Saint Thomas Rutherford Hospital

“The process of determining the amount of compensation paid to the organization's ceo, executive director or top management official is performed by ascension health and its subsidiary organizations. Ascension health is the national health system parent. The process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive compensation committee reviewed and approved the compensation. In the review of the compensation, the organization's ceo, executive director or top management official's salary was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when their compensation was decided.”

“The process of determining the amount of compensation paid to the organization's officers and key employees is performed by saint thomas health and its subsidiary organizations. Saint thomas health is the ministry health system parent. The process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive compensation committee reviewed and approved the compensation. In the review of the compensation, the officers' salaries were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. Individuals were not present when their compensation was decided.”

“Saint Thomas Rutherford Hospital has a single corporate member, Saint Thomas Health.”

“Saint Thomas Rutherford Hospital has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of Saint Thomas Rutherford Hospital.”

“All decisions that have a material impact to Saint Thomas Rutherford Hospital's financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health.”

“During the return preparation process, the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. Upon completion, the form 990 is reviewed by the organization's internal tax department which consists of attorneys and cpas. A complete final copy of the return is provided to the organization's president, financial officer, and/or other key officers in lieu of the full board.”

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”

“The organization will provide any documents open to public inspection upon request.”

“Pharmacy Revenue - Total Revenue: 1087, Related or Exempt Function Revenue: 1087, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Education Revenue - Total Revenue: 21630, Related or Exempt Function Revenue: 21630, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; EHR 2016 - Total Revenue: 378631, Related or Exempt Function Revenue: 378631, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Misc Deposits - Total Revenue: 73045, Related or Exempt Function Revenue: 73045, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Fitness Club Revenue - Total Revenue: 157989, Related or Exempt Function Revenue: 157989, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“Saint Thomas Rutherford Hospital, established in 1927, is located in Murfreesboro, Tennessee. Its current facility, opened in 2010, provides 286 patient rooms and is designed to facilitate a healing and spiritual environment. It provides emergency room services and comprehensive inpatient and outpatient care. The Hospital is part of Saint Thomas Health System and Ascension Health. Saint Thomas Health (STH) is Middle Tennessee's faith-based, not-for-profit health care system united as one healing community. Saint Thomas Health is focused on transforming the healthcare experience and helping people live healthier lives, with special attention to the poor and vulnerable. The regional health system included, in FY17, nine (9) hospitals: Saint Thomas Hospital for Specialty Surgery, Saint Thomas Midtown Hospital and Saint Thomas West Hospital in Nashville, Saint Thomas Rutherford Hospital in Murfreesboro, Saint Thomas Hickman Hospital in Centerville, Saint Thomas Stones River Hospital in Woodbury, Saint Thomas DeKalb Hospital in Smithville, Saint Thomas Highlands Hospital in Sparta, and Saint Thomas River Park Hospital in McMinnville. A comprehensive network of affiliated joint ventures, medical practices, clinics and rehabilitation facilities complements the hospital services. These ministries work together to care for patients, joined by common systems and a philosophy of serving as a healing presence with special concern for our neighbors especially those who are vulnerable. This community benefit happens through its focus on patient care, education, and research. The organizations work together to serve their communities at the local, regional, state, and national level. Saint Thomas Health is a member of Ascension, a Catholic organization that is the largest not-for-profit health system in the United States. Ascension Health Alliance, D/B/A Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or health ministries, located in 23 of the United States and the District of Columbia. Ascension is sponsored by Ascension Sponsor, a public juridic person. The participating of Ascension Sponsor are The Daughters of Charity of St. Vincent de Paul, St. Louise Province; The Congregation of St. Joseph; The Congregation of the Sisters of St. Joseph of Carondelet; The Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. -American Province; and The Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi -US/Caribbean Province. Saint Thomas Health is committed to providing care to the communities it serves with attention to the poor and vulnerable. STH's mission provides a strong foundation and guidance for its work as a caring ministry of healing, including its commitment to community service and to provide access to quality healthcare for all. The STH Mission, Vision and Values are the key factors influencing their approach and commitment to addressing community health needs through their community benefit activity. Ascension's Socially Just Wage and Benefits Policy, established in 2001, applies to all of Ascension, including subsidiary entities and contractual third-party vendor relationships. Saint Thomas Health and Ascension are committed to providing a livable wage to all associates. Minimum wage within Ascension was raised to $11/hour during FY15. Catholic Social Teaching recognizes that each individual has a fundamental right to share in the fruits of her or his labor and to have basic needs met, including access to healthcare. An essential component of the Socially Just Wage Policy is the employer subsidization of the cost of healthcare insurance for lower-paid associates. This employer subsidy, combined with the minimum hourly wage rate, provides”

“Our Mission in Motion: The mobile mammography outreach program is designed to increase access to high quality screening mammography for all women, with special attention to the poor and vulnerable in Middle Tennessee. The program provides screening mammograms in collaboration with local employers, communities, and safety net clinics, reducing the barrier of transportation and inability to afford time away from work. Screening mammograms are available to the uninsured. When indicated, Our Mission in Motion works with women to connect them to follow up care. It is the goal of the program to improve the compliance rates for screening mammography by making services accessible and affordable, thus decreasing the late stage detections of breast cancer for women in Middle Tennessee. Women delay their annual mammograms for numerous reasons, with the most common including lack of insurance, financial barriers, and the inability to take time off work to receive one. In fiscal year 2017, 2,974 screenings were performed at 200 stops. 389 women received mammography screening for the first time, and 1008 women were screened who had not had a mammogram in over two years. (Community Health Need: Access to Care and Wellness) Advocacy for Health: STH is a founding member and active member of the Middle Tennessee Consortium of Safety Net Providers, which works to provide quality, affordable medical homes for the uninsured and specialty care services on a sliding scale based on household income. Saint Thomas Health Foundation serves as the legal and fiduciary agent to the Consortium. The Board of Directors that governs the Consortium is comprised of health care providers and local business leaders who serve the low-income and uninsured. STH is committed to ensuring 100% access to care for everyone, with special attention to those who live in poverty and struggle the most; STH actively advocates for healthcare access and coverage for all persons through grassroots outreach and ongoing meetings with elected officials. STH's advocacy work communicates CHNA findings and works with federal, state, and local officials to create and shape public policy to meet the needs identified by the community. STH provides sponsorship of community events as well as presentations to increase awareness and educate the public regarding healthcare reform and access. STH Senior Leaders participate as active board members of non-profit organizations whose mission is aligned with community health improvement. STH representatives also participate in county health councils. (Community Health Needs: Access to Care) Dispensary of Hope Charitable Pharmacies: Since 2006, the Dispensary of Hope Pharmacy has provided medication assistance for uninsured and underinsured individuals who are experiencing financial hardship. In fiscal year 2017, 23,973 prescriptions were filled, a total value of $352,111 in 10,734 total patient encounters at the Saint Thomas West Hospital location; additionally, $40,233.75 worth of medications were obtained through the Prescription Assistance Program. The pharmacy located in Rutherford County dispensed 24,884 prescriptions in a total of 12,236 patient encounters at a value of $507,455 in fiscal year 2017. A third pharmacy located on the Saint Thomas Midtown hospital campus filled 32,724 prescriptions, a total value of $643,616, in 11,763 patient encounters during fiscal year 2017; additionally, $20,454.45 worth of medication were obtained through the Prescription Assistance Program. (Community Health Need: Access to Care and Wellness) Camp Bluebird: STH is a founding partner and primary supporter of Camp Bluebird and draws volunteers from Saint Thomas Health, the community and other community hospitals. Camp Bluebird was the first camp in the Middle Tennessee area designed for adult cancer patients. For three days and two nights volunteers provide adult campers with education, support and encouragement in living life after a cancer diagnosis. Camp is”

“The activity of Saint Thomas Rutherford Hospital ("STRH") is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of STRH is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of STRH.”

“Contract Labor - Total Expense: 236466, Program Service Expense: 212819, Management and General Expenses: 23647, Fundraising Expenses: ; Minor Equipment - Total Expense: 825076, Program Service Expense: 742568, Management and General Expenses: 82508, Fundraising Expenses: ; Maintenance and Repair - Total Expense: 389817, Program Service Expense: 350835, Management and General Expenses: 38982, Fundraising Expenses: ; Intra/Intercompany Other Operating Expense - Total Expense: 481959, Program Service Expense: 433763, Management and General Expenses: 48196, Fundraising Expenses: ; Other Tax Expense - Total Expense: 75684, Program Service Expense: 68116, Management and General Expenses: 7568, Fundraising Expenses: ; Claims Expense - Total Expense: 9360, Program Service Expense: 8424, Management and General Expenses: 936, Fundraising Expenses: ; Other Miscellaneous Oper Exp - Total Expense: 2355995, Program Service Expense: 2120396, Management and General Expenses: 235599, Fundraising Expenses: ; Impairment, Restructuring, Nonrecurring - Total Expense: 8377, Program Service Expense: 7539, Management and General Expenses: 838, Fundraising Expenses: ; Trimedx PS - Total Expense: 5526648, Program Service Expense: 4973983, Management and General Expenses: 552665, Fundraising Expenses: ; Food Service PS - Total Expense: 3653996, Program Service Expense: 3288596, Management and General Expenses: 365400, Fundraising Expenses: ; Med Xcel PS - Total Expense: 4324752, Program Service Expense: 3892277, Management and General Expenses: 432475, Fundraising Expenses: ; Touchpont Environ Serv - Total Expense: 3653996, Program Service Expense: 3288596, Management and General Expenses: 365400, Fundraising Expenses: ; equipment rental - Total Expense: 2922520, Program Service Expense: 2630268, Management and General Expenses: 292252, Fundraising Expenses: ; cafeteria cost of goods sold - Total Expense: 741639, Program Service Expense: 741639, Management and General Expenses: , Fundraising Expenses: ; provider tax - Total Expense: 7906570, Program Service Expense: , Management and General Expenses: 7906570, Fundraising Expenses: ;”

“Deferred Pension Costs - -2435019; Transfer to Saint Thomas West Hospital - -97992769;”

“Saint Thomas Rutherford Hospital is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.”