2023-05-08T12:27:12-05:00 2022-06-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2021-07-01 621113169 SHELBY COUNTY HEALTH CARE CORPORATION SHEL 9015457928 877 JEFFERSON AVENUE MEMPHIS TN 38103 JAMES PROCTOR CFO 9015457928 2023-05-02 1 JAMES PROCTOR 999009999 AMY BIBBY P00445891 8282542254 2023-05-02 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z REGIONAL ONE HEALTH JAMES PROCTOR 877 JEFFERSON AVENUE MEMPHIS TN 38103 654597716 0 X WWW.REGIONALONEHEALTH.ORG X 1981 TN HEALTHCARE DELIVERY OPERATING A PUBLIC CHARITY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT SERVICES. 14 14 4065 0 0 0 47698873 52411997 461627075 522001333 1356137 1800419 70559142 78383967 581241227 654597716 450000 1200000 0 0 219449874 248135772 0 0 999475 369711432 437314139 589611306 686649911 -8370079 -32052195 339260348 363190039 118958039 181169468 220302309 182020571 X REGIONAL ONE HEALTH'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE BY PROVIDING COMPASSIONATE CARE AND EXCEPTIONAL SERVICES. 0 0 652248503 1200000 600385300 SHELBY COUNTY HEALTH CARE CORPORATION, DBA REGIONAL ONE HEALTH, IS A HEALTHCARE ORGANIZATION PROVIDING ACCESSIBLE, EFFICIENT QUALITY HEALTHCARE TO INDIVIDUALS FROM A FIVE-STATE REGION WITHIN 150 MILES OF THE MEMPHIS AREA. REGIONAL ONE HEALTH PROVIDES ACCESS TO THE ONLY LEVEL I TRAUMA CENTER TO PATIENTS WITHIN 150 MILES OF MEMPHIS, AND IS THE SAFETY NET TO THE REGION. PROVIDING INPATIENT AND OUTPATIENT SERVICES, REGIONAL ONE HEALTH IS ANCHORED BY FIVE HIGHLY RESPECTED CENTERS OF EXCELLENCE: TRAUMA, BURN, WOUND CARE, NEONATAL/PERINATAL AND HIGH RISK OBSTETRICS. REGIONAL ONE HEALTH IS A MAJOR TEACHING SITE FOR THE UNIVERSITY OF TENNESSEE HEALTH SCIENCES CENTER, TRAINING MORE THAN HALF OF THE DOCTORS IN TENNESSEE. IN FISCAL YEAR 2022, THERE WERE: 13,727 DISCHARGES; 1,735 NORMAL NEWBORN DISCHARGES; 772 HIGH RISK NEWBORN DISCHARGES; 190,660 OUTPATIENT VISITS; 11,312 TRAUMA VISITS; AND 38,072 OTHER EMERGENCY ROOM VISITS. 652248503 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 232 0 1 4065 1 0 0 0 0 0 0 0 0 0 0 1 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X WILLIAM BROOKS CHAMPION 9015458244 877 JEFFERSON AVENUE MEMPHIS TN 38103 DAVID T POPWELL CHARIMAN 1.00 X 0 0 0 RONALD COLEMAN VICE CHAIR 1.00 X 0 0 0 JOSHUA LIPMAN SECRETARY 1.00 X 0 0 0 KEN BROWN DIRECTOR 1.00 X 0 0 0 PAM BROWN DIRECTOR 1.00 X 0 0 0 JAMES FREEMAN MD DIRECTOR 1.00 X 0 0 0 SCOT LENOIR DIRECTOR 1.00 X 0 0 0 COMMISSIONER VAN TURNER DIRECTOR 1.00 X 0 0 0 JUDY EDGE DIRECTOR 1.00 X 0 0 0 PAUL MORRIS DIRECTOR 1.00 X 0 0 0 EPHIE JOHNSON DIRECTOR 1.00 X 0 0 0 TIMOTHY FABIAN DIRECTOR 1.00 X 0 0 0 CLAUDETTE SHEPHARD MD DIRECTOR 1.00 X 0 0 0 JULIA KAVANAGH DIRECTOR 1.00 X 0 0 0 COOPWOOD REGINALD PRESIDENT AND CEO 40.00 9.00 X 1066111 0 172736 WAGERS JR JAMES EXECUTIVE VP AND CFO 40.00 5.00 X 738397 0 61696 PROCTOR JAMES SR. VP AND CFO 40.00 1.00 X 340452 0 71368 CROCE MARTIN SR. VP. CHIEF MEDICAL OFFI 40.00 1.00 X 480570 0 98345 TOWNS LETICIA CHIEF ADMINISTRATIVE OFFIC 40.00 1.00 X 499085 0 83558 ABDULLAH IMAD SR. VP. CHIEF LEGAL COUNSE 40.00 1.00 X 417161 0 67649 COOPER SUSAN SR. VP. CHIEF INTEGRATION 40.00 X 375317 0 54275 KIM WILLIAM SR. VP. CHIEF INFORMATION 40.00 X 328567 0 84588 4245660 0 694215 8 0 1 0 UNIVERSITY CLINICAL HEALTH FINANCE AND A 1407 UNION AVE STE 720 MEMPHIS TN 38104 PHYSICIAN SERVICES 8843428 EMPLOYEE HEALTH NETWORK HOLDING LLC PO BOX 896599 CHARLOTTE NC 28289 HEALTHCARE SERVICES 8408647 MEDTRONIC SOFAMOR DANEK PO BOX 409201 ATLANTA GA 30384 TECHNOLOGY SERVICES 2473621 SEMMES MURPHEY CLINIC PO BOX 1000 DEPT 575 MEMPHIS TN 38148 HEALTHCARE SERVICES 1986587 ECG MANAGEMENT CONSULTANTS 1111 THIRD AVENUE SUITE 2700 SEATTLE WA 98101 MANAGEMENT SERVICES 1687441 5 52411997 52411997 NET PATIENT SERVICE RE 621400 522001333 522001333 522001333 1800419 1800419 OUTPATIENT PHARMACY 621400 76794169 76794169 1589798 1589798 78383967 654597716 600385300 0 1800419 X 1200000 1200000 2144960 756029 1388931 212348112 191272874 20316526 758712 3477508 3113303 351904 12301 15357164 13748786 1554056 54322 14808028 13257162 1498487 52379 8497915 586686 7789468 121761 419283 340364 78919 423642 423642 314628 314628 124401968 124401968 1220656 1220656 488271 488271 16431257 16431257 22325470 22325470 134127 134127 141297 141297 1938579 1938579 18677528 18677528 1831328 1831328 MEDICAL SUPPLIES 184438615 184438615 55629575 55629575 686649911 652248503 33401933 999475 11685562 46164534 341105 12193605 1095451 524603 110182085 133923842 26550000 7184204 9874736 6266698 8447809 520544135 429563438 61186850 90980697 104541060 38440958 10227333 22639255 339260348 363190039 75043457 67381590 892577 1920121 43022005 111867757 118958039 181169468 X 19999590 19999590 0 0 200302719 162020981 220302309 182020571 339260348 363190039 -32052195 -6229543 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 358378 358378 0 PART II-B, LINE 1: LOBBYING SUPPORT PAID DIRECTLY TO VARIOUS VENDORS AND INDIRECTLY THROUGH DUES PAID TO INDUSTRY ASSOCIATIONS AND CONTRACTORS. 815382 815382 67729981 62067518 5662463 7708093 7106366 601727 355199363 303214658 51984705 89091316 57174896 31916420 90980697 INVESTMENTS IN SUBSIDIARIES 21657289 INTERCOMPANY RECEIVABLE 981966 22639255 RESERVES 5984000 COMPENSATED ABSENCES 33221869 LEASE LIABILITY 23036251 LONG TERM DEBT 49625637 111867757 X PART X, LINE 2: REGIONAL ONE HEALTH IS A NOT-FOR-PROFIT CORPORATION ORGANIZED BY THE APPROVAL OF THE BOARD OF COUNTY COMMISSIONERS OF THE COUNTY AND QUALIFIES AS A GOVERNMENTAL ENTITY NOT SUBJECT TO FEDERAL INCOME TAX, BY REASON OF BEING INTEGRAL PARTS OF A STATE OR POLITICAL SUBDIVISION. REGIONAL ONE HEALTH ALSO QUALIFIES AS A TAX-EXEMPT ENTITY UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN IRC SECTION 501(C)(3) (DUAL TAX-EXEMPT STATUS). THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES, EXCEPT FOR TAX ON INCOME FROM ACTIVITIES UNRELATED TO ITS EXEMPT PURPOSE, AS DESCRIBED IN IRC SECTION 512(A). THUS, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 47400471 0 47400471 0.06900 103926215 78430789 25495426 0.03710 151326686 78430789 72895897 0.10610 32264405 8605336 23659069 0.03450 53684 53684 0.00010 32318089 8605336 23712753 0.03460 183644775 87036125 96608650 0.14070 1 94131319 49864054 42833043 7031011 X 1 1 2 1 REGIONAL ONE HEALTH 877 JEFFERSON AVENUE MEMPHIS TN 38103 WWW.REGIONALONEHEALTH.ORG 00000110 X X X X INPATIENT REHABILITATION FACILITY, OUTPATIENT PRIMARY CARE CLINICS, NURSERY A 2 REGIONAL MEDICAL EXTD CARE HOSPITAL 890 MADISON AVENUE MEMPHIS TN 38103 WWW.REGIONALONEHEALTH.ORG/EXTENDED-CAR 00000186 X A REGIONAL ONE HEALTHREGIONAL MED EXTD CA 0 0 1 X X X X X X X X 22 1 0 0 1 X WWW.REGIONALONEHEALTH.ORG 1 19 1 WWW.REGIONALONEHEALTH.ORG 0 1 X 1 1 X X X X 1 X HTTPS://WWW.REGIONALONEHEALTH.ORG/FINANCIAL-ASSISTANCE-POLICY/ X HTTPS://WWW.REGIONALONEHEALTH.ORG/FINANCIAL-ASSISTANCE-POLICY/ X HTTPS://WWW.REGIONALONEHEALTH.ORG/FINANCIAL-ASSISTANCE-POLICY/ X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: REGIONAL ONE HEALTH, - FACILITY 2: REGIONAL MEDICAL EXTD CARE HOSPITAL REGIONAL ONE HEALTH/REGIONAL MED EXTD CA PART V, SECTION B, LINE 5: THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED BOTH QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS. TO OBTAIN BROAD INPUT FROM THE COMMUNITY, THE CHNA DEVELOPMENT PROCESS INCLUDED DATA GATHERING UTILIZING AN ONLINE COMMUNITY SURVEY, KEY INFORMATION SURVEYS AND COMMUNITY REPRESENTATION ON THE STEERING COMMITTEE AND IN THE CHNA DEVELOPMENT PRIORITIZATION SESSION. APPROXIMATELY, 121 ONLINE COMMUNITY SURVEYS WERE COMPLETED BY INDIVIDUALS FROM VARIOUS DEMOGRAPHIC AND SOCIO-ECONOMIC BACKGROUNDS. INDIVIDUALS COMPLETING THE KEY INFORMANT SURVEYS WERE IDENTIFIED AS INDIVIDUALS AS MOST LIKELY AWARE OF AND/OR INVOLVED IN ADDRESSING COMMUNITY HEALTH NEEDS. THESE INDIVIDUALS INCLUDED REPRESENTATION FROM SOCIAL SERVICE AGENCIES, RELIGIOUS AND FAITH-BASED ORGANIZATIONS, PUBLIC AND HEALTHCARE ORGANIZATIONS, ELECTED OFFICIALS, EDUCATIONAL INSTITUTIONS OR SYSTEMS AND OTHER COMMUNITY LEADERS. COMMUNITY MEMBERS PARTICIPATING IN THE PRIORITIZATION SESSION INCLUDED REPRESENTATION FROM REGIONAL ONE HEALTH SENIOR LEADERSHIP, REGIONAL ONE HEALTH BOARD OF DIRECTORS AND HEALTH SYSTEM'S FOUNDATION BOARD. REGIONAL ONE HEALTH/REGIONAL MED EXTD CA PART V, SECTION B, LINE 11: IN THE MOST RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), FOUR (4) COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED IN A PRIORITIZATION SESSION, WHICH INCLUDED 20 REPRESENTATIVES FROM REGIONAL ONE HEALTH SENIOR LEADERSHIP, REGIONAL ONE HEALTH BOARD OF DIRECTORS AND THE HEALTH SYSTEM'S FOUNDATION BOARD. FOLLOWING THE PRIORITIZATION SESSION, AND IN ADVANCE OF SUBMITTING THE RECOMMENDED IMPLEMENTATION PLAN TO THE BOARD FOR APPROVAL, THE ORGANIZATION IDENTIFIED WHICH PRIORITIZED NEEDS WOULD BE ADDRESSED. THE CRITERIA USED TO DETERMINE THE NEEDS TO ADDRESS INCLUDED THE ABILITY TO: 1. SUSTAIN AND LEVERAGE EXISTING EFFORTS ALIGNED WITH THE CHNA, CURRENT AND MOST RECENT AND PRIORITIZED NEEDS; 2. DEVELOP AND/OR SUPPORT ADDITIONAL PARTNERSHIPS, PROGRAMS, AND INITIATIVES TO ADDRESS THE NEEDS; AND 3. ACCOUNT FOR THE HEALTH SYSTEM'S RESOURCES AND EXPERTISE, MISSION AND STRATEGIC GOALS. THE CHOSEN COMMUNITY HEALTH NEEDS TO BE ADDRESSED WILL BE ADDRESSED BASED ON THESE CRITERIA. IN ADDITION, ADDRESSING THESE NEEDS WILL INCLUDE CONTINUATION OF CURRENT PROGRAMS AND EFFORTS, COLLABORATIVE WORK WITH OTHER COMMUNITY PARTNERS AND SUPPORT OF NEW AND EXISTING COMMUNITY WIDE EFFORTS. AS OUTLINED IN THE APPROVED IMPLEMENTATION PLAN, REGIONAL ONE HEALTH WILL NOT ADDRESS THE FOLLOWING COMMUNITY NEEDS: DRUG ABUSE, MENTAL HEALTH, TB OR POVERTY. REGIONAL ONE HEALTH DOES NOT POSSESS THE SUBJECT MATTER EXPERTISE TO ADDRESS THESE NEEDS. IN ADDITION, THE UNADDRESSED NEEDS ARE BEYOND THE HEALTH SYSTEM'S ABILITY TO HAVE A DIRECT IMPACT (I.E. POVERTY). THERE ARE NUMEROUS COMMUNITY, GOVERNMENT AND SOCIAL SERVICE ORGANIZATIONS, AS WELL AS SPECIALTY HEALTHCARE PROVIDERS MORE CAPABLE AND EXPERIENCED IN ADDRESSING THESE NEEDS. REGIONAL ONE HEALTH/REGIONAL MED EXTD CA PART V, SECTION B, LINE 13H: OTHER ADDITIONAL METHOD ADDED TO DETERMINING FINANCIAL ASSISTANCE IS THE ACCEPTED USE OF PARD (PAYMENT ASSISTANCE RANK ORDER) BY SCORING PATIENTS BASED ON VARIOUS SOCIO-ECONOMIC FACTORS AVAILABLE. REGIONAL ONE HEALTH/REGIONAL MED EXTD CA PART V, SECTION B, LINE 20E: USE OF PAYMENT ASSISTANCE RANK ORDER (PARD) SCORING IS USED IN ADDITIONAL TO OTHER AVAILABLE PATIENT DATA. 1 1 - REGIONAL ONE HEALTH SUBACUTE CARE 877 JEFFERSON AVE ADAMS PAVILION 3RD FL MEMPHIS TN 38103 20-BED SKILLED NURSING FACILITY UNIT IN THE HOSPITAL, EFFECTIVE DEC 16, 2015 PART I, LINE 7: AMOUNTS REPORTED WERE CALCULATED USING A COST-TO-CHARGE RATIO AND FOLLOWING THE EXAMPLES OF WORKSHEETS 1-5 IN THE PUBLISHED 990 INSTRUCTIONS. PART II, COMMUNITY BUILDING ACTIVITIES: CONCENTRATED ON POPULATION HEALTH MANAGEMENT TO PROMOTE HEALTH EDUCATION AWARENESS IN THE COMMUNITY. PART III, LINE 2: BAD DEBT EXPENSE (COST) WAS ESTIMATED USING A COST-TO-CHARGE RATIO. PART III, LINE 8: COST OF MEDICARE SERVICES BASED ON COST TO CHARGE RATIO. PART III, LINE 9B: ORGANIZATION CONTRACTS WITH AN AGENCY TO ASSIST PATIENTS WITH COMPLETING APPLICATIONS FOR ELIGIBILITY UNDER FEDERAL AND STATE GOVERNMENT PROGRAMS AND PROVIDE CHARITY CARE APPLICATIONS. PART VI, LINE 2: REGIONAL ONE HEALTH USE MULTIPLE SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED. THESE SOURCES INCLUDE PUBLICLY REPORTED HEALTH STATISTICS AND VITAL RECORDS, COMMISSIONED RESEARCH AND REPORTS BY NONPROFIT ORGANIZATIONS (I.E. URBAN CHILD INSTITUTE) IN THE LOCAL COMMUNITY AND ACROSS THE STATE, AND OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ORGANIZATION SEND UNCOMPENSATED CARE APPLICATIONS TO PATIENTS FOR COMPLETION AND SUBMISSION OF INCOME PROOF TO DETERMINE ELIGIBILITY FOR THE UNCOMPENSATED CARE PROGRAM. PART VI, LINE 3: ORGANIZATION SENDS UNCOMPENSATED CARE APPLICATIONS TO PATIENTS FOR COMPLETION AND SUBMISSION OF INCOME PROOF TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: REGIONAL ONE HEALTH IS LOCATED IN MEMPHIS, TENNESSEE IS IN SHELBY COUNTY AND IS PART OF THE MEMPHIS, TENNESSEE METROPOLITAN MISSISSIPPI AND ARKANSAS (MSA). THE TOTAL POPULATION OF MEMPHIS IS APPROXIMATELY 633,104 (CENSUS APRIL 1, 2020) AND THE APPROXIMATE POPULATION OF SHELBY COUNTY IS 929,744 (CENSUS 2020). MORE THAN TWO-THIRDS OF THE COUNTY'S POPULATION RESIDES IN MEMPHIS; 64.1 PERCENT OF THE POPULATION IS BLACK AND 29.2 PERCENT IS WHITE, COMPARED TO 54.3 PERCENT BLACK AND 40.9 PERCENT WHITE POPULATION IN SHELBY COUNTY. TWENTY-FIVE PERCENT OF THE POPULATION IN MEMPHIS LIVE BELOW POVERTY LEVEL. THE MEDIAN EARNINGS FOR WORKERS IS $25,605 AND MEDIAN HOUSEHOLD INCOME IS $41,228. TWENTY-SIX PERCENT OF MEMPHIS POPULATION OVER THE AGE OF 25 HAS A BACHELOR'S DEGREE. PART VI, LINE 5: REGIONAL ONE HEALTH PARTNERED WITH AND/OR SUPPORTED NUMEROUS ORGANIZATIONS AND INITIATIVES AIMED AT MEMPHIS MEDICAL DISTRICT, MEMPHIS AREA CHAMBER OF COMMERCE, DOWNTOWN MEMPHIS COMMISSION, COMMON TABLE ALLIANCE. REGIONAL ONE HEALTH'S AFFILIATIONS WITH THESE OR OTHER GROUPS ARE VARIED AND INCLUDE BEING PAID MEMBERS/SPONSORS AS WELL AS IN-KIND SUPPORT. MEMBERS OF REGIONAL ONE HEALTH STAFF SERVE AS VOLUNTEER BOARD MEMBERS OR IN LEADERSHIP CAPACITIES WITH SEVERAL COMMUNITY ORGANIZATIONS. THE AFOREMENTIONED ORGANIZATIONS AND OTHER HAVE A PRIMARY FOCUS ON IMPROVING THE QUALITY OF LIFE IN THE COMMUNITY THROUGH HEALTH IMPROVEMENT INITIATIVES, ENVIRONMENTAL ISSUES, AND ECONOMIC DEVELOPMENT. COMMUNITY BUILDING ACTIVITIES ARE PLANNED AS NECESSARY PARTNERSHIPS FORMED TO IMPROVE THE QUALITY OF LIFE AND HEALTH IN OUR COMMUNITY, BASED ON THE NEEDS IDENTIFIED BY OUR STAFF, THROUGH OUR PLANNING PROCESS, COMMUNITY REQUESTS AND OUR RESOURCE CAPACITY. OUR COMMUNITY BUILDING ACTIVITIES ARE ALSO PLANNED BASED ON NEEDS IDENTIFIED AND REPORTED BY OTHER ORGANIZATIONS. IN ADDITION TO THE PREVIOUSLY MENTIONED AFFILIATION, REGIONAL ONE HEALTH SUPPORTS AND PARTNERS WITH AMERICAN HEART ASSOCIATION, LOCAL COLLEGES AND UNIVERSITIES, FACING HISTORY AND OURSELVES, AND A MYRIAD OF OTHER ORGANIZATIONS TO RESPOND TO IDENTIFIED COMMUNITY HEALTH IMPROVEMENT NEEDS. 1 REGIONAL MEDICAL CENTER AT MEMPHIS FOUNDATION 877 JEFFERSON AVENUE MEMPHIS TN 38103 581737037 501(C)(3) 1200000 0 OPERATIONAL SUPPORT 1 0 X X X X X 0 1 0 0 0 0 0 0 0 COOPWOOD REGINALD PRESIDENT AND CEO 887946 0 132009 0 46156 0 134570 0 38166 0 1238847 0 0 0 WAGERS JR JAMES EXECUTIVE VP AND CFO 398446 0 0 0 339951 0 26000 0 35696 0 800093 0 91825 0 TOWNS LETICIA CHIEF ADMINISTRATIVE OFFIC 378491 0 70694 0 49900 0 52710 0 30848 0 582643 0 31638 0 CROCE MARTIN SR. VP. CHIEF MEDICAL OFFI 461669 0 12589 0 6312 0 70689 0 27656 0 578915 0 0 0 ABDULLAH IMAD SR. VP. CHIEF LEGAL COUNSE 348932 0 25519 0 42710 0 38733 0 28916 0 484810 0 28529 0 COOPER SUSAN SR. VP. CHIEF INTEGRATION 290183 0 35884 0 49250 0 37139 0 17136 0 429592 0 30057 0 KIM WILLIAM SR. VP. CHIEF INFORMATION 282439 0 37658 0 8470 0 45702 0 38886 0 413155 0 0 0 PROCTOR JAMES SR. VP AND CFO 322890 0 15938 0 1624 0 45368 0 26000 0 411820 0 0 0 PART I, LINE 4B A NUMBER OF INDIVIDUALS LISTED IN SCHEDULE J PARTICIPATED IN A SERP PLAN DURING THE YEAR AND RECEIVED SERP BENEFITS AS FOLLOWS: REGINALD COOPWOOD RECEIVED $134,570; J. RICHARD WAGERS RECEIVED $256,480; MARTIN CROCE RECEIVED $44,689; LETICIA TOWNS RECEIVED $46,358; IMAD ABDULLAH RECEIVED $38,733; BILL KIM RECEIVED $30,710; JIM PROCTOR RECEIVED $32,556; AND SUSAN COOPER RECEIVED $31,385. FORM 990, PART VI, SECTION B, LINE 11B MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS WERE GIVEN ACCESS TO A DRAFT COPY OF THE FORM 990 THROUGH A SECURED INTERNET PORTAL. FORM 990, PART VI, SECTION B, LINE 12C LEGAL AND COMPLIANCE CONDUCTS AN ONGOING ANNUAL REQUEST FOR SUBMISSION OF CONFLICT OF INTEREST FORMS. PROCESS IS MONITORED BY CORPORATE COMPLIANCE TO ENSURE THAT ALL FORMS ARE COMPLETED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE EXECUTIVE MANAGEMENT TEAM WAS APPROVED BY THE HUMAN RESOURCE COMMITTEE AND WAS DEEMED TO BE COMPETITIVE BASED ON BUSINESS CIRCUMSTANCES AND PREVAILING MARKET CONDITIONS. THE ORGANIZATION PURCHASES COMPENSATION/SALARY INFORMATION ANNUALLY FROM THREE NATIONAL CONSULTING GROUPS AND THE STATE HOSPITAL ASSOCIATION AND HAS A COMPENSATION CONSULTANT PROVIDE PERIODIC REVIEWS. THE INFORMATION IS USED AS A REFERENCE IN DETERMINING LEVELS FOR INTERNAL AND EXTERNAL EQUITY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL AND PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 124,401,968. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,401,968. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. REGIONAL MED EXTENDED CARE HOSPITAL LLC 890 MADISON AVENUE 4TH FLOOR MEMPHIS TN 38103 208930584 LONG TERM ACUTE CARE HOSPITAL TN 13787843 7255808 SHELBY COUNTY HEALTH CARE CORPORATION REGIONAL ONE HEALTH RESEARCH INSTITUTE LLC 877 JEFFERSON AVE SUITE 110 MEMPHIS TN 38103 843106301 RESEARCH TN 0 339343 SHELBY COUNTY HEALTH CARE CORPORATION REGIONAL MEDICAL CENTER AT MEMPHIS FOUNDATION 877 JEFFERSON AVENUE MEMPHIS TN 38103 581737037 FOUNDATION RAISES FUNDS TO SUPPORT TN 501(C)(3) LINE 12B, II SHELBY COUNTY HEALTH CARE CORPORATION 1 SHELBY COUNTY HEALTH CARE PROPERTIES INC 877 JEFFERSON AVENUE MEMPHIS TN 38103 463479985 HOLDS TITLE TO AND LEASES THE REAL TN 501(C)(2) SHELBY COUNTY HEALTH CARE CORPORATION 1 MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICES INC 1080 EASTMORELAND AVENUE MEMPHIS TN 38104 621280261 OPERATES AIR AMBULANCE SERVICE TN 501(C)(3) LINE 12A, I N/A 0 ROH INVESTMENTS CO INC 877 JEFFERSON AVENUE MEMPHIS TN 38103 873506718 SUPPORTING ORGANIZATION FOR SCHCC TN 501(C)(3) N/A 0 UT REGIONAL ONE PHYSICIANS INC 877 JEFFERSON AVENUE MEMPHIS TN 38103 471157530 PHYSICIAN SERVICES TN 501(C)(3) N/A 0 REGIONAL ONE PROPERTIES INC 877 JEFFERSON AVENUE MEMPHIS TN 38103 464971777 HOLDS TITLE TO AND LEASES PROPERTY TN SHELBY COUNTY HEALTH CARE CORPORATION C 3497896 1.00000 0 REGIONAL ONE HEALTH INNOVATIONS INC 877 JEFFERSON AVENUE MEMPHIS TN 38103 822356548 MARKETING AND INVESTING TN SHELBY COUNTY HEALTH CARE CORPORATION C 1.00000 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 1 REGIONAL MEDICAL CENTER AT MEMPHIS FOUNDATION B 1200000 COST REGIONAL MEDICAL CENTER AT MEMPHIS FOUNDATION N 371527 COST REGIONAL MEDICAL CENTER AT MEMPHIS FOUNDATION O 625015 COST REGIONAL MEDICAL CENTER AT MEMPHIS FOUNDATION Q 1198819 COST REGIONAL MEDICAL CENTER AT MEMPHIS FOUNDATION C 890433 COST REGIONAL MEDICAL CENTER AT MEMPHIS FOUNDATION S 891406 COST