2016-08-09T08:57:23-05:00 2015-09-30 990 2014-10-01 621545731 BAPTIST MEMORIAL MEDICAL GROUP INC BAPT 9017525442 350 N HUMPHREYS BLVD MEMPHIS TN 38120 GREGORY DUCKETT VP/SECRETARY 9012275233 2016-08-09 2014 2016-09-27 15:27:22Z MARK SWANSON MD 350 N HUMPHREYS BLVD MEMPHIS TN 38120 100333840 0 X WWW.BAPTISTONLINE.ORG/BMG X 1997 TN PROVIDER OF AMBULATORY HOSPITAL SERVICES IN SUPPORT OF ITS MISSION OF...(SEE SCHEDULE O, pg 55)PROVIDING HEALTHCARE TO THE COMMUNITY. BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES DIRECT PRIMARY CARE MEDICAL SERVICE THROUGH ITS EMPLOYED MEDICAL PROVIDERS. BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES SUCH SERVICES TO THE COMMUNITY AT LARGE. 26 0 732 0 146546 7339 0 0 126487109 100449666 -79092 -158218 -358663 -193479 126049354 100097969 14545 25790 0 0 85836514 86340421 0 0 0 43428698 36723249 129279757 123089460 -3230403 -22991491 201637304 230253409 227920735 279816672 -26283431 -49563263 X PROVIDER OF AMBULATORY HOSPITAL SERVICES IN SUPPORT OF ITS MISSION OF PROVIDING HEALTHCARE TO THE COMMUNITY. BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES DIRECT PRIMARY CARE MEDICAL SERVICE THROUGH ITS EMPLOYED MEDICAL PROVIDERS....(SEE SCHEDULE O, PG 51) BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES SUCH SERVICES TO THE COMMUNITY AT LARGE. 0 0 94250291 25790 100371252 BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES AMBULATORY SERVICES IN SUPPORT OF ITS MISSION OF PROVIDING HEALTHCARE TO THE COMMUNITY. BAPTIST MEMORIAL MEDICAL GROUP, INC. OFFERS MEDICAL CARE THAT REFLECTS THE THREE-FOLD MINISTRY OF CHRIST--PREACHING, TEACHING AND HEALING, AND IS COMMITTED TO PROVIDING QUALITY CARE TO THE COMMUNITIES IT SERVES. BAPTIST MEMORIAL MEDICAL GROUP, INC. OFFERS MEDICAL CARE TO PERSONS LIVING IN AREAS OF ARKANSAS, TENNESSEE AND MISSISSIPPI CURRENTLY UNDERSERVED BY THE MOST BASIC OF HEALTHCARE SERVICES. SEE SCHEDULE O, PAGE 55 FOR CONTINUATIONBAPTIST MEMORIAL MEDICAL GROUP, INC. USES ITS SERVICES AS A MEANS OF PROVIDING QUALITY HEALTHCARE TO EVERYONE IN THE COMMUNITY. THE PATIENT-FOCUSED HEALTH CARE IS DELIVERED IN A FRIENDLY, COMPASSIONATE AND RESPONSIVE MANNER AS REFLECTED IN THE SERVICE FIRST PHILOSOPHY OF THE ENTIRE BAPTIST MEMORIAL HEALTH CARE SYSTEM: RESPECT FOR THE INDIVIDUAL AND THE VALUE OF DIVERSITY, TRUST AND TEAMWORK AND CONTINUOUS IMPROVEMENT. THE RESOURCES OF BAPTIST MEMORIAL HEALTH CARE CORPORATION (THE SOLE MEMBER) AND ITS AFFILIATES ARE AVAILABLE TO IDENTIFY AND PLACE PRIMARY CARE PRACTITIONERS AND NEEDED SPECIALISTS IN AREAS WHERE THEY ARE MOST NEEDED.IN ADDITION, BAPTIST MEMORIAL MEDICAL GROUP, INC. RECRUITS AND SUPPORTS PHYSICIANS MOVING TO RURAL, UNDERSERVED AREAS IN ARKANSAS, TENNESSEE AND MISSISSIPPI. FINANCIAL SUPPORT IS NECESSARY TO AID PHYSICIANS BEGINNING PRACTICE IN UNDERSERVED AREAS. THE PRESENCE OF THESE PHYSICIANS IN THE AREA MAKES IT POSSIBLE FOR RESIDENTS TO AVOID TRAVEL TO NEIGHBORING COMMUNITIES TO RECEIVE BASIC HEALTH CARE SERVICES. BAPTIST MEMORIAL MEDICAL GROUP, INC. IS A MULTISPECIALTY PHYSICIAN GROUP WITH MORE THAN 500 PHYSICIANS REPRESENTING OVER 40 SPECIALITIES INCLUDING PEDIATRICS, FAMILY PRACTICE, ONCOLOGY, WOMEN'S HEALTH, NEUROLOGY, GASTROENTEROLOGY, CARDIOLOGY AND ORTHOPAEDIC SURGERY, TO NAME A FEW.BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH WE MAY RECEIVE LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE, TENNCARE AND UNINSURED PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, BAPTIST MEMORIAL MEDICAL GROUP, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING SEPTEMBER 30, 2015, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $7,633,262.CHARITY CARE IS PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH BAPTIST MEMORIAL MEDICAL GROUP, INC, BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THROUGH ITS AFFILIATION WITH BAPTIST MEMORIAL HEALTH CARE CORPORATION AND ITS AFFILIATED BAPTIST MEMORIAL HOSPITALS IN ARKANSAS, TENNESSEE AND MISSISSIPPI, BAPTIST MEMORIAL MEDICAL GROUP, INC. PROVIDES THE FOLLOWING PROGRAMS AND SERVICES FOR THE COMMUNITY: --COMMUNITY HEALTH FAIRS--PHYSICAL EXAMS FOR STUDENTS ACTIVE IN COMPETITIVE SPORTS--TENNESSEE NURSING ASSOCIATION MEETINGS--PROVISION OF STAFF NURSES TO HELP WITH SENIOR CITIZENS HEALTH FAIR--EMPLOYEE ACTIVITIES TO RAISE MONEY FOR JUNIOR ACHIEVEMENT, UNITED WAY, AMERICAN HEART ASSOCIATION, AND MARCH OF DIMES--REDUCED-PRICE FLU SHOTS FOR VARIOUS LOCAL COMPANIES--PROVISION OF PHYSICIANS FOR SPEAKING ENGAGEMENTS ON TOPICAL HEALTH ISSUES TO THE COMMUNITY 94250291 1 0 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 1 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 1 1 0 1 0 1 X 0 0 1 732 1 1 1 0 0 0 0 0 0 0 0 0 X 26 0 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X KIMBERLY YOUNG CFO 9012274080 1717 W MASSEY RD MEMPHIS TN 38120 JASON M LITTLE DIRECTOR 0.20 39.80 X 0 1012007 54865 PAUL D DEPRIEST MD DIRECTOR 0.20 39.80 X 0 872409 54444 DONALD R POUNDS DIRECTOR 0.20 39.80 X 0 1325861 60464 JAMES W BOSWELL PRESIDENT/CEO/DIRECTOR 0.20 39.80 X X 0 882590 72034 ANNE SULLIVAN MD DIRECTOR 0.20 39.80 X 0 320843 0 CHARLES WOODALL MD DIRECTOR 0.20 39.80 X 0 435199 0 PAUL S BIERMAN MD DIRECTOR 0.20 39.80 X 0 1047374 0 JOSEPH K SAMAHA MD DIRECTOR 0.20 39.80 X 0 833925 0 JOHN E REED MD DIRECTOR 0.20 39.80 X 0 283522 47942 WILLIAM LIGHT MD DIRECTOR/PHYSICIAN 40.00 0.00 X 326098 0 40832 GREGORY JENKINS MD DIRECTOR/PHYSICIAN 40.00 0.00 X 295237 0 50379 AYESHA MUZAMMIL DIRECTOR/HOSPITALIST 40.00 0.00 X 358505 0 44303 JOHN CRAIG MD DIRECTOR/PHYSICIAN 40.00 0.00 X 706777 0 19461 STEVE GUBIN MD DIRECTOR 0.20 39.80 X 0 1651411 0 MICHAEL ISSACSON MD DIRECTOR 0.20 39.80 X 0 267403 0 JON P VERHALEN MD DIRECTOR 0.20 39.80 X 950221 0 49984 EARLE WEEKS MD DIRECTOR 0.20 39.80 X 0 1134818 0 STEPHEN EDGE MD DIRECTOR 0.20 39.80 X 600310 0 63137 ALEKSANDER JANKOV MD DIRECTOR 0.20 39.80 X 0 797723 0 EMMEL GOLDEN MD DIRECTOR 0.20 39.80 X 0 473533 0 WILLIAM HUBBARD MD DIRECTOR 0.20 39.80 X 0 24320 0 CARY M FINN MD PHYSICIAN 40.00 0.00 X 672893 0 47281 JAMES B WALKER MD PHYSICIAN 40.00 0.00 X 641256 0 31011 MARK A CASTELLAW MD PHYSICIAN 40.00 0.00 X 590042 0 40187 ROBERT TAYLOR MD DIRECTOR 0.20 39.80 X 0 291979 23000 STEPHEN WOODRUFF MD DIRECTOR 0.20 39.80 X 0 256703 0 FREDDIE L EVERSON MD DIRECTOR/PHYSICIAN 40.00 0.00 X 268443 0 56877 JANET D GEIGER MD DIRECTOR/PHYSICIAN 40.00 0.00 X 185214 0 27620 GREGORY M DUCKETT V.P./SECRETARY 0.20 39.80 X 0 750243 58842 KIMBERLY O YOUNG CFO 40.00 0.00 X 230178 0 22961 ROBERT A VEST COO 40.00 0.00 X 208911 0 39995 HELEN P KESLER CFO ONCOLOGY 40.00 0.00 X 138195 0 33222 EDWARD CROCKER MD PHYSICIAN 40.00 0.00 X 1057306 0 23227 DAVID T CHANG MD PHYSICIAN 40.00 0.00 X 796437 0 27635 JERRY B GOOCH MD PHYSICIAN 40.00 0.00 X 610632 0 50563 JOON K CHANG MD PHYSICIAN 40.00 0.00 X 629087 0 31237 EDWARD T ROBBINS MD PHYSICIAN 40.00 0.00 X 575057 0 38954 9840799 12661863 1110457 162 0 1 0 MIDSOUTH MEDICAL PROFESSIONALS 1835 GRANT AVE JONESBORO AR 72403 RADIOLOGY ONCOLOGY SERV. 3164855 S WEBSTER HAINING CO INC 96 S FRONT ST MEMPHIS TN 38103 CONSTRUCTION SERVICES 1862259 DELTA LOCUM PO BOX 532869 ATLANTA GA 303532869 PHYSICIAN SERVICES 1103630 ADVISORY BOARD PO BOX 79461 BALTIMORE MD 212790461 PHYSICIAN SERVICES 933087 SHIFTWISE PO BOX 70870 ST PAUL MN 551709705 STAFFING SERVICES 574271 42 PROGRAM SERVICE REV. 900099 100449666 100303120 146546 100449666 957 957 265636 76696 188940 188940 188940 159175 -159175 -159175 -159175 NON-OPERATING REVENUE 900099 68132 68132 LOSS ON INVESTMENTS 900099 -450551 -450551 -382419 100097969 100371252 146546 -419829 X 25790 25790 6324644 4743483 1581161 67906423 50929817 16976606 1481046 1110785 370261 6940475 5205356 1735119 3687833 2765875 921958 14872451 12440827 2431624 248134 186101 62033 2098951 1574213 524738 5649516 4237137 1412379 344075 258056 86019 152573 114430 38143 112445 84334 28111 1246836 935127 311709 2792322 2094242 698080 1690892 1268169 422723 UBI TAXES 1500 1125 375 MEDICAL SUPPLIES 4206623 3575630 630993 REPAIR & MAINTENANCE 1363514 1022635 340879 BAD DEBTS, NET OF RECOV 878386 878386 0 1065031 798773 266258 123089460 94250291 28839169 0 13541 13740 2232635 911573 169419314 201192060 16259 2194732 741776 30487325 7624849 24081823 22862476 1563571 2376589 1415500 1615500 716188 523436 201637304 230253409 8085750 9054570 3386712 2546293 216448273 268215809 227920735 279816672 X -26283431 -49563263 -26283431 -49563263 201637304 230253409 X -22991491 -288341 X X 0 1 X 1 0 X X 10 BAPTIST MEMORIAL HOSPITAL-INC 620123940 3 0 542484 0 BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC 640772726 3 0 275684 0 BAPTIST MEMORIAL HOSPITAL-TIPTON INC 621113167 3 0 358430 0 BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC 640663760 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-UNION CITY INC 621138045 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC 621166050 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC 630997281 3 0 0 0 BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICESINC 581645396 3 0 0 0 BAPTIST MEMORIAL HOSPITAL-DESOTO INC 640682111 3 0 3606455 0 BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC 621519754 3 0 729165 0 10 5512218 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 Part II-B, Line 1: 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. BAPTIST MEMORIAL MEDICAL GROUP, INC. DID NOT PAY CONSULTANT FEES. "1" HAS BEEN USED SO THE "YES" ANSWER NEXT TO PART II-B, LINE 1i WILL BE TRANSMITTED WITH THE E-FILED FORM 990. 5635845 5635845 9005507 811202 8194305 4998991 2097226 2901765 10193985 4520522 5673463 652997 195899 457098 22862476 DUE TO AFFILIATES 267756341 OTHER L/T DEBT 459468 268215809 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 BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581544781 501(c)(3) 5000 DONATION FOR DUCK CLASSIC RONALD MCDONALD HOUSE 1009 WOLFE ST LITTLE ROCK AR 72202 710525252 501(c)(3) 5000 GENERAL DONATION AMERICAN MEDICAL GROUP FOUNDATION ONE PRINCE ST ALEXANDRIA VA 22314 540536002 501(c)(6) 8500 GENERAL DONATIONS 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/ABOUT/COMMUNITY/GUIDELINES/. X 0 0 0 0 0 0 0 0 0 0 0 JASON M LITTLE DIRECTOR 0 739507 0 160624 0 111876 0 30500 0 24365 0 1066872 0 0 PAUL D DEPRIEST MD DIRECTOR 0 542162 0 116229 0 214018 0 29500 0 24944 0 926853 0 0 DONALD R POUNDS DIRECTOR 0 537555 0 121333 0 666973 0 42500 0 17964 0 1386325 0 0 JAMES W BOSWELL PRESIDENT/CEO/DIRECTOR 0 583053 0 115772 0 183765 0 42500 0 29534 0 954624 0 0 ANNE SULLIVAN MD DIRECTOR 0 320843 0 0 0 0 0 0 0 0 0 320843 0 0 CHARLES WOODALL MD DIRECTOR 0 435199 0 0 0 0 0 0 0 0 0 435199 0 0 PAUL S BIERMAN MD DIRECTOR 0 1047374 0 0 0 0 0 0 0 0 0 1047374 0 0 JOSEPH K SAMAHA MD DIRECTOR 0 833925 0 0 0 0 0 0 0 0 0 833925 0 0 JOHN E REED MD DIRECTOR 0 283522 0 0 0 0 0 0 0 47942 0 331464 0 0 WILLIAM LIGHT MD DIRECTOR/PHYSICIAN 316764 0 9334 0 0 0 26825 0 14007 0 366930 0 0 0 GREGORY JENKINS MD DIRECTOR/PHYSICIAN 295237 0 0 0 0 0 35232 0 15147 0 345616 0 0 0 AYESHA MUZAMMIL DIRECTOR/HOSPITALIST 245132 0 107973 0 5400 0 24476 0 19827 0 402808 0 0 0 JOHN CRAIG MD DIRECTOR/PHYSICIAN 576474 0 130303 0 0 0 0 0 19461 0 726238 0 0 0 STEVE GUBIN MD DIRECTOR 0 1651411 0 0 0 0 0 0 0 0 0 1651411 0 0 MICHAEL ISSACSON MD DIRECTOR 0 267403 0 0 0 0 0 0 0 0 0 267403 0 0 JON P VERHALEN MD DIRECTOR 492002 0 388219 0 70000 0 24966 0 25018 0 1000205 0 0 0 EARLE WEEKS MD DIRECTOR 0 1134818 0 0 0 0 0 0 0 0 0 1134818 0 0 STEPHEN EDGE MD DIRECTOR 554636 0 40000 0 5674 0 40433 0 22704 0 663447 0 0 0 ALEKSANDER JANKOV MD DIRECTOR 0 797723 0 0 0 0 0 0 0 0 0 797723 0 0 EMMEL GOLDEN MD DIRECTOR 0 473533 0 0 0 0 0 0 0 0 0 473533 0 0 WILLIAM HUBBARD MD DIRECTOR 0 24320 0 0 0 0 0 0 0 0 0 24320 0 0 CARY M FINN MD PHYSICIAN 582917 0 89976 0 0 0 24157 0 23124 0 720174 0 0 0 JAMES B WALKER MD PHYSICIAN 639957 0 0 0 1299 0 11550 0 19461 0 672267 0 0 0 MARK A CASTELLAW MD PHYSICIAN 577493 0 12549 0 0 0 26312 0 13875 0 630229 0 0 0 ROBERT TAYLOR MD DIRECTOR 0 291979 0 0 0 0 0 0 0 23000 0 314979 0 0 STEPHEN WOODRUFF MD DIRECTOR 0 256703 0 0 0 0 0 0 0 0 0 256703 0 0 FREDDIE L EVERSON MD DIRECTOR/PHYSICIAN 268397 0 0 0 46 0 22261 0 34616 0 325320 0 0 0 JANET D GEIGER MD DIRECTOR/PHYSICIAN 135210 0 50001 0 3 0 24964 0 2656 0 212834 0 0 0 GREGORY M DUCKETT V.P./SECRETARY 0 406545 0 91330 0 252368 0 32500 0 26342 0 809085 0 0 KIMBERLY O YOUNG CFO 201144 0 13929 0 15105 0 20830 0 2131 0 253139 0 0 0 ROBERT A VEST COO 186640 0 13514 0 8757 0 19634 0 20361 0 248906 0 0 0 HELEN P KESLER CFO ONCOLOGY 136494 0 0 0 1701 0 11055 0 22167 0 171417 0 0 0 EDWARD CROCKER MD PHYSICIAN 1055672 0 0 0 1634 0 0 0 23227 0 1080533 0 0 0 DAVID T CHANG MD PHYSICIAN 760437 0 0 0 36000 0 19500 0 8135 0 824072 0 0 0 JERRY B GOOCH MD PHYSICIAN 498784 0 111848 0 0 0 36000 0 14563 0 661195 0 0 0 JOON K CHANG MD PHYSICIAN 627671 0 0 0 1416 0 31125 0 112 0 660324 0 0 0 EDWARD T ROBBINS MD PHYSICIAN 566057 0 9000 0 0 0 26000 0 12954 0 614011 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, 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. MEMPHIS INTERNAL MEDICINE PLLC X 575795 115159 0 1 1 WILLIAM H LIGHT MD PC X 666697 125735 0 1 1 INTERNAL MEDICINE ASSOCIATES OF MEMPHIS PA X 228792 45758 0 1 1 THE DOCTORS' CLINIC OF UNION CITY TN PC X 838350 335340 0 1 1 INTERNAL MEDICINE EAST PC X 321600 80400 0 1 1 MEMPHIS PRIMARY CARE ASSOCIATES PLLC X 328167 196900 0 1 1 DR E TODD ROBBINS PC X 154167 92501 0 1 1 COLLIERVILLE FAMILY MEDICAL CENTER PC X 175000 105000 0 1 1 RIVER CITY PEDIATRICS PC X 264167 158500 0 1 1 MASON SURGICAL GROUP PLLC X 166667 100001 0 1 1 KI M CHANG MD PC X 135000 81000 0 1 1 THE ENDOCRINE CLINIC PC X 875000 750000 0 1 1 WOMAN'S CLINIC PA X 116667 93334 0 1 1 MIKE FOSTER MD PC X 166665 133332 0 1 1 CARDIOVASCULAR SURGERY CLINIC PLLC X 166667 133333 0 1 1 2546293 BRADLEY A WOLFE MD CURRENT KEY EMPLOYEE WHO OWNED MORE THAN 5% OF SELLER, A PLLC 0 ON SEPTEMBER 1 2015 THE ORGANIZATION PURCHASED ASSETS & ASSUMED CERTAIN LIABILITIES FROM THE CARDIOVASCULAR SURGERY CLINIC, PLLC ("SELLER") FOR A PURCHASE PRICE OF $209,300 OF WHICH $166,667 WAS REPRESENTED BY A NOTE PAYBLE TO THE SELLER. IN ADDITION, THE SELLER ASSIGNED TO THE ORGANIZATION CERTAIN LEASE AGREEMENTS FOR THE USE OF CERTAIN SPACE PREVIOUSLY UTILIZED BY THE SELLER. 0 0 0 0 0 PART II MEMPHIS INTERNAL MEDICINE, PLLC:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF MEMPHIS INTERNAL MEDICINE, PLLC., THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM MEMPHIS INTERNAL MEDICINE, PLLC ON SEPTEMBER 16, 2011. THE PARTIES AGREED THAT $575,795 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO MEMPHIS INTERNAL MEDICINE, PLLC.WILLIAM H. LIGHT, M.D., PC:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF WILLIAM H. LIGHT, M.D., PC., THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM WILLIAM H. LIGHT, M.D., PC ON SEPTEMBER 30, 2011. THE PARTIES AGREED THAT $666,697 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO WILLIAM H. LIGHT, M.D., PC.INTERNAL MEDICINE ASSOCIATES, P.A.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF INTERNAL MEDICINE ASSOCIATES OF MEMPHIS, P.A., THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM INTERNAL MEDICINE ASSOCIATES OF MEMPHIS, P.A. ON DECEMBER 12, 2011. THE PARTIES AGREED THAT $228,792 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO INTERNAL MEDICINE ASSOCIATES OF MEMPHIS, P.A.THE DOCTORS' CLINIC OF UNION CITY, TN, P.C.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF THE DOCTORS' CLINIC OF UNION CITY, TN P.C. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM THE DOCTORS' CLINIC OF UNION CITY, TN, P.C. ON MARCH 1, 2012. THE PARTIES AGREED THAT $838,350 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO THE DOCTOR'S CLINIC OF UNION CITY, TN, P.C.INTERNAL MEDICINE EAST, P.C.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF INTERNAL MEDICINE EAST, P.C. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM INTERNAL MEDICINE EAST, P.C. ON MARCH 21, 2012. THE PARTIES AGREED THAT $321,600 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO INTERNAL MEDICINE EAST, P.C.MEMPHIS PRIMARY CARE ASSOCIATES, PLLC:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF MEMPHIS PRIMARY CARE ASSOCIATES, PLLC THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM MEMPHIS PRIMARY CARE ASSOCIATES, PLLC DECEMBER 1, 2012. THE PARTIES AGREED THAT $328,167 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO MEMPHIS PRIMARY CARE ASSOCIATES, PLLC.DR. E. TODD ROBBINS, P.C.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF DR. E. TODD ROBBINS, P.C. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM DR. E. TODD ROBBINS, P.C. DECEMBER 31, 2012. THE PARTIES AGREED THAT $154,167 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO DR. E. TODD ROBBINS, P.C.COLLIERVILLE FAMILY MEDICAL CENTER, P.C.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF COLLIERVILLE FAMILY MEDICAL CENTER P.C. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM COLLIERVILLE FAMILY MEDICAL CENTER, P.C. ON FEBRUARY 1, 2013. THE PARTIES AGREED THAT $175,000 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO COLLIERVILLE FAMILY MEDICAL CENTER, P.C.RIVER CITY PEDIATRICS, P.C.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF RIVER CITY PEDIATRICS, P.C. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM RIVER CITY PEDIATRICS, P.C. ON APRIL 30, 2013. THE PARTIES AGREED THAT $264,167 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO RIVER CITY PEDIATRICS, P.C.MASON SURGICAL GROUP, PLLC:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF MASON SURGICAL GROUP, PLLC THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM MASON SURGICAL GROUP, PLLC ON MAY 31, 2013. THE PARTIES AGREED THAT $166,667 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO MASON SURGICAL GROUP, PLLC.KI M. CHANG, M.D., P.C.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF KI M. CHANG, M.D., P.C. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM KI M. CHANG, M.D., P.C. ON JULY 7, 2013. THE PARTIES AGREED THAT $135,000 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO KI M. CHANG, M.D., P.C.THE ENDOCRINE CLINIC, P.C.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF THE ENDOCRINE CLINIC, P.C. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM THE ENDOCRINE CLINIC, P.C. ON MARCH 1, 2014. THE PARTIES AGREED THAT $875,000 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO THE ENDOCRINE CLINIC, P.C.WOMAN'S CLINIC, P.A.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF WOMEN'S CLINIC, P.A. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM WOMEN'S CLINIC, P.A. ON APRIL 1, 2014. THE PARTIES AGREED THAT $116,667 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO WOMEN'S CLINIC, P.A.MIKE FOSTER, M.D., P.C.:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF MIKE FOSTER, M.D., P.C. THE INTERESTED PERSONS.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM MIKE FOSTER, M.D., P.C. ON SEPTEMBER 1, 2014. THE PARTIES AGREED THAT $166,665 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO MIKE FOSTER, M.D., P.C.CARDIOVQASCULAR SURGERY CLINIC, PLLC:COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF BAPTIST MEMORIAL MEDICAL GROUP, INC. WHO HAD MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF CARDIOVASCULAR SURGERY CLINIC, PLLC, THE INTERESTED PERSON.COLUMN (c):BAPTIST MEMORIAL MEDICAL GROUP, INC. PURCHASED CERTAIN ASSETS FROM CARDIOVASCULAR SURGERY CLINIC, PLLC ON SEPTEMBER 1, 2015. THE PARTIES AGREED THAT $166,667 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO CARDIOVASCULAR SURGERY CLINIC, PLLC. 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 MEDICAL GROUP, INC. PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. Form 990, Part VI, Section A, line 6 BAPTIST MEMORIAL MEDICAL GROUP, INC. IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION. Form 990, Part VI, Section A, line 7a BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC. 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 MEDICAL GROUP, 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 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 MEDICAL GROUP, INC. REQUIRES THAT ALL EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES, PERIODICALLY COMPLETE A CERTIFICATION AND ACKNOWLEDGEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION STANDARDS OF CONDUCT, WHICH INCORPORATES THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS DISCLOSE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH DECEMBER. IN THE EVENT THAT AN EMPLOYEE OR BOARD MEMBER BECOMES AWARE OF A POTENTIAL CONFLICT OF INTEREST, HE/SHE IS REQUIRED TO REPORT IT TO THEIR CHIEF EXECUTIVE OFFICER BEFORE TAKING ANY ACTION. IF HE/SHE IS THE CHIEF EXECUTIVE OFFICER, THEN HE/SHE IS TO REPORT TO THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE SIGNED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE SENIOR 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/ADMINISTRATORS. Form 990, Part VI, Section C, line 18 BAPTIST MEMORIAL MEDICAL GROUP, INC. MAKES COPIES OF ITS FORMS 1023, 990, AND 990-T AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS. Form 990, Part VI, Section C, line 19 BAPTIST MEMORIAL MEDICAL GROUP, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, line 11g OTHER PURCHASED SERVICES: Program service expenses 7,555,030. Management and general expenses 1,888,758. Fundraising expenses 0. Total expenses 9,443,788. PHYSICIAN FEES: Program service expenses 4,885,797. Management and general expenses 542,866. Fundraising expenses 0. Total expenses 5,428,663. Form 990, Part XI, line 9: LOSS ON INVESTMENTS -288,341. 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 HOSPITAL-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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MEMORIAL HEALTH CARE CORPORATION 0 BAPTIST CLINICAL RESEARCH INSTITUTE INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 453032246 FACILITATE MEDICAL & SCIENTIFIC REASEARCH TN 501(c)(3) 509(a)(3) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI 2301 S LAMAR OXFORD MS 38655 640772726 HEALTH CARE FACILITY/HOSPITAL MS 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 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 0 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 0 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 0 BAPTIST MEMORIAL REGIONAL REHABILITAION 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 0 BAPTIST MEMORIAL HOME CARE 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 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 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 0 BAPTIST MEMORIAL HOSPITAL-JONESBORO INC 4800 JOHNSON AVE JONESBORO AR 72401 261214372 HEALTH CARE FACILITY/HOSPITAL AR 501(c)(3) 509(a)(1) NEA BAPTIST HEALTH SYSTEM INC 0 NEA BAPTIST HEALTH SYSTEM INC 4800 JOHNSON AVE JONESBORO AR 72401 271799652 HEALTH CARE SERVICE PROVIDER AR 501(c)(3) 509(a)(3) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION INC 4800 JOHNSON AVE JONESBORO AR 72401 710850123 HEALTH CARE SERVICE PROVIDER AR 501(c)(3) 509(a)(1) NEA BAPTIST HEALTH SYSTEM INC 0 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 BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC 6029 WALNUT GROVE RD MEMPHIS TN 38120 452842963 HEALTH CARE SERVICE 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