2016-08-09T08:42:11-05:00 2015-09-30 990 2014-10-01 630997281 BAPTIST MEMORIAL HOSPITAL- UNION COUNTY INC BAPT 6625382406 200 HIGHWAY 30 WEST NEW ALBANY MS 38652 JASON M LITTLE PRESIDENT 9012275117 2016-08-09 2014 2017-02-10 21:41:12Z JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 78393664 0 X WWW.BAPTISTONLINE.ORG/UNION-COUNTY X 1991 MS SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEATHCARE EDUCATION. 3 3 403 24 222965 -43941 52335 59473 63473702 67236062 5177394 2499435 276480 704709 68979911 70499679 17070 27708 0 0 23617424 22806853 0 0 0 37651459 41331840 61285953 64166401 7693958 6333278 49863030 36510112 7254305 10756922 42608725 25753190 X BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. ITS MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEATHCARE EDUCATION. 0 0 56411514 27708 67706224 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, MINC. PROVIDES QUALITY MEDICAL HEALTHCARE 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 HOSPITAL-UNION COUNTY, INC.,IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT THE MISSION OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION.(SEE CONTINUATION AT SCHEDULE O, PAGE 69)THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. 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 COMMUNITYTHESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROGRAM SERVICES INCLUDED AS OF SEPTEMBER 30, 2015 INCLUDED THE FOLLOWING:--THE SKILLED NURSING DEPARTMENT HAD 12,497 PATIENT DAYS AT A COST OF $8,832,356.--THE SURGERY DEPARTMENT PERFORMED 3,919 PROCEDURES AT A COST OF $5,437,400.--THE PHARMACY DEPARTMENT DISPENSED MEDICATION at a Cost of $2,248,875.--THE RADIOLOGY DEPARTMENT PERFORMED 47,858 PROCEDURES AT A COST OF $2,367,926.--THE LAB DEPARTMENT PERFORMED 146,797 PROCEDURES AT A COST OF $1,959,161.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SERVICED 3,218 INPATIENTS AND PROVIDED MORE THAN 52,731 OUTPATIENT VISITS DURING THE FISCAL YEAR 2015.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH THE HOSPITAL RECEIVES 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, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING SEPTEMBER 30, 2015, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $83,961,588.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH BAPTIST MEMORIAL HOSPITAL-UNION COUNTY BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HAS PROVIDED A NUMBER OF SERVICES IN THE COMMUNITY, SOME OF WHICH INCLUDE THE FOLLOWING: --HOSPITAL CLINICAL ROTATIONS FOR NEW ALBANY/UNION COUNTY ALLIED HEATLH STUDENTS --PROVIDED REPRESENTATIVES WHO SPOKE FREE OF CHARGE TO VARIOUS COMMUNITY GROUPS, CHURCHES, AND SCHOOLS THROUGHOUT THE YEAR --PROVIDED MULTIPLE HEALTH FAIRS IN VARIOUS SECTORS OF THE COMMUNITY INCLUDING SCHOOLS, BUSINESSES, AND CHURCHES.--SPONSORED HEALTHY LIFESTYLE PROGRAMS AS WELL AS 5K RUNS THROUGHOUT THE YEAR FOR ADULTS AND CHILDREN. --PROVIDED MULTIPLE HEALTH SCREENINGS AND VACCINATIONS THROUGHOUT THE YEAR FOR THE COMMUNITY AT NO-CHARGE OR REDUCED PRICES. --CONDUCTED FREE LUNCHEONS ON VARIOUS HEALTH-RELATED TOPICS FOR THE COMMUNITY, SUCH AS BREAST CANCER AWARENESS, HEART HEALTH, OVERACTIVE BLADDER, AND ALZHEIMER'S. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDED VARIOUS FREE OR REDUCED PRICED CLASSES TO THE COMMUNITY THROUGHOUT THE YEAR, WHICH INCLUDED THE FOLLOWING:--CPR, FIRST AID, AED CLASSES --CHILDBIRTH CLASSES --BREASTFEEDING CLASSES --TOBACCO CESSATION CLASSES--DIABETIC CLASSES BAPTIST MEMORIAL HOSPITAL-UNION COUNTY OFFERS AN ANNUAL COMMUNITY HEALTH FAIR. FOR A REDUCED RATE, INDIVIDUALS WERE ABLE TO RECEIVE CHOLESTEROL, GLUCOSE, TRIGLYCERIDES AND PSA RESULTS. FLU VACCINES WERE PROVIDED FREE AT THE COMMUNITY HEALTH FAIR. OTHER SCREENINGS AVAILABLE FOR FREE INCLUDED: HEIGHT, WEIGHT, BMI, BLOOD PRESSURE AND BONE DENSITY AND FREE EYE SCREENINGS FROM A LOCAL OPTOMETRIST. EDUCATIONAL INFORMATION WAS PROVIDED ON HEALTH ISSUES SUCH AS NUTRITION, MEN'S HEALTH, WOMEN'S HEALTH, CANCER, FITNESS, COPD, BLOOD PRESSURE, AND BMI. REPRESENTATIVES FROM THE RADIOLOGY DEPARTMENT WERE ALSO ON HAND TO PROMOTE BREAST CANCER AWARENESS EDUCATION AND EARLY DETECTION THROUGH SCREENINGS.IN ADDITION TO THE COMMUNITY HEALTH FAIR, OTHER HEALTH FAIRS PROVIDED ON-SITE FOR EMPLOYEES INCLUDING BNA BANK, NEWALBANY SCHOOLS, AND UNION COUNTY SCHOOLS. CHILDREN AGES NEWBORN TO 12 YEARS OLD WERE INVITED TO ATTEND OUR ANNUAL BACK TO SCHOOL HEALTH FAIR. THIS EVENT WAS EXPANDED TO NEWBORNS AND TODDLERS TO PROMOTE LEARNING IN EARLY CHILDHOOD AS PART OF THE EXCEL BY 5 COMMUNITY INIATITVE. FREE SCREENINGS OFFERED WERE BLOOD PRESSURE, HEIGHT AND WEIGHT, BMI, AND VISION. EDUCATIONAL DISPLAYS FROM VARIOUS COMMUNITY GROUPS AND HOSPITAL REPRESENTATIVES WERE AVAILABLE, INCLUDING NUTRITION, DENTAL, FINGERPRINTING, HANDWASHING, TOBACCO PREVENTION, ATV SAFETY, INTERNET SAFETY, AND CARSEAT SAFETY TO NAME A FEW. THE ANNUAL EVENT ALWAYS DRAWS A CROWD OF 600 OR MORE CHILDREN PLUS ADULTS. PARTICIPANTS ENJOY FREE GAMES AND REFRESHMENTS ALONG WITH MANY GIVEAWAYS AND SCHOOL SUPPLIES.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HOSTS AN ANNUAL BABY FAIR FOR EXPECTANT MOTHERS. INFORMATION INCLUDES CARSEAT SAFETY, NUTRITION, WELLNESS, BABY CARE, PREADMISSIONS, LACTATION SPECIALIST, AND WIC. THE EVENT ATTRACTS ABOUT 100 MOTHERS ON AVERAGE.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY RECOGNIZES THAT ITS PEOPLE ARE ITS MOST VALUABLE ASSET. TO SHARE THIS ASSET WITH THE COMMUNITY AT LARGE, ALL PERSONNEL ARE ENCOURAGED TO GET INVOLVED BY VOLUNTEERING. BELOW IS A PARTIAL LISTING OF ORGANIZATIONS AND ACTIVITIES THE HOSPITAL SUPPORTED THROUGH ITS VOLUNTEER'S EFFORTS: --NEW HAVEN CENTER FOR SPECIAL NEEDS ADULTS--BOYS AND GIRLS CLUBS--AMERICAN HEART ASSOCIATION - HEART EDUCATION IN SCHOOLS--AMERICAN CANCER SOCIETY'S RELAY FOR LIFE--TANGLEFOOT TRAILS--BNA PARK AND SPORTSPLEX--AMERICAN RED CROSS--NORTHEAST UNION FIRE DEPARTMENT FIRE SAFETY HOUSE--NEW ALBANY FIRE DEPARTMENT-FIRE SAFETY--CHARACTER BUILDING BOOKS FOR AREA SCHOOLS--DIABETIC SUPPORT--BREAST CANCER AWARENESS--TALLAHATCHIE 5K RIVER RUN--SPONSORSHIP OF DRUG AWARENESS AT MYRTLE ATTENDANCE CENTER--FOOD DRIVE FOR THE GOOD SAMARITIAN CENTER--UNION COUNTY FAIR ASSOCIATION CHILDREN'S DAY AT THE FAIR--UNION COUNTY FAIR SENIOR ADULT HEALTH FAIR--NEW ALBANY MAIN STREET ASSOCIATION--MAGNOLIA CIVIC CENTER--LIGHTHOUSE CENTER--FIRST CHOICE FOR WOMEN--NEW ALBANY KIWANIS--NEW ALBANY ROTARY--UNION COUNTY DEVELOPMENT ASSOCIATION--SANCTUARY HOSPICE HOUSE--JUNIOR AUXILIARY--KOMEN FOUNDATION--MINORITY PUL ALLIANCE--EXCEL BY 5 COALTION--UNION COUNTY SCHOOLS--NEW ALBANY CITY SCHOOLS 56411514 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 0 0 1 403 1 1 1 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 X KIM HIGH 6625382406 HIGHWAY 30 WEST NEW ALBANY MS 38652 X LUDWRICK E BROWN DIRECTOR 0.20 0.00 X 0 0 0 REV TOM SUMRALL DIRECTOR 0.20 0.00 X 0 0 0 JOHN STANFORD DDS DIRECTOR 0.20 0.00 X 0 0 0 KIMBERLY D HIGH CFO 40.00 0.00 X 103392 0 35325 JASON M LITTLE PRESIDENT 0.20 39.80 X 0 1012007 54865 GREGORY M DUCKETT SECRETARY 0.20 39.80 X 0 750243 58842 PAUL D DEPRIEST MD VICE PRESIDENT 0.20 39.80 X 0 872409 54444 WALTER J GRACE CEO/ADMIN 40.00 0.00 X 0 323404 45738 LARRY RAMSEY PHARMACIST 40.00 0.00 X 126725 0 35591 ROBERT S HATCHER PHARMACIST 40.00 0.00 X 116525 0 38332 ANGELA BROWNING PHAR DIR 40.00 0.00 X 109979 0 36019 RANDY WHITE CNO 40.00 0.00 X 107267 0 26783 STEPHEN C REYNOLDS FORMER PRESIDENT 0.00 0.20 X 0 1688227 77750 563888 4646290 463689 5 1 1 0 FLINTCO PO BOX 142637 ST LOUIS MO 631142634 CONSTRUCTION SERVICES 6544870 MIDSOUTH ANESTHESIA CONSULTANTS PLLC 391 SOUTHCREST CIR 108 SOUTHAVEN MS 38671 ANESTHESIA SERVICES 1374576 MORRISON MGMT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 CAFETERIA MGMT 722859 TEAM HEALTH PO BOX 634850 CINCINNATI OH 452634850 PHYSCIAN SERVICES 534756 DATA NETWORK SYSTEMS 6400 SUMMER GALE DR 101 TUPELO MS 38801 DATA INSTALLATION SERVICES 266609 12 12322 47151 59473 HOSPITAL REVENUES 713940 67236062 67060122 175940 67236062 514114 514114 47123 35541 11582 11582 11582 9843765 7842595 15849 2001170 -15849 1985321 1985321 INSURANCE RECOVERIES 900099 452844 452844 CAFETERIA REVENUE 722210 240283 193258 47025 693127 70499679 67706224 222965 2511017 27708 27708 142918 118622 24296 17301055 14359876 2941179 539224 447556 91668 3644001 3024521 619480 1179655 979114 200541 12543 12543 3652184 3031312 620872 63628 52811 10817 1232481 1022959 209522 1058494 878550 179944 50968 42303 8665 36951 30669 6282 264799 219783 45016 7026527 5832017 1194510 2175372 1805559 369813 BAD DEBT, NET RECOVERY 16299872 16299872 0 MEDICAL SUPPLIES 5462341 4533743 928598 MEDICAID ASSESSMENT 2209308 2209308 0 REPAIRS & MAINTENANCE 1120258 929814 190444 666114 552874 113240 64166401 56411514 7754887 0 1146 1145 967185 1003364 5594615 5820015 1512443 1514866 247700 153179 55210675 36006059 20796540 19204616 20677669 5464 65732 8807463 49863030 36510112 2417450 3084438 4836855 7672484 7254305 10756922 X 42557571 25702036 51154 51154 42608725 25753190 49863030 36510112 X 6333278 -3900343 -19288470 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12543 12543 0 Part II-B, Line 1: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. PAYS MEMBERSHIP DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION FOR WHICH A PERCENTAGE OF THE DUES IS RELATED TO LOBBYING EXPENDITURES. THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION, PAYS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE ARKANSAS HOSPITAL ASSOCIATION, THE MISSISSIPPI HOSPITAL ASSOCIATION, AND THE TENNESSEE HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ARE FOR CONSULTANTS WHO ADVISE AND CONSULT WITH THE ORGANIZATION ON LEGISLATIVE AND REGULATORY MATTERS THAT MAY AFFECT THE ORGANIZATION AND ITS AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSITIONS WITH THE LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE, AND FEDERAL LEVELS. 250000 250000 21625844 8800408 12825436 27023802 22167647 4856155 6311029 5038004 1273025 19204616 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 69263 CONSTRUCTION IN PROCESS 504167 DUE FROM AFFILIATES 8234033 8807463 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 62694 DUE TO AFFILIATES 3574790 INSURANCE RESERVES 4035000 7672484 X 53798352 -16299872 -16299872 70098224 401455 401455 70499679 47465074 -401455 -401455 47866529 16299872 16299872 64166401 Part X, Line 2: THE AUDIT FOR THE YEAR ENDED SEPTEMBER 30, 2015 IS NOT YET COMPLETE. THE ORGANIZATION EXPECTS THAT WHEN THE AUDIT IS ISSUED, THE FOOTNOTE RELATED TO UNCERTAIN TAX POSITIONS WILL BE THE SAME AS IN THE PRIOR TWO YEARS. AS OF SEPTEMBER 30, 2014 AND 2013, THE HOSPITAL HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS FINANCIAL STATEMENTS. IN THE EVENT THE HOSPITAL WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, TAX YEARS 2011 THROUGH 2014 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS. Part XI, Line 2d - Other Adjustments: BAD DEBTS EXPENSE -16,299,872. Part XI, Line 4b - Other Adjustments: LOSS ON DISPOSAL OF ASSETS -15,849. INSURANCE RECOVERIES 452,845. RENT EXPENSE -35,541. Part XII, Line 2d - Other Adjustments: LOSS ON DISPOSAL OF ASSETS 15,849. INSURANCE RECOVERIES -452,845. RENTAL EXPENSE 35,541. Part XII, Line 4b - Other Adjustments: BAD DEBTS, NET OF RECOVERIES 16,299,872. 1 1 X 1 X 1 X 1 1 0 1 1 2990784 0 2990784 0.06250 15126987 17327680 -2200693 0.00000 382089 436415 -54326 0.00000 18499860 17764095 735765 0.06250 8 9414 194783 5040 189743 0.00400 1 47 18228 0 18228 0.00040 17274009 13061126 4212883 0.08800 4 1137 13598 0 13598 0.00030 13 10598 17500618 13066166 4434452 0.09270 13 10598 36000478 30830261 5170217 0.15520 1 44 114 0 114 0.00000 1 1597 8040 0 8040 0.00000 1 45 148 0 148 0.00000 1 24 142 0 142 0.00000 1 4020 1935 0 1935 0.00000 5 5730 10379 10379 1 3624599 2998535 6207908 5572401 635507 X 1 1 1 1 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY 200 HWY 30 WEST NEW ALBANY MS 38652 WWW.BAPTISTONLINE.ORG/UNION-COUNTY/ 16-239 X X X BAPTIST MEMORIAL HOSPITAL-UNION COUNTY 1 0 0 1 X X X X X X X X 12 1 0 0 1 X http://www.baptistonline.org/about/community/involvement/chna/ X 1 12 1 http://www.baptistonline.org/app/files/public/1586/Baptist-Union-County-CHN 0 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X 1 X http://www.baptistonline.org/expense-navigator/financial-assistance/ X http://www.baptistonline.org/app/files/public/1011/pdf-Financial-Evaluation X 1 X 0 X X X X 1 X 0 0 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY Part V, Section B, Line 5: SURVEYS:A STATISTICAL HOUSEHOLD SURVEY WAS COMPLETED WITH 528 ADULTS FROM THE BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SERVICE AREA. THE SURVEY THAT WAS UTILIZED ALIGNS WITH THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE THAT IS ANNUALLY CONDUCTED NATIONWIDE BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND STATE HEALTH DEPARTMENTS. THE SURVEY ASSESSED INDICATORS SUCH AS GENERAL HEALTH STATUS, PREVENTION ACTIVITIES (SCREENINGS, EXERCISE, ETC.), AND RISKY BEHAVIORS (ALCOHOL USE, ETC.). THE RESULTS WERE ALSO EXAMINED BY A VARIETY OF DEMOGRAPHIC INDICATORS SUCH AS AGE, RACE, ETHNICITY, AND GENDER.KEY INFORMANT INTERVIEWS:KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 75 PROFESSIONALS AND KEY CONTACTS IN THE AREAS SURROUNDING THE 14-HOSPITAL SERVICE AREAS. WORKING WITH LEADERSHIP FROM EACH OF THE SYSTEM HOSPITALS, BAPTIST IDENTIFIED SPECIFIC INDIVIDUALS TO BE INTERVIEWED AND INVITED THEM TO PARTICIPATE IN THE STUDY. THE SURVEY INCLUDED A RANGE OF INDIVIDUALS, INCLUDING ELECTED OFFICIALS, PRIVATE PHYSICIANS, HEALTH AND HUMAN SERVICES EXPERTS, LONG-TERM CARE PROVIDERS, REPRESENTATIVES FROM THE FAITH COMMUNITY, AND EDUCATORS. THE CONTENT OF THE QUESTIONNAIRE FOCUSED ON PERCEPTIONS OF COMMUNITY NEEDS AND STRENGTHS ACROSS THREE KEY DOMAINS: PERCEIVED QUALITY OF CARE, KEY HEALTH ISSUES PROMINENT IN THE COMMUNITY, AND QUALITY OF LIFE ISSUES. FOCUS GROUPS:IN NOVEMBER 2012, HEALTH CARE CONSUMERS FROM THE HOSPITALS' SERVICE AREAS PARTICIPATED IN FOCUS GROUPS. THE FOCUS GROUPS ADDRESSED DIABETES AND PRE-DIABETES BASED ON FINDINGS FROM THE SURVEYS. DISCUSSION TOPICS INCLUDED HEALTH KNOWLEDGE, SELF-CARE BEHAVIORS, HEALTH CARE ACCESS, COMMUNICATION PREFERENCES, AND DESIRED SUPPORT SERVICES. A DISCUSSION GUIDE, DEVELOPED IN CONSULTATION WITH BAPTIST MEMORIAL HEALTH CARE, WAS USED TO PROMPT DISCUSSION AND GUIDE THE FACILITATION. PARTICIPANTS WERE RECRUITED THROUGH TELEPHONE CALLS TO HOUSEHOLDS WITHIN THE SERVICE AREA AND THROUGH LOCAL HEALTH AND HUMAN SERVICE ORGANIZATIONS. PARTICIPANTS WERE PRE-SCREENED TO ENSURE THAT THEY WERE EITHER DIABETIC OR PRE-DIABETIC. EACH SESSION LASTED APPROXIMATELY TWO HOURS AND WAS FACILITATED BY TRAINED HOLLERAN STAFF. IN EXCHANGE FOR THEIR PARTICIPATION, ATTENDEES WERE GIVEN A $50 CASH INCENTIVE AT THE COMPLETION OF THE FOCUS GROUP; DINNER WAS ALSO PROVIDED. IT IS IMPORTANT TO NOTE THAT THE FOCUS GROUP RESULTS REFLECT THE PERCEPTIONS OF A SMALL SAMPLE OF COMMUNITY MEMBERS AND MAY NOT NECESSARILY REPRESENT ALL COMMUNITY MEMBERS IN THE HOSPITAL'S SERVICE AREA. COMMUNITY REPRESENTATION:COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. A STATISTICALLY VALID SAMPLING STRATEGY ENSURED COMMUNITY REPRESENTATION IN THE HOUSEHOLD SURVEY. PUBLIC HEALTH EXPERTS, HEALTH CARE PROFESSIONALS, AND REPRESENTATIVES OF UNDERSERVED POPULATIONS SHARED KNOWLEDGE AND EXPERTISE ABOUT COMMUNITY HEALTH ISSUES AS PART OF THE KEY INFORMANT INTERVIEWS. HEALTH CARE CONSUMERS, INCLUDING MEDICALLY UNDERSERVED INDIVIDUALS AND CHRONICALLY-ILL PATIENTS, WERE INCLUDED IN THE FOCUS GROUPS. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY Part V, Section B, Line 11: 1. HEALTHY LIFESTYLE CHOICESRECOGNIZING THE CONNECTION BETWEEN DIABETES, CARDIOVASCULAR DISEASE, AND OTHER CHRONIC CONDITIONS TO HEALTHY LIFESTYLE CHOICES, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL SEEK TO REDUCE THESE CHRONIC CONDITIONS BY FOCUSING EDUCATION AND AWARENESS ON PROMOTING HEALTHY EATING AND PHYSICAL ACTIVITY. A REDUCTION IN CHRONIC DISEASE RATES WILL LIKELY NOT BE SEEN IN THE INITIAL THREE-YEAR CYCLE,HOWEVER, BAPTIST MEMORIAL HOSPITAL-UNION EXPECTS THAT SUCCESS IN INCREASING AWARENESS OF THE RELATIONSHIP BETWEEN HEALTHY LIFESTYLE CHOICES AND DISEASE WILL IMPACT THE NUMBER OF RESIDENTS AT RISK FOR OR DIAGNOSED WITH DIABETES, CARDIOVASCULAR DISEASE, AND OTHER CHRONIC CONDITIONS IN THE FUTURE. STRATEGIES INCLUDE THE FOLLOWING.-OBESITY WILL BE A PRIMARY FOCUS OF EDUCATION BY PRESENTING NUTRITION AND EXERCISE AT COMMUNITY AND BUSINESS/INDUSTRY HEALTH FAIRS AS WELL AS IN THE SCHOOL SYSTEMS. HEIGHT/WEIGHT/BMI SCREENINGS WILL BE PROVIDED AT HEALTH FAIRS AND AT THE BACK TO SCHOOL HEALTH FAIR. TO FURTHER TARGET CHILDREN, THE HEALTHY KIDS CAMP IS A WEEK-LONG CAMP HELD AT THE BAPTIST HEALTHPLEX EACH SUMMER THAT FOCUSES ON NUTRITION AND EXERCISE AS WELL AS SELF-ESTEEM AND SAFETY. THE BACK TO SCHOOL HEALTH FAIR IS PROVIDED FREE TO CHILDREN NEWBORN TO 12 YEARS OLD EACH AUGUST AND INCLUDES EDUCATION ON SAFETY, IMMUNIZATIONS, NUTRITION AND EXERCISE. THE BAPTIST HEALTHPLEX PROVIDES A VARIETY OF EXERCISE PROGRAMS TO MEMBERS AND ALSO FOR THEIR CHILDREN THROUGH FIT KIDS. SPECIAL INCENTIVE PROGRAMS ARE OFFERED IN JANUARY TO ENCOURAGE INDIVIDUALS TO ADOPT HEALTHIER LIFESTYLES AND WEIGHT MANAGEMENT.--HEART DISEASE WILL BE AN EDUCATIONAL FOCUS FOR BAPTIST MEMORIAL HOSPITAL-UNION COUNTY. AS PART OF NATIONAL HEART HEALTH AWARENESS MONTH, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY OFFERS A FREE COMMUNITY EDUCATIONAL PROGRAM FOCUSED ON HEART HEALTH IN FEBRUARY THAT INCLUDES INFORMATION ABOUT SIGNS AND SYMPTOMS AS WELL AS PREVENTION. HEART EDUCATION IS ALSO INCLUDED AT HEALTH FAIRS HELD THROUGHOUT THE COMMUNITY. IN ADDITION TO NUMEROUS ON-SITE HEALTH FAIRS FOR BUSINESS AND INDUSTRIES, A COMMUNITY HEALTH FAIR IS OFFERED ANNUALLY IN OCTOBER FOR PARTICIPANTS TO GET A LIPID PROFILE FOR A REDUCED COST OF $15. THESE SCREENINGS INCLUDE CHOLESTEROL, GLUCOSE, TRIGLYCERIDES, AND CORONARY RISK FACTOR. DURING NATIONAL HEART MONTH, THE COMMUNITY HEALTH COORDINATOR AT BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES A HEART PROGRAM TO ALL AREA THIRD GRADE STUDENTS.--STROKE AWARENESS IS A PRIMARY FOCUS FOR BAPTIST MEMORIAL HOSPITAL-UNION COUNTY TO EDUCATE THE COMMUNITY ABOUT SIGNS, SYMPTOMS AND PREVENTION. NATIONAL STROKE AWARENESS MONTH IS MAY, AND BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL HOST AN AWARENESS EVENT AT A CENTRAL LOCATION OR CHURCH TO EDUCATE MEN, WOMEN, AND MINORITIES ON THE SYMPTOMS AND THE URGENCY OF SEEKING MEDICAL ATTENTION. STROKE EDUCATIONAL MATERIALS WILL ALSO BE PROVIDED AT ALL HEALTH FAIRS--DIABETES WILL CONTINUE TO BE A PRIMARY FOCUS FOR BAPTIST MEMORIAL HOSPITAL-UNION COUNTY. EDUCATIONAL INFORMATION ON DIABETES WILL BE INCLUDED AT ALL HEALTH FAIRS THROUGHOUT THE COMMUNITY. GLUCOSE SCREENINGS ARE OFFERED AT HEALTH FAIRS FOR THE COMMUNITY AND BUSINESS/INDUSTRY. THE DIABETES MANAGEMENT PROGRAM AT BAPTIST MEMORIAL HOSPITAL-UNION COUNTY IS A CERTIFIED PROGRAM AVAILABLE FOR NEWLY DIAGNOSED DIABETIC PATIENTS. THE PURPOSE OF THE DIABETES PROGRAM IS TO EDUCATE ON THE IMPORTANCE OF MANAGING THEIR DISEASE, AND CLASSES ARE OFFERED MONTHLY.--TOBACCO CESSATION CLASSES ARE PROVIDED TO THE COMMUNITY BY BAPTIST MEMORIAL HOSPITAL-UNION COUNTY AND ARE ALSO AVAILABLE ON-SITE TO BUSINESS AND INDUSTRIES. TOBACCO EDUCATION IS PROVIDED TO AREA SCHOOLS AS WELL AS THE BACK TO SCHOOL HEALTH FAIR. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HAS A CERTIFIED TOBACCO INSTRUCTOR ON STAFF THAT PROVIDES EDUCATION AND CESSATION CLASSES THROUGHOUT THE YEAR.--CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND ASTHMA EDUCATION ARE PROVIDED AT AREA HEALTH FAIRS AND THE BACK TO SCHOOL HEALTH FAIR TO EDUCATE ON DISEASE MANAGEMENT.--CONTINUE SUPPORT OF LOCAL CHARITABLE 5K RUNS, INCLUDING BUT NOT LIMITED TO, THE FIRST CHOICE FOR WOMEN AND THE AMANDA PRICE MEMORIAL RUN.--CONTINUE SUPPORTS OF TANGLEFOOT TRAILS (40-MILE RECREATIONAL TRAIL) AND THE BNA SPORTSPLEX, WHICH EXPANDED IN 2012 TO INCLUDE A NEW TENNIS AND SOCCER COMPLEX.--CONTINUE SUPPORT OF THE AGAPE MEDICAL CLINIC, A FREE CLINIC AVAILABLE IN THE COMMUNITY FOR UNINSURED. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY DONATES NOT ONLY FINANCIALLY TO THE CLINIC BUT PROVIDES EDUCATIONAL MATERIALS ON HEALTH TOPICS.--CONTINUE TO PROVIDE FLU AND PNEUMONIA VACCINATIONS THROUGHOUT THE COMMUNITY INCLUDING SCHOOL STAFF, LAW ENFORCEMENT, HOSPITAL EMPLOYEES, CLINICS, GENERAL PUBLIC, AND BUSINESS/INDUSTRIES. OTHER IMMUNIZATIONS PROVIDED IN THE COMMUNITY INCLUDE HEPATITIS B AND T-DAP.--BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HOSTS QUARTERLY COMMUNITY BLOOD DRIVES IN PARTNERSHIP WITH UNITED BLOOD SERVICES.--BAPTIST MEMORIAL HOSPITAL-UNION COUNTY IS A SPONSOR OF THE LOCAL FARMER'S MARKET HELD MAY THROUGH AUGUST ANNUALLY.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL ALSO PARTNER WITH THE FOLLOWING COMMUNITY ORGANIZATIONS TO ADDRESS OUR STRATEGIES LISTED ABOVE:--AMERICAN HEART ASSOCIATION--AMERICAN CANCER SOCIETY--AMERICAN DIABETES ASSOCIATION--UNION COUNTY HEALTH DEPARTMENT--UNION COUNTY SCHOOL DISTRICT--BACK TO SCHOOL AND YEAR ROUND HEALTH FAIRS--BAPTIST HEALTHPLEAX WELLNESS CENTER OFFERS EXERCISE PROGRAMS FOR ADULTS AND CHILDREN.2. CANCER:WITH THE SUPPORT OF THE BAPTIST CANCER CENTER, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL SEEK TO EDUCATE RESIDENTS ABOUT THE RISK FACTORS FOR CANCER AND EARLY DETECTION, WITH THE GOAL OF IMPROVING CANCER MORTALITY RATES AND QUALITY OF LIFE FOR PATIENTS WITH CANCER. STRATEGIES INCLUDE THE FOLLOWING:--BREAST CANCER AWARENESS AND SCREENINGS ARE A FOCUS OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY NOT ONLY DURING OCTOBER DURING THE NATIONAL AWARENESS BUT THROUGHOUT THE YEAR. EDUCATIONAL MATERIALS AND SELF-BREAST EXAM MATERIALS ARE PROVIDED AT ALL COMMUNITY AND BUSINESS/INDUSTRY HEALTH FAIRS. EACH OCTOBER, A FREE BREAST CANCER AWARENESS LUNCHEON IS OFFERED IN THE COMMUNITY THAT FEATURES A BREAST HEALTH PROFESSIONAL AS WELL AS SURVIVOR TESTIMONIALS TO EMPHASIZE THE IMPORTANCE ON REGULAR BREAST EXAMS AND MAMMOGRAPHY. THE CENTER FOR BREAST HEALTH WAS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY IN2013. THROUGH A GRANT FROM THE KOMEN RACE FOR THE CURE FOUNDATION, FREE MAMMOGRAMS ARE AVAILABLE FOR UNINSURED AND UNDER-INSURED WOMEN. THROUGH THE BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SPEAKER'S BUREAU, BREAST HEALTH EDUCATION IS AVAILABLE TO LOCAL CHURCHES, CIVIC ORGANIZATIONS, AND COMMUNITY GROUPS.--PROSTATE CANCER AND MEN'S HEALTH EDUCATIONAL MATERIALS ARE PROVIDED AT COMMUNITY AND BUSINESS/INDUSTRY HEALTH FAIRS. PSA SCREENINGS ARE OFFERED FOR THE REDUCE RATE OF $25 AT THE HEALTH FAIRS.--COLON CANCER EDUCATIONAL MATERIALS ARE PROVIDED AT ALL COMMUNITY AND BUSINESS/INDUSTRY HEALTH FAIRS.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL ALSO PARTNER WITH THE FOLLOWING COMMUNITY ORGANIZATIONS TO ADDRESS OUR STRATEGIES LISTED ABOVE:--KOMEN RACE FOR THE CURE FOUNDATION--AMERICAN CANCER SOCIETY'S RELAY FOR LIFE TO ASSIST WITH PROVIDING EDUCATION, TRANSPORTATION, AND ASSISTANCE AS NEEDED FOR CANCER PATIENTS.--BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WORKS WITH THE BAPTIST WOMEN'S HOSPITAL TO SCHEDULE THEIR MOBILE MAMMOGRAPHY UNIT FOR ON-SITE SCREENINGS FOR AREA BUSINESSES--CANCER NAVIGATOR LOCATED AT SISTER BAPTIST HOSPITALS TO USE AS RESOURCE--SYSTEM PARTNERSHIP WITH VANDERBILT-INGRAM CANCER CENTER BAPTIST MEMORIAL HOSPITAL-UNION COUNTY Part V, Section B, Line 11: 3. MATERNAL & WOMEN'S HEALTH:IMPROVING OUTCOMES FOR BABIES STARTS BY ENSURING PREGNANT MOTHERS HAVE ACCESS TO EARLY PRENATAL CARE AND BEGIN TO MAKE HEALTHY LIFESTYLE CHOICES DURING PREGNANCY AND CONTINUE HEALTHY BEHAVIORS AFTER GIVING BIRTH. WE WILL CONDUCT THE FOLLOWING STRATEGIES:--MATERNAL SERVICES AT BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INCLUDE BI-MONTHLY PREPARED CHILDBIRTH CLASSES FOR EXPECTANT MOTHERS AS WELL AS BREASTFEEDING CLASSES FREE TO THE COMMUNITY. THE BREASTFEEDING RESOURCE CENTER AT BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES FREE SUPPORT AND EDUCATION BOTH BEFORE AND AFTER EXPECTANT MOTHERS DELIVERS THEIR NEWBORNS. THE WOMEN'S CENTER STAFF AT BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HOSTS A FREE BABY FAIR EACH MAY FOR EXPECTANT MOTHERS THAT INCLUDE INFORMATION ON BREASTFEEDING, CAR SEAT SAFETY, NUTRITION, AND A VARIETY OF TOPICS. THE BABY FAIR PARTICIPANTS ARE GIVEN GIFT BAGS THAT INCLUDE EDUCATIONAL AND SAFETY ITEMS USEFUL IN THEIR CARE OF THEIR NEWBORNS.--WOMEN'S HEALTH INFORMATION IS PROVIDED AT ALL COMMUNITY AND BUSINESS/INDUSTRY HEALTH FAIRS COVERING A WIDE RANGE OF HEALTH TOPICS INCLUDING HEART, CANCER, NUTRITION, HYPERTENSION, WEIGHT MANAGEMENT, STRESS, SLEEP, AND BREAST HEALTH.--WOMEN'S HEALTH SPEAKERS ARE AVAILABLE TO PROVIDE PROGRAMS FOR CHURCHES, COMMUNITY, AND CIVIC ORGANIZATIONS AS REQUESTEDIN ADDITION TO THE AFOREMENTIONED COMMUNITY ASSETS, THE FOLLOWING ORGANIZATIONS ALSO EXIST IN THE COMMUNITY. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL WORK COLLABORATIVELY WITH THESE ENTITIES TO ADDRESS THEOBJECTIVES AND STRATEGIES OUTLINED ABOVE.--MISSISSIPPI DEPARTMENT OF HEALTH AND WIC PROGRAM TO PROVIDE INFORMATION REGARDING SERVICES THAT ARE AVAILABLE FOR MATERNITY AND WOMEN'S SERVICES.--SANCTUARY HOSPICE HOUSE.--FIRST CHOICE FOR WOMEN TO ENCOURAGE AND PROMOTE PRE-NATAL CARE.--MARCH OF DIMES FOUNDATION4. MENTAL HEALTH:RECOGNIZING THE RELATIONSHIP BETWEEN MENTAL HEALTH AND OPTIMAL PHYSICAL HEALTH FOR PATIENTS AND THEIR CAREGIVERS, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL AIM TO HELP RESIDENTS IDENTIFY THE SIGNS OF DEMENTIA AND/OR ALZHEIMER'S DISEASE AND PROVIDE SUPPORT FOR CAREGIVERS. WE WILL CONDUCT THE FOLLOWING STRATEGIES.--ALTHOUGH BAPTIST MEMORIAL HOSPITAL-UNION COUNTY DOES NOT HAVE A BEHAVIORAL FACILITY, THE SOCIAL SERVICES STAFF WORKS CLOSELY WITH PATIENTS AND THEIR CAREGIVERS TO IDENTIFY RESOURCES AVAILABLE IN THE COMMUNITY.--BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL BEGIN TO INTRODUCE LIFE PLANNING TO THE COMMUNITY IN THE 2013-2014 TO EDUCATE ON THE IMPORTANCE OF HAVING A CARE PLAN IN PLACE FOR HEALTH CARE DECISIONS.--BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL EXPLORE OPPORTUNITIES TO BETTER EDUCATE THE COMMUNITY ON CARING FOR MENTAL AND BEHAVIORAL PATIENTS AS WELL AS SUPPORT RESOURCES FOR CAREGIVERS.--BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL EXPLORE COMMUNITY OPPORTUNITIES WITH AREA SENIOR ADULT AND ASSISTED LIVING ON HOW TO CARE FOR DEMENTIA/ALZHEIMER PATIENTS AS WELL AS SUPPORT FOR THEIR CAREGIVERS.BAPTIST MEMORIAL HOSPITAL HOSPITAL-UNION COUNTY WILL ALSO PARTNER WITH THE FOLLOWING COMMUNITY ORGANIZATIONS TO ADDRESS OUR STRATEGIES LISTED ABOVE.--ALZHEIMER'S ASSOCIATION--AREA BEHAVIORAL RESOURCES INCLUDING REGION THREE, NORTH MISSISSIPPI STATE HOSPITAL, NURSING HOME FACILITIES, HOME HEALTH AGENCIES, AND HOSPICE AGENCIES TO IDENTIFY RESOURCES AS NEEDED.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PLANS TO ADDRESS ALL FOUR OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. IT WILL CONTINUE TO PLAY A LEADERSHIP ROLE IN ADDRESSING THE HEALTH NEEDS OF THE RESIDENTS IN THE COMMUNITIES IT SERVES. FOR COMMUNITY NEEDS NOT IDENTIFIED AS PRIORITIES OR WITH SERVICES NOT AVAILABLE ONSITE, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL CONTINUE TO PLAY A SUPPORT ROLE AS RESOURCES ARE AVAILABLE. AS WITH ALL BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROGRAMS, THE HOSPITAL WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY Part V, Section B, Line 13b: 1. MONEY INCOME: INCLUDES EARNINGS, UNEMPLOYMENT COMPENSATION, WORKERS' COMPENSATION, SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, DISABILITY PAYMENTS, PUBLIC ASSISTANCE, VETERANS' PAYMENTS, SURVIVOR BENEFITS, PENSION OR RETIREMENT INCOME, INTEREST, DIVIDENDS, RENTS, ROYALTIES, INCOME FROM ESTATES, TRUSTS, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES. WHEN CALCULATING INCOME FROM ANY OF THE PRECEDING SOURCES USE THE GROSS AMOUNT.2. NON-CASH BENEFITS (SUCH AS FOOD STAMPS AND HOUSING SUBSIDIES) DO NOT COUNT AS INCOME. 3. IF A PERSON LIVES WITH A FAMILY, CALCULATE THE TOTAL GROSS INCOME OF ALL FAMILY MEMBERS. A) NON-RELATIVES, INCLUDING HOUSEMATES, DO NOT COUNT. B) A CHILD WHO IS A FULL-TIME STUDENT AWAY FROM HOME IN AN ACCREDITED COLLEGE MAY BE COUNTED. C) MINOR CHILDRENS' EARNED WAGES ARE NOT TO BE INCLUDED IN DETERMINING INCOME.D) COURT-ORDERED OR STATE/FEDERAL ISSUED ASSISTANCE RELATED TO A MINOR SHOULD BE INCLUDED IN DETERMINING INCOME.4. PRIMARY RESIDENCE OF INDIVIDUALS CLAIMED IN A FAMILY UNIT SHOULD BE VERIFIED USING TAX RETURNS OR FEDERAL, STATE OR GOVERNMENTAL COURT DOCUMENTS INDICATING RESIDENCY. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY Part V, Section B, Line 22d: PATIENTS RECEIVING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE WHO DO NOT HAVE INSURANCE ARE BILLED IN ACCORDANCE WITH THE TERMS OF THE HOSPITAL'S "CHARITY, UNINSURED AND INDIGENT POLICY." THIS POLICY OFFERS PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE A VARIETY OF PAYMENT OPTIONS OR TERMS FOR PAYMENT. THE HOSPITAL UTILIZES PAYMENT PROCEDURES FOR UNINSURED OR MEDICALLY UNDERINSURED, WHICH TAKE INTO CONSIDERATION OTHER PAYMENT ARRANGEMENTS WITH INSURANCE COMPANIES, MANAGED CARE NETWORKS, AND GOVERNMENT-SPONSORED PROGRAMS. Part V, Section B, Line 16 Financial Assistance Policy Website Availability BAPTIST MEMORIAL HOSPITAL-UNION COUNTY Part V, Section B, line 16a website: http://www.baptistonline.org/expense-navigator/financial-assistance/ BAPTIST MEMORIAL HOSPITAL-UNION COUNTY Part V, Section B, line 16b website: http://www.baptistonline.org/app/files/public/1011/pdf-Financial-Evaluation Part I, Line 7: OUR COST ACCOUNTING PROCESS REFLECTS FULLY LOADED COST FOR ALL OF OUR PATIENT POPULATIONS. FULLY LOADED COST INCLUDES DIRECT, CAPITAL, AND INDIRECT COST. AFTER WORKING WITH OUR DEPARTMENT DIRECTORS AND CFOS TO MAKE SURE THE DOLLARS IN THE GENERAL LEDGER ARE IN THE CORRECT PLACE TO REFLECT OUR TIME AND EFFORTS SPENT THROUGHOUT THE YEAR, WE DEVELOP RELATIVE VALUE UNITS TO ALLOCATE THE ACTUAL GENERAL LEDGER COST DOWN TO THE PROCEDURE CHARGE CODES FROM OUR PATIENT ACCOUNTING SYSTEM. ALL OVERHEAD IS ALLOCATED DOWN TO THE REVENUE PRODUCING DEPARTMENTS BASED ON VARIOUS STATISTICS. ONCE EVERY CHARGE CODE HAS GONE THROUGH THE COST AND AUDIT PROCESS, WE CAN RUN THE PATIENT LEVEL REPORTS USED FOR THE FORM 990 TO GET TO THE COST INFORMATION NEEDED. Part I, Line 7g: SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. Part I, Ln 7 Col(f): PART I, LINE 7, COLUMN (F):PER IRS INSTRUCTIONS, BAD DEBT EXPENSE WAS NOT INCLUDED IN THE CALCULATION OF THE PERCENTAGE OF TOTAL CHARITY CARE AND COMMUNITY BENEFITS COST ON SCHEDULE H, LINE 7, COLUMN (F).PART I, LINE 7b, COLUMN (F):DUE TO SOFTWARE LIMITATIONS, THE PERCENT OF TOTAL EXPENSES FOR LINE 7b COLUMN (F) MEDICAID IS REPORTED AS ZERO, BUT THE ACTUAL AMOUNT OF LINE 7b IS -4.6%.PART I, LINE 7c, COLUMN (F):DUE TO SOFTWARE LIMITATIONS, THE PERCENT OF TOTAL EXPENSES FOR LINE 7c COLUMN (F) UNREIMBURSED COSTS-OTHER MEANS TESTED GOVERNMENT PROGRAMS IS REPORTED AS ZERO, BUT THE ACTUAL AMOUNT OF LINE 7c IS -.11%. PART I, LINE 6a: THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE HOSPITAL'S SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. THE COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC BY MAIL AND AVAILABLE AT EACH AFFILIATE OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. Part II, Community Building Activities: BAPTIST MEMORIAL HOSPITAL CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES IT SERVES. BAPTIST ALSO IS INVOLVED IN LOCAL COMMUNITY AND NON-PROFIT ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY RACE FOR THE CURE, WALK AMERICA, ST. JUDE, AND MANY OTHERS. NOT ONLY DO WE PROVIDE MONETARY DONATIONS, BUT OUR EMPLOYEES ARE ACTIVE VOLUNTEERS IN THESE WORTHY CAUSES. Part III, Line 2: THE COSTING METHODOLGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3: A BAD DEBT REPORT IS RUN TO PULL ALL PATIENTS THAT HAVE BEEN MOVED TO A BAD DEBT ACCOUNT LOCATION. WE TAKE THE TOTAL ACCOUNT BALANCE OF ALL THE PATIENTS IN THE BAD DEBT LOCATION AND DIVIDE IT BY THE TOTAL CHARGES OF THE SAME PATIENT POPULATION. WE MULTIPLY THE RESULTING RATIO BY THE TOTAL COST OF THE SAME PATIENT POPULATION. THIS GIVES US THE COST ASSOCIATED WITH THE TOTAL AMOUNT OF THE ACCOUNT BALANCE MOVED TO THE BAD DEBT STATUS.WE RUN A QUERY OUT OF OUR INTERNAL DATA WAREHOUSE SYSTEM THAT IDENTIFIES THIS PATIENT POPULATION. THIS INFORMATION IS ENTERED INTO THE STANDARD NOTE SECTION OF EACH PATIENT RECORD. WE QUALIFY OUR PATIENT QUERY BY THE STANDARD NOTES THAT REPRESENT WHEN A PATIENT REFUSES TO COMPLETE THE PAPERWORK, IF THE INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, OR WHEN A SELF-PAY MINIMUM DISCOUNT NOTE IS ENTERED ON THE PATIENT RECORD. WE THEN TAKE THIS PATIENT POPULATION AND RUN A REPORT THAT GIVES US THE TOTAL COST OF THE PATIENT POPULATION. Part III, Line 4: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL PROVIDERS.THE AUDITED FINANCIAL STATEMENTS OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND SEPTEMBER 30, 2013 AND INDEPENDENT AUDITOR'S REPORT ARE ATTACHED. THE AUDIT FOR THE YEAR ENDED SEPTEMBER 30, 2015 IS NOT YET COMPLETE. THE ORGANIZATION EXPECTS THAT WHEN THE AUDIT IS ISSUED, THE FOOTNOTE RELATED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WILL BE SUBSTANTIALLY THE SAME AS NOTED IN THE PRIOR TWO YEARS.THERE IS NOT A SEPARATE BAD DEBT EXPENSE FOOTNOTE IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN A SEPARATE PARAGRAPH BEGINNING ON PAGE 6 OF THE AUDITED FINANCIAL STATEMENTS. Part III, Line 8: THE SHORTFALL, IF ANY, IS NOT TREATED AS COMMUNITY BENEFIT.WE CAN'T GET THE PAYMENT AND MEDICARE ALLOWABLE COST INFORMATION FROM THE COST REPORT IN THE FORMAT THAT WE NEED, SO WE DO THE FOLLOWING. FOR LINE 5, WE TAKE THE TOTAL PAYMENTS FOR MEDICARE PATIENTS FROM SCHEDULE 6 PATIENT POPULATION AND DIVIDE THAT BY THE TOTAL HOSPITAL MEDICARE PAYMENTS. WE MULTIPLY THE RESULTING RATIO BY THE REVENUE NUMBERS THAT COME FROM THE COST REPORT. FOR LINE 6, WE USE THE SAME CONCEPT TO GET THE COST INFORMATION. WE GET THE TOTAL COST OF MEDICARE PATIENTS FROM SCHEDULE 6 AND DIVIDE THAT NUMBER BY THE TOTAL COST OF THE TOTAL MEDICARE PATIENT POPULATION OF THE HOSPITAL. WE THEN MULTIPLY THIS RATIO BY THE COST INFORMATION FROM THE COST REPORT. Part III, Line 9b: THE HOSPITAL'S COLLECTION AGENCY, WILL DETERMINE IF THE PATIENT HAS A CHARITY APPLICATION ON FILE AND WAS DEEMED TO BE A CHARITY CASE BY THE HOSPITAL. IF IT WAS DETERMINED THAT THE PATIENT IS A CHARITY CASE, THEN THE COLLECTION AGENCY WILL REVIEW THE REMAINING UNPAID BALANCE AFTER THE APPLICATION OF THE CHARITY DISCOUNT, AND PURSUE APPROPRIATE COLLECTION EFFORTS. DEPENDING UPON THE CIRCUMSTANCES AT THE TIME, THE ENTIRE AMOUNT OWED MAY BE WRITTEN OFF.OTHER PATIENTS, WHO ARE NOT CHARITY PATIENTS, GENERALLY ARE NOT OFFERED A DISCOUNT ON THE AMOUNT OWED IF THE ACCOUNT IS 0-6 MONTHS OLD. THE HOSPITAL'S COLLECTION AGENCY WILL TRY TO SET UP A PAYMENT PLAN. IF THE PATIENT HAS INSURANCE AND THE BILL WAS FILED WITH THEIR INSURANCE COMPANY, THE PRIOR PPO ADJUSTMENT IS GIVEN. THE AMOUNT OF DISCOUNT INCREASES AS THE AGE OF THE DEBT INCREASES. AS THE AGE OF THE DEBT INCREASES, DETERMINING FACTORS ARE ALSO CONSIDERED SUCH AS THE ABILITY OF THE PATIENT TO PAY, THE AGE AND HEALTH OF THE PATIENT, FAMILY CIRCUMSTANCES, CREDIT SCORE, ETC.RISK FACTORS ARE ALSO CONSIDERED WHEN DETERMINING WHETHER TO SETTLE AN ACCOUNT. RISK FACTORS INCLUDE HARDSHIP AND CATASTROPHE, OTHER DEBTS, AND FUTURE EXPECTANCIES. Part VI, Line 2: BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC., PROVIDES NEEDS ASSESSMENTS THROUGH THE HEALTH SERVICES RESEARCH DEPARTMENT. IN ADDITION, LOCAL ADVISORY BOARDS PROVIDE FEEDBACK TO THE LOCAL HOSPITAL ADMINISTRATORS. THE HEALTH SERVICES RESEARCH DEPARTMENT USES VARIOUS TOOLS TO ASSIST THEM IN THE ASSESSMENTS.ONE OF THESE TOOLS USED BY HEALTH SERVICES RESEARCH DEPARTMENT IS YACOUBIAN RESEARCH, INC. COMMUNITY OPINION SURVEY. THIS IS A QUARTERLY RANDOM-DIGIT DIALING TELEPHONE SURVEY. SURVEYS INCLUDE QUESTIONS ASKING RESPONENTS TO GRADE THE QUALITY OF HEALTH CARE SERVICES IN THEIR COMMUNITY. THE SERVICES ARE GRADED FROM A-F. IF A SERVICE IS GIVEN A RATING OF C OR BELOW, THE RESPONDENTS ARE ASKED FOR IDEAS FOR IMPROVEMENT. THESE CAN BE REVIEWED BY AREA, COUNTY, TOWN, ZIP CODE, AGE, GENDER, AND RACE. THE IMPROVEMENTS REQUESTED GENERALLY INVOLVE REQUESTS FOR MORE AND BETTER DOCTORS AND STAFF, AND LESS WAIT TIME. MEDICAL STAFF SURVEYS ARE ALSO USED TO ASSESS NEEDS. THESE ARE CONDUCTED BY MAIL OR INTERNET (WHICH EVER IS PREFERRED BY THE RESPONDENT) BY PRESS-GANEY, A NATIONALLY KNOWN RESEARCH COMPANY FOR BOTH PATIENT SATISFACTION AND PHYSICIAN SATISFACTION. IN THIS SURVEY, CONDUCTED EVERY OTHER YEAR, RESPONDENTS ARE QUESTIONED ABOUT THE NEED FOR NEW SERVICES OR PHYSICIAN SPECIALTIES IN THE HOSPITAL OR COMMUNITY. THERE ARE USUALLY MULTI-PHYSICIAN RECOMMENDATIONS FOR ADDITIONAL EQUIPMENT AND CERTAIN TYPES OF PHYSICIAN SPECIALISTS. THIS IS USED AS A STARTING POINT FOR DETERMINING POTENTIAL PRIORITIES FOR PHYSICIAN RECRUITING.COMMUNITY NEEDS ASSESSMENT FOR ADDITIONAL PHYSICIANS IN THE COMMUNITY IS ALSO CONDUCTED. POPULATION-BASED DEMAND ESTIMATES ARE OBTAINED FROM THE MEDSTAT INFORUM MEDI-EDGE SOFTWARE, AND TAKES INTO ACCOUNT THE AGE AND GENDER OF THE POPULATION. THIS IS THEN COMPARED TO THE SUPPLY OF PHYSICIANS AS DETERMINED THROUGH SEVERAL DIFFERENT SOURCES-INCLUDING OUR OWN CALLING OF OFFICES TO DETERMINE THE FULL TIME EQUIVALENT OF PHYSCIANS AVAILABLE IN THE SPECIALTY OF INTEREST. THE DEMAND MINUS THE SUPPLY GIVES THE "NET NEED" CURRENTLY, AND IN 5 YEARS. THE REQUEST FOR THESE ANALYSES ARE MADE BY THE HOSPITAL'S CHIEF EXECUTIVE OFFICERS' BASED ON THE PRIORITIES GIVEN BY THE MEDICAL STAFF AND ACCORDING TO KNOWLEDGE OF CERTAIN PHYSICIANS THAT ARE LIKELY TO BE LEAVING THE AREA IN THE NEXT YEAR OR TWO. GENERALLY THE DEMAND AND SUPPLY ESTIMATES ARE FOR A GEOGRAPHIC AREA DEFINED BY THE HALF-WAY MARK BETWEEN OUR FACILITY AND THE COMMUNITY HAVING A SIMILAR SIZED MEDICAL FACILITY OF A COMPETITOR. IN LARGER MARKET AREAS, THE PHYSICIAN NEEDS ARE GENERALLY CONCENTRATED AROUND HIGHLY SPECIALIZED PHYSICIANS WHO MAY BE LEAVING OR RETIRING. THE SOFTWARE PACKAGE HAS MODULES THAT ARE USED TO DETERMINE THE NEED FOR NEW FACILITIES, SUCH AS HOSPITALS, URGENT CARE CENTERS, EXPANDED EMERGENCY ROOMS, ETC. THIS IS REVIEWED IF THERE IS AN INCREASE IN POPULATION GROWTH.PATIENT SATISFACTION SURVEYS ARE ANOTHER TOOL USED TO ASSESS NEED. PRESS GANEY MAILS SURVEYS EVERY TWO WEEKS TO A RANDOM SAMPLE OF DISCHARGED PATIENTS. THE GOAL IS TO GET APPROXIMATELY 350 COMPLETED SURVEYS PER YEAR IN EACH OF THE VARIOUS CARE SETTINGS PER FACILITY. THESE CARE SETTINGS INCLUDE INPATIENT, OUTPATIENT, EMERGENCY ROOMS, OUTPATIENT SURGERY, OUTPATIENT DIAGNOSTICS, HOME HEALTH CARE, URGENT CARE CENTERS, ETC. BASED ON THESE SURVEYS, THE NEED FOR SPECIFIC CHANGES IN PROCESSES OR TYPES OF PERSONNEL ARE ASSESSED TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE.NATIONAL RESEARCH CORPORATION IS A RESEARCH COMPANY THAT INTERVIEWS 600 PEOPLE IN OUR COMMUNITY SERVICE AREA EACH YEAR VIA THE INTERNET. THESE PEOPLE ARE A PART OF A PANEL SELECTED TO REPRESENT THE CHARACTERISTICS OF THE COMMUNITY. THIS SURVEY PROVIDES AN ON-LINE TOOL FOR DETERMINING SELF-REPORTED PERCENTAGES WITH CHRONIC CONDITIONS AND USE OF PREVENTIVE SERVICES IN AREAS OF SIMILAR SIZE AND CHARACTERISTICS AROUND THE COUNTRY. Part VI, Line 3: PATIENTS ARE INFORMED OF THEIR ELIGIBILTY FOR ASSISTANCE IN PERSON UPON ENTERING THE HOSPITAL FACILITY. EACH PATIENT IS ASSIGNED AN ADMISSION'S PERSON WHO PROVIDES WRITTEN INFORMATION AS WELL AS VERBAL INFORMATION. Part VI, Line 4: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SERVICES THE UNION COUNTY, MISSISSIPPI AREA. SOME PATIENTS COME FROM OTHER MISSISSIPPI COUNTIES SURROUNDING THE UNION COUNTY AREA. THE AFRICAN-AMERICAN COMMUNITY COMPRISES ABOUT 17.4% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 3.2%, AND CAUCASIONS ARE ABOUT 78.4%.DEMOGRAPHIC SNAPSHOTS ARE PROVIDED BY THE INDEPENDENT OUTSIDE FIRM OF CLARITAS, INC. OUR OWN HEALTH SERVICES RESEARCH DEPARTMENT AT BAPTIST MEMORIAL HEALTH CARE CORPORATION (OUR PARENT) CALCULATES THE DISTRIBUTION OF INPATIENT DISCHARGES (EXCLUDING NEWBORNS) BY COUNTY. THIS IS SORTED IN DESCENDING NUMBER PER COUNTY AND DETERMINES THOSE COUNTIES WITH UP TO 75-77% OF THE DISCHARGES AND THESE CONTIGUOUS COUNTIES COMPRISE THE PRIMARY MARKET AREA. COUNTIES COMPRISING 78-95% OF THE DISCHARGES ARE DESIGNATED THE SECONDARY MARKET, WHILE THE REMAINING 5% IS THE TERTIARY MARKET.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY'S PRIMARY MARKET SERVICE AREA HAS 85,324 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 264,178 PERSONS. OTHER ITEMS SUCH AS AGE, HOUSEHOLD INCOME, AND RACE/ETHNICITY PERCENTAGES, AS COMPARED TO THE NATION AS A WHOLE, ARE ALSO USED IN THE MIX.DUNN AND BRADSTREET DATA IS ALSO USED TO DETERMINE THE COMMUNITIES LARGEST EMPLOYERS. Part VI, Line 5: THE HOSPITALS HAVE OPEN MEDICAL STAFFS, COMMUNITY BOARD INVOLVMENT, SUPPORT SERVICES, FREE AND/OR REDUCED MAMMOGRAMS, HEALTH FAIRS, DONATION OF SUPPLIES AND MONEY, AND MANY OTHER THINGS. Part VI, Line 6: BAPTIST MEMORIAL HOSPITAL IS AN AFFILIATE OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE PARENT ORGANIZATION OF A NUMBER OF HOSPITALS, MINOR MEDICAL CENTERS, HOME CARE AND HOSPICE SERVICES, AND PHYSICIAN SERVICES IN WEST TENNESSEE, NORTH MISSISSIPPI, AND EAST ARKANSAS. EACH FACILITY PROVIDES HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITIES SERVED. Part VI, Line 7, Reports Filed With States AR,MS,TN 1 CITY OF NEW ALBANY PO BOX 56 NEW ALBANY MS 38652 646000896 501(C)(3) 5000 PARK PROJECT 1 Part I, Line 2: ALL ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF TAX EXEMPT STATUS THAT'S 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 HTTP://WWW.BAPTISTONLINE.ORG/SERVICES/COMMUNITY/INVOLVEMENT/GIVING.ASP. X 0 0 0 0 0 0 0 0 0 0 0 JASON M LITTLE PRESIDENT 0 739507 0 160624 0 111876 0 30500 0 24365 0 1066872 0 0 GREGORY M DUCKETT SECRETARY 0 406545 0 91330 0 252368 0 32500 0 26342 0 809085 0 0 PAUL D DEPRIEST MD VICE PRESIDENT 0 542162 0 116229 0 214018 0 29500 0 24944 0 926853 0 0 WALTER J GRACE CEO/ADMIN 0 168644 0 43493 0 111267 0 22984 0 22754 0 369142 0 0 LARRY RAMSEY PHARMACIST 126725 0 0 0 0 0 14389 0 21202 0 162316 0 0 0 ROBERT S HATCHER PHARMACIST 116525 0 0 0 0 0 17503 0 20829 0 154857 0 0 0 STEPHEN C REYNOLDS FORMER PRESIDENT 0 573600 0 335766 0 778861 0 70000 0 7750 0 1765977 0 0 Part I, Line 1a THE OFFICERS RECEIVE A PERQUISITE ALLOWANCE WHICH IS INCLUDED IN THEIR SALARIES. Part I, Line 1b THE PRESIDENT, VICE PRESIDENTS, AND ADMINISTRATORS RECEIVE A PERQUISITE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN THEIR SALARIES AND IS TAXABLE TO THEM AS ADDITIONAL INCOME. THE ORGANIZATION ALSO HAS AN ACCOUNTABLE PLAN, BUT A DISCRETIONARY SPENDING ACCOUNT IS NOT PART OF AN ACCOUNTABLE PLAN. IF ANY OF THE OTHER ITEMS LISTED ON SCHEDULE J, PART I, LINE 1a WERE APPLICABLE, THE RECIPIENTS WOULD BE REQUIRED TO FOLLOW THE ORGANIZATION'S WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT. 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 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. SCHEDULE J, PART II, LINE 7: STEPHEN C. REYNOLDS RECEIVED COMPENSATION AS PRESIDENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. HE RETIRED 5/31/14, AND THIS COMPENSATION REPRESENTS THE COMPENSATION EARNED DURING THE CALENDAR YEAR ENDING 12/31/14. PART IV, LINE 20B: AUDITED FINANCIAL STATEMENTS: ATTACHED ARE THE FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND SEPTEMBER 30, 2013, AND INDEPENDENT AUDITOR'S REPORT FOR BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. THE AUDIT FOR THE YEAR ENDED SEPTEMBER 30, 2015 IS NOT YET COMPLETE. THE FINANCIAL INFORMATION INCLUDED IN THIS RETURN IS NOT EXPECTED TO CHANGE. PART IV, LINE 12b: THE ORGANIZATION'S COMBINED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. HOWEVER, THE AUDIT FOR THIS TAX YEAR IS NOT YET COMPLETE. THE FINANCIAL INFORMATION IN THIS RETURN IS NOT EXPECTED TO CHANGE. 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 ENTIRE THE 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 HOSPITAL-UNION COUNTY, 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 HOSPITAL-UNION COUNTY, 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 HOSPITAL-UNION COUNTY, 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 HOSPITAL-UNION COUNTY, 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 HOSPITAL 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 HOSPITAL-UNION COUNTY, INC. REQUIRES THAT ALL EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES, PERIODICALLY COMPLETE A CERTIFICATION AND ACKNOWLEDGEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION (THE SOLE MEMBER) 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 CORPOATION 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, 2013 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2014 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. Form 990, Part VI, Section C, line 18 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. MAKES COPIES OF ITS FORMS 1023, 990, AND 990T AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS. Form 990, Part VI, Section C, line 19 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VII STEPHEN C. REYNOLDS - 350 N. HUMPHREYS BLVD, MEMPHIS, TN 38120-2177. JASON M. LITTLE - 350 N. HUMPHREYS BLVD, MEMPHIS, TN 38120-2177. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD, MEMPHIS, TN 38120-2177. PAUL D. DEPRIEST, M.D. - 350 N. HUMPHREYS BLVD, MEMPHIS, TN 38120-2177. Form 990, Part XI, line 9: EQUITY TRANSFER TO/FROM BAPTIST MEMORIAL HEALTH CARE CORPORATION -19,288,470. PART XII, LINE 2b: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. HOWEVER, THE AUDIT FOR THIS TAX YEAR IS NOT YET COMPLETE. THE FINANCIAL INFORMATION INCLUDED IN THIS RETURN IS NOT EXPECTED TO CHANGE. PART XII, LINE 2c: FINANCIAL STATEMENTS AND REPORTING: 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. NORTHEAST ARKANSAS BAPTIST MEMORIAL HEALTH CARE LLC 4800 E JOHNSON AVE JONESBORO AR 72401 810572898 OPERATION OF BAPTIST MEMORIAL HOSPTIAL-JONESBORO, INC. AR N/A NEA BAPTIST HEALTH SERVICES GROUP LLC 4800 E JOHNSON AVE JONESBORO AR 72401 271471186 OPERATE A PREFERRED PROVIDER ORGANIZATION AR N/A BAPTIST MEMORIAL HEALTH CARE CORPORATION 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581521475 MANAGEMENT, ADMINISTRATIVE & FINANCIAL SERVICES FOR 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 0 BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC 1003 MONROE MEMPHIS TN 38104 621599670 EDUCATION OF HEALTH CARE PROFESSIONALS TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HOSPITAL INC 0 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 0 BAPTIST MEMORIAL HOSPITAL INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 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INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581562973 HOME HEALTH CARE & HOSPICE SERVICES TN 501(c)(3) 509(a)(2) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 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 0 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 0 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 0 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 0 BAPTIST MEMORIAL HEALTH CARE 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TN N/A N/A 0 0 CANCER CARE CENTER OF UNIN CITY LP 32 HOSPITAL BLVD JACKSON TN 38305 263425045 CANCER CARE SERVICES TN N/A N/A 0 0 MAYS & SCHNAPP PAIN CENTER 55 HUMPHREYS CENTER BLVD STE 200 MEMPHIS TN 38120 621512849 PAIN MANAGEMENT SERVICES TN N/A N/A 0 0 CONVENIENT CARE DIAGNOSTIC CENTER PLLC 555 HWY 6 EAST BATESVILLE MS 38606 640914382 RADIOLOGY & DIAGNOSTIC SERVICES MS N/A N/A 0 0 HEALTH TECH AFFILIATES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621278576 BUYING AND LEASING REAL & PERSONAL PROPERTY TN N/A C 0 BAPTIST HEALTH SERVICES GROUP OF THE MIDSOUTH INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621534210 HEALTH INSURANCE CONTRACTING TN N/A C 0 SOUTHCREST PROPERTY OWNERS ASSOCIATION 7601 SOUTHCREST PKWY SOUTHAVEN MS 38671 640768703 BOOKKEEPING & DATA PROCESSING FOR SOUTHCREST DEVELOPMENT MS N/A C 0 GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 201158216 BOOKKEEPING & DATA PROCESSING FOR GERMANTOWN BUS. 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