SAINT THOMAS RUTHERFORD HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SAINT THOMAS RUTHERFORD HOSPITAL (EIN 62-0475842)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-12
- IRS object ID
- 201811329349300906
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-12T09:07:34-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620475842 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Thomas Rutherford Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 3147338000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 Medical Center Parkway | AddressLine1Txt |
| City | Murfreesboro | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37129 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tonya Mershon | PersonNm |
| Person Title | Tax Officer | PersonTitleTxt |
| Signature | 2017-10-25 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karen Springer | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 Medical Center Parkway | AddressLine1Txt |
| City | Murfreesboro | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37129 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $311,694,898 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sths.com/rutherford | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1927 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | To improve the health and well-being of all people in the communities we serve. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1631 | TotalEmployeeCnt |
| Total Volunteers | 118 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $608,119 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,299,424 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $285,575,369 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $298,543,241 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$592,078 | PYInvestmentIncomeAmt |
| CY Investment Income | -$682 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,551,956 | PYOtherRevenueAmt |
| CY Other Revenue | $10,066,488 | CYOtherRevenueAmt |
| PY Total Revenue | $296,143,366 | PYTotalRevenueAmt |
| CY Total Revenue | $310,908,471 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,348,222 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,700,205 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $81,843,969 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $79,534,451 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $168,422,069 | PYOtherExpensesAmt |
| CY Other Expenses | $175,407,563 | CYOtherExpensesAmt |
| PY Total Expenses | $252,614,260 | PYTotalExpensesAmt |
| CY Total Expenses | $256,642,219 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,529,106 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $54,266,252 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $240,442,554 | TotalAssetsBOYAmt |
| Total Assets EOY | $241,466,441 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $90,680,660 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $137,866,083 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $149,761,894 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $103,600,358 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $222,489,657 | ExpenseAmt |
| Grant | $1,700,205 | GrantAmt |
| Revenue | $307,344,278 | RevenueAmt |
| Desc | SAINT THOMAS RUTHERFORD HOSPITAL ("STRH") IS A 286-BED PRIVATE, NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN MURFREESBORO, TENNESSEE. STRH PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2017, APPROXIMATELY 43% OF THE VALUE OF SERVICES RENDERED WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM AND APPROXIMATELY 19% OF THE VALUE OF THE SERVICES WAS PROVIDED TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR SAINT THOMAS RUTHERFORD GUIDELINES. SEE SCHEDULE H FOR COMPLETE COMMUNITY BENEFIT REPORT. | Desc |
| Total Program Service Expenses | $222,489,657 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 135 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1631 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lisa Davis | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6152846826 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4220 Harding Rd | AddressLine1Txt |
| City | Nashville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37205 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KAREN L SPRINGER | |||||||||
| BOARD MEMBER & PRESIDENT/CEO STHE | 1.0 | 50.0 | Yes (X) | Yes (X) | $0 | $1,285,320 | $20,076 | ||
| CLARK BAKER | |||||||||
| CHAIRMAN | 1.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PATRICK R SHEPHERD | |||||||||
| SECRETARY | 1.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LEE MOSS | |||||||||
| TREASURER | 1.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY HEARD | |||||||||
| VICE-CHAIRMAN | 1.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM ANDERSON | |||||||||
| BOARD MEMBER | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER HELEN BREWER DC | |||||||||
| BOARD MEMBER | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| DELL CROSSLIN | |||||||||
| BOARD MEMBER | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| EMIL HASSAN | |||||||||
| BOARD MEMBER | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| STEVE SCHWAB MD | |||||||||
| BOARD MEMBER | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT STANDARD MD | |||||||||
| BOARD MEMBER | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN WEST PhD | |||||||||
| BOARD MEMBER | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN WILCOX MD | |||||||||
| BOARD MEMBER | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| SAMAR ALI | |||||||||
| BOARD MEMBER (END 12/2016) | 1.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| GORDON B FERGUSON | |||||||||
| PRESIDENT/CEO STR | 40.0 | 0.0 | Yes (X) | $0 | $767,702 | $42,329 | |||
| BAILEY E PRATT | |||||||||
| CHIEF FINANCIAL OFFICER (START 3/2017) | 20.0 | 20.0 | Yes (X) | $0 | $214,218 | $29,456 | |||
| LARRY SPRATLIN | |||||||||
| CHIEF FINANCIAL OFFICER (END 3/2017) | 40.0 | 0 | Yes (X) | $294,215 | $0 | $29,299 | |||
| STACEY BEAVEN | |||||||||
| CHIEF NURSING OFFICER | 40.0 | 0 | $269,189 | $0 | $19,904 | Yes (X) | |||
| ELIZABETH LEMONS | |||||||||
| CHIEF OPERATING OFFICER | 40.0 | 0 | $339,228 | $0 | $38,650 | Yes (X) | |||
| KECIA BADEM MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $418,532 | $0 | $31,528 | Yes (X) | |||
| ZAKARIA BOTROS MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $413,169 | $0 | $38,361 | Yes (X) | |||
| ROLAND GARRETSON MD JR | |||||||||
| PHYSICIAN | 40.0 | 0 | $720,125 | $0 | $36,015 | Yes (X) | |||
| DAVID C JACOBS MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $396,929 | $0 | $40,894 | Yes (X) | |||
| PETER MEADOWS MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $420,173 | $0 | $23,061 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,271,560 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,267,240 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $349,573 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 65 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| MIDDLE TENNESSEE CENTER FOR LUNG DISEASE PC | ||||||
| 900 MEDICAL CENTER PKWY | 310 | MURFREESBORO | TN | 37129 | HOSPITALIST SERVICES | $1,311,191 |
| ORTHO SURGICALISTS LLC | ||||||
| 301 21ST AVE SOUTH | NASHVILLE | SD | 37203 | ORTHOPAEDIC SERVICES | $773,213 | |
| WHITAKER MEDICAL LLC | ||||||
| 1200 ENCLAVE PARKWAY | SUITE 200 | HOUSTON | TX | 77077 | NURSE ON-CALL STAFFING | $709,596 |
| DIVERSIFIED CLINICAL SERVICES | ||||||
| 4500 SALISBURY ROAD | SUITE 300 | JACKSONVILLE | FL | 32216 | WOUND CARE SERVICES | $687,003 |
| DIALYSIS CLINIC INC | ||||||
| 1600 HAYES STREET | SUITE 100 | NASHVILLE | TN | 372033018 | DIALYSIS SERVICES | $674,145 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $2,299,424 | RelatedOrganizationsAmt |
| Total Contributions | $2,299,424 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Services | 621990 | $295,837,735 | $295,837,735 |
| Investments Joint Ventures | 621400 | $2,705,506 | $2,705,506 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $298,543,241 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$682 | TotalRevenueColumnAmt |
| Exclusion | -$682 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $283,998 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $381,131 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$97,133 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$97,133 | TotalRevenueColumnAmt |
| Exclusion | -$97,133 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $33,446 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $405,296 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$371,850 | TotalRevenueColumnAmt |
| Exclusion | -$371,850 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Provider Tax Revenue | 621990 | $7,766,584 | $7,766,584 | |
| Cafeteria/Vending | 722514 | $1,734,434 | $1,734,434 | |
| MSSP Savings 2016 | 900099 | $402,071 | $402,071 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $632,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $632,382 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,535,471 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $310,908,471 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $307,344,278 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,264,769 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,700,205 | TotalAmt |
| Program Services | $1,700,205 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990,485 | TotalAmt |
| Management And General | $990,485 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,580,162 | TotalAmt |
| Program Services | $58,113,582 | ProgramServicesAmt |
| Management And General | $5,466,580 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$17,296 | TotalAmt |
| Program Services | -$15,566 | ProgramServicesAmt |
| Management And General | -$1,730 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,283,089 | TotalAmt |
| Program Services | $9,254,780 | ProgramServicesAmt |
| Management And General | $1,028,309 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,698,011 | TotalAmt |
| Program Services | $4,228,210 | ProgramServicesAmt |
| Management And General | $469,801 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,827 | TotalAmt |
| Program Services | $232,753 | ProgramServicesAmt |
| Management And General | $41,074 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$111,582 | TotalAmt |
| Program Services | -$100,424 | ProgramServicesAmt |
| Management And General | -$11,158 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204 | TotalAmt |
| Program Services | $184 | ProgramServicesAmt |
| Management And General | $20 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,511,725 | TotalAmt |
| Program Services | $12,545,493 | ProgramServicesAmt |
| Management And General | $966,232 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,160 | TotalAmt |
| Program Services | $122,528 | ProgramServicesAmt |
| Management And General | $30,632 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,681 | TotalAmt |
| Program Services | $147,194 | ProgramServicesAmt |
| Management And General | $1,487 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,797 | TotalAmt |
| Program Services | $79,017 | ProgramServicesAmt |
| Management And General | $8,780 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,278,544 | TotalAmt |
| Program Services | $2,050,690 | ProgramServicesAmt |
| Management And General | $227,854 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,696 | TotalAmt |
| Program Services | $53,727 | ProgramServicesAmt |
| Management And General | $5,969 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,732 | TotalAmt |
| Program Services | $51,959 | ProgramServicesAmt |
| Management And General | $5,773 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,080,946 | TotalAmt |
| Program Services | $1,872,851 | ProgramServicesAmt |
| Management And General | $208,095 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,279,731 | TotalAmt |
| Program Services | $14,651,758 | ProgramServicesAmt |
| Management And General | $1,627,973 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,371,406 | TotalAmt |
| Program Services | $1,234,265 | ProgramServicesAmt |
| Management And General | $137,141 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| medical supplies | $40,843,109 | $36,758,798 | $4,084,311 |
| i/c management fees | $39,718,486 | $33,760,713 | $5,957,773 |
| other purchased services | $14,532,470 | $13,079,223 | $1,453,247 |
| i/c purchased services | $11,008,776 | $9,907,898 | $1,100,878 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,112,855 | TotalAmt |
| Program Services | $22,759,819 | ProgramServicesAmt |
| Management And General | $10,353,036 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,642,219 | TotalAmt |
| Program Services | $222,489,657 | ProgramServicesAmt |
| Management And General | $34,152,562 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,952 | BOYAmt |
| EOY | $4,659 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,620,433 | BOYAmt |
| EOY | $33,475,733 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,921,904 | BOYAmt |
| EOY | $4,629,584 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,184,727 | BOYAmt |
| EOY | $9,259,068 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $314,000,978 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $126,383,636 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,778,454 | BOYAmt |
| EOY | $187,617,342 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,152,974 | BOYAmt |
| EOY | $1,111,896 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $636,376 | BOYAmt |
| EOY | $452,794 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,144,734 | BOYAmt |
| EOY | $4,915,365 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,442,554 | BOYAmt |
| EOY | $241,466,441 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,831,591 | BOYAmt |
| EOY | $13,792,114 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,220,484 | BOYAmt |
| EOY | $1,041,460 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,628,585 | BOYAmt |
| EOY | $123,032,509 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,680,660 | BOYAmt |
| EOY | $137,866,083 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,761,894 | BOYAmt |
| EOY | $103,600,358 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,761,894 | BOYAmt |
| EOY | $103,600,358 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,442,554 | BOYAmt |
| EOY | $241,466,441 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $54,266,252 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$100,427,788 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $15,765 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,765 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,959,735 | OtherCostOrOtherBasisAmt |
| Book Value | $5,959,735 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $221,590,531 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,657,904 | DepreciationAmt |
| Book Value | $153,932,627 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,747,611 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,465,987 | DepreciationAmt |
| Book Value | $24,281,624 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,703,101 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,259,745 | DepreciationAmt |
| Book Value | $3,443,356 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $187,617,342 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| Self Insurance Liability | |
| Due to Affiliates | $50,959,267 |
| Intercompany Debt to Ascension Health Alliance | $59,248,063 |
| Pension Plan Liability | |
| AH Savings Plan Liability | $821,846 |
| Physician Guarantee LT Liability | $542,562 |
| Est 3rd Party Payor Settlement | |
| Estimated Settlement to Third-Party Payor | $3,480,498 |
| Pension and Other Post retirement Liability | $3,874,113 |
| tail liability | $3,670,380 |
| accrued taxes | $435,780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $123,032,509 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | 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, 2017. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,936,943 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,936,943 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0660 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,416,892 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,042,301 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,374,591 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0365 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $55,353,835 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,042,301 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,311,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1025 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $467,703 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $467,703 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0018 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $523,105 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $523,105 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,694,059 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,694,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0066 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,684,867 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,684,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0105 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $58,038,702 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,042,301 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,996,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1130 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,012 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,458 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,458 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $45,470 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,470 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $21,379,763 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,177,832 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $71,658,893 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $72,336,875 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$677,982 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLE TENNESSEE AMBULATORY SURGERY CENTER LP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SURGERY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.2863 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.124 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Thomas Rutherford Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 Medical Center Parkway | AddressLine1Txt |
| City | Murfreesboro | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37129 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mtmc.org | WebsiteAddressTxt |
| State License | 0000000100 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Thomas Rutherford Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.sthealth.com/about-us/mission-integration/community-health/community-health-needs-assessm | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.sthealth.com/patients-and-visitors/financial assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.sthealth.com/patients-and-visitors/financial assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.sthealth.com/patients-and-visitors/financial assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. ST Rutherford works collaboratively to improve the health of the community. ST 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, Enroll America, Hope Smiles, Interfaith Dental Clinic, Medical Missions Around the World, Middle Tennessee Oral Health Coalition, Special Kids, Inc., Tennessee Justice Center NEED: Social Determinants / Youth Issues PROGRAMS: NONE DONATIONS: Boys and Girls Club of Rutherford County, Kymari House, Inc. 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, Nurses for Newborns NEED: Wellness, Obesity, and Disease Prevention Management PROGRAMS: Breastfeeding Outreach Clinic, Pharmacotherapy Clinic DONATIONS: Lutheran Services in Tennessee, One Generation Away 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, Medical Missions at Home, Mobile Mammography, Telemedicine Stroke Evaluation DONATIONS: Hope Smiles NEED: Social Determinants/Youth Issues PROGRAMS: Metro Nashville Public Schools Workforce Development, Health Professions Education CME Conferences, Medical Library DONATIONS: None NEED: Mental and Emotional Health/Substance Abuse PROGRAMS: None DONATIONS: None NEED: Wellness, Obesity, and Disease Prevention Management PROGRAMS: None DONATIONS: None ALL NEEDS IDENTIFIED ARE BEING ADDRESSED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (19 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 5 Promotion of Community Health - Part II of II | 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: ST West, ST Midtown, and ST 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) Kymari House, Inc.: Supported by ST Rutherford, Kymari House provides court-ordered supervised visitation services for parents and children in a trauma-informed setting, promoting healthy bonding between parents and children. (Community Health Need: Mental and Emotional Health, Social Determinants/Youth Issues) Lutheran Services in Tennessee: ST Hickman, ST Midtown, ST Rutherford and ST 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) Nurses for Newborns: ST Midtown and ST Rutherford provide funds to support its mission to provide a safety net for families most at-risk, to help prevent infant mortality, child abuse and neglect through in-home nursing visits (up to 2 years) which provide healthcare, education and positive parenting skills. Additionally, they work closely with Nurses for Newborns to promote a visit with a Nurses for Newborn representative for families prior to going home so that a relationship may be developed to ensure an easy transition. Various members of the Saint Thomas Health staff have served on the Nurses for Newborns board. (Community Health Need: Mental and Emotional Health) One Generation Away: ST Hickman, ST Midtown, ST Rutherford and ST 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: ST West, ST Midtown, and ST 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: ST 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): ST Midtown, ST Rutherford, and ST 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, 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. STH operates 7 primary care safety-net clinics, with one specifically focused on women's health care. These sites provided 91,217 patient encounters for 27,493 patients in fiscal year 2017. The clinics are committed to providing high-quality primary care to the uninsured and underinsured, and they serve the Davidson, Hickman, and Rutherford 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 South Clinic, West Clinic, and St. 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 St. Louise clinic offers a pharmacotherapy program with strong focus on CHF. 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 2017, 2,974 screenings were performed at 200 stops. 389 women received mammography screening for the first time, and 1008 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 2017, 23,973 prescriptions were filled, a total value of $352,111 in 10,734 total patient encounters at the Saint Thomas West Hospital location; additionally, $40,233.75 worth of medications were obtained through the Prescription Assistance Program. The pharmacy located in Rutherford County dispensed 24,884 prescriptions in a total of 12,236 patient encounters at a value of $507,455 in fiscal year 2017. A third pharmacy located on the Saint Thomas Midtown hospital campus filled 32,724 prescriptions, a total value of $643,616, in 11,763 patient encounters during fiscal year 2017; additionally, $20,454.45 worth of medication were obtained through the Prescription Assistance Program. (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 2017. (Community Health Need: Health Education and Wellness) |
| Schedule H, Part V, Section B, Line 17 Billing and Collection Policy | During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization. |
| 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 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. |
| 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 19. |
| 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 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. St. Thomas Health Foundation: 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 Foundation. The cornerstone work of the Foundation is supporting the needs of patients and families of ST DeKalb, ST Hickman, ST Highlands, ST Midtown, ST River Park, ST Stones River and ST West, particularly those who are struggling financially. A variety of funds including the Irene and Melvin Lewis, Transplant, Mandy Moore, 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 $75,000 was expended in FY2017 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 $434,000 in FY17 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 $90,000 in assistance in FY17. 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 ST 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 2017, the Mobile Health Unit facilitated 385 behavioral health encounters including screenings, intakes, and follow-ups; 5,488 blood pressure screenings, 1892 glucose screenings, 3,486 BMI screenings and 1,000 flu shots were provided during 110 days of screenings and flu shot administration. 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. In fiscal year 2017, Saint Louise Clinic residents and nurse practitioners provided 974 patient encounters on the Mobile Health Unit. (Community Health Need: Access to Care and Mental Health) Breastfeeding Outreach Clinic: Opened in fiscal year 2017, ST 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. (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 39 students per month had clinical training at the hospital in fiscal year 2017, with more than 15,500 hours of clinical instruction on the hospital campus during the year. (Community Health Need: Access to Care) Middle Tennessee Oral Health Coalition: A coalition of oral health stakeholders was formed in 2014, with the financial support of STH, to address the current oral health system and work towards a sustainable system of care for vulnerable populations in Middle TN. STH advocacy and community health leaders participate in the coalition. (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 29, 2017. Volunteers from all STH entities participated, and community volunteer providers offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, 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 324 community members in a total of 815 encounters. (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 158 encounters for 82 unique patients in its initial months. The clinic is currently recording outcomes for the managed disease states and has already shown a significant improvement in glycemic control as measured by hemoglobin A1c. In addition to patient care, the clinical pharmacist specialist has already provided a total of 7 hours of didactic lectures and workshops for the UT Family Medicine Residency, and will be holding a diabetes education "lunch and learn" for community members next fiscal year. (Community Health Need: Access to Care, Disease Prevention and Management) Sexual Assault Nurse Examiners (SANE): ST 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, emergency contraception, 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 FY17, 14 victims were examined by Sexual Assault Nurse Examiners, who spent more than 1,600 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 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) Enroll America: ST Midtown, ST Rutherford and ST West provide funds to support its Get Covered America campaign, connecting uninsured individuals with resources to enroll in health insurance. (Community Health Need: Access to Care) (See additional information Part II of II) |
| 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 FY17, 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 2017: 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 FY17, 7 educational courses/seminars were offered with total attendance of 435. (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 2017, 92 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: STH organized three medical mission events, one in Davidson County, one in Warren County, and one in Rutherford County, each held within a low-income community. Volunteers from all STH entities participated, and community volunteer providers offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, and a health ministry presence to persons who otherwise have limited access to health care. In FY17, these events served 1,395 community members in a total of 3,702 encounters resulting in 155 scheduled follow-up appointments. (Community Health Need: Access to Care) |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| SAINT THOMAS NETWORK | ||||||||
| 4220 HARDING RD | NASHVILLE | TN | 37205 | 621868848 | 501(C)(3) | $1,522,185 | Support for WEMG Charity Clinic | |
| BOYS AND GIRLS CLUB OF RUTHERFORD COUNTY | ||||||||
| 820 JONES BLVD | MURFREESBORO | TN | 37129 | 621583332 | 501(c)(3) | $25,000 | Community Benefit to help needy children | |
| HOPE SMILES | ||||||||
| 115 PENN WARREN DR | BRENTWOOD | TN | 37027 | 268929468 | 501(c)(3) | $18,500 | Community Benefit to help with dental care for charity children | STE 300-301 |
| INTERFAITH DENTAL CLINIC | ||||||||
| 1721 PATTERSON ST | NASHVILLE | TN | 37203 | 621567615 | 501(c)(3) | $46,667 | Community Benefit Donation to help charity patients access dental care | |
| KYMARI HOUSE INC | ||||||||
| PO BOX 12036 | MURFREESBORO | TN | 37129 | 461742986 | 501(c)(3) | $12,000 | Donations for needs of social determinants and youth issues Comm Benefit | |
| LUTHERAN SERVICES IN TENNESSEE INC | ||||||||
| 297 HAYWOOOD LANE | NASHVILLE | TN | 37211 | 621499797 | 501(c)(3) | $6,240 | Donation for those in need of mental, health, wellness & disease prevention to improve public healthcare - Comm Benefit | |
| NURSES FOR NEWBORNS FNDN | ||||||||
| 50 VANTAGE WAY | NASHVILLE | TN | 37228 | 431601329 | 501(c)(3) | $20,000 | Donation for health assessments, screenings, and education to at risk families with infant children in Middle TN | STE 101 |
| SPECIAL KIDS INC | ||||||||
| 2208 E MAIN ST | MURFREESBORO | TN | 37130 | 621718638 | 501(c)(3) | $7,500 | Donation to help kids with nursing, rehab and social services care in Middle TN - Community Benefit | |
| TENNESSEE JUSTICE CENTER INC | ||||||||
| 301 CHARLOTTE AVE | NASHVILLE | TN | 37201 | 621630417 | 501(c)(3) | $13,333 | Donation to help vulnerable families access health coverage to this non profit law firm | |
| VARSITY MEDICS | ||||||||
| 102 WARGO CT | MURFREESBORO | TN | 37125 | 414337648 | $15,000 | Emergency Medical Services Agreeement for Football Team at MTSU | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN L SPRINGER | ||||||||||||||
| BOARD MEMBER & PRESIDENT/CEO STHE | $0 | $609,999 | $0 | $482,675 | $0 | $192,646 | $0 | $14,575 | $0 | $5,501 | $0 | $1,305,396 | $0 | $0 |
| GORDON B FERGUSON | ||||||||||||||
| PRESIDENT/CEO STR | $0 | $417,512 | $0 | $212,254 | $0 | $137,936 | $0 | $17,225 | $0 | $25,104 | $0 | $810,031 | $0 | $0 |
| BAILEY E PRATT | ||||||||||||||
| CHIEF FINANCIAL OFFICER (START 3/2017) | $0 | $173,922 | $0 | $38,646 | $0 | $1,650 | $0 | $9,620 | $0 | $19,836 | $0 | $243,674 | $0 | $0 |
| LARRY SPRATLIN | ||||||||||||||
| CHIEF FINANCIAL OFFICER (END 3/2017) | $234,618 | $0 | $51,528 | $0 | $8,069 | $0 | $12,686 | $0 | $16,613 | $0 | $323,514 | $0 | $0 | $0 |
| STACEY BEAVEN | ||||||||||||||
| CHIEF NURSING OFFICER | $218,899 | $0 | $47,234 | $0 | $3,056 | $0 | $10,645 | $0 | $9,259 | $0 | $289,093 | $0 | $0 | $0 |
| ELIZABETH LEMONS | ||||||||||||||
| CHIEF OPERATING OFFICER | $232,655 | $0 | $52,602 | $0 | $53,971 | $0 | $16,805 | $0 | $21,845 | $0 | $377,878 | $0 | $0 | $0 |
| KECIA BADEM MD | ||||||||||||||
| PHYSICIAN | $405,145 | $0 | $12,500 | $0 | $887 | $0 | $14,575 | $0 | $16,953 | $0 | $450,060 | $0 | $0 | $0 |
| ZAKARIA BOTROS MD | ||||||||||||||
| PHYSICIAN | $400,520 | $0 | $11,250 | $0 | $1,399 | $0 | $12,938 | $0 | $25,423 | $0 | $451,530 | $0 | $0 | $0 |
| ROLAND GARRETSON MD JR | ||||||||||||||
| PHYSICIAN | $445,199 | $0 | $270,524 | $0 | $4,402 | $0 | $13,250 | $0 | $22,765 | $0 | $756,140 | $0 | $0 | $0 |
| DAVID C JACOBS MD | ||||||||||||||
| PHYSICIAN | $388,914 | $0 | $7,500 | $0 | $515 | $0 | $15,900 | $0 | $24,994 | $0 | $437,823 | $0 | $0 | $0 |
| PETER MEADOWS MD | ||||||||||||||
| PHYSICIAN | $406,704 | $0 | $12,500 | $0 | $969 | $0 | $11,596 | $0 | $11,465 | $0 | $443,234 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | NET ASSET TRANSFER TO RELATED ORGANIZATION | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2017-05-01 | DistributionDt |
| Fair Market Value Of Asset | $97,992,769 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | FMV | MethodOfFMVDeterminationTxt |
| EIN | 620347580 | EIN |
| Person | SAINT THOMAS WEST HOSPITAL | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4220 HARDING ROAD | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(c)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule N, Part II NET ASSET TRANSFER | FormAndLineReferenceDesc |
| Explanation | SAINT THOMAS RUTHERFORD HOSPITAL TRANSFERRED NET ASSEST TO SAINT THOMAS WEST HOSPITAL (62-0347580) DURING FISCAL YEAR 2017. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 VIII, Line 11d Other Miscellaneous Revenue | Pharmacy Revenue - Total Revenue: 1087, Related or Exempt Function Revenue: 1087, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Education Revenue - Total Revenue: 21630, Related or Exempt Function Revenue: 21630, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; EHR 2016 - Total Revenue: 378631, Related or Exempt Function Revenue: 378631, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Misc Deposits - Total Revenue: 73045, Related or Exempt Function Revenue: 73045, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Fitness Club Revenue - Total Revenue: 157989, Related or Exempt Function Revenue: 157989, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Expenses | Contract Labor - Total Expense: 236466, Program Service Expense: 212819, Management and General Expenses: 23647, Fundraising Expenses: ; Minor Equipment - Total Expense: 825076, Program Service Expense: 742568, Management and General Expenses: 82508, Fundraising Expenses: ; Maintenance and Repair - Total Expense: 389817, Program Service Expense: 350835, Management and General Expenses: 38982, Fundraising Expenses: ; Intra/Intercompany Other Operating Expense - Total Expense: 481959, Program Service Expense: 433763, Management and General Expenses: 48196, Fundraising Expenses: ; Other Tax Expense - Total Expense: 75684, Program Service Expense: 68116, Management and General Expenses: 7568, Fundraising Expenses: ; Claims Expense - Total Expense: 9360, Program Service Expense: 8424, Management and General Expenses: 936, Fundraising Expenses: ; Other Miscellaneous Oper Exp - Total Expense: 2355995, Program Service Expense: 2120396, Management and General Expenses: 235599, Fundraising Expenses: ; Impairment, Restructuring, Nonrecurring - Total Expense: 8377, Program Service Expense: 7539, Management and General Expenses: 838, Fundraising Expenses: ; Trimedx PS - Total Expense: 5526648, Program Service Expense: 4973983, Management and General Expenses: 552665, Fundraising Expenses: ; Food Service PS - Total Expense: 3653996, Program Service Expense: 3288596, Management and General Expenses: 365400, Fundraising Expenses: ; Med Xcel PS - Total Expense: 4324752, Program Service Expense: 3892277, Management and General Expenses: 432475, Fundraising Expenses: ; Touchpont Environ Serv - Total Expense: 3653996, Program Service Expense: 3288596, Management and General Expenses: 365400, Fundraising Expenses: ; equipment rental - Total Expense: 2922520, Program Service Expense: 2630268, Management and General Expenses: 292252, Fundraising Expenses: ; cafeteria cost of goods sold - Total Expense: 741639, Program Service Expense: 741639, Management and General Expenses: , Fundraising Expenses: ; provider tax - Total Expense: 7906570, Program Service Expense: , Management and General Expenses: 7906570, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Deferred Pension Costs - -2435019; Transfer to Saint Thomas West Hospital - -97992769; |
| 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. |
| Schedule H, Part VI, Line 6 Saint Thomas Rutherford Hospital - Part 1 of 2 | 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 FY17, 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 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 2017: 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 FY17, 7 educational courses/seminars were offered with total attendance of 435. (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 2017, 92 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: STH organized three medical mission events, one in Davidson County, one in Warren County, and one in Rutherford County, each held within a low-income community. Volunteers from all STH entities participated, and community volunteer providers offered health screenings, referrals, consultations, dental care, eye exams, glasses, health education, and a health ministry presence to persons who otherwise have limited access to health care. In FY17, these events served 1,395 community members in a total of 3,702 encounters resulting in 155 scheduled follow-up appointments. (Community Health Need: Access to Care) 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, 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. STH operates 7 primary care safety-net clinics, with one specifically focused on women's health care. These sites provided 91,217 patient encounters for 27,493 patients in fiscal year 2017. The clinics are committed to providing high-quality primary care to the uninsured and underinsured, and they serve the Davidson, Hickman, and Rutherford 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 South Clinic, West Clinic, and St. 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 St. Louise clinic offers a pharmacotherapy program with strong focus on CHF. |
| Schedule H, Part VI, Line 6 Saint Thomas Rutherford Hospital - Part 2 of 2 | 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 2017, 2,974 screenings were performed at 200 stops. 389 women received mammography screening for the first time, and 1008 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 2017, 23,973 prescriptions were filled, a total value of $352,111 in 10,734 total patient encounters at the Saint Thomas West Hospital location; additionally, $40,233.75 worth of medications were obtained through the Prescription Assistance Program. The pharmacy located in Rutherford County dispensed 24,884 prescriptions in a total of 12,236 patient encounters at a value of $507,455 in fiscal year 2017. A third pharmacy located on the Saint Thomas Midtown hospital campus filled 32,724 prescriptions, a total value of $643,616, in 11,763 patient encounters during fiscal year 2017; additionally, $20,454.45 worth of medication were obtained through the Prescription Assistance Program. (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 2017. (Community Health Need: Health Education and Wellness) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MTMC HOSPITALIST SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 MEDICAL CENTER PARKWAY | AddressLine1Txt |
| City | MURFREESBORO | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621792824 | EIN |
| Primary Activities | PHYSICIAN SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT THOMAS RUTHERFORD HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (true) |
| SAINT THOMAS NETWORK | ||||||||||
| 4220 HARDING ROAD | NASHVILLE | TN | 37205 | 621284994 | HEALTH INVESTMENT ENTITY | TN | 501(c)(3) | 10 | SAINT THOMAS HEALTH | Yes (true) |
| SAINT THOMAS HEALTH FOUNDATIONS | ||||||||||
| PO BOX 380 | NASHVILLE | TN | 37202 | 581663055 | OPERATES FOUNDATION | TN | 501(c)(3) | 7 | SAINT THOMAS NETWORK | Yes (true) |
| SAINT THOMAS RUTHERFORD FOUNDATION | ||||||||||
| 1700 MEDICAL CENTER PARKWAY | MURFREESBORO | TN | 37219 | 621167917 | FOUNDATION | TN | 501(c)(3) | Type I | SAINT THOMAS RUTHERFORD HOSPITAL | Yes (true) |
| SAINT THOMAS MIDTOWN HOSPITAL | ||||||||||
| 4220 HARDING ROAD | NASHVILLE | TN | 37205 | 621869474 | ACUTE CARE HOSPITAL | TN | 501(c)(3) | 3 | SAINT THOMAS HEALTH | Yes (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 | Yes (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 | Yes (true) |
| SAINT THOMAS MEDICAL PARTNERS | ||||||||||
| 2000 CHURCH STREET | NASHVILLE | TN | 37236 | 621529858 | HEALTHCARE PROVIDER | TN | 501(c)(3) | 3 | SAINT THOMAS NETWORK | Yes (true) |
| SAINT THOMAS HICKMAN HOSPITAL | ||||||||||
| 135 EAST SWAN STREET | CENTERVILLE | TN | 37033 | 581737573 | HOSPITAL | TN | 501(c)(3) | 3 | BAPTIST HEALTH CARE AFFILIATES INC | Yes (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 | Yes (true) |
| SAINT THOMAS REGIONAL HOSPITALS | ||||||||||
| 4220 HARDING PIKE | NASHVILLE | TN | 37205 | 474063046 | HOSPITALS | TN | 501(c)(3) | 3 | SAINT THOMAS HEALTH | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| SOVA INC | ||||||||||
| 102 WOODMONT BOULEVARD SUITE 700 | NASHVILLE | TN | 37205 | 261319638 | HEALTH SERVICES | TN | NA | C Corporation | Yes (true) | |
| BAPTIST HEALTH CARE VENTURES INC | ||||||||||
| 2000 CHURCH STREET | NASHVILLE | TN | 37236 | 620469214 | HOLDING COMPANY | TN | NA | C Corporation | Yes (true) | |
| Ascension Care Management Health Partners Tennessee (fka MISSIONPOINT HEALT | ||||||||||
| 523 MAINSTREAM DRIVE | NASHVILLE | TN | 37228 | 452958482 | ACCOUTABLE CARE ORGANIZATION | TN | NA | C Corporation | Yes (true) | H PARTNERS) |
| MID-STATE PROPERTIES INC | ||||||||||
| 2000 CHURCH STREET | NASHVILLE | TN | 37236 | 621232018 | INACTIVE | TN | NA | C Corporation | Yes (true) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Saint Thomas Medical Partners | ||
| L | $545,024 | FMV |
| Saint Thomas Medical Partners | ||
| M | $2,433,990 | FMV |
| Saint Thomas Medical Partners | ||
| P | $1,554,127 | FMV |
| Saint Thomas Medical Partners | ||
| Q | $10,706,115 | FMV |
| Saint Thomas Network | ||
| B | $1,522,185 | FMV |
| Saint Thomas Network | ||
| P | $205,216 | FMV |
| Saint Thomas Rutherford Foundation | ||
| L | $6,965,332 | FMV |
| Saint Thomas Rutherford Foundation | ||
| O | $481,959 | FMV |
| Saint Thomas Rutherford Foundation | ||
| P | $4,010,854 | FMV |
| Saint Thomas West Hospital | ||
| M | $28,638,845 | FMV |
| Saint Thomas West Hospital | ||
| Q | $567,682 | FMV |
| Saint Thomas West Hospital | ||
| S | $97,992,769 | FMV |
| saint thomas rutherford foundation | ||
| C | $2,192,096 | actual |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part II Saint Thomas Medical Partners | FormAndLineReferenceDesc |
| Explanation | Due to a corporate reorganization during FY 2017, the sole corporate member of Saint Thomas Medical Partners changed from Saint Thomas Network to Ascension Medical Group, a disregarded entity of Ascension Health, EIN 31-1662309. At that time, Saint Thomas Medical Partners ceased to be a member of the Ascension Tennessee group. | ExplanationTxt |
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