NORTHEAST ARKANSAS CLINIC CHAR FOUNDATION INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST ARKANSAS CLINIC CHAR FOUNDATION INC (EIN 71-0850123)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-15
- IRS object ID
- 202322279349302212
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-15T11:06:52-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710850123 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST ARKANSAS CLINIC CHARITABLE | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8709368000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4802 EAST JOHNSON AVE | AddressLine1Txt |
| City | JONESBORO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON M LITTLE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8709368000 | PhoneNum |
| Signature | 2023-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JASON | PersonFirstNm |
| Person Last | LITTLE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNA M JANSONS | PreparerPersonNm |
| PTIN | P01222873 | PTIN |
| Phone | 3174648600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEA BAPTIST CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT TAYLOR MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4802 EAST JOHNSON AVE | AddressLine1Txt |
| City | JONESBORO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $102,934,900 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NEABAPTISTCLINIC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PROVIDES COMPREHENSIVE, PERSONALIZED, QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1034 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $377,079 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,116,054 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,029,149 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $99,187,563 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $100,733,159 | CYProgramServiceRevenueAmt |
| PY Investment Income | $759 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,853 | CYInvestmentIncomeAmt |
| PY Other Revenue | $149,371 | PYOtherRevenueAmt |
| CY Other Revenue | $164,739 | CYOtherRevenueAmt |
| PY Total Revenue | $111,453,747 | PYTotalRevenueAmt |
| CY Total Revenue | $102,934,900 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,693 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $17,474 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $94,104,441 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $100,935,784 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,161,643 | PYOtherExpensesAmt |
| CY Other Expenses | $35,916,500 | CYOtherExpensesAmt |
| PY Total Expenses | $129,278,777 | PYTotalExpensesAmt |
| CY Total Expenses | $136,869,758 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$17,825,030 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$33,934,858 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,841,351 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,116,294 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $196,244,872 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $228,454,673 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$165,403,521 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$199,338,379 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PROVIDES COMPREHENSIVE, PERSONALIZED, QUALITY HEALTH CARE FOR PATIENTS THROUGHOUT THE NORTHEAST ARKANSAS REGION REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $117,777,480 | ExpenseAmt |
| Grant | $17,474 | GrantAmt |
| Revenue | $100,764,781 | RevenueAmt |
| Desc | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. (NEA CLINIC) PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF NEA CLINIC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, NEA CLINIC PROVIDES THE FOLLOWING:- FREE CARE AND/OR SUBSIDIZED CARE WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST,- CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. NEA CLINIC IS THE LARGEST AND MOST COMPREHENSIVE PHYSICIAN-LED AND PROFESSIONALLY MANAGED MULTI-SPECIALTY GROUP PRACTICE IN THE REGION. NEA CLINIC IS MADE UP OF OVER 90 PHYSICIANS PROVIDING CARE IN MORE THAN 20 MEDICAL SPECIALTIES. THE MISSION OF NEA CLINIC IS TO PROVIDE COMPREHENSIVE, PERSONALIZED, QUALITY HEALTH CARE FOR PATIENTS THROUGHOUT THE NORTHEAST ARKANSAS REGION. SINCE FORMING IN 1977, NEA CLINIC HAS BECOME A MULTI-SPECIALTY, AWARD-WINNING CLINIC AND PARTNER WITH BAPTIST MEMORIAL HOSPITAL-JONESBORO, INC. WE HAVE BECOME A LEADER IN CLINICAL RESEARCH AND A KEY PROVIDER OF MEDICAL SPECIALTY SERVICES WITH HUNDREDS OF THOUSANDS OF CLINIC VISITS EACH YEAR. NEA CLINIC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH NEA CLINIC MAY RECEIVE PAYMENT AT LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE, MEDICAID AND UNINSURED PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, NEA CLINIC RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2022, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $81,394,815.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICED SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT NEA CLINIC BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THROUGH ITS AFFILIATION WITH BAPTIST MEMORIAL HEALTH CARE CORPORATION, NEA CLINIC PROVIDES THE FOLLOWING PROGRAMS AND SERVICES FOR THE COMMUNITY:- COMMUNITY HEALTH FAIRS- PHYSICAL EXAMS FOR STUDENTS ACTIVE IN COMPETITIVE SPORTS- PROVISION OF STAFF NURSES TO HELP WITH SENIOR CITIZENS' HEALTH FAIR- EMPLOYEE ACTIVITIES TO RAISE MONEY FOR UNITED WAY, AMERICAN HEART ASSOCIATION, AND MARCH OF DIMES- PROVISION OF PHYSICIANS FOR SPEAKING ENGAGEMENTS ON TOPICAL HEALTH ISSUES TO THE COMMUNITYONE OF THE BIGGEST PROGRAMS AT NEA CLINIC IS THE WELLNESS CENTER. THE WELLNESS CENTER AT NEA CLINIC HAS A STATE OF THE ART CARDIO THEATRE, SELECTORIZED EQUIPMENT, FREE WEIGHTS, INDOOR RUBBERIZED RUNNING TRACK, INDOOR HEATED POOL, JUICE BAR AND NUTRITION CENTER, LOCKER ROOMS, PERSONAL TRAINING AND MORE. WE STRIVE TO DO WHATEVER IS NECESSARY TO HELP OUR MEMBERS MEET THEIR GOALS. OUR TRAINING PHILOSOPHY IS BASED ON THE PERIODIZATION OF RESISTANCE TRAINING, SOUND NUTRITION, AND CARDIOVASCULAR TRAINING. THIS IS KNOWN AS OUR TRIANGLE OF SUCCESS.THE NEA WELLNESS CENTER IS A SILVER SNEAKER CERTIFIED FACILITY. ANYONE WHO HAS SILVER SNEAKERS AS A BENEFIT ON THEIR MEDICAL INSURANCE CAN COME TO THE WELLNESS CENTER FREE OF CHARGE. WE OFFER VARIOUS CLASSES SUCH AS SILVER SNEAKER CIRCUIT AEROBICS CLASS, SILVER SNEAKER SPLASH CLASS, MOTION IN WATER CLASS, & HIGH INTENSITY INTERVAL TRAINING SESSIONS. | Desc |
| Total Program Service Expenses | $117,777,480 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1034 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KYLE W SANDERS CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8709360100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 E JOHNSON AVE | AddressLine1Txt |
| City | JONESBORO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PAUL D DEPRIEST MD | ||||||||
| EX-OFFICIO | 0.23 | 39.77 | Yes (X) | $0 | $2,006,787 | $84,638 | ||
| RANDY J KING | ||||||||
| EX-OFFICIO | 0.23 | 39.77 | Yes (X) | $0 | $1,386,768 | $76,339 | ||
| MARK E SWANSON MD | ||||||||
| CEO/EX-OFFICIO | 0.23 | 39.77 | Yes (X) | $0 | $1,355,514 | $22,684 | Yes (X) | |
| DHARMENDRA PATEL MD | ||||||||
| DIRECTOR/PHYSICIAN (AS OF 01/22) | 40.00 | 0.00 | Yes (X) | $1,107,749 | $0 | $68,383 | ||
| ADAM WOODRUFF MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $1,051,060 | $0 | $62,459 | ||
| MATTHEW HAUSTEIN MD | ||||||||
| DIRECTOR/PHYSICIAN (THRU 12/21) | 38.62 | 1.38 | Yes (X) | $826,555 | $0 | $86,605 | ||
| MICHAEL MACKEY MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $771,311 | $0 | $66,228 | ||
| AARON WALLACE MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $715,467 | $0 | $63,067 | ||
| REBECCA BARRETT-TUCK MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $674,650 | $0 | $69,833 | ||
| KEITH CRINER MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $626,431 | $0 | $78,898 | ||
| STEPHEN WOODRUFF MD | ||||||||
| TREASURER/CMO/EX-OFFICIO | 27.94 | 12.06 | Yes (X) | $544,161 | $0 | $43,307 | Yes (X) | |
| JASON COLETTA MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $525,370 | $0 | $55,159 | ||
| RUSSELL DEGGES MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $479,328 | $0 | $49,977 | ||
| ROBERT TAYLOR MD | ||||||||
| PRESIDENT/EX-OFFICIO | 38.62 | 1.38 | Yes (X) | $449,343 | $0 | $56,589 | Yes (X) | |
| MICHAEL TEDDER MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $456,461 | $0 | $25,774 | ||
| LESLEY MCGRATH MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $326,128 | $0 | $55,935 | ||
| SAMUEL S LYND | ||||||||
| EX-OFFICIO/CEO | 19.88 | 20.12 | Yes (X) | $0 | $315,164 | $46,861 | Yes (X) | |
| SHANE LYERLY MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $292,107 | $0 | $51,882 | ||
| SCOTT HOKE MD | ||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $186,216 | $0 | $57,121 | ||
| GREGORY M DUCKETT | ||||||||
| SECRETARY | 0.23 | 39.77 | $0 | $1,562,524 | $80,090 | Yes (X) | ||
| WILLIAM HUBBARD MD | ||||||||
| VICE PRESIDENT | 40.00 | 0.00 | $377,186 | $0 | $46,125 | Yes (X) | ||
| KYLE W SANDERS | ||||||||
| CFO | 15.96 | 24.04 | $0 | $158,264 | $68,748 | Yes (X) | ||
| JASON BRANDT MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,218,135 | $0 | $91,464 | Yes (X) | ||
| KEVIN COLLINS MD | ||||||||
| PHYSICIAN | 39.54 | 0.46 | $1,102,358 | $0 | $98,165 | Yes (X) | ||
| RONALD SCHECHTER MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $960,830 | $0 | $89,682 | Yes (X) | ||
| NEPHERTITI EFEOVBOKHAN MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $961,241 | $0 | $73,828 | Yes (X) | ||
| MAHESH ARADHYA MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $870,045 | $0 | $53,852 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $14,522,132 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,785,021 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,723,693 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 146 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LIFELINC ANESTHESIA | |||||
| 3340 PLAYERS CLUB PKWY 350 | MEMPHIS | TN | 38125 | ANESTHESIA SERVICES | $3,897,025 |
| MARLAB INC | |||||
| 23434 N 78TH ST | SCOTTSDALE | AZ | 85255 | PHYSICIAN STAFFING SERVICES | $2,982,970 |
| EXPRESS SERVICES INC | |||||
| PO BOX 203901 | DALLAS | TX | 75320 | STAFFING AGENCY SERVICES | $774,103 |
| SERVICE GROUP 360 INTERNATIONAL | |||||
| PO BOX 26704 | OVERLAND PARK | KS | 66225 | JANITORIAL SERVICES | $449,993 |
| HEART SURGERY ASSOCIATES OF JONESBORO | |||||
| 1878 CR 333 | JONESBORO | AR | 72401 | PHYSICIAN SERVICES | $432,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $451,411 | RelatedOrganizationsAmt |
| Government Grants | $1,577,738 | GovernmentGrantsAmt |
| Total Contributions | $2,029,149 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REV. | 621110 | $90,204,193 | $89,946,248 | $257,945 |
| REIMB. FROM AFFILIATES | 900099 | $10,504,441 | $10,504,441 | |
| RENT FROM AFFILIATES | 900099 | $24,525 | $24,525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $100,733,159 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,803 | TotalRevenueColumnAmt |
| Exclusion | $5,803 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,983 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,983 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,983 | TotalRevenueColumnAmt |
| Exclusion | $13,983 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,050 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,050 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,050 | TotalRevenueColumnAmt |
| Exclusion | $2,050 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| WELLNESS CENTER REV. | 713940 | $134,477 | $15,343 | $119,134 |
| NON-OPERATING REVENUE | 900099 | $16,279 | $16,279 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $150,756 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,934,900 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $100,506,836 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $377,079 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,836 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,474 | TotalAmt |
| Program Services | $17,474 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,475,317 | TotalAmt |
| Program Services | $8,904,020 | ProgramServicesAmt |
| Management And General | $1,571,297 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,556,283 | TotalAmt |
| Program Services | $65,072,840 | ProgramServicesAmt |
| Management And General | $11,483,443 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,814,244 | TotalAmt |
| Program Services | $1,542,107 | ProgramServicesAmt |
| Management And General | $272,137 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,759,968 | TotalAmt |
| Program Services | $6,595,973 | ProgramServicesAmt |
| Management And General | $1,163,995 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,329,972 | TotalAmt |
| Program Services | $3,680,476 | ProgramServicesAmt |
| Management And General | $649,496 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,444,525 | TotalAmt |
| Program Services | $8,877,847 | ProgramServicesAmt |
| Management And General | $1,566,678 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,925 | TotalAmt |
| Program Services | $181,836 | ProgramServicesAmt |
| Management And General | $32,089 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,263,458 | TotalAmt |
| Program Services | $1,073,939 | ProgramServicesAmt |
| Management And General | $189,519 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,801,140 | TotalAmt |
| Program Services | $4,930,969 | ProgramServicesAmt |
| Management And General | $870,171 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,461 | TotalAmt |
| Program Services | $40,184 | ProgramServicesAmt |
| Management And General | $60,277 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,652 | TotalAmt |
| Program Services | $107,461 | ProgramServicesAmt |
| Management And General | $161,191 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,655 | TotalAmt |
| Program Services | $15,857 | ProgramServicesAmt |
| Management And General | $2,798 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,750 | TotalAmt |
| Program Services | $396,738 | ProgramServicesAmt |
| Management And General | $70,012 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $832,211 | TotalAmt |
| Program Services | $707,379 | ProgramServicesAmt |
| Management And General | $124,832 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $8,298,046 | $8,298,046 | $0 |
| CORPORATE MGMT FEE | $4,904,700 | $4,168,995 | $735,705 |
| PANDEMIC PREPAREDNESS | $2,441,439 | $2,441,439 | $0 |
| REPAIRS AND MAINTENANCE | $734,851 | $624,623 | $110,228 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,687 | TotalAmt |
| Program Services | $99,277 | ProgramServicesAmt |
| Management And General | $28,410 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,869,758 | TotalAmt |
| Program Services | $117,777,480 | ProgramServicesAmt |
| Management And General | $19,092,278 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,843 | BOYAmt |
| EOY | $8,525 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,771,618 | BOYAmt |
| EOY | $4,342,786 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,426,131 | BOYAmt |
| EOY | $12,432,022 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $266,842 | BOYAmt |
| EOY | $263,024 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,046 | BOYAmt |
| EOY | $290,375 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,952 | BOYAmt |
| EOY | $323,023 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,681,707 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,145,905 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,799,235 | BOYAmt |
| EOY | $1,535,802 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,942,684 | BOYAmt |
| EOY | $9,920,737 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,841,351 | BOYAmt |
| EOY | $29,116,294 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,749,856 | BOYAmt |
| EOY | $13,306,903 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,484 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,089,532 | BOYAmt |
| EOY | $215,147,770 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,244,872 | BOYAmt |
| EOY | $228,454,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$165,403,521 | BOYAmt |
| EOY | -$199,338,379 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$165,403,521 | BOYAmt |
| EOY | -$199,338,379 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,841,351 | BOYAmt |
| EOY | $29,116,294 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$33,934,858 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $556,322 | OtherCostOrOtherBasisAmt |
| Depreciation | $419,436 | DepreciationAmt |
| Book Value | $136,886 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,834,485 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,189,123 | DepreciationAmt |
| Book Value | $645,362 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,290,900 | OtherCostOrOtherBasisAmt |
| Depreciation | $537,346 | DepreciationAmt |
| Book Value | $753,554 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,535,802 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| 457(B) PLAN ASSETS | $1,086,892 |
| MEDICARE COST SETTLEMENT | $20,096 |
| RIGHT-OF-USE ASSET - OPERATING | $8,813,749 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,920,737 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| 457(B) PLAN LIABILITY | $1,086,892 |
| DUE TO AFFILIATES | $204,452,116 |
| RIGHT-OF-USE LIABILITY - CURRENT | $2,000,196 |
| RIGHT-OF-USE LIABILITY - LONG-TERM | $7,608,566 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $215,147,770 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FROM THE COMBINED AUDITED FINANCIAL STATEMENTS OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND AFFILIATES: AS OF SEPTEMBER 30, 2022, BAPTIST MEMORIAL HEALTH CARE CORPORATION (BMHCC) HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT BMHCC WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, BMHCC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2018 (FISCAL YEAR ENDED SEPTEMBER 30, 2019). | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ARKANSAS STATE UNIVERSITY RED WOLVES FOUNDATION INC | ||||||||
| PO BOX 2219 | STATE UNIVERSITY | AR | 72467 | 710526367 | 501(C)(3) | $8,174 | $0 | SPONSORSHIP |
| JONESBORO RADIO GROUP | ||||||||
| 314 UNION STREET | JONESBORO | AR | 72401 | 470889232 | $9,300 | $0 | SPONSORSHIP | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF TAX EXEMPT STATUS THAT IS VERIFIED BY THE INTERNAL REVENUE SERVICE DATABASE BEFORE THEY CAN PROCEED WITH THEIR REQUEST. THEY MAY USE OUR ONLINE CHARITABLE REQUEST APPLICATION TO SUBMIT A REQUEST. IF THEY ARE NOT A 501(C)(3) ORGANIZATION, THEY ARE REQUIRED TO SUBMIT A COPY OF THEIR DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE VALIDATING THEIR EXEMPT STATUS BEFORE WE CAN PROVIDE ANY IN-KIND GIVEAWAYS OR SERVICES. WE ALSO MONITOR THE FUNDS TO ENSURE THEY ARE USED FOR THE PURPOSE GRANTED. WE MAKE EVERY EFFORT TO DIRECT OUR FUNDING TO A PROGRAM FOR A SPECIFIC PURPOSE. ORGANIZATIONS ARE ASKED TO SHOW RESULTS AND DOCUMENTATION ANNUALLY BEFORE THEIR REQUEST CAN BE CONSIDERED FOR FUTURE FUNDING. THE REQUESTS ARE REVIEWED AND APPROVED BY VARIOUS INDIVIDUALS DEPENDING UPON THE TYPE AND AMOUNT OF THE REQUEST. SMALL AMOUNTS MAY BE APPROVED BY THE SYSTEM DIRECTOR OF COMMUNICATIONS. ANYTHING OVER $10,000 MAY BE APPROVED BY THE BAPTIST MEMORIAL HEALTH CARE FOUNDATION SENIOR VICE PRESIDENT, AND ANYTHING OVER $50,000 NEEDS APPROVAL BY THE BAPTIST MEMORIAL HEALTH CARE CORPORATION PRESIDENT/CEO. FOR MORE INFORMATION ABOUT BAPTIST MEMORIAL HEALTH CARE CORPORATION'S CHARITABLE GIVING GUIDELINES, PLEASE VISIT: HTTPS://WWW.BMHGIVING.ORG/. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL D DEPRIEST MD | ||||||||||||||
| EX-OFFICIO | $0 | $783,402 | $0 | $927,651 | $0 | $295,734 | $0 | $56,375 | $0 | $28,263 | $0 | $2,091,425 | $0 | $0 |
| GREGORY M DUCKETT | ||||||||||||||
| SECRETARY | $0 | $474,740 | $0 | $510,349 | $0 | $577,435 | $0 | $47,032 | $0 | $33,058 | $0 | $1,642,614 | $0 | $0 |
| RANDY J KING | ||||||||||||||
| EX-OFFICIO | $0 | $439,581 | $0 | $477,189 | $0 | $469,998 | $0 | $47,750 | $0 | $28,589 | $0 | $1,463,107 | $0 | $0 |
| MARK E SWANSON MD | ||||||||||||||
| CEO/EX-OFFICIO | $0 | $609,286 | $0 | $616,508 | $0 | $129,720 | $0 | $0 | $0 | $22,684 | $0 | $1,378,198 | $0 | $0 |
| JASON BRANDT MD | ||||||||||||||
| PHYSICIAN | $1,195,972 | $0 | $22,000 | $0 | $163 | $0 | $60,000 | $0 | $31,464 | $0 | $1,309,599 | $0 | $0 | $0 |
| KEVIN COLLINS MD | ||||||||||||||
| PHYSICIAN | $1,026,850 | $0 | $10,000 | $0 | $65,508 | $0 | $60,000 | $0 | $38,165 | $0 | $1,200,523 | $0 | $0 | $0 |
| DHARMENDRA PATEL MD | ||||||||||||||
| DIRECTOR/PHYSICIAN (AS OF 01/22) | $1,072,966 | $0 | $34,000 | $0 | $783 | $0 | $40,500 | $0 | $27,883 | $0 | $1,176,132 | $0 | $0 | $0 |
| ADAM WOODRUFF MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $962,675 | $0 | $28,000 | $0 | $60,385 | $0 | $34,000 | $0 | $28,459 | $0 | $1,113,519 | $0 | $0 | $0 |
| RONALD SCHECHTER MD | ||||||||||||||
| PHYSICIAN | $938,367 | $0 | $22,000 | $0 | $463 | $0 | $60,000 | $0 | $29,682 | $0 | $1,050,512 | $0 | $0 | $0 |
| NEPHERTITI EFEOVBOKHAN MD | ||||||||||||||
| PHYSICIAN | $950,656 | $0 | $10,000 | $0 | $585 | $0 | $46,250 | $0 | $27,578 | $0 | $1,035,069 | $0 | $0 | $0 |
| MAHESH ARADHYA MD | ||||||||||||||
| PHYSICIAN | $859,660 | $0 | $10,000 | $0 | $385 | $0 | $26,750 | $0 | $27,102 | $0 | $923,897 | $0 | $0 | $0 |
| MATTHEW HAUSTEIN MD | ||||||||||||||
| DIRECTOR/PHYSICIAN (THRU 12/21) | $770,282 | $0 | $22,000 | $0 | $34,273 | $0 | $53,500 | $0 | $33,105 | $0 | $913,160 | $0 | $0 | $0 |
| MICHAEL MACKEY MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $682,632 | $0 | $28,000 | $0 | $60,679 | $0 | $40,500 | $0 | $25,728 | $0 | $837,539 | $0 | $0 | $0 |
| AARON WALLACE MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $693,352 | $0 | $22,000 | $0 | $115 | $0 | $34,000 | $0 | $29,067 | $0 | $778,534 | $0 | $0 | $0 |
| REBECCA BARRETT-TUCK MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $647,396 | $0 | $26,167 | $0 | $1,087 | $0 | $40,500 | $0 | $29,333 | $0 | $744,483 | $0 | $0 | $0 |
| KEITH CRINER MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $609,996 | $0 | $16,000 | $0 | $435 | $0 | $53,500 | $0 | $25,398 | $0 | $705,329 | $0 | $0 | $0 |
| STEPHEN WOODRUFF MD | ||||||||||||||
| TREASURER/CMO/EX-OFFICIO | $412,518 | $0 | $32,000 | $0 | $99,643 | $0 | $25,858 | $0 | $17,449 | $0 | $587,468 | $0 | $0 | $0 |
| JASON COLETTA MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $514,985 | $0 | $10,000 | $0 | $385 | $0 | $33,213 | $0 | $21,946 | $0 | $580,529 | $0 | $0 | $0 |
| RUSSELL DEGGES MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $465,757 | $0 | $13,000 | $0 | $571 | $0 | $29,000 | $0 | $20,977 | $0 | $529,305 | $0 | $0 | $0 |
| ROBERT TAYLOR MD | ||||||||||||||
| PRESIDENT/EX-OFFICIO | $366,450 | $0 | $10,000 | $0 | $72,893 | $0 | $38,924 | $0 | $17,665 | $0 | $505,932 | $0 | $0 | $0 |
| MICHAEL TEDDER MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $445,818 | $0 | $10,000 | $0 | $643 | $0 | $0 | $0 | $25,774 | $0 | $482,235 | $0 | $0 | $0 |
| WILLIAM HUBBARD MD | ||||||||||||||
| VICE PRESIDENT | $376,079 | $0 | $0 | $0 | $1,107 | $0 | $28,017 | $0 | $18,108 | $0 | $423,311 | $0 | $0 | $0 |
| LESLEY MCGRATH MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $268,693 | $0 | $34,000 | $0 | $23,435 | $0 | $32,186 | $0 | $23,749 | $0 | $382,063 | $0 | $0 | $0 |
| SAMUEL S LYND | ||||||||||||||
| EX-OFFICIO/CEO | $0 | $218,776 | $0 | $62,848 | $0 | $33,540 | $0 | $30,057 | $0 | $16,804 | $0 | $362,025 | $0 | $0 |
| SHANE LYERLY MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $235,592 | $0 | $18,500 | $0 | $38,015 | $0 | $25,724 | $0 | $26,158 | $0 | $343,989 | $0 | $0 | $0 |
| SCOTT HOKE MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $167,770 | $0 | $18,000 | $0 | $446 | $0 | $32,164 | $0 | $24,957 | $0 | $243,337 | $0 | $0 | $0 |
| KYLE W SANDERS | ||||||||||||||
| CFO | $0 | $139,713 | $0 | $18,188 | $0 | $363 | $0 | $39,209 | $0 | $29,539 | $0 | $227,012 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4B | ELIGIBLE EXECUTIVES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUAL(S) LISTED ON PART VII RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS DURING THE CALENDAR YEAR: GREGORY M. DUCKETT - $439,607 RANDY J. KING - $416,123 PAUL D. DEPRIEST, MD - $118,214 |
| PART I, LINE 7: | THE BAPTIST MEMORIAL HEALTH CARE SYSTEM HAS ESTABLISHED A MANAGEMENT ACCOUNTABILITY AND FINANCIAL INCENTIVE PLAN THAT ENCOURAGES MANAGEMENT PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY, FINANCIAL, GROWTH, AND HUMAN RESOURCE RELATED OPERATIONS OF THE ORGANIZATION. AN INCENTIVE BONUS IS PAID TO ALL MANAGEMENT BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE SATISFACTION; 3) PHYSICIAN SATISFACTION; 4) QUALITY AND SAFETY; 5) OPERATIONAL PERFORMANCE METRICS; AND 6) OPERATING INCOME MARGIN. PARTICIPANTS RECEIVE POINTS UNDER A PLAN SCORING SYSTEM FOR MEETING THEIR PREDETERMINED GOALS. THE POINTS ARE THEN ENTERED INTO THE PLAN FORMULA TO DETERMINE THE INCENTIVE COMPENSATION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: | ALL FORMS 1099 ARE PREPARED BY THE ACCOUNTS PAYABLE DEPARTMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., WHICH IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. ALL FORMS 1099 ARE ISSUED USING THE FEDERAL TAX IDENTIFICATION NUMBER OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. FORMS 1099 ARE NOT PROCESSED BY ENTITY, BUT BY VENDOR GROUP. MANY VENDORS PERFORM SERVICES FOR MULTIPLE BAPTIST MEMORIAL HEALTH CARE CORPORATION ENTITIES, SO ONLY ONE 1099 IS ISSUED PER VENDOR WITH THE TOTAL AMOUNT PAID FOR SERVICES. THIS NUMBER IS REPORTED ON BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FORM 990, PART V, LINE 1A. |
| FORM 990, PART V, LINE 2A: | THE PAYROLL FUNCTION IS CENTRALIZED AT THE CORPORATE PAYROLL DEPARTMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., WHICH IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. THE CORPORATE PAYROLL DEPARTMENT IS RESPONSIBLE FOR ALL SALARIES AND WAGES OF EMPLOYEES FOR THE ENTIRE BAPTIST MEMORIAL HEALTH CARE CORPORATION SYSTEM. FORMS W-2 AND W-3 ARE SUBMITTED ELECTRONICALLY TO THE INTERNAL REVENUE SERVICE USING BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FEDERAL TAX IDENTIFICATION NUMBER, ACCORDING TO THE GUIDELINES ASSOCIATED WITH COMMON PAYMASTER. HOWEVER, THE EMPLOYEE INFORMATION IS ALLOCATED TO ITS RESPECTIVE FACILITY FOR FINANCIAL REPORTING PURPOSES AND THEY ARE REPORTED TO THE STATE BY EACH FACILITY. THUS, THE AMOUNT REPORTED ON FORM 990, PART V, LINE 2A REFLECTS THE NUMBER OF EMPLOYEES AT THIS FACILITY WHO RECEIVED A W-2. THE TOTAL NUMBER OF FORMS W-2 FOR ALL BAPTIST MEMORIAL HEALTH CARE CORPORATION ENTITIES IS REPORTED ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION W-3. |
| FORM 990, PART VI, SECTION A, LINE 2 | ADAM WOODRUFF, MD, DIRECTOR/PHYSICIAN, AND STEPHEN WOODRUFF, MD, TREASURER/CMO/EX-OFFICIO, HAVE A FAMILY RELATIONSHIP. THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS OF A TAXABLE ENTITY WITHIN BAPTIST MEMORIAL HEALTH CARE CORPORATION: MARK E. SWANSON, MD GREGORY M. DUCKETT PAUL D. DEPRIEST, MD RANDY J. KING |
| FORM 990, PART VI, SECTION A, LINE 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. |
| FORM 990, PART VI, SECTION A, LINE 6 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. IS A NON-PROFIT, NON-STOCK CORPORATION WHOSE SOLE MEMBER IS NEA BAPTIST HEALTH SYSTEM, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | NEA BAPTIST HEALTH SYSTEM, INC., AS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., APPOINTS ITS BOARD OF DIRECTORS. BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., APPROVES THE ACTIONS OF NEA BAPTIST HEALTH SYSTEM, INC. IN EXERCISING ITS APPOINTMENTS. |
| FORM 990, PART VI, SECTION A, LINE 7B | NEA BAPTIST HEALTH SYSTEM, INC., AS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., APPROVES THE BOARD OF DIRECTORS' ACTIONS. BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., APPROVES THE ACTIONS OF NEA BAPTIST HEALTH SYSTEM, INC. IN EXERCISING ITS APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S EXECUTIVE VICE-PRESIDENT/CFO, THE ENTITY'S TOP FINANCIAL OFFICIAL, AND AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM PRIOR TO SUBMITTING THE FORM 990 TO THE IRS. THE FORM 990 WAS NOT REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE SUBMITTING IT TO THE IRS. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., THE SOLE MEMBER OF THE ORGANIZATION, HAS A FINANCE, AUDIT AND COMPLIANCE COMMITTEE THAT IS APPOINTED BY ITS BOARD OF DIRECTORS. THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE WILL REVIEW THE FORM 990 AFTER SUBMITTING IT TO THE IRS. THE COMMITTEE REPORTS THE COMPLETION OF THE REVIEW TO THE CORPORATE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., REQUIRES THAT ALL EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES, PERIODICALLY COMPLETE A CERTIFICATION AND ACKNOWLEDGEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION STANDARDS OF CONDUCT, WHICH INCORPORATES THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS DISCLOSE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH DECEMBER. IN THE EVENT THAT AN EMPLOYEE OR BOARD MEMBER BECOMES AWARE OF A POTENTIAL CONFLICT OF INTEREST, HE/SHE IS REQUIRED TO REPORT IT TO THEIR CHIEF EXECUTIVE OFFICER BEFORE TAKING ANY ACTION. IF HE/SHE IS THE CHIEF EXECUTIVE OFFICER, THEN HE/SHE IS TO REPORT TO THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE SIGNED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE SENIOR VICE PRESIDENT AND CORPORATE COUNSEL AND ARE MAINTAINED IN THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT. IF A CONFLICT OF INTEREST IS FOUND TO EXIST, IT WILL BE THE RESPONSIBILITY OF THE CHIEF EXECUTIVE OFFICER, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT TO RESOLVE THE ISSUE. |
| FORM 990, PART VI, SECTION B, LINE 15 | AS SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., BAPTIST MEMORIAL HEALTH CARE CORPORATION'S HUMAN RESOURCE DEPARTMENT, THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORM ANNUAL REVIEWS EACH DECEMBER AND APPROVE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. THEY USE COMPARABILITY DATA AND OTHER SOURCES AS NEEDED. THE CEO AND OTHER TOP MANAGEMENT USE THE SAME TYPE OF INFORMATION TO APPROVE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. ON DECEMBER 7, 2020, THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2021 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. |
| FORM 990, PART VI, SECTION C, LINE 18 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. MAKES COPIES OF ITS FORM 1023, FORM 990, AND FORM 990-T AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION C, LINE 19 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | PAUL D. DEPRIEST, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. RANDY J. KING - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. MARK E. SWANSON, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. |
| FORM 990, PART XII, LINE 2C: | BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF NEA BAPTIST HEALTH SYSTEM, INC., THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., HAS AN AUDIT COMMITTEE THAT CHOOSES THE AUDIT FIRM, OVERSEES AND REVIEWS THE AUDIT REPORTS, AND THEN FOLLOWS UP ON ANY NECESSARY CHANGES AND RECOMMENDATIONS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST BESTHEALTH INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 831651534 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 12 TYPE I | BAPTIST MEMORIAL HEALTH SERVICES INC | Yes (1) | |
| BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 452842963 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| BAPTIST CLINICAL RESEARCH INSTITUTE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 453032246 | FACILITATE MEDICAL & SCIENTIFIC RESEARCH | TN | 501(C)(3) | 4 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST HEALTH FOUNDATION INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 473403762 | SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIES | MS | 501(C)(3) | 12 TYPE I | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| BAPTIST MEDICAL CENTER - LEAKE INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 452896080 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| BAPTIST MEDICAL CENTER - YAZOO INC | |||||||||||
| 823 GRAND AVENUE | YAZOO CITY | MS | 39194 | 640844470 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC | |||||||||||
| 1003 MONROE AVE | MEMPHIS | TN | 38104 | 621599670 | EDUCATION OF HEALTH CARE PROFESSIONALS | TN | 501(C)(3) | 2 | BAPTIST MEMORIAL HOSPITAL | Yes (1) | |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 581521475 | MANAGEMENT, ADMINISTRATIVE & FINANCIAL SERVICES | TN | 501(C)(3) | 12 TYPE III-FI | 0 | N/A | |
| BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 581544781 | SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIES | TN | 501(C)(3) | 12 TYPE I | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HEALTH CARE SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 581456556 | CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TN | TN | 501(C)(3) | 12 TYPE I | 0 | N/A | |
| BAPTIST MEMORIAL HEALTH SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621509127 | PROVISIONS OF HEALTH CARE PROVIDERS & HOME MEDICAL EQUIPMENT/SERVICES | TN | 501(C)(3) | 12 TYPE I | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOME CARE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 581562973 | HOME HEALTH CARE & HOSPICE SERVICES | TN | 501(C)(3) | 10 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 620123940 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC | |||||||||||
| 100 HOSPITAL STREET | BOONEVILLE | MS | 38829 | 640663760 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-CALHOUN INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 813257997 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 823844150 | HEALTH CARE FACILITY/HOSPITAL | AR | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-DESOTO INC | |||||||||||
| 7601 SOUTHCREST PARKWAY | SOUTHAVEN | MS | 38671 | 640682111 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC | |||||||||||
| 2520 5TH STREET NORTH | COLUMBUS | MS | 39705 | 621519754 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC | |||||||||||
| 631 RB WILSON DRIVE | HUNTINGDON | TN | 38344 | 621166050 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 261214372 | HEALTH CARE FACILITY/HOSPITAL | AR | 501(C)(3) | 3 | NEA BAPTIST HEALTH SYSTEM INC | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | |||||||||||
| 1100 BELK BOULEVARD | OXFORD | MS | 38655 | 640772726 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-TIPTON INC | |||||||||||
| 1995 HIGHWAY 51 SOUTH | COVINGTON | TN | 38019 | 621113167 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-UNION CITY INC | |||||||||||
| 1201 BISHOP ST | UNION CITY | TN | 38261 | 621138045 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC | |||||||||||
| 200 HWY 30 W | NEW ALBANY | MS | 38652 | 630997281 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL MEDICAL GROUP INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 621545731 | PROVISION OF HEALTH CARE PROVIDERS FOR BAPTIST ENTITIES | TN | 501(C)(3) | 12 TYPE I | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 621407946 | BAPTIST EMPLOYEE HEALTH PLAN | TN | 501(C)(9) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | ||
| BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 581645396 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MINOR MEDICAL CENTERS INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 621538114 | NON-EMERGENCY CLINICS | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| BAPTIST NURSING HOME - CALHOUN INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 813655778 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 12 TYPE I | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST PATIENT SAFETY SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 453032372 | ESTABLISH, MAINTAIN & MANAGE A PATIENT SAFETY ORGANIZATION | TN | 501(C)(3) | 11 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BMG FAMILY PHYSICIANS GROUP FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 461953140 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| GASTROINTESTINAL SPECIALISTS FOUNDATION INC | |||||||||||
| 80 HUMPHREYS CENTER | MEMPHIS | TN | 38120 | 352461541 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| INTEGRITY ONCOLOGY FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 453303687 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| MEDICAL FINANCIAL SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 621112364 | COLLECTION AGENCY FOR BAPTIST ENTITIES | TN | 501(C)(3) | 12 TYPE II | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 753068151 | CLINICS | MS | 501(C)(3) | 3 | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| MEMPHIS LUNG PHYSICIANS FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 452832975 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640306253 | HOLDING COMPANY | MS | 501(C)(3) | 12 TYPE II | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| MISSISSIPPI BAPTIST MEDICAL CENTER INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640881013 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640833383 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 3 | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| MJMH IMPROVEMENT CORPORATION | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 800812322 | HOLDING COMPANY | MS | 501(C)(3) | 12 TYPE I | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| NEA BAPTIST HEALTH SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 271799652 | HEALTH CARE SERVICE PROVIDER | AR | 501(C)(3) | 12 TYPE II | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| THE BAPTIST HEALTHPLEX INC | |||||||||||
| 102 CLINTON PARKWAY | CLINTON | MS | 39056 | 640900902 | PROMOTION OF HEALTH & FITNESS | MS | 501(C)(3) | 10 | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| THE STERN CARDIOVASCULAR FOUNDATION INC | |||||||||||
| 8060 WOLF RIVER BLVD | GERMANTOWN | TN | 38138 | 274396698 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 3 | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| BAPTIST - DESOTO SURGERY CENTER LP | |||||||||
| 310 SEVEN SPRINGS WAY SUITE 500 | BRENTWOOD | TN | 37027 | 200804946 | AMBULATORY SURGERY | MS | N/A | 0 | Yes (1) |
| BAPTIST - EMSC LP | |||||||||
| 80 HUMPHREYS CENTER SUITE 101 | MEMPHIS | TN | 38120 | 621846584 | AMBULATORY SURGERY | TN | N/A | 0 | Yes (1) |
| BAPTIST - UT INSTITUTE FOR ACADEMIC EXCELLENCE LLC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 871722903 | MEDICAL MANAGEMENT | TN | N/A | 0 | Yes (1) |
| BAPTIST-GERMANTOWN SURGERY CENTER LLC | |||||||||
| 6077 PRIMACY PKWY SUITE 140 | MEMPHIS | TN | 38119 | 621829424 | AMBULATORY SURGERY | TN | N/A | 0 | Yes (1) |
| BAPTIST MEMORIAL REHABILITATION HOSPITAL GP | |||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 461613457 | REHABILITATION SERVICES | TN | N/A | 0 | Yes (1) |
| BMH NORTH MISSISSIPPI IMAGING SERVICES LLC | |||||||||
| 504 AZALEA DRIVE | OXFORD | MS | 38655 | 262641267 | DIAGNOSTIC SERVICES | MS | N/A | 0 | 0 |
| BAPTIST AND PHYSICIANS' OUTPATIENT SURGERY CENTER OF N MISSISSIPPI LP | |||||||||
| 310 SEVEN SPRINGS WAY SUITE 500 | BRENTWOOD | TN | 37027 | 640925692 | AMBULATORY SURGERY | MS | N/A | 0 | 0 |
| BAPTIST STERN CARDIOVASCULAR CO-MANAGEMENT LLC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 820605766 | MEDICAL MANAGEMENT | TN | N/A | 0 | 0 |
| BMHSIAEL MICROBIOLOGY LABORATORY GP | |||||||||
| 12357-A RIATA TRACE PARKWAY SUITE 2 | AUSTIN | TX | 78727 | 814211152 | LABORATORY SERVICES | TX | N/A | 0 | Yes (1) |
| BAPTIST - UCH INSTITUTE FOR PLASTIC AND RECONSTRUCTIVE SURGERY LLC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 821046465 | MEDICAL MANAGEMENT | TN | N/A | 0 | 0 |
| BRAIN AND SPINE NETWORK BAPTIST SEMMES-MURPHEY LLC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 475240436 | MEDICAL MANAGEMENT | TN | N/A | 0 | Yes (1) |
| DOWNTOWN FITNESS LLC | |||||||||
| 100 EAST CAPITOL STREET SUITE 107 | JACKSON | MS | 39201 | 611852202 | FITNESS CENTER | MS | N/A | 0 | 0 |
| EAST MEMPHIS UROLOGY CENTER LP | |||||||||
| 310 SEVEN SPRINGS WAY SUITE 500 | BRENTWOOD | TN | 37027 | 621810940 | AMBULATORY UROLOGICAL SERVICES | TN | N/A | 0 | Yes (1) |
| MADISON HEALTHPLEX PERFORMANCE TRAINING CENTER LLC | |||||||||
| 1600 N STATE STREET SUITE 400 | JACKSON | MS | 39202 | 461218603 | FITNESS CENTER | MS | N/A | 0 | Yes (1) |
| MAIN STREET FAMILY MEDICAL LLC | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 452778113 | MEDICAL SERVICES | MS | N/A | 0 | Yes (1) |
| MAYS & SCHNAPP PAIN CLINIC | |||||||||
| 55 HUMPHREYS CENTER DRIVE SUITE 200 | MEMPHIS | TN | 38120 | 621512849 | PAIN MANAGEMENT SERVICES | TN | N/A | 0 | Yes (1) |
| MEDICAL ALTERNATIVES | |||||||||
| 6949 APPLING FARMS PKWY STE 109 | MEMPHIS | TN | 38133 | 621488427 | PROVIDE HOME INFUSION PRODUCTS AND SERVICES TO PATIENTS | TN | N/A | 0 | Yes (1) |
| MID-SOUTH IMAGING CENTER LLC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 872098257 | DIAGNOSTIC SERVICES | MS | N/A | 0 | Yes (1) |
| WEST TENNESSEE IMAGING LLC | |||||||||
| 840 CRESCENT CENTRE DR SUITE 200 | FRANKLIN | TN | 37067 | 901022012 | MEDICAL SERVICES | TN | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BAPTIST HEALTH SERVICES GROUP OF THE MID-SOUTH INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 621534210 | HEALTH INSURANCE CONTRACTING | TN | N/A | C | Yes (1) |
| GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 201158216 | BOOKKEEPING & DATA PROCESSING GERMANTOWN BUS. PARK | TN | N/A | C | Yes (1) |
| HEALTH TECH AFFILIATES INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621278576 | BUYING & LEASING REAL & PERSONAL PROPERTY | TN | N/A | C | Yes (1) |
| MISSISSIPPI BAPTIST MEDICAL ENTERPRISES INC AND SUBS | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640776164 | INVESTMENTS | MS | N/A | C | Yes (1) |
| SOUTHCREST PROPERTY OWNERS ASSOCIATION INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 38120 | 640768703 | BOOKKEEPING & DATA PROCESSING FOR THE SOUTHCREST DEVELOPMENT | MS | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC | ||
| C | $451,411 | CASH |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| E | $35,929,484 | CASH |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | ||
| J | $50,027 | CASH |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | ||
| K | $2,920,368 | CASH |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | ||
| L | $11,622,313 | CASH |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| M | $4,904,700 | CASH |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | ||
| P | $547,798 | CASH |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | ||
| Q | $287,088 | CASH |
| BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST | ||
| R | $7,374,086 | CASH |
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