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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."},{"form_and_line_reference":"Schedule H, Part II","explanation":"BHCC ADVOCATES FOR IMPROVING ACCESS TO HEALTH SERVICES FOR ALL RESIDENTS OF THE COMMUNITY, ESPECIALLY FOR THE POOR AND UNDERSERVED. BHCC 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. BHCC 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. BHCC 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."},{"form_and_line_reference":"Schedule H, Part III, Line 4","explanation":"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."},{"form_and_line_reference":"Schedule H, Part III, Line 8","explanation":"MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS REPORTED IN PART III."},{"form_and_line_reference":"Schedule H, Part III, Line 9b","explanation":"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."},{"form_and_line_reference":"Schedule H, Part VI, Line 2","explanation":"LEVERAGING REGIONAL AND CORPORATE RESOURCES AS AN MHP AND CHP MEMBER HOSPITAL AND IN PARTNERSHIP WITH MEMBER FACILITIES, BAPTIST HOSPITAL OF COCKE COUNTY (BHCC) ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BHCC INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. THE HOSPITAL RECOGNIZES THAT 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. BHCC 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."},{"form_and_line_reference":"Schedule H, Part VI, Line 3","explanation":"THE HOSPITAL 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. BHCC 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. THE HOSPITAL 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 BHCC. 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. BHCC 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 THE HOSPITAL'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. IN 2010, HELP MANAGED 6,214 PATIENT REFERRALS. BHCC IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT WWW.MERCY.COM."},{"form_and_line_reference":"Schedule H, Part VI, Line 4","explanation":"BHCC SERVES THE RURAL COUNTY GEOGRAPHIC AREA OF COCKE AND SURROUNDING COUNTIES. THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS APPROXIMATELY 36,000 AND IS OLDER, POORER AND HAS WORSE HEALTH STATISTICS THAN STATE AND NATIONAL AVERAGES. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE IS ONE HOSPITAL IN COCKE COUNTY (BHCC), AND IT IS A NOT-FOR-PROFIT HOSPITAL. COCKE COUNTY HAS BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA OR POPULATION. IN THE DEMOGRAPHIC AREA SERVED BY THE HOSPITAL 22.4% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES, AND 28% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY BHCC HEART DISEASE AND CANCER 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 26% OF THE POPULATION, AND ADULT OBESITY IS 31%. BHCC WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER. IN 2010, BHCC HAD 2,088 ADMISSIONS, 38,851 OUTPATIENT VISITS, AND 32,759 EMERGENCY ROOM VISITS."},{"form_and_line_reference":"Schedule H, Part VI, Line 5","explanation":"BHCC OPERATES AN EMERGENCY ROOM OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BHCC ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL ALSO OPERATES A NEWBORN NURSERY. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. BHCC PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. IN ADDITION TO OUR PARTICIPATION IN THESE PROGRAMS, THE HOSPITAL ABSORBED MORE THAN $579,198 IN UNREIMBURSED MEDICARE COSTS DURING 2010. THE HOSPITAL'S EMERGENCY DEPARTMENT TREATS AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS."},{"form_and_line_reference":"Schedule H, Part VI, Line 6","explanation":"BAPTIST HOSPITAL OF COCKE COUNTY (BHCC) IS A MEMBER OF THE MERCY HEALTH PARTNERS-TENNESSEE REGION AND IS AFFILIATED WITH MERCY MEDICAL CENTER WEST, ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, ST. MARY'S JEFFERSON MEMORIAL HOSPITAL, ST. MARY'S MEDICAL CENTER OF SCOTT COUNTY, AND MERCY HEALTH SYSTEM. ALL ARE TENNESSEE NON-PROFIT CORPORATIONS. BHCC IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 130 LICENSED BEDS. 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 BHCC 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"},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 3B","explanation":"A FPG SLIDING SCALE IS USED TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"ROBERT 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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; JACK M. BRYAN $53,354."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"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."},{"identifier":"COMPENSATION OF ORGANIZATION'S FACILITY ADMINISTRATOR","form_and_line_reference":"SCHEDULE J, PART I, LINE 3","explanation":"THE COMPENSATION OF PATRICIA P. KETTERMAN, PRESIDENT, MMC COCKE, IS DETERMINED BY MERCY HEALTH PARTNERS, INC. (MHP), A RELATED TAX-EXEMPT ORGANIZATION. MHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MS. KETTERMAN'S COMPENSATION."},{"identifier":"THE CHP RETENTION PLAN","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"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."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":311161086,"business_name_line1":"CATHOLIC HEALTH PARTNERS","primary_activities":"HEALTHCARE SYSTEM PARENT","exempt_code_section":"501(C)(3)","public_charity_status":"11 - Type III - FI","legal_domicile_state":"OH","direct_controlling_business_name_line1":"NA","address_line1":"615 ELSINORE PLACE","city":"CINCINNATI","state":"OH","zip":"45202","name":"CATHOLIC HEALTH PARTNERS","address":"615 ELSINORE PLACE, CINCINNATI, OH, 45202"},{"ein":201072726,"business_name_line1":"CATHOLIC HEALTHCARE PARTNERS FOUNDATION","primary_activities":"FUNDRAISING","exempt_code_section":"501(C)(3)","public_charity_status":"7","legal_domicile_state":"OH","direct_controlling_business_name_line1":"CATHOLIC HEALTH PARTNERS","address_line1":"615 ELSINORE 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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: JOHN M. STARCHER, JR. $21,395; MICHAEL BEZNEY $147,814."},{"identifier":"THE CHP EXECUTIVE RETENTION PLAN","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"THE CATHOLIC HEALTH PARTNERS EXECUTIVE 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. $383,081; MICHAEL BEZNEY $0; DAVID NOWISKI $0; ROBERT MOON $57,490."}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":false,"owner_of_successor":false},"liquidations":[{"business_name_line1":"MERCY HEALTH PARTNERS INC","ein":731627534,"irc_section":"501(C)(3)","distribution_date":"2012-12-31T00:00:00","description":"CASH AND ACCOUNTS RECEIVABLE","fair_market_value":22553226,"method_of_fmv_determination":"GAAP","address_line1":"615 ELSINORE PLACE","city":"CINCINNATI","state":"OH","zip":"45202","name":"MERCY HEALTH PARTNERS INC","address":"615 ELSINORE PLACE, CINCINNATI, OH, 45202"}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"CATHOLIC HEALTH PARTNERS","primary_activities":"HEALTHCARE SYSTEM PARENT","exempt_code_section":"501(C)(3)","public_charity_status":"11 - Type III - FI","controlled_organization":false,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"NA","address_line1":"615 ELSINORE PLACE","city":"CINCINNATI","state":"OH","zip":"45202","name":"CATHOLIC HEALTH PARTNERS","address":"615 ELSINORE PLACE, CINCINNATI, OH, 45202"},{"business_name_line1":"CATHOLIC HEALTH PARTNERS FOUNDATION","primary_activities":"FUNDRAISING","exempt_code_section":"501(C)(3)","public_charity_status":"7","controlled_organization":false,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"CATHOLIC HEALTH PARTNERS","address_line1":"615 ELSINORE PLACE","city":"CINCINNATI","state":"OH","zip":"45202","name":"CATHOLIC HEALTH PARTNERS FOUNDATION","address":"615 ELSINORE PLACE, CINCINNATI, OH, 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MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"REGIONAL PRESIDENT AND CEO","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":428613,"other_compensation":28373,"officer":true},{"title":"CFO, MERCY WEST/COMMUNITY","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":146518,"other_compensation":17186,"officer":true},{"title":"PRESIDENT, MMC COCKE COUNTY","average_hours_per_week":55.0,"reportable_comp_from_org":169918,"reportable_comp_from_related_orgs":0,"other_compensation":8808,"officer":true},{"title":"SVP FINANCE & DIVISIONAL CFO","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":376867,"other_compensation":99134,"officer":true},{"title":"SVP, REGIONAL GENERAL COUNSEL","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":343766,"other_compensation":40523,"key_employee":true},{"title":"SVP, STRATEGIC BUS DEV & PRES MERCY WEST","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":287756,"other_compensation":25384,"key_employee":true},{"title":"SVP, EXTERNAL RELATIONS","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":235436,"other_compensation":26236,"key_employee":true},{"title":"SVP, CHIEF ADMINISTRATIVE OFFICER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":304152,"other_compensation":23600,"key_employee":true},{"title":"SVP, REGIONAL CLINICAL OFFICER & COO, ST MARY'S","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":333141,"other_compensation":21103,"key_employee":true},{"title":"PHARMACIST, COMMUNITY","average_hours_per_week":55.0,"reportable_comp_from_org":107855,"reportable_comp_from_related_orgs":0,"other_compensation":15460,"highest_compensated_employee":true},{"title":"CHIEF NURSING OFFICER","average_hours_per_week":55.0,"reportable_comp_from_org":104024,"reportable_comp_from_related_orgs":0,"other_compensation":6436,"highest_compensated_employee":true},{"title":"FORMER OFFICER","average_hours_per_week":0.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":562196,"other_compensation":44862,"former":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":false,"required":false},"ScheduleC":{"lobbying_activities":{"volunteers":true,"paid_staff_or_management":false,"media_advertisements":false,"mailings_members":false,"publications_or_broadcast":false,"grants_other_organizations":true,"grants_other_organizations_amount":2792,"direct_contact_legislators":false,"rallies_demonstrations":false,"other_activities":false,"total_lobbying_expenditures":2792,"not_described_section_501c3":false},"supplemental_information":[{"identifier":"Description of the activities reported on Lines 1a through 1i","form_and_line_reference":"Schedule C, Part II-B, Line 1","explanation":"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."}]},"ScheduleD":{"land_buildings_equipment":{"land":{"book_value":0},"buildings":{"book_value":0},"leasehold_improvements":{"book_value":0},"equipment":{"book_value":0},"other_land_buildings":{"other_cost_or_other_basis":9009,"book_value":9009},"total_book_value":9009},"other_assets":{"assets":[{"description":"INTERCOMPANY RECEIVABLES","book_value":12024320}],"total_book_value":12024320},"other_liabilities":{"federal_income_tax_liability":0,"total_liability":0},"net_assets_reconciliation":{"total_revenue":21959454,"total_expenses":19406124,"excess_or_deficit_for_year":2553330,"other_amount":0,"total_adjustments":0,"excess_or_deficit_per_financial_statements":2553330},"revenue_reconciliation":{"other_revenue":0,"revenue_not_reported":0,"revenue_subtotal":0,"other_revenues_not_included":0,"revenue_not_reported_financial_statement":0,"total_revenue_per_990":0},"expense_reconciliation":{"other_expenses_included":0,"expenses_not_reported":0,"expenses_subtotal":0,"other_expenses_not_included":0,"expenses_not_reported_financial_statement":0,"total_expenses_per_990":0},"supplemental_information":[{"identifier":"FIN 48 (ASC 740) footnote","form_and_line_reference":"Schedule D, Part X, Line 2","explanation":"THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2011 AND 2010, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2011 OR 2010."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_300":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":false,"bad_debt_expense":4760216,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":4692063,"cost_of_care_reimbursed_by_medicare":4565858,"medicare_surplus_or_shortfall":126205,"cost_accounting_system":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":763807,"net_community_benefit_expense":763807,"total_expense_percentage":0.0394},"unreimbursed_medicaid":{"total_community_benefit_expense":4019190,"direct_offsetting_revenue":4019190,"net_community_benefit_expense":0,"total_expense_percentage":0.0},"unreimbursed_costs":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_financial_assistance":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":4782997,"direct_offsetting_revenue":4019190,"net_community_benefit_expense":763807,"total_expense_percentage":0.0394},"community_health_services":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"health_professions_education":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"subsidized_health_services":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"research":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"cash_and_inkind_contributions":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_other_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":0,"direct_offsetting_revenue":0,"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_community_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":4782997,"direct_offsetting_revenue":4019190,"net_community_benefit_expense":763807,"total_expense_percentage":0.0394}},"community_building":{"physical_improvements_and_housing":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"economic_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"community_support":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"environmental_improvements":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"leadership_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"coalition_building":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"health_improvement_advocacy":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"workforce_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"other_community_building_activities":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_community_building_activities":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":0,"direct_offsetting_revenue":0,"net_community_benefit_expense":0,"total_expense_percentage":0.0}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"BAPTIST HOSPITAL OF COCKE COUNTY INC","address_line1":"435 SECOND STREET","city":"NEWPORT","state":"TN","zip":"37821","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"BAPTIST HOSPITAL OF COCKE COUNTY INC","address":"435 SECOND STREET, NEWPORT, TN, 37821"}],"other_health_care_facility_count":1,"other_health_care_facilities":[{"business_name_line1":"BAPTIST CONVALESCENT CENTER OF COCKE COUNTY","address_line1":"450 COLLEGE ST","city":"NEWPORT","state":"TN","zip":"37821","facility_type":"NURSING HOME","name":"BAPTIST CONVALESCENT CENTER OF COCKE COUNTY","address":"450 COLLEGE ST, NEWPORT, TN, 37821"}],"supplemental_information":[{"form_and_line_reference":"Schedule H, Part I, Line 6a","explanation":"CATHOLIC HEALTH PARTNERS"},{"form_and_line_reference":"Schedule H, Part I, Line 7","explanation":"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."},{"form_and_line_reference":"Schedule H, Part I, Line 7, column(f)","explanation":"0"},{"form_and_line_reference":"Schedule H, Part II","explanation":"BHCC ADVOCATES FOR IMPROVING ACCESS TO HEALTH SERVICES FOR ALL RESIDENTS OF THE COMMUNITY, ESPECIALLY FOR THE POOR AND UNDERSERVED. BHCC 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. BHCC 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. BHCC 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."},{"form_and_line_reference":"Schedule H, Part III, Line 4","explanation":"THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE HOSPITAL ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AN OPERATING EXPENSE. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. 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 BAD DEBT TO FINANCIAL ASSISTANCE. 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. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. THE HOSPITAL'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. THE HOSPITAL RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED."},{"form_and_line_reference":"Schedule H, Part III, Line 8","explanation":"THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY (\"CHA GUIDELINES\") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III."},{"form_and_line_reference":"Schedule H, Part III, Line 9b","explanation":"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."},{"form_and_line_reference":"Schedule H, Part V Section B, Line 19d","explanation":"(1) BAPTIST HOSPITAL OF COCKE COUNTY, INC. - THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED ON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.;"},{"form_and_line_reference":"Schedule H, Part VI, Line 2","explanation":"LEVERAGING REGIONAL AND CORPORATE RESOURCES AS AN MHP AND CHP MEMBER HOSPITAL AND IN PARTNERSHIP WITH MEMBER FACILITIES, BAPTIST HOSPITAL OF COCKE COUNTY (BHCC) ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BHCC INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. THE HOSPITAL RECOGNIZES THAT 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. BHCC 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."},{"form_and_line_reference":"Schedule H, Part VI, Line 3","explanation":"THE HOSPITAL 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. BHCC 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. THE HOSPITAL 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 BHCC. 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. BHCC 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 THE HOSPITAL'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."},{"form_and_line_reference":"Schedule H, Part VI, Line 4","explanation":"BHCC SERVES THE RURAL COUNTY GEOGRAPHIC AREA OF COCKE AND SURROUNDING COUNTIES. THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS APPROXIMATELY 36,000 AND IS OLDER, POORER AND HAS WORSE HEALTH STATISTICS THAN STATE AND NATIONAL AVERAGES. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDERINSURED POPULATION. THERE IS ONE HOSPITAL IN COCKE COUNTY (BHCC), AND IT IS A NOT-FOR-PROFIT HOSPITAL. COCKE COUNTY HAS BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA OR POPULATION. IN THE DEMOGRAPHIC AREA SERVED BY THE HOSPITAL 22.4% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES, AND 28% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE. IN THE COMMUNITY SERVED BY BHCC HEART DISEASE AND CANCER 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 26% OF THE POPULATION, AND ADULT OBESITY IS 31%. BHCC WORKS CLOSELY WITH LOCAL COMMUNITY AGENCIES AND HEALTH DEPARTMENTS TO ADDRESS THESE PROBLEMS AND MINIMIZE THE EFFECTS ON THOSE WHO SUFFER."},{"form_and_line_reference":"Schedule H, Part VI, Line 5","explanation":"BHCC OPERATES AN EMERGENCY ROOM OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BHCC ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL ALSO OPERATES A NEWBORN NURSERY. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. BHCC PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THE HOSPITAL'S EMERGENCY DEPARTMENT TREATS AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS."},{"form_and_line_reference":"Schedule H, Part VI, Line 6","explanation":"PRIOR TO THE SALE OF OCTOBER 1, 2011 BAPTIST HOSPITAL OF COCKE COUNTY (BHCC) WAS A MEMBER OF THE MERCY HEALTH PARTNERS-TENNESSEE REGION AND WAS AFFILIATED WITH MERCY MEDICAL CENTER WEST, ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, ST. MARY'S JEFFERSON MEMORIAL HOSPITAL, ST. MARY'S MEDICAL CENTER OF SCOTT COUNTY, AND MERCY HEALTH SYSTEM. ALL ARE TENNESSEE NON-PROFIT CORPORATIONS. BHCC IS AN ACUTE CARE HOSPITAL WITH APPROXIMATELY 130 LICENSED BEDS. BHCC WAS ALSO 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) (NOW THE SISTERS OF MERCY, SOUTH CENTRAL COMMUNITY); THE MID-ATLANTIC COMMUNITY; 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 AND KENTUCKY. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, SENIOR HEALTH AND HOUSING FACILITIES, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE 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."}]},"ScheduleI":{"reported_domestic_org_grants":3395,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":3395,"total_domestic_grants":3395,"total_domestic_program_services":3395,"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"DAVID 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KETTERMAN, PRESIDENT, MMC COCKE, IS DETERMINED BY MERCY HEALTH PARTNERS, INC. (MHP), A RELATED TAX-EXEMPT ORGANIZATION. MHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING MS. KETTERMAN'S COMPENSATION."},{"identifier":"Severance or change-of-control payment","form_and_line_reference":"Schedule J, Part I, Line 4a","explanation":"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."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"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: JOHN M. STARCHER, JR. $118,835; MICHAEL BEZNEY $141,704."},{"identifier":"THE CHP EXECUTIVE RETENTION PLAN","form_and_line_reference":"PART I, LINE 4B","explanation":"THE CATHOLIC HEALTH PARTNERS EXECUTIVE 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; MICHAEL BEZNEY $0; DAVID NOWISKI $0; ROBERT MOON $0."}]},"ScheduleN":{"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false,"received_compensation":false},"dispositions":[{"business_name_line1":"KNOXVILLE HMA HOLDINGS LLC","ein":452528116,"irc_section":"FOR-PROFIT LLC","distribution_date":"2011-10-01T00:00:00","description":"SUBSTANTIALLY ALL OPERATING ASSETS, EXISTING CONTRACTS AND LEASES","fair_market_value":11520166,"method_of_fmv_determination":"HEALTH SYSTEM PURCHASE ALLOCATION","address_line1":"200 BLOUNT AVENUE SUITE 600","city":"KNOXVILLE","state":"TN","zip":"37920","name":"KNOXVILLE HMA HOLDINGS LLC","address":"200 BLOUNT AVENUE SUITE 600, KNOXVILLE, TN, 37920"}],"supplemental_information":[{"identifier":"Interested person who became an employee or independent contractor of transferee organization","form_and_line_reference":"Schedule N, Part II, Line 2b","explanation":"OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION MAY SERVE, AT LEAST TEMPORARILY DURING THE TRANSITION PERIOD, IN SIMILAR ROLES WITHIN THE TRANSFEREE ORGANIZATION. NO ADDITIONAL BENEFIT IS ANTICIPATED TO BE RECEIVED BY THOSE WHO ELECT TO SERVE IN THIS MANNER."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":311161086,"business_name_line1":"CATHOLIC HEALTH PARTNERS","primary_activities":"HEALTHCARE SYSTEM PARENT","exempt_code_section":"501(C)(3)","public_charity_status":"11 - Type III - FI","controlled_organization":false,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"NA","address_line1":"615 ELSINORE PLACE","city":"CINCINNATI","state":"OH","zip":"45202","name":"CATHOLIC HEALTH PARTNERS","address":"615 ELSINORE PLACE, CINCINNATI, OH, 45202"},{"ein":201072726,"business_name_line1":"CATHOLIC HEALTH PARTNERS FOUNDATION","primary_activities":"FUNDRAISING","exempt_code_section":"501(C)(3)","public_charity_status":"7","controlled_organization":false,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"CATHOLIC HEALTH PARTNERS","address_line1":"615 ELSINORE 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REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2012 OR 2011."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"DAVID NOWISKI","title":"CHP VP FINANCE, 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CHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING THIS COMPENSATION."},{"identifier":"Severance or change-of-control payment","form_and_line_reference":"Schedule J, Part I, Line 4a","explanation":"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: JANICE VAN DYNE $145,288."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"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: JOHN M. STARCHER, JR. $21,395; MICHAEL BEZNEY $147,814."},{"identifier":"THE CHP EXECUTIVE RETENTION PLAN","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"THE CATHOLIC HEALTH PARTNERS EXECUTIVE 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. $383,081; MICHAEL BEZNEY $0; DAVID NOWISKI $0; ROBERT MOON $57,490."}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":false,"owner_of_successor":false},"liquidations":[{"business_name_line1":"MERCY HEALTH PARTNERS INC","ein":731627534,"irc_section":"501(C)(3)","distribution_date":"2012-12-31T00:00:00","description":"CASH AND ACCOUNTS RECEIVABLE","fair_market_value":22553226,"method_of_fmv_determination":"GAAP","address_line1":"615 ELSINORE PLACE","city":"CINCINNATI","state":"OH","zip":"45202","name":"MERCY HEALTH PARTNERS INC","address":"615 ELSINORE PLACE, CINCINNATI, OH, 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