2022-08-14T15:30:32-05:00 2021-09-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2020-10-01 621545731 BAPTIST MEMORIAL MEDICAL GROUP INC BAPT 9012273627 350 N HUMPHREYS BLVD MEMPHIS TN 38120 JASON M LITTLE PRESIDENT 9012273627 2022-08-13 1 JASON LITTLE 999009999 SHAWNA M JANSONS P01222873 3174648600 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARK E SWANSON MD 350 N HUMPHREYS BLVD MEMPHIS TN 38120 232173526 0 X WWW.BAPTISTONLINE.ORG/BMG X 1997 TN BAPTIST MEMORIAL MEDICAL GROUP, INC. IS A PROVIDER OF AMBULATORY HOSPITAL SERVICES IN SUPPORT OF ITS MISSION OF PROVIDING HEALTH CARE TO THE COMMUNITY. BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES DIRECT PRIMARY CARE MEDICAL SERVICES THROUGH ITS EMPLOYED MEDICAL PROVIDERS. BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES SUCH SERVICES TO THE COMMUNITY AT LARGE. 19 0 1939 0 108478 15816 2387083 17638225 185503922 214320738 -665703 43188 476481 150206 187701783 232152357 11538 15752 0 0 166034400 192076225 0 0 0 50273859 56280487 216319797 248372464 -28618014 -16220107 284159124 349980187 571567946 653735885 -287408822 -303755698 X BAPTIST MEMORIAL MEDICAL GROUP, INC. IS A PROVIDER OF AMBULATORY HOSPITAL SERVICES IN SUPPORT OF ITS MISSION OF PROVIDING HEALTH CARE TO THE COMMUNITY. BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES DIRECT PRIMARY CARE MEDICAL SERVICES THROUGH ITS EMPLOYED MEDICAL PROVIDERS. BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES SUCH SERVICES TO THE COMMUNITY AT LARGE. 0 0 201593706 15752 214470944 BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES AMBULATORY SERVICES IN SUPPORT OF ITS MISSION OF PROVIDING HEALTH CARE TO THE COMMUNITY. BAPTIST MEMORIAL MEDICAL GROUP, INC. OFFERS MEDICAL CARE THAT REFLECTS THE THREE-FOLD MINISTRY OF CHRIST-PREACHING, TEACHING AND HEALING, AND IS COMMITTED TO PROVIDING QUALITY CARE TO THE COMMUNITIES IT SERVES. BAPTIST MEMORIAL MEDICAL GROUP, INC. OFFERS MEDICAL CARE TO PERSONS LIVING IN AREAS OF ARKANSAS, TENNESSEE, AND MISSISSIPPI, WHO ARE CURRENTLY UNDERSERVED BY THE MOST BASIC OF HEALTH CARE SERVICES. BAPTIST MEMORIAL MEDICAL GROUP, INC. USES ITS SERVICES AS A MEANS OF PROVIDING QUALITY HEALTH CARE TO EVERYONE IN THE COMMUNITY. THE PATIENT-FOCUSED HEALTH CARE IS DELIVERED IN A FRIENDLY, COMPASSIONATE, AND RESPONSIVE MANNER AS REFLECTED IN THE "SERVICE FIRST" PHILOSOPHY OF THE ENTIRE BAPTIST MEMORIAL HEALTH CARE SYSTEM: RESPECT FOR THE INDIVIDUAL AND THE VALUE OF DIVERSITY, TRUST AND TEAMWORK, AND CONTINUOUS IMPROVEMENT. THE RESOURCES OF BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC., AND ITS AFFILIATES ARE AVAILABLE TO IDENTIFY AND PLACE PRIMARY CARE PRACTITIONERS AND SPECIALISTS IN AREAS WHERE THEY ARE MOST NEEDED.IN ADDITION, BAPTIST MEMORIAL MEDICAL GROUP, INC. RECRUITS AND SUPPORTS PHYSICIANS MOVING TO RURAL, UNDERSERVED AREAS IN ARKANSAS, TENNESSEE, AND MISSISSIPPI. FINANCIAL SUPPORT IS NECESSARY TO AID PHYSICIANS BEGINNING THEIR PRACTICE IN UNDERSERVED AREAS. THE PRESENCE OF THESE PHYSICIANS IN THE AREA MAKES IT POSSIBLE FOR RESIDENTS TO AVOID TRAVEL TO NEIGHBORING COMMUNITIES TO RECEIVE BASIC HEALTH CARE SERVICES. BAPTIST MEMORIAL MEDICAL GROUP, INC. IS A MULTISPECIALTY PHYSICIAN GROUP WITH MORE THAN 500 PHYSICIANS REPRESENTING OVER 40 SPECIALITIES INCLUDING PEDIATRICS, FAMILY PRACTICE, ONCOLOGY, WOMEN'S HEALTH, NEUROLOGY, GASTROENTEROLOGY, CARDIOLOGY, AND ORTHOPAEDIC SURGERY, TO NAME A FEW. BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH WE MAY RECEIVE PAYMENT AT LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE, TENNCARE, AND UNINSURED PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, BAPTIST MEMORIAL MEDICAL GROUP, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. CHARITY CARE IS PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH BAPTIST MEMORIAL MEDICAL GROUP, INC. BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THROUGH ITS AFFILIATION WITH BAPTIST MEMORIAL HEALTH CARE CORPORATION AND ITS AFFILIATED BAPTIST MEMORIAL HOSPITALS IN ARKANSAS, TENNESSEE, AND MISSISSIPPI, BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES THE FOLLOWING PROGRAMS AND SERVICES FOR THE COMMUNITY:- COMMUNITY HEALTH FAIRS- PHYSICAL EXAMS FOR STUDENTS ACTIVE IN COMPETITIVE SPORTS- TENNESSEE NURSING ASSOCIATION MEETINGS- PROVISION OF STAFF NURSES TO HELP WITH SENIOR CITIZENS' HEALTH FAIR- EMPLOYEE ACTIVITIES TO RAISE MONEY FOR JUNIOR ACHIEVEMENT, UNITED WAY, AMERICAN HEART ASSOCIATION, AND MARCH OF DIMES- REDUCED PRICE FLU SHOTS FOR VARIOUS LOCAL COMPANIES- PROVISION OF PHYSICIANS FOR SPEAKING ENGAGEMENTS ON TOPICAL HEALTH ISSUES TO THE COMMUNITY 201593706 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 X 0 0 1939 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 X ANDREW D JETER 9012273627 1717 W MASSEY RD MEMPHIS TN 38120 JASON M LITTLE DIRECTOR 0.23 39.77 X 0 2822983 93945 PAUL D DEPRIEST MD DIRECTOR 0.23 39.77 X 0 1820358 85705 WILLIAM A GRIFFIN DIRECTOR 0.23 39.77 X 0 1282673 63926 MARK E SWANSON MD PRESIDENT/CEO/DIRECTOR 19.55 20.45 X X 0 1219017 25044 BRADLEY A WOLF MD PHYSICIAN/DIRECTOR 40.00 0.00 X 1131377 0 68640 ALEKSANDAR JANKOV MD DIRECTOR 39.35 0.65 X 1028505 17404 85848 JAMES L WARNOCK MD PHYSICIAN/DIRECTOR 0.23 39.77 X 0 883952 72615 TODD M HENDERSON MD DIRECTOR 0.23 39.77 X 0 765357 67887 ELIZABETH LUND MD PHYSICIAN/DIRECTOR (AS OF 01/21) 40.00 0.00 X 692530 0 48423 STEPHEN WOODRUFF MD DIRECTOR 0.23 39.77 X 0 517857 52595 TIMOTHY CHEN MD DIRECTOR 0.23 39.77 X 0 509545 34748 HARVEY MASON MD PHYSICIAN/DIRECTOR (THRU 12/20) 0.23 39.77 X 415366 0 73343 CARY FINN MD PHYSICIAN/CHAIRMAN 38.85 1.15 X 410122 0 64954 GREGORY JENKINS MD PHYSICIAN/DIRECTOR 40.00 0.00 X 295667 0 70873 CHARLES WOODALL MD DIRECTOR 0.23 39.77 X 0 365838 0 WILLIAM LIGHT MD PHYSICIAN/DIRECTOR 40.00 0.00 X 254134 0 74460 FREDDIE L EVERSON MD PHYSICIAN/DIRECTOR 40.00 0.00 X 218756 0 72987 ALAN J COHEN MD PHYSICIAN/DIRECTOR 40.00 0.00 X 237868 0 31712 KIM SLATE DNP NP/DIRECTOR 40.00 0.00 X 145694 0 41476 JANET D GEIGER MD PHYSICIAN/DIRECTOR 40.00 0.00 X 113175 0 33547 GREGORY M DUCKETT SECRETARY 0.23 39.77 X 0 1370691 78242 ROBERT A VEST COO 40.00 0.00 X 273483 0 58272 ANDREW JETER CFO 34.92 5.08 X 186325 0 37433 WARREN G ROGERS EXEC. DIR. TRANSITION OPS. 40.00 0.00 X 179491 0 46542 JOSEPH SANTOSO MD PHYSICIAN 40.00 0.00 X 2276805 0 58728 JULIUS KATO MD PHYSICIAN 40.00 0.00 X 1187584 0 55221 DREW DILL MD PHYSICIAN 40.00 0.00 X 1108872 0 60809 JOHN M CRAIG MD PHYSICIAN 40.00 0.00 X 1055035 0 61040 MUHAMMAD RAZA MD PHYSICIAN 40.00 0.00 X 1027984 0 80366 KIMBERLY O YOUNG FORMER CFO 0.00 40.00 X 8887 365747 33166 12247660 11941422 1732547 297 1 1 0 LIFELINC ANESTHESIA 3340 PLAYERS CLUB PKWY 350 MEMPHIS TN 38125 ANESTHESIA SERVICES 2766334 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 PHYSICIAN SERVICES 2184405 UT MEDICAL GROUP INC 1407 UNION AVENUE 700 MEMPHIS TN 38104 PHYSICIAN SERVICES 2128460 TEAM HEALTH INC PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 1891039 RICU PO BOX 212773 ROYAL PALM BEACH FL 33421 PHYSICIAN SERVICES 1218078 19 633678 17004547 17638225 PATIENT SERVICE REV. 621110 113530693 113422215 108478 REIMB. FROM AFFILIATES 900099 100698641 100698641 RENT FROM AFFILIATES 900099 91404 91404 214320738 1129 1129 63228 21169 42059 42059 42059 EQUITY IN INVESTMENTS 900099 144330 144330 NON-OPERATING REVENUE 900099 5876 5876 150206 232152357 214362466 108478 43188 15752 15752 6216862 4973490 1243372 159427693 127542154 31885539 3365080 2692064 673016 14986602 11989282 2997320 8079988 6463990 1615998 27996 27996 18089557 16280601 1808956 191297 153038 38259 3441625 2753300 688325 9510703 7608562 1902141 213900 85560 128340 375096 150038 225058 28806 23045 5761 1573828 1259062 314766 2078867 1663094 415773 CORPORATE MGMT FEE 8017669 6414135 1603534 MEDICAL SUPPLIES 8014435 8014435 0 REPAIRS AND MAINTENANCE 2617752 2094201 523551 TAXES AND LICENSES 1067935 854348 213587 1031021 563555 467466 248372464 201593706 46778758 0 13880 14675 1397507 2173993 240950301 286142335 1743484 1929381 37452869 17849706 18508321 19603163 912122 930812 2186178 2186178 18447331 36999650 284159124 349980187 27376726 30049630 9995886 4899649 534195334 618786606 571567946 653735885 X -287408822 -303755698 -287408822 -303755698 284159124 349980187 -16220107 -126769 0 X X 0 1 X 1 0 X X 12 BAPTIST MEMORIAL HOSPITAL 620123940 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC 640772726 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-TIPTON INC 621113167 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC 640663760 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-UNION CITY INC 621138045 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC 621166050 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC 630997281 3 0 0 0 BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC 581645396 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-DESOTO INC 640682111 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC 621519754 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-CALHOUN INC 813257997 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-CRITTENDEN INC 823844150 3 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART IV, SECTION A, LINE 1: BAPTIST MEMORIAL MEDICAL GROUP, INC.'S SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. THE SUPPORTED ORGANIZATIONS ARE AFFILIATES LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2). SCHEDULE A, PART IV, SECTION A, LINE 6: BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES LIMITED SUPPORT TO PUBLIC CHARITIES ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. SUPPORT IS GIVEN TO PUBLIC CHARITIES THAT FURTHER THE PURPOSES OF THE BAPTIST HEALTH CARE SYSTEM, SUCH AS CANCER RESEARCH, SERVICES TO THE HOMELESS, MEDICAL EDUCATION, SERVICES PROVIDED TO THE NEEDY, WOMEN AND CHILDREN'S SERVICES, THE ELDERLY, AND HOME CARE AND HOSPICE. FUNDS ARE COLLECTED BY BAPTIST MEMORIAL MEDICAL GROUP, INC. FOR ALL OF ITS RELATED ENTITIES AND THEN INVESTED AND DISPERSED AS DIRECTED BY THE SUPPORTED ORGANIZATIONS. PLEASE SEE SCHEDULE I, PART II FOR DONATIONS TO PUBLIC CHARITIES THAT FURTHER THE MISSION OF THE SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6766978 6766978 11311598 4315451 6996147 7049556 3573025 3476531 11458291 9230807 2227484 866446 730423 136023 19603163 RIGHT-OF-USE ASSET - OPERATING 36714761 CONSTRUCTION IN PROCESS 284889 36999650 RIGHT-OF-USE LIABILITY - LONG-TERM 31002107 DUE TO AFFILIATES 587298931 CAPITAL LEASE OBLIGATION 485568 618786606 X PART X, LINE 2: FROM THE COMBINED AUDITED FINANCIAL STATEMENTS OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND AFFILIATES: AS OF SEPTEMBER 30, 2021, 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 2017 (FISCAL YEAR ENDED SEPTEMBER 30, 2018). 1 TENNESSEE MEDICAL FOUNDATION INC 5141 VIRGINIA WAY BRENTWOOD TN 37027 620541813 501(C)(3) 10000 GENERAL DONATION 1 0 PART I, LINE 2: 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/. 0 1 0 0 0 0 0 1 0 JASON M LITTLE DIRECTOR 0 1138291 0 1177659 0 507033 0 60375 0 33570 0 2916928 0 0 JOSEPH SANTOSO MD PHYSICIAN 2276542 0 0 0 263 0 52625 0 6103 0 2335533 0 0 0 PAUL D DEPRIEST MD DIRECTOR 0 776406 0 713191 0 330761 0 56188 0 29517 0 1906063 0 0 GREGORY M DUCKETT SECRETARY 0 478787 0 397634 0 494270 0 47044 0 31198 0 1448933 0 0 WILLIAM A GRIFFIN DIRECTOR 0 533219 0 488394 0 261060 0 47375 0 16551 0 1346599 0 0 MARK E SWANSON MD PRESIDENT/CEO/DIRECTOR 0 609755 0 481880 0 127382 0 0 0 25044 0 1244061 0 0 JULIUS KATO MD PHYSICIAN 1169819 0 0 0 17765 0 30667 0 24554 0 1242805 0 0 0 BRADLEY A WOLF MD PHYSICIAN/DIRECTOR 1130686 0 0 0 691 0 58895 0 9745 0 1200017 0 0 0 DREW DILL MD PHYSICIAN 1095460 0 13337 0 75 0 33750 0 27059 0 1169681 0 0 0 ALEKSANDAR JANKOV MD DIRECTOR 1017433 17404 10770 0 302 0 58558 0 27290 0 1114353 17404 0 0 JOHN M CRAIG MD PHYSICIAN 1049012 0 5943 0 80 0 33750 0 27290 0 1116075 0 0 0 MUHAMMAD RAZA MD PHYSICIAN 1012814 0 14840 0 330 0 53250 0 27116 0 1108350 0 0 0 JAMES L WARNOCK MD PHYSICIAN/DIRECTOR 0 524539 0 278691 0 80722 0 45500 0 27115 0 956567 0 0 TODD M HENDERSON MD DIRECTOR 0 752192 0 12750 0 415 0 33373 0 34514 0 833244 0 0 ELIZABETH LUND MD PHYSICIAN/DIRECTOR (AS OF 01/21) 688378 0 4000 0 152 0 40250 0 8173 0 740953 0 0 0 STEPHEN WOODRUFF MD DIRECTOR 0 384929 0 32667 0 100261 0 34550 0 18045 0 570452 0 0 TIMOTHY CHEN MD DIRECTOR 0 112549 0 363584 0 33412 0 7341 0 27407 0 544293 0 0 HARVEY MASON MD PHYSICIAN/DIRECTOR (THRU 12/20) 397256 0 10447 0 7663 0 40250 0 33093 0 488709 0 0 0 CARY FINN MD PHYSICIAN/CHAIRMAN 398194 0 0 0 11928 0 34027 0 30927 0 475076 0 0 0 KIMBERLY O YOUNG FORMER CFO 8877 254174 0 51012 10 60561 940 26851 154 5221 9981 397819 0 0 GREGORY JENKINS MD PHYSICIAN/DIRECTOR 286319 0 8957 0 391 0 59421 0 11452 0 366540 0 0 0 CHARLES WOODALL MD DIRECTOR 0 294525 0 71313 0 0 0 0 0 0 0 365838 0 0 ROBERT A VEST COO 242039 0 31245 0 199 0 31152 0 27120 0 331755 0 0 0 WILLIAM LIGHT MD PHYSICIAN/DIRECTOR 242673 0 10474 0 987 0 59060 0 15400 0 328594 0 0 0 FREDDIE L EVERSON MD PHYSICIAN/DIRECTOR 208550 0 9419 0 787 0 55209 0 17778 0 291743 0 0 0 ALAN J COHEN MD PHYSICIAN/DIRECTOR 234207 0 2874 0 787 0 20231 0 11481 0 269580 0 0 0 WARREN G ROGERS EXEC. DIR. TRANSITION OPS. 158182 0 20581 0 728 0 21138 0 25404 0 226033 0 0 0 ANDREW JETER CFO 166928 0 18639 0 758 0 17673 0 19760 0 223758 0 0 0 KIM SLATE DNP NP/DIRECTOR 145339 0 0 0 355 0 16079 0 25397 0 187170 0 0 0 PART I, LINE 3: BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF BAPTIST MEMORIAL MEDICAL GROUP, 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: PAUL D. DEPRIEST, MD - $264,571 GREGORY M. DUCKETT - $364,550 JAMES L. WARNOCK, MD - $18,984 WILLIAM A. GRIFFIN - $181,727 JASON M. LITTLE - $365,343 TIMOTHY CHEN, MD - $15,677 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. 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 BAPTIST MEMORIAL MEDICAL GROUP, 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 BAPTIST MEMORIAL MEDICAL GROUP, 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 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: GREGORY JENKINS, MD GREGORY M. DUCKETT JASON M. LITTLE MARK E. SWANSON, MD PAUL D. DEPRIEST, MD WILLIAM A. GRIFFIN FORM 990, PART VI, SECTION A, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC., PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 BAPTIST MEMORIAL MEDICAL GROUP, INC. IS A NON-PROFIT, NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC., APPOINTS ITS BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC., APPROVES THE BOARD OF DIRECTORS' ACTIONS. 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 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, THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, 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 BAPTIST MEMORIAL MEDICAL GROUP, 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 9, 2019, THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2020 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. FORM 990, PART VI, SECTION C, LINE 18 BAPTIST MEMORIAL MEDICAL GROUP, 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 BAPTIST MEMORIAL MEDICAL GROUP, 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 BRADLEY A. WOLF, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. ALEKSANDAR JANKOV, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. JAMES L. WARNOCK, MD - 1225 NORTH STATE STREET, JACKSON, MS 39202. ELIZABETH LUND, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. STEPHEN WOODRUFF, MD - 4802 EAST JOHNSON AVENUE, JONESBORO, AR 72401. TIMOTHY CHEN, MD - 1225 NORTH STATE STREET, JACKSON, MS 39202. HARVEY MASON, MD - 7601 SOUTHCREST PARKWAY, SOUTHAVEN, MS 38671. CARY FINN, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. GREGORY JENKINS, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. ROBERT A. VEST - 1717 W. MASSEY RD., MEMPHIS, TN 38120. WILLIAM LIGHT, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. FREDDIE L. EVERSON, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. ALAN J. COHEN, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. WARREN G. ROGERS - 1717 W. MASSEY RD., MEMPHIS, TN 38120. ANDREW JETER - 1717 W. MASSEY RD., MEMPHIS, TN 38120. KIM SLATE, DNP - 1717 W. MASSEY RD., MEMPHIS, TN 38120. JANET D. GEIGER, MD - 1717 W. MASSEY RD., MEMPHIS, TN 38120. FORM 990, PART XII, LINE 2C: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, 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. 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