2016-08-09T09:02:19-05:00 2015-09-30 861065772 DELOITTE TAX LLP 1033 DEMONBREUN SUITE 400 NASHVILLE TN 37203 990 2014-10-01 581562973 BAPTIST MEMORIAL HOME CARE INC BAPT 9017676767 350 N HUMPHREYS BLVD MEMPHIS TN 38120 JASON M LITTLE PRESIDENT/CEO 9017676767 2016-08-09 1 FRANCIS J BEDARD P00752421 6152591811 2014 2016-12-15 16:53:06Z JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 24690103 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. 3 0 280 150 0 0 1684945 1474403 23033038 23212706 1833 46 0 2948 24719816 24690103 28732 19772 0 0 21113216 19952687 0 0 0 7089611 7356521 28231559 27328980 -3511743 -2638877 20917560 22065807 27342838 31129962 -6425278 -9064155 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 23805533 19772 23215654 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, 2015, BAPTIST MEMORIAL HEALTH CARE'S PROGRAM SERVICES PRODUCED THE FOLLOWING RESULTS: --SKILLED NURSING HAD 31,023 PATIENT VISITS AT A COST OF $2,921,948.--HOME HEALTH AIDE HAD 4,328 PATIENT VISITS AT A COST OF $182,614.--PHYSICAL THERAPY HAD 34,123 PATIENT VISITS AT A COST OF $3,461,147.--PERSONAL CARE HAD 3,115 PERSONAL CARE HOURS AT A COST OF $133,854.--HOSPICE CARE HAD 47,391 PATIENT DAYS AT A COST OF $12,118,219.BAPTIST MEMORIAL HOME CARE OPENED THE FIRST RESIDENTIAL HOSPICE HOUSE IN DECEMBER 2010. DURING THE FISCAL YEAR ENDING 9/30/15, 66 PATIENTS RECEIVED $346,659 IN FREE AND/OR SUBSIDIZED CARE IN EITHER THE HOSPICE MEDICAL CARE, OR ROOM AND BOARD IN THE FACLITY.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, 2015, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $250,369.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. DURING FISCAL YEAR ENDING SEPTEMBER 30,2015, THE CENTER FOR GOOD GRIEF HAD 3,233 VISITS FROM THE COMMUNITY. 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. 23805533 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 0 1 0 1 X 0 0 1 280 1 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X FRANK FEIZKHAH 9017676767 6019 WALNUT GROVE RD MEMPHIS TN 38120 PAUL D DEPRIEST MD V.P./DIRECTOR 0.10 39.90 X X 0 872409 54444 JASON M LITTLE PRESIDENT/DIR. 0.10 39.90 X X 0 1012007 54865 DONALD R POUNDS DIRECTOR 0.10 39.90 X 0 1325861 60464 WANDA MILLER ADMINISTRATOR (10/28/14-9/30/15) 30.00 10.00 X 146874 0 40697 FRANK FEIZKHAH CFO 30.00 10.00 X 155856 0 55902 GREGORY M DUCKETT SECRETARY 0.10 39.90 X 0 750243 58842 NANCY W AVERWATER ADMINISTRATOR (10/1/14-10/28/14) 40.00 0.00 X 0 419729 47932 BRAD BUSCHLEN PHYS. THERAPIST 40.00 0.00 X 176743 0 43621 RODGER D ROBINSON ASST. ADM. 40.00 0.00 X 135813 0 42683 BRADLEY J COOK PHYS. THERAPIST 40.00 0.00 X 119018 0 30264 JODIE J ORR PHYS. THERAPIST 40.00 0.00 X 118954 0 31606 EDGAR Q GIPANAGO PHYS. THERAPIST 40.00 0.00 X 118190 0 27017 971448 4380249 548337 14 0 1 0 0 1474403 1474403 PATIENT SERVICE REVENU 900099 22613306 22613306 MANAGEMENT FEE REVENUE 900099 599400 599400 23212706 46 46 BAD DEBT RECOVERY 900099 2948 2948 2948 24690103 23215654 0 46 19772 19772 337595 286956 50639 15685991 13333092 2352899 463366 393861 69505 2361232 2007047 354185 1104503 938828 165675 11093 9429 1664 2376553 2257725 118828 10566 9509 1057 587805 558415 29390 288595 245306 43289 617877 586983 30894 29956 25463 4493 43695 37141 6554 864024 820823 43201 611238 519552 91686 MEDICAL SUPPLIES 1277792 1213902 63890 REPAIR & MAINTENANCE 398241 338505 59736 AUTO EXP 128587 109299 19288 DUES & SUBSCRIPTIONS 50020 42517 7503 60479 51408 9071 27328980 23805533 3523447 0 451 10947 1151953 1343831 4132 4132 6528005 8010858 32320 34229 17078898 4425419 13198130 12653479 2569 8331 20917560 22065807 2430953 2399398 1008767 888493 23903118 27842071 27342838 31129962 X -6425278 -9064155 -6425278 -9064155 20917560 22065807 -2638877 0 X X 0 1 X 1 0 X 814042 1525875 1546199 1684945 1474403 7045464 18471000 22060777 22191471 23033038 23212706 108968992 19285042 23586652 23737670 24717983 24687109 116014456 0 0 0 116014456 279 71 1833 46 2229 279 71 1833 46 2229 19285042 23586931 23737741 24719816 24687155 116016685 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11093 11093 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 2072347 9724422 19530 19530 0 2872221 2044856 827365 896256 288686 607570 12653479 DUE TO AFFILIATES 27842071 27842071 X 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. FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND SUBSIDIARIES: AS OF SEPTEMBER 30, 2014 AND 2013, 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 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. 1 CAMP GOOD GRIEF 63 7914 ADULT CAMP GOOD GRIEF 60 11192 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 HTTP://WWW.BAPTISTONLINE.ORG/ABOUT/COMMUNITY/GUIDELINES/. X 0 0 0 0 0 0 0 0 0 0 0 PAUL D DEPRIEST MD V.P./DIRECTOR 0 542162 0 116229 0 214018 0 29500 0 24944 0 926853 0 0 JASON M LITTLE PRESIDENT/DIR. 0 739507 0 160624 0 111876 0 30500 0 24365 0 1066872 0 0 DONALD R POUNDS DIRECTOR 0 537555 0 121333 0 666973 0 42500 0 17964 0 1386325 0 0 WANDA MILLER ADMINISTRATOR (10/28/14-9/30/15) 134912 0 9964 0 1998 0 20230 0 20467 0 187571 0 0 0 FRANK FEIZKHAH CFO 140983 0 11312 0 3561 0 34586 0 21316 0 211758 0 0 0 GREGORY M DUCKETT SECRETARY 0 406545 0 91330 0 252368 0 32500 0 26342 0 809085 0 0 NANCY W AVERWATER ADMINISTRATOR (10/1/14-10/28/14) 0 201687 0 42289 0 175753 0 28750 0 19182 0 467661 0 0 BRAD BUSCHLEN PHYS. THERAPIST 172611 0 0 0 4132 0 23434 0 20187 0 220364 0 0 0 RODGER D ROBINSON ASST. ADM. 112819 0 10270 0 12724 0 18306 0 24377 0 178496 0 0 0 JODIE J ORR PHYS. THERAPIST 118312 0 0 0 642 0 11321 0 20285 0 150560 0 0 0 Part I, Line 1a THE OFFICERS RECEIVE A PERQUISITE ALLOWANCE WHICH IS INCLUDED IN THEIR SALARIES. Part I, Line 1b THE PRESIDENT, ALL 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, AS SOLE MEMBER, HAS A GOVERNANCE COMMITTEE MADE UP OF THE BOARD OF DIRECTORS, WHO ALONG WITH THE HUMAN RESOURCE DEPARTMENT, UTILIZES INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION STUDIES, AND APPROVAL BY THE COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR AND OTHER KEY PERSONNEL. 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 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, 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 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 2b:FINANCIAL STATEMENTS AND REPORTING: 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: 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 HOSPITAL-JONESBORO, INC. AR N/A NEA BAPTIST MEMORIAL 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 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 0 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 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 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