Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BH1
Employer identification number
62-0521201
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BH1
Employer identification number
62-0521201
Identifier
Return Reference
Explanation
NEW PROGRAM SERVICES
FORM 990, PART III, LINE 2
THE COMPANY ENTERED INTO A JOINT VENTURE AGREEMENT ON DECEMBER 31, 2009 WITH A ST. THOMAS HEALTH SYSTEM, A MAJOR HOSPITAL SYSTEM (THE SYSTEM) IN NASHVILLE TO EXPAND THE SYSTEMS OUTPATIENT REHABILITATION SERVICES AND OPEN UP TO 15 CLINICS IN TENNESSEE, SOUTHERN KENTUCKY AND NORTHERN ALABAMA. THE JOINT VENTURE AGREEMENT PROVIDED BH1 WITH A 51% MAJORITY OWNERSHIP AND MANAGEMENT RESPONSIBILITIES. THE JOINT VENTURE, KNOWN AS SOUTHEAST REHAB LLC, ACTIVELY MANAGED THE CLINICS FROM CONCEPTION THROUGH CONSTRUCTION, OPENING AND, OF COURSE, ONGOING OPERATIONS. THE JOINT VENTURE OPENED ITS FIRST CLINIC IN MARCH 2010. THE CLINIC, WHICH OPERATED AS A HOSPITAL WITHIN THE MEANING OF TREASURY REGULATION 1.170A-9(D), EMPLOYED CERTIFIED PHYSICAL THERAPISTS AND PROVIDED OUTPATIENT SERVICES SUCH AS; PHYSICAL REHABILITATION, OCCUPATIONAL REHABILITATION, SPORTS MEDICINE, AND WELLNESS. THE JOINT VENTURE WAS SUPERVISING CONSTRUCTION AND HIRING STAFF FOR A SECOND CLINIC TO OPEN IN NOVEMBER 2010. IN AUGUST 2010, THE COMPANY WAS INFORMED BY THE SYSTEM THAT THE MANAGED CARE REIMBURSEMENT RATES FOR THE TWO CLINICS OPERATED BY THE JOINT VENTURE WERE SIGNIFICANTLY LESS THAN THE RATES RECEIVED BY OTHER SYSTEM HOSPITAL-BASED OUTPATIENT REHABILITATION CLINICS. THE REDUCED MANAGED CARE REIMBURSEMENT RATES RENDERED THE JOINT VENTURE NOT FINANCIALLY FEASIBLE. THE COMPANYS BOARD VOTED TO WITHDRAW FROM THE JOINT VENTURE AS OF OCTOBER 31, 2010. ON NOVEMBER 1, 2010, THE SYSTEM BEGAN SOLE OPERATION OF THE OUTPATIENT REHABILITATION CLINICS CONVERTING THEM TO HOSPITAL-BASED STATUS. DURING 2010, THE JOINT VENTURES CLINICS TREATED APPROXIMATELY 1,450 PATIENTS.
CHANGES IN PROGRAM SERVICES
FORM 990, PART III, LINE 3
SEE DESCRIPTION OF NEW PROGRAM SERVICES.
FORM 990, PART VI, SECTION B, LINE 11
FORM 990 IS REVIEWED BY THE CFO PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12C
BH1 REQUIRES ANNUAL DISCLOSURE FROM ITS DIRECTORS, OFFICERS AND KEY EMPLOYEES OF ANY POTENTIAL CONFLICTS OF INTEREST. BH1 HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH STATES THAT EACH BH1 DIRECTOR, OFFICER, AND KEY EMPLOYEE UNDERSTANDS THAT DECISIONS ABOUT BH1 OPERATIONS AND THE USE OR DISPOSITION OF BH1'S ASSETS SHOULD BE MADE TO FURTHER THE GOALS AND MISSION OF BH1 AND NOT FOR PRIVATE PROFIT OR OTHER PERSONAL BENEFIT TO THE INDIVIDUALS AFFILIATED WITH BH1 WHO TAKE PART IN THOSE DECISIONS. SUCH INDIVIDUALS ANNUALLY SIGN A STATEMENT THAT DISCLOSES ANY CURRENT OR POTENTIAL CONFLICTS OF INTEREST WITH ANY PROPOSED OR ONGOING BH1 TRANSACTION OR ARRANGEMENT. THE CONFLICT OF INTEREST POLICY ALSO IMPOSES A DUTY UPON SUCH INDIVIDUALS TO IMMEDIATELY DISCLOSE A POTENTIAL CONFLICT OF INTEREST SHOULD ONE ARISE PRIOR TO THE ANNUAL STATEMENT BEING SIGNED. THE CONFLICT OF INTEREST POLICY ALSO PROVIDES THAT THE BOARD OF DIRECTORS SHALL REVIEW SUCH ANNUAL DISCLOSURE STATEMENTS AND ANY SUCH REPORTS MADE DURING THE YEAR AND MAKE FURTHER INVESTIGATION AS IT DEEMS DESIRABLE. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS, THE QUESTION OF WHETHER A CONFLICT EXISTS SHALL BE DISCUSSED AND VOTED UPON BY THE DISINTERESTED DIRECTORS AND THE DISINTERESTED DIRECTORS SHALL DECIDE IF SUCH CONFLICT OF INTEREST EXISTS. IF A MAJORITY OF THE BOARD OF DIRECTORS IS INTERESTED PERSONS WITH RESPECT TO A PARTICULAR MATTER, THEN THE DISINTERESTED DIRECTORS OF BH1 SHALL APPOINT A SPECIAL CONFLICT OF INTEREST COMMITTEE OF NON-INTERESTED PERSONS TO REVIEW SUCH MATTER. THE CONFLICT OF INTEREST COMMITTEE SHALL REPORT DIRECTLY TO THE DISINTERESTED DIRECTORS. IF THE DISINTERESTED DIRECTORS OR CONFLICT OF INTEREST COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE DISINTERESTED DIRECTORS OR CONFLICT OF INTEREST COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE WHETHER (1) THE TRANSACTION OR ARRANGEMENT IS IN BH1'S BEST INTEREST AND FOR ITS OWN BENEFIT, (2) THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF BH1, AND (3) BH1 IS UNABLE TO OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IF THE DISINTERESTED DIRECTORS OR CONFLICT OF INTEREST COMMITTEE DECIDES THAT ANY OF THE CRITERIA SET FORTH IN ITEMS 1, 2 AND 3 HAVE NOT BEEN SATISFIED, BH1 WILL NOT ENTER INTO THE TRANSACTION OR ARRANGEMENT. IN DETERMINING WHETHER A TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO BH1, THE DISINTERESTED DIRECTORS OR CONFLICT OF INTEREST COMMITTEE SHALL OBTAIN AND REVIEW (WHERE APPROPRIATE, TAKING INTO ACCOUNT THE MATERIALITY OF THE TRANSACTION OR ARRANGEMENT) ONE OR MORE (I) APPRAISALS OF THE FAIR MARKET VALUE OF THE TRANSACTION OR ARRANGEMENT, (II) OFFERS FROM COMPARABLE COMPETING ENTITIES, (III) STUDIES OF COMPENSATION ARRANGEMENTS, OR (IV) REPORTS OR STUDIES FROM INDEPENDENT PARTIES WHO HAVE A DEMONSTRATED EXPERTISE IN VALUING OR ANALYZING THE FAIRNESS OF SUCH A TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15
EACH YEAR, BH 1 UTILIZES AON, A NATIONALLY RECOGNIZED COMPENSATION CONSULTING FIRM, TO PREPARE A COMPARABILITY ANALYSIS OF HEALTHCARE WAGES FOR THE CEO AND TOP MANAGEMENT PERSONNEL. THIS INFORMATION IS PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR IN DECEMBER WHEN THE ORGANIZATION'S ANNUAL OPERATING BUDGET IS SUBMITTED FOR REVIEW AND APPROVAL. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS. THE COMPARABILITY DATA IS REVIEWED BY THE COMPENSATION COMMITTEE AND IS COMPARED TO THE RECOMMENDED SALARIES FOR THE CEO AND TOP MANAGEMENT PERSONNEL. AON'S CONSULTANT IS AVAILABLE TO THE BOARD TO PROVIDE INPUT DURING THIS PROCESS. AFTER THESE DELIBERATIONS, THE COMPENSATION COMMITTEE APPROVES CALENDAR YEAR WAGES FOR THE CEO AND TOP MANAGEMENT.
FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION'S FORM 990 IS IN THE ORGANIZATIONS'S OFFICE AT 2555 MERIDIAN BLVD, SUITE 330, FRANKLIN, TN 37067. THIS DOCUMENT IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATIONAL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE FILED IN BINDERS IN THE OFFICE AT 2555 MERIDIAN BLVD, SUITE 330, FRANKLIN, TN 37067. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 554,048. CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -2,560,234. INTEREST RATE SWAP INCOME 173,455. ROUNDING 1. TOTAL TO FORM 990, PART XI, LINE 5: -1,832,730.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.