2026-05-12T17:47:07+00:00 2025-06-30 990 2024-07-01 474063046 Saint Thomas Regional Hospitals SAIN 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Jennifer Richter ASSOCIATE VICE PRESIDENT, TAX 3147338000 2026-05-12 2024 2025-03-06 01:10:19Z Fahad Tahir C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 120561832 false 0928 X SEE SCHEDULE O X 2015 TN To improve the health and well-being of all people in the communities we serve. 14 11 776 12 0 500375 1907298 103467763 117687146 31001 1357 952772 966031 104951911 120561832 98516 83150 0 0 48949363 50377304 0 0 0 68087994 72741005 117135873 123201459 -12183962 -2639627 72738028 79219122 21723362 26493635 51014666 52725487 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 92371072 83150 117704816 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 REGIONAL HOSPITALS operates four hospitals namely, Saint Thomas Stones River Hospital, Saint Thomas DeKalb Hospital, Saint Thomas Highlands Hospital, and Saint Thomas River Park Hospital with a combined total of 130 BEDs PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. During fiscal year 2025, Saint Thomas Regional Hospitals treated 4,402 adults and children for a total of 23,685 patient days of service. The hospital also provided services for 108,577 outpatient visits, which included 2,280 outpatient surgeries and 52,418 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 92371072 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false false true true true true false false true 112 0 true 776 true false false false false false false false false false false false false X 14 11 false false false false true true true true true false false false false true true true true true false false false false X JOHN WINSTEL 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 ANTHONY HEARD CHAIR 1.0 8.0 X X 0 0 0 FAHAD TAHIR PRESIDENT/CEO, MINISTRY MARKET 0.0 50.0 X X 0 1935347 63504 ROBERT HIGGINS TREASURER 1.0 8.0 X X 0 0 0 SUSAN WEST PHD SECRETARY 1.0 8.0 X X 0 0 0 WANDA LYLE VICE CHAIR 1.0 8.0 X X 0 0 0 AIMEE DECAMILLO DIRECTOR 1.0 8.0 X 0 0 0 BRETT CAMPBELL MD DIRECTOR 1.0 8.0 X 0 0 0 MARC ROSEN MD DIRECTOR 1.0 8.0 X 0 0 0 PHILLIP MIZE DIRECTOR 1.0 8.0 X 0 0 0 RACHEL BALLARD MEHR MD DIRECTOR 0.0 50.0 X 0 391332 53717 RICK ROGERS MD DIRECTOR 1.0 8.0 X 0 0 0 SHANNA JACKSON EDD DIRECTOR 1.0 8.0 X 0 0 0 SISTER CATHERINE BROWN DC DIRECTOR 1.0 8.0 X 0 0 0 STEVEN MAURICE VANHOOK MD DIRECTOR 0.0 50.0 X 0 336751 54599 BRANDON MICHAEL WILLIAMS CFO, MINISTRY MARKET 0.0 50.0 X 0 962523 58336 RAYMOND JOHNSON ADMINISTRATOR, DEKALB (END 7/2024) 50.0 0 X 133664 0 19603 ROBERT ARTHUR PEGLOW II RN ADMINISTRATOR, HIGHLANDS 50.0 0 X 231348 0 33076 ROBERT DALE HUMPHREY ADMINISTRATOR, RIVER PARK 50.0 0 X 304183 0 49410 DAISY GANNON PHARMACY MANAGER 50.0 0 X 186398 0 23433 EMILY C ELROD RN RN, DIRECTOR OF NURSING 50.0 0 X 198350 0 17030 JIMMIE DALE WOODLEE MD PHYSICIAN 50.0 0 X 372899 0 42136 KATHERINE D MILLER PHARMACY MANAGER 50.0 0 X 180568 0 17063 REGINA L TURNER PHARMACY MANAGER 50.0 0 X 195549 0 16280 ALLEN B WILCOX MD FORMER OFFICER (END 12/2020) 0.0 50.0 X 0 1262616 51565 LISA RENEE DAVIS FORMER OFFICER (END 11/2022) 0.0 50.0 X 0 1516312 40937 TIMOTHY PAUL ADAMS FORMER OFFICER (END 1/2023) 0.0 50.0 X 0 3481746 69093 1802959 9886627 609782 65 true true false LIFEPOINT REHABILITATION LLC PO BOX 502096 SAINT LOUIS MO 631502096 MEDICAL SERVICES 1381657 CORNERSTONE ANESTHESIA GROUP PLLC 220 ATHENS WAY STE 210 NASHVILLE TN 37228 ANESTHESIA SERVICES 1199127 LETS PAVE LLC 2907 W BUTTERFIELD RD STE 110 OAK BROOK IL 60523 CONSTRUCTION SERVICES 947771 THE ROBINS & MORTON GROUP 400 SHADES CREEK PKWY STE 200 BIRMINGHAM AL 35209 CONSTRUCTION SERVICES 709168 WEBB ANESTHESIA SERVICES PLLC PO BOX 953 SMITHVILLE TN 371660953 ANESTHESIA SERVICES 335690 12 0 0 0 48375 1858923 0 1907298 Net Patient Service Revenue 621990 113874310 113874310 Pharmacy Revenue 446110 3783571 3783571 Rental Income from Affiliates 531120 28570 28570 Value Based Revenue 621400 600 600 Interest Income from Patient Accounts 900099 95 95 0 0 0 0 117687146 0 0 0 0 0 0 758074 0 0 0 758074 0 758074 758074 0 1357 0 0 0 1357 1357 1357 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 189374 189374 Escheatment Revenue 900099 14195 14195 Late Penalty Fees 900099 379 379 4009 3475 0 534 207957 120561832 117704816 0 949718 56000 56000 27150 27150 771284 771284 41559553 38469327 3090226 1876548 1737014 139534 3123918 2891634 232284 3046001 2774830 271171 459 459 181396 181396 1729 1729 5940931 5381553 559378 0 134317 21310 113007 251209 113362 137847 14713 14713 2257961 2056946 201015 126906 78342 48564 1825 268 1557 97 97 5435003 4951151 483852 497752 497752 Purchased Services 20893809 8938324 11955485 Medical Supplies 12201369 12065706 135663 Management Fee to Affiliate 11453337 11453337 Provider Tax 6635932 6635932 6712260 6157051 555209 0 123201459 92371072 30830387 0 2330 2330 585267 4447385 0 1858923 19181227 14893778 0 0 0 0 0 0 1668689 1883118 1208 96078 92490742 44050380 45432664 48440362 0 0 0 0 350825 146555 5515818 7450593 72738028 79219122 6799755 11609880 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14923607 14883755 21723362 26493635 X 51014666 50866564 0 1858923 0 0 0 0 0 0 51014666 52725487 72738028 79219122 X -2639627 4350448 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1729 1729 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that are specifically allocable to lobbying. THE FILING ORGANIZATION does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 0 4070000 4070000 0 55633448 22980922 32652526 0 23490 12337 11153 0 26332285 20359857 5972428 0 6431519 697264 5734255 48440362 Other Receivables 335640 Security Deposit 160 Estimated 3rd Party Payor Settlements 4039714 Right of Use Asset Operating Lease 563949 Due from Affiliates 2511130 7450593 0 Federal Income Taxes 0 Due to Affiliates 12499092 Estimated 3rd Party Payor Settlement 877629 Recovery Tail Liability 912475 Accrued Real Estate Tax Liability 30957 Long Term Operating Lease 563602 Medicare Advanced Payments 14883755 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2025. true true X true X 250 true X 6899307 6899307 0.05600 24255690 14533709 9721981 0.07891 0 0.0 0 0 31154997 14533709 16621288 0.13491 15 6488 1435477 92682 1342795 0.01090 5 502 59188 59188 0.00048 0 0.0 0 0.0 9 161 144947 144947 0.00118 29 7151 1639612 92682 1546930 0.01256 29 7151 32794609 14626391 18168218 0.14747 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 2083314 0 25493305 21666765 3826540 X true true 4 1 Ascension Saint Thomas River Park Hospital LLC 1559 Sparta Street McMinnville TN 37110 https://healthcare.ascension.org/locations/tennessee/tnnas/mcminnville-ascension-saint-thomas-river- 0000000120 X X X A 2 ASCENSION Saint Thomas DeKalb Hospital LLC 520 W Main St Smithville TN 37166 https://healthcare.ascension.org/locations/tennessee/tnnas/smithville-ascension-saint-thomas-dekalb 0000000138 X X X A 3 ASCENSION Saint Thomas Highlands LLC 401 Sewell Road Sparta TN 38583 https://healthcare.ascension.org/locations/tennessee/tnnas/sparta-ascension-saint-thomas-highlands 0000000127 X X X A 4 ASCENSION Saint Thomas Stones River Hospital LLC 324 Doolittle Rd Woodbury TN 37190 https://healthcare.ascension.org/locations/tennessee/tnnas/woodbury-ascension-saint-thomas-stones-ri 0000000009 X X X A A 4 false false true X X X X X X X X X 24 true false true true X https://healthcare.ascension.org/CHNA X true 24 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER ALIGN COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING EVIDENCE-BASED PRACTICES, PROGRAMS AND RESOURCES; ADDRESSING differences OF SUBGROUPS AND ENABLING MORE ACCESS to HEALTHCARE; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - A1 - Ascension Saint Thomas River Park Hospital, LLC. IN APRIL 2024 - NOVEMBER 2024, ASCENSION SAINT THOMAS RIVER PARK HOSPITAL BEGAN A CHNA FOR WARREN 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 APRIL 2024 - MAY 2024. - INFORMATION GATHERING OF SECONDARY DATA OCCURRED BETWEEN MAY 2024- AUGUST 2024. - ON AUGUST 7, 2024 -15 KEY COMMUNITY MEMBERS PARTICIPATED IN INTERVIEWS AT WARREN COUNTY HEALTH DEPARTMENT BOARD ROOM. THESE INTERVIEWS INCLUDED MEMBERS FROM THE COMMUNITY AND REPRESENTATION FROM THE WARREN COUNTY HEALTH DEPARTMENT, INCLUDING WARREN COUNTY HEALTH DEPARTMENT DIRECTOR. - ON NOVEMBER 12, 2024 - A COMMUNITY MEETING WITH THE WARREN COUNTY HEALTH COUNCIL WAS HELD WITH 30 PARTICIPANTS IN ATTENDANCE. THE PARTICIPANTS WERE ASKED TO REVIEW PRIMARY AND SECONDARY DATA, IDENTIFY AND PRIORITIZE COMMUNITY NEEDS AND DISCUSS SOLUTIONS UTILIZING THE HEALTH FRAMEWORK ON NOVEMBER 12, 2024. - THE PRIORITIZATION PROCESS INCLUDED ONE IN-PERSON 30 MINUTE FACILITATED SESSION HOSTED IN COLLABORATION WITH THE WARREN COUNTY HEALTH COUNCIL IN EACH COUNTY. IN SUMMARY THE COMMUNITY MEETING WITH THE HEALTH COUNCIL WAS A TIME FOR PRIMARY AND SECONDARY DATA TO BE PRESENTED BACK TO COMMUNITY MEMBERS TO CREATE ENGAGEMENT AROUND COMMUNITY HEALTH RELATED ISSUES HAPPENING IN WARREN COUNTY. - WARREN COUNTY HEALTH COUNCIL MEMBERS VOTED ON THE TOP THREE PRIORITIZED NEEDS TO ADDRESS FOR THEIR COMMUNITY BASED ON SECONDARY INDICATORS AND PRIMARY DATA FROM THE KEY COMMUNITY INTERVIEWS. ASCENSION SAINT THOMAS RIVER PARK HOSPITAL, IN COLLABORATION WITH THE HEALTH DEPARTMENT AND WARREN COUNTY HEALTH COUNCIL, USED MENTIMETER, AN ONLINE VOTING TOOL TO RANK THEIR 1ST, 2ND, AND 3RD MOST SIGNIFICANT HEALTH NEEDS IN WARREN COUNTY. THE RESULTS WERE COMPUTED USING MENTI ONLINE VOTING SOFTWARE TO PRIORITIZE HEALTH NEEDS IN THE COUNTY. HEALTH COUNCIL PARTICIPANTS AGREED THAT THE DATA SHARED SUPPORTED THE VOTED COMMUNITY'S PRIORITIZED NEEDS. THROUGHOUT THE CHNA PROCESS, INPUT FROM THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; ALONG WITH RECEIVING NECESSARY INPUT FROM THOSE INTERVIEWEES THAT REPRESENTED MEDICALLY UNDERSERVED, UNINSURED AND OTHER POPULATIONS WERE SOUGHT AFTER. - THE REGIONAL HEALTH DEPARTMENT WAS CONSULTED PRIOR TO BEGINNING THE CHNA PROCESS FOR ADVICE AND COUNSEL. - REPRESENTATIVES OF THE WARREN COUNTY HEALTH DEPARTMENT PARTICIPATED IN THE INTERVIEWS. - CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS AND TAKING INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. - 13 KEY COMMUNITY MEMBERS WERE INTERVIEWED. THOSE SELECTED WERE CHOSEN BASED ON THEIR KNOWLEDGE OF WARREN COUNTY AND ITS HEALTH NEEDS. ASCENSION SAINT THOMAS RIVER PARK HOSPITAL AND WARREN COUNTY HEALTH DEPARTMENT RECOMMENDED THE INTERVIEWEES WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE REQUEST TO PARTICIPATE WAS DONE THROUGH EMAIL COMMUNICATION WITH COMMUNITY MEMBERS; WHICH REPRESENTS A VERY BROAD SWATH OF THE COMMUNITY REPRESENTING MANY DIFFERENT AGENCIES AND ORGANIZATIONS. ON AUGUST 7, 2024, ASCENSION SAINT THOMAS RIVER PARK HOSPITAL CONDUCTED 15 ONE-ON-ONE INTERVIEWS WITH INDIVIDUALS REPRESENTING AT LEAST 9 ORGANIZATIONS AND AGENCIES IN WARREN COUNTY AS THOSE INTERVIEWED WERE ACTIVE IN SEVERAL ORGANIZATIONS. DURING THIS PRESENTATION OF PRIMARY AND SECONDARY DATA, HEALTH COUNCIL MEMBERS WERE ASKED FOR FEEDBACK REGARDING THE DATA. TIME FOR FEEDBACK WAS ALLOWED TO HEAR FROM THE HEALTH COUNCIL MEMBERS IF THEY AGREE, DISAGREE OR HAVE FURTHER QUESTIONS ABOUT WHAT WAS PRESENTED. MANY HEALTH COUNCIL MEMBERS AGREED THAT MENTAL HEALTH, SUBSTANCE MISUSE, AND HEALTHY LIFESTYLES - HEALTHY EATING, ACTIVE LIVING WERE THE MAIN COMMUNITY PRIORITIZED NEEDS. THESE COMMENTS WERE ALSO SUPPORTED VIA KEY COMMUNITY MEMBER INTERVIEWS THAT HIGHLIGHTED THESE NEEDS AS WELL. THE LIST BELOW IS A FULL LISTING OF KEY COMMUNITY MEMBER INTERVIEWEES. WARREN COUNTY SCHOOL SYSTEM WARREN COUNTY HEALTH DEPARTMENT HOMELESS ADVOCACY RURAL TENNESSEE (HART) UNITED WAY MCMINNVILLE GOVERNMENT UT EXTENSION HOPE CENTER RECOVERY SENIOR CENTER ASCENSION SAINT THOMAS RIVER PARK THE COMMUNITY MEETING WITH WARREN COUNTY HEALTH COUNCIL MEETING ON NOVEMBER 12, 2024 WITH 30 MEMBERS ACROSS 9 ORGANIZATIONS AND AGENCIES IN ATTENDANCE. BELOW ARE THE ORGANIZATIONS AND AGENCIES IN WARREN COUNTY IN ATTENDANCE TO HEAR A SUMMARY OF SECONDARY AND PRIMARY DATA AS WELL AS PRIORITIZE THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. DURING THIS PRESENTATION OF PRIMARY AND SECONDARY DATA, HEALTH COUNCIL MEMBERS WERE ASKED FOR FEEDBACK REGARDING THE DATA. TIME FOR FEEDBACK WAS ALLOWED TO HEAR FROM THE HEALTH COUNCIL MEMBERS IF THEY AGREE, DISAGREE OR HAVE FURTHER QUESTIONS ABOUT WHAT WAS PRESENTED. MANY HEALTH COUNCIL MEMBERS AGREED THAT MENTAL HEALTH, HEALTHY LIFESTYLES (HEALTHY EATING, ACTIVE LIVING) AND ACCESS TO CARE/INSURANCE WERE THE MAIN COMMUNITY PRIORITIZED NEEDS. THESE COMMENTS WERE ALSO SUPPORTED VIA KEY COMMUNITY MEMBER INTERVIEWS THAT HIGHLIGHTED THESE NEEDS AS WELL. THE LIST BELOW IS A FULL LISTING OF KEY COMMUNITY MEMBER INTERVIEWEES. WARREN COUNTY HEALTH DEPARTMENT TENNESSEE DEPARTMENT OF HEALTH WARREN COUNTY SCHOOLS SECOND HARVEST OF MIDDLE TENNESSEE VANDERBILT UNIVERSITY MEDICAL CENTER VOLUNTEER BEHAVIORAL HEALTH CARE SYSTEM SECOND HARVEST SNAP OUTREACH CENTERSTONE ASCENSION SAINT THOMAS Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - A2 - ASCENSION Saint Thomas DeKalb Hospital, LLC. IN APRIL 2024 - OCTOBER 2024, ASCENSION SAINT THOMAS DEKALB HOSPITAL BEGAN A 2024 COMMUNITY HEALTH NEEDS ASSESSMENT FOR DEKALB 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 APRIL 2024 - MAY 2024. - INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED BETWEEN MAY 2024- AUGUST 2024. - ON AUGUST 15, 2024 -14 KEY COMMUNITY MEMBERS PARTICIPATED IN INTERVIEWS AT DEKALB COUNTY HEALTH DEPARTMENT BOARD ROOM. THESE INTERVIEWS INCLUDED MEMBERS FROM THE COMMUNITY AND REPRESENTATION FROM THE DEKALB COUNTY HEALTH DEPARTMENT, INCLUDING DEKALB COUNTY HEALTH DEPARTMENT DIRECTOR. - ON OCTOBER 29, 2024 -A COMMUNITY MEETING WITH THE DEKALB COUNTY HEALTH COUNCIL WAS HELD WITH 32 PARTICIPANTS IN ATTENDANCE. PARTICIPANTS WERE ASKED TO REVIEW PRIMARY AND SECONDARY DATA, IDENTIFY AND PRIORITIZE COMMUNITY NEEDS AND DISCUSS SOLUTIONS UTILIZING THE HEALTH FRAMEWORK. - THE PRIORITIZATION PROCESS INCLUDED ONE IN-PERSON 30 MINUTE FACILITATED SESSION HOSTED IN COLLABORATION WITH THE HEALTH COUNCIL IN EACH COUNTY. - IN SUMMARY THE COMMUNITY MEETING WITH THE HEALTH COUNCIL WAS A TIME FOR PRIMARY AND SECONDARY DATA TO BE PRESENTED BACK TO COMMUNITY MEMBERS TO CREATE ENGAGEMENT AROUND COMMUNITY HEALTH RELATED ISSUES HAPPENING IN DEKALB COUNTY. - DEKALB COUNTY HEALTH COUNCIL MEMBERS VOTED ON THE TOP THREE PRIORITIZED NEEDS TO ADDRESS FOR THEIR COMMUNITY BASED ON SECONDARY INDICATORS AND PRIMARY DATA FROM THE KEY COMMUNITY MEMBER INTERVIEWS. ASCENSION SAINT THOMAS DEKALB HOSPITAL, IN COLLABORATION WITH THE HEALTH DEPARTMENT AND DEKALB COUNTY HEALTH COUNCIL, USED MENTIMETER, AN ONLINE VOTING TOOL TO RANK THEIR 1ST, 2ND, AND 3RD MOST SIGNIFICANT HEALTH NEEDS IN DEKALB COUNTY. THE RESULTS WERE COMPUTED USING MENTI ONLINE VOTING SOFTWARE TO PRIORITIZE HEALTH NEEDS IN THE COUNTY. DEKALB COUNCIL HEALTH COUNCIL PARTICIPANTS AGREED THAT THE DATA SHARED DURING THE COMMUNITY MEETING SUPPORTED THE VOTED-ON, PRIORITIZED NEEDS. THROUGHOUT THE CHNA PROCESS, INPUT FROM THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; ALONG WITH RECEIVING NECESSARY INPUT FROM THOSE INTERVIEWEES THAT REPRESENTED MEDICALLY UNDERSERVED, UNINSURED AND OTHER POPULATIONS WERE SOUGHT AFTER. - THE REGIONAL HEALTH DEPARTMENT WAS CONSULTED PRIOR TO BEGINNING THE CHNA PROCESS FOR ADVICE AND COUNSEL. - REPRESENTATIVES OF THE DEKALB COUNTY HEALTH DEPARTMENT PARTICIPATED IN THE INTERVIEWS. - CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS AND TAKING INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. - 14 KEY COMMUNITY MEMBERS WERE INTERVIEWED. THOSE SELECTED WERE CHOSEN BASED ON THEIR KNOWLEDGE OF DEKALB COUNTY AND ITS HEALTH NEEDS. ASCENSION SAINT THOMAS DEKALB HOSPITAL AND DEKALB COUNTY HEALTH DEPARTMENT RECOMMENDED THE INTERVIEWEES WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE REQUEST TO PARTICIPATE WAS DONE THROUGH EMAIL COMMUNICATION WITH COMMUNITY MEMBERS; WHICH REPRESENTS A VERY BROAD SWATH OF THE COMMUNITY REPRESENTING MANY DIFFERENT AGENCIES AND ORGANIZATIONS. ON AUGUST 15, 2024, ASCENSION SAINT THOMAS DEKALB HOSPITAL CONDUCTED 14 ONE-ON-ONE INTERVIEWS WITH INDIVIDUALS REPRESENTING AT LEAST 12 ORGANIZATIONS AND AGENCIES IN DEKALB COUNTY AS THOSE INTERVIEWED WERE ACTIVE IN SEVERAL ORGANIZATIONS. DURING THIS PRESENTATION OF PRIMARY AND SECONDARY DATA, HEALTH COUNCIL MEMBERS WERE ASKED FOR FEEDBACK REGARDING THE DATA. TIME FOR FEEDBACK WAS ALLOWED TO HEAR FROM THE HEALTH COUNCIL MEMBERS IF THEY AGREE, DISAGREE OR HAVE FURTHER QUESTIONS ABOUT WHAT WAS PRESENTED. MANY HEALTH COUNCIL MEMBERS AGREED THAT MENTAL HEALTH, SUBSTANCE MISUSE, AND ACCESS TO CARE/INSURANCE WERE THE MAIN COMMUNITY PRIORITIZED NEEDS. THESE COMMENTS WERE ALSO SUPPORTED VIA KEY COMMUNITY MEMBER INTERVIEWS THAT HIGHLIGHTED THESE NEEDS AS WELL. THE LIST BELOW IS A FULL LISTING OF KEY COMMUNITY MEMBERS INTERVIEWEES. HAVEN OF HOPE, MENTAL HEALTH HAVEN OF HOPE, SUBSTANCE MISUSE TN DEPARTMENT OF HEALTH DEKALB COUNTY HEALTH DEPARTMENT DEKALB COUNTY SCHOOLS DEKALB PREVENTION COALITION SHERIFF'S OFFICE ALL UPPER CUMBERLAND HUMAN RESOURCE AGENCY SMITHVILLE CUMBERLAND PRESBYTERIAN CHURCH PHYSICIAN ASCENSION SAINT THOMAS DEKALB HOSPITAL BOARD MEMBER SENIOR CENTER THE COMMUNITY MEETING WITH DEKALB COUNTY HEALTH COUNCIL MEETING WAS HELD ON OCTOBER 29, 2024 WITH 32 COMMUNITY MEMBERS ACROSS 13 ORGANIZATIONS AND AGENCIES IN ATTENDANCE. BELOW ARE THE ORGANIZATIONS AND AGENCIES IN DEKALB COUNTY IN ATTENDANCE TO HEAR A SUMMARY OF SECONDARY AND PRIMARY DATA AS WELL AS PRIORITIZE THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. VOLUNTEER BEHAVIORAL HEALTH CARE SERVICES TENNESSEE DEPARTMENT OF HEALTH SECOND HARVEST FOOD BANK DEKALB COUNTY SCHOOLS VANDERBILT UNIVERSITY MEDICAL CENTER LIFELINE POWER OF PUTNAM ASCENSION SAINT THOMAS DEKALB HOSPITAL UPPER CUMBERLAND DEVELOPMENT DISTRICT LBJC HEAD START HEALTH CONNECT AMERICA SENATOR BILL HAGERTY'S OFFICE DEKALB DRUG PREVENTION COALITION TN HEALTHCARE CAMPAIGN Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - A3 - ASCENSION Saint Thomas Highlands, LLC. IN APRIL 2024 - SEPTEMBER 2024, ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR WHITE 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 APRIL 2024 - MAY 2024. - INFORMATION GATHERING OF SECONDARY DATA OCCURRED BETWEEN MAY 2024- AUGUST 2024. - ON AUGUST 13, 2024 -8 KEY COMMUNITY MEMBERS PARTICIPATED IN INTERVIEWS AT WHITE COUNTY HEALTH DEPARTMENT BOARD ROOM. THESE INTERVIEWS INCLUDED MEMBERS FROM THE COMMUNITY AND REPRESENTATION FROM THE WHITE COUNTY HEALTH DEPARTMENT, INCLUDING WHITE COUNTY HEALTH DEPARTMENT DIRECTOR. ON SEPTEMBER 24, 2024 -A COMMUNITY MEETING WITH THE WHITE COUNTY HEALTH COUNCIL WAS HELD WITH 26 PARTICIPANTS IN ATTENDANCE. PARTICIPANTS WERE ASKED TO REVIEW PRIMARY AND SECONDARY DATA, IDENTIFY AND PRIORITIZE COMMUNITY NEEDS AND DISCUSS SOLUTIONS UTILIZING THE HEALTH FRAMEWORK. - THE PRIORITIZATION PROCESS INCLUDED ONE IN-PERSON 30 MINUTE FACILITATED SESSION HOSTED IN COLLABORATION WITH THE HEALTH COUNCIL IN EACH COUNTY. IN SUMMARY THE COMMUNITY MEETING WITH THE HEALTH COUNCIL WAS A TIME FOR PRIMARY AND SECONDARY DATA TO BE PRESENTED BACK TO COMMUNITY MEMBERS TO CREATE ENGAGEMENT AROUND COMMUNITY HEALTH RELATED ISSUES HAPPENING IN WHITE COUNTY. - WHITE COUNTY HEALTH COUNCIL MEMBERS VOTED ON THE TOP THREE PRIORITIZED NEEDS TO ADDRESS FOR THEIR COMMUNITY BASED ON SECONDARY INDICATORS AND PRIMARY DATA FROM THE KEY STAKEHOLDER INTERVIEWS. THE RESULTS WERE COMPUTED USING MENTI ONLINE VOTING SOFTWARE TO PRIORITIZE HEALTH NEEDS IN THE COUNTY. ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL, IN COLLABORATION WITH THE HEALTH DEPARTMENT AND WHITE COUNTY HEALTH COUNCIL, USED MENTIMETER, AN ONLINE VOTING TOOL TO RANK THEIR 1ST, 2ND, AND 3RD MOST SIGNIFICANT HEALTH NEEDS IN WHITE COUNTY. THE RESULTS WERE COMPUTED USING MENTI ONLINE VOTING SOFTWARE TO PRIORITIZE HEALTH NEEDS IN THE COUNTY. WHITE COUNTY HEALTH COUNCIL PARTICIPANTS AGREED THAT THE DATA SHARED SUPPORTED THE VOTED COMMUNITY'S PRIORITIZED NEEDS. THROUGHOUT THE CHNA PROCESS, INPUT FROM THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; ALONG WITH RECEIVING NECESSARY INPUT FROM THOSE INTERVIEWEES THAT REPRESENTED MEDICALLY UNDERSERVED, UNINSURED AND OTHER POPULATIONS WERE SOUGHT AFTER. - THE REGIONAL HEALTH DEPARTMENT WAS CONSULTED PRIOR TO BEGINNING THE CHNA PROCESS FOR ADVICE AND COUNSEL. REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENT PARTICIPATED IN THE INTERVIEWS. - CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS AND TAKING INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. - 8 KEY COMMUNITY MEMBERS WERE INTERVIEWED. THOSE SELECTED WERE CHOSEN BASED ON THEIR KNOWLEDGE OF WHITE COUNTY AND ITS HEALTH NEEDS. ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL AND WHITE COUNTY HEALTH DEPARTMENT RECOMMENDED THE INTERVIEWEES WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE REQUEST TO PARTICIPATE WAS DONE THROUGH EMAIL COMMUNICATION WITH COMMUNITY MEMBERS; WHICH REPRESENTS A VERY BROAD SWATH OF THE COMMUNITY REPRESENTING MANY DIFFERENT AGENCIES AND ORGANIZATIONS. ON AUGUST 13, 2024, ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL CONDUCTED 8 ONE-ON-ONE INTERVIEWS WITH INDIVIDUALS REPRESENTING AT LEAST 9 ORGANIZATIONS AND AGENCIES IN WHITE COUNTY AS THOSE INTERVIEWED WERE ACTIVE IN SEVERAL ORGANIZATIONS. DURING THIS PRESENTATION OF PRIMARY AND SECONDARY DATA, HEALTH COUNCIL MEMBERS WERE ASKED FOR FEEDBACK REGARDING THE DATA. TIME FOR FEEDBACK WAS ALLOWED TO HEAR FROM THE HEALTH COUNCIL MEMBERS IF THEY AGREE, DISAGREE OR HAVE FURTHER QUESTIONS ABOUT WHAT WAS PRESENTED. MANY HEALTH COUNCIL MEMBERS AGREED THAT MENTAL HEALTH, SUBSTANCE MISUSE, AND ACCESS TO CARE WERE THE MAIN COMMUNITY PRIORITIZED NEEDS. THESE NEEDS WERE ALSO SUPPORTED VIA KEY COMMUNITY MEMBER INTERVIEWS THAT HIGHLIGHTED THESE NEEDS AS WELL. THE LIST BELOW IS A FULL LISTING OF KEY COMMUNITY MEMBER INTERVIEWEES. ROTARY, HOSPITAL BOARD MEMBER, BUSINESS PERSON ASCENSION RURAL HEALTH CLINIC UPPER CUMBERLAND HUMAN RESOURCE AGENCY SEEDS OF HOPE, DRUG PREVENTION COALITION WHITE COUNTY LIBRARY SPARTA YMCA, CITY GOVERNMENT SPARTA SENIOR CENTER WHITE COUNTY SCHOOLS WHITE COUNTY HEALTH DEPARTMENT THE COMMUNITY MEETING WITH WHITE COUNTY HEALTH COUNCIL MEETING WAS HELD ON SEPTEMBER 24, 2024 WITH 26 MEMBERS ACROSS 15 ORGANIZATIONS AND AGENCIES IN ATTENDANCE. BELOW ARE THE ORGANIZATIONS AND AGENCIES IN WHITE COUNTY IN ATTENDANCE TO HEAR A SUMMARY OF SECONDARY AND PRIMARY DATA AS WELL AS PRIORITIZE THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. WE THANK THE FOLLOWING ORGANIZATIONS FOR THEIR WILLINGNESS TO VOLUNTEER THEIR TIME AND KNOWLEDGE TO THIS EFFORT. THE LIST BELOW IS A FULL LISTING OF COMMUNITY MEETINGS WITH THE WHITE COUNTY HEALTH COUNCIL ATTENDEES. VOLUNTEER BEHAVIORAL HEALTH CARE SERVICES TENNESSEE DEPARTMENT OF HEALTH WHITE COUNTY HEALTH DEPARTMENT SENATOR BILL HAGERTY'S OFFICE VANDERBILT UNIVERSITY MEDICAL CENTER VOLUNTEER BEHAVIORAL HEALTH CARE SYSTEM SPARTA YMCA DRUG PREVENTION COALITION MEHARRY MEDICAL CENTER PREVENTION COALITION FOR SUCCESS WHITE COUNTY SCHOOLS TENNESSEE HEALTHCARE CAMPAIGN HOMELESS ADVOCACY RURAL TENNESSEE (HART) TENNESSEE OFFICE OF STRATEGIC INITIATIVES ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL Schedule H, Part V, Section B, Line 5 Facility A, 4 Facility A, 4 - A4 - ASCENSION SAINT THOMAS STONES RIVER HOSPITAL, LLC. IN APRIL 2024 - NOVEMBER 2024, ASCENSION SAINT THOMAS STONES RIVER HOSPITAL BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR CANNON 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 APRIL 2024 - MAY 2024. - INFORMATION GATHERING OF SECONDARY DATA OCCURRED BETWEEN MAY 2024- AUGUST 2024. - JULY 30, 2024 - 8 KEY COMMUNITY MEMBERS PARTICIPATED IN INTERVIEWS AT ASCENSION SAINT THOMAS STONES RIVER HOSPITAL EXECUTIVE BOARD ROOM. - ON NOVEMBER 14, 2024 - A COMMUNITY MEETING WITH THE CANNON COUNTY HEALTH COUNCIL WAS HELD WITH 27 PARTICIPANTS IN ATTENDANCE. PARTICIPANTS WERE ASKED TO REVIEW PRIMARY AND SECONDARY DATA, IDENTIFY AND PRIORITIZE COMMUNITY NEEDS AND DISCUSS SOLUTIONS UTILIZING THE HEALTH FRAMEWORK. - THE PRIORITIZATION PROCESS INCLUDED ONE IN-PERSON 30 MINUTE FACILITATED SESSION HOSTED IN COLLABORATION WITH THE HEALTH COUNCIL IN EACH COUNTY. THE GOAL OF THIS SESSION, CALLED A COMMUNITY MEETING, WAS TO ENGAGE HEALTH COUNCIL AND LOCAL VOICES IN A STREAMLINED PRIORITIZATION PROCESS AND BUILD OUT COMMUNITY RECOMMENDATIONS FOR ACTION AROUND EACH PRIORITY NEED. HEALTH COUNCIL MEMBERS VOTED ON THE TOP THREE PRIORITIZED NEEDS TO ADDRESS FOR THEIR COMMUNITY BASED ON SECONDARY INDICATORS AND PRIMARY DATA FROM THE KEY STAKEHOLDER INTERVIEWS. THE RESULTS WERE COMPUTED USING MENTI ONLINE VOTING SOFTWARE TO PRIORITIZE HEALTH NEEDS IN CANNON COUNTY. - CANNON COUNTY HEALTH COUNCIL MEMBERS VOTED ON THE TOP THREE PRIORITIZED NEEDS TO ADDRESS FOR THEIR COMMUNITY BASED ON SECONDARY INDICATORS AND PRIMARY DATA FROM THE KEY COMMUNITY MEMBER INTERVIEWS. ASCENSION SAINT THOMAS STONES RIVER HOSPITAL, IN COLLABORATION WITH THE HEALTH DEPARTMENT AND CANNON COUNTY HEALTH COUNCIL, USED MENTIMETER, AN ONLINE VOTING TOOL TO RANK THEIR 1ST, 2ND, AND 3RD MOST SIGNIFICANT HEALTH NEEDS IN CANNON COUNTY. THE RESULTS WERE COMPUTED USING MENTI ONLINE VOTING SOFTWARE TO PRIORITIZE HEALTH NEEDS IN THE COUNTY. CANNON COUNCIL HEALTH COUNCIL PARTICIPANTS AGREED THAT THE DATA SHARED SUPPORTED THE VOTED COMMUNITY'S PRIORITIZED NEEDS. THROUGHOUT THE CHNA PROCESS, INPUT FROM THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; ALONG WITH RECEIVING NECESSARY INPUT FROM THOSE INTERVIEWEES THAT REPRESENTED MEDICALLY UNDERSERVED, UNINSURED AND OTHER POPULATIONS WERE SOUGHT AFTER. - THE REGIONAL HEALTH DEPARTMENT WAS CONSULTED PRIOR TO BEGINNING THE CHNA PROCESS FOR ADVICE AND COUNSEL. REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENT PARTICIPATED IN THE INTERVIEWS. - CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS AND TAKING INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY: - 12 COMMUNITY MEMBERS WERE INTERVIEWED. THOSE SELECTED WERE CHOSEN BASED ON THEIR KNOWLEDGE OF CANNON COUNTY AND ITS HEALTH NEEDS. THE HOSPITAL AND HEALTH DEPARTMENT RECOMMENDED THE INTERVIEWEES WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE REQUEST TO PARTICIPATE WAS DONE THROUGH EMAIL COMMUNICATION WITH COMMUNITY MEMBERS; WHICH REPRESENTS A VERY BROAD SWATH OF THE COMMUNITY REPRESENTING MANY DIFFERENT AGENCIES AND ORGANIZATIONS. ON JULY 30, 2024, ASCENSION SAINT THOMAS STONES RIVER HOSPITAL AND THE CANNON COUNTY HEALTH DEPARTMENT WERE ABLE TO SECURE 8 INDIVIDUALS REPRESENTING 8 ORGANIZATIONS AND AGENCIES IN CANNON COUNTY AS THOSE INTERVIEWED WERE ACTIVE IN SEVERAL ORGANIZATIONS. DURING THIS PRESENTATION OF PRIMARY AND SECONDARY DATA, HEALTH COUNCIL MEMBERS WERE ASKED FOR FEEDBACK REGARDING THE DATA. TIME FOR FEEDBACK WAS ALLOWED TO HEAR FROM THE HEALTH COUNCIL MEMBERS IF THEY AGREE, DISAGREE OR HAVE FURTHER QUESTIONS ABOUT WHAT WAS PRESENTED. MANY HEALTH COUNCIL MEMBERS AGREED THAT MENTAL HEALTH, SUBSTANCE MISUSE, HEALTHY LIFESTYLES (HEALTHY EATING, ACTIVE LIVING) AND ACCESS TO CARE/INSURANCE WERE THE MAIN COMMUNITY PRIORITIZED NEEDS. THESE COMMENTS WERE ALSO SUPPORTED VIA KEY COMMUNITY MEMBER INTERVIEWS THAT HIGHLIGHTED THESE NEEDS AS WELL. THE LIST BELOW IS A FULL LISTING OF KEY COMMUNITY MEMBERS INTERVIEWEES. CANNON COUNTY GOVERNMENT CHAMBER, CANNON COURIER ADAMS MEMORIAL LIBRARY CANNON COUNTY SCHOOL SYSTEM AST STONES RIVER MEDICAL CENTER RETIRED PREACHER CANNON COUNTY PREVENTION COALITION UNITED WAY THE COMMUNITY MEETING WITH THE CANNON COUNTY HEALTH COUNCIL MEETING ON NOVEMBER 14, 2024 WITH 27 MEMBERS ACROSS 16 ORGANIZATIONS AND AGENCIES IN ATTENDANCE. BELOW ARE THE ORGANIZATIONS AND AGENCIES IN CANNON COUNTY IN ATTENDANCE TO HEAR A SUMMARY OF SECONDARY AND PRIMARY DATA AS WELL AS PRIORITIZE THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. WE THANK THE FOLLOWING ORGANIZATIONS FOR THEIR WILLINGNESS TO VOLUNTEER THEIR TIME AND KNOWLEDGE TO THIS EFFORT. THE LIST BELOW IS A FULL LISTING OF COMMUNITY MEETINGS WITH THE CANNON COUNTY HEALTH COUNCIL ATTENDEES. VOLUNTEER BEHAVIORAL HEALTH CARE SERVICES TENNESSEE DEPARTMENT OF HEALTH CANNON COUNTY HEALTH DEPARTMENT CASA CANNON COUNTY VANDERBILT UNIVERSITY MEDICAL CENTER UT EXTENSION OFFICE CANNON COUNTY CHILD ADVOCACY CENTER DRUG PREVENTION COALITION MEHARRY MEDICAL CENTER PREVENTION COALITION FOR SUCCESS CANNON COUNTY SCHOOL DISTRICT CENTERSTONE ACT WELLNESS TN HEALTHCARE CAMPAIGN SECOND HARVEST OF MIDDLE TENNESSEE FOOD BANK ASCENSION SAINT THOMAS STONES RIVER HOSPITAL Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility Reporting Group A (1-4). All four hospitals conducted a Community Health Needs Assessment (CHNA) collaboratively with: TENNESSEE DEPARTMENT OF HEALTH WARREN COUNTY DEPARTMENT OF HEALTH DEKALB COUNTY DEPARTMENT OF HEALTH CANNON COUNTY DEPARTMENT OF HEALTH WHITE COUNTY DEPARTMENT OF HEALTH STRATEGYHEALTH Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - A1 -ASCENSION SAINT THOMAS RIVER PARK HOSPITAL, LLC. ASCENSION SAINT THOMAS RIVER PARK HOSPITAL ADDRESSED THE SIGNIFICANT NEEDS OF THE PRIOR CHNA (2021). THE PRIORITY HEALTH NEEDS WERE: ACCESS TO CARE MENTAL HEALTH SUBSTANCE MISUSE ASCENSION SAINT THOMAS RIVER PARK HOSPITAL ADDRESSed ALL PRIORITIZED HEALTH NEEDS IDENTIFIED in the tax year 2021 chna. THE INFORMATION BELOW DESCRIBES THE ACTIONS TAKEN on THE 2021 CHNA TO ADDRESS EACH PRIORITY NEED AND INDICATORS OF IMPROVEMENT. PRIORITY NEED: ACCESS TO CARE: -INCREASE ACCESS TO CARE THROUGH MOBILE HEALTH. FY23 DUE TO STAFFING CHANGES THIS STRATEGY IS ON HOLD. FY24 DUE TO STAFFING AND BUDGET LIMITATIONS THIS STRATEGY REMAINS ON HOLD. FY25 51 MOBILE MAMMOGRAMS WERE PROVIDED AT NO COST TO UNINSURED COMMUNITY MEMBERS. -IDENTIFY AND ADDRESS BARRIERS TO CARE WITHIN THE COMMUNITY WITH SPECIAL ATTENTIONS TO PERSONS WHO ARE UNDERSERVED AND/OR MARGINALIZED. FY23 SOCIAL DETERMINANTS OF HEALTH SCREENER USED TO IDENTIFY NEEDS. THERE WERE 45,409 PATIENTS SCREENED SYSTEM WIDE USING THE SOCIAL DETERMINANTS OF HEALTH SCREENER. SOCIAL ISOLATION IS THE MOST IDENTIFIED ISSUE. $10,000 COMMUNITY INVESTMENT FOR H.O.M.E. TO SUPPORT PROGRAMMING FOR THE AREA'S UNHOUSED POPULATION. FY24 SDOH SCREENINGS: NEARLY 60,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET. SOCIAL ISOLATION AND ABILITY TO PAY FOR HEALTHCARE SERVICES ARE THE MOST IDENTIFIED ISSUES. FY25 SDOH SCREENINGS: MORE THAN 78,000 INDIVIDUALS SCREENED FOR SOCIAL DETERMINANTS OF HEALTH NEEDS ACROSS ASCENSION TENNESSEE MARKET. MORE THAN 1,500 INDIVIDUALS SCREENED FOR SOCIAL DETERMINANTS OF HEALTH NEEDS WITHIN AN INPATIENT SETTING. -IMPROVE MATERNAL HEALTH OUTCOMES FY23 MATERNAL HEALTH/COMMUNITY IMPACT MEETINGS HAPPENING REGULARLY AND EXPANDING TO INCLUDE ASCENSION SAINT THOMAS RIVER PARK. CONTINUE TO REVIEW SEVERE MATERNAL MORBIDITY DATA. FY24 HOSPITAL LEADERSHIP SERVES ON THE PREGNANCY CARE CENTER BOARD. HIRED A NEW OBGYN. FY25 MATERNAL HEALTH NAVIGATOR CONTINUES TO SUPPORT PATIENT'S SDOH NEEDS AND CONNECTS THEM TO NECESSARY RESOURCES. ADDED 2 FAMILY MEDICINE PROVIDERS AND A NEW RESIDENT ROTATION FOR FAMILY PRACTICE AND OB. -ENHANCE COORDINATION AND NAVIGATION OF RESOURCES FY23 HOSPITAL AND OUTPATIENT CLINICS UTILIZING NEIGHBORHOOD RESOURCE TO CONNECT INDIVIDUALS WITH RESOURCES. COMMUNITY HEALTH WORKER GRANT WRITTEN AND APPROVED VIA THE STATE OF TENNESSEE FOR FUNDING A COMMUNITY HEALTH NAVIGATOR POSITION TO FACILITATE RESOURCE COORDINATION ACROSS THE ASCENSION SAINT THOMAS HOSPITALS AND OUTPATIENT CLINICS. FY24 COMMUNITY INVESTMENTS: $5,000 CHILDREN'S ADVOCACY CENTER, 31ST JUDICIAL DISTRICT, $5,000 MY FATHER'S CLOSET, $5,000 HOPE CENTER FOR WARREN CO. AST RIVERPARK AND WARREN CO. HIGH SCHOOL TAKE ABOUT 20 STUDENTS A SEMESTER TO WORK TOWARDS THEIR CNA LICENSE. FY25 CONTINUE TO BUILD AST CHW INFRASTRUCTURE FOR AWARDED COMMUNITY HEALTH WORKER GRANTS. CONTINUED INCREASE OF NEIGHBORHOOD RESOURCES PLATFORM SITE UTILIZATION AND INCREASED RESOURCE BASED SEARCHES ON THE PLATFORM. COMMUNITY INVESTMENTS: $5,000 CHILDREN'S ADVOCACY CENTER, 31ST JUDICIAL DISTRICT, $3,000 SECOND HARVEST OF MIDDLE TENNESSEE, $5,000 TENNESSEE COLLEGE OF APPLIED TECHNOLOGY - MCMINNVILLE. -PROVIDE FREE OR LOW-COST PRESCRIPTIONS FOR QUALIFYING UNDERINSURED AND UNINSURED INDIVIDUALS. FY23 DISPENSED 4,353 PRESCRIPTIONS FOR 995 INDIVIDUALS IN FY23, AN INVESTMENT VALUED AT MORE THAN $300,000. FY24 DISPENSED 5,182 PRESCRIPTIONS FOR 1,052 INDIVIDUALS IN FY24, AN INVESTMENT VALUED AT MORE THAN $310,000. FY25 DISPENSED 4,795 PRESCRIPTIONS FOR 888 INDIVIDUALS in FY25, AN INVESTMENT VALUED AT MORE THAN $478,000. PRIORITY NEED: MENTAL HEALTH -INTEGRATE MENTAL HEALTH SERVICES, SUPPORT AND/OR EDUCATION INTO OUTPATIENT SETTINGS AND/OR EMERGENCY DEPARTMENT. FY23 MORE THAN 10,000 INDIVIDUALS SCREENED FOR ANXIETY SYSTEM WIDE, OF WHICH 53% HAD A POSITIVE SCREEN. ADDITIONALLY, NEARLY 300,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS ASCENSION'S TENNESSEE MARKET. ONGOING EFFORTS TO CONTINUE WORKGROUPS THAT HIGHLIGHT MENTAL HEALTH EFFORTS AT ASCENSION SAINT THOMAS RIVER PARK. FY24 MORE THAN 85,000 INDIVIDUALS SCREENED FOR DEPRESSION IN OUR EMERGENCY DEPARTMENTS AND PRIMARY CARE CLINICS. AST NETWORK MENTAL HEALTH WORKGROUP CONTINUES TO EXPLORE DATA AROUND DEPRESSION SCREENINGS. FY25 MORE THAN 150,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS THE ASCENSION TENNESSEE MARKET IN PRIMARY CARE SETTINGS AND EMERGENCY DEPARTMENTS. ASCENSION SAINT THOMAS EMERGENCY MANAGEMENT SERVICES GRANT AWARDED FOR FIRST RESPONDER MENTAL HEALTH. THIS GRANT WILL SUPPORT A MENTAL HEALTH RESILIENCY TRAINING PROGRAM AND COMMUNITY PARAMEDIC PROGRAM TO SUPPORT THE NEEDS OF PSYCHIATRIC PATIENTS. COMMUNITY INVESTMENTS MADE: $5,000 CHILDREN'S ADVOCACY CENTER, $6,000 HAVEN OF HOPE. PRIORITY NEED: SUBSTANCE MISUSE -INCREASE OPPORTUNITIES TO ENGAGE IN SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION AND TREATMENT. FY23 32,976 PATIENTS WERE SCREENED SYSTEM WIDE FOR ALCOHOL USE AND 8,437 PATIENTS WERE SCREENED SYSTEM WIDE FOR OPIOID RISK. BEGAN TO SET UP PROCESSES FOR DISPENSING FREE NALOXONE NASAL SPRAY AT ASCENSION SAINT THOMAS STONES RIVER THROUGH A STATE GRANT/ COUNTY PROGRAM AND ASCENSION RX PHARMACIES. ASCENSION SAINT THOMAS CREATED A SYSTEM WIDE WORKGROUP TO COLLABORATIVELY WORK ON IMPLEMENTATION STRATEGIES TO ADDRESS SUBSTANCE MISUSE. FY24 26,630 INDIVIDUALS SCREENED FOR ALCOHOL MISUSE AND MORE THAN 15,000 INDIVIDUALS SCREENED WITH THE OPIOID RISK TOOL. WE CONTINUE TO ENGAGE WITH HOSPITAL LEADERS AND CLINICIANS TO LEARN ABOUT THE REFERRAL PROCESS RELATED TO THE INFORMATION GATHERED BY THESE SCREENERS. FY25 MORE THAN 83,000 INDIVIDUALS WERE SCREENED FOR ALCOHOL DEPENDENCY ACROSS ASCENSION TENNESSEE AND MORE THAN 10,000 WERE SCREENED FOR OPIOID RISK. tax year 2024 CHNA TOP COMMUNITY PRIORITIZED NEEDS - ACCESS TO CARE - MENTAL HEALTH - SUBSTANCE MISUSE NEEDS THAT WILL NOT BE ADDRESSED ASCENSION SAINT THOMAS RIVER PARK HOSPITAL WILL BE ADDRESSING ALL COMMUNITY PRIORITIZED HEALTH NEEDS LISTED ABOVE. HEALTHY EATING/ACTIVE LIVING/CHRONIC CONDITIONS WILL BE ADDRESSED UNDER ACCESS TO CARE. STRATEGIES - (FY26 ACTIONS WILL BE REPORTED WITH THE 2025 TAX YEAR). ACCESS TO CARE: - BUILD A BRIDGE BETWEEN COMMUNITIES AND HEALTHCARE - ENHANCE SEXUAL ASSAULT INFRASTRUCTURE FOR THE COMMUNITY - IMPROVE OVERALL WELL-BEING OF OLDER ADULTS - RIGHT CARE, RIGHT PLACE AT THE RIGHT TIME - IMPROVE MATERNAL HEALTH OUTCOMES - STRENGTHEN THE HEALTHCARE WORKFORCE MENTAL HEALTH: - STRENGTHEN SOCIAL INFRASTRUCTURE TO INCREASE COMMUNITY CONNECTIONS SUBSTANCE MISUSE: - SUPPORTING SUBSTANCE MISUSE PREVENTION AND EDUCATION EFFORTS. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - A2 - ASCENSION SAINT THOMAS DEKALB HOSPITAL, LLC. ASCENSION SAINT THOMAS DEKALB HOSPITAL ADDRESSED THE SIGNIFICANT NEEDS OF THE PRIOR CHNA (2021). THE PRIORITY HEALTH NEEDS WERE: ACCESS TO CARE MENTAL HEALTH SUBSTANCE MISUSE ASCENSION SAINT THOMAS DEKALB HOSPTAL ADDRESSed ALL PRIORITIZED HEALTH NEEDS IDENTIFIED in the tax year 2021 chna. THE INFORMATION BELOW DESCRIBES THE ACTIONS TAKEN on THE 2021 CHNA TO ADDRESS EACH PRIORITY NEED AND INDICATORS OF IMPROVEMENT. PRIORITY NEED: ACCESS TO CARE -INCREASE ACCESS TO CARE THROUGH MOBILE HEALTH. FY23 DUE TO STAFFING CHANGES THIS STRATEGY IS ON HOLD. FY24 DUE TO STAFFING AND BUDGET LIMITATIONS THIS STRATEGY REMAINS ON HOLD. FY25 CONTINUE TO EXPLORE HAVING THE MAMMOGRAPHY MOBILE UNIT WITHIN THE COMMUNITY. -IDENTIFY AND ADDRESS BARRIERS TO CARE WITHIN THE COMMUNITY WITH SPECIAL ATTENTIONS TO PERSONS WHO ARE UNDERSERVED AND/OR MARGINALIZED. FY23 SDOH SCREENINGS: THERE WERE 45,409 PATIENTS SCREENED SYSTEM WIDE USING THE SOCIAL DETERMINANTS OF HEALTH SCREENER. SOCIAL ISOLATION IS THE MOST IDENTIFIED ISSUE. FY24 SDOH SCREENINGS: SDOH SCREENINGS DATA COLLECTION IS ON-GOING AND NEARLY 60,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET. ASCENSION SAINT THOMAS WAS AWARDED TWO COMMUNITY HEALTH WORKER (CHW) GRANTS TO FOCUS ON CREATING AN INFRASTRUCTURE FOR CHWS THROUGHOUT THE ASCENSION SAINT THOMAS MINISTRY. FY25 SDOH SCREENINGS: OVER 78,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET. MORE THAN 300 INDIVIDUALS SCREENED FOR SOCIAL DETERMINANTS OF HEALTH NEEDS WITHIN AN INPATIENT SETTING. -ENHANCE COORDINATION AND NAVIGATION OF RESOURCES FY23 OUTPATIENT CLINICS UTILIZING NEIGHBORHOOD RESOURCES TO CONNECT INDIVIDUALS WITH RESOURCES. FY24 WORKING TO BUILD MEANINGFUL PARTNERSHIPS WITH LOCAL NONPROFIT AGENCIES AND BOLSTER OUR KNOWLEDGE OF THE NEIGHBORHOOD RESOURCES PLATFORM AS WELL AS ENGAGING WITH THE LOCAL HEALTH COUNCIL AND DRUG PREVENTION COALITION FY25 CONTINUE TO BUILD AST CHW INFRASTRUCTURE FOR AWARDED COMMUNITY HEALTH WORKER GRANTS. CONTINUED INCREASE OF NEIGHBORHOOD RESOURCES PLATFORM SITE UTILIZATION AND INCREASED RESOURCE BASED SEARCHES ON THE PLATFORM. ASCENSION SAINT THOMAS DEKALB MADE COMMUNITY INVESTMENTS WITH THE DEKALB COUNTY SCHOOLS BACK PACK SCHOOL NUTRITION PROGRAM IN THE AMOUNT OF $4,000 AND THE SECOND HARVEST MOBILE PANTRY IN THE AMOUNT OF $3,000. PRIORITY NEED: MENTAL HEALTH -INTEGRATE MENTAL HEALTH SERVICES, SUPPORT AND/OR EDUCATION INTO OUTPATIENT SETTINGS AND/OR EMERGENCY DEPARTMENT. FY23 MORE THAN 10,000 INDIVIDUALS SCREENED FOR ANXIETY SYSTEM WIDE, OF WHICH 53% HAD A POSITIVE SCREEN. ADDITIONALLY, NEARLY 300,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS ASCENSION'S TENNESSEE MARKET. $30,000 COMMUNITY INVESTMENT TO HAVEN OF HOPE, A LOCAL AGENCY THAT PROVIDES MENTAL HEALTHCARE FOR THE UNINSURED. 49 FIRST RESPONDERS PARTICIPATED IN THREE SEPARATE MENTAL HEALTH CLASSES THAT ALIGNED WITH DEVELOPMENT OF TRAINING FOR FIRST RESPONDERS AS IT RELATES TO TRAUMA AND MENTAL WELLNESS. FY24 MORE THAN 85,000 INDIVIDUALS SCREENED FOR DEPRESSION IN OUR EMERGENCY DEPARTMENTS AND PRIMARY CARE CLINICS. AST NETWORK MENTAL HEALTH WORKGROUP CONTINUES TO EXPLORE DATA AROUND DEPRESSION SCREENINGS THAT HAPPEN IN ASCENSION SAINT THOMAS MEDICAL PARTNERS AND WHAT NEXT STEPS LOOK LIKE FOR PATIENTS. $30,000 COMMUNITY INVESTMENT AWARDED TO HAVEN OF HOPE OF DEKALB COUNTY TO SUPPORT THEIR MISSION OF PROVIDING MENTAL HEALTH SERVICES TO INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED. FY25 MORE THAN 150,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS THE ASCENSION TENNESSEE MARKET IN PRIMARY CARE SETTINGS AND EMERGENCY DEPARTMENTS. AST EMERGENCY MANAGEMENT SERVICES GRANT AWARDED FOR FIRST RESPONDER MENTAL HEALTH. THIS GRANT WILL SUPPORT A MENTAL HEALTH RESILIENCY TRAINING PROGRAM AND COMMUNITY PARAMEDIC PROGRAM TO SUPPORT THE NEEDS OF PSYCHIATRIC PATIENTS. A COMMUNITY INVESTMENT OF $21,000 WAS MADE TO HAVEN OF HOPE TO HELP PROVIDE MENTAL HEALTH SERVICES TO UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. PRIORITY NEED: SUBSTANCE MISUSE: -INCREASE OPPORTUNITIES TO ENGAGE IN SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION AND TREATMENT. FY23 32,976 PATIENTS WERE SCREENED SYSTEM WIDE FOR ALCOHOL USE AND 8,437 PATIENTS WERE SCREENED SYSTEM WIDE FOR OPIOID RISK. FY24 26,630 INDIVIDUALS SCREENED FOR ALCOHOL MISUSE AND MORE THAN 15,000 INDIVIDUALS SCREENED WITH THE OPIOID RISK TOOL. FY25 MORE THAN 83,000 INDIVIDUALS WERE SCREENED FOR ALCOHOL DEPENDENCY ACROSS ASCENSION TENNESSEE AND MORE THAN 10,000 WERE SCREENED FOR OPIOID RISK. tax year 2024 CHNA TOP COMMUNITY PRIORITIZED NEEDS - ACCESS TO CARE - MENTAL HEALTH - SUBSTANCE MISUSE NEEDS THAT WILL NOT BE ADDRESSED ASCENSION SAINT THOMAS DEKALB HOSPITAL WILL BE ADDRESSING ALL COMMUNITY PRIORITIZED HEALTH NEEDS LISTED ABOVE. STRATEGIES - (FY26 ACTIONS WILL BE REPORTED WITH THE 2025 TAX YEAR) ACCESS TO CARE: - BUILD A BRIDGE BETWEEN COMMUNITIES AND HEALTHCARE - STRENGTHEN THE HEALTHCARE WORKFORCE - IMPROVE OVERALL WELL-BEING OF OLDER ADULTS - ENHANCE SEXUAL ASSAULT INFRASTRUCTURE FOR THE COMMUNITY MENTAL HEALTH: - STRENGTHEN SOCIAL INFRASTRUCTURE TO INCREASE COMMUNITY CONNECTIONS SUBSTANCE MISUSE: - SUPPORTING SUBSTANCE MISUSE PREVENTION AND EDUCATION EFFORTS. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - A3 - ASCENSION SAINT THOMAS HIGHLANDS, LLC. ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL ADDRESSED THE SIGNIFICANT NEEDS OF THE PRIOR CHNA (2021). THE PRIORITY HEALTH NEEDS WERE: ACCESS TO CARE MENTAL HEALTH SUBSTANCE MISUSE ASCENSION SAINT THOMAS HIGHLANDS hospital ADDRESSed ALL PRIORITIZED HEALTH NEEDS IDENTIFIED in the tax year 2021 chna. THE INFORMATION BELOW DESCRIBES THE ACTIONS TAKEN on THE 2021 CHNA TO ADDRESS EACH PRIORITY NEED AND INDICATORS OF IMPROVEMENT. PRIORITY NEED: ACCESS TO CARE: -INCREASE ACCESS TO CARE THROUGH MOBILE HEALTH. FY23 DUE TO STAFFING CHANGES THIS STRATEGY IS ON HOLD. FY24 DUE TO STAFFING AND BUDGET LIMITATIONS THIS STRATEGY REMAINS ON HOLD. FY25 THE MOBILE MAMMOGRAPHY BUS PROVIDED 69 MAMMOGRAMS TO UNINSURED WOMEN IN WHITE COUNTY. - IDENTIFY AND ADDRESS BARRIERS TO CARE WITHIN THE COMMUNITY WITH SPECIAL ATTENTIONS TO PERSONS WHO ARE UNDERSERVED AND/OR MARGINALIZED. FY23 SOCIAL DETERMINANTS OF HEALTH SCREENER USED TO IDENTIFY NEEDS. THERE WERE 45,409 PATIENTS SCREENED SYSTEM WIDE USING THE SOCIAL DETERMINANTS OF HEALTH SCREENER. SOCIAL ISOLATION IS THE MOST IDENTIFIED ISSUE. FY24 SDOH SCREENINGS: SOCIAL DETERMINANTS OF HEALTH SCREENER USED TO IDENTIFY NEEDS. SDOH SCREENINGS DATA COLLECTION IS ON-GOING AND NEARLY 60,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET. ASCENSION SAINT THOMAS WAS AWARDED TWO COMMUNITY HEALTH WORKER (CHW) GRANTS TO FOCUS ON CREATING AN INFRASTRUCTURE FOR CHWS THROUGHOUT THE ASCENSION SAINT THOMAS MINISTRY. FY25 SDOH SCREENINGS: OVER 78,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET. MORE THAN 400 INDIVIDUALS SCREENED FOR SOCIAL DETERMINANTS OF HEALTH NEEDS WITHIN AN INPATIENT SETTING. -ENHANCE COORDINATION AND NAVIGATION OF RESOURCES FY23 HOSPITALS AND OUTPATIENT CLINICS UTILIZING NEIGHBORHOOD RESOURCES TO CONNECT INDIVIDUALS WITH RESOURCES. COMMUNITY HEALTH WORKER GRANT WRITTEN AND APPROVED VIA THE STATE OF TENNESSEE FOR FUNDING A COMMUNITY HEALTH NAVIGATOR POSITION TO FACILITATE RESOURCE COORDINATION ACROSS THE ASCENSION SAINT THOMAS HOSPITALS AND OUTPATIENT CLINICS. FY24 $7,500 COMMUNITY INVESTMENT FOR MOBILE FOOD PANTRY FOR WHITE CO. VIA SECOND HARVEST FOOD BANK. FY25 CONTINUE TO BUILD AST CHW INFRASTRUCTURE FOR THE TWO COMMUNITY HEALTH WORKER GRANTS. CONTINUED INCREASE OF NEIGHBORHOOD RESOURCES PLATFORM SITE UTILIZATION AND INCREASED RESOURCE BASED SEARCHES ON THE PLATFORM. ASCENSION SAINT THOMAS HIGHLANDS MADE A COMMUNITY INVESTMENT TO THE SECOND HARVEST MOBILE PANTRY IN THE AMOUNT OF $3,000. PRIORITY NEED: MENTAL HEALTH -INTEGRATE MENTAL HEALTH SERVICES, SUPPORT AND/OR EDUCATION INTO OUTPATIENT SETTINGS AND/OR EMERGENCY DEPARTMENT. FY23 MORE THAN 10,000 INDIVIDUALS SCREENED FOR ANXIETY SYSTEM WIDE, OF WHICH 53% HAD A POSITIVE SCREEN. ADDITIONALLY, NEARLY 300,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS ASCENSION'S TENNESSEE MARKET. FY24 MORE THAN 85,000 INDIVIDUALS SCREENED FOR DEPRESSION IN OUR EMERGENCY DEPARTMENTS AND PRIMARY CARE CLINICS. AST NETWORK MENTAL HEALTH WORKGROUP CONTINUES TO EXPLORE DATA AROUND DEPRESSION SCREENINGS THAT HAPPEN IN ASCENSION SAINT THOMAS MEDICAL PARTNERS AND WHAT NEXT STEPS LOOK LIKE FOR PATIENTS. FY25 MORE THAN 150,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS THE ASCENSION TENNESSEE MARKET IN PRIMARY CARE SETTINGS AND EMERGENCY DEPARTMENTS. A COMMUNITY INVESTMENT OF $1,800 WAS MADE TO HAVEN OF HOPE TO HELP PROVIDE MENTAL HEALTH SERVICES TO UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. PRIORITY NEED: SUBSTANCE MISUSE - INCREASE OPPORTUNITIES TO ENGAGE IN SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION AND TREATMENT. FY23 JUST AS ASCENSION SAINT THOMAS HIGHLANDS SCREENS FOR DEPRESSION AND ANXIETY IN PRIMARY CARE AND EMERGENCY DEPARTMENT SETTINGS, INDIVIDUALS MAY ALSO BE SCREENED FOR ALCOHOL USE AND OPIOID RISK. FY23 32,976 PATIENTS WERE SCREENED SYSTEM WIDE FOR ALCOHOL USE AND 8,437 PATIENTS WERE SCREENED SYSTEM WIDE FOR OPIOID RISK. FY24 FREE NALOXONE NASAL SPRAY NOW THROUGH A STATE GRANT OR COUNTY PROGRAM AT OUR FACILITIES (AND OUR ASCENSION RX PHARMACIES)-- HAS BEEN ROLLED OUT AND 11 ASCENSION RX DISPENSES. 26,630 INDIVIDUALS SCREENED FOR ALCOHOL MISUSE AND MORE THAN 15,000 INDIVIDUALS SCREENED WITH THE OPIOID RISK TOOL. WE CONTINUE TO ENGAGE WITH HOSPITAL LEADERS AND CLINICIANS TO LEARN ABOUT THE REFERRAL PROCESS RELATED TO THE INFORMATION GATHERED BY THESE SCREENERS. FY25 MORE THAN 83,000 INDIVIDUALS WERE SCREENED FOR ALCOHOL DEPENDENCY ACROSS ASCENSION TENNESSEE AND MORE THAN 10,000 WERE SCREENED FOR OPIOID RISK. tax year 2024 CHNA TOP COMMUNITY PRIORITIZED NEEDS - ACCESS TO CARE - MENTAL HEALTH - SUBSTANCE MISUSE NEEDS THAT WILL NOT BE ADDRESSED ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL WILL BE ADDRESSING ALL COMMUNITY PRIORITIZED HEALTH NEEDS LISTED ABOVE. STRATEGIES - (FY26 ACTIONS WILL BE REPORTED WITH THE 2025 TAX YEAR). ACCESS TO CARE: - BUILD A BRIDGE BETWEEN COMMUNITIES AND HEALTHCARE - ENHANCE SEXUAL ASSAULT INFRASTRUCTURE FOR THE COMMUNITY - IMPROVE HEALTH OF POSTPARTUM MOMS - STRENGTHEN THE HEALTHCARE WORKFORCE MENTAL HEALTH: - STRENGTHEN SOCIAL INFRASTRUCTURE TO INCREASE COMMUNITY CONNECTIONS - IMPROVE OVERALL WELL-BEING OF OLDER ADULTS (GEROPSYCH FOCUS) SUBSTANCE MISUSE: - SUPPORTING SUBSTANCE MISUSE PREVENTION AND EDUCATION EFFORTS. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - A4- ASCENSION SAINT THOMAS STONES RIVER HOSPITAL, LLC. ASCENSION SAINT THOMAS STONES RIVER HOSPITAL ADDRESSED THE SIGNIFICANT NEEDS OF THE PRIOR CHNA (2021). THE PRIORITY HEALTH NEEDS WERE: ACCESS TO CARE MENTAL HEALTH SUBSTANCE MISUSE ASCENSION SAINT THOMAS STONES RIVER HOSPITAL ADDRESSed ALL PRIORITIZED HEALTH NEEDS IDENTIFIED in the tax year 2021 chna. THE INFORMATION BELOW DESCRIBES THE ACTIONS TAKEN on THE 2021 CHNA TO ADDRESS EACH PRIORITY NEED AND INDICATORS OF IMPROVEMENT. PRIORITY NEED: ACCESS TO CARE: -INCREASE ACCESS TO CARE THROUGH MOBILE HEALTH. FY23 DUE TO STAFFING CHANGES THIS STRATEGY IS ON HOLD. FY24 DUE TO STAFFING AND BUDGET LIMITATIONS THIS STRATEGY REMAINS ON HOLD. FY25 DUE TO STAFFING AND BUDGET LIMITATIONS THIS STRATEGY REMAINS ON HOLD. -IDENTIFY AND ADDRESS BARRIERS TO CARE WITHIN THE COMMUNITY WITH SPECIAL ATTENTIONS TO PERSONS WHO ARE UNDERSERVED AND/OR MARGINALIZED. FY23 SOCIAL DETERMINANTS OF HEALTH SCREENER USED TO IDENTIFY NEEDS. THERE WERE 45,409 PATIENTS SCREENED SYSTEM WIDE USING THE SOCIAL DETERMINANTS OF HEALTH SCREENER. SOCIAL ISOLATION IS THE MOST IDENTIFIED ISSUE. FY24 SDOH SCREENINGS: SOCIAL DETERMINANTS OF HEALTH SCREENER USED TO IDENTIFY NEEDS. SDOH SCREENINGS DATA COLLECTION IS ON-GOING AND NEARLY 60,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET. SOCIAL ISOLATION AND ABILITY TO PAY FOR HEALTHCARE SERVICES ARE THE MOST IDENTIFIED ISSUES. FY25 SDOH SCREENINGS: MORE THAN 78,000 INDIVIDUALS SCREENED FOR SOCIAL DETERMINANTS OF HEALTH NEEDS ACROSS ASCENSION TENNESSEE MARKET. MORE THAN 200 INDIVIDUALS SCREENED FOR SOCIAL DETERMINANTS OF HEALTH NEEDS WITHIN AN INPATIENT SETTING. TOP NEEDS IDENTIFIED INCLUDE TRANSPORTATION, SOCIAL CONNECTION AND ACCESS TO HEALTHCARE. ENHANCE COORDINATION AND NAVIGATION OF RESOURCES FY23 HOSPITALS AND OUTPATIENT CLINICS UTILIZING NEIGHBORHOOD RESOURCES TO CONNECT INDIVIDUALS WITH RESOURCES. COMMUNITY HEALTH WORKER GRANT WRITTEN AND APPROVED VIA THE STATE OF TENNESSEE FOR FUNDING A COMMUNITY HEALTH NAVIGATOR POSITION TO FACILITATE RESOURCE COORDINATION ACROSS THE ASCENSION SAINT THOMAS HOSPITALS AND OUTPATIENT CLINICS. FY24 COMMUNITY INVESTMENT OF $7,500 TO SECOND HARVEST FOOD PANTRY. HOSPITAL LEADERSHIP IS ENGAGED WITH THE CANNON COUNTY HEALTH COUNCIL. FY25 OVER 78,000 INDIVIDUALS WERE SCREENED ACROSS THE ASCENSION TENNESSEE MARKET. MORE THAN 1,000 SEARCHES WITHIN NEIGHBORHOOD RESOURCES FOR FOOD, HOUSING, TRANSIT AND OTHER RESOURCES. COMMUNITY INVESTMENT OF $3,000 TO SECOND HARVEST FOOD PANTRY. PRIORITY NEED: MENTAL HEALTH: -INTEGRATE MENTAL HEALTH SERVICES, SUPPORT AND/OR EDUCATION INTO OUTPATIENT SETTINGS AND/OR EMERGENCY DEPARTMENT. FY23 MORE THAN 10,000 INDIVIDUALS SCREENED FOR ANXIETY SYSTEM WIDE, OF WHICH 53% HAD A POSITIVE SCREEN. ADDITIONALLY, NEARLY 300,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS ASCENSION'S TENNESSEE MARKET. FY24 MORE THAN 85,000 INDIVIDUALS SCREENED FOR DEPRESSION IN OUR EMERGENCY DEPARTMENTS AND PRIMARY CARE CLINICS. FY25 MORE THAN 150,000 INDIVIDUALS WERE SCREENED FOR DEPRESSION ACROSS THE ASCENSION TENNESSEE MARKET IN PRIMARY CARE SETTINGS AND EMERGENCY DEPARTMENTS. COMMUNITY INVESTMENT OF $1,200 TO HAVEN OF HOPE. PRIORITY NEED: SUBSTANCE MISUSE: -INCREASE OPPORTUNITIES TO ENGAGE IN SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION AND TREATMENT. FY23 32,976 PATIENTS WERE SCREENED SYSTEM WIDE FOR ALCOHOL USE AND 8,437 PATIENTS WERE SCREENED SYSTEM WIDE FOR OPIOID RISK. FY24 26,630 INDIVIDUALS SCREENED FOR ALCOHOL MISUSE AND MORE THAN 15,000 INDIVIDUALS SCREENED WITH THE OPIOID RISK TOOL. FY25 MORE THAN 83,000 INDIVIDUALS WERE SCREENED FOR ALCOHOL DEPENDENCY ACROSS ASCENSION TENNESSEE AND MORE THAN 10,000 WERE SCREENED FOR OPIOID RISK. tax year 2024 CHNA TOP COMMUNITY PRIORITIZED NEEDS - ACCESS TO CARE - MENTAL HEALTH - SUBSTANCE MISUSE - HEALTHY EATING/ACTIVE LIVING AND RESULTING CHRONIC CONDITIONS NEEDS THAT WILL NOT BE ADDRESSED ASCENSION SAINT THOMAS STONES RIVER HOSPITAL WILL BE ADDRESSING ALL COMMUNITY PRIORITIZED HEALTH NEEDS LISTED ABOVE. HEALTHY EATING/ACTIVE LIVING/CHRONIC CONDITIONS WILL BE ADDRESSED UNDER ACCESS TO CARE. STRATEGIES - (FY26 ACTIONS WILL BE REPORTED WITH THE 2025 TAX YEAR) ACCESS TO CARE: - BUILD A BRIDGE BETWEEN COMMUNITIES AND HEALTHCARE - ENHANCE SEXUAL ASSAULT INFRASTRUCTURE FOR THE COMMUNITY - IMPROVE OVERALL WELL-BEING OF OLDER ADULTS - STRENGTHEN THE HEALTHCARE WORKFORCE MENTAL HEALTH: - STRENGTHEN SOCIAL INFRASTRUCTURE TO INCREASE COMMUNITY CONNECTIONS SUBSTANCE MISUSE: - SUPPORTING SUBSTANCE MISUSE PREVENTION AND EDUCATION EFFORTS. 0 Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A PATIENT MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE IF SUCH PATIENT IS DEEMED TO HAVE SUFFICIENT ASSETS TO PAY PURSUANT TO AN "ASSET TEST." THE ASSET TEST INVOLVES A SUBSTANTIVE ASSESSMENT OF A PATIENT'S ABILITY TO PAY BASED ON THE CATEGORIES OF ASSETS MEASURED IN THE FAP APPLICATION. A PATIENT WITH SUCH ASSETS THAT EXCEED 250% OF SUCH PATIENT'S FPL AMOUNT MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC. Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from patients who do not qualify for charity care have been exhausted, the corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the corporation's and medicare policies. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT FOR TAX PURPOSES, BUT IS REPORTED AS SUCH ON OUR AUDITED FINANCIAL STATEMENTS. THE AMOUNTS REPORTED ON SCHEDULE H, PART III INCLUDE ONLY TRADITIONAL MEDICARE AS REFLECTED IN OUR 6/30/25 COST REPORT. IN ADDITION TO TRADITIONAL MEDICARE, OTHER SERVICES ARE PROVIDED TO THE MEDICARE POPULATION AT A LOSS, INCLUDING BUT NOT LIMITED TO MEDICARE ADVANTAGE, OUTPATIENT LAB AND REHABILITATION SERVICES, AND OUTPATIENT MAMMOGRAPHY. THE TOTAL MEDICARE SHORTFALL/SURPLUS FOR THIS TAX YEAR INCLUDING ALL MEDICARE SERVICES IS $153,847. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SAINT THOMAS REGIONAL HOSPITALS FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. QUALIFYING PATIENT ACCOUNTS THAT ARE STILL OPEN AND BEING PURSUED AS WELL AS ANY NEW BALANCES FOR THE NEXT SIX (6) MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT SUBMITS AN APPLICATION AND IS PENDING A DECISION AND / OR QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES OR UNTIL THEIR APPLICATION IS DENIED IF THEY WERE DEEMED INELIGIBLE. Schedule H, Part V, Section B, Line 16a FAP website A - Ascension Saint Thomas River Park Hospital, LLC: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - Ascension Saint Thomas River Park Hospital, LLC: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Ascension Saint Thomas River Park Hospital, LLC: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment SAINT THOMAS REGIONAL HOSPITALS, REPRESENTED AS SAINT THOMAS DEKALB HOSPITAL, LLC D/B/A ASCENSION SAINT THOMAS DEKALB, SAINT THOMAS HIGHLANDS HOSPITAL, LLC D/B/A ASCENSION SAINT THOMAS HIGHLANDS, SAINT THOMAS RIVER PARK HOSPITAL, LLC D/B/A ASCENSION SAINT THOMAS RIVER PARK AND SAINT THOMAS STONES RIVER HOSPITAL, LLC D/B/A ASCENSION SAINT THOMAS STONES RIVER, USE SEVERAL INTERNAL DATABASES AND EXTERNAL REPORTS FROM THIRD PARTIES, INCLUDING GOVERNMENT SOURCES, TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. THE INFORMATION PROVIDES KEY INDICATORS ABOUT HEALTH, and other community factors THAT IDENTIFY AREAS OF FOCUS AND INFORM OUR STRATEGIES. THESE REPORTS INCLUDE, BUT ARE NOT LIMITED TO: -LOCAL GOVERNMENT PLANNING DEPARTMENTS -US CENSUS BUREAU -SG2 HEALTHCARE INTELLIGENCE -HEALTHCARE CLAIMS DATASETS -STATE DATASETS -CMS -INTERNAL DATA SETS -ACO, PHYSICIAN SUPPLY, AND ALIGNED HEALTH PARTNERSHIPS SAINT THOMAS REGIONAL HOSPITALS UTILIZES INFORMATION FROM THESE SOURCES TO DEVELOP PROGRAMS AND PROVIDE APPROPRIATE SERVICES NEEDED THROUGHOUT THE REGION. IN ADDITION, SAINT THOMAS HEALTH D/B/A ASCENSION SAINT THOMAS CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance SAINT THOMAS REGIONAL HOSPITALS ARE 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 REGIONAL 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 REGIONAL HOSPITAL PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE AS NOTED IN SCHEDULE H. SAINT THOMAS REGIONAL HOSPITALS WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/financial-assistance/tennessee SAINT THOMAS REGIONAL HOSPITALS 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 REGIONAL HOSPITALS 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 REGIONAL HOSPITALS INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS, OFFERING COPIES OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AT REGISTRATION AND INCLUDED INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO APPLY ON ALL PATIENT BILLING STATEMENTS. Schedule H, Part VI, Line 4 Community information SAINT THOMAS REGIONAL HOSPITALS SERVES A 9-COUNTY (CANNON, COFFEE, CUMBERLAND, DEKALB, PUTNAM, RUTHERFORD, VAN BUREN, WARREN, WHITE) PRIMARY SERVICE AREA. THE TOTAL POPULATION OF THE 9-COUNTY PRIMARY SERVICE AREA IS ESTIMATED TO BE 705,455 RESIDENTS IN CALENDAR 2025 AND IS EXPECTED TO INCREASE BY APPROXIMATELY 7.4% TO 758,043 RESIDENTS IN FIVE YEARS. THE MEDIAN HOUSEHOLD INCOME OF THE 9-COUNTY PRIMARY SERVICE AREA IS $74,191 BASED ON 2025 ESRI DEMOGRAPHICS DATA. APPROXIMATELY 12.1% OF THE SERVICE AREA RESIDENTS LIVE BELOW THE POVERTY LINE, WITH 23.4% WITHOUT ANY FORM OF INSURANCE OR ENROLLED IN MEDICAID. WITHIN THE 9-COUNTY PRIMARY SERVICE AREA, THERE ARE FOUR COUNTIES FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AND 4 COUNTIES DESIGNATED AS MEDICALLY UNDERSERVED POPULATION. THERE ARE 6 OTHER ACUTE CARE HOSPITALS LOCATED WITHIN THE PRIMARY SERVICE AREA. Schedule H, Part VI, Line 5 Promotion of community health SAINT THOMAS REGIONAL HOSPITALS IS GOVERNED BY THE ASCENSION SAINT THOMAS BOARD OF DIRECTORS AND CONSISTS OF PERSONS REPRESENTING DIFFERENT ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ASCENSION SAINT THOMAS' GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. SAINT THOMAS REGIONAL HOSPITALS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THEIR COMMUNITIES FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. SAINT THOMAS REGIONAL HOSPITALS APPLIED SURPLUS FUNDS FOR IMPROVEMENTS IN PATIENT CARE WITH OVER $8.1M INVESTED BACK INTO PATIENT CARE PROJECTS IN FY25. ADDITIONALLY, THESE FACILITIES SUPPORT ONGOING MEDICAL EDUCATION TO PHYSICIANS AND OTHER PATIENT CARE PROVIDERS. FINALLY, SAINT THOMAS REGIONAL HOSPITALS PROVIDED OVER $18.2M IN CARE TO THE POOR IN FY25 THROUGH ITS AFFILIATED CLINICS OPERATIONS AND HOSPITAL PROGRAMS. The Community Health Needs Assessment and Implementation Strategy information reported herein relate to the tax year ended June 30, 2025. Schedule H, Part VI, Line 6 Affiliated health care system SAINT THOMAS REGIONAL HOSPITALS 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 REGIONAL HOSPITALS OPERATE FACILITIES IN MIDDLE TENNESSEE AND ARE PART OF SAINT THOMAS HEALTH D/B/A ASCENSION SAINT THOMAS WHICH OWNS AND OPERATES HEALTH CARE RELATED ENTITIES, INCLUDING 12 HOSPITAL CAMPUSES, IN ADDITION TO A COMPREHENSIVE NETWORK OF AFFILIATED JOINT VENTURES, MEDICAL PRACTICES, CLINICS AND REHABILITATION FACILITIES ACROSS MIDDLE TENNESSEE. true HAVEN OF HOPE OF DEKALB COUNTY INC 301 WEST MAIN STREET SMITHVILLE TN 37166 264275807 501(C)(3) 30000 SUPPORT OF MENTAL HEALTH ASSISTANCE FOR UNINSURED AND UNDERINSURED SECOND HARVEST FOOD BANK OF MIDDLE TENNESSEE INC 331 GREAT CIRCLE ROAD NASHVILLE TN 37228 621049447 501(C)(3) 12000 SUPPORT OF MOBILE PANTRY MASS FOOD DISTRIBUTIONS 2 0 SCHOLARSHIP 17 24400 assisted living/group home 3 2350 Medical Equipment 1 400 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds GRANTS THAT ARE GIVEN TO ORGANIZATIONS OUTSIDE OF OUR RELATED SYSTEM OR FOR THE BENEFIT OF INDIVIDUALS ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF THE ASCENSION HEALTH SYSTEM OVERALL. WHEN GRANTS ARE GIVEN TO RELATED TAX EXEMPT ORGANIZATIONS NO MONITORING IS DONE BECAUSE THOSE ORGANIZATIONS HAVE THE SAME MISSION AND EXEMPT PURPOSES AS THE FILING ORGANIZATION. false true false false false false false false false FAHAD TAHIR PRESIDENT/CEO, MINISTRY MARKET 0 633668 0 1170000 0 131679 0 22425 0 41079 0 1998851 0 0 STEVEN MAURICE VANHOOK MD DIRECTOR 0 309950 0 22500 0 4301 0 21805 0 32794 0 391350 0 0 RACHEL BALLARD MEHR MD DIRECTOR 0 298276 0 89381 0 3675 0 18975 0 34742 0 445049 0 0 LISA RENEE DAVIS FORMER OFFICER (END 11/2022) 0 515561 0 900000 0 100751 0 22425 0 18512 0 1557249 0 0 ALLEN B WILCOX MD FORMER OFFICER (END 12/2020) 0 562443 0 568198 0 131975 0 20700 0 30865 0 1314181 0 0 TIMOTHY PAUL ADAMS FORMER OFFICER (END 1/2023) 0 978542 0 2250000 0 253204 0 18975 0 50118 0 3550839 0 0 BRANDON MICHAEL WILLIAMS CFO, MINISTRY MARKET 0 460740 0 432000 0 69783 0 18975 0 39361 0 1020859 0 0 ROBERT DALE HUMPHREY ADMINISTRATOR, RIVER PARK 218534 0 68175 0 17474 0 16320 0 33090 0 353593 0 0 0 ROBERT ARTHUR PEGLOW II RN ADMINISTRATOR, HIGHLANDS 175109 0 54600 0 1639 0 5959 0 27117 0 264424 0 0 0 RAYMOND JOHNSON ADMINISTRATOR, DEKALB (END 7/2024) 82233 0 51000 0 431 0 2668 0 16935 0 153267 0 0 0 JIMMIE DALE WOODLEE MD PHYSICIAN 325861 0 35817 0 11221 0 20700 0 21436 0 415035 0 0 0 EMILY C ELROD RN RN, DIRECTOR OF NURSING 172136 0 25683 0 531 0 12863 0 4167 0 215380 0 0 0 REGINA L TURNER PHARMACY MANAGER 187191 0 7500 0 858 0 12715 0 3565 0 211829 0 0 0 DAISY GANNON PHARMACY MANAGER 178339 0 7500 0 559 0 12243 0 11190 0 209831 0 0 0 KATHERINE D MILLER PHARMACY MANAGER 172247 0 7500 0 821 0 11844 0 5219 0 197631 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF THE FILING ORGANIZATION IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE FILING ORGANIZATION IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE FILING ORGANIZATION. Form 990, Part 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 REGIONAL HOSPITALS HAS A SINGLE CORPORATE MEMBER, SAINT THOMAS HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Saint Thomas Regional Hospitals has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of Saint Thomas Regional Hospitals. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to the Saint Thomas Regional Hospitals financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health. 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 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 4009, Related or Exempt Function Revenue: 3475, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 534; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - 4350448; Total - 4350448; Form 990, Part XII, Line 2c Audited Financial Statement THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. FORM 990, PAGE 1 - ITEM J ENTITY WEBSITE Saint Thomas Regional Hospitals is comprised of four individual hospitals named Ascension Saint Thomas Stones River Hospital, LLC, Ascension Saint Thomas DeKalb Hospital, LLC, Ascension Saint Thomas Highlands Hospital, LLC, and Ascension Saint Thomas River Park Hospital, LLC with respective websites as follows: https://healthcare.ascension.org/locations/tennessee/tnnas/woodbury-ascension-saint-thomas-stones-river https://healthcare.ascension.org/locations/tennessee/tnnas/smithville-ascension-saint-thomas-dekalb https://healthcare.ascension.org/locations/tennessee/tnnas/sparta-ascension-saint-thomas-highlands https://healthcare.ascension.org/locations/tennessee/tnnas/mcminnville-ascension-saint-thomas-river-park 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. SAINT THOMAS DEKALB HOSPITAL LLC 520 W MAIN STREET SMITHVILLE TN 37166 474063289 HOSPITAL TN 12791632 8100210 SAINT THOMAS REGIONAL HOSPITALS SAINT THOMAS HIGHLANDS HOSPITAL LLC 401 SEWELL DRIVE SPARTA TN 38583 474063406 HOSPITAL TN 28524931 15192698 SAINT THOMAS REGIONAL HOSPITALS SAINT THOMAS RIVER PARK HOSPITAL 1559 SPARTA STREET MCMINNVILLE TN 37110 474063149 HOSPITAL TN 65270725 49786390 SAINT THOMAS REGIONAL HOSPITALS SAINT THOMAS STONES RIVER HOSPITAL 324 DOOLITTLE ROAD WOODBURY TN 37190 474063232 HOSPITAL TN 12113240 6139825 SAINT THOMAS REGIONAL HOPSITALS 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 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SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL One Ford Place-5F Detroit MI 48202 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL One Ford Place-5F Detroit MI 48202 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SETON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH One Ford Place-5F Detroit MI 48202 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION One Ford Place-5F Detroit MI 48202 202961579 FUNDRAISING MI 501(c)(3) 7 ASCENSION ST JOHN HOSPITAL true ASCENSION ST JOHN HOSPITAL One Ford Place-5F Detroit MI 48202 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH HOSPITAL true ASCENSION ST JOSEPH HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 382246366 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA IL 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI ASCENSION SETON FOUNDATION true BORGESS HEALTH ALLIANCE INC 615 N MICHIGAN ST SOUTH BEND IN 46601 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) 10 ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC 4635 WEST COLLEGE AVENUE APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 10 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true FIELD NEUROSCIENCES INSTITUTE 4000 WELLNESS DRIVE MIDLAND MI 48670 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES One Ford Place-5F Detroit MI 48202 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER One Ford Place-5F Detroit MI 48202 382317364 CONVALESCENT CENTER MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM One Ford Place-5F Detroit MI 48202 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM INC true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION 207 N CATHERINE STREET ROOM 205 MOBILE AL 36604 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 7 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM INC true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM INC true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS 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 One Ford Place-5F Detroit MI 48202 382820107 SOCIAL WELFARE MI 501(c)(4) ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 35233 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETONUT AUSTIN DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true ST AGNES FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true ST ALEXIUS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) Type I ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE One Ford Place-5F Detroit MI 48202 382244034 PARENT COMPANY MI 501(c)(3) Type II ASCENSION MICHIGAN true ST JOHN SAPULPA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730662663 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA 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DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452958482 ACCOUNTABLE CARE ORGANIZATION TN NA C Corporation true ASCENSION CARE MANAGEMENT HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454413419 MEDICAL SERVICE MO NA C Corporation true ASCENSION CARE MANAGEMENT HOLDINGS LTD AND SUBSIDIARIES 800 Tower Drive Suite 300 Troy MI 48098 383269272 INSURANCE AND TPA MI NA C Corporation true ASCENSION HEALTH INSURANCE LIMITED PO BOX 1159 GRAND CAYMAN Bahamas CJ KY11102 INSURANCE CJ NA C Corporation true ASCENSION HEALTH RISK PURCHASING GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 274176480 SUPPORTING ORGANIZATION MO NA C Corporation true ASCENSION MEDICAL GROUP VIA CHRISTI PA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480993446 PROFESSIONAL ASSOCIATION KS NA C Corporation true ASCENSION VENTURES CORPORATION 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 35233 631217059 MISC HEALTHCARE SERVICES AL NA C Corporation true ASV ST JOHN'S COUNTY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 854309119 INACTIVE FL NA C Corporation true BAPTIST HEALTH CARE VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620469214 HOLDING COMPANY TN NA C Corporation true BAYLEY CONDOMINIUM ASSOCIATION 2121 HIGHLAND AVENUE SOUTH BIRMINGHAM AL 35205 631209915 CONDOMINIUM ASSOCIATION AL NA C Corporation true BEECHER BALLENGER SERVICES INC AND SUBSIDIARIES ONE FORD PLACE - 5F DETROIT MI 48202 382497922 HOLDING COMPANY MI NA C Corporation true CARONDELET MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860836126 MEDICAL GROUP AZ NA C Corporation true CARONDELET SPECIALIST GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261558773 PHYSICIAN PRACTICE AZ NA C Corporation true CHV V CP BLOCKER CORP 4600 EDMUNDSON ROAD ST LOUIS MO 63134 863673080 INVESTMENT DE NA C Corporation true CLINICAL HOLDINGS CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453802297 HOLDING COMPANY MO NA C Corporation true CONSOLIDATED PHARMACY SERVICES INC AND SUBSIDIARIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593398033 RETAIL PHARMACY & PATIENT TRANSPORT FL NA C Corporation true CRITTENTON DEVELOPMENT CORPORATION AND SUBSIDIARIES ONE FORD PLACE - 5F DETROIT MI 48202 382594115 REAL ESTATE MI NA C Corporation true DELL CHILDREN'S HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311909 HEALTH SERVICES TX NA C Corporation true FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC 1 SHIRCLIFF WAY JACKSONVILLE FL 32204 261983355 CONDOMINIUM ASSOCIATION FL NA C Corporation true FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 341983857 CONDO ASSOCIATION WI NA C Corporation true GULF COAST DIVERSIFIED INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592432798 INVESTMENT FL NA C Corporation true INDIAN CREEK CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480956627 MANAGEMENT MO NA C Corporation true INTEGRATED HEALTHCARE SYSTEMS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480941549 CLINIC SERVICES KS NA C Corporation true MADISON MEDICAL AFFILIATES INC 4425 N PORT WASHINGTON RD GLENDALE WI 53212 391855720 HEALTHCARE WI NA C Corporation true MID-STATE PROPERTIES INC 2000 CHURCH STREET NASHVILLE TN 37236 621232018 INACTIVE TN NA C Corporation true MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461130426 HEALTHCARE SERVICES MS NA C Corporation true PRESENCE SERVICE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364314354 MEDICAL IL NA C Corporation true PRESENCE VENTURES INC and SUBSIDIARY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371168085 MEDICAL IL NA C Corporation true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630886846 REAL ESTATE AL NA C Corporation true RESOURCE PHARMACIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521410076 RETAIL PHARMACY DC NA C Corporation true SETON HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453047469 HEALTH SERVICES TX NA C Corporation true SETON HEALTH PLAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742725348 HMO TX NA C Corporation true SETON INSURANCE COMPANY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 475395483 HEALTH SERVICES TX NA C Corporation true SETON MSO INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742870455 HEALTH SERVICES TX NA C Corporation true SETON PHYSICIAN HOSPITAL NETWORK AND SUBSIDIARIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742643825 HEALTH SERVICES TX NA C Corporation true SOVA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261319638 HEALTH SERVICES TN NA C Corporation true ST AGNES HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521733632 HOLDING COMPANY MD NA C Corporation true ST JOSEPH HEALTH ENTERPRISES INC 4000 WELLNESS DRIVE MIDLAND MI 48670 382686747 OTHER MEDICAL MI NA C Corporation true ST MARY'S MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352076827 INVESTMENT IN NA C Corporation true SUNFLOWER ASSURANCE LTD PO BOX 1085 GRAND CAYMAN Bahamas CJ KY11102 980223159 INSURANCE CJ NA C Corporation true TEXTILE SYSTEMS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382705047 LAUNDRY SERVICES MI NA C Corporation true THE PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC 4425 N PORT WASHINGTON RD GLENDALE WI 53212 208042108 CONDO ASSOCIATION WI NA C Corporation true THELEN CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363266316 OWNS/LEASES PROPERTY; JOINT VENTURE PARTNER IL NA C Corporation true TRAVEL SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 263764978 TRAVEL SERVICES MO NA C Corporation true UTICA SERVICES INC AND SUBSIDIARIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731057650 MEDICAL SERVICES OK NA C Corporation true VCH IOWA PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273983977 PROFESSIONAL ASSOCIATION IA NA C Corporation true VCH IOWA PC TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 276937322 BENEFICIARY TRUST IA NA Trust true VIA CHRISTI CLINIC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273984287 CLINIC SERVICES KS NA C Corporation true VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462872857 ACO KS NA C Corporation true VINCENTIAN VENTURES OF NORTH ALABAMA INC AND SUBSIDIARIES 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 35233 630965456 MISC HEALTHCARE SERVICES AL NA C Corporation true WHEATON FRANCISCAN PROVIDER NETWORK INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391952140 PROVIDER CONTRACT WI NA C Corporation true WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC 10101 SOUTH 27TH STREET FRANKLIN WI 53212 300659830 CONDO ASSOCIATION WI NA C Corporation true false false true false false false false false false true true false true false true true true true true SAINT THOMAS HEALTH M 2384942 FAIR MARKET VALUE SAINT THOMAS HEALTH P 501929 FAIR MARKET VALUE SAINT THOMAS MEDICAL PARTNERS M 5018194 FAIR MARKET VALUE SAINT THOMAS MEDICAL PARTNERS P 88888 FAIR MARKET VALUE SAINT THOMAS WEST HOSPITAL P 138602 FAIR MARKET VALUE SAINT THOMAS WEST HOSPITAL Q 68211 FAIR MARKET VALUE SAINT THOMAS HEALTH Q 450451 FAIR MARKET VALUE SAINT THOMAS HICKMAN HOSPITAL P 62848 FAIR MARKET VALUE SAINT THOMAS WEST HOSPITAL S 6500388 FAIR MARKET VALUE Schedule R, Part V, Line 2 Part V, Line 2 includes the net current year amount resulting from continuous activity within the centralized cash management system.