2013-05-14T17:19:41-05:00 2012-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2011-07-01 620475842 Middle Tennessee Medical Center Inc MIDD 6153964100 1700 Medical Center Parkway Murfreesboro TN 37129 Craig Polkow 6153964100 2013-05-14 1 Matt Montgomery P00492843 5137847100 2011 2016-03-07 17:11:31Z Gordon B Ferguson 1700 Medical Center Parkway Murfreesboro TN 37129 260978764 0 0928 X www.mtmc.org X 1927 TN Spiritually centered care, which sustains and improves the health of individuals and communities. 17 15 1549 15 1504853 -862415 158969 128074 241965902 245542642 8513221 120752 3349424 14824358 253987516 260615826 64183 11500 0 0 82422858 70026248 0 0 0 182434210 158174217 264921251 228211965 -10933735 32403861 343834588 341938862 177627771 139995169 166206817 201943693 X Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. 0 0 184603149 11500 258716412 Middle 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. 184603149 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 81 0 1 1549 1 1 1 0 0 0 0 0 0 0 0 0 0 X 17 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Martha Tolbert 6153964100 1700 Medical Center Parkway Murfreesboro TN 37129 X Matt Murfree 1.00 X X 0 0 0 Lee Moss 1.00 X X 0 0 0 George White 1.00 X X 0 0 0 Emil Hassan 1.00 X X 0 0 0 Sumner Bouldin Jr 1.00 X 0 0 0 David Chatman MD 1.00 X 0 0 0 Debbie Cope 1.00 X 0 0 0 Bill Huddleston 1.00 X 0 0 0 Bill Jones 1.00 X 0 0 0 Sister Mary Frances Loftin 1.00 X 0 0 0 Patty Marschel 1.00 X 0 0 0 Mary Moss MD 1.00 X 0 0 0 Tom Provow 1.00 X 0 0 0 Mike Schatzlein MDSch O 1.00 X 0 1208662 37438 Jeff Shay 1.00 X 0 0 0 Davis Young 1.00 X 0 0 0 Gordon B Ferguson 40.00 X X 0 487868 64741 Pamela Hess 40.00 X 182382 0 13859 Elizabeth Lemmons 40.00 X 298745 0 41346 Kelly Miles 40.00 X 176609 0 7192 Sheila Pertiller MD 40.00 X 334737 0 11495 David Sellers MD 40.00 X 304337 0 25027 Kecia Badem MD 40.00 X 306944 0 13398 Sally Bullock MD 40.00 X 250923 0 3191 William Brown MD 40.00 X 277776 0 14416 Michael Bratton 0.00 X 178137 0 3530 2310590 1696530 235633 64 1 1 0 MTMC for Lung Disease 1800 Medical Cntr Parkway Ste 31 Murfreesboro TN 37129 Medical Services 995721 Ortho Surgicalists LLC 301 21st Avenue North Nashville TN 37203 Medical Services 764833 American Endoscopy Services PO Box 11407 Birmingham AL 352461614 Medical Services 373103 Medical Solutions Inc 9101 Western Ave Ste 101 Omaha NE 68114 Travel Nurses 225890 Healthcare Performance Partners PO Box 405652 Atlanta GA 303845652 Lean Consulting 192893 11 128074 128074 Net Patient Services 621400 241558510 241558510 Ancillary Revenue 621400 2479279 2479279 Reference Lab 621500 1504853 1504853 245542642 55774 55774 438689 349544 89145 89145 89145 64978 0 64978 64978 64978 69984 13394 56590 56590 Provider Tax 621500 7762556 7762556 Pension Curtail. Gain 541610 3933078 3933078 Cafeteria Revenue 624200 974272 974272 2008717 2008717 14678623 260615826 258716412 1504853 266487 11500 11500 830053 830053 56044178 51186808 4857370 1232811 1109530 123281 7814316 7032884 781432 4104890 3694401 410489 36069778 36069778 137659 137659 11341 11341 21459318 21459318 325768 325768 32130425 32130425 5154306 5154306 112657 112657 21391066 21391066 894462 894462 Bad Debt Expense 12275524 12275524 TNCare Coverage Assess 7762556 7762556 Provider Tax 5517895 5517895 Other Professional Fees 3874128 3486715 387413 11057334 11057334 228211965 184603149 43608816 0 16978734 347432 0 0 24159345 29979421 237443 193264 1839249 2983377 4692932 8950511 320163375 51288353 278506277 268875022 360893 627724 110995 17059715 29871116 343834588 341938862 18856965 11427086 158770806 128568083 177627771 139995169 X 166206817 201943693 166206817 201943693 343834588 341938862 X 32403861 3333015 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10151 10151 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying 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. 0 0 6667698 6667698 221521821 18164726 203357095 3548614 431730 3116884 76110581 28612953 47497628 2822725 9491936 4078944 8235717 268875022 Other Receivables 2291595 Due From Related Entities 24048723 Other Assets 2704991 Contruction in Progress 825807 29871116 Current Self Insurance Liability 1457544 Est 3rd Party Payor Settlement 5334910 Due To Affiliates 50196385 Other Liabilities 4486651 Intercompany Debt to Ascension Health 63062098 Pension Plan Liability 4030495 128568083 1 1 1 X 1 X 1 1 1 0 1 0 14537414 14537414 0.06730 37505675 31614270 5891405 0.02730 52043089 31614270 20428819 0.09460 8621 8621 0.00000 106 106 0.00000 522870 522870 0.00240 531597 531597 0.00240 52574686 31614270 20960416 0.09700 612 612 0.00000 4834 4834 0.00000 253 253 0.00000 5699 5699 0 4811709 1347278 55262548 1935067 53327481 X 1 1 1 1 Middle Tennessee Medical Center

1700 Medical Center Parkway Murfreesboro TN 37129

X X X Middle Tennessee Medical Center 1 0 1 200.000000000000 1 300.000000000000 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 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. Middle Tennessee Medical Center Part V, Section B, Line 11h: We use presumtive scoring to identify charity accounts. 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. 1 Varsity Medics 102 Wargo Court Murfreesboro TN 37128 414337648 6000 To provide medical svcs. at Middle Tennessee State Univ. football games. 0 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. X 1 1 0 1 0 0 0 0 0 0 0 Mike Schatzlein MDSch O 0 745734 0 339375 0 123553 0 4900 0 32538 0 1246100 0 0 Gordon B Ferguson 0 327017 0 86252 0 74599 0 42708 0 22033 0 552609 0 0 Pamela Hess 153651 0 10000 0 18731 0 3162 0 10697 0 196241 0 0 0 Elizabeth Lemmons 203685 0 43126 0 51934 0 21852 0 19494 0 340091 0 0 0 Kelly Miles 145429 0 15000 0 16180 0 0 0 7192 0 183801 0 0 0 Sheila Pertiller MD 303524 0 30978 0 235 0 0 0 11495 0 346232 0 0 0 David Sellers MD 269099 0 35000 0 238 0 0 0 25027 0 329364 0 0 0 Kecia Badem MD 271692 0 35000 0 252 0 0 0 13398 0 320342 0 0 0 Sally Bullock MD 249891 0 0 0 1032 0 0 0 3191 0 254114 0 0 0 William Brown MD 183306 0 45224 0 49246 0 0 0 14416 0 292192 0 0 0 Michael Bratton 54658 0 0 0 123479 0 553 0 2977 0 181667 0 0 0 Part I, Line 1a Club Dues were paid on behalf of an officer. The amount paid was treated as taxable compensation to the listed individual. Part I, Line 3 Saint 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 4b These 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. 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 2 Many 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 6 Middle Tennessee Medical Center, Inc. has a single corporate member, Saint Thomas Health. Form 990, Part VI, Section A, line 7a Middle 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 7b All 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 11 Management, 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 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee 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 15 In 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 19 The 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. MTMC Hospitalist Services LLC 400 North Highland Avenue Murfreesboro TN 37219 621792824 Employs Hospitalists TN 2371755 5833140 Middle Tennessee Medical Center Inc Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Saint Thomas Health 4220 Harding Road Nashville TN 37205 581716804 System Parent TN Section 501(c)(3) Schedule A, Line 11c Ascension Health 0 Saint Thomas Hospital 4220 Harding Road Nashville TN 37205 620347580 Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 Saint Thomas Network 4220 Harding Road Nashville TN 37205 621284994 Health Investment Entity TN Section 501(c)(3) Schedule A, Line 9 Saint Thomas Health 1 Saint Thomas Health Foundations PO Box 380 Nashville TN 37202 581663055 Operates Foundation TN Section 501(c)(3) Schedule A, Line 7 Saint Thomas Network 1 Covenant Care Inc 102 Woodmont Blvd Suite 800 Nashville TN 37205 621695737 Inactive TN Section 501(c)(3) Schedule A, Line 11a Saint Thomas Network 1 Middle Tennessee Medical Center Foundation 1700 Medical Center Parkway Murfreesboro TN 37219 621167917 Foundation TN Section 501(c)(3) Schedule A, Line 11a Middle Tennessee Medical Center Inc 1 Seton Corporation 4220 Harding Road Nashville TN 37205 621869474 Acute Care Hospital TN Section 501(c)(3) Schedule A, Line 3 Saint Thomas Health 1 Baptist Hospital Foundation of Nashville Inc 2000 Church Street Nashville TN 37236 581861378 Inactive TN Section 501(c)(3) Schedule A, Line 11a Seton Corporation 1 Baptist Health Care Affiliates Inc 2000 Church Street Nashville TN 37236 581509251 Community Health Promotion TN Section 501(c)(3) Schedule A, Line 11a Seton Corporation 1 Baptist Health Care Group 2000 Church Street Nashville TN 37236 621529858 Healthcare Provider TN Section 501(c)(3) Schedule A, Line 3 Seton Corporation 1 Baptist Saint Thomas Home Care 2000 Church Street Nashville TN 37236 510172298 Inactive TN Section 501(c)(3) Schedule A, Line 9 Seton Corporation 1 Hickman Community Health Care Services Inc 135 East Swan Street Centerville TN 37033 581737573 Hospital TN Section 501(c)(3) Schedule A, Line 3 Baptist Healthcare Affiliates Inc 1 Hickman Community Home Care Inc 135 East Swan Street Centerville TN 37033 621836937 Home Health Care TN Section 501(c)(3) Schedule A, Line 9 Hickman Community Health Care Services Inc 1 Baptist Womens Health Center LLC 1900 Church Street Suite 300 Nashville TN 37203 621772195 Owns and Operates Specialty Hospital TN N/A Middle Tennessee Ambulatory Surgery Center LP 500 N Highland Ave Murfreesboro TN 37130 Operates Outpatient Surgery Center TN Middle Tennesee Medical Center Inc Related 0 1 0.35000 St Thomas Research Institute LLC Cardiology Series 102 Woodmont Blvd Nashville TN 37205 264591782 Cardiology Research TN N/A STHS Sleep Center LLC 102 Woodmont Suite 800 Nashville TN 37219 203664894 Operates a Sleep Center TN N/A Baptist Surgery Center LP 1900 Church Street Suite 300 Nashville TN 37203 Operates Outpatient Surgery Center TN N/A Sova Inc 102 Woodmont Boulevard Suite 700 Nashville TN 37205 261319638 Health Services TN N/A C Vincentian Ventures Inc PO Box 380 Nashville TN 37202 621331896 Health Services TN N/A C St Thomas Medical Clinic 4220 Harding Road Nashville TN 37205 621583605 Health Services TN N/A C Baptist Health Care Ventures Inc 2000 Church Street Nashville TN 37236 620469214 Holding Company TN N/A C Middle Tennessee Network Inc 2000 Church Street Nashville TN 37236 621570989 Health Services TN N/A C MissionPoint Health Partners 102 Woodmont Boulevard Suite 700 Nashville TN 37205 452958482 Accountable Care Organization TN N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Saint Thomas Health R 88998267 Actual Amount Transferred Saint Thomas Hospital Q 134491128 Actual Amount Transferred Saint Thomas Network R 253497 Actual Amount Transferred Saint Thomas Health Foundations C 124665 Actual Amount Transferred Seton Corporation R 1805743 Actual Amount Transferred Baptist Health Care Group Q 1660080 Actual Amount Transferred Hickman Community Health Care Services Inc Q 167202 Actual Amount Transferred Ascension Health R 1323042 Actual Amount Transferred