2011-11-11T10:01:42-06:00 2010-12-31 BKD LLP 312 WALNUT STREET SUITE 300 CINCINNATI OH 45202 990 2010-01-01 621870324 BAPTIST HOSPITAL WEST INC BAPT 5136392800 10820 PARKSIDE DRIVE KNOXVILLE TN 37934 JOHN STARCHER JR 2011-11-11 true 5136218300 2010 2016-03-07 17:11:31Z X JOHN STARCHER JR 615 Elsinore Place Cincinnati OH 45202 16212980 false X WWW.MERCY.COM X 2001 TN BAPTIST HOSPITAL WEST EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. BAPTIST HOSPITAL WEST ACCOMPLISHES THIS BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. BAPTIST HOSPITAL WEST PROVIDES SERVICES AND SUPPORT TO AFFILIATED HEALTH CARE FACILITIES INCLUDING BUT NOT LIMITED TO: PROVIDING STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, EFFECTIVELY MANAGING CARE, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. 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BAPTIST HOSPITAL WEST ACCOMPLISHES THIS BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. 13003578 true false false true false false false false false false false false false false true false true false false false false false false false false true false false false true false false false false false false false false false false true false false true false false false false true 0 0 595 true true true false false false false false false false false false X 19 17 false false false false true true true true true false false false true true true true true false false false TN X Scott Schitter 5136390173 615 Elsinore Place Cincinnati TN 45202 X ROBERT MOON 1 X 0 416969 40101 DAVID J SMARON 40 X 104620 0 4056 DAVID A NOWISKI 0 X 0 453165 46844 DEBRA K LONDON 0 X 0 555634 40369 JAMES ALWELL 0 X 0 131444 2786 JEFFREY D POTTER 1 X 0 277442 14642 JERRY SANDERS 1 X 0 260637 11960 JERRY WAYNE ASKEW 1 X 0 240576 14524 MAELOR GLYN HUGHES 1 X 0 213634 9092 JANICE K VAN DYNE 1 X 0 285450 15484 PATRICIA A MCDANIEL 1 X 0 290641 11735 JACK M BRYAN 1 X 0 290951 13292 MARTY FINDLEY MARGETTS 1 X 0 315252 10039 JEFFREY A ASHIN 1 X 0 403762 18477 A DAVID JIMENEZ 5 X 0 1105792 144414 PAUL JOHNSON MD COS 1 X 0 0 0 JOHN STARCHER JR 1 X 0 934158 149846 SR JOAN NEMANN 1 X 0 0 0 SR MARIE HARTMANN 1 X 0 0 0 CHARLES HUGHES 1 X 0 0 0 PEYTON HAIRSTON JR 1 X 0 0 0 DEAN WILLIAMS 1 X 0 0 0 ROBERT BROWN 1 X 0 0 0 KATHY HAMILTON 1 X 0 0 0 RICHARD M BRIGGS MD 1 X 0 0 0 JOE ARMSTRONG 1 X 0 0 0 JANET HAYES 1 X 0 0 0 BETTY GILL 1 X 0 0 0 MINTHA ROACH 1 X 0 0 0 ELEANOR YOAKUM 1 X X 0 0 0 RICHARD CRAMER 1 X X 0 0 0 NATHAN HUNTER 1 X X 0 0 0 MIKE CONNOR 1 X X 0 0 0 JANET SIMERLY 40 X 134397 0 10442 JENNIFER HEIL 40 X 116846 0 11108 DEBORAH LOBETTI 40 X 108437 0 5858 RONNIE SCOTT BEELER 55 X 0 197820 8189 PENNY M WATKINS 40 X 112966 0 10016 577266 6373327 593274 6 true true false 0 0 NET PATIENT SERVICE REVENUE 621990 15950060 15950060 RENTAL INCOME FROM AFFILIATED ORGANIZATIONS 531120 75558 75558 0 16025618 1200 1200 0 0 0 0 0 0 0 0 0 0 14792 14792 14792 CAFETERIA 722210 79581 79581 PHYSICIAN SUBSIDY INTEREST 900099 14357 14357 MISCELLANEOUS 900099 77038 77038 394 0 0 394 171370 16212980 16025618 0 187362 0 0 0 0 0 0 3912073 2816693 1095380 96198 69263 26935 449413 323577 125836 277756 199984 77772 1963546 1413753 549793 0 0 0 0 0 1466284 1055724 410560 0 3920954 2823087 1097867 0 0 555928 400268 155660 4814 3466 1348 0 0 855812 616185 239627 0 1041484 749868 291616 134954 97167 37787 MEMBERSHIP DUES 7754 5583 2171 BAD DEBT EXPENSE 2457073 2457073 -39046 -28113 -10933 0 17104997 13003578 4101419 0 0 2507 9535739 3466901 98950 0 0 90251522 0 0 0 2494025 0 105849644 0 6773190 37601 24991477 87485635 0 119287903 0 X -13438259 -13438259 0 105849644 0 X -892017 14330276 X false true true X true true X 0 true false false false false true 2274 false false false 2274 false 0 LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1F LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. 0 0 0 0 0 0 0 0 16212980 17104997 -892017 0 0 -892017 0 0 0 0 0 0 0 0 0 0 0 0 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2010 AND 2009, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 OR 2009. true true X true X true true true false true true 226610 226610 0.01550 1433858 881320 552538 0.03770 0 0.00000 0 0 1660468 881320 779148 0.05320 0 0.00000 0 0.00000 199454 44450 155004 0.01060 0 0.00000 2150 2150 0.00010 0 0 201604 44450 157154 0.01070 0 0 1862072 925770 936302 0.06390 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 false 660246 0 3598906 4740143 X true true 1 1 BAPTIST HOSPITAL WEST INC

10820 PARKSIDE DRIVE KNOXVILLE TN 37934

X X X 1 BAPTIST RIVERSIDE

137 BLOUNT AVE KNOXVILLE TN 37920

GAMMA KNIFE Community benefit report prepared by related organization Schedule H, Part I, Line 6a CATHOLIC HEALTH PARTNERS Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 2,457,073 Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 COST OF FINANCIAL ASSISTANCE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. THE COST RELATED TO MEDICAID PATIENTS WAS DETERMINED USING THE HOSPITAL COST ACCOUNTING SYSTEM AND INCLUDED BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR FINANCIAL ASSISTANCE AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. Community Building Activities Schedule H, Part II BAPTIST HOSPITAL WEST ADVOCATES FOR IMPROVING ACCESS TO HEALTH SERVICES FOR ALL RESIDENTS OF THE COMMUNITY, ESPECIALLY FOR THE POOR AND UNDERSERVED. THE HOSPITAL PROVIDES COMMUNITY SUPPORT BY ASSISTING IN DISASTER PREPAREDNESS. PREPARING FOR DISASTERS IS AN IMPORTANT ROLE FOR THE HOSPITAL TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT OR OTHER LARGE SCALE EMERGENCY. BHW ENSURES ACCESS TO HEALTH SERVICES BY RECRUITING AND PROVIDING TRANSITIONAL SUPPORT TO PHYSICIANS TO ATTRACT THEM TO THE COMMUNITY FOR SPECIALTIES WHERE THERE IS A DEMONSTRATED NEED. AN APPROPRIATE SUPPLY OF PHYSICIANS IS NECESSARY TO ENSURE THAT RESIDENTS HAVE ACCESS TO ADEQUATE AND TIMELY DIAGNOSIS AND TREATMENT FOR ALL HEALTH CONDITIONS. LEVERAGING RESOURCES WITHIN THE COMMUNITY PROVIDES MORE EFFECTIVE SOLUTIONS AND REDUCES DUPLICATION OF SERVICES. BHW WORKS COOPERATIVELY WITH SEVERAL ORGANIZATIONS AND OTHER HOSPITALS TO ADDRESS COMMUNITY ISSUES WHICH NEGATIVELY IMPACT THE HEALTH OF THE COMMUNITY. REGIONALLY, MERCY HEALTH PARTNERS CREATED AN OUTREACH PROGRAM TO OFFER ASSISTANCE WITH ECONOMIC DEVELOPMENT TO THE SEVEN MOST ECONOMICALLY CHALLENGED COUNTIES WITHIN OUR SERVICE AREA. AS PARTICULAR NEEDS ARE IDENTIFIED, SOURCES WITHIN OUR ORGANIZATION ASSIST COMMUNITY LEADERS IN SUCH AREAS AS LEADERSHIP DEVELOPMENT AND STRATEGIC PLANNING. WE TAKE WHAT, AT LEAST IN OUR SERVICE AREA, IS A UNIQUE APPROACH TO CARRYING OUT OUR MISSION TO EXTEND THE HEALING MINISTRY OF JESUS WITH A SPECIAL EMPHASIS ON THOSE WHO ARE POOR AND UNDERSERVED. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS. AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR PART III, LINE 2. PATIENTS WHO MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT ARE UNKNOWN TO US ARE WRITTEN OFF TO BAD DEBT AND THEREFORE NOT INCLUDED IN FINANCIAL ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM FINANCIAL ASSISTANCE TO BAD DEBT. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. Needs assessment. Schedule H, Part VI, Line 2 LEVERAGING REGIONAL AND CORPORATE RESOURCES AS A MHP AND CHP MEMBER HOSPITAL AND IN PARTNERSHIP WITH MEMBER FACILITIES, BAPTIST HOSPITAL WEST (BHW) ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BHW INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. THE HOSPITAL RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. BHW HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. THE HOSPITAL'S COMMUNITY BENEFITS COMMITTEE MEETS BI-MONTHLY TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BHW WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES AND TO AVOID DUPLICATION. A VARIETY OF DATA SOURCES ARE REVIEWED AND UTILIZED TO PLAN COMMUNITY HEALTH BENEFIT ACTIVITIES. THE DATA INCLUDES OTHER LOCAL ORGANIZATIONS' NEEDS ASSESSMENTS, SUCH AS UNITED WAY, EAST TENNESSEE REGIONAL HEALTH DEPARTMENT, LOCAL HEALTH DEPARTMENTS, STATE HEALTH STATISTICS, AND REQUESTS FROM ORGANIZATIONS THAT SERVE THE LOCAL COMMUNITY. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 BAPTIST HOSPITAL WEST (BHW) POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. BHW PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. BHW DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY BHW. THE PURPOSE OF HELP IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. HELP REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: * EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS * FILE APPLICATIONS ON PATIENT'S BEHALF * SCHEDULE AND ATTEND APPOINTMENTS * PROVIDE TRANSPORTATION WHEN NECESSARY * PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH HELP, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. BHW UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF BHW'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. BHW IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT WWW.MERCY.COM. Community information. Schedule H, Part VI, Line 4 THE HOSPITAL SERVES KNOX AND SURROUNDING COUNTIES. THE POPULATION OF BHW'S PRIMARY SERVICE AREA IS APPROXIMATELY 699,247. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE ARE 5 HOSPITALS IN KNOX COUNTY AND ALL 5 ARE NON-FOR-PROFIT HOSPITALS. PART OF THE HOSPITAL'S PRIMARY SERVICE AREA HAS BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA OR POPULATION. THE DEMOGRAPHIC AREA SERVED BY THE BHW HAS 15% OF RESIDENTS IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES, AND 15% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY THE HOSPITAL CANCER AND HEART DISEASE ARE THE MAJOR HEALTH PROBLEMS AND/OR LEADING CAUSES OF DEATH. EACH OF THESE IS PREVENTABLE THROUGH PROPER CARE AND MAINTAINING CONTROL OF THE ILLNESS/DISEASE AS WELL AS LEADING HEALTHIER LIVES. THE SMOKING RATE IS 22% OF THE POPULATION, AND ADULT OBESITY IS 28%. THE HOSPITAL WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2010, THE HOSPITAL HAD 2,548 ADMISSIONS, 34,809 OUTPATIENT VISITS, AND 23,718 EMERGENCY ROOM VISITS. Promotion of community health Schedule H, Part VI, Line 5 THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BHW ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL OPERATES NEWBORN NURSERY, WOUND CARE, AND CARDIAC REHAB DEPARTMENTS. BHW HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. IN ADDITION TO OUR PARTICIPATION IN THESE PROGRAMS, BHW ABSORBED MORE THAN $1,141,237 IN UNREIMBURSED MEDICARE COSTS DURING 2010. Affiliated health care system Schedule H, Part VI, Line 6 BAPTIST HOSPITAL WEST (BHW) IS A MEMBER OF THE MERCY HEALTH PARTNERS-TENNESSEE REGION AND AFFILIATED WITH MERCY HEALTH SYSTEM, ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, ST. MARY'S JEFFERSON MEMORIAL HOSPITAL, ST. MARY'S MEDICAL CENTER OF SCOTT COUNTY, AND BAPTIST HOSPITAL OF COCKE COUNTY. ALL ARE TENNESSEE NON-PROFIT CORPORATIONS. BHW IS AN ACUTE CARE HOSPITAL WHOSE NAME HAS BEEN CHANGED TO MERCY MEDICAL CENTER WEST. ITS OPERATIONS AND BEDS HAVE BECOME PART OF MERCY HEALTH SYSTEM EFFECTIVE MARCH 1, 2010. TENNESSEE REGION COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $42.2 MILLION BENEFITS TO THE BROADER COMMUNITY: $6 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $14.5 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $18.6 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $3.1 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 6.7 PERCENT BHW IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE CONTINUATION OF THE HEALTH MINISTRY STARTED MORE THAN 150 YEARS AGO BY OUR CO-SPONSORING CONGREGATIONS: THE SISTERS OF MERCY, REGIONAL COMMUNITY OF CINCINNATI (OH); THE MID-ATLANTIC COMMUNITY, MERION STATION, PA; THE SISTERS OF HUMILITY OF MARY; THE FRANCISCAN SISTERS OF THE POOR; AND COVENANT HEALTH SYSTEMS. OUR SYSTEM OF REGIONAL HEALTH CARE PROVIDERS SERVES LOCAL HEALTH NEEDS IN COMMUNITIES IN OHIO, KENTUCKY, PENNSYLVANIA AND TENNESSEE. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE FIVE CRITICAL ACCESS FACILITIES OFFERING ESSENTIAL HEALTH SERVICES THAT WOULD OTHERWISE NOT EXIST IN THOSE COMMUNITIES. WE CARE FOR EVERYONE WHO COMES TO US, REGARDLESS OF THEIR ABILITY TO PAY. AS WE HAVE DONE FOR DECADES, WE PROVIDE EXTENSIVE SERVICES TO THE BROADER COMMUNITY, WITH EMPHASIS ON SERVICES FOR PERSONS WHO ARE POOR AND UNDER-SERVED. CHP'S HOME OFFICE PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM, INCLUDING BUT NOT LIMITED TO: PROVIDING GOVERNANCE, MANAGEMENT OVERSIGHT, STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, PROVIDING ACCESS TO LOWER COST DEBT FINANCING TO SUPPORT OPERATIONS, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $365.1 MILLION BENEFITS TO THE BROADER COMMUNITY: $77.1 MILLION UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID: $131.7 MILLION COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY: $123.1 MILLION SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR: $33.1 MILLION COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.5 PERCENT FPG FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS SCHEDULE H, PART I, LINE 3B A FPG SLIDING SCALE IS USED TO DETERMINE ELIGILIBITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. true true false false false false false true false ROBERT MOON 0 365104 0 50251 0 1614 0 14700 0 25401 0 457070 0 0 DAVID A NOWISKI 0 352196 0 16683 0 84286 0 19600 0 27244 0 500009 0 0 DEBRA K LONDON 0 0 0 0 0 555634 0 21574 0 18795 0 596003 0 0 JAMES ALWELL 0 0 0 0 0 131444 0 381 0 2405 0 134230 0 0 JEFFREY D POTTER 0 237117 0 22500 0 17825 0 4368 0 10274 0 292084 0 0 JERRY SANDERS 0 259068 0 0 0 1569 0 4428 0 7532 0 272597 0 0 JERRY WAYNE ASKEW 0 226371 0 0 0 14205 0 4864 0 9660 0 255100 0 0 MAELOR GLYN HUGHES 0 170792 0 0 0 42842 0 3497 0 5595 0 222726 0 0 JANICE K VAN DYNE 0 271420 0 0 0 14030 0 5786 0 9698 0 300934 0 0 PATRICIA A MCDANIEL 0 242014 0 25000 0 23627 0 4463 0 7272 0 302376 0 0 JACK M BRYAN 0 212022 0 0 0 78929 0 5594 0 7698 0 304243 0 0 MARTY FINDLEY MARGETTS 0 283270 0 25000 0 6982 0 2148 0 7891 0 325291 0 0 JEFFREY A ASHIN 0 356695 0 39000 0 8067 0 6403 0 12074 0 422239 0 0 A DAVID JIMENEZ 0 584727 0 290991 0 230074 0 114163 0 30251 0 1250206 0 0 JOHN STARCHER JR 0 500355 0 184208 0 249595 0 123176 0 26670 0 1084004 0 0 RONNIE SCOTT BEELER 0 182467 0 15000 0 353 0 4190 0 3999 0 206009 0 0 Severance or change-of-control payment Schedule J, Part I, Line 4a SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: DEBRA K. LONDON $557,482; JAMES ALWELL $131,444; JACK M. BRYAN $53,354. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE CATHOLIC HEALTH PARTNERS (CHP) SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY, VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION, PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: A. DAVID JIMENEZ $212,477; JOHN STARCHER, JR. $224,469. Non-fixed payments Schedule J, Part I, Line 7 THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION FOR LISTED INDIVIDUALS. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE BOARD DETERMINES THE CEO'S INCENTIVE AWARD. INCENTIVE AWARDS FOR OTHER LISTED INDIVIDUALS ARE DETERMINED BY THE CEO AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT. COMPENSATION OF PRESIDENT AND CEO SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF JEFFREY A. ASHIN, REGIONAL PRESIDENT AND CEO, IS DETERMINED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. CHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MR. ASHIN'S COMPENSATION. THE CHP RETENTION PLAN SCHEDULE J, PART I, LINE 4B THE CATHOLIC HEALTH PARTNERS (CHP) RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JOHN STARCHER, JR. $0. BAPTIST HOSPITAL WEST MERGED INTO MERCY HEALTH SYSTEM, INC. EFFECTIVE JUNE 18, 2010. ALL PROPERTY, PRIVILEGES, AND POWERS OF BAPTIST HOSPITAL WEST SHALL BE VESTED IN MERCY HEALTH SYSTEM, INC. WITHOUT REVERSION OR IMPAIRMENT. 2010-06-18 14330276 GAAP 620480068 MERCY HEALTH SYSTEM INC 900 EAST OAK HILL AVENUE KNOXVILLE TN 37917 501(C)(3) true false false false true true true true false Interested person who became a director or trustee of successor organization Schedule N, Part I, Line 2a THE OFFICERS AND TRUSTEES OF BAPTIST HOSPITAL WEST AND MERCY HEALTH SYSTEM, INC. WERE THE SAME PRIOR TO THE MERGER. ACCORDINGLY, THE OFFICERS AND TRUSTEES WILL BE THE SAME. Significant changes in program services Form 990, Part III, Line 3 THE OPERATIONS OF BAPTIST HOSPITAL WEST WERE MERGED INTO MERCY HEALTH SYSTEM, INC. EFFECTIVE JULY 1, 2010. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 MERCY HEALTH PARTNERS, INC. IS THE SOLE MEMBER OF BAPTIST HOSPITAL WEST. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE SOLE MEMBER, MERCY HEALTH PARTNERS, INC. ELECTS THE MEMBERS OF THE GOVERNING BOARD. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b CERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FORM 990 IS PREPARED BY THE CHP TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AS WELL AS BY MANAGEMENT. Conflict of interest policy Form 990, Part VI, Section B, Line 12c ALL DISCLOSED CONFLICTS ARE SUMMARIZED AND PRESENTED TO THE BOARD AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE EACH YEAR ALONG WITH RECOMMENDATIONS TO MANAGE THE CONFLICT. AT EACH BOARD/BOARD COMMITTEE MEETING, MEMBERS ARE REQUESTED TO REVIEW THE AGENDA AND NOTIFY THE CHAIRPERSON OF ANY CONFLICT THEY MAY HAVE. INDIVIDUALS HAVE AN ONGOING DUTY TO DISCLOSE ANY POTENTIAL CONFLICT THAT MAY ARISE DURING THE YEAR. Public Disclosure Form 990, Part VI, Section C, Line 19 THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONS FORM 990 PART VII SECTION A COLUMN (B) MIKE CONNOR 4 NATHAN HUNTER 4 RICHARD CRAMER 4 ELEANOR YOAKUM 4 JOE ARMSTRONG 4 RICHARD M. BRIGGS, M.D. 4 KATHY HAMILTON 4 ROBERT BROWN 4 DEAN WILLIAMS 4 PEYTON HAIRSTON JR. 4 CHARLES HUGHES 4 SISTER MARIE HARTMANN 4 SISTER JOAN NEMANN 4 PAUL JOHNSON, M.D. COS 4 MINTHA ROACH 4 BETTY GILL 4 JANET HAYES 4 JEFFERY A. ASHIN 54 MARTY FINDLEY MARGETTS 54 JACK M. BRYAN 54 PATRICIA A. MCDANIEL 54 JANICE K. VAN DYNE 54 MAELOR GLYN HUGHES 54 JERRY WAYNE ASKEW 54 JERRY SANDERS 54 JEFFREY D. POTTER 54 ROBERT MOON 54 JOHN STARCHER, JR. 49 A. DAVID JIMENEZ 45 DAVID NOWISKI 50 Other changes in net assets or fund balances Form 990, Part XI, Line 5 INTERCOMPANY EQUITY TRANSFER - 14330276; CATHOLIC HEALTH PARTNERS 615 ELSINORE PLACE CINCINNATI OH 45202 311161086 HEALTHCARE SYSTEM PARENT OH 501(C)(3) 11 - Type III - FI NA CATHOLIC HEALTHCARE PARTNERS FOUNDATION 615 ELSINORE PLACE CINCINNATI OH 45202 201072726 FUNDRAISING OH 501(C)(3) 7 CATHOLIC HEALTH PARTNERS CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT 615 ELSINORE PLACE CINCINNATI OH 45202 208943658 HUD PARENT OH 501(C)(3) 9 CATHOLIC HEALTH PARTNERS CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 316046304 RETIREMENT TRUST OH 501(C)(3) 8 CATHOLIC HEALTH PARTNERS SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 310990309 TRUST ADMINISTRATION OH 501(C)(3) 11 - Type I CATHOLIC HEALTH PARTNERS COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM 3700 KOLBE ROAD LORAIN OH 44053 270071694 REGIONAL 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