SAINT THOMAS RUTHERFORD HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAINT THOMAS RUTHERFORD HOSPITAL (EIN 62-0475842)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201301349349306495
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T17:19:41-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620475842EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Middle Tennessee Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDDNameControl
Phone6153964100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 Medical Center ParkwayAddressLine1
CityMurfreesboroCity
StateTNState
ZIP Code37129ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCraig PolkowName
TitleCFO-Saint Thomas HealthTitle
Phone6153964100Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatt MontgomeryName
PTINP00492843PTIN
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGordon B FergusonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11700 Medical Center ParkwayAddressLine1
CityMurfreesboroCity
StateTNState
ZIP Code37129ZIPCode
FieldValueIRS element (for citing)
Gross Receipts260978764GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.mtmc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1927YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionSpiritually centered care, which sustains and improves the health of individuals and communities.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees1549TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI1504853TotalGrossUBI
Net Unrelated Business Txbl Income-862415NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year158969ContributionsGrantsPriorYear
Contributions Grants Current Year128074ContributionsGrantsCurrentYear
Program Service Revenue Prior Year241965902ProgramServiceRevenuePriorYear
Program Service Revenue CY245542642ProgramServiceRevenueCY
Investment Income Prior Year8513221InvestmentIncomePriorYear
Investment Income Current Year120752InvestmentIncomeCurrentYear
Other Revenue Prior Year3349424OtherRevenuePriorYear
Other Revenue Current Year14824358OtherRevenueCurrentYear
Total Revenue Prior Year253987516TotalRevenuePriorYear
Total Revenue Current Year260615826TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year64183GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year82422858SalariesEtcPriorYear
Salaries Etc Current Year70026248SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year182434210OtherExpensePriorYear
Other Expenses Current Year158174217OtherExpensesCurrentYear
Total Expenses Prior Year264921251TotalExpensesPriorYear
Total Expenses Current Year228211965TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-10933735RevenuesLessExpensesPriorYear
Revenues Less Expenses CY32403861RevenuesLessExpensesCY
Total Assets BOY343834588TotalAssetsBOY
Total Assets EOY341938862TotalAssetsEOY
Total Liabilities BOY177627771TotalLiabilitiesBOY
Total Liabilities EOY139995169TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY166206817NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY201943693NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionRooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense184603149Expense
Grants11500Grants
Revenue258716412Revenue
DescriptionMiddle Tennessee Medical Center ("MTMC") is a 286-bed private, not-for-profit acute care hospital located in Murfreesboro, Tennessee. MTMC provides a substantial portion of its services to the elderly and poor. MTMC provided the following benefits to the community: Charity care (at cost) in the amount of $14,537,414; Government sponsored health care (net expenses) $5,891,405; and Community Benefit Programs (net expenses) $531,596. See Schedule O for complete Community Benefit Report.Description
Total Program Service Expense184603149TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1549NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Martha TolbertBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6153964100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11700 Medical Center ParkwayAddressLine1
CityMurfreesboroCity
StateTNState
ZIP Code37129ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Matt Murfree
Chairman1.00XX000
Lee Moss
Vice Chairman1.00XX000
George White
Secretary1.00XX000
Emil Hassan
Treasurer1.00XX000
Sumner Bouldin Jr
Board Member1.00X000
David Chatman MD
Board Member1.00X000
Debbie Cope
Board Member1.00X000
Bill Huddleston
Board Member1.00X000
Bill Jones
Board Member1.00X000
Sister Mary Frances Loftin
Board Member1.00X000
Patty Marschel
Board Member1.00X000
Mary Moss MD
Board Member1.00X000
Tom Provow
Board Member1.00X000
Mike Schatzlein MDSch O
Board Member1.00X0120866237438
Jeff Shay
Board Member1.00X000
Davis Young
Board Member1.00X000
Gordon B Ferguson
President/CEO40.00XX048786864741
Pamela Hess
Chief Financial Officer40.00X182382013859
Elizabeth Lemmons
Chief Operations Officer40.00298745041346X
Kelly Miles
Chief Nursing Officer40.0017660907192X
Sheila Pertiller MD
Physician40.00334737011495X
David Sellers MD
Physician40.00304337025027X
Kecia Badem MD
Physician40.00306944013398X
Sally Bullock MD
Physician40.0025092303191X
William Brown MD
Chief Medical Officer40.00277776014416X
Michael Bratton
Former CNO (end 4/11)0.0017813703530X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2310590TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1696530TotalReportableCompFrmRltdOrgs
Total Other Compensation235633TotalOtherCompensation
Number Individuals GT100 K64NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MTMC for Lung Disease
1800 Medical Cntr Parkway Ste 31MurfreesboroTN37129Medical Services995721
Ortho Surgicalists LLC
301 21st Avenue NorthNashvilleTN37203Medical Services764833
American Endoscopy Services
PO Box 11407BirminghamAL352461614Medical Services373103
Medical Solutions Inc
9101 Western Ave Ste 101OmahaNE68114Travel Nurses225890
Healthcare Performance Partners
PO Box 405652AtlantaGA303845652Lean Consulting192893
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations128074RelatedOrganizations
Total Contributions128074TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Services621400241558510241558510
Ancillary Revenue62140024792792479279
Reference Lab62150015048531504853
FieldValueIRS element (for citing)
Total Program Service Revenue245542642TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column55774TotalRevenueColumn
Exclusion$55,774ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real438689Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real349544Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real89145Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column89145TotalRevenueColumn
Exclusion$89,145ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other64978Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other64978Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column64978TotalRevenueColumn
Exclusion$64,978ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory69984GrossSalesOfInventory
Cost Of Goods Sold13394CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column56590TotalRevenueColumn
Exclusion$56,590ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Provider Tax62150077625567762556
Pension Curtail. Gain54161039330783933078
Cafeteria Revenue624200974272974272

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2008717TotalRevenueColumn
Related Or Exempt Function Income2008717RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue14678623TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column260615826TotalRevenueColumn
Related Or Exempt Function Income258716412RelatedOrExemptFunctionIncome
Unrelated Business Revenue1504853UnrelatedBusinessRevenue
Exclusion$266,487ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11500Total
Program Services11500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total830053Total
Management And General830053ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total56044178Total
Program Services51186808ProgramServices
Management And General4857370ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1232811Total
Program Services1109530ProgramServices
Management And General123281ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7814316Total
Program Services7032884ProgramServices
Management And General781432ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4104890Total
Program Services3694401ProgramServices
Management And General410489ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total36069778Total
Management And General36069778ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total137659Total
Management And General137659ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11341Total
Management And General11341ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21459318Total
Program Services21459318ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total325768Total
Program Services325768ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total32130425Total
Program Services32130425ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5154306Total
Program Services5154306ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total112657Total
Program Services112657ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21391066Total
Program Services21391066ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total894462Total
Program Services894462ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense1227552412275524
TNCare Coverage Assess77625567762556
Provider Tax55178955517895
Other Professional Fees38741283486715387413

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11057334Total
Program Services11057334ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total228211965Total
Program Services184603149ProgramServices
Management And General43608816ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16978734BOY
EOY347432EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY24159345BOY
EOY29979421EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY237443BOY
EOY193264EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1839249BOY
EOY2983377EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4692932BOY
EOY8950511EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis320163375LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec51288353LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY278506277BOY
EOY268875022EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY360893BOY
EOY627724EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY110995EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17059715BOY
EOY29871116EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY343834588BOY
EOY341938862EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18856965BOY
EOY11427086EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY158770806BOY
EOY128568083EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY177627771BOY
EOY139995169EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY166206817BOY
EOY201943693EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY166206817BOY
EOY201943693EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY343834588BOY
EOY341938862EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses32403861ReconcilationRevenueExpenses
Reconcilation Other Changes3333015ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$10,151OtherActivitiesAmount
Total Lobbying Expenditures IIB10151TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that are specially allocable to lobbying. Middle Tennessee Medical Center 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Beginning Balance0BeginningBalance
Ending Balance0EndingBalance

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6667698OtherCostOrOtherBasis
Book Value6667698BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis221521821OtherCostOrOtherBasis
Depreciation18164726Depreciation
Book Value203357095BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3548614OtherCostOrOtherBasis
Depreciation431730Depreciation
Book Value3116884BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis76110581OtherCostOrOtherBasis
Depreciation28612953Depreciation
Book Value47497628BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2822725InvestmentCostOrOtherBasis
Other Cost Or Other Basis9491936OtherCostOrOtherBasis
Depreciation4078944Depreciation
Book Value8235717BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings268875022TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables2291595
Due From Related Entities24048723
Other Assets2704991
Contruction in Progress825807
FieldValueIRS element (for citing)
Total Book Value Other Assets29871116TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Current Self Insurance Liability$1,457,544
Est 3rd Party Payor Settlement$5,334,910
Due To Affiliates$50,196,385
Other Liabilities$4,486,651
Intercompany Debt to Ascension Health$63,062,098
Pension Plan Liability$4,030,495
FieldValueIRS element (for citing)
Total Of Amounts128568083TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available0ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14537414TotalCommunityBenefitExpense
Net Community Benefit Expense14537414NetCommunityBenefitExpense
Percent Of Total Expense0.06730PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense37505675TotalCommunityBenefitExpense
Direct Offsetting Revenue31614270DirectOffsettingRevenue
Net Community Benefit Expense5891405NetCommunityBenefitExpense
Percent Of Total Expense0.02730PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense52043089TotalCommunityBenefitExpense
Direct Offsetting Revenue31614270DirectOffsettingRevenue
Net Community Benefit Expense20428819NetCommunityBenefitExpense
Percent Of Total Expense0.09460PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8621TotalCommunityBenefitExpense
Net Community Benefit Expense8621NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense106TotalCommunityBenefitExpense
Net Community Benefit Expense106NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense522870TotalCommunityBenefitExpense
Net Community Benefit Expense522870NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense531597TotalCommunityBenefitExpense
Net Community Benefit Expense531597NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense52574686TotalCommunityBenefitExpense
Direct Offsetting Revenue31614270DirectOffsettingRevenue
Net Community Benefit Expense20960416NetCommunityBenefitExpense
Percent Of Total Expense0.09700PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense612TotalCommunityBuildingExpense
Net Community Building Expense612NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense4834TotalCommunityBuildingExpense
Net Community Building Expense4834NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense253TotalCommunityBuildingExpense
Net Community Building Expense253NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense5699TotalCommunityBuildingExpense
Net Community Building Expense5699NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$4,811,709BadDebtExpenseAmount
Amount Attributable To1347278AmountAttributableTo
Amount Reimbursed By Medicare55262548AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1935067CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall53327481MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Middle Tennessee Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11700 Medical Center ParkwayAddressLine1
CityMurfreesboroCity
StateTNState
ZIP Code37129ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Middle Tennessee Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained0EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 7: 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.
Part I, L7 Col(f): The bad debt expense included on Form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column is $12,275,524.
Part II: Middle Tennessee Medical Center ("MTMC") provided the following community building activities in 2012:- MTMC Mobile Health Unit Collaborative: With Murfreesboro City Schools, The Guidance Center of Rutherford County, Primary Care & Hope Clinic, Rutherford County Schools, Adopt-a-Street Church Coalition, Murfreesboro Housing Authority, and Murfreesboro Police Department to provide pediatric, women's, behavioral health, and preventive health services to at-risk-communities. This effort has enabled 100% immunization and physicial exam compliance for primary school children of target schools and led to greater access to health services and social resources through monthly health fairs and screening and navigation assistance.- Domestic Violence/Rape Recovery: MTMC has lead in the creation of a Sexual Assault Response Team for Rutherford County, comprised of law enforcement, academic, social agencies, and other public collaborators and team members in addition to hospital clinicians. We have SANE staff and have become a model demonstration and education center for other health professionals and organizations in Middle Tennessee.- Health Education Programs and Screenings: Monthly and quarterly provision of health screenings, CPR and first aide training, nutrition, and other topics to address overall health needs of communities. These programs are conducted by MTMC's Wellness Center, Mobile Health Unit Collaborative, and Education.- Prescription Medication Assistance: The Dispensary of Hope ("DOH") is a licensed pharmacy that provides free acute prescription medication assistance and long-term medication Patient Assistance Programs to uninsured persons. The MTMC Dispensary of Hope provided over 22,000 prescriptions; 10,000 patient visits; $1 million dollars in free medications to patients. The DOH is integrated in a charity-based clinic which serves a vulnerable community in Ratherford County.- Murfreesboro Coalition for the Latino Community: MTMC provides representation on this grass-roots community effort to address the complexity of barriers and issues facing persons.- Primary Care and Hope Clinic: MTMC provides $114,000 annually to the Primary Care and Hope Clinic to help fund a nurse practitioner position dedicated to the provision of primary care to the uninsured referred by our Emergency Department. This objective is to align with Ascension Health's Outcome Measurement #3 to "Demonstrate access and assignment to a Medical Home as evidenced by a documented visit to a Primary Care provider". During the operations of this practitioner 3,100 patients were seen for a total of 1,900 uninsured visits and 1,200 insured visits; uninsured patients demonstrated 3.2 visits per patient.-Interfaith Dental Clinic: Middle Tennessee Medical Center was anintegral leader in advocating for and helping to bring about through adonation of $10,000 a dental clinic to serve the working poor ofRutherford County.-Medical Mission@Home Event: MTMC conducted a community-wide health event at community school to provide primary care, dental care, vision care, depression screening, and health education to the uninsured. Over 200 individuals were seen, representing over 650 medical service encounters. Fiver (5) individuals were provided follow-up diagnostic or surgical services. Location for this event was determined by analyzing demographic data of high emergency room utilization of the uninsured and whose care was of a walk-in service need. Over 85 associates and physicians volunteered. Collaboration occurred with the Rutherford County Schools, Murfreesboro City Schools, Greenhouse Ministries, local faith communities, Middle Tennessee Mobile Dental team, Interfaith Dental Clinic, The Guidance Center, Murfreesboro Police Department, and local businesses.
Part III, Line 4: The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible 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 bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies.
Part III, Line 8: 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.
Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.
Part V, Section B, Line 11h: We use presumtive scoring to identify charity accounts.Middle Tennessee Medical Center
Part VI, Line 2: Our community needs assessment is conducted every 3 years, most recently completed in January 2010. The assessment was a collaborative effort across the facilities of Saint Thomas Health including Middle Tennessee Medical Center to provide a comprehensive review of available data and studies around: demographic trends, socioeconomic and health status indicators, maternal and infant health issues, major disease prevalence, and health resource utilization and needs. It consists of a compilation of public health data as well as the results of a study of the safety net providers in Nashville that included focus groups of 67 key community informants. The assessment is focused on the counties in which STHe hospitals are located and helps provide focus and direction for our collective efforts to be responsive to the key health concerns and needs of the communities we serve.
Part VI, Line 3: Education of eligibility for assistance at Middle Tennessee Medical Center ("MTMC") begins at registration with signage displayed at all reistration points notifying patients that we have a Financial Assistance program, as well as contact information for the patient to use should they need assistance. Brochures containing this information are also available for patients at all registration points. MTMC 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 MTMC 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 MTMC billing statements for the patient to use in the event they need assistance with their balances. Collections associates have been trained to offer patients a Financial Assistance application if needed by the patient. MTMC works with third party collection vendors who are required to follow the hospital's Financial Assistance policy. Third party vendors are also used to perform "charity scoring", a process that screens incomplete Financial Assistance applications to qualify patients for presumptive charity.
Part VI, Line 4: Located in Murfreesboro, Tennessee, Middle Tennessee Medical Center (MTMC) primarily serves residents of Rutherford County and secondarily four counties (Bedford, Cannon, Coffee, and Warren) located southeast of Rutherford County. MTMC is one of two hospitals in Rutherford County with a population of 259,317 that is expected to grow by 15% over the next five years. In this suburban county located southeast of Nashville (Davidson County), 10.2% of the population of the county lives below the poverty level; the median household income is $54,335; and the racial mix is predominately Caucasian (77%) followed by 12% African-American, 6% Hispanic, 3% Asian, and 2% other categories. The Secondary Service Area has a population of 159,000 with expected modest growth of 4.7% over the next 5 years. Overall, Tennessee residents are rated less healthy than national averages with unfavorable rankings for death rates for cancer, diabetes, heart disease and stroke and unfavorable rankings for risk factors.
Part VI, Line 5: Middle Tennessee Medical Center ("MTMC") provides a wide variety of benefits to the community such as grief counseling for patients and families, pastoral care, space for community groups to use at no charge, a comprehensive and interactive website for health information and educational resources, and palliative care program and education. MTMC has collaborated with the local county health department, primary care providers to the under-served and uninsured, charity organizations, and social service agencies to promote greater effectiveness and collaboration of services and outcomes for persons served. Such collaborative leadership has led to greater access to health care and social service resources, minimizing duplication of services, advancing better coordination and navigation of care, and sustainable benefits. In addition to health screenings, crisis intervention, disaster readiness and relief, and health education programs, MTMC has aided faith communities to develop congregational health ministries to help address the health and prevention needs of its memberships and communities served. Furthermore MTMC provides such programs as Stress Management Program, The Saint Claire Retirement Center partnership, Parent and Child Festival, RealLife 55 programs, Bright Beginnings for Grandparents program, and Homebound Childbirth Class program. MTMC also supports community development through membership in a variety of civic organizations and participation in events that benefit not-for-profit organizations serving Murfreesboro and Middle Tennessee, particularly those that share a concern for improving the health of communities. Such organizations include the American Cancer Society, American Heart Association, March of Dimes, American Diabetes Association, and the American Red Cross. MTMC provides further support to needed programs and organizations that advocate and serve the most vulnerable of the community: Domestic Violence Program, Crisis Pregnancy Center, Special Kids, and the Child's Advocacy Center. MTMC is also vested in helping to bring charitable dental services to the community through its financial support and collaborative participation and advocacy with the Interfaith Dental Clinic of Nashville, Tennessee.
Part VI, Line 6: Middle Tennessee Medical Center ("MTMC") is part of the Nashville Health Ministry of Ascension Health, the largest Catholic and not-for-profit health system in the United States and is known locally as Saint Thomas Health ("STHe"). STHe is dedicated to providing accessible, quality healthcare to all patients regardless of their ability to pay. STHe owns and operates 4 hospitals in Middle Tennessee including Baptist Hospital and Saint Thomas Hospital in Nashville, Middle Tennessee Medical Center in Murfreesboro, and Hickman Community Hospital in Centerville. In addition, STHe provides a variety of ambulatory services through the operation of an urgent care center and community primary care clinics, employment and close alignment with physicians, and partnerships to provide diagnostic imaging, sleep lab, and ambulatory surgery services. As a system, STHe support a variety of efforts specifically aimed at providing services for persons who are poor, vulnerable or uninsured that include focused medical mission events in low income communities (where associates volunteer their time to provide direct healthcare services), primary care clinics, and a national distribution center and pharmacy to support a network of dispensing sites and direct-to-patient prescription solutions for patients unable to afford their prescriptions. STHe actively advocates for healthcare access and coverage for all through ongoing meetings with elected officials (State, Local, and Federal levels) and sponsorship of community events and presentations to increase awareness and educate the public regarding healthcare reform and access. STHe helped to form the Safety Net Consortium of Middle Tennessee to address the needs of the uninsured residents of Middle Tennessee. Saint Thomas Health Foundations serves as the legal and fiduciary agent to the Consortium. The Consortium is governed by a Board of Directors comprised of health care providers and consumer organization members that serve the poor and uninsured.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Varsity MedicsBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1102 Wargo CourtAddressLine1
CityMurfreesboroCity
StateTNState
ZIP Code37128ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient414337648EINOfRecipient
Amount Of Cash Grant6000AmountOfCashGrant
Purpose Of GrantTo provide medical svcs. at Middle Tennessee State Univ. football games.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: A request is made to the receiving organization to send a report of the efficacy of the project the grant has funded - at minimum, the number of persons served and some of their demographics, but also any qualitative measures the receiving agency uses to measure success (reading levels improved, jobs successfully obtained after training, etc.). The reports are reviewed by the Mission Integration Team in a broad manner upon receipt, and are more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mike Schatzlein MDSch O
074573403393750123553049000325380124610000
Gordon B Ferguson
0327017086252074599042708022033055260900
Pamela Hess
153651010000018731031620106970196241000
Elizabeth Lemmons
2036850431260519340218520194940340091000
Kelly Miles
14542901500001618000071920183801000
Sheila Pertiller MD
3035240309780235000114950346232000
David Sellers MD
2690990350000238000250270329364000
Kecia Badem MD
2716920350000252000133980320342000
Sally Bullock MD
249891000103200031910254114000
William Brown MD
183306045224049246000144160292192000
Michael Bratton
546580001234790553029770181667000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aClub Dues were paid on behalf of an officer. The amount paid was treated as taxable compensation to the listed individual.
Part I, Line 3Saint Thomas Health, a related organization of Middle Tennessee Medical Center, uses the following to establish the compensation of the organization's CEO/Executive Director: -Compensation Committee -Independent Compensation Consultant -Written Employment Contract -Compensation Survey or Study -Approval by the Board or Compensation Committee
Part I, Line 4bThese 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 contributions to or distributions from the supplemental nonqualified retirement plan were made in the current year.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of Attached Audited Financial Statements:Form 990, Part IV, Line 20b:The financials statements of Saint Thomas Health, which include the activity of Middle Tennessee Medical Center, fall under the specific scope audit. The activity of Middle Tennessee Medical Center and other member of Saint Thomas Health are reported in the consolidated financial statements of Ascension Health. No individual audit of Middle Tennessee Medical Center is completed. Therefore, the attached audited financial statements are of Ascension Health and Affiliates (which include the activity of Middle Tennessee Medical Center).
Form 990, Part VI, Section A, line 2Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Saint Thomas Health entity boards.
Form 990, Part VI, Section A, line 6Middle Tennessee Medical Center, Inc. has a single corporate member, Saint Thomas Health.
Form 990, Part VI, Section A, line 7aMiddle Tennessee Medical Center, Inc. has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of the Middle Tennessee Medical Center, Inc.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Middle Tennessee Medical Center's financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health. Ascension Health, the sole corporation member of Saint Thomas Health, has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; and system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Section B, line 11Management, including certain Officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
Form 990, Part VI, Section B, line 12cThe 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 meeting 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, Section B, line 15In determining the compensation of the organization's CEO, the process, performed by Saint Thomas Health, a related organization of Middle Tennessee Medical Center, the HR Compensation does review market data provided by third party consultants and considers those sources in the internal evaluation, equity comparison and eventual grading of positions, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining the compensation of other officers or key employees of the organization, the process, performed by Saint Thomas Health, a related organization of Middle Tennessee Medical Center, the HR Compensation does review market data provided by third party consultants and considers those sources in the internal evaluation, equity comparison and eventual grading of positions, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensations, the other officers or key employees of the organization 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 board minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Explanation of Board Members Compensation:Form 990, Part VII, Section A:Mike Schatzlein receives compensation from Saint Thomas Health, a related organization of Middle Tennessee Medical Center. The compensation he receives is for his role at Saint Thomas Health and not for his role as a director of Middle Tennessee Medical Center.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Deferred Pension Costs 5,689,707. Pension Costs - Other -4,015,793. Temporary Restricted - Contributions/Release restrict 1,659,101. Total to Form 990, Part XI, Line 5: 3,333,015.
Community Benefit Report:Form 990, Part III:Middle Tennessee Medical Center Member of the Nashville Health Ministry of Ascension Health Care of Person Effected by Poverty and Community Benefit Plan For Fiscal Year 2012 This plan illustrates the significant degree to which Middle Tennessee Medical Center (MTMC) contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, MTMC continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of MTMC is to perpetuate the healing mission of the Church. MTMC furthers this goal through delivery of patient services, care to the vulnerable populations such as the elderly and indigent, patient education and health awareness programs for the community, and medical research. Our concern for all human life and the dignity of each person leads the health ministry to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. Middle Tennessee Medical Center develops a Care of the Persons Effected by Poverty and Community Benefit Plan (CPCB) annually to focus our charitable, community activities on the needs of the people we serve. We seek through action to touch the lives of individuals in our community in a way that is faithful to our healing mission and directly impacts healthy outcomes. We assess our community's needs to identify priorities for the health ministry's service and guide our community outreach initiatives. Furthermore, we seek collaborations in order to foster sustainability of our efforts and increase overall impact. Finally, we commit the provision of resources to address the priority needs, including financial and human resources. This CPCB is developed through careful discernment and strategic planning of the following groups of MTMC: Senior Leadership Team, Key Community Stakeholders, and Community Benefit Task Force. This process insures the priority Solidarity with the Poor has within the strategic and operational activities of the health ministry, proper alignment with overall Integrated Strategic Operational Financial Plan (ISOFP) of Saint Thomas Health (STHe) and MTMC, and the leadership vision of the Chief Executive Officer and President of MTMC. In order to portray the full breadth of our CPCB, the following information is described below: Organizational Commitment to Providing Community Benefit: Middle Tennessee Medical Center is a 286-bed private, not-for-profit acute care hospital located in Murfreesboro, Tennessee. MTMC is part of Saint Thomas Health, the Nashville Health Ministry of Ascension Health, which consists of four hospitals in Middle Tennessee: Baptist and Saint Thomas Hospitals in Nashville; Middle Tennessee Medical Center in Murfreesboro; and Hickman Community Hospital in Centerville. The hospital serves the city of Murfreesboro, Rutherford County and surrounding constituent counties of Bedford, Cannon, Coffee, and Warren. MTMC seeks to improve the physical, mental, social and spiritual health status of the community it serves. MTMC's Mission stresses a particular commitment to the poor and vulnerable, seeking to contribute to the greater effectiveness of the community's health safety net to those who are uninsured and under-insured. In the spirit of principles adopted by Ascension Health, MTMC has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. As a part of our mission in the community, MTMC recognizes it is necessary to provide care to certain patients at little or no cost. We recognize that some of our patients may not have health insurance or may not be able to pay unexpected medical bills. As a faith-based organization, we make provisions to offer financial assistance to our patients in need and do this because we believe that every person should get the care they need, regardless of their ability to pay. The table below represents FY11 budget projections related to overall charity care and community benefit activities: Traditional Charity Care (Category I) $13,216,599** Unreimbursed Costs of Public Programs (Category II) $6,463,569** Other Programs for Persons Who Are Poor (Category III) $486,000* Other Programs for the General Community (Category IV) $17,500 Unpaid Cost of Medicare Program (Category VI) -$1,820,918 * This includes resources utilized for the MTMC Dispensary of Hope, #8255 and accounts #741121, #741122, #741128. ** Net Costs, Hospital only. Uninsured patients are provided a discount from charges of 3%. Charity care or financial assistance allowances are granted to patients who qualify for financial assistance. The financial assistance standards consider gross income and family size relative to the Poverty Income Guidelines (PIG) published by the Community Services Administration. Using these guidelines, full charity care is provided to patients who are 200% of the poverty index or less; a graduated discount scale is used for providing financial assistance to patients at or below 300% of the poverty index. Charity care and financial assistance adjustments are available for medically necessary services but not for non-essential services, such as cosmetic services. A patient will not be refused medically necessary treatment or services based on their ability to pay for those services. These policies and procedures are communicated to patients and families in a variety of ways. Pamphlets outlining the financial assistance program are available in the registration area for patients. These are reinforced by posters that are prominently displayed throughout the registration area. In addition, for all self-pay patients or patients with residual balances on their hospital bill, a Financial Counselor/Representative will initiate a patient advocacy conversation to screen patients to help identify those individuals that might qualify for federal, state, or local program assistance as well as our financial assistance program. Major Trends, Needs, and Problems in the Community: In order to define and develop targeted outcomes, MTMC conducts a community needs assessment every three (3) years. Our last community needs assessment was developed in 2009 and served to provide strategic guidance for the FY10, FY11, and FY12 CPCB's. This assessment is a collaborative process with the Ascension Health Access Leadership Team in conjunction with Saint Thomas Health, the Wellness Council of Rutherford County, the United Way of Rutherford County, Middle Tennessee State University, and the Community Forum of Rutherford County. The service area and communities served by Middle Tennessee Medical Center reach out nearly fifty miles from Murfreesboro across Middle Tennessee, 5 counties all together. The population of this area is approximately 383,000 with an expected growth rate of 11% over the next five years. Over half (60%) of this population resides within Rutherford County. The most rapidly growing age group is that of 35-45 year olds, representing 32% of the entire population. This age group represents families with young children. However, the Census 2000 numbers paint a picture of an increasingly diverse community for Rutherford County: - Rutherford County grew by 53.5% between 1990 and 2000, boosted by increases in all minority populations. - Non-Hispanic whites account for more than 84.5% of Rutherford County residents. African-Americans account for 10%. Asian persons make up 1.9%, with an increase of 200% from 1990. Hispanics account for 3%, an increase of over 500% (969 total population to 5,324). - Over 17,000 persons, or 9% of the population of Rutherford County, live in households where the income level is below the federal poverty level. The rate is nearly the same for the youngest and oldest residents. 8.9% for children under 18 years of age and 9.4% for those aged 65 and older. Within the other 4 counties served by Middle Tennessee Medical Center (many of which represent rural communities), almost 18,000 persons, or an average of 15% of these counties population live in households where the income level is below the federal poverty level. This is a total of 25,000 person or 8% of the total aggregate population of our service area.
Rutherford County is one of the fastest growing counties in the United States and the City of Murfreesboro in particular. A rural atmosphere, a state university, industry, and reputable schools make this an attractive location for families with young children. Approximately 26% of the county's population is under the age of 18; nearly 8% are age 65 and older. The greatest shortfalls when comparing needs and available services are in the areas of poverty, housing assistance, childcare, family dysfunction, mental illness, and substance abuse. Priority challenges for Rutherford County in comparison to other Tennessee counties are: high binge drinking rate, high rate of sexually transmitted diseases, relatively high violent crime cases, and high index of air quality cancer risk and hazard. There are noted challenges and hardship facing the growing Hispanic/Latino population of Rutherford and surrounding counties. Due to the rural and agricultural environment, many Hispanic/Latino persons are illegal immigrants. This status and associated concerns make the access and affordability of health care extremely difficult. An increased sense of vulnerability and risk accompanies persons seeking healthcare. In addition, there is a great demand for interpretative services. Overall, the Hispanic/Latino population feels isolated, underserved, and medically challenged. Prenatal, OBGyn, and post-natal care are significant areas of need. In general, the health of Tennessee's population is poor when compared to other states evaluating overall health risk factors (such as high blood pressure, weight, physical activity, diet/nutrition, smoking, seat belt use, and alcohol consumption), which could help explain why Tennessee's cardiovascular disease death rate is the second highest in the nation (Tennessee Health Status Report, 2000). The Community Wellness Council of Rutherford County has identified these top priorities as part of the state's commitment to Healthy People 2010: cardiovascular disease; teen substance abuse; childhood obesity; diabetes; and lack of coordination/duplication of services for children, youth, and families, and sexually transmitted diseases. In addition to these identified priorities, the Community Forum noted the following emerging trends, especially in light of current economic challenges: - Absence of safety-net for persons post 21 years of age - All agencies experiencing an increase of 120-150% request for services - Unemployed, middle class now accessing services - Increasing trends in number of homelessness, especially teens - "Big 8" crime incidents up 4% in immediate MTMC surrounding neighborhoods - Central Middle School notes an increase of students on free/reduce meals from 10% to 62%; increase in ethnic minorities from 7% to 63%; estimated 150 students impacted by homelessness - Murfreesboro Housing Authority has 1,200 families on waiting list for section 8 housing - Expected 7,000-9,000 to be disenrolled from TennCare due to budget crisis - Increase issues with teens at risk for alcohol and drug abuse/dependency, violence, and stress - Department of Children Services for Rutherford County has 140-200 referrals per month; 107 children in foster care - Greenhouse Ministries saw 15,000 visits for services in 2008 - Department of Human Services provided $3M in food stamps in 2008, averaging 150 appointments per day In light of the community needs and asset data referenced above, MTMC's FY11 Care of the Poor and Community Benefit Plan emphasizes the following general arenas of activities: - Primary Care - Preventive Health, Wellness, and Drug/Alcohol Prevention - Diabetes and Obesity Education - Prescription Medication Assistance Strategies to Address Identified Needs: 1. Access - Improve access to care for the poor and medically underserved by developing and supporting a safety net of services. Focus: Inpatient and Outpatient Services Provide inpatient and outpatient services to those patients unable to pay MTMC provides services, both inpatient and outpatient, to those patients who are unable to pay. Hospital departments donate services to patients and their families in need to facilitate care delivery at the hospital after discharge. Examples include free lodging at local hotels, meals for family members, cab fares, and prescription drugs. MTMC also provides free services to the uninsured and underinsured under the care of the Primary Care & Hope Clinic of Murfreesboro (such as X-rays, general surgery, and volunteer hours by medical staff). Major Initiatives: - Traditional charity care - Donated services by hospital departments - Services to the Primary Care & Hope Clinic of Rutherford County averaging $24,000 monthly in donated services Focus: Safety Net for the Uninsured and Underinsured with particular focus upon the Hispanic/Latino Immigrant Population Expand our commitment to care for the uninsured and underinsured Middle Tennessee Medical Center is a member of the Wellness Council of Rutherford County, which is a consortium of private and county agencies who seek to serve through collaborative efforts the pressing health issues facing the larger community and particularly the most vulnerable and needy - the uninsured, underinsured, elderly, and children. Major Initiatives: - Dispensary of Hope: Licensed indigent pharmacy that provides free medication for acute and long-term needs, funded by MTMC. ($217,000 annually). In FY12 the MTMC Dispensary of Hope provided 22,000 prescriptions; 10,000 patient visits; $1 million dollars in free medications to patients. - The Mobile Health Unit Collaborative: Primary Care, Behavioral Health, and preventive health, wellness promotion, and health education initiative comprised of MTMC, Community Anti-Drug Coalition of Rutherford County, Murfreesboro City Schools, Murfreesboro Housing Authority, The Guidance Center of Rutherford County, and Rutherford County Schools, and Murfreesboro Police Department that targets schools with high free/reduce meal student participation. ($57,000 annually). MTMC makes provision of the Mobile Health Unit, underwrites supply costs, assists in fees related to uninsured care, and underwrites the Coordinator of Health Services salary. - Primary Care and Hope Clinic: MTMC provides $117,000 annually to the Primary Care and Hope Clinic to help fund a nurse practitioner position dedicated to the provision of primary care to the uninsured referred by our Emergency Department. This objective is to align with Ascension Health's Outcome Measurement #3 to "Demonstrate access and assignment to a Medical Home as evidenced by a documented visit to a Primary Care provider". During the operations of this practitioner 3,100 patients were seen for a total of 1,900 uninsured visits and 1,200 insured visits; uninsured patients demonstrated 3.2 visits per patient. - Medical Mission @ Home Event: MTMC conducted a community-wide health event at community school to provide primary care, dental care, vision care, depression screening, and health education to the uninsured. Over 200 individuals were seen, representing over 650 medical service encounters. Five (5) individuals were provided follow-up diagnostic or surgical services. Location for this event was determined by analyzing demographic data of high emergency room utilization of the uninsured and whose care was of a walk-in service need. Over 85 associates and physicians volunteered. - Atlas Program - Parents as Teachers Program 2. Collaborations- Increase the effectiveness of community initiatives to impact key areas of need through supportive partnership and organizational leadership. Middle Tennessee Medical Center stewards 80 years of service to its communities. The history of this leadership has cultivated deep roots and leadership capital. We will seek partnerships with local charitable agencies whose work is targeted at identified priority needs, lending to that work greater stability, public awareness, and effective outcomes. These four areas have been identified based on community needs assessments:
- Domestic Violence/Rape Recovery: MTMC has lead in the creation of a Sexual Assault Response Team for Rutherford County, comprised of law enforcement, academic, social agencies, and other public collaborators and team members in addition to hospital clinicians. We have SANE staff and have become a model demonstration and education center for other health professionals and organizations in Middle Tennessee. MTMC underwrites the training for these individuals annually ($3,000). - Saint Rose Catholic School: provision of $3,500 to assist underprivileged children and children with congenital medical issues with tuition scholarships. - Murfreesboro Coalition for the Latino Community: MTMC provides representation on this grass-roots community effort to address the complexity of barriers and issues facing persons. - Interfaith Dental Clinic: provision $10,000 for their capital campaign towards their new facility - United Way of Rutherford and Cannon Counties: provision of $10,000 for their annual corporate campaign. 3. Community Health- Improve the overall health status by promoting the integration of spirituality, wellness, and healthy living Focus: Wellness/Lifestyle Support health management programs aimed at improving health and well-being MTMC is committed to providing educational and wellness opportunities that contribute toward promoting all aspects of health: community health, personal health, disease management, and spirituality. Our efforts continue to work with individuals and the community to look for ways to improve the health and wellness of the community and to make an impact on the negative health trends in our community. Major Initiatives: - The MTMC Wellness Center Health Education Program - Congregational Health Ministry initiative with congregations serving impoverished communities and Congregational-based health fairs - Infant Loss Support Group - General Loss Support Group - Stress Management Program - The Saint Claire Retirement Center Partnership - Parent and Child Festival - RealLife 55 Programs - Bright Beginnings for Grandparents Program - Homebound Childbirth Class Program - Habitat for Humanity Homeowners Education Program Focus: Education/Skill Development Support efforts that address educational and skill development needs that enable people to improve their lives and support a reasonable quality of life Recognizing the challenges faced by the unemployed and working poor of our community, Middle Tennessee Medical Center has developed and supports a variety of programs designed to offer participants opportunities to increase their basic skills for personal growth and better job performance, offer tuition for assistance for GED classes, and provide career services that can help move individuals from jobs with little advancement opportunity to those with higher potential for advancement. These efforts include programs aimed at improving the quality of life for individuals in our community as well as our own employees. In addition, MTMC supports other community educational programs. Major Initiatives: - Exchange Club Parenting Center - Job Skills Program - Families First Program - Career Shadowing Program - Boys and Girls Club of Rutherford County - HealthStyles program - Corporate Connections Academy Program - Corporate sponsor for Holloway High School, alternative school for at-risk teens Focus: Community Development Support programs/agencies particularly those that support our clinical areas of focus: Cardiac, Emergency Services, Maternal/Child, Orthopedics, Neurosciences, Vascular, Oncology, and Research MTMC also supports community development through membership in a variety of civic organizations and participation in events that benefit not-for-profit organizations serving Murfreesboro and Middle Tennessee, particularly those that share a concern for improving the health of communities. In reviewing funding requests, priority has been given to those organizations that support our clinical areas of focus and development. Major Initiatives: - Variety of corporate sponsorships including American Cancer Society, American Heart Association, March of Dimes, American Diabetes Association, American Red Cross, Special Kids, Department of Children's Services. - Support for needed community organizations such as the Primary Care & Hope Clinic of Rutherford County, the Fellowship of Christian Athletes of Rutherford County, and United Way, Boy Scouts, Destination Rutherford, Chamber of Commerce, and the Better Business Bureau. Focus: MTMC Employee Activities Committee Employees of MTMC are encouraged to offer service to others in a way that supports individual growth, promotes community partnering, and improves the quality of life for all we serve. Their volunteer efforts are central to MTMC's support and participation in many of the major initiatives mentioned in this plan. They provide the stimulus for many projects and events that contribute toward accomplishing our priorities for the health ministry's service to the poor and the general wellbeing of our community. Major Initiatives: - Event Sponsorships such as the Foundation 5K and 2 Mile Walk, Relay for Life, March of Dimes Walk, The Heart Walk, Tour de Cure, American Red Cross Blood Drives, the West Main Shelter, Habitat for Humanity work days, Jazz Fest, Child Advocacy Center's Duck Derby, and Kids Expose. - Various Community Benefit Events: Each year MTMC associates, departmental teams, and divisions identify a target need or organization in the community that provides needed services or programs to vulnerable populations. These activities range from fundraising events, drives, walks, service days, and awareness-raising efforts. For FY12 MTMC Associates provided $30,000 in such community benefit activities salary costs; food costs; in room costs; in kind, etc. 4. Advocacy- Increase awareness of local city and county governmental leaders, boards, and departments of health needs/issues and related concerns that impact healthcare delivery and community wellness and become a more public leader in shaping priorities, local policies/rules, and attitudes. Middle Tennessee Medical Center has further identified three crucial issues facing the communities we serve. These issues are noted for their potential in addressing underlying structural impediments and representation of a truly systems approach to solving community problems related to healthcare access and delivery. MTMC's membership in the Wellness Committee of Rutherford County will be a major arena for action and leadership. The two significant issues to be targeted are: - Access to Urgent Care - Access to Specialty Care In addition, MTMC will continue to facilitate and host dialogue forums with local faith communities and organizations to discuss the top health concerns of the county, access barriers, and visioning for collaboration to create a more effective healthcare safety net. Expanding Awareness, Education, and Health Promotion MTMC believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. MTMC has invested significantly in unique, top quality health education and materials to accomplish its goals including the following programs: - Breast Cancer Awareness & Prevention - Diabetes Awareness & Prevention - Awareness and Education on Blood Pressure plus Screening - Understanding Medicare Part D - Childbirth Preparation and Newborn Care Classes - Medical Terminology classes - 55 Alive Mature Driving Courses - Car Seat Safety Classes - Heart Healthy Cooking - Heart Health for Women - Hanging with Dad - Smoking Cessation Course - Infant Loss Support Group - Grief and Loss Support Group - Weight Loss and Weight Health Courses - You and Diabetes - Workplace Spirituality MTMC provides a complete listing of all classes, seminars, and event calendars on its website (www.mtmc.org) and offers an on-line childbirth preparation and newborn care class. Furthermore, there is a provision of links to further on-line research and education of holistic, health-related topics, issues, and concerns. In particular, MTMC has teamed up with Discovery Hospital, an easy-to-use web site that contains a vast library of medical information. The site allows searches about a specific medical condition or use of Health Tools to check your Body Mass Index or make a risk assessment for a particular disease.
Medical Education MTMC believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education including the following: - Quarterly Ethics Grand Rounds - Annual Ethics Conference - Critical Care Course - Monthly CMEs - Quarterly Skills Fair Operations and Governance MTMC: - operates an emergency room that is open to all persons regardless of ability to pay; - has an open medical staff with privileges available to all qualified physicians in the area; - has a governing body in which independent persons representative of the community comprise a majority; - engages in the training and education of health care professionals; and - participates in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs. Patient Services MTMC provides the following in-patient and out-patient medical services to the community: - Bariatric Services - Cancer Care - Cardiac Services - Community Education and Outreach - Diagnostic Services - Dispensary of Hope - Emergency Services - Endocrinology - Gastroenterology - General Medicine - General Surgery - Hospital-based services- including Anesthesiology, Pathology, and Radiology - Mobile Health Unit Services - Neurosciences - Orthopedic Services - Otolaryngology - Pulmonary Medicine - Palliative Care - Rehabilitation Services - Sports Medicine - Urology - Vascular Services - Wellness Center - Women and Children's Services- including Obstetrics, Gynecology, and Neonatology - Wound Care Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include: - Dispensary of Hope - a state licensed pharmacy which provides free prescription medication assistance - Mobile Health Unit Services - provision of primary care and pediatric health services to the uninsured and underinsured through a community collaboration During the fiscal year ending June 30, 2012, MTMC provided the following volumes of services: Discharges - Acute Care Patient Days - Acute Care Births Newborn Patient Days Emergency Room Visits Surgical Visits - Outpatient Other Outpatient Visits Financial Information The financial information presented below was prepared in accordance with the Catholic Health Association's (CHA) community benefit reporting guidelines. These guidelines recommend the following: - Report charity care at cost, not charges. - Do not include bad debt, contractual allowances, and quick pay discounts as part of charity care expense. - Do not count Medicare shortfall as a community benefit. - Report the net expense for community benefit services, i.e., the total community benefit expense minus any associated revenue from patients, payers, and other external sources. The CHA reporting guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the reporting guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MTMC Hospitalist Services LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 North Highland AvenueAddressLine1
CityMurfreesboroCity
StateTNState
ZIP Code37219ZIPCode
FieldValueIRS element (for citing)
EIN621792824EIN
Primary ActivitiesEmploys HospitalistsPrimaryActivities
Legal Domicile StateTNLegalDomicileState
Total Income2371755TotalIncome
EOY Assets5833140EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Middle Tennessee Medical Center IncBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

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Ascension Health
PO Box 45998St LouisMO63134311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Saint Thomas Health
4220 Harding RoadNashvilleTN37205581716804System ParentTNSection 501(c)(3)Schedule A, Line 11cAscension Health0
Saint Thomas Hospital
4220 Harding RoadNashvilleTN37205620347580HospitalTNSection 501(c)(3)Schedule A, Line 3Saint Thomas Health1
Saint Thomas Network
4220 Harding RoadNashvilleTN37205621284994Health Investment EntityTNSection 501(c)(3)Schedule A, Line 9Saint Thomas Health1
Saint Thomas Health Foundations
PO Box 380NashvilleTN37202581663055Operates FoundationTNSection 501(c)(3)Schedule A, Line 7Saint Thomas Network1
Covenant Care Inc
102 Woodmont Blvd Suite 800NashvilleTN37205621695737InactiveTNSection 501(c)(3)Schedule A, Line 11aSaint Thomas Network1
Middle Tennessee Medical Center Foundation
1700 Medical Center ParkwayMurfreesboroTN37219621167917FoundationTNSection 501(c)(3)Schedule A, Line 11aMiddle Tennessee Medical Center Inc1
Seton Corporation
4220 Harding RoadNashvilleTN37205621869474Acute Care HospitalTNSection 501(c)(3)Schedule A, Line 3Saint Thomas Health1
Baptist Hospital Foundation of Nashville Inc
2000 Church StreetNashvilleTN37236581861378InactiveTNSection 501(c)(3)Schedule A, Line 11aSeton Corporation1
Baptist Health Care Affiliates Inc
2000 Church StreetNashvilleTN37236581509251Community Health PromotionTNSection 501(c)(3)Schedule A, Line 11aSeton Corporation1
Baptist Health Care Group
2000 Church StreetNashvilleTN37236621529858Healthcare ProviderTNSection 501(c)(3)Schedule A, Line 3Seton Corporation1
Baptist Saint Thomas Home Care
2000 Church StreetNashvilleTN37236510172298InactiveTNSection 501(c)(3)Schedule A, Line 9Seton Corporation1
Hickman Community Health Care Services Inc
135 East Swan StreetCentervilleTN37033581737573HospitalTNSection 501(c)(3)Schedule A, Line 3Baptist Healthcare Affiliates Inc1
Hickman Community Home Care Inc
135 East Swan StreetCentervilleTN37033621836937Home Health CareTNSection 501(c)(3)Schedule A, Line 9Hickman Community Health Care Services Inc1

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Baptist Womens Health Center LLC
1900 Church Street Suite 300NashvilleTN37203621772195Owns and Operates Specialty HospitalTNN/A
Middle Tennessee Ambulatory Surgery Center LP
500 N Highland AveMurfreesboroTN37130Operates Outpatient Surgery CenterTNMiddle Tennesee Medical Center IncRelated010.35000
St Thomas Research Institute LLC Cardiology Series
102 Woodmont BlvdNashvilleTN37205264591782Cardiology ResearchTNN/A
STHS Sleep Center LLC
102 Woodmont Suite 800NashvilleTN37219203664894Operates a Sleep CenterTNN/A
Baptist Surgery Center LP
1900 Church Street Suite 300NashvilleTN37203Operates Outpatient Surgery CenterTNN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Sova Inc
102 Woodmont Boulevard Suite 700NashvilleTN37205261319638Health ServicesTNN/AC
Vincentian Ventures Inc
PO Box 380NashvilleTN37202621331896Health ServicesTNN/AC
St Thomas Medical Clinic
4220 Harding RoadNashvilleTN37205621583605Health ServicesTNN/AC
Baptist Health Care Ventures Inc
2000 Church StreetNashvilleTN37236620469214Holding CompanyTNN/AC
Middle Tennessee Network Inc
2000 Church StreetNashvilleTN37236621570989Health ServicesTNN/AC
MissionPoint Health Partners
102 Woodmont Boulevard Suite 700NashvilleTN37205452958482Accountable Care OrganizationTNN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Saint Thomas Health
R88998267Actual Amount Transferred
Saint Thomas Hospital
Q134491128Actual Amount Transferred
Saint Thomas Network
R253497Actual Amount Transferred
Saint Thomas Health Foundations
C124665Actual Amount Transferred
Seton Corporation
R1805743Actual Amount Transferred
Baptist Health Care Group
Q1660080Actual Amount Transferred
Hickman Community Health Care Services Inc
Q167202Actual Amount Transferred
Ascension Health
R1323042Actual Amount Transferred

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