITH COMMUNITY MEMBERS IN SPANISH) -ELMAHABA CENTER (A COMMUNITY CENTER WHO ASSISTED IN CONDUCTING INTERVIEWS WITH COMMUNITY MEMBERS IN ARABIC) Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Saint Thomas Rehabilitation Hospital. SAINT THOMAS REHABILITATION HOSPITAL WAS A NEW JOINT VENTURE PARTNERSHIP IN FISCAL YEAR 2022. TO CREATE CONSISTENCY AND LEVERAGE WE CONDUCTED THE CHNA AND IS IN THE SAME TIME FRAME AS OUR OTHER HOSPITALS. THIS FACILITY WAS NOT PARTICIPATING IN 501(R) ACTIVITIES PRIOR TO 2021, BUT WE LOOK FORWARD TO THE COMMUNITY-FACING STRATEGIES THAT HAVE BEEN ADOPTED IN FISCAL YEAR 2022. FOLLOWING THE COMPLETION OF THE TAX YEAR 2021 CHNA ASSESSMENT, SIGNIFICANT NEEDS WERE FURTHER NARROWED DOWN TO A SET OF PRIORITIZED NEEDS THAT THE HOSPITAL WILL ADDRESS WITHIN THE IMPLEMENTATION STRATEGY. TO ARRIVE AT THE PRIORITIZED NEEDS, SAINT THOMAS REHABILITATION HOSPITAL COLLABORATED WITH THE DAVIDSON COUNTY AND WILLIAMSON COUNTY HEALTH DEPARTMENTS AND THE DAVIDSON COUNTY AND WILLIAMSON COUNTY HEALTH COUNCILS TO FACILITATE DISCUSSIONS DURING DAVIDSON AND WILLIAMSON HEALTH COUNCIL MEETINGS IN FEBRUARY AND MARCH 2022 TO PRIORITIZE THE TOP NEEDS IN THEIR RESPECTIVE COMMUNITIES. COMMUNITY MEMBERS IN DAVIDSON COUNTY CHOSE TO PRIORITIZE FIVE NEEDS: WHOLE HEALTH, HOUSING/TRANSPORTATION, FOOD ACCESS/FOOD INSECURITY, ECONOMIC OPPORTUNITY AND JOB SKILL DEVELOPMENT AND AWARENESS AND NAVIGATION OF COMMUNITY RESOURCES. COMMUNITY MEMBERS IN WILLIAMSON COUNTY PRIORITIZED FOUR NEEDS: AFFORDABLE HOUSING, MENTAL HEALTH, HEALTHY LIVING AND PREVENTION AND SUBSTANCE MISUSE. SAINT THOMAS REHABILITATION HOSPITAL IDENTIFIED ADDITIONAL CRITERIA TO PRIORITIZE THE SIGNIFICANT NEEDS INCLUDING: -HEALTH EQUITY LENS AND FRAMEWORK - HAVE DISPARITIES FOR LOW-INCOME AND PEOPLE OF COLOR BEEN IDENTIFIED THROUGH THE CHNA PROCESS? -FEASIBILITY - THE ABILITY TO MAKE PROGRESS AND CAPTURE DATA RELATED TO HEALTH IMPACT. -COMMUNITY READINESS AND MOMENTUM - IS THE COMMUNITY READY TO ADDRESS OR MODIFY INTERVENTIONS TO ADDRESS THE ISSUE? -ALIGNMENT WITH OTHERS - IS THIS NEED IN ALIGNMENT WITH OUR ORGANIZATION'S STRENGTHS? HAS THIS NEED ALSO BEEN IDENTIFIED IN THE COMMUNITY? -SOCIAL DETERMINANTS OF HEALTH FOLLOWING THE COMPLETION OF THE TAX YEAR 2021 CHNA, SAINT THOMAS REHABILITATION HOSPITAL HAS SELECTED THE PRIORITIZED NEEDS OUTLINED BELOW FOR ITS TAX YEAR 2021 IMPLEMENTATION STRATEGY. ASCENSION HAS DEFINED "PRIORITIZED NEEDS'' AS THE SIGNIFICANT NEEDS WHICH HAVE BEEN PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREE-YEAR CHNA CYCLE: -ACCESS TO CARE - THIS NEED WAS SELECTED BECAUSE ACCESS TO CARE IS IN ALIGNMENT WITH THE ORGANIZATIONAL STRENGTHS AND PRIORITIES, AND WAS IDENTIFIED AS A TOP PRIORITY BY MOST ASCENSION TENNESSEE MINISTRIES. -MENTAL HEALTH - THIS NEED WAS SELECTED BECAUSE MENTAL HEALTH WAS ONE OF THE OVERALL TOP NEEDS IDENTIFIED BY ASCENSION TENNESSEE MINISTRIES DURING THE 2021 CHNA PROCESS. -SUBSTANCE MISUSE - THIS NEED WAS SELECTED BECAUSE SUBSTANCE MISUSE WAS ONE OF THE OVERALL TOP NEEDS IDENTIFIED BY ASCENSION TENNESSEE MINISTRIES DURING THE 2021 CHNA PROCESS. SAINT THOMAS REHABILITATION HOSPITALUNDERSTANDS THE IMPORTANCE OF ALL THE HEALTH NEEDS OF THE COMMUNITY AND IS COMMITTED TO PLAYING AN ACTIVE ROLE IN IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES. FOR THE PURPOSES OF THIS IMPLEMENTATION STRATEGY, SAINT THOMAS REHABILITATION HOSPITAL HAS CHOSEN TO FOCUS ITS EFFORTS ON THE PRIORITIES LISTED ABOVE. DURING THE CHNA AND IMPLEMENTATION STRATEGY BRAINSTORMING PHASE ACROSS THE ASCENSION TENNESSEE MINISTRY (8 COUNTIES), COMMUNITY BENEFIT AND HOSPITAL LEADERS AGREED TO A COLLECTIVE IMPACT MODEL TOWARD ADDRESSING NEEDS THAT APPEARED IN MULTIPLE COUNTIES.THIS MODEL IS AN EFFORT TO ALLOCATE RESOURCES IN WAYS THAT CAN MORE MEANINGFULLY IMPACT PRIORITY AREAS. THE 3 NEEDS CHOSEN (ACCESS TO CARE, MENTAL HEALTH, AND SUBSTANCE MISUSE) WERE PRIORITIZED IN 5 OR MORE OF THE (8) COUNTIES SURVEYED. HOWEVER, ADDITIONAL NEEDS AND SOCIAL DRIVERS THAT WERE IDENTIFIED IN EACH COMMUNITY WILL BE MONITORED AND ADDRESSED THROUGH FOCUS PRIORITY AREAS. THE TAX YEAR 2021 IMPLEMENTATION STRATEGIES ARE BASED ON PRIORITIZED NEEDS FROM THE HOSPITAL'S MOST RECENT CHNA. THESE STRATEGIES AND ACTION PLANS REPRESENT WHERE THE HOSPITAL WILL FOCUS ITS COMMUNITY EFFORTS OVER THE NEXT THREE YEARS. WHILE THESE REMAIN A PRIORITY, THE HOSPITAL WILL CONTINUE TO OFFER ADDITIONAL PROGRAMS AND SERVICES TO MEET THE NEEDS OF THE COMMUNITY, WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. PRIORITIZED HEALTH NEED: ACCESS TO CARE -SUPPORT BRINGING TOGETHER DIFFERENT SECTORS TO UTILIZE LOCAL DATA TO WORK TOGETHER ON SOLUTIONS FOR SHARED TOP HEALTH NEEDS -FY23 EXPLORING OPPORTUNITIES TO PARTNER AND INVEST IN THE LOCAL COMMUNITY PRIORITIZED HEALTH NEED: SUBSTANCE MISUSE -INCREASE OPPORTUNITIES TO ENGAGE IN SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION AND TREATMENT -FY23 NO ACTION STEPS TAKEN PRIORITIZED HEALTH NEED: MENTAL HEALTH -INTEGRATE MENTAL HEALTH SERVICES, SUPPORT AND/OR EDUCATION INTO PRIMARY CARE CLINICS AND/OR EMERGENCY -FY23 NO ACTION STEPS TAKEN ASCENSION SAINT THOMAS HAS DEVELOPED A MEASUREMENT AND EVALUATION PROCESS FOR THE IMPLEMENTATION STRATEGY. THE MINISTRY AND 501R COMMITTEE FOR ASCENSION SAINT THOMAS WILL MONITOR AND EVALUATE THE ACTION PLANS OUTLINED IN THIS PLAN FOR THE PURPOSE OF REPORTING AND DOCUMENTING THE IMPACT THESE ACTION PLANS HAVE ON THE COMMUNITY. ASCENSION SAINT THOMAS USES A TRACKING SYSTEM TO CAPTURE COMMUNITY BENEFIT ACTIVITIES AND IMPLEMENTATION. TO ENSURE ACCOUNTABILITY, DATA WILL BE AGGREGATED INTO AN ANNUAL COMMUNITY BENEFIT REPORT THAT WILL BE MADE AVAILABLE TO THE COMMUNITY. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Saint Thomas Rehabilitation Hospital. Saint Thomas Rehabilitation Hospital had an unintentional gap in publishing their translations in FY23. The translations were not complete until July 17, 2023 for all documents except the List of Providers Covered and Non-Covered under the FAP which was completed Jan 15,2024. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Saint Thomas Rehabilitation Hospital. SAINT THOMAS REHABILITATION HOSPITAL Did NOT DO PRESUMPTIVE SCORING AS THEY DO NOT HAVE ACCESS TO A PRESUMPTIVE SCORING TOOL. SAINT THOMAS HEALTH IS NOT THE OPERATING PARTNER IN THIS JOINT VENTURE. 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 III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2023 was $902,954 at charges, ($753,917 at cost). 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 17-19, 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SAINT THOMAS HEALTH 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. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES. Schedule H, Part V, Section B, Line 16a FAP website - Select Specialty Hospital - Nashville: Line 16a URL: https://www.selectspecialtyhospitals.com/locations-and-tours/tn/nashville/nashville-west/#anchorFAP; - Saint Thomas Behavioral Health: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; - Saint Thomas Rehabilitation Hospital: Line 16a URL: https://www.ascensionsaintthomasrehabhospital.com/patient-experience/financial-assistance-policy; Schedule H, Part V, Section B, Line 16b FAP Application website - Select Specialty Hospital - Nashville: Line 16b URL: https://www.selectspecialtyhospitals.com/locations-and-tours/tn/nashville/nashville-west/#anchorFAP; - Saint Thomas Behavioral Health: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; - Saint Thomas Rehabilitation Hospital: Line 16b URL: https://www.ascensionsaintthomasrehabhospital.com/patient-experience/financial-assistance-policy; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Select Specialty Hospital - Nashville: Line 16c URL: https://www.selectspecialtyhospitals.com/locations-and-tours/tn/nashville/nashville-west/#anchorFAP; - Saint Thomas Behavioral Health: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; - Saint Thomas Rehabilitation Hospital: Line 16c URL: https://www.ascensionsaintthomasrehabhospital.com/patient-experience/financial-assistance-policy; Schedule H, Part VI, Line 2 Needs assessment SAINT THOMAS HEALTH USES 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, SOCIOECONOMIC STATUS, DISPARITIES, AND OTHER DEMOGRAPHICS THAT IDENTIFY AREAS OF FOCUS AND INFORM OUR STRATEGIES. THESE REPORTS INCLUDE, BUT ARE NOT LIMITED TO: -US CENSUS BUREAU -SG2 HEALTHCARE INTELLIGENCE -HEALTHCARE CLAIMS DATASETS -STATE DATASETS -CMS -INTERNAL DATA SETS SAINT THOMAS HEALTH UTILIZES INFORMATION FROM THESE SOURCES TO DEVELOP PROGRAMS AND PROVIDE APPROPRIATE SERVICES NEEDED THROUGHOUT THE REGION. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance SAINT THOMAS HEALTH 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 HEALTH HOSPITAL'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 HEALTH HOSPITAL PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. SAINT THOMAS HEALTH 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/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital-midtown/financial-assistance-and-mdsave SAINT THOMAS HEALTH 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 HEALTH 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 HEALTH INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. Schedule H, Part VI, Line 4 Community information SAINT THOMAS HEALTH WHICH CONSISTS OF THE FOLLOWING HOSPITAL FACILITIES: ASCENSION SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL, SELECT SPECIALTY HOSPITAL NASHVILLE AND ASCENSION SAINT THOMAS REHABILITATION HOSPITAL, SERVE TEN COUNTIES IN ITS PRIMARY SERVICE AREA (PSA) AND 76.3% OF THE HOSPITAL'S ANNUAL ADMISSIONS COME FROM THESE COUNTIES. THE PSA HAS APPROXIMATELY 2,230,747 RESIDENTS AND IS PROJECTED TO GROW BY 6.4% OVER THE NEXT FIVE YEARS. MEDIAN AGE IN THE PSA IS 36.7. PROJECTED FIVE-YEAR MEDIAN AGE IS 36.7. IN THE PSA, THE 18-44 AGE RANGE IS PROJECTED TO GROW BY 2.2% AND THE 65+ AGE RANGE IS PROJECTED TO GROW BY 21.3% OVER THE NEXT 5 YEARS. PSA MEDIAN HOUSEHOLD INCOME IS $74,748. WITHIN THE TEN COUNTY PRIMARY SERVICE AREA, THERE ARE TWO COUNTIES DESIGNATED AS A MEDICALLY UNDERSERVED AREA, THREE COUNTIES DESIGNATED AS A MEDICALLY UNDERSERVED POPULATION AND ONE COUNTY DESIGNATED AS A PARTIALLY MEDICALLY UNDERSERVED AREA. THERE ARE NINE OTHER PSYCHIATRIC CARE HOSPITALS LOCATED WITHIN THE PRIMARY SERVICE AREA. THERE ARE NO OTHER LTACHS IN THE DESIGNATED PSA. THERE ARE THREE OTHER ACUTE REHABILITATION HOSPITALS IN THE AREA AND FIVE ACUTE REHABILITATION UNITS (ARUS) INCLUDING ASCENSION SAINT THOMAS MCMINNVILLE. Schedule H, Part VI, Line 5 Promotion of community health SAINT THOMAS HEALTH'S GOVERNING BODY CONSISTS OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF SAINT THOMAS HEALTH'S GOVERNING BODY RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. SAINT THOMAS HEALTH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS. SAINT THOMAS HEALTH APPLIED SURPLUS FUNDS FOR IMPROVEMENTS IN PATIENT CARE WITH OVER $1.2M INVESTED BACK INTO PATIENT CARE PROJECTS IN FY23. SAINT THOMAS HEALTH PROVIDED OVER $2.4M IN CARE TO THE POOR IN FY23. Schedule H, Part VI, Line 6 Affiliated health care system SAINT THOMAS HEALTH 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 HEALTH 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 Health Foundations C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 501(C)(3) 2368869 GENERAL SUPPORT 1 0 SCHOLARSHIPS 7 11818 PATIENT RENT/MORTGAGE 13 4459 PATIENT UTILITIES 3 838 MEDICAL EQUIPMENT FOR PATIENT 4 2130 CREMATION PACKAGE FOR PATIENT 3 1440 PATIENT PHARMACY 5 209 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE MAJORITY OF OUR GRANTS ARE GIVEN TO RELATED TAX EXEMPT ORGANIZATIONS, THEREFORE NO MONITORING IS DONE BECAUSE THOSE ORGANIZATIONS HAVE THE SAME MISSION AND EXEMPT PURPOSES AS OUR ORGANIZATION. ANY GRANTS THAT ARE GIVEN TO INDIVIDUALS OR ORGANIZATIONS OUTSIDE OF OUR RELATED SYSTEM ARE DONE SO TO CARRY OUT THE MISSION AND PURPOSE OF THE ASCENSION HEALTH SYSTEM SUPPORTED ORGANIZATIONS. X true true true true false false false false false false false TIMOTHY PAUL ADAMS PRESIDENT/CEO, MINISTRY MARKET EXECUTIVE (END 12/2022) 0 742579 0 900000 0 137693 0 16775 0 38645 0 1835692 0 0 FAHAD TAHIR PRESIDENT/CEO, MINISTRY MARKET EXECUTIVE (START 1/2023) 0 437699 0 199334 0 50341 0 19825 0 10782 0 717981 0 0 MARK F AARON MD DIRECTOR 0 584171 0 131322 0 4902 0 19825 0 31889 0 772109 0 0 RACHEL BALLARD MEHR MD DIRECTOR 0 202877 0 182166 0 1226 0 16775 0 27432 0 430476 0 0 STEVEN MAURICE VANHOOK MD DIRECTOR 0 359936 0 20000 0 1107 0 19825 0 27160 0 428028 0 0 KAREN L SPRINGER FORMER OFFICER (END 12/2017) 0 619808 0 2407742 0 866665 0 16059 0 11009 0 3921283 0 0 ALLEN B WILCOX MD FORMER OFFICER (END 12/2020) 0 543490 0 251733 0 70228 0 18300 0 28715 0 912466 0 0 BRANDON MICHAEL WILLIAMS CFO, MINISTRY MARKET (START 11/2022) 0 400223 0 200750 0 45375 0 16775 0 31060 0 694183 0 0 LISA RENEE DAVIS CFO, MINISTRY MARKET (END 11/2022) 0 458494 0 264000 0 54702 0 19825 0 16288 0 813309 0 0 MICHELLE L ROBERTSON FORMER KEY EMPLOYEE (END 12/2017) 0 293450 0 517500 0 72194 0 17760 0 18453 0 919357 0 0 AMY DEE WILSON FORMER KEY EMPLOYEE (END 3/2019) 0 260870 0 600000 0 309537 0 5384 0 13180 0 1188971 0 0 GREGORY LAMAR JAMES MD FORMER KEY EMPLOYEE (END 12/2017) 0 498476 0 459000 0 80708 0 9150 0 26164 0 1073498 0 0 MARK PHILLIPS RN CHIEF NURSING OFFICER 171133 0 0 0 64015 0 2579 0 6061 0 243788 0 0 0 YVETTE DORAN CHIEF OPERATING OFFICER 257653 0 99000 0 103997 0 8106 0 18076 0 486832 0 0 0 GEOFFREY HOLT SMALLWOOD MD MEDICAL DIRECTOR 363448 0 39390 0 5558 0 18300 0 21914 0 448610 0 0 0 GORDON B FERGUSON PRESIDENT, RUTHERFORD 437507 0 219700 0 105090 0 19825 0 16728 0 798850 0 0 0 PATRICK NEAL KELLEY MD PRESIDENT, RIVER PARK 341341 0 105600 0 29683 0 19825 0 24524 0 520973 0 0 0 SHUBHADA JAGASIA PRESIDENT, WEST 573232 0 236250 0 65143 0 15250 0 22388 0 912263 0 0 0 DAVID A NEU VP, PHARMACY 252267 0 79500 0 13920 0 18381 0 13474 0 377542 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Yvette Doran 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 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization DURING CALENDAR YEAR 2022: KAREN L. SPRINGER: $581,539 AMY DEE WILSON: $240,385 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 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 Health has a single corporate member, Ascension Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Saint Thomas Health has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Saint Thomas Health. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Ascension 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 Contracted Services Revenue - Total Revenue: 31674, Related or Exempt Function Revenue: 31674, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Income from Joint Ventures - Total Revenue: -1261508, Related or Exempt Function Revenue: -1261508, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Lab Services - Total Revenue: 3131896, Related or Exempt Function Revenue: 589253, Unrelated Business Revenue: 2542643, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income from Affiliates - Total Revenue: 29028, Related or Exempt Function Revenue: 29028, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Value Based Revenue - Total Revenue: 2205465, Related or Exempt Function Revenue: 2205465, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Program Revenue - Total Revenue: 1402777, Related or Exempt Function Revenue: 1402777, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Interest Income from Patient Accounts - Total Revenue: 5, Related or Exempt Function Revenue: 5, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Education Revenue - Total Revenue: 33463, Related or Exempt Function Revenue: 33463, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Escheatment Revenue - Total Revenue: 5512, Related or Exempt Function Revenue: 5512, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Hotel/Conference Revenue - Total Revenue: 65578, Related or Exempt Function Revenue: 65578, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 223573, Related or Exempt Function Revenue: 145355, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 78218; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers With Affiliates - 6808167; Non Controlling Interest - 53761; Contribution of Capital from JV Partner - -5827687; Distribution of JV Partner Capital - 2616226; 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 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 - BOX C DOING BUSINESS AS Ascension Saint Thomas Ascension Saint Thomas Emergency Medical Services Saint Thomas Emergency Medical Services Your Care in our Calling Ascension RX STHS HEART LLC 4220 HARDING PIKE NASHVILLE TN 37205 205753831 PHYSICIAN PRACTICE TN 0 46082 SAINT THOMAS HEALTH LAB PLUS LLC 102 WOODMONT BOULEVARD NASHVILLE TN 37205 461564050 HEALTHCARE TN 38538507 27412914 SAINT THOMAS HEALTH VOLUNTEER PROPERTY LLC 1600 Division Street Suite 700 Nashville IN 372032771 Real Estate TN 0 0 Saint Thomas Health AFUTR LLC 1600 Division Street Suite 700 Nashville TN 372032771 873875807 Real Estate TN 0 0 Volunteer Property LLC 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC 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 ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 SUPPORTING ORGANIZATION MI 501(c)(3) Type II ASCENSION MICHIGAN 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ASCENSION ST JOHN HOSPITAL true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH HOSPITAL true ASCENSION ST JOSEPH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 BINGHAMTON HEALTH CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 881655027 HEALTH CARE NY 501(c)(3) 10 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC 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 AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 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 LOURDES REALTY COMPANY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222873637 RENTAL OF HEALTH CARE FACILITIES NY 501(c)(2) OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true MEDICARE VALUE PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) Type II AFFINITY HEALTH SYSTEM 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 LOURDES MEMORIAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 150532221 HOSPITAL NY 501(c)(3) 3 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 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 SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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 SOUTHERN TIER MEDICAL CARE - NY PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382244034 PARENT 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 REGIONAL MEDICAL CENTER FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 510168321 FUNDRAISING ID 501(c)(3) Type I SJRMC Inc 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 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