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Shelby County Health Care Corporation
Memphis, TN 38103
(click a facility name to update Individual Facility Details panel)
| Bed count | 631 | Medicare provider number | 440152 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
Shelby County Health Care CorporationDisplay data for year:
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 686,649,911 Total amount spent on community benefits as % of operating expenses$ 96,608,650 14.07 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 47,400,471 6.90 %Medicaid as % of operating expenses$ 25,495,426 3.71 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 23,659,069 3.45 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 53,684 0.01 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 94,131,319 13.71 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? NO In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 652248503 including grants of $ 1200000) (Revenue $ 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.
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Facility Information
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.
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Supplemental Information
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.
