2019-05-13T19:11:56-05:00 2018-06-30 990 2017-07-01 620475842 Saint Thomas Rutherford Hospital SAIN 3147338000 1700 Medical Center Parkway Murfreesboro TN 37129 Tonya Mershon Tax Officer 2019-05-13 2017 2019-02-21 02:37:17Z Tim Adams 1700 Medical Center Parkway Murfreesboro TN 37129 325206397 false 0928 X https://www.sthealth.com/locations/saint-thomas-rutherford-hospital X 1927 TN To improve the health and well-being of all people in the communities we serve. 13 12 1623 118 0 0 2299424 208650 298543241 323029521 -682 -8 10066488 1565182 310908471 324803345 1700205 2454095 0 0 79534451 82923210 0 0 5516 175407563 186847909 256642219 272225214 54266252 52578131 241466441 228462559 137866083 132344899 103600358 96117660 Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. false false 205260617 2454095 323123740 Saint Thomas Rutherford Hospital is a 286-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Saint Thomas Rutherford Hospital treated 18,576 adults and children for a total of 76,284 patient days of service. The hospital also provided services for 134,525 outpatient visits, which included 5,079 outpatient surgeries and 88,995 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 205260617 true true false true false false false false false true false false false 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 true true true false false true 164 0 true 1623 true false false false false false false true false false false X 13 12 false false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 KAREN L SPRINGER PRESIDENT & CEO, MINISTRY MARKET (END 12/2017) 0.0 50.0 X X 0 1546333 20737 ANTHONY HEARD CHAIRMAN 1.0 10.0 X X 0 0 0 LEE MOSS VICE-CHAIRMAN 1.0 10.0 X X 0 0 0 PATRICK R SHEPHERD SECRETARY 1.0 10.0 X X 0 0 0 DELL CROSSLIN TREASURER 1.0 10.0 X X 0 0 0 TIMOTHY P ADAMS PRESIDENT & CEO, MINISTRY MARKET (START 1/2018) 0.0 50.0 X X 0 0 0 SISTER HELEN BREWER DC BOARD MEMBER 1.0 10.0 X 0 0 0 MARTHA CROMBIE BOARD MEMBER (START 1/2018) 1.0 9.0 X 0 0 0 EMIL HASSAN BOARD MEMBER 1.0 10.0 X 0 0 0 WANDA LYLE BOARD MEMBER (START 1/2018) 1.0 9.0 X 0 0 0 STEVE SCHWAB MD BOARD MEMBER 1.0 10.0 X 0 0 0 SCOTT STANDARD MD BOARD MEMBER 1.0 10.0 X 0 0 0 SUSAN WEST PhD BOARD MEMBER 1.0 10.0 X 0 0 0 BRIAN WILCOX MD BOARD MEMBER 1.0 10.0 X 0 0 0 GORDON B FERGUSON PRESIDENT & CEO 25.0 25.0 X 0 774810 44518 BAILEY E PRATT CFO 50.0 0.0 X 211314 47074 38399 STACEY BEAVEN CNO 50.0 0 X 276570 0 21211 TIM BODE MD CMO 25.0 25.0 X 418061 0 36743 ELIZABETH LEMONS COO (END 9/2017) 50.0 0 X 447417 0 34613 JOHN FARRINGER DIRECTOR, PHARMACY 50.0 0 X 219134 0 34592 AMY E HODGINN MANAGER, PHARMACY 50.0 0 X 163311 0 17152 NANCY C POWELL PHARMACIST 50.0 0 X 160611 0 23842 ROSS GRAHAM RUSSELL DIRECTOR, SURGICAL & INVASIVE SERVICES 50.0 0 X 178261 0 22266 DENGSONG ZHU PHYSICIST, MEDICAL 50.0 0 X 162752 0 38492 2237431 2368218 332566 42 false true false MIDDLE TENNESSEE CENTER FOR LUNG DISEASE PC 900 MEDICAL CENTER PKWY 310 MURFREESBORO TN 37129 HOSPITALIST SERVICES 975000 DIVERSIFIED CLINICAL SERVICES 4500 SALISBURY ROAD SUITE 300 JACKSONVILLE FL 32216 WOUND CARE SERVICES 767156 ORTHO SURGICALISTS LLC 301 21ST AVE SOUTH NASHVILLE SD 37203 ORTHOPAEDIC SERVICES 764821 FUTURE VISION ENERGY LLC 260 W MAIN ST STE 125 HENDERSONVILLE TN 37075 CONSTRUCTION SERVICES 596001 GRESHAM SMITH AND PARTNERS PO BOX 440029 NASHVILLE TN 37244 CONSULTING SERVICES 561377 13 X 0 0 0 208650 0 0 208650 Net Patient Service Revenue 621990 312021369 312021369 Income from Joint Ventures 621400 3153122 3153122 Reimbursement Under Provider Tax Program 900099 7766584 7766584 Shared Savings Revenue 900099 11722 11722 Services to Affiliates 561000 76218 76218 506 506 0 0 323029521 -8 -8 0 0 0 0 347594 0 403052 -55458 0 -55458 -55458 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 1779666 1779666 Fitness Club Revenue 713940 143945 143945 Education Revenue 616000 25790 25790 -328761 68429 0 -397190 1620640 324803345 323123740 0 1470955 2302731 2302731 151364 151364 1475484 1431219 44265 64960711 63084420 1871880 4411 2661391 2584518 76692 181 9004343 8744137 259603 603 4821281 4681916 139044 321 -18729 70 -18799 13678 13678 4335 4335 3298530 189552 3108978 0 289984 24653 265331 380253 147602 232651 102185 60613 41572 3039737 1693476 1346261 80800 66109 14691 88757 85843 2914 2131928 2131928 16347891 14713101 1634790 1125689 1125689 Purchased Services 65761466 11070384 54691082 Medical Supplies 40538191 40400220 137971 Management Fee to Affiliate 25496159 25496159 Physician Fees to Affiliate 7811033 7811033 20356022 20521497 -165475 0 272225214 205260617 66959081 5516 4659 4533 0 33475733 36070576 0 0 0 0 4629584 5707081 9259068 142068 322169426 142481391 187617342 179688035 0 0 1111896 1096141 452794 144530 4915365 5609595 241466441 228462559 13792114 12640892 0 1041460 0 0 0 0 0 0 123032509 119704007 137866083 132344899 X 103600358 96117660 0 0 103600358 96117660 241466441 228462559 X 52578131 -60060829 X false true X true false X false false false false false false false true 4335 4335 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. Saint Thomas Rutherford Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. Saint Thomas Rutherford Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 5959735 5959735 227474968 77865313 149609655 0 0 0 83837575 63168051 20669524 4897148 1448027 3449121 179688035 58954 Due to Affiliates 51841573 Deferred Compensation/Retirement/Pension Liability Lease Liability 1026437 Savings Plan Liability Estimated 3rd Party Payor Settlement 2533101 Physician Guarantee Liability 946451 Recovery Tail Liability 4759176 Accrued Tax Liability 51502 Debt with Ascension Health Alliance 58486813 119704007 X 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, 2018. true true X true X 250 true X true true false true true 17542534 0 17542534 0.0644 37259692 22874570 14385122 0.0528 0 0.0 0 0 54802226 22874570 31927656 0.1173 6 670 332680 0 332680 0.0012 2 655 7204957 1236024 5968933 0.0219 0 0 0 0 0 0.0 0 0 0 0 0 0.0 17 9 1896597 0 1896597 0.0070 25 1334 9434234 1236024 8198210 0.0301 25 1334 64236460 24110594 40125866 0.1474 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 true 2783753 0 109654897 105017932 4636965 X true true MIDDLE TENNESSEE AMBULATORY SURGERY CENTER LP SURGERY CENTER 0.2863 0.124 1 1 Saint Thomas Rutherford Hospital 1700 Medical Center Parkway Murfreesboro TN 37129 https://www.sthealth.com/locations/saint-thomas-rutherford-hospital 0000000100 X X X Saint Thomas Rutherford Hospital 1 false false true X X X X X X X X X 15 true true true true X http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm X X true 16 true http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm false true X 250.0 400.0 X X true true X X X true X www.sthealth.com/patients-and-visitors/financial assistance X www.sthealth.com/patients-and-visitors/financial assistance X www.sthealth.com/patients-and-visitors/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 target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Saint Thomas Rutherford Hospital. Rutherford County CHNA - Individual interviews were conducted with community leaders and representatives in the Spring of 2015. In addition, 3 moderated community listening sessions were held in May 2015 with a total of 37 participants. A community health summit was held on September 10, 2015 where results were shared with representatives of the community and local and state leaders. The summit attendees provided collective input into the needs of the community. Organizations providing input included: Primary Care and Hope Clinic, University of Tennessee Extension, Murfreesboro City Schools, Rutherford County Schools, First Baptist Church, Islamic Center of Murfreesboro, Rutherford County Government, Middle Tennessee State University, County of Rutherford 21st District, City of LaVergne Government, City of Smyrna Government, City of Murfreesboro Government, Saint Thomas Health, Vanderbilt University and Medical Center, Saint Louise Clinic, Interfaith Dental, Journey Home, National Health Care for the Homeless Council, Murfreesboro Housing Authority, Murfreesboro Police Department, Guidance Center/Volunteer Behavioral Health, Rutherford County Health Department, Domestic Violence Program/Sexual Assault Program, Greenhouse Ministries, City of Murfreesboro Transportation, Community Anti-Drug Coalition of Rutherford County, Boys and Girls Club of Rutherford County/Smyrna, Community Servants, and Rutherford County Wellness Council. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Saint Thomas Rutherford Hospital. The FY2016 CHNA was conducted in partnership between Saint Thomas Health, Saint Thomas Rutherford Hospital and Vanderbilt University Medical Center Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Saint Thomas Rutherford Hospital. Other organizations who served as partners in the conducting of this CHNA include the Rutherford County Health Department, Rutherford County Wellness Council, Primary Care & Hope Clinic, Family and Children's Services, and First Baptist Church. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Saint Thomas Rutherford Hospital. The FY2016 CHNA was made widely available to the public. The document is available for public inspection without charge at the hospital facility. Additionally, an electronic copy is available on the hospital's and health system's webpage which may be retrieved from the following link: http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessment Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Saint Thomas Rutherford Hospital. SAINT RUTHERFORD WORKS COLLABORATIVELY TO IMPROVE THE HEALTH OF THE COMMUNITY IN CONJUNCTION WITH THE RUTHERFORD COUNTY HEALTH DEPARTMENT. SAINT RUTHERFORD PROVIDED THE FOLLOWING PROGRAMS AND DONATIONS DURING THE TAX YEAR TO ADDRESS THE CHNA PRIORITY NEEDS IDENTIFIED IN THE FY16 CHNA: NEED: ACCESS TO CARE/CARE COORDINATION PROGRAMS: *MEDICAL MISSION AT HOME *HEALTH PROFESSIONS EDUCATION *MOBILE HEALTH UNIT DONATIONS: SAINT THOMAS MEDICAL PARTNERS' FAMILY HEALTH CENTERS, HOPE SMILES, INTERFAITH DENTAL CLINIC, MEDICAL MISSIONS AROUND THE WORLD, SPECIAL KIDS, INC., TENNESSEE JUSTICE CENTER, ALIVE HOSPICE NEED: SOCIAL DETERMINANTS / YOUTH ISSUES PROGRAMS: NO ACTIVE PROGRAMS ADDRESSING THIS NEED DONATIONS: BOYS AND GIRLS CLUB OF RUTHERFORD COUNTY, MURFREESBORO CITY SCHOOLS/COORDINATED SCHOOL HEALTH NEED: MENTAL AND EMOTIONAL HEALTH/ SUBSTANCE ABUSE PROGRAMS: *SEXUAL ASSAULT NURSE EXAMINER *MOBILE HEALTH UNIT - MENTAL HEALTH SCREENINGS DONATIONS: INSIGHT COUNSELING CENTERS, SEXUAL ASSAULT CENTER NEED: WELLNESS, OBESITY, AND DISEASE PREVENTION MANAGEMENT PROGRAMS: *BREASTFEEDING OUTREACH CLINIC *PHARMACOTHERAPY CLINIC DONATIONS: LUTHERAN SERVICES IN TENNESSEE, ONE GENERATION AWAY IN ADDITION, SAINT THOMAS HEALTH PROVIDED THE FOLLOWING PROGRAMS AND DONATIONS DURING THE TAX YEAR TO ADDRESS THE CHNA PRIORITY NEEDS IDENTIFIED IN THE FY16 CHNA: NEED: ACCESS TO CARE/CARE COORDINATION PROGRAMS: * CHARITY CARE POST-DISCHARGE * DISPENSARY OF HOPE CHARITABLE PHARMACIES (2 LOCATIONS) * MEDICAL MISSIONS AT HOME (3 EVENTS) * MOBILE MAMMOGRAPHY * TELEMEDICINE STROKE EVALUATION DONATIONS: HOPE SMILES, TENNESSEE JUSTICE CENTER NEED: SOCIAL DETERMINANTS/YOUTH ISSUES PROGRMS: * METRO NASHVILLE PUBLIC SCHOOLS WORKFORCE DEVELOPMENT * HEALTH PROFESSIONS EDUCATION CME CONFERENCES; * MEDICAL LIBRARY DONATIONS: NONE NEED: MENTAL AND EMOTIONAL HEALTH/SUBSTANCE ABUSE PROGRAMS: NONE AT THE SYSTEM LEVEL, ALL AT THE HOSPITAL LEVEL DONATIONS: NONE NEED: WELLNESS, OBESITY, AND DISEASE PREVENTION/MANAGEMENT PROGRAMS: NONE AT THE SYSTEM LEVEL, ALL AT THE HOSPITAL LEVEL DONATIONS: NONE ALL NEEDS IDENTIFIED ARE BEING ADDRESSED. 0 Schedule H, Part VI, Line 5 Promotion of Community Health - Part II of II ALIVE HOSPICE: SAINT THOMAS RUTHERFORD PROVIDED SUPPORT FOR THE CARE OF HOSPICE PATIENTS REGARDLESS OF ABILTIY TO PAY. (COMMUNITY HEALTH NEED: ACCESS TO CARE) BOYS AND GIRLS CLUB OF RUTHERFORD COUNTY: ST RUTHERFORD PROVIDES FUNDS TO SUPPORT ITS WORK TO IMPROVE HEALTH THROUGH THE TRIPLE PLAY PROGRAM. (COMMUNITY HEALTH NEED: WELLNESS, OBESITY, AND DISEASE PREVENTION) HOPE SMILES: ST RUTHERFORD PROVIDES FUNDS TO SUPPORT ITS PARTICIPATION IN THE HEALTH SYSTEMS THREE MEDICAL MISSIONS AT HOME EVENTS. (COMMUNITY HEALTH NEED: ACCESS TO CARE) INSIGHT COUNSELING CENTERS: ST MIDTOWN, ST RUTHERFORD AND ST WEST PROVIDE FUNDS TO SUPPORT ITS COMMUNITY ACCESS PROGRAM, THROUGH WHICH CLIENTS ARE EXTENDED FINANCIAL ASSISTANCE TO REMOVE FINANCIAL BARRIERS TO NEEDED MENTAL HEALTH COUNSELING SUPPORT. (COMMUNITY HEALTH NEED: MENTAL AND EMOTIONAL HEALTH, ACCESS TO CARE) INTERFAITH DENTAL CLINIC: SAINT THOMAS WEST, SAINT THOMAS MIDTOWN, AND SAINT THOMAS RUTHERFORD HOSPITALS PROVIDE FUNDS TO SUPPORT ITS MISSION TO PROVIDE ORAL HEALTH CARE AND ORAL HEALTH EDUCATION FOR UNINSURED, LOW-INCOME WORKING PEOPLE, THEIR FAMILIES AND THE ELDERLY. (COMMUNITY HEALTH NEED: ACCESS TO CARE) LUTHERAN SERVICES IN TENNESSEE: ST HICKMAN, SAINT THOMAS MIDTOWN, SAINT THOMAS RUTHERFORD AND SAINT THOMAS WEST PROVIDE FUNDS TO SUPPORT THE HEALTHY GARDENS INITIATIVE, AN INDIVIDUALIZED RAISED-BED GARDEN PROGRAM THAT TEACHES FAMILIES IN POVERTY TO GROW THEIR OWN VEGETABLES, INCREASING THE AMOUNT OF NUTRITIOUS FOOD AVAILABLE AND CONSUMED. (COMMUNITY HEALTH NEED: WELLNESS, OBESITY, AND DISEASE PREVENTION AND MANAGEMENT) MURFREESBORO CITY SCHOOLS/COORDINATED SCHOOL HEALTH: SAINT THOMAS RUTHERFORD SUPPORTED THE PURCHASE OF VITAL SIGN MACHINES TO ADD TO THE EFFECTIVENEES OF COORDINATED SCHOOL HEALTH (COMMUNITY HEALTH NEEDS: ACCESS TO CARE/YOUTH ISSUES) ONE GENERATION AWAY: SAINT THOMAS HICKMAN, SAINT THOMAS MIDTOWN, SAINT THOMAS RUTHERFORD AND SAINT THOMAS WEST PROVIDE FUNDS TO SUPPORT ITS MISSION OF INCREASING ACCESS TO HEALTHY FOODS TO THOSE EXPERIENCING FOOD INSECURITY. (COMMUNITY HEALTH NEED: WELLNESS/OBESITY/FOOD) SEXUAL ASSAULT CENTER: SAINT THOMAS WEST, SAINT THOMAS MIDTOWN, AND SAINT THOMAS RUTHERFORD PROVIDE FUNDS TO SUPPORT THEIR MISSION TO PROVIDE HEALING FOR THOSE AFFECTED BY SEXUAL ASSAULT AND END SEXUAL VIOLENCE. THE FUNDS ARE RESTRICTED TO PROVIDE TREATMENT AND MENTAL HEALTH SUPPORT TO LOW-INCOME CLIENTS. (COMMUNITY HEALTH NEED: MENTAL HEALTH AND ACCESS TO CARE). SPECIAL KIDS: SAINT THOMAS RUTHERFORD PROVIDES FUNDS TO SUPPORT ITS SPEECH LANGUAGE PATHOLOGY PROGRAM, SPECIFICALLY TO ALLOW FOR LOW-INCOME FAMILIES TO ACCESS NEEDED SERVICES. (COMMUNITY HEALTH NEED: ACCESS TO CARE) TENNESSEE JUSTICE CENTER (TJC): SAINT THOMAS MIDTOWN, SAINT THOMAS RUTHERFORD, AND SAINT THOMAS WEST WORK TOGETHER WITH TJC TO IMPROVE ACCESS TO CARE THROUGH PROVIDING ENROLLMENT ASSISTANCE AND TRAINING. THE HOSPITALS ALSO PROVIDE FINANCIAL SUPPORT TO TJC FOR THIS COLLABORATIVE WORK. (COMMUNITY HEALTH NEED: ACCESS TO CARE) Schedule H, Part VI, Line 7 State Filing of Community Benefit Report Tennessee does not have a state community benefit filing requirement. Schedule H, Part VI, Line 6 Part II of II SAINT THOMAS MEDICAL PARTNERS FAMILY HEALTH CENTERS: THE MISSION OF THE SAINT THOMAS MEDICAL PARTNERS' NETWORK OF FAMILY HEALTH CLINICS IS TO SERVE THE COMMUNITY BY PROVIDING HEALTH CARE TO ALL AGES REGARDLESS OF INSURANCE STATUS OR FINANCIAL RESOURCES. ALL CLINICS ARE STAFFED BY LICENSED MEDICAL PROFESSIONALS. FOR THOSE WHO DO NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY PROGRAM IS USED TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR OUR CHARITY PROGRAM FOR THAT DAY OF SERVICE. IF THE PATIENT IS NOT ELIGIBLE, CLINIC FEES ARE DISCOUNTED 46% WITH ADDITIONAL DISCOUNTS GIVEN FOR PAYING DAY OF SERVICE. FOR THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE, PATIENT BALANCES ARE ADJUSTED. IN ADDITION, PRIVATE INSURANCE, MEDICARE AND TENNCARE ARE ACCEPTED. SAINT THOMAS HEALTH OPERATES 8 PRIMARY CARE SAFETY-NET CLINICS (THE NEWEST ONE OPENED IN FY18), WITH ONE SPECIFICALLY FOCUSED ON WOMEN'S HEALTH CARE. THESE SITES PROVIDED 82,999 PATIENT ENCOUNTERS FOR 28,041 PATIENTS IN FISCAL YEAR 2018. THE CLINICS ARE COMMITTED TO PROVIDING HIGH-QUALITY PRIMARY CARE TO THE UNINSURED AND UNDERINSURED, AND THEY SERVE THE DAVIDSON, HICKMAN, RUTHERFORD AND WARREN COUNTY COMMUNITIES. THESE CLINICS SERVE AS A MEDICAL HOME FOR MANY PATIENTS; ACUTE MEDICAL CARE IS PROVIDED TYPICALLY ON THE SAME DAY, AND PATIENTS WITH CHRONIC ILLNESSES ARE SEEN ROUTINELY. THE CLINICS OFFER A BROAD RANGE OF HEALTH CARE. FOR PATIENTS STRUGGLING WITH MENTAL HEALTH ISSUES, A PSYCHIATRIC NURSE PRACTITIONER AND LICENSED SOCIAL WORKER ARE AVAILABLE AT CERTAIN CLINICS; CHAPLAINCY SERVICES ARE ALSO AN AVAILABLE SUPPORT AT CERTAIN CLINICS. THE CLINICS UTILIZE THE SERVICES OF THE DISPENSARY OF HOPE TO PROVIDE CONVENIENT ACCESS TO FREE AND REDUCED-COST MEDICATIONS. SOCIAL WORKERS AND TRAINED NURSES ALSO HELP PATIENTS REQUEST FREE MEDICATIONS THROUGH THE PATIENT ASSISTANCE PROGRAM REFERRAL SERVICES. THE CLINICS WORK TO ENSURE ACCESS TO SPECIALTY SERVICES BY LINKING PATIENTS TO OTHER RESOURCES WITHIN THE COMMUNITY. THE HOLY FAMILY SOUTH CLINIC, WEST CLINIC, AND SAINT LOUISE CLINIC ALSO OFFER ADDITIONAL SERVICES: EACH CLINIC HAS A NUTRITIONIST AVAILABLE TO HELP PATIENTS WITH BETTER FOOD CHOICES AND INITIATE WEIGHT LOSS IF NEEDED, AND EACH HAS A PHARMACIST ON SITE TO ASSIST WITH MEDICATION MANAGEMENT AND MEDICATION EDUCATION WITHIN THEIR PATIENT POPULATION. ADDITIONALLY, THE SOUTH CLINIC OFFERS CLINICA NUEVA VIDA - A COMPREHENSIVE PRENATAL CARE PROGRAM FOR UNINSURED, LOW INCOME HISPANIC WOMEN IN GREATER NASHVILLE, COMBINED WITH MEDICAL MONITORING. THE SAINT LOUISE CLINIC OFFERS A PHARMACOTHERAPY PROGRAM WITH STRONG FOCUS ON CONGESTIVE HEART FAILURE. OUR MISSION IN MOTION: THE MOBILE MAMMOGRAPHY OUTREACH PROGRAM IS DESIGNED TO INCREASE ACCESS TO HIGH QUALITY SCREENING MAMMOGRAPHY FOR ALL WOMEN, WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE IN MIDDLE TENNESSEE. THE PROGRAM PROVIDES SCREENING MAMMOGRAMS IN COLLABORATION WITH LOCAL EMPLOYERS, COMMUNITIES, AND SAFETY NET CLINICS, REDUCING THE BARRIER OF TRANSPORTATION AND INABILITY TO AFFORD TIME AWAY FROM WORK. SCREENING MAMMOGRAMS ARE AVAILABLE TO THE UNINSURED. WHEN INDICATED, OUR MISSION IN MOTION WORKS WITH WOMEN TO CONNECT THEM TO FOLLOW UP CARE. IT IS THE GOAL OF THE PROGRAM TO IMPROVE THE COMPLIANCE RATES FOR SCREENING MAMMOGRAPHY BY MAKING SERVICES ACCESSIBLE AND AFFORDABLE, THUS DECREASING THE LATE STAGE DETECTIONS OF BREAST CANCER FOR WOMEN IN MIDDLE TENNESSEE. WOMEN DELAY THEIR ANNUAL MAMMOGRAMS FOR NUMEROUS REASONS, WITH THE MOST COMMON INCLUDING LACK OF INSURANCE, FINANCIAL BARRIERS, AND THE INABILITY TO TAKE TIME OFF WORK TO RECEIVE ONE. IN FISCAL YEAR 2018, 2,914 SCREENINGS WERE PERFORMED AT 198 STOPS. 368 WOMEN RECEIVED MAMMOGRAPHY SCREENING FOR THE FIRST TIME, AND 1,071 WOMEN WERE SCREENED WHO HAD NOT HAD A MAMMOGRAM IN OVER TWO YEARS. (COMMUNITY HEALTH NEED: ACCESS TO CARE AND WELLNESS) ADVOCACY FOR HEALTH: STH IS A FOUNDING MEMBER AND ACTIVE MEMBER OF THE MIDDLE TENNESSEE CONSORTIUM OF SAFETY NET PROVIDERS, WHICH WORKS TO PROVIDE QUALITY, AFFORDABLE MEDICAL HOMES FOR THE UNINSURED AND SPECIALTY CARE SERVICES ON A SLIDING SCALE BASED ON HOUSEHOLD INCOME. SAINT THOMAS HEALTH FOUNDATION SERVES AS THE LEGAL AND FIDUCIARY AGENT TO THE CONSORTIUM. THE BOARD OF DIRECTORS THAT GOVERNS THE CONSORTIUM IS COMPRISED OF HEALTH CARE PROVIDERS AND LOCAL BUSINESS LEADERS WHO SERVE THE LOW-INCOME AND UNINSURED. STH IS COMMITTED TO ENSURING 100% ACCESS TO CARE FOR EVERYONE, WITH SPECIAL ATTENTION TO THOSE WHO LIVE IN POVERTY AND STRUGGLE THE MOST; STH ACTIVELY ADVOCATES FOR HEALTHCARE ACCESS AND COVERAGE FOR ALL PERSONS THROUGH GRASSROOTS OUTREACH AND ONGOING MEETINGS WITH ELECTED OFFICIALS. STH'S ADVOCACY WORK COMMUNICATES CHNA FINDINGS AND WORKS WITH FEDERAL, STATE, AND LOCAL OFFICIALS TO CREATE AND SHAPE PUBLIC POLICY TO MEET THE NEEDS IDENTIFIED BY THE COMMUNITY. STH PROVIDES SPONSORSHIP OF COMMUNITY EVENTS AS WELL AS PRESENTATIONS TO INCREASE AWARENESS AND EDUCATE THE PUBLIC REGARDING HEALTHCARE REFORM AND ACCESS. STH SENIOR LEADERS PARTICIPATE AS ACTIVE BOARD MEMBERS OF NON-PROFIT ORGANIZATIONS WHOSE MISSION IS ALIGNED WITH COMMUNITY HEALTH IMPROVEMENT. STH REPRESENTATIVES ALSO PARTICIPATE IN COUNTY HEALTH COUNCILS. (COMMUNITY HEALTH NEEDS: ACCESS TO CARE) DISPENSARY OF HOPE CHARITABLE PHARMACIES: SINCE 2006, THE DISPENSARY OF HOPE PHARMACY HAS PROVIDED MEDICATION ASSISTANCE FOR UNINSURED AND UNDERINSURED INDIVIDUALS WHO ARE EXPERIENCING FINANCIAL HARDSHIP. IN FISCAL YEAR 2018, 25,049 PRESCRIPTIONS WERE FILLED, A TOTAL VALUE OF $427,596 IN 10,519 TOTAL PATIENT ENCOUNTERS AT THE SAINT THOMAS WEST HOSPITAL LOCATION; ADDITIONALLY, $47,595.45 WORTH OF MEDICATIONS WERE OBTAINED THROUGH THE PRESCRIPTION ASSISTANCE PROGRAM. THE PHARMACY LOCATED IN RUTHERFORD COUNTY DISPENSED 37,434 PRESCRIPTIONS IN A TOTAL OF 15,117 PATIENT ENCOUNTERS AT A VALUE OF $630,171 IN FISCAL YEAR 2018. A THIRD PHARMACY LOCATED ON THE SAINT THOMAS MIDTOWN HOSPITAL CAMPUS FILLED 31,783 PRESCRIPTIONS, A TOTAL VALUE OF $547,751, IN 11,244 PATIENT ENCOUNTERS DURING FISCAL YEAR 2018; A NEW, FOURTH LOCATION ON THE SAINT THOMAS HICKMAN HOSPITAL CAMPUS DISPENSED 2,566 PRESCRIPITONS IN A TOTAL OF 1,242 PATEINT ENCOUNTERS AT A VALUE OF $106,355 IN FISCAL YEAR 2018. (COMMUNITY HEALTH NEED: ACCESS TO CARE AND WELLNESS). CAMP BLUEBIRD: STH IS A FOUNDING PARTNER AND PRIMARY SUPPORTER OF CAMP BLUEBIRD AND DRAWS VOLUNTEERS FROM SAINT THOMAS HEALTH, THE COMMUNITY AND OTHER COMMUNITY HOSPITALS. CAMP BLUEBIRD WAS THE FIRST CAMP IN THE MIDDLE TENNESSEE AREA DESIGNED FOR ADULT CANCER PATIENTS. FOR THREE DAYS AND TWO NIGHTS VOLUNTEERS PROVIDE ADULT CAMPERS WITH EDUCATION, SUPPORT AND ENCOURAGEMENT IN LIVING LIFE AFTER A CANCER DIAGNOSIS. CAMP IS HELD EACH SPRING AND FALL, WITH 120 CANCER PATIENTS PARTICIPATING IN FISCAL YEAR 2018. (COMMUNITY HEALTH NEED: HEALTH EDUCATION AND WELLNESS) Schedule H, Part I, Line 6a Community benefit report prepared by related organization SAINT THOMAS HEALTH; EIN: 58-1716804 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Schedule H, Part II Community Building Activities COALITION BUILDING: SAINT THOMAS RUTHERFORD HOSPITAL SUPPORTS COALITION BUILDING THROUGH HOSPITAL LEADERS' PARTICIPATION ON COMMUNITY BOARDS. REPRESENTING SAINT THOMAS, ASSOCIATES USE THEIR TIME TO HELP LEAD NONPROFIT ORGANIZATIONS AS THEY WORK TO IMPROVE THE OVERALL WELLBEING OF THE COMMUNITY. THIS COLLABORATIVE WORK ENCOMPASSES THE ISSUES OF HEALTHCARE, ECONOMIC VITALITY, EDUCATION, HOUSING/HOMELESSNESS, YOUTH ISSUES, AND MORE. ORGANIZATION INCLUDE: RED CROSS HEART OF TENNESSEE CHAPTER, AMERICAN HEART ASSOCIATION, ALIVE HOSPICE MURFREESBORO ADVISORY BOARD, BUSINESS EDUCATION PARTNERSHIP FOUNDATION BOARD, FRANKLIN SYNERGY BANK COMMUNITY BOARD, LEADERSHIP MIDDLE TENNESSEE, MURFREESBORO NOON ROTARY, TN STATE BOARD OF EDUCATION, UAB ALUMNI BOARD, UNITED WAY OF RUTHERFORD & CANNON COUNTIES, AND THE UT KNOXVILLE ALUMNI BOARD. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2018 was $14,651,330 at charges, ($2,783,753 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY AND THE FINANCIAL ASSISTANCE PROGRAM IS FOLLOWED. Schedule H, Part V, Section B, Line 16a FAP website - Saint Thomas Rutherford Hospital: Line 16a URL: www.sthealth.com/patients-and-visitors/financial assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Saint Thomas Rutherford Hospital: Line 16b URL: www.sthealth.com/patients-and-visitors/financial assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Saint Thomas Rutherford Hospital: Line 16c URL: www.sthealth.com/patients-and-visitors/financial assistance; Schedule H, Part VI, Line 2 Needs assessment Saint Thomas Rutherford Hospital uses reliable, third party reports, including data from government sources to assess the health care needs of the communities it serves. These reports provide information about key health, socioeconomic, and demographic indicators that point to areas of need and include but are not limited to reports from: -Tennessee Department of Health -Nashville Metropolitan Planning -Tennessee Department of Labor -Tennessee Department of Mental Health and Substance Abuse Service -University of Wisconsin Population Health Institute - County Health Ratings -Family & Children's Services -City of Murfreesboro Consolidated Plan -Feeding America -Kaiser Family Foundation -US Department of Health and Human Services -US Central Intelligence Agency -US Census Bureau -Centers for Disease Control and Prevention Saint Thomas Rutherford Hospital utilizes information from these secondary sources to develop programs and provide services throughout the region. In addition, Saint Thomas Rutherford Hospital 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 EDUCATION OF ELIGIBILITY FOR ASSISTANCE AT SAINT THOMAS RUTHERFORD HOSPITAL BEGINS AT REGISTRATION WITH SIGNAGE DISPLAYED AT ALL REGISTRATION POINTS NOTIFYING PATIENTS THAT WE HAVE A FINANCIAL ASSISTANCE PROGRAM, AS WELL AS CONTACT INFORMATION FOR THE PATIENT TO USE SHOULD THEY NEED ASSISTANCE. PLAIN LANGUAGE SUMMARIES OF THE FAP CONTAINING THIS INFORMATION ARE ALSO OFFERED TO PATIENTS AT ALL REGISTRATION POINTS. THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ARE ALSO AVAILABLE IN MULTIPLE LANGUAGES BASED ON LEP REQUIREMENTS IN OUR COMMUNITY. SAINT THOMAS RUTHERFORD HOSPITAL'S REGISTRATION ASSOCIATES DISCUSS THE ESTIMATED BALANCE THAT WILL BE DUE WITH BOTH INSURED AND SELF-PAY PATIENTS. SHOULD THE ASSOCIATE IDENTIFY THAT THE PATIENT MAY NEED ASSISTANCE WITH THAT BALANCE HE/SHE WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION AND HELP THEM COMPLETE IT, IF NEEDED. ALL SELF-PAY AND UNDERINSURED PATIENTS ARE SCREENED BY SAINT THOMAS RUTHERFORD HOSPITAL FOR ALTERNATIVE COVERAGE INCLUDING MEDICAID, SSI/SSD, COBRA, STUDENT COVERAGE, AND CRIME VICTIMS' COMPENSATION. IF NO ALTERNATIVE IS IDENTIFIED THEN AN ASSOCIATE WILL WORK WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. ALSO, CONTACT INFORMATION IS LISTED ON SAINT THOMAS RUTHERFORD HOSPITAL BILLING STATEMENTS FOR THE PATIENT TO USE IN THE EVENT THEY NEED ASSISTANCE WITH THEIR BALANCES. A PLAIN LANGUAGE SUMMARY IS ALSO MAILED 30 DAYS IN ADVANCE OF AN EXTRAORDINARY COLLECTION ACTIVITY OCCURRING. COLLECTIONS ASSOCIATES HAVE BEEN TRAINED TO OFFER PATIENTS A FINANCIAL ASSISTANCE APPLICATION IF NEEDED BY THE PATIENT. SAINT THOMAS RUTHERFORD HOSPITAL WORKS WITH THIRD PARTY COLLECTION VENDORS WHO ARE REQUIRED TO FOLLOW THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. A THIRD PARTY VENDOR IS ALSO USED TO PERFORM PRESUMPTIVE CHARITY SCORING ON ALL ACCOUNTS PRIOR TO BAD DEBT PLACEMENT TO IDENTIFY ANY ACCOUNTS THAT MAY QUALIFY PRESUMPTIVELY FOR FINANCIAL ASSISTANCE EVEN IF A PATIENT DID NOT REQUEST TO APPLY FOR FINANCIAL ASSISTANCE. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, FAP, FAP APPLICATION AND LIST OF PROVIDERS COVERED UNDER THE FAP CAN ALL BE FOUND ON OUR WEBSITE AT HTTP://STHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIALASSISTANCE IN ALL REQUIRED LEP LANGUAGES. Schedule H, Part VI, Line 4 Community information Located in Murfreesboro, Tennessee, Saint Thomas Rutherford Hospital (ST Rutherford), primarily serves residents of Rutherford County and secondary surrounding counties of Bedford, Cannon, Coffee, and Warren in Middle Tennessee. Rutherford County is one of 95 counties within the state of Tennessee and is located in the Middle Tennessee region. Tennessee is located in the Southeastern region of the United States. Rutherford County is a suburban area and encompasses 619 square miles, having a population density of 424.0 persons per square mile. United States Census Quick Facts for 2016 indicates an estimated population of 308,251. 2016 Community Demographic highlights include: 50.8% Female; 78.6% White; 14.9% African American; 7.6% Hispanic or Latino; 6.7% Persons under 5 years; 10.1% Persons 65 years and over; 90.3% High school graduate or higher (% persons age 25+, 2011-2015); 28 minutes mean travel time to work (2011-2015); $25,663 per capita income in the past 12 months (2011-2015); $56,219 median household income (2011-2015); and 11.1% persons in poverty (2011-2015). American Fact Finder, American Community Survey (2010-2014 5-Year Estimate) notes 17.4% of the total civilian noninstitutionalized population and 6.2% of children (ages 0-17), 25.9% ages 18-64, 0.6% 65 years and older, and 33.9% ages 19-25 in Rutherford County were uninsured. According to the Tennessee Department of Health's Joint Annual Report of Hospitals for 2016 https://apps.health.tn.gov/publicjars/default.aspx, Saint Thomas Rutherford is one of three General and Specialty Hospitals in Rutherford County. These hospitals combined have 495 staffed/496 licensed beds. There are provider sites within Rutherford County considered underserved for primary care, dental and mental health. For a complete description of the community demographics and selection for CHNA purposes, please review the Hospital's CHNA online at: https://www.sths.com/Pages/Community/Community-Health-Needs-Assessment.aspx Schedule H, Part VI, Line 5 Promotion of community health THE SAINT THOMAS HEALTH'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF THE SAINT THOMAS HEALTH GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. MEDICAL STAFF: THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. PATIENT CARE: ST RUTHERFORD OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, TENNCARE, CHAMPUS, TRICARE, AND OTHER GOVERNMENT SPONSORED HEALTHCARE PROGRAMS. ST RUTHERFORD PROVIDES FINANCIAL ASSISTANCE, BOTH FULL AND PARTIAL ADJUSTMENTS, TO THOSE WHO CANNOT AFFORD TO PAY (BOTH INSURED AND UNINSURED). SAINT THOMAS RUTHERFORD FOUNDATION - THERE ARE THIRTEEN RESTRICTED FUNDS WHICH ARE USED EXCLUSIVELY TO CARE FOR THE POOR AND VULNERABLE IN RUTHERFORD AND SURROUNDING COUNTIES. THESE FUNDS PROVIDE BREAST CANCER SCREENINGS FOR UN-INSURED AND UNDER-INSURED WOMEN, AS WELL AS LOW COST PRESCRIPTIONS, EXCELLENT MEDICAL CARE AND END-OF-LIFE NEEDS FOR INDIGENT PATIENTS, INCLUDING CREMATION. EIGHT RESTRICTED FUNDS PROVIDE SCHOLARSHIP MONIES FOR SCHOOL TUITION AND CERTIFICATION COSTS FOR OUR ASSOCIATES. PATIENTS AND ASSOCIATES BOTH BENEFIT FROM THE GEORGE JUSTIN LOMBARDI ASSISTANCE FUND, USED FOR LIFE ALTERING SITUATIONS BY PROVIDING STOPGAP ASSISTANCE IN THEIR TIME OF NEED. IN FY18, $159,389 WAS PROVIDED TO THOSE IN NEED FROM THESE FUNDS. SAINT THOMAS HEALTH FOUNDATIONS: ONE SIGNIFICANT WAY IN WHICH SAINT THOMAS HEALTH EXTENDS HELP AND SUPPORT INTO THE COMMUNITY TO PROMOTE HEALTH AND WELLBEING IS THROUGH THE WORK OF THE SAINT THOMAS HEALTH FOUNDATIONS. THE CORNERSTONE WORK OF THE FOUNDATION IS SUPPORTING THE NEEDS OF PATIENTS AND FAMILIES OF SAINT THOMAS DEKALB, SAINT THOMAS HICKMAN, SAINT THOMAS HIGHLANDS, SAINT THOMAS MIDTOWN, SAINT THOMAS RIVER PARK, SAINT THOMAS STONES RIVER AND SAINT THOMAS WEST, PARTICULARLY THOSE WHO ARE STRUGGLING FINANCIALLY. A VARIETY OF FUNDS INCLUDING THE IRENE AND MELVIN LEWIS, TRANSPLANT FUND, MANDY MOORE FUND, THE FRANCIS GLUCK FUND AND THE WATSON BENEVOLENT FUND ARE SPECIFICALLY DESIGNED TO PAY FOR MEDICAL RELATED COSTS AS WELL AS HOUSEHOLD EXPENSES TO ENSURE NEEDY PATIENTS LEAVING OUR HOSPITALS CAN PROPERLY HEAL AT HOME. OVER $76,000 WAS EXPENDED IN FY2018 TO THE INDIVIDUAL NEEDS OF SUCH PATIENTS. FURTHERMORE, ONE OF THE MOST ACTIVE FUNDS IN THE FOUNDATION IS THE COMMUNITY HEALTH OUTREACH FUND WHICH EXPENDED OVER $595,000 IN FY18 TO SUPPORT THE NEEDS OF PATIENTS TREATED AT OUR FAMILY HEALTH CENTERS AND CLINICS WHICH HELP AN UNDERSERVED SEGMENT OF OUR COMMUNITY POPULATION. THERE IS ALSO A FUND AVAILABLE TO ALL EMPLOYEES OF SAINT THOMAS HEALTH WHO ARE EXPERIENCING HARDSHIP. THIS FUND, THE SISTER JULIANA BEURLEIN EMPLOYEE FINANCIAL ASSISTANCE FUND, OFFERED SYSTEM-WIDE OVER $84,000 IN ASSISTANCE IN FY18. STH SENIOR LEADERS AND ASSOCIATES PARTICIPATE AS ACTIVE BOARD MEMBERS OF NON-PROFIT ORGANIZATIONS WHOSE MISSION ALIGNS WITH COMMUNITY HEALTH IMPROVEMENT AND ADDRESSES SOCIAL DETERMINATES OF HEALTH. MOBILE HEALTH UNIT: THIS COLLABORATIVE COMMUNITY EFFORT LED BY SAINT THOMAS RUTHERFORD SERVES AS A DIRECT SERVICE PROVIDER AND CONNECTOR TO CARE FOR PRIMARY CARE AND BEHAVIORAL HEALTH NEEDS OF RESIDENTS OF RUTHERFORD COUNTY. IN FISCAL YEAR 2018, THE MOBILE HEALTH UNIT FACILITATED 263 EVENTS INCLUDING HEALTH SCREENINGS, BEHAVIORAL HEALTH INTAKES AND COUNSELING, FLU SHOTS, AND CPR TRAINING. THE MOBILE HEALTH UNIT WORKS CLOSELY WITH THE SAINT LOUISE CLINIC. THE MOBILE HEALTH UNIT MANAGING TEAM PROVIDES ALL LOGISTICAL SUPPORT, ALLOWING THE SAINT LOUISE CLINICAL TEAM AND OTHER PARTNERING PROVIDERS TO FOCUS ON PATIENT CARE. (COMMUNITY HEALTH NEED: ACCESS TO CARE AND MENTAL HEALTH) BREASTFEEDING OUTREACH CLINIC: SAINT THOMAS RUTHERFORD OFFERS BREASTFEEDING OUTREACH AND ASSISTANCE THROUGH A WALK-IN CLINIC, AVAILABLE TO ALL COMMUNITY MEMBERS AND PROVIDED BY CERTIFIED LACTATION CONSULTANTS. THE SERVICE IS AVAILABLE TO BREASTFEEDING MOTHERS, INFANTS AND SUPPORT PERSONS, REGARDLESS OF DELIVERY HOSPITAL; ADDITIONAL RESOURCES, SUCH AS BREASTFEEDING CLASSES FOR FIRST-TIME BREASTFEEDING MOTHERS, ARE RECOMMENDED AS NEEDED. THIS OUTREACH PROGRAM IS WORKING TO IMPROVE THE BREASTFEEDING RATES FOR THE COMMUNITY, THEREBY REDUCING MATERNAL MORBIDITY AND IMPROVING INFANT HEALTH. FOR FY18, 476 UNIQUE PERSONS SERVED FOR A TOTAL OF 653 ENCOUNTERS. (COMMUNITY HEALTH NEED: WELLNESS AND HEALTH EDUCATION) HEALTH PROFESSIONS EDUCATION: ST RUTHERFORD SERVES AS A CLINICAL SITE FOR STUDENTS ATTENDING MANY OF THE AREA NURSING AND ALLIED HEALTH SCHOOLS. AN AVERAGE OF 54 STUDENTS PER MONTH HAD CLINICAL TRAINING AT THE HOSPITAL IN FISCAL YEAR 2018, WITH MORE THAN 21,487 HOURS OF CLINICAL INSTRUCTION ON THE HOSPITAL CAMPUS DURING THE YEAR. (COMMUNITY HEALTH NEED: ACCESS TO CARE) MEDICAL MISSIONS AT HOME: A MEDICAL MISSION EVENT WAS HELD IN RUTHERFORD COUNTY WITHIN A LOW-INCOME COMMUNITY ON APRIL 28, 2018. VOLUNTEERS FROM ALL STH ENTITIES PARTICIPATED, AND COMMUNITY VOLUNTEER PROVIDERS OFFERED HEALTH SCREENINGS, REFERRALS, CONSULTATIONS, DENTAL CARE, EYE EXAMS, GLASSES, HEALTH EDUCATION, LAB/PHARMACY SERVICES AND A HEALTH MINISTRY PRESENCE TO PERSONS WHO OTHERWISE HAVE LIMITED ACCESS TO HEALTH CARE. THIS ONE EVENT, WHICH INCLUDED MULTIPLE VOLUNTEERS AND COMMUNITY PARTNERS, SERVED 275 COMMUNITY MEMBERS IN A TOTAL OF 858 ENCOUNTERS. 75 FOLLOW UP APPOINTMENTS SCHEDULED (COMMUNITY HEALTH NEED: ACCESS TO CARE) PHARMACOTHERAPY CLINIC: BASED IN THE SAINT LOUISE FAMILY CLINIC, THE PHARMACOTHERAPY CLINIC OFFERS MEDICATION SUPPORT AND MANAGEMENT THOSE WITH CHRONIC CONDITIONS, INCLUDING DIABETES, HYPERTENSION, HYPERLIPIDEMIA, HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND MORE. OPENED IN FISCAL YEAR 2017, THE CLINIC RECORDED 1543 ENCOUNTERS FOR 303 UNIQUE PATIENTS IN ITS FIRST YEAR, LEVELING OUT AT ~200 ENCOUNTERS/MONTH BY MAY 2018. THE CLINIC IS CURRENTLY RECORDING OUTCOMES FOR THE MANAGED DISEASE STATES. AT ONE YEAR, THE CLINIC HAS DEMONSTRATED A 3% REDUCTION IN HEMOGLOBIN A1C AS WELL AS A REDUCTION OF SYSTOLIC BLOOD PRESSURES BY 30MMHG. INTERIM ANALYSIS OF COPD OUTCOMES DEMONSTRATED A REDUCTION IN READMISSIONS BY 33% AT SIX MONTHS. IN ADDITION TO PATIENT CARE, THE CLINICAL PHARMACIST SPECIALIST PROVIDED A TOTAL OF 17 HOURS OF DIDACTIC LECTURES AND WORKSHOPS FOR THE UT FAMILY MEDICINE RESIDENCY. THE PHARMACIST CREATED ELECTIVE ROTATIONS PRECEPTING MULTIPLE LEARNERS INCLUDING A MEDICAL RESIDENT, THREE PHARMACY RESIDENTS, AND FIVE PHARMACY STUDENTS. (COMMUNITY HEALTH NEED: ACCESS TO CARE, DISEASE PREVENTION AND MANAGEMENT) SEXUAL ASSAULT NURSE EXAMINERS (SANE): SAINT THOMAS RUTHERFORD PROVIDES VICTIM-CENTERED COMPREHENSIVE MEDICAL-FORENSIC EXAMS TO VICTIMS AGE 13 AND OLDER. THE SANE PROGRAM GOAL IS TO PROVIDE COMPREHENSIVE COMPASSIONATE CARE FOR SEXUAL ASSAULT PATIENTS IN RUTHERFORD COUNTY, AS WELL AS SURROUNDING RURAL COMMUNITIES: MEDICALFORENSIC EXAMINATIONS, PROPHYLACTIC TREATMENT OF SOME SEXUALLY TRANSMITTED DISEASES, INCLUDING HIV NPEP, ADVOCATE ACCOMPANIMENT, AND REFERRAL FOR FOLLOW-UP SERVICES. THE PROGRAM WORKS TO EMPOWER VICTIMS TO MAKE INFORMED CHOICES REGARDING REPORTING OPTIONS, MEDICAL CARE, EVIDENCE COLLECTION, AND THE LAW ENFORCEMENT AND JUDICIAL SYSTEMS. THE PROGRAM ALSO PROVIDES COMMUNITY EDUCATION TO RAISE AWARENESS OF SEXUAL ASSAULTS. IN FY18, 61 VICTIMS WERE EXAMINED BY SEXUAL ASSAULT NURSE EXAMINERS, WHO SPENT MORE THAN 21,327 HOURS WITH THEM. (COMMUNITY HEALTH NEED: MENTAL AND EMOTIONAL HEALTH, ACCESS TO CARE) COMMUNITY BENEFIT CASH AND IN-KIND CONTRIBUTIONS: ST RUTHERFORD SUPPORTS A VARIETY OF EFFORTS AND CONTINUES TO WORK IN COLLABORATION WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND WELL-BEING OF OUR COMMUNITY, ESPECIALLY THE POOR AND VULNERABLE, INCLUDING: THE HOSPITAL HAS PROVIDED ACCESS TO ITS CONFERENCE ROOMS AT NO CHARGE TO SOME COMMUNITY ORGANIZATIONS WHOSE PROGRAMS ALIGN WITH ITS MISSION. AMERICAN RED CROSS: ST RUTHERFORD HOSTS PERIODIC BLOOD DRIVES IN CONJUNCTION WITH THE LOCAL AMERICAN RED CROSS Schedule H, Part VI, Line 6 Affiliated health care system SAINT THOMAS RUTHERFORD HOSPITAL, ESTABLISHED IN 1927, IS LOCATED IN MURFREESBORO, TENNESSEE. ITS CURRENT FACILITY, OPENED IN 2010, PROVIDES 286 PATIENT ROOMS AND IS DESIGNED TO FACILITATE A HEALING AND SPIRITUAL ENVIRONMENT. IT PROVIDES EMERGENCY ROOM SERVICES AND COMPREHENSIVE INPATIENT AND OUTPATIENT CARE. THE HOSPITAL IS PART OF SAINT THOMAS HEALTH SYSTEM AND ASCENSION HEALTH. SAINT THOMAS HEALTH (STH) IS MIDDLE TENNESSEE'S FAITH-BASED, NOT-FOR-PROFIT HEALTH CARE SYSTEM UNITED AS ONE HEALING COMMUNITY. SAINT THOMAS HEALTH IS FOCUSED ON TRANSFORMING THE HEALTHCARE EXPERIENCE AND HELPING PEOPLE LIVE HEALTHIER LIVES, WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. THE REGIONAL HEALTH SYSTEM INCLUDED, IN FY18, NINE (9) HOSPITALS: SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY, SAINT THOMAS MIDTOWN HOSPITAL AND SAINT THOMAS WEST HOSPITAL IN NASHVILLE, SAINT THOMAS RUTHERFORD HOSPITAL IN MURFREESBORO, SAINT THOMAS HICKMAN HOSPITAL IN CENTERVILLE, SAINT THOMAS STONES RIVER HOSPITAL IN WOODBURY, SAINT THOMAS DEKALB HOSPITAL IN SMITHVILLE, SAINT THOMAS HIGHLANDS HOSPITAL IN SPARTA, AND SAINT THOMAS RIVER PARK HOSPITAL IN MCMINNVILLE. A COMPREHENSIVE NETWORK OF AFFILIATED JOINT VENTURES, MEDICAL PRACTICES, CLINICS AND REHABILITATION FACILITIES COMPLEMENTS THE HOSPITAL SERVICES. THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE, AND NATIONAL LEVEL. SAINT THOMAS HEALTH IS A MEMBER OF ASCENSION, A CATHOLIC ORGANIZATION THAT IS THE LARGEST NOT-FOR-PROFIT HEALTH SYSTEM IN THE UNITED STATES. 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, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. -AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI -US/CARIBBEAN PROVINCE. SAINT THOMAS HEALTH IS COMMITTED TO PROVIDING CARE TO THE COMMUNITIES IT SERVES WITH ATTENTION TO THE POOR AND VULNERABLE. STH'S MISSION PROVIDES A STRONG FOUNDATION AND GUIDANCE FOR ITS WORK AS A CARING MINISTRY OF HEALING, INCLUDING ITS COMMITMENT TO COMMUNITY SERVICE AND TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR ALL. THE STH MISSION, VISION AND VALUES ARE THE KEY FACTORS INFLUENCING THEIR APPROACH AND COMMITMENT TO ADDRESSING COMMUNITY HEALTH NEEDS THROUGH THEIR COMMUNITY BENEFIT ACTIVITY. ASCENSION'S SOCIALLY JUST WAGE AND BENEFITS POLICY, ESTABLISHED IN 2001, APPLIES TO ALL OF ASCENSION, INCLUDING SUBSIDIARY ENTITIES AND CONTRACTUAL THIRD-PARTY VENDOR RELATIONSHIPS. SAINT THOMAS HEALTH AND ASCENSION ARE COMMITTED TO PROVIDING A LIVABLE WAGE TO ALL ASSOCIATES. MINIMUM WAGE WITHIN ASCENSION WAS RAISED TO $11/HOUR DURING FY15. CATHOLIC SOCIAL TEACHING RECOGNIZES THAT EACH INDIVIDUAL HAS A FUNDAMENTAL RIGHT TO SHARE IN THE FRUITS OF HER OR HIS LABOR AND TO HAVE BASIC NEEDS MET, INCLUDING ACCESS TO HEALTHCARE. AN ESSENTIAL COMPONENT OF THE SOCIALLY JUST WAGE POLICY IS THE EMPLOYER SUBSIDIZATION OF THE COST OF HEALTHCARE INSURANCE FOR LOWER-PAID ASSOCIATES. THIS EMPLOYER SUBSIDY, COMBINED WITH THE MINIMUM HOURLY WAGE RATE, PROVIDES AFFECTED ASSOCIATES WITH A DECENT STANDARD OF LIVING AND AFFORDABLE ACCESS TO HEALTHCARE. (COMMUNITY HEALTH NEED: ACCESS TO CARE AND WELLNESS) SAINT THOMAS HEALTH SUPPORTS A VARIETY OF EFFORTS AND CONTINUES TO WORK IN COLLABORATION WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND WELL-BEING OF OUR COMMUNITY, ESPECIALLY THE POOR AND VULNERABLE, INCLUDING RESTRICTED CASH DONATIONS TO OUTSIDE ORGANIZATIONS, IN-KIND DONATION OF EMPLOYEE TIME/SERVICES TO OUTSIDE ORGANIZATIONS AND REPRESENTATION ON COMMUNITY/NON-PROFIT BOARDS AND COMMITTEES WHICH WORK TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES WE SERVE. AS A SYSTEM, STH SUPPORTS A VARIETY OF EFFORTS SPECIFICALLY AIMED AT PROVIDING SERVICES FOR PERSONS WHO ARE POOR AND VULNERABLE, AND AT IMPROVING THE HEALTH OF THE COMMUNITY. FOR EXAMPLE, IN FISCAL YEAR 2018: CONTINUING MEDICAL EDUCATION: STH OFFERS A VARIETY OF ONLINE ACCREDITED CONTINUING MEDICAL EDUCATION COURSES. ADDITIONALLY, IN-PERSON SEMINARS ON VARIOUS HEALTH TOPICS ARE OFFERED. THE COURSES ARE OPEN TO ALL PHYSICIANS AND HEALTH PROFESSIONALS. DURING FY18, 8 EDUCATIONAL COURSES/SEMINARS WERE OFFERED WITH TOTAL ATTENDANCE OF 337. (COMMUNITY HEALTH NEED: HEALTH EDUCATION AND ACCESS TO CARE) GRADUATE MEDICAL EDUCATION: STH AND ITS AFFILIATES SERVES AS TRAINING SITES FOR UNIVERSITY OF TENNESSEE, MEHARRY MEDICAL COLLEGE AND VANDERBILT UNIVERSITY MEDICAL RESIDENTS. IN FISCAL YEAR 2018, 119 MEDICAL RESIDENTS RECEIVED GRADUATE MEDICAL EDUCATION TRAINING AT A SAINT THOMAS HEALTH SITE. (COMMUNITY HEALTH NEED: HEALTH EDUCATION AND ACCESS TO CARE) MEDICAL MISSIONS AT HOME: SAINT THOMAS HEALTH ORGANIZED THREE MEDICAL MISSION EVENTS, ONE IN DAVIDSON COUNTY, ONE IN HICKMAN COUNTY, AND ONE IN RUTHERFORD COUNTY, EACH HELD WITHIN A LOW-INCOME COMMUNITY. VOLUNTEERS FROM ALL SAINT THOMAS HEALTH ENTITIES PARTICIPATED, AND COMMUNITY VOLUNTEER PROVIDERS OFFERED HEALTH SCREENINGS, REFERRALS, CONSULTATIONS, DENTAL CARE, EYE EXAMS, GLASSES, HEALTH EDUCATION, LAB/PHARMACY SERVICES, AND A HEALTH MINISTRY PRESENCE TO PERSONS WHO OTHERWISE HAVE LIMITED ACCESS TO HEALTH CARE. IN FY18, THESE EVENTS SERVED 1,211 COMMUNITY MEMBERS IN OVER OF 3,519 ENCOUNTERS RESULTING IN 205 SCHEDULED FOLLOW-UP APPOINTMENTS. (COMMUNITY HEALTH NEED: ACCESS TO CARE) true ALIVE HOSPICE INC 1718 PATTERSON ST NASHVILLE TN 37203 620983550 501(3) 100000 COMMUNITY BENEFIT ADDRESSING THE NEEDS FOR ACCESS TO CARE & MENTAL HEALTH BOYS & GIRLS CLUBS OF RUTHERFORD COUNTY PO BOX 3343 MURFREESBORO TN 37133 621583332 501(3) 25000 COMMUNITY BENEFIT TO HELP NEEDY CHILDREN FOR WELLNESS AND DISEASE PREVENTION HOPE SMILES 115 PENN WARREN DRIVE BRENTWOOD TN 37027 260829468 501(3) 11000 COMMUNITY BENEFIT TO HELP WITH DENTAL CARE FOR CHARITY CHILDREN INTERFAITH DENTAL CLINIC 1721 PATTERSON ST NASHVILLE TN 37203 621567615 501(3) 50000 COMMUNITY BENEEFIT DONATION TO HELP CHARITY PATIENTS ACCESS DENTAL CARE LUTHERAN SERVICES IN TENNESSEE INC PO BOX 60597 NASHVILLE TN 37206 621499797 501(3) 6000 COMMUNITY BENEFIT FOR THOSE IN NEED OF MENTAL, HEALTH, WELLNESS & DISEASE PREVENTION TO IMPRE PUBLIC HEALTH SPECIAL KIDS INC 202 ARNETTE ST MURFREESBORO TN 37130 621718638 501(3) 8500 COMMUNITY BENEFIT TO HELP KIDS WITH NURSING, REHAB AND SOCIAL SERVICES CARE IN MIDDLE TN TENNESSEE JUSTICE CENTER INC 301 CHARLOTTE AVE NASHVILLE TN 37201 621630417 501(3) 11000 COMMUNITY BENEFIT TO HELP VULNERABLE FAMILIES ACCESS HEALTH COVERAGE TO THIS NON PROFIT LAW FIRM SAINT THOMAS NETWORK 4220 HARDING RD NASHVILLE TN 37205 621868848 501(3) 1684107 COMMUNITY BENEFIT SUPPORT FOR WEMG CHARITY CLINIC FOR NEEDY PATIENTS SAINT THOMAS RUTHERFORD FOUNDATION 1700 MEDICAL CENTER PARKWAY MURFREESBORO TN 37219 621167917 501(C)(3) 385942 OPERATING SUPPORT UNITED WAY 250 Venture Circle Nashville TN 37228 620533104 501(C)(3) 10183 GENERAL SUPPORT 10 0 department/employee grant 55484 cremations - indigent patients 8 5660 utilities -indigent patients 24 3723 supplies/meds - indigent patients 8 2927 mammography - indigent patients 432 80112 associate assistance 2 3043 lodging - indigent assistance 2 415 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Organizations requesting grants are asked to submit a request in writing which identifies the community health need the grant will be addressing, along with goals and objectives. Requests are reviewed by the Saint Thomas Health Community Health & Benefit Committee prior to approval. Awarded grantees are asked to submit a report of program/event activities. It is requested the report include a demographic summary of the population benefited, achieved objectives, and impact on health. The reports are reviewed by the Community Health & Benefit Team in a broad manner upon receipt, but will be more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant. false true false false false false false false false KAREN L SPRINGER PRESIDENT & CEO, MINISTRY MARKET (END 12/2017) 0 609681 0 772708 0 163944 0 14850 0 5887 0 1567070 0 0 GORDON B FERGUSON PRESIDENT & CEO 0 416048 0 253304 0 105458 0 17550 0 26968 0 819328 0 0 BAILEY E PRATT CFO 155641 46578 52822 0 2852 496 11747 2458 17806 6387 240868 55919 0 0 STACEY BEAVEN CNO 217825 0 52822 0 5923 0 11882 0 9329 0 297781 0 0 0 TIM BODE MD CMO 343675 0 52535 0 21851 0 13500 0 23243 0 454804 0 0 0 ELIZABETH LEMONS COO (END 9/2017) 196413 0 64707 0 186296 0 15962 0 18651 0 482030 0 0 0 JOHN FARRINGER DIRECTOR, PHARMACY 187740 0 28694 0 2700 0 12263 0 22329 0 253727 0 0 0 AMY E HODGINN MANAGER, PHARMACY 142388 0 20664 0 259 0 8465 0 8687 0 180463 0 0 0 NANCY C POWELL PHARMACIST 155032 0 0 0 5579 0 6426 0 17417 0 184454 0 0 0 ROSS GRAHAM RUSSELL DIRECTOR, SURGICAL & INVASIVE SERVICES 153934 0 22933 0 1395 0 4574 0 17692 0 200528 0 0 0 DENGSONG ZHU PHYSICIST, MEDICAL 162615 0 0 0 137 0 8789 0 29703 0 201244 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ascension Health, a related organization of Saint Thomas Rutherford Hospital uses the following to establish the compensation of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee 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 Explanation of Financial Statements The activity of Saint Thomas Rutherford Hospital ("STRH") is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of STRH is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of STRH. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ASCENSION HEALTH AND ITS SUBSIDIARY ORGANIZATIONS. ASCENSION HEALTH IS THE NATIONAL HEALTH SYSTEM PARENT. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS PERFORMED BY SAINT THOMAS HEALTH AND ITS SUBSIDIARY ORGANIZATIONS. SAINT THOMAS HEALTH IS THE MINISTRY HEALTH SYSTEM PARENT. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders Saint Thomas Rutherford Hospital has a single corporate member, Saint Thomas Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Saint Thomas Rutherford Hospital has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of Saint Thomas Rutherford Hospital. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Saint Thomas Rutherford Hospital's 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 INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS 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 conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. Form 990, Part VIII, Line 2f Other Program Service Revenue Pharmacy Revenue - Total Revenue: 471, Related or Exempt Function Revenue: 471, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: 35, Related or Exempt Function Revenue: 35, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Escheatment Revenue - Total Revenue: 25057, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 25057; Miscellaneous Revenue - Total Revenue: -353818, Related or Exempt Function Revenue: 68429, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -422247; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with ALPHA - -60060829; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant Saint Thomas Rutherford Hospital 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. ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 631355998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false SAINT THOMAS HEALTH 4220 HARDING ROAD NASHVILLE TN 37205 581716804 SYSTEM PARENT TN 501(c)(3) Type III-FI ASCENSION HEALTH false SAINT THOMAS WEST HOSPITAL 4220 HARDING ROAD NASHVILLE TN 37205 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS NETWORK 4220 HARDING ROAD NASHVILLE TN 37205 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS MIDTOWN HOSPITAL 4220 HARDING ROAD NASHVILLE TN 37205 621869474 ACUTE CARE HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS 4220 HARDING PIKE NASHVILLE TN 37205 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC 2000 CHURCH STREET NASHVILLE TN 37236 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS MIDTOWN HOSPITAL true SAINT THOMAS HEALTH FOUNDATIONS PO BOX 380 NASHVILLE TN 37202 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true BAPTIST HEALTH CARE AFFILIATES INC 2000 CHURCH STREET NASHVILLE TN 37236 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true SAINT THOMAS RUTHERFORD FOUNDATION 1700 MEDICAL CENTER PARKWAY MURFREESBORO TN 37219 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS HICKMAN HOSPITAL 135 EAST SWAN STREET CENTERVILLE TN 37033 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH 135 EAST SWAN STREET CENTERVILLE TN 37033 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true BAPTIST WOMENS HEALTH CENTER LLC 1900 CHURCH STREET SUITE 300 NASHVILLE TN 37203 621772195 OWNS AND OPERATES SPECIALTY HOSPITAL TN NA N/A STHS SLEEP CENTER LLC 102 WOODMONT BOULEVARD SUITE 800 NASHVILLE TN 37205 203664894 OPERATES A SLEEP CENTER TN NA N/A MIDDLE TENNESSEE IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO TN 37219 010570490 DIAGNOSTIC IMAGING CENTER TN NA N/A RADS OF AMERICA LLC PO BOX 249 GOODLETTSVILLE TN 370700249 200597581 AMBULATORY SURGERY CENTER TN NA N/A MURFREESBORO DIAGNOSTIC IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO TN 37219 200291952 DIAGNOSTIC IMAGING CENTER TN NA N/A SOVA INC 102 WOODMONT BOULEVARD SUITE 700 NASHVILLE TN 37205 261319638 HEALTH SERVICES TN NA C Corporation true BAPTIST HEALTH CARE VENTURES INC 2000 CHURCH STREET NASHVILLE TN 37236 620469214 HOLDING COMPANY TN NA C Corporation true MID-STATE PROPERTIES INC 2000 CHURCH STREET NASHVILLE TN 37236 621232018 INACTIVE TN NA C Corporation true false true true false false false false false false false false true true false false true true true true SAINT THOMAS RUTHERFORD FOUNDATION L 99918 FAIR MARKET VALUE SAINT THOMAS RUTHERFORD FOUNDATION Q 85014 FAIR MARKET VALUE SAINT THOMAS WEST HOSPITAL M 28670125 FAIR MARKET VALUE SAINT THOMAS RUTHERFORD FOUNDATION C 208650 FAIR MARKET VALUE SAINT THOMAS NETWORK B 1684107 FAIR MARKET VALUE SAINT THOMAS NETWORK Q 148602 FAIR MARKET VALUE SAINT THOMAS RUTHERFORD FOUNDATION B 385942 FAIR MARKET VALUE