TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Matt Murfree Chairman	1.00	X	X	0	0
(2) Lee Moss Vice Chairman	1.00	X	X	0	0
(3) George White Secretary	1.00	X	X	0	0
(4) Emil Hassan Treasurer	1.00	X	X	0	0
(5) Sumner Bouldin Jr Board Member	1.00	X		0	0
(6) David Chatman MD Board Member	1.00	X		0	0
(7) Debbie Cope Board Member	1.00	X		0	0
(8) Bill Huddleston Board Member	1.00	X		0	0
(9) Bill Jones Board Member	1.00	X		0	0
(10) Sister Mary Frances Loftin Board Member	1.00	X		0	0
(11) Patty Marschel Board Member	1.00	X		0	0
(12) Mary Moss MD Board Member	1.00	X		0	0
(13) Tom Provow Board Member	1.00	X		0	0
(14) Mike Schatzlein MD Sch O Board Member	1.00	X		565,713	11,549
(15) Jeff Shay Board Member	1.00	X		0	0
(16) Davis Young Board Member	1.00	X		0	0
(17) Gordon Ferguson President/CEO	40.00	X	X	390,324	63,959

(A) Name and business address	(B) Description of services	(C) Compensation
MTMC for Lung Disease 1800 Medical Center Pkwy Suite 310 Murfreesboro,TN37129	Medical Services	950,620
Ortho Surgicalists LLC 301 21st Avenue North Nashville,TN37203	Medical Services	706,000
Cross Country TravCorps PO Box 404674 Atlanta,GA303844674	Travel Nurses	160,118
Richard Michaelson PO Box 366 Murfreesboro,TN371330366	Pathologist	139,924
Rodger Klein 205 Breckenridge Road Franklin,TN37067	Executive Consulting	130,000
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 9

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	64,183	64,183
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,620,888		1,620,888
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	64,904,011	59,872,409	5,031,602
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	2,949,760	2,654,784	294,976
9	Other employee benefits .......	8,550,879	7,695,791	855,088
10	Payroll taxes ...........	4,397,320	3,957,588	439,732
11	Fees for services (non-employees):
a	Management ......	34,648,021		34,648,021
b	Legal .........	92,150		92,150
c	Accounting ...........	28,069		28,069
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	19,846,942	19,846,942
12	Advertising and promotion ....	1,238,026	1,238,026
13	Office expenses .......	31,296,068	31,296,068
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	3,905,971	3,905,971
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	187,152	187,152
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	40,818,839	40,818,839
23	Insurance ..............	1,132,028	1,132,028
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	Bad Debt Expense	26,126,447	26,126,447
b	TNCare Coverage Assess.	6,048,896	6,048,896
c	Other Professional Fees	4,467,046	4,020,341	446,705
d	Equip Repair & Maint.	4,189,580	4,189,580
e	Consulting Fees	1,603,545	1,603,545
f	All other expenses	6,805,430	6,805,430
25	Total functional expenses. Add lines 1 through 24f	264,921,251	221,464,020	43,457,231	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	17,856,932	1	16,978,734
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	22,701,591	4	24,159,345
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	485,022	7	237,443
8	Inventories for sale or use ..............	1,320,257	8	1,839,249
9	Prepaid expenses and deferred charges ............	718,901	9	4,692,932
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	413,683,432
b	Less: accumulated depreciation. .....	10b	135,177,155	53,843,681	10c	278,506,277
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..	1,843,927	13	360,893
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	228,396,394	15	17,059,715
16	Total assets. Add lines 1 through 15 (must equal line 34)...	327,166,705	16	343,834,588
	17	Accounts payable and accrued expenses .	28,936,040	17	18,856,965
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	134,840,642	25	158,770,806
26	Total liabilities. Add lines 17 through 25.....	163,776,682	26	177,627,771
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	160,390,012	27	166,206,817
28	Temporarily restricted net assets .....	3,000,010	28	0
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	163,390,023	33	166,206,817
34	Total liabilities and net assets/fund balances .....	327,166,705	34	343,834,588

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Middle Tennessee Medical Center Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Middle Tennessee Medical Center Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

11,528

Total. lines 1c through 1i ...................................

11,528

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Explanation of Other Lobbying Activities:	Part II-B, Line 1i:	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Middle Tennessee Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................		6,938,849		6,938,849
b	Buildings ................		224,268,700	11,371,309	212,897,391
c	Leasehold improvements ............		7,324,467	5,640,315	1,684,152
d	Equipment ................		118,085,755	70,635,265	47,450,490
e	Other .................	47,588,017	9,477,644	47,530,266	9,535,395
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........					278,506,277

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
Due To Affiliates		82,818,244
Intercompany Debt to Ascension Health		63,519,056
Accrued Pension		4,723,980
Estimated 3rd Party Payor Settlement		3,451,500
Other Liabilities		2,243,264
Current Self Insurance Liability		2,014,762



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		158,770,806
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	11,346,986		11,346,986	4.750 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	38,685,118	27,601,083	11,084,035	4.640 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	50,032,104	27,601,083	22,431,021	9.390 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	8,621		8,621	0 %
f Health professions education (from Worksheet 5) ..	106		106	0 %
g Subsidized health services (from Worksheet 6) ..	446,975	20,078	426,897	0.180 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	298,256		298,256	0.120 %
jTotal Other Benefits ...	753,958	20,078	733,880	0.300 %
kTotal. Add lines 7d and 7j. ..	50,786,062	27,621,161	23,164,901	9.690 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	612	612	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	4,834	4,834	0 %
7	Community health improvement advocacy	253	253	0 %
8	Workforce development
9	Other	13,586	13,586	0.010 %
10	Total	19,285	19,285	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

12,346,552

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

3,100,219

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

56,319,712

Enter Medicare allowable costs of care relating to payments on line 5.....

57,926,176

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-1,606,464

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	Middle Tennessee Medical Center 1700 Medical Center Parkway Murfreesboro,TN37129	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:Not Applicable

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		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 $ 26,126,447.
		Part II: Middle Tennessee Medical Center provided the following community building activities in 2011:-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 exam compliance and led to greater access to health services and social resources.-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 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 25,597 prescriptions; 10,356 patient visits; $1.5 million dollars in free medications to patients.-Coordinated for School Health: Provide educational resources to support school-based health education and wellness promotion. Provide $13,000 grant to Murfreesboro City School and $10,000 grant to Rutherford County School System. The Rutherford County Schools utilized BMI (body Mass Index) screenings to identify childhood obesity as a major concern. Of their database Smyrna Middle School showed 45% of their students to be either overweight or obese, and 25% obese. Smyrna Middle School has an enrollment of 800-900 children. As a result the Rutherford County Schools utilized this funding to establish Fitness Friday's along with needed fitness equipment and a Fitness Course.-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 $111,000 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 3,025 patients were seen for a total of 1,819 uninsured visits and 1,206 insured visits; uninsured patients demonstrated 3.2 visits per patient and accounted for 2,500 visits compared to insured patients.-Interfaith Dental Clinic: The Interfaith Dental Clinic provides dental care for over 1,200 citizens of Rutherford County each yea who are uninsured and economically challenged. MTMC provided collaboration and leadership in helping the Interfaith Dental Clinic to secure a $1M grant from a local foundation to build its new facility which will open in January 1012.-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 120 individuals were seen, representing over 350 medical service encounters. Seven (7) 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 120 associates and physicians volunteered. Collaboration occurred with the Rutherford County Schools, Eagleville Mayor's Office, Eagleville 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 organization 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 organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization'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 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 STHS 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 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. In fiscal year 2010, MTMC served 14,600 inpatients and provided $19.2 million in traditional charity care, unpaid cost of public programs and other community programs and services.
		Part VI, Line 6: Middle Tennessee Medical Center 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, Middle Tennessee Medical Center 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 7: Middle Tennessee Medical Center 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 supports 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 health care services), primary care clinics that provided 49,000 patient encounters in the last year, and a national distribution center and pharmacy to support a network of dispensing sites and direct-to-patient prescription solutions that provided $5.6 million in available medications 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 Services Fund 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. STHe System wide, for fiscal year 2010, STHe provided more than $50 million in traditional charity care, unpaid cost of public programs and other community programs and services.
Community Benefit Report:		Middle Tennessee Medical CenterMember of the Nashville Health Ministry of Ascension HealthCare of Person Effected by Poverty and Community Benefit Plan For Fiscal Year 2011This 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, Mission Integration Committee, 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 Services, 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) $10,144,000Unreimbursed Costs of Public Programs (Category II) $7,624,000Other Programs for Persons Who Are Poor (Category III) $486,000Other Programs for the General Community (Category IV) $84,000Unpaid Cost of Medicare Program (Category VI) $6,176,000 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 40%. 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 Services, the Wellness Council of Rutherford County, the United Way of Rutherford County, Middle Tennessee State University, and the Community Forum of Rutherford Country.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 Country:- Rutherford Country 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 Country 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 Country, 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 countries 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 countries 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 country'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 Country in comparison to other Tennessee countries 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 countries. 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 Country 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 dayIn 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 AssistanceStrategies 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: Focus: Inpatient and Outpatient ServicesProvide inpatient and outpatient services to those patients unable to payMTMC 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 $26,000 monthly in donated servicesFocus: Safety Net for the uninsured and underinsured with particular focus upon the Hispanic/Latino Immigrant PopulationExpand our commitment to care for the uninsured and underinsuredMiddle Tennessee Medical Center is a member of the Wellness Council of Rutherford Country, 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 FY11 the MTMC Dispensary of Hope provided 25,597 prescriptions; 10,356 patient visits; $1.5 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 Country, Murfreesboro City Schools, Murfreesboro Housing Authority, The Guidance Center of Rutherford Country, and Rutherford Country 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 $111,000 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 3,025 patients were seen for a total of 1,819 uninsured visits and 1,206 insured visits; uninsured patients demonstrated 3.2 visits per patient and accounted for 2,500 visits compared to insured patients. - 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 120 individuals were seen, representing over 350 medical service encounters. Seven (7) 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 120 associates and physicians volunteered.- Covering the uninsured week, provision of health fairs and awareness raising, ($3,000 annually).- Atlas Program- Parents as Teachers Program2. 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 Country, 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 $5,000 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.- Special Kids, Inc: provision of $5,000 to assist uninsured and under-insured children gain access to rehabilitation programs provided.- American Red Cross: provision $20,000 for their capital campaign towards their new facility.3. Community Health- Improve the overall health status by promoting the integration of spirituality, wellness, and healthy living Focus: Wellness/LifestyleSupport health management programs aimed at improving health and well-beingMTMC 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 ProgramFocus: Education/Skill DevelopmentSupport efforts that address educational and skill development needs that enable people to improve their lives and support a reasonable quality of lifeRecognizing 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 Country- HealthStyles program- Corporate Connections Academy Program- Corporate sponsor for Holloway High School, alternative school for at-risk teensFocus: Community DevelopmentSupport programs/agencies particularly those that support our clinical areas of focus: Cardiac, Emergency Services, Maternal/Child, Orthopedics, Neurosciences, Vascular, Oncology, and ResearchMTMC 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 CommitteeEmployees 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 FY11 MTMC Associates provided $38,233 in such community benefit activities ($25,750 in salary costs; $2,910 in food costs; $7,850 in room costs; $286 in grants; and $1,437 in other costs).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 CareIn 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 PromotionMTMC 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 SpiritualityMTMC 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 EducationMTMC 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 FairOperations and GovernanceMTMC:- 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 ServicesMTMC 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- Rehabilitation Services- Sports Medicine- Urology- Vascular Services- Wellness Center- Women and Children's Services- including Obstetrics, Gynecology, and Neonatology- Wound CareSome 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 collaborationDuring the fiscal year ending June 30, 2011, MTMC provided the following volumes of services:Discharges - Acute Care 16,451Patient Days - Acute Care 68,399Births- 2,452Newborn Patient Days- 5,270Emergency Room Visits- 72,816Surgical Visits - Outpatient- 4,338Other Outpatient Visits- 61,255Financial InformationThe 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 sourcesThe 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 H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
Middle Tennessee Medical Center Inc

Employer identification number
62-0475842

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) American Red Cross836 Commercial Court Murfreesboro,TN37129	62-0582070	501(c)(3)	20,000	Disaster Relief Program for Local Disasters such as Good Friday Tornadoes.
(2) Varsity Medics102 Wargo Court Murfreesboro,TN37128	41-4337648		6,000	Medical Services at Middle Tennessee State University Football Games.

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
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.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Mike Schatzlein MD Sch O	(i) (ii)	0 352,812	0 150,000	0 62,901	0 0	0 11,549	0 577,262	0 0
(2) Gordon Ferguson	(i) (ii)	0 307,610	0 28,400	0 54,314	0 43,434	0 20,525	0 454,283	0 0
(3) William Brown	(i) (ii)	215,242 0	15,415 0	54,521 0	4,900 0	14,783 0	304,861 0	0 0
(4) Martha Tolbert	(i) (ii)	178,545 0	13,119 0	22,371 0	4,291 0	14,251 0	232,577 0	0 0
(5) Michael Bratton end 411	(i) (ii)	154,829 0	11,268 0	17,712 0	6,938 0	11,829 0	202,576 0	0 0
(6) Elizabeth Lemmons	(i) (ii)	136,625 0	13,604 0	24,591 0	23,439 0	12,260 0	210,519 0	0 0
(7) Muhammad Akmal MD	(i) (ii)	334,611 0	0 0	143 0	0 0	15,747 0	350,501 0	0 0
(8) Kecia Badem MD	(i) (ii)	244,735 0	31,000 0	202 0	4,900 0	9,552 0	290,389 0	0 0
(9) Sally Bullock MD	(i) (ii)	249,896 0	0 0	1,032 0	4,900 0	314 0	256,142 0	0 0
(10) Sheila Pertiller MD	(i) (ii)	292,614 0	31,092 0	190 0	1,772 0	10,347 0	336,015 0	0 0
(11) David Sellers MD	(i) (ii)	260,899 0	30,686 0	190 0	4,900 0	20,362 0	317,037 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	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 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. Amounts Paid: Gordon Ferguson - $38,534 Michael Bratton - $3,253 Elizabeth Lemmons - $20,225

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Identifier	Return Reference	Explanation
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 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, Inc. 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; 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. Management presents the Form to the Board, or a designated committee, to review and answer any questions. 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
	Form 990, Part VI, Section B, line 15	In determining the compensation of the organization's CEO, the process included a review and approval by independent persons, 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 other hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when his compensation was decided. In determining the compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation.
	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 6,150,797. Temporary Restricted - Contributions/Release restrict -3,000,010. Donations - Capital Equipment 10,599,742. Total to Form 990, Part XI, Line 5: 13,750,529.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Middle Tennessee Medical Center Inc

Employer identification number

62-0475842

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MTMC Hospitalist Services LLC 400 N Highland Avenue Murfreesboro,TN37219 62-1792824	Employs Hospitalists	TN	7,453,608	46,265	Middle Tennessee Medical Center

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Ascension Health PO Box 45998 St Louis,MO63134 31-1662309	National Health System	MO	Section 501(c)(3)	Schedule A, Line 11a	N/A		No
(2) Saint Thomas Health 4220 Harding Rd Nashville,TN37205 58-1716804	Health System Parent Company	TN	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health		No
(3) Saint Thomas Hospital Inc 4220 Harding Road Nashville,TN37205 62-0347580	Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Saint Thomas Health	Yes
(4) Saint Thomas Network 4220 Harding Road Nashville,TN37205 62-1284994	Health Investment Entity	TN	Section 501(c)(3)	Schedule A, Line 9	Saint Thomas Health	Yes
(5) Saint Thomas Health Foundations FKA Saint Thomas Health Services Fund 4220 Harding Road Nashville,TN37205 58-1663055	Operates Foundation	TN	Section 501(c)(3)	Schedule A, Line 7	Saint Thomas Network	Yes
(6) Middle Tennessee Medical Center Development Foundation 400 N Highland Avenue Murfreesboro,TN37219 62-1167917	Foundation	TN	Section 501(c)(3)	Schedule A, Line 11a	Middle Tennessee Medical Center Inc	Yes
(7) Seton Corporation 4220 Harding Road Nashville,TN37205 62-1869474	Acute Care Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Saint Thomas Health	Yes
(8) Baptist Health Care Group 2000 Church Street Nashville,TN37236 62-1529858	Healthcare Provider	TN	Section 501(c)(3)	Schedule A, Line 3	Seton Corporation	Yes
(9) Baptist Saint Thomas Home Care 2000 Church Street Nashville,TN37236 51-0172298	Home Health Care	TN	Section 501(c)(3)	Schedule A, Line 9	Seton Corporation	Yes
(10) Baptist Hospital Foundation of Nashville Inc 2000 Church Street Nashville,TN37236 58-1861378	Inactive	TN	Section 501(c)(3)	Schedule A, Line 11a	Seton Corporation	Yes
(11) Baptist Health Care Affiliates Inc 2000 Church Street Nashville,TN37236 58-1509251	Community Health Promotion	TN	Section 501(c)(3)	Schedule A, Line 11a	Seton Corporation	Yes
(12) Hickman Community Health Services Inc 135 East Swan St Centerville,TN37033 58-1737573	Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Baptist Healthcare Affiliates Inc	Yes
(13) Hickman Community Home Care Inc 135 East Swan St Centerville,TN37033 62-1836937	Home Health Care	TN	Section 501(c)(3)	Schedule A, Line 9	Hickman Community Health Care Services Inc	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Baptist Womens Health Center LLC dba The Center For Spinal Surgery 2011 Murphy Avenue Nashville,TN37203 62-1772195	Owns and Operates Specialty Hospital	TN	N/A
(2) Middle Tennessee Ambulatory Surgery Center LP 500 N Highland Avenue Murfreesboro,TN37130	Operates Outpatient Surgery Center	TN	Middle Tennessee Medical Center Inc		666,514	1,271,385		No			No
(3) Middle Tennessee Imaging LLC 400 N Highland Avenue Murfreesboro,TN37219 01-0570490	Diagnostic Imaging Center	TN	Middle Tennessee Medical Center Inc	Related	499,598	-159,549		No			No
(4) Murfreesboro Diagnostic Imaging LLC 400 N Highland Avenue Murfreesboro,TN37219 20-0291952	Diagnostic Imaging Center	TN	Middle Tennessee Medical Center Inc	Related	312,436	1,346,289		No			No
(5) Nashville Diagnostic Imaging LLC 30 Burton Hills Blvd Suite 165 Nashville,TN37215	Inactive	TN	N/A
(6) STHS Sleep Center LLC 618 Church Street Suite 520 Nashville,TN37219 20-3664894	Operates a Sleep Center	TN	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) Mid-State Properties Inc 2000 Church Street Nashville,TN37236 62-1232018	Pharmacy	TN	N/A	C
(2) Sova Inc 102 Woodmont Blvd Suite 700 Nashville,TN37205 26-1319638	Health Services	TN	N/A	C
(3) Vincentian Ventures Inc 4220 Harding Road Nashville,TN37205 62-1331896	Health Services	TN	N/A	C
(4) Comp Plus Inc 2000 Church Street Nashville,TN37236 62-1626010	Healthcare	TN	N/A	C
(5) Manaco Management Services Inc 400 North Highland Avenue Murfreesboro,TN37130 62-1718479	Health Services	TN	Middle Tennessee Medical Center	C
(6) St Thomas Medical Clinic 4220 Harding Road Nashville,TN37205 62-1583605	Health Services	TN	N/A	C
(7) Baptist Health Care Ventures Inc 2000 Church Street Nashville,TN37236 62-0469214	Holding Company	TN	N/A	C
(8) Middle Tennessee Network Inc 2000 Church Street Nashville,TN37236 62-1570989	Health Services	TN	N/A	C
(9) Health Net Reserve Inc 44 Vantage Way Suite 300 Nashville,TN37202 62-1540604	Health Management	TN	N/A	C

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Saint Thomas Hospital	O	292,068	Actual Amount Paid
(2) Murfreesboro Diagonstic Imaging Center LLC	K	148,165	Actual Amount Paid
(3) Middle Tennessee Medical Center Development Foundation	C	5,833,457	Actual Amount Paid
(4) Saint Thomas Hospital	R	23,272,878	Actual Amount Paid
(5) Middle Tennessee Imaging Center LLC	A	21,462	Actual Amount Paid
(6) Middle Tennessee Imaging Center LLC	R	258,067	Actual Amount Paid
(7) Middle Tennessee Imaging Center LLC	N	415,702	Actual Amount Paid
(8) Murfreesboro Diagonstic Imaging Center LLC	N	490,371	Actual Amount Paid

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Spiritually centered care, which sustains and improves the health of individuals and communities.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	15
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	1,515
6	Total number of volunteers (estimate if necessary) ....	6	80
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,583,035
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-355,683

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	130,716	158,969
9	Program service revenue (Part VIII, line 2g) .........	214,643,050	241,965,902
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	214,793	8,513,221
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,213,388	3,349,424
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	217,201,947	253,987,516
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	44,852	64,183
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	68,385,504	82,422,858
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	128,829,813	182,434,210
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	197,260,169	264,921,251
19	Revenue less expenses. Subtract line 18 from line 12......	19,941,778	-10,933,735
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	327,166,705	343,834,588
21	Total liabilities (Part X, line 26)............	163,776,682	177,627,771
22	Net assets or fund balances. Subtract line 21 from line 20 .....	163,390,023	166,206,817

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 221,464,020 including grants of $ 64,184 ) (Revenue $ 240,382,867 )
	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. During the fiscal year ending June 30, 2011, approximately 39% of the value of services rendered were to elderly patients under the Medicare program, and approximately 18% of the services were provided to patients who were deemed indigent under state, county, or MTMC Guidelines. Also, MTMC provided the following benefits to the community: Charity care (at cost) in the amount of $10,144,070; Government sponsored health care (net expenses) $7,624,205; and Community Benefit Programs (net expenses) $569,863. See Schedule O for complete Community Benefit Report.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 221,464,020

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Pamela Hess Chief Financial Officer	40.00	X	X			0	0	0
(19) William Brown Chief Medical Officer	40.00			X		285,178	0	19,683
(20) Martha Tolbert VP Finance	40.00			X		214,035	0	18,542
(21) Michael Bratton end 411 Chief Nursing Officer	40.00			X		183,809	0	18,767
(22) Elizabeth Lemmons VP Clinical Operations	40.00			X		174,820	0	35,699
(23) Muhammad Akmal MD Physician	40.00				X	334,754	0	15,747
(24) Kecia Badem MD Physician	40.00				X	275,937	0	14,452
(25) Sally Bullock MD Physician	40.00				X	250,928	0	5,214
(26) Sheila Pertiller MD Physician	40.00				X	323,896	0	12,119
(27) David Sellers MD Physician	40.00				X	291,775	0	25,262

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,335,132	956,037	240,993

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		158,969
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			158,969
			Business Code
2a	Net Patient Services		621,400	239,244,398	239,244,398
b	Reference Lab		621,500	1,583,035		1,583,035
c	Investment - JV's		621,400	1,072,646	1,072,646
d	Rental Income-Related		531,120	65,823	65,823
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			241,965,902
3	Investment income (including dividends, interest
	and other similar amounts).....			142,205			142,205
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	697,874
b	Less: rental expenses	516,003
c	Rental income or (loss)	181,871
d	Net rental income or (loss).......			181,871			181,871
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		10,243,536
b	Less: cost or other basis and sales expenses		1,872,520
c	Gain or (loss)		8,371,016
d	Net gain or (loss)..........			8,371,016			8,371,016
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		403,921
b	Less: cost of goods sold ..b		293,198
c	Net income or (loss) from sales of inventory..			110,723			110,723
Miscellaneous Revenue			Business Code
11a	Cafeteria		624,200	1,236,240			1,236,240
b	Management Fees		541,610	163,915			163,915
c	Pharmacy Sales		621,500	13,386			13,386
d	All other revenue ....			1,643,289			1,643,289
e	Total. Add lines 11a–11d ......			3,056,830
12	Total revenue. See Instructions....			253,987,516	240,382,867	1,583,035	11,862,645


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			17,856,932	1	16,978,734
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			22,701,591	4	24,159,345
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			485,022	7	237,443
8	Inventories for sale or use ..............			1,320,257	8	1,839,249
9	Prepaid expenses and deferred charges ............			718,901	9	4,692,932
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	413,683,432
b	Less: accumulated depreciation. .....	10b	135,177,155	53,843,681	10c	278,506,277
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..			1,843,927	13	360,893
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			228,396,394	15	17,059,715
16	Total assets. Add lines 1 through 15 (must equal line 34)...			327,166,705	16	343,834,588
17	Accounts payable and accrued expenses .			28,936,040	17	18,856,965
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			134,840,642	25	158,770,806
26	Total liabilities. Add lines 17 through 25.....			163,776,682	26	177,627,771
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			160,390,012	27	166,206,817
28	Temporarily restricted net assets .....			3,000,010	28	0
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			163,390,023	33	166,206,817
34	Total liabilities and net assets/fund balances .....			327,166,705	34	343,834,588