2017-02-01T13:22:03-07:00 2016-06-30 990 2015-07-01 621113169 SHELBY COUNTY HEALTH CARE CORPORATION SHEL 9015457928 877 Jefferson Avenue Memphis TN 38103 J Richard Wagers Jr Chief Financial Officer 9015457676 2017-01-31 2015 2021-01-29 14:40:06Z Reginald Coopwood MD 877 Jefferson Avenue Memphis TN 38103 427975452 0 X www.regionalonehealth.org X 1981 TN Healthcare delivery operating a public charity hospital providing inpatient and outpatient services 15 15 3369 116 0 0 30148741 31555953 347134962 364186957 12388239 5549269 21175569 26683273 410847511 427975452 0 0 181249543 191282125 0 0 939845 216759585 243020609 398009128 434302734 12838383 -6327282 295970493 322683411 61805592 73961681 234164901 248721730 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. 1 0 396113157 427975452 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 2016, there were: 11,181 discharges; 2,727 normal newborn discharges; 1,356 high risk newborn discharges; 103,841 outpatient visits; 11,834 trauma visits; and 48,406 other emergency room visits. 0 0 0 396113157 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 38 3369 1 3369 1 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X James Proctor 9015458254 877 Jefferson Avenue Memphis TN 38103 Phil Shannon Chaiman 10 X X 0 0 0 Scott McCormick Vice Chairman 1 0 X X 0 0 0 Brenda Hardy MD Secretary 1 X X 0 0 0 David Popwell Board Member 1 X 0 0 0 John Vergos Board Member 1 X 0 0 0 Scot Lenoir Board Member 1 X 0 0 0 Ken Brown Board Member 1 X 0 0 0 James Freeman Board Member 1 X 0 0 0 Bill Evans Board Member 1 X 0 0 0 Reginald Milton Board Member 1 X 0 0 0 Pam Brown Board Member 1 X 0 0 0 Edith Kelly-Green Board Member 1 X 0 0 0 Tyrone Burroughs Board Member 1 X 0 0 0 Ron Coleman Board Member 1 X 0 0 0 Judge Edge Board Memeber 1 X 0 0 0 REGINALD W COOPWOOD MD PRESIDENT AND CEO 40 X 1013839 0 1013839 J RICHARD WAGERS JR EXECUTIVE VICE PRESIDENT AND CFO 40 X 601914 0 601914 ERIC BENINK MD SENIOR VICE PRESIDENT AND CHIEF MEDICAL OFFICER 40 X 480991 0 480991 ROBERT SUMTER PhD EXECUTIVE VICE PRESIDENT AND CHIEF OPERATIONS OFFICER 40 X 427403 0 427403 SUSAN COOPER SENIOR VICE PRESIDENT AND CHIEF INTEGRATION OFFICER 40 X 355289 0 355289 PAMELA CASTLEMAN SENIOR VICE PRESIDENT AND CHIEF NURSING OFFICER 40 X 285186 0 285186 BRET PERISHO VICE PRESIDENT 40 X 357022 0 357022 MONICA WHARTON ESQ SENIOR VICE PRESIDENT AND CHIEF LEGAL COUNSEL 40 X 361091 0 361091 STEPHEN KING MD VICE PRESIDENT CHIEF MEDICAL INFORMATION OFFICER 40 X 338996 0 338996 LETICIA TOWNS fache SENIOR VICE PRESIDENT 40 X 292042 0 292042 SARAH M COLLEY VICE PRESIDENT HUMAN RESOURCES 40 X 274231 0 274231 4788004 0 4788004 199 0 1 0 Mckesson PO Box 409521 Atlanta GA 303849521 Medical Drug Supplier 22811427 University of Tennessee 910 Madison Avenue Suite 1031 Memphis TN 38163 Physician Services 20576002 Owens Minor PO Box 841420 Dallas TX 75312 Medical goods supplier 13187543 UT Medical Group 956 Court Avenue G326 Memphis TN 38103 Physician services 5419363 American Red Cross 1399 Madison Avenue Memphis TN 38104 Blood products 4717456 274 0 0 0 0 31555953 0 0 31555953 Net Patient Service Revenue 622000 364186957 364186957 0 0 0 0 0 0 364186957 5549269 5549269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Outpatient Pharmacy 622000 23742171 23742171 0 0 Parking Lots 622000 492742 492742 0 0 2448360 2448360 0 0 26683273 427975452 396419499 0 0 X 4426638 4426638 152370199 139792051 11984170 593978 2534426 2100361 425141 8924 20893425 18627511 2186766 79148 11057437 10477474 535705 44258 17553057 1221204 16118316 213537 1674448 355258 1319190 253806 253806 262309 262309 0 0 82096845 82096845 867858 867858 514434 514434 12074829 12074829 0 0 15068556 15068556 809498 809498 0 0 144530 144530 132398 132398 0 0 13425928 13425928 -806549 -806549 Medical Supplies 74076155 74076155 0 0 24872507 24872507 434302734 396113157 37249732 939845 9693921 16201067 340000 340000 1025254 343803 82998360 105186717 19221600 19221600 3280696 3383077 2702540 3049757 345568155 295166542 56687803 50401613 109020443 111575106 10999876 12980671 295970493 322683411 37988325 50903952 164375 248071 23652892 22809658 61805592 73961681 X 19999590 19999590 0 0 214165311 228722140 234164901 248721730 295970493 322683411 X -6327282 0 0 0 0 20884111 X 1 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 262309 262309 0 Schedule C, Part II-B, Line 1 Indirectly through dues paid to industry associations and contractors 4313278 0 4313278 49234133 0 46249058 2985075 6302454 0 5471934 830520 245255517 0 215958932 29296585 40462773 0 27486618 12976155 50401613 Reserves 17624095 Compensated Absences 5185563 22809658 427975452 0 0 0 0 0 427975452 0 0 0 427975452 434302734 0 0 0 0 0 434302734 0 0 0 434302734 1 1 1 X 0 1 1 1 0 1 1 95171567 84085317 11086250 0.03 118682081 72573756 46108325 0.11 0 0 0 0 0 213853648 156659073 57194575 0.14 20136221 8724626 11411595 0.03 0 0 20136221 8724626 11411595 0.03 0 0 233989869 165383699 68606170 0.17 1 22507087 0 46356781 42433316 3923465 X 1 1 1 1 Regional One Health 877 Jefferson Avenue Memphis TN 38103 www.themed.org X X X X Inpatient rehabilitation facility, outpatient primary care clinics, Well/Sick Baby Nursery. Regional One Health 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X www.regionalonehealth.org 1 16 1 www.regionalonehealth.org 0 0 1 X X 1 1 X X X X 1 X X X 1 X 0 X X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-Regional One Health 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 informant surveys and community representation on the Steering Committee and in the CHNA development prioritization session. Approximately 936 online community surveys were completed by individuals from varied demographic and socioeconomic backgrounds. Individuals completing the key informant survey were identified as individual most likely aware of, and or involved in addressing community health needs. Approximately 55 individuals, "Key Informants", completed the key informants' survey. These individuals included representatives from social services agencies; religious and faith-based organizations; public health and healthcare organizations; elected officials; educational institutions or system and other community leaders. Community members participating in the prioritization session included representative from the local health department, local university schools of public health and nursing, elected officials, health system's foundation board, religious leaders and senior staff from the organization. Schedule H, Part V, Section B, Line 11-Regional One Health In the most recently completed Community Health Needs Assessment (CHNA), nine community health needs were identified and prioritized in a prioritization session which included 16 community representatives. 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 health needs: drug abuse, mental healthcare, 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. Schedule H, Part V, Section B, Line 20e-Regional One Health Schedule H, Part V, Section B, Line 20 - The organization discounts self-pay charges using JAR (Tennessee Joint Annual Report) cost to charge ratio times 175% Schedule H, Part V, Section B, Line 22d-Regional One Health The organization discounts self-pay charges using JAR (Tennessee Joint Annual Report) cost to charge ratio times 175%. Financial assistance is granted, then charges are written off at 100%. 1 Regional One Health Subacute Care 877 Jefferson Avenue Adams Pavilion 3rd Floor Memphis TN 381032807 20-bed skilled nursing facility unit in the hospital, licensed effective December 16, 2015 Schedule H, Part I, Line 3c Organization discounts all self-pay charges using cost-to-charge ratio times 175% Schedule H, Part I, Line 7 Amounts Reported were calculated using a cost-to-charge ratio Schedule H, Part III, Section A, Line 4 Bad debt expense (cost) was estimated using a cost-to-charge ratio Schedule H, Part III, Section B, Line 8 Not Applicable Schedule H, Part III, Section C, 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. Schedule H, Part VI, Line 2 Regional One Health uses 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 non-profit organizations (i.e., Urban Child Institute) in the local community and across the state, and our community health needs assessment. Organization sends uncompensated care applications to patients for completion and submission of income proof to determine eligibility for the uncompensated care program. Schedule H, Part VI, Line 3 Organization sends uncompensated care applications to patients for completion and submission of income proof to determine eligibility for the uncompensated care program. Schedule H, Part VI, Line 4 - Regional One Health is located in Memphis, Tennessee. Memphis is in Shelby County and part of the Memphis Tennessee, Metropolitan Mississippi and Arkansas MSA. The total population of Memphis is approximately 650,000 and the approximate population of Shelby County is 935,000. More than two-thirds of the county's population resides in Memphis. In Memphis, 63.3 percent of the population is black and 29.4 percent is white, compared to a 52.3 percent black population and 43.6 percent white population in Shelby County. Twenty-six percent of the population in Memphis lives below the poverty level. The median earnings for workers in Memphis is $24,882, and the median household income is $37,000. Twenty-three percent of Memphis population over the age of 25 has a bachelor's degree Schedule H, Part VI, Line 5 Regional One Health partnered with and /or supported numerous organizations and initiatives aimed at building our community during fiscal year 2013. Organizations that we partnered with and/or supported included Memphis Tomorrow, Healthy Memphis Common Table, Memphis Medical District, Memphis Area Chamber of Commerce, City of Memphis Innovation Delivery Team, and the Downtown Commission. Regional One Health's affiliations with these & other groups are varied, and include being paid members or 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 others 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, and necessary partnerships formed to improve the quality of life and health in our community based on needs identified by our staff, through our planning process, community requests and our resource capacity. Our community building activities are also planned-based needs identified and reported by other organizations. In addition to the previously mentioned affiliations, Regional One Health supports and partners with March of Dimes, local colleges and universities, Susan Komen, American Heart Association, Memphis Symphony and a myriad of other organizations to respond to identified community health improvement needs. X X X X X 0 1 0 0 0 0 0 0 0 REGINALD W COOPWOOD MD PRESIDENT AND CEO 691188 0 187320 0 0 0 100066 0 35265 0 1013839 0 0 0 J RICHARD WAGERS JR EXECUTIVE VICE PRESIDENT AND CFO 447798 0 76733 0 0 0 53730 0 23653 0 601914 0 0 0 ERIC BENINK MD SENIOR VICE PRESIDENT AND CHIEF MEDICAL OFFICER 415397 0 55091 0 0 0 0 0 18502 0 488990 0 0 0 ROBERT SUMTER PhD EXECUTIVE VICE PRESIDENT AND CHIEF OPERATIONS OFFICER 369442 0 48752 0 0 0 0 0 9209 0 427403 0 0 0 MONICA WHARTON ESQ SENIOR VICE PRESIDENT AND CHIEF LEGAL COUNSEL 272252 0 63237 0 0 0 0 0 25602 0 361091 0 0 0 SUSAN COOPER SENIOR VICE PRESIDENT AND CHIEF INTEGRATION OFFICER 276610 0 63237 0 0 0 0 0 15442 0 355289 0 0 0 BRET PERISHO VICE PRESIDENT 284809 0 50826 0 0 0 0 0 21386 0 357021 0 0 0 STEPHEN KING MD VICE PRESIDENT CHIEF MEDICAL INFORMATION OFFICER 274320 0 48960 0 0 0 0 0 15716 0 338996 0 0 0 LETICIA TOWNS fache SENIOR VICE PRESIDENT 224831 0 53723 0 0 0 0 0 13488 0 292042 0 0 0 PAMELA CASTLEMAN SENIOR VICE PRESIDENT AND CHIEF NURSING OFFICER 231597 0 39841 0 0 0 0 0 13748 0 285186 0 0 0 SARAH M COLLEY VICE PRESIDENT HUMAN RESOURCES 203662 0 47009 0 0 0 0 0 23560 0 274231 0 0 0 Schedule J, Part I, Line 4 Line 4b SERP amounts: President and CEO, Reginald Coopwood $100,066; EVP and CFO, Rick Wagers $53,730 Form 990, Part III, Line 2 Hospital opened Medicare certified Skilled Nursing Unit of 20 beds, licensed effective December 16, 2015 and Medicare certified effective February 16, 2016 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 website Form 990, Part VI, Section B, Line 12c Legal and Compliance conduct 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. The last periodic review for all of the positions was finalized in October 2016. Form 990, Part VI, Section C, Line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, Line 11g Purchased Medical Services Form 990, Part XI, Line 9 Primarily due to increase in Cash & Accounts Receivable Regional Med Extended Care Hospital 890 Madison Avenue 4th Floor Memphis TN 38103 208930584 Long Term Acute Care Hospital TN 742670 9340152 Shelby County Health Care Corporation Regional Med Extended Care Hospital LLC 890 Madison Avenue 4th Floor Memphis TN 381033409 208930584 Long Term Acute Care Hospital TN N/A 0 Regional Medical Center at Memphis Foundation 877 Jefferson Avenue Memphis TN 38103 581737037 Foundation raises funds to support TN 501 (c) (3) 509 (a) (3), Type II N/A 0 Shelby County Health Care Self Insurance Trust 877 Jefferson Avenue Memphis TN 38103 586202436 Trust Fund management TN 501 (c) (3) N/A 0 Shelby County Health Care Properties Inc 877 Jefferson Avenue Memphis TN 38103 463479985 Holds title to and leases the real property TN 501 (c) (2) N/A 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 Shelby County Health Care Properties Inc b 0 Regional Medical Center at Memphis Foundation c 1709643 book Regional Medical Center at Memphis Foundation n 0 Regional Med Extended Care Hospital LLC o 0