2020-05-14T13:59:23-07:00 2019-06-30 990 2018-07-01 621113169 SHELBY COUNTY HEALTH CARE CORPORATION SHEL 9015457928 877 Jefferson Avenue Memphis TN 38103 J Richard Wagers Jr Chief Financial Officer 9015457676 2020-05-15 98.240.80.16 2018 2021-01-29 14:40:06Z J Richard Wagers Jr CFO 877 Jefferson Avenue Memphis TN 38103 494412793 0 X www.regionalonehealth.org X 1981 TN Healthcare delivery operating a public charity hospital providing inpatient and outpatient services 14 14 3662 126 0 165798 40126015 40164970 379832181 384873499 3906896 586412 44165227 68787912 468030319 494412793 0 0 0 0 200277206 205403731 0 0 912039 270003491 299206300 470280697 504610031 -2250378 -10197238 333211546 333807579 94983125 102336307 238228421 231471272 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 465597443 0 494412793 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 2019, there were: 11,861 discharges; 2,219 normal newborn discharges; 866 high risk newborn discharges; 184,829 outpatient visits; 10,619 trauma visits; and 46,634 other emergency room visits. 0 0 0 465597443 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 1 181 0 1 3662 1 1 1 0 0 0 0 0 0 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 James Proctor 9015458254 877 Jefferson Avenue Memphis TN 38103 X David Popwell Chairman 1 0 X 0 0 0 Ken Brown Board Member 1 0 X 0 0 0 Pam Brown Board Member 1 0 X 0 0 0 Ron Coleman Vice Chair 1 0 X 0 0 0 Judy Edge Board Member 1 0 X 0 0 0 Timothy Fabian Board Member 1 0 X 0 0 0 James Freeman Board Member 1 0 X 0 0 0 Brenda Hardy Board Member 1 0 X 0 0 0 Ephie Johnson Board Member 1 0 X 0 0 0 Scot Lenoir Board Member 1 0 X 0 0 0 Joshua Lipman Board Member 1 0 X 0 0 0 Paul Morris Board Member 1 0 X 0 0 0 Phil Shannon Board Member 1 0 X 0 0 0 Van Turner Board Member 1 0 X 0 0 0 Reginald W Coopwood MD President and CEO 40 9 X 973442 0 144842 J Richard Wagers Jr Executive VP and CFO 40 5 X 587464 0 200997 Lisa C Schafer Executive VP/COO/CNO 44 0 X 336454 0 52110 Leticia Towns Chief Administrative Officer 40 0 X 327024 0 44940 Bret Perisho Sr VP. Chief Strategy Officer 40 0 X 337456 0 53141 Martin Croce Sr VP Chief Medical Officer 40 0 X 339987 0 71291 Imad Abdullah Senior VP/Chief Legal Counsel 40 0 X 311469 0 46904 Susan Cooper Senior VP/CIO 40 0 X 300023 0 41188 Jacqueline M Lucas Senior VP/CIO 40 0 X 253151 0 10868 3766470 0 666281 201 0 1 0 University Clinical Health 1407 Union Ave Suite 700 Memphis TN 38103 Physician Services 6510946 Morrison Healthcare 400 Northridge Road Suite 600 Atlanta GA 30350 Food Management Services 2850361 Focusone Solution LLC 13609 California Street Suite 420 Omaha NE 68154 Nurse Services 2712684 Laboratory Corp of America 2715 Kirby Pkwy 7 Memphis TN 38119 Professional Lab Services 2709273 Semmes Murphey 6325 Humphreys Blvd Memphis TN 38120 Physician Services 1623326 25 0 0 0 0 40164970 0 0 40164970 Net Patient Service Revenue 622000 384873499 384873499 0 0 0 0 0 0 384873499 586412 586412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Outpatient Pharmacy 622000 65218900 65218900 0 0 Parking Lots 622000 310713 310713 0 0 3258299 3258299 0 0 68787912 494412793 454247823 0 0 X 0 0 0 0 0 0 0 0 4432752 1562403 2870349 0 0 0 0 0 170486533 152631232 17252250 603051 2791143 1991106 792170 7867 15348977 13400777 1895487 52713 12344326 10840323 1463309 40694 14496762 1000839 13288209 207714 583414 473601 109813 0 428962 0 428962 0 245113 245113 0 0 0 0 0 0 0 0 103286926 103286926 0 0 985663 985663 0 0 607777 607777 0 0 13147810 13147810 0 0 0 0 0 0 17721670 17721670 0 0 418422 418422 0 0 0 0 0 0 135610 135610 0 0 376777 376777 0 0 0 0 0 0 11136606 11136606 0 0 3707943 3707943 0 0 Medical Supplies 104193671 104193671 0 0 27733174 27733174 0 0 504610031 465597443 38100549 912039 6123569 14986656 340004 340004 865082 918135 195917764 172851493 0 0 0 0 19221600 19221600 4914979 6749129 6132999 4424031 397102879 331742727 51753475 65360152 33179630 36020380 0 0 0 0 0 0 14762444 12935999 333211546 333807579 71215784 79348782 0 0 1262277 1670358 0 0 0 0 0 0 0 0 0 0 22505064 21317167 94983125 102336307 X 19999590 19999590 0 0 218228831 211471682 238228421 231471272 333211546 333807579 -10197238 3440089 0 0 0 0 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 245113 245113 0 Schedule C, Part II-B, Line 1 Lobbying support paid directly to various vendors and indirectly through dues paid to industry associations and contractors. 4313278 0 4313278 49091873 0 46724404 2367469 6395948 0 5814584 581364 261750415 0 236965854 24784561 75551365 0 42237885 33313480 65360152 0 Reserves 12945347 Compensated Absences 8371820 21317167 497852880 3440087 0 0 0 3440087 494412793 0 0 0 494412793 504610031 0 0 0 0 0 504610031 0 0 0 504610031 1 1 X 1 X 1 X 1 1 1 0 1 1 86227266 58254943 27972323 0.06 143581964 101381951 42200012 0.056 0 0 0 0 0 229809230 159636894 70172335 0.116 2385617 184221 2201396 22298557 9128319 13170238 0.028 0 0 24684174 9312540 15371634 0.028 0 0 254493404 168949434 85543969 0.144 2317 2317 57205 57205 556945 486349 70596 21317 21317 9440 9440 0 0 647224 486349 160875 0 1 81648868 0 51169945 50281814 888131 X 1 1 2 1 Regional One Health Regional Med Extended Care HOspital 877 Jefferson Avenue Memphis TN 38103 www.regionalonehealth.org X X X X Inpatient rehabilitation facility, outpatient primary care clinics, Well/Sick Baby Nursery, LTCH,SNU A 2 Regional Medical Extended Care Hospital 890 Madison Avenue Memphis TN 38103 www.regionalonehealth.org/extended-care-hospital 79816 X A A 0 0 1 X X X X X X X X 19 1 0 0 1 X www.regionalonehealth.org 1 16 1 www.regionalonehealth.org 0 0 1 X 1 1 X X X X 1 X X X X X 1 X 0 X X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-Group A 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-Group A 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 13h-Group A 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. Schedule H, Part V, Section B, Line 20e-Group A Use of Payment Assistance Rank Order (PARD) scoring is used in additional to other available patient data. Schedule H, Part V, Section B, Line 22d-Group A 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 7 Amounts Reported were calculated using a cost-to-charge ratio and following the examples of Worksheets 1-5 in the published 990 instructions. Schedule H, Part II Concentrated on population health management to promote health education awareness in the community. 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 Cost of Medicare services based on cost to charge ratio. 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 During Tax Year 2018 and fiscal year 2019, Regional One Health began executing its triennial Implementation Plan 2019-2021 that was recommended to and approved by the board. 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. The 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 financial assistance. 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 l or supported numerous organizations and initiatives aimed at Regional One Health partnered with and,or supported numerous organizations and initiatives aimed at 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 G. Komen, American Heart Association, United Way of the Mid-South, along with a myriad of other social and civic organizations to respond to identified community health improvement needs. X X X X X 1 1 0 0 0 0 0 0 0 Reginald W Coopwood MD President and CEO 865620 0 46436 0 61386 0 135379 0 9464 0 1118285 0 30947 0 J Richard Wagers Jr Executive VP and CFO 499176 0 87672 0 617 0 193717 0 7280 0 788462 0 0 0 Leticia Towns Chief Administrative Officer 302428 0 12899 0 11697 0 41760 0 3180 0 371964 0 0 0 Lisa C Schafer Executive VP/COO/CNO 322308 0 13676 0 471 0 52110 0 0 0 388565 0 0 0 Martin Croce Sr VP Chief Medical Officer 157778 181468 0 280 46 415 53129 17994 63 105 211016 200262 0 Bret Perisho Sr VP. Chief Strategy Officer 322728 0 14241 0 487 0 45189 0 7952 0 390597 0 0 0 Imad Abdullah Senior VP/Chief Legal Counsel 289762 0 10706 0 11001 0 42128 0 4776 0 358373 0 0 0 Susan Cooper Senior VP/CIO 276773 0 12294 0 10956 0 39052 0 2136 0 341211 0 0 0 Jacqueline M Lucas Senior VP/CIO 102390 0 0 0 150761 0 4326 0 6542 0 264019 0 0 0 Schedule J, Part I, Line 4 Jacqueline Lucas received a severance payment in the amount of $129,542 from the organization. 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 $124,379; J. Richard Wagers received $182,717; Bret Perisho received $34,189; Martin Croce received $41,000; Lisa Schafer received $39,409; Leticia Towns received $30,760; Imad Abdullah received $31,128; and Susan Cooper received $28,052. 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. The last periodic review for all of the positions was finalized in October 2018. 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 VII, Section A, Line 1d VP Tammie Ritchey is paid by this organization entirely, but works primarily as Executive Director for the Foundation, which fully supports only this organization. Form 990, Part IX, Line 11g Medical & Professional Services Regional Med Extended Care Hospital 890 Madison Avenue 4th Floor Memphis TN 38103 208930584 Long Term Acute Care Hospital TN 999222 15069035 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 REGIONAL ONE HEALTH IMAGING LLC 877 JEFFERSON AVE AUITE 110 MEMPHIS TN 381032807 474626157 HEALTH CARE TN SHELBY COUNTY HEALTH CARE CORP Related 0 1 0.7 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 Regional Medical Center at Memphis Foundation s 838279 Book Value Regional Medical Center at Memphis Foundation n 752506 Book Value Regional Medical Center at Memphis Foundation o 85773 Book Value