2017-08-11T12:55:23-05:00 2016-09-30 990 2015-10-01 581562973 BAPTIST MEMORIAL HOME CARE INC BAPT 9017676767 350 N HUMPHREYS BLVD MEMPHIS TN 38120 JASON M LITTLE PRESIDENT 9017676767 2017-08-11 2015 2021-01-29 14:40:06Z JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 23945013 0 X WWW.BAPTISTONLINE.ORG/SERVICES/HOMECARE X 1984 TN BAPTIST MEMORIAL HOME CARE, INC. PROVIDES QUALITY MEDICAL HOMECARE (See Schedule O, Pg 41)AND HOSPICE SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. 4 0 374 150 0 0 1474403 1501770 23212706 21847501 46 279 2948 595463 24690103 23945013 19772 28765 0 0 19952687 19848303 0 0 0 7356521 7010091 27328980 26887159 -2638877 -2942146 22065807 21098887 31129962 33105188 -9064155 -12006301 X BAPTIST MEMORIAL HOME CARE, INC. PROVIDES QUALITY MEDICAL HOMECARE AND HOSPICE SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. 0 0 23148558 28765 22442964 BAPTIST MEMORIAL HOME CARE, INC. PROVIDES QUALITY MEDICAL HOMECARE AND HOSPICE SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF BAPTIST MEMORIAL HOME CARE, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT THE MISSION OF BAPTIST MEMORIAL HOME CARE IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. (SEE SCHEDULE O, pg 41 FOR CONTINUATION)THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEMORIAL HOME CARE PROVIDES THE FOLLOWING: --FREE CARE AND/OR SUBSIDIZED CARE WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY CO-EXIST,--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 UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.DURING THE YEAR ENDING SEPTEMBER 30, 2016, BAPTIST MEMORIAL HEALTH CARE'S PROGRAM SERVICES PRODUCED THE FOLLOWING RESULTS: --HOSPICE CARE HAD 46,292 PATIENT DAYS AT A COST OF $10,445,062.--PHYSICAL THERAPY HAD 33,649 PATIENT VISITS AT A COST OF $3,369,475. --SKILLED NURSING HAD 27,544 PATIENT VISITS AT A COST OF $2,738,632--HOME HEALTH AIDE HAD 4,802 PATIENT VISITS AT A COST OF $184,022.BAPTIST MEMORIAL HOME CARE PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH THE ENTITY RECEIVES AT LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, BAPTIST MEMORIAL HOME CARE RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING SEPTEMBER 30, 2016, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $652,176.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT BAPTIST MEMORIAL HOME CARE BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.BAPTIST TRINITY HOSPICE, A DIVISION OF BAPTIST MEMORIAL HOME CARE PROVIDES MUCH NEEDED HELP AND SUPPORT FOR PATIENTS AND THEIR FAMILIES BY OFFERING COMPANIONSHIP AND A LISTENING EAR. VOLUNTEERS MAY ALSO PROVIDE HELP BY ANSWERING PHONES, COORDINATING SERVICES AND SPEAKING TO GROUPS ABOUT THE HOSPICE PROGRAM.THE BAPTIST TRINITY HOSPICE BEREAVEMENT PROGRAM CREATED THE MID-SOUTH'S FIRST CHILDREN'S BEREAVEMENT CAMP--CAMP GOOD GRIEF. THE GOAL OF THE FREE CAMP IS TO GIVE AREA CHILDREN AN ENJOYABLE, ACCEPTING AND SUPPORTIVE ENVIRONMENT IN WHICH THEY CAN FREELY EXPRESS THEIR FEELINGS ABOUT THE LOSS OF A LOVED ONE.ANY CHILD BETWEEN THE AGES OF 7 AND 12 WHO HAS EXPERIENCED A LOSS IN THE LAST TWO YEARS IS ELIGIBLE FOR THE CAMP. UNDER THE GUIDANCE OF PROFESSIONAL BEREAVEMENT STAFF, CAMPERS HAVE THE OPPORTUNITY TO MEET WITH OTHER CHILDREN WHO HAVE EXPERIENCED SIMILAR LOSSES, AND TO ENGAGE IN ACTIVITIES INVOLVING ART, MUSIC, MOVEMENT AND RECREATION THROUGH WHICH THEY EXPLORE THEIR GRIEF. THERE ARE ALSO DAILY SESSIONS IN WHICH STAFF MEET TO GIVE CAMPERS A CHANCE TO COMMUNICATE CONCERNS AND RESOLVE FEELINGS ABOUT THEIR EXPERIENCES. TEEN CAMP GOOD GRIEF HAS BEEN A GREAT SUCCESS AS WELL. CAMP GOOD GRIEF IS OPEN TO TEENS BETWEEN THE AGES OF 13 AND 16. TEENS NEED SERVICES THAT ARE DIRECTED TOWARD THEM AND MEET THEM WHERE THEY ARE DEVELOPMENTALLY. THE GOAL OF TEEN CAMP GOOD GRIEF IS TO HELP THEM EXPLORE AND EXPRESS THEIR GRIEF AND LEARN TO LIVE IN THE WORLD WITHOUT THAT SPECIAL PERSON. AN ANNUAL ADULT GRIEF CAMP HAS ALSO BEEN ADDED. THE CENTER FOR GOOD GRIEF IS THE FIRST BEREAVEMENT CENTER FOR ALL AGES IN THE AVAILABLE IN THE MIDSOUTH. ALL SERVICES ARE FREE OF CHARGE. BAPTIST MEMORIAL HOME CARE PROVIDED A NUMBER OF SERVICES AND PROGRAMS FOR THE COMMUNITY SUCH AS:--HEALTH FAIRS AND EDUCATIONAL PROGRAMS --BLOOD PRESSURE CHECKS CONDUCTED THROUGHOUT THE COMMUNITY.--HEALTH EDUCATION PRESENTATIONS AT VARIOUS LOCATIONS--HOSPICE PROGRAMS SUCH AS THE FOLLOWING:----GRIEF SUPPORT SESSIONS----MEMORIAL SERVICES 2 TIMES PER YEAR----HOLIDAY GRIEF WORKSHOPS----VOLUNTEER TRAINING PROGRAMS----BEREAVEMENT TELECONFERENCES----COMMUNITY BEREAVEMENT SESSIONSBAPTIST MEMORIAL HOME CARE ALSO MADE NUMEROUS DONATIONS OF MONEY AND TIME TO SUCH COMMUNITY ORGANIZATIONS AS THE SHRINE SCHOOL AND BAPTIST MEMORIAL HEALTH CARE FOUNDATION. 23148558 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 X 0 0 1 374 1 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X FRANK FEIZKHAH 9017676767 6019 WALNUT GROVE RD MEMPHIS TN 38120 GREGORY M DUCKETT SECRETARY 0.10 39.90 X X 0 635401 59461 PAUL D DEPRIEST MD V.P./DIRECTOR 0.10 39.90 X X 0 899879 55805 JASON M LITTLE PRESIDENT/DIR. 0.10 39.90 X X 0 1245920 55034 DONALD R POUNDS DIRECTOR (THRU 12/15) 0.10 39.90 X 0 1108342 79644 WILLIAM A GRIFFIN DIRECTOR (AS OF 1/16) 0.10 39.90 X 0 435857 54076 WANDA MILLER ADMINISTRATOR 30.00 10.00 X 57234 141896 42199 FRANK FEIZKHAH CFO 30.00 10.00 X 159259 0 58385 BRAD BUSCHLEN PHYS. THERAPIST 40.00 0.00 X 166581 0 44587 RODGER D ROBINSON ASST. ADM. 40.00 0.00 X 147922 0 44433 BRADLEY J COOK PHYS. THERAPIST 40.00 0.00 X 123191 0 30617 JODIE J ORR PHYS. THERAPIST 40.00 0.00 X 115124 0 33466 EDGAR Q GIPANAGO PHYS. THERAPIST 40.00 0.00 X 116146 0 29418 885457 4467295 587125 14 0 1 0 DELTA HEALTH TECH LLC 400 LAKEMONT PARK BLVD ALTOONA PA 16602 SUPPORT AGREEMENT 324664 SHIFTWISE PO BOX 70870 ST PAUL MN 551709705 TEMP AGENCY 203830 2 1501770 1501770 PATIENT SERVICE REVENUE 900099 21847501 21847501 21847501 279 279 MANAGEMENT FEE REVENUE 900099 595380 595380 NON-OPERATING REVENUE 900099 83 83 595463 23945013 22442964 0 279 28765 28765 479718 407760 71958 15478768 13156953 2321815 459778 390811 68967 2326166 1977241 348925 1103873 938292 165581 4111 4111 2237409 2125539 111870 10295 9266 1029 560402 532382 28020 223445 189928 33517 470830 188332 282498 31445 12578 18867 31442 26726 4716 580831 493706 87125 96415 81953 14462 MEDICAL SUPPLIES 1175851 1175851 0 MANAGEMENT FEES 928356 881938 46418 REPAIR & MAINTENANCE 439878 373896 65982 AUTO EXP 111705 94948 16757 107676 61693 45983 26887159 23148558 3738601 0 10947 450 1343831 1040275 4132 4132 8010858 7951430 34229 24930 16077042 4013345 12653479 12063697 8331 13973 22065807 21098887 2399398 1784239 888493 864445 27842071 30456504 31129962 33105188 X -9064155 -12006301 -9064155 -12006301 22065807 21098887 -2942146 0 X X 0 1 X 1 0 X 1525875 1546199 1684945 1474403 1501770 7733192 22060777 22191471 23033038 23212706 22443997 112941989 23586652 23737670 24717983 24687109 23945767 120675181 0 0 0 120675181 279 71 1833 46 279 2508 279 71 1833 46 279 2508 23586931 23737741 24719816 24687155 23946046 120677689 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4111 4111 0 Part II-B, Line 1: BAPTIST MEMORIAL HOME CARE PAID MEMBERSHIP DUES TO THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE OF WHICH 15% IS RELATED TO LOBBYING EXPENSE. MEMBERSHIP DUES ARE PAID TO THE TENNESSEE ASSOCIATION FOR HOME CARE OF WHICH APPROXIMATELY 20% IS RELATED TO LOBBYING EXPENSE. MEMBERSHIP DUES WERE PAID TO THE TENNESSEE HOSPICE AND PALLATIVE CARE ASSOCIATION AS WELL AS THE NATIONAL HOSPICE AND PALLIATIVE CARE ASSOCIATION OF WHICH APPROXIMATELY 4.82% IS RELATED TO LOBBYING EXPENSE. MEMBERSHIP DUES WERE ALSO PAID TO THE LOUISIANA MISSISSIPPI HOSPICE AND PALLATIVE CARE ASSOCIATION OF WHICH 2% IS RELATED TO LOBBYING EXPENSE. IN ADDITION, THE PARENT, BAPTIST MEMORIAL HEALTH CARE CORPORATION, PAYS CONSULTANTS WHO MONITOR AND ADVISE THE ORGANIZATION ON LEGISLATIVE AND REGULATORY MATTERS THAT MAY AFFECT THE ORGANIZATION AND ITS AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSTIONS WITH THE LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE AND FEDERAL LEVELS. 1494122 1494122 11796769 2443343 9353426 19530 19530 0 1870365 1197060 673305 896256 353412 542844 12063697 DUE TO AFFILIATES 30456504 30456504 X Part X, Line 2: FROM THE COMBINED AUDITED FINANCIAL STATEMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND SUBSIDIARIES: AS OF SEPTEMBER 30, 2016 AND 2015, BAPTIST MEMORIAL HEALTH CARE CORPORATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT BAPTIST MEMORIAL HEALTH CARE CORPORATION WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, BAPTIST MEMORIAL HEALTH CARE CORPORATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2012 (FISCAL YEAR ENDED SEPTEMBER 30, 2013). 1 CAMP GOOD GRIEF 60 8310 ADULT CAMP GOOD GRIEF 60 20455 Part I, Line 2: ALL ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF TAX EXEMPT STATUS THAT IS VERIFIED BY THE IRS 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 IRS 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 COORDINATOR, CASH SPONSORSHIPS MAY BE APPROVED BY THE SYSTEM DIRECTOR OF COMMUNICATIONS, ANYTHING OVER $10,000 MAY BE APPROVED BY THE BAPTIST MEMORIAL HEALTH CARE FOUNDATION SENIOR V.P., AND ANYTHING OVER $50,000 NEEDS APPROVAL BY THE CORPORATE PRESIDENT/CEO. FOR MORE INFORMATION ABOUT BAPTIST CHARITABLE GIVING GUIDELINES, PLEASE VISIT https://www.bmhgiving.org/ 0 1 0 0 0 0 0 1 0 GREGORY M DUCKETT SECRETARY 0 406753 0 152260 0 76388 0 33125 0 26336 0 694862 0 0 PAUL D DEPRIEST MD V.P./DIRECTOR 0 566927 0 229883 0 103069 0 30625 0 25180 0 955684 0 0 JASON M LITTLE PRESIDENT/DIR. 0 773843 0 357353 0 114724 0 31250 0 23784 0 1300954 0 0 DONALD R POUNDS DIRECTOR (THRU 12/15) 0 536555 0 202283 0 369504 0 61875 0 17769 0 1187986 0 0 WILLIAM A GRIFFIN DIRECTOR (AS OF 1/16) 0 294107 0 102309 0 39441 0 33125 0 20951 0 489933 0 0 WANDA MILLER ADMINISTRATOR 47183 106790 10051 0 0 35106 6905 15595 6469 13230 70608 170721 0 0 FRANK FEIZKHAH CFO 144201 0 11409 0 3649 0 36880 0 21505 0 217644 0 0 0 BRAD BUSCHLEN PHYS. THERAPIST 160558 0 931 0 5092 0 24211 0 20376 0 211168 0 0 0 RODGER D ROBINSON ASST. ADM. 124829 0 8929 0 14164 0 20326 0 24107 0 192355 0 0 0 BRADLEY J COOK PHYS. THERAPIST 121553 0 1078 0 560 0 10921 0 19696 0 153808 0 0 0 Part I, Line 3 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 THE COMPENSATION OF THE ORGANIZATION'S 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. 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. NO PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE YEAR. Part I, Line 7 THE BAPTIST MEMORIAL HEALTH CARE SYSTEM 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 PREFORMANCE 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. PART V: STATEMENTS REGARDING OTHER IRS FILINGS & TAX COMPLIANCE: LINE 1a: ALL FORMS 1099 ARE PREPARED BY THE ACCOUNTS PAYABLE DEPARTMENT OF THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. ALL FORMS 1099 ARE ISSUED USING THE FEDERAL TAX IDENTIFICATION NUMBER OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. THE 1099S ARE NOT PROCESSED BY ENTITY, BUT BY VENDOR GROUP. MANY VENDORS PERFORM SERVICES FOR MULTIPLE BAPTIST 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. LINE 2a: THE PAYROLL FUNCTION IS CENTRALIZED AT THE PAYROLL DEPARTMENT OF THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. THE CORPORATE PAYROLL DEPARTMENT IS RESPONSIBLE FOR ALL SALARIES AND WAGES OF THE EMPLOYEES FOR THE ENTIRE BAPTIST SYSTEM. THE W-3s AND W-2s ARE SUBMITTED ELECTRONICALLY TO THE IRS 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 PART V, LINE 2a REFLECTS THE NUMBER OF EMPLOYEES AT THIS FACILITY WHO RECEIVED A W-2. THE TOTAL NUMBER OF W-2S FOR ALL BAPTIST ENTITIES IS REPORTED ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION W-3. LINE 7g: THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY REQUIRING IT TO FILE A FORM 8899. Line 7h: THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES, OR OTHER VEHICLES REQUIRING IT TO FILE A FORM 1098-C. Form 990, Part VI, Section A, line 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION AS SOLE MEMBER OF BAPTIST MEMORIAL HOME CARE PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. Form 990, Part VI, Section A, line 6 BAPTIST MEMORIAL HOME CARE, INC. IS A 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 HOME CARE, INC. ELECTS ITS BOARD OF DIRECTORS. Form 990, Part VI, Section A, line 7b BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOME CARE, INC. APPROVES THE BOARD OF DIRECTORS ACTIONS. Form 990, Part VI, Section B, line 11 THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S PRESIDENT/CEO, SR. V.P./CFO, AND THE HOME CARE CFO. IN ADDITION, THE FORM 990 IS REVIEWED ON A ROTATING BASIS OF EVERY FOUR YEARS BY AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM. THE FORM 990 HAS NOT BEEN REVIEWED BY THE BOARD OF DIRECTORS. HOWEVER, BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, HAS A GOVERNANCE COMMITTEE THAT IS APPOINTED BY ITS BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE CONSISTS OF THREE OR MORE MEMBERS ALL OF WHICH MAY OR MAY NOT BE MEMBERS OF THE BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE WILL REVIEW THE FORM 990 AFTER SUBMITTING IT TO THE IRS. Form 990, Part VI, Section B, line 12c BAPTIST MEMORIAL HOME CARE 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 V.P. 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 CEO, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE. Form 990, Part VI, Section B, line 15 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 14, 2014 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2015 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. Form 990, Part VI, Section C, line 18 BAPTIST MEMORIAL HOME CARE, INC. MAKES COPIES OF ITS FORMS 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS. Form 990, Part VI, Section C, line 19 BAPTIST MEMORIAL HOME CARE, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2c: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, 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. BAPTIST MEMORIAL HEALTH CARE CORPORATION 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581521475 MANAGEMENT, ADMINISTRATIVE, & FINANCIAL SERVICES FOR ITS AFFILIATES TN 501(c)(3) 509(a)(3) N/A 0 BAPTIST MEMORIAL HEALTH CARE SYSTEM INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581456556 CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TN TN 501(c)(3) 509(a)(3) N/A 1 BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC 1003 MONROE AVE MEMPHIS TN 38104 621599670 EDUCATION OF HEALTH CARE PROFESSIONALS TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HOSPITAL INC 1 BAPTIST MEMORIAL HEALTH SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621509127 PROVISION OF HEALTH CARE PROVIDERS & HOME MEDICAL EQUIPMENT/SERVICES TN 501(c)(3) 509(a)(2) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 620123940 HEALTH CARE FACILITY/HOSPITAL TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 MEDICAL FINANCIAL SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621112364 COLLECTION AGENCY FOR BAPTIST ENTITIES TN 501(c)(3) 509(a)(3) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC 100 HOSPITAL ST BOONEVILLE MS 38829 640663760 HEALTH CARE FACILITY/HOSPITAL MS 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-DESOTO INC 7601 SOUTHCREST PKWY SOUTHAVEN MS 38671 640682111 HEALTH CARE FACILITY/HOSPITAL MS 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC 2520 FIFTH ST COLUMBUS MS 39703 621519754 HEALTH CARE FACILITY/HOSPITAL MS 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC 631 RB WILSON DR HUNTINGDON TN 38344 621166050 HEALTH CARE FACILITY/HOSPITAL TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST CLINICAL RESEARCH INSTITUTE INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 453032246 FACILIATE MEDICAL & SCIENTIFIC RESEARCH TN 501(c)(3) 509(a)(3) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC 2301 S LAMAR OXFORD MS 38655 640772726 HEALTH CARE FACILITY/HOSPITAL MS 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-TIPTON INC 1995 HWY 51 SOUTH COVINGTON TN 38019 621113167 HEALTH CARE FACILITY/HOSPITAL TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-UNION CITY INC 1201 BISHOP ST UNION CITY TN 38261 621138045 HEALTH CARE FACILITY/HOSPITAL TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC 200 HWY 30 WEST NEW ALBANY MS 38652 630997281 HEALTH CARE FACILITY/HOSPITAL MS 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL REGIONAL REHABILTATION SERVICES INC 2100 EXETER RD GERMANTOWN TN 38138 581645396 HEALTH CARE FACILITY/HOSPITAL TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL MEDICAL GROUP INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621545731 PROVISION OF HEALTH CARE PROVIDERS FOR BAPTIST FACILITIES TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL PATIENT SAFETY ORGANIZATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 453032372 ESTABLISHING, MAINTAINING & MANAGING A PATIENT SAFETY ORGANIZATION TN 501(c)(3) 509(a)(3) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL MEDICAL MINI EMP HLTH & WELFARE TRUST 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621407946 BAPTIST EMPLOYEE HEALTH PLAN TN 501(c)(9) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MINOR MEDICAL CENTERS INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621538114 NON-EMERGENCY MEDICAL CLINICS TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL MEDICAL GROUP INC 1 BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581544781 SOLICIT, RAISE, MANAGE, APPLY, & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIES TN 501(c)(3) 509(a)(3) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-JONESBORO INC 4802 E JOHNSON AVE JONESBORO TN 72401 261214372 HEALTH CARE FACILITY/HOSPITAL AR 501(c)(3) 509(a)(1) NEA BAPTIST HEALTH SYSTEM INC 1 NEA BAPTIST HEALTH SYSTEM INC 4800 E JOHNSON AVE JONESBORO AR 72401 271799652 HEALTH CARE SERVICE PROVIDER AR 501(c)(3) 509(a)(3) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION INC 4800 E JOHNSON AVE JONESBORO AR 72401 710850123 HEALTH CARE SERVICE PROVIDER AR 501(c)(3) 509(a)(1) NEA BAPTIST HEALTH SYSTEM INC 1 BOSTON BASKIN CANCER FOUNDATION INC 6029 WALNUT GROVE RD SUITE 301 MEMPHIS TN 38120 453303607 HEALTH CARE SERVICE PROVIDER TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL MEDICAL GROUP INC 1 BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC 6029 WALNUT GROVE RD SUITE 301 MEMPHIS TN 38120 452842963 HEALTH CARE SERVICE PROVIDER TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL MEDICAL GROUP INC 1 INTEGRITY ONCOLOGY FOUNDATION INC 6286 BRIARCREST AVE SUITE 308 MEMPHIS TN 38120 453303687 HEALTH CARE SERVICE PROVIDER TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL MEDICAL GROUP INC 1 THE STERN CARDIOVASCULAR FOUNDATION INC 8060 WOLF RIVER BLVD GERMANTOWN TN 38138 274396698 HEALTH CARE SERVICE PROVIDER TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL MEDICAL GROUP INC 1 MEMPHIS LUNG PHYSICIANS FOUNDATION INC 6025 WALNUT GROVE RD SUITE 508 MEMPHIS TN 38120 452832975 HEALTH CARE SERVICE PROVIDER TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL MEDICAL GROUP INC 1 GASTROINTESTINAL SPECIALISTS FOUNDATION INC 80 HUMPHREYS CENTER MEMPHIS TN 38120 352461541 HEALTH CARE SERVICE PROVIDER TN 501(c)(3) 170(b)(1)(A)(iii) BAPTIST MEMORIAL MEDICAL GROUP INC 1 BMG FAMILY PHYSICIANS GROUP FOUNDATION INC 2859 VAN LEER DR BARTLETT TN 38134 461953140 HEALTH CARE SERVICE PROVIDER TN 501(c)(3) 170(b)(1)(A)(iii) BAPTIST MEMORIAL MEDICAL GROUP INC 1 BAPTIST-DESOTO SURGERY CENTER 40 BURTON HILLS BLVD STE 500 NASHVILLE TN 37215 200804946 AMBULATORY SURGERY MS N/A BAPTIST-EAST MEMPHIS SURGERY CENTER 80 HUMPHREYS CENTER 101 MEMPHIS TN 38120 621846584 AMBULATORY SURGERY TN N/A BAPTIST-GERMANTOWN SURGERY CENTER LP 40 BURTON HILLS BLVD STE 500 NASHVILLE TN 37215 621829424 AMBULATORY SURGERY TN N/A BAPTIST & PHYSICIANS OP SURGERY CENTER OF N MS 40 BURTON HILLS BLVD STE 500 NASHVILLE TN 37215 620925692 AMBULATORY SURGERY MS N/A BAPTIST N MS IMAGING SERVICES LLC 504 AZALEA DR OXFORD MS 38655 262641267 DIAGNOSTIC SERVICES MS N/A EAST MEMPHIS UROLOGY CENTER LP 40 BURTON HILLS BLVD STE 500 NASHVILLE TN 37215 621810940 AMBULATORY UROLOGICAL SERVICES TN N/A MEDICAL ALTERNATIVES 6949 APPLING FARMS PKWY STE 109 MEMPHIS TN 38133 621488427 HOME INFUSION PRODUCTS & SERVICES TO PATIENTS TN N/A MEMPHIS BIOMED VENTURES I LP 17 W PONTOTOC STE 200 MEMPHIS TN 38103 943424417 MEDICAL RESEARCH TN N/A MIDTOWN SURGERY CENTER LP 40 BURTON HILLS BLVD STE 500 NASHVILLE TN 37215 621619344 AMBULATORY SURGERY TN N/A NORTHWEST TENNESSEE SURGERY CENTER LLC 1722 E REELFOOT UNION CITY TN 38261 621685508 AMBULATORY SURGERY TN N/A SM-B BUILDING LLC 5900 POPLAR AVE STE 100 MEMPHIS TN 38119 621834236 PHYSICIAN OFFICES TN N/A WOLF RIVER MEDICAL CENTER LP 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621510287 MEDICAL OFFICE BLDG. TN N/A CANCER CARE CENTER OF UNION CITY LP 322 HOSPITAL BLVD JACKSON TN 38305 263425045 CANCER CARE SERVICES TN N/A MAYS & SCHNAPP PAIN CENTER 55 HUMPHREYS CENTER BLVD STE 200 MEMPHIS TN 38120 621512849 PAIN MANAGEMENT SERVICES TN N/A CONVENIENT CARE DIAGNOSTIC CENTER PLLC 555 HWY 6 EAST BATESVILLE MS 38606 640914382 RADIOLOGY & DIAGNOSTIC SERVICES MS N/A BAPTIST MEMORIAL REHABILITATION HOSPITAL GP 680 FOURTH STREET LOUISVILLE KY 40202 461613457 REHABILITATION SERVICES TN N/A HEALTH TECH AFFILIATES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621278576 BUYING AND LEASING REAL & PERSONAL PROPERTY TN N/A C 1 BAPTIST HEALTH SERVICES GROUP OF THE MIDSOUTH INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621534210 HEALTH INSURANCE CONTRACTING TN N/A C 1 SOUTHCREST PROPERTY OWNERS ASSOCIATION 7601 SOUTHCREST PKWY SOUTHAVEN MS 38671 640768703 BOOKKEEPING/DATA PROCESSING FOR SOUTHCREST DEV. MS N/A C 1 GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 201158216 BOOKKEEPING/DATA PROCESSING FOR GERMANTOWN BUS. PARK DEV. TN N/A C 1 0 0 1 0 1 0 0 0 0 0 0 1 1 0 1 0 0 1 1 BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC C 1501770 CASH BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST R 2776626 CASH BAPTIST MEMORIAL HEALTH CARE CORPORATION E 2614433 CASH BAPTIST MEMORIAL HEALTH SERVICES INC O 61181 FMV BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC L 211663 CASH BAPTIST MEMORIAL HEALTH SERVICES INC L 246940 CASH HEALTH TECH AFFILIATES INC L 88193 CASH BAPTIST MEMORIAL HEALTH CARE CORPORATION M 928356 CASH BAPTIST MEMORIAL HOSPITAL INC S 74197 FMV BAPTIST MEMORIAL HEALTH CARE CORPORATION O 182295 CASH