If you sell medical devices, capital equipment, or healthcare technology in Middle Tennessee, Saint Thomas Health is one of the most important health systems on your target list. As part of the Ascension health system - the largest nonprofit Catholic health system in the United States - Saint Thomas brings both the resources of a massive national organization and the purchasing complexity that comes with it. Getting in front of the right people, navigating their approval processes, and building the kind of lasting relationships that lead to contract awards requires a marketing and sales strategy purpose-built for this environment. This guide breaks down what you need to know.
Understanding Saint Thomas Health Within the Ascension System
Saint Thomas Health operates multiple hospitals and hundreds of care sites across Tennessee, with flagship facilities including Saint Thomas Midtown Hospital, Saint Thomas West Hospital, and Saint Thomas Rutherford Hospital in Murfreesboro. When Ascension completed its consolidation of the Saint Thomas brand in the mid-2010s, it fundamentally changed how vendors approach the system.
Before you think about a single sales call, you need to understand the two-tiered purchasing reality you are dealing with. Many high-volume commodity purchases - consumables, standard devices, commoditized med-surg supplies - are handled through Ascension's national group purchasing organization contracts and supply chain team headquartered outside Tennessee. However, facility-level and service-line-specific purchasing decisions still carry significant local influence. A clinical champion at Saint Thomas West who pushes hard for your product during a value analysis review can make or break your chances even when national contracts are in play.
For vendors, this means your marketing strategy must operate on two levels simultaneously: building brand awareness and credibility at the national Ascension level while cultivating genuine clinical relationships at the local Saint Thomas facility level. Neglect either one and you will find yourself losing deals you thought you had won.
How Ascension's Purchasing Structure Affects Your Approach
Ascension operates one of the largest and most sophisticated supply chains in American healthcare. The system uses a combination of contracted GPO relationships and self-contracting to manage billions in annual supply spend. For medical device vendors, the first question to answer is whether your product category is already covered by an Ascension national contract or a preferred GPO contract through one of Ascension's purchasing relationships.
If a national contract exists in your category, you have two realistic paths. The first is to become a contracted vendor through the appropriate channel - either by working directly with Ascension's national supply chain team or by winning a contract position with a GPO that Ascension utilizes. The second path is to make a compelling enough clinical and economic case at the local level that Saint Thomas facilities seek a local contract exception or push for a contract conversion nationally. The second path is harder and slower, but it happens regularly when clinical evidence is strong and champion relationships are solid.
If your product category is not covered by a national contract, local purchasing decisions have more latitude. In this case, the Saint Thomas value analysis committee process becomes your primary target. Understanding how to prepare for and navigate that process is covered in detail in our guide to hospital value analysis marketing.
One important structural note: Ascension's supply chain leadership periodically restructures how purchasing authority is distributed between national and regional teams. What was a locally-decided category last year may be centralized today. Always confirm current purchasing authority before investing heavily in a local relationship strategy for a specific product.
Building Clinical Relationships at Saint Thomas Facilities
Clinical champions are the engine of medical device adoption inside any hospital system, and Saint Thomas is no exception. Before a product ever reaches a value analysis committee, a physician, nurse leader, or clinical educator has typically seen it, used it, and decided it is worth fighting for internally. Your marketing job is to identify those potential champions and give them the tools and evidence to make that case.
Saint Thomas facilities have strong clinical programs across several service lines that are particularly relevant for medical device vendors:
- Cardiovascular and structural heart: Saint Thomas Heart is one of the most active cardiac programs in the region, with a high volume of interventional procedures and a history of early adoption of new cardiovascular technologies.
- Orthopedics and spine: Multiple orthopedic surgeons with high case volumes practice at Saint Thomas facilities, and the system has invested significantly in robotic-assisted surgical capabilities.
- Women's health and maternal-fetal medicine: Saint Thomas Midtown has a longstanding maternal-fetal medicine program that generates purchasing decisions across obstetric and neonatal technology categories.
- Cancer care: Saint Thomas Cancer Center partnerships mean oncology-related device and infusion technology decisions can involve both hospital purchasing and the outpatient oncology network.
When targeting clinical champions at Saint Thomas, your marketing materials need to speak the clinical language of the service line, not the language of your sales deck. Physicians and advanced practice providers respond to peer-reviewed evidence, outcomes data from comparable institutions, and honest comparisons against competitive alternatives. If your strongest asset is a randomized controlled trial or a well-designed registry study, lead with that in every piece of content you create for this audience.
For more on structuring your messaging strategy for health system clinical audiences, see our overview of marketing to health systems.
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Download the Guide →The Value Analysis Process: What Vendors Need to Know
Every meaningful product addition at Saint Thomas Health goes through some form of value analysis review. The value analysis committee - often abbreviated VAC - is a cross-functional group that evaluates new products and technologies against criteria including clinical evidence, cost, vendor reliability, contract terms, and operational fit. Getting a product approved by VAC is a prerequisite to broad clinical use, and vendors who do not understand this process waste enormous time and relationship capital.
At Ascension-affiliated facilities, value analysis has both local and national dimensions. Local facility VACs often do the initial clinical review and build the internal business case. National Ascension supply chain teams may then evaluate contract terms and system-wide implications. For higher-cost capital equipment or technologies that would be deployed across multiple facilities, expect the national team to be deeply involved.
To prepare for value analysis at Saint Thomas, you need to bring:
- A complete clinical evidence package. This means peer-reviewed publications, if available, as well as clinical evaluation results from comparable institutions. Anecdotal testimonials from individual physicians carry less weight than they once did.
- A detailed economic analysis. Value analysis committees want to see total cost of ownership, not just unit price. Include supply costs, training costs, any capital investment required, and projected outcome improvements that may reduce downstream costs.
- Comparable institution references. Being able to say that a similar-sized Ascension facility in another market has successfully implemented your product, with measurable outcomes, is more persuasive than any marketing material.
- Implementation and training plan. Show that you have done this before and that your implementation support is structured and predictable.
One common mistake vendors make is treating value analysis as a one-time hurdle to clear rather than an ongoing relationship. Even after approval, VACs monitor product performance, track adverse events, and can revisit contracts when renewal cycles come up. Staying engaged with your clinical champions and providing ongoing outcomes data keeps your product secure in the formulary.
Marketing Channels That Reach Saint Thomas Decision-Makers
Reaching the right people at Saint Thomas requires a multi-channel approach. Different decision-makers consume information differently, and a vendor who relies exclusively on direct sales calls or conference presence is leaving significant influence on the table.
Professional and Clinical Events
Tennessee has an active healthcare professional community, and many Saint Thomas physicians and administrators participate in state and regional medical association meetings, specialty society events, and local educational conferences. The Tennessee Medical Association, Tennessee Hospital Association, and Nashville-based specialty group meetings all provide access to clinicians and administrators in an environment where vendor-sponsored educational programming is expected and accepted.
Sponsoring or presenting at continuing medical education events that attract Saint Thomas clinicians is one of the highest-ROI marketing investments a medical device company can make in this market. The key is ensuring that any sponsored content is genuinely educational and clinically relevant - not thinly disguised product pitches. Clinicians who feel manipulated by promotional content at CME events will actively work against your adoption.
Digital and Content Marketing
The physicians and administrators who evaluate your product will search for information about it before any face-to-face meeting. A strong digital presence - including a content-rich website, peer-reviewed evidence made easily accessible, and a track record of published clinical results - is increasingly important in medical device sales. Nashville healthcare decision-makers are as digitally sophisticated as any market in the country.
If you are building out your digital strategy for the Tennessee market, our guide to Nashville medical device marketing covers the specific tactics that resonate with local health system audiences.
Thought Leadership and Publication Strategy
One of the most durable marketing investments you can make targeting Saint Thomas clinicians is a thought leadership strategy built around the service lines where you have the strongest product fit. This means supporting clinical research, co-authoring or facilitating publication of outcomes data, and making your company's scientific expertise visible through journals and professional organizations that Saint Thomas specialists read.
If you have surgeons or physicians at Saint Thomas already using your product, work with them to document and publish their outcomes. A published case series from a Saint Thomas Heart physician carries more weight with their peers at the same institution than anything your marketing team produces independently.
Navigating Ascension's National Contracting Relationships
Because Saint Thomas operates within Ascension's national supply chain framework, understanding how Ascension structures its vendor relationships is essential for any medical device company that wants to do business at scale with the system.
Ascension has historically maintained relationships with multiple GPOs while also doing significant direct contracting. The specific GPO and direct contract landscape shifts over time, so you should work with your own distribution and contracting team to get current intelligence on which contract vehicles are active for your product category at Ascension facilities.
If you are a smaller manufacturer without an existing Ascension contract, consider whether your product distribution strategy is positioned correctly. Many smaller medical device companies gain entry to large health systems through established distributors who already hold Ascension contracts and have existing relationships with Ascension supply chain staff. A distribution partnership can dramatically accelerate your path to Saint Thomas adoption compared to a direct manufacturer-to-health-system contract approach.
Our resource on medical device distribution marketing explores how to structure distributor relationships to maximize penetration at large health systems.
The Role of Service Line Administrators and Nursing Leadership
In most discussions of medical device marketing, the physician champion gets the most attention. But at Saint Thomas and other Ascension facilities, nursing leadership and service line administrators carry substantial purchasing influence - particularly for products used primarily by nursing staff, for capital equipment decisions, and for products where nursing workflow integration is a key adoption factor.
Chief Nursing Officers, Directors of Surgical Services, and Nursing Managers for high-volume service lines are all legitimate and important marketing targets. These leaders care deeply about staff adoption and workflow impact. They want to know that a new product will not increase nursing workload, complicate documentation, or require training that pulls staff off the floor.
When presenting to nursing leadership at Saint Thomas, lead with workflow data. Show time-in-motion studies, staff satisfaction survey results from comparable institutions, and a structured in-service training program that demonstrates you understand the real-world constraints of their environment. Vendors who show up with a product and a sales pitch without understanding the nursing workflow context rarely build the champions they need.
Working with Purchasing and Contracting Teams
Saint Thomas facility-level purchasing teams manage day-to-day procurement within the parameters set by Ascension's national contracts and their own VAC-approved product lists. Building a positive working relationship with purchasing staff at the facilities where you are most active is underappreciated in medical device marketing.
Purchasing coordinators and materials management directors are often the people who manage the practical details of new product trials, initial stocking orders, and implementation logistics. They are also frequently the first to hear when a product is causing operational problems - problems that may not have surfaced with clinical champions yet. Staying connected to purchasing and materials management gives you early warning and the opportunity to address problems before they become contract-ending issues.
From a marketing perspective, consider developing materials specifically targeted to supply chain and purchasing audiences. These materials should emphasize your product's contract terms, supply reliability, GPO contract status, and support infrastructure - not clinical outcomes, which this audience will defer to clinical leaders on.
Building Long-Term Vendor Relationships with Saint Thomas Health
The most successful medical device vendors in the Saint Thomas and Ascension ecosystem are not the ones who win a single contract and move on. They are the ones who build long-term, trusted vendor relationships that survive leadership transitions, contract renewals, and competitive challenges.
Long-term relationship building at Saint Thomas requires consistent presence. This means showing up for implementation, not just for the sale. It means providing ongoing clinical education and support. It means being reachable when problems arise and responding with solutions, not defensiveness. And it means bringing new data, new evidence, and new ideas to your clinical champions rather than waiting for them to come to you.
Vendors who treat Saint Thomas as a transactional account - win the contract, minimize support costs, protect the price - consistently underperform compared to vendors who invest in the relationship as a long-term asset. In a market where Ascension's national purchasing teams periodically consolidate categories and challenge incumbent vendors, relationship depth at the local clinical level is often the deciding factor in whether you survive a competitive rebid.
Nashville's healthcare community is also remarkably well-networked. A positive reputation as a collaborative, responsive vendor at Saint Thomas will open doors at Vanderbilt University Medical Center, HCA Healthcare facilities, and other Middle Tennessee health systems. A negative reputation travels just as fast. Your approach to Saint Thomas is, in many ways, your approach to the entire Nashville market.
For a broader look at how to build and execute a healthcare marketing strategy across the Nashville region, visit our Nashville healthcare marketing hub.
Practical First Steps for Vendors New to Saint Thomas
If you are approaching Saint Thomas Health for the first time, here is a practical framework for your first 90 days:
- Map the purchasing landscape. Determine whether your product category is under a national Ascension contract, a GPO contract that Ascension uses, or open to local purchasing decisions. Your distributor or an experienced healthcare GPO consultant can help with this.
- Identify two or three potential clinical champions. Look for physicians or clinical leaders at Saint Thomas facilities who have published on topics related to your technology, who have attended conferences where your company was present, or who have established reputations as early adopters in their specialty.
- Request an educational meeting, not a sales call. Frame your initial outreach as an opportunity to share clinical data and get expert feedback - not to sell a product. Physicians respond to this framing far better, and it gives you a genuine opportunity to learn what matters to this specific clinical community.
- Understand the VAC calendar. Ask your clinical contacts when value analysis committees meet and what the submission process looks like for new product requests. Planning your clinical trial and evidence-gathering timeline around VAC cycles saves months of unnecessary delay.
- Connect with local medical device marketing expertise. Navigating a system as complex as Ascension/Saint Thomas is much faster with experienced local guidance. An agency with deep roots in Nashville healthcare can provide introductions, intelligence, and campaign support that would take you years to build independently.
Saint Thomas Health represents one of the largest and most consequential medical device marketing opportunities in Tennessee. Approached strategically, with a genuine commitment to clinical partnership and long-term relationship building, it can anchor your regional growth for years to come.
