BAPTIST MEMORIAL HOSPITAL UNION CITY INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST MEMORIAL HOSPITAL UNION CITY INC (EIN 62-1138045)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-05
- IRS object ID
- 201532179349300623
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-05T08:43:44-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621138045 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEMORIAL HOSPITAL- UNION CITY INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 9018848602 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 BISHOP ST | AddressLine1 |
| City | UNION CITY | City |
| State | TN | State |
| ZIP Code | 382615403 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON M LITTLE | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 9012275117 | PhoneNum |
| Signature | 2015-08-05 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JASON M LITTLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N HUMPHREYS BLVD | AddressLine1 |
| City | MEMPHIS | City |
| State | TN | State |
| ZIP Code | 38120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,553,639 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BAPTISTONLINE.ORG/UNION-CITY | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. PROVIDES QUALITY MEDICAL (See Schedule O, pg 53) HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 420 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $545,873 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$15,704 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $42,617 | PYContributionsGrantsAmt |
| CY Contributions Grants | $25,554 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,545,117 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $44,151,178 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,560,500 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,132 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,105,100 | PYOtherRevenueAmt |
| CY Other Revenue | $843,950 | CYOtherRevenueAmt |
| PY Total Revenue | $45,253,334 | PYTotalRevenueAmt |
| CY Total Revenue | $45,033,814 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,462 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,907,619 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,097,804 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,929,030 | PYOtherExpensesAmt |
| CY Other Expenses | $26,329,541 | CYOtherExpensesAmt |
| PY Total Expenses | $46,836,649 | PYTotalExpensesAmt |
| CY Total Expenses | $48,431,807 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,583,315 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,397,993 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,581,597 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,153,311 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,833,485 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,866,374 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,748,112 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,286,937 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BAPTIST MEMORIAL HOSPITAL-UNION CITY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $40,606,704 | ExpenseAmt |
| Grant | $4,462 | GrantAmt |
| Revenue | $43,605,899 | RevenueAmt |
| Desc | BAPTIST MEMORIAL HOSPITAL-UNION CITY PROVIDES QUALITY MEDICAL HEALTH CARE 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 CITY, 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 CITY IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEMORIAL HOSPITAL-UNION CITY PROVIDES THE FOLLOWING:(SEE SCHEDULE O, PG 53 FOR CONTINUATION)--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 COMMUNITY.THESE 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 CITY, INC.'S PROGRAM SERVICES INCLUDED AS OF SEPTEMBER 30, 2014 INCLUDED:--THE SKILLED NURSING DEPT. PROVIDED 7,310 PATIENT SERVICE DAYS AT A COST OF $10,856,753.--THE RADIOLOGICAL DEPT. PERFORMED 40,520 PROCEDURES AT A COST OF $3,361,461.--THE LAB DEPT. PERFORMED 143,752 PROCEDURES AT A COST OF $2,071,915.--THE PHARMACY DEPT. DISPENSED 318,124 UNIT DOSES OF MEDICATION AT A COST OF $1,863,536.BAPTIST MEMORIAL HOSPITAL- UNION CITY, INC. SERVICED 2,599 INPATIENTS AND PROVIDED 44,610 OUTPATIENT VISITS DURING THE FISCAL YEAR 2014. BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH THE HOSPITAL RECEIVES PAYMENT AT 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 CITY, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING SEPTEMBER 30, 2014, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $85,637,038.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 CITY, INC. BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.IN ADDITION, BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. HAS A REHABILITATION FACILITY WITH STATE-OF-THE-ART EQUIPMENT AND A PROFESSIONALLY TRAINED STAFF. AN EXAMPLE OF THE EQUIPMENT AVAILABLE TO THE PATIENTS IS THE BALANCE MASTER SYSTEM, WHICH IS USED TO RETRAIN BALANCE. BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. HAS PROVIDED PHYSICAL THERAPY AND REHABILITATION FOR MORE THAN 30 YEARS. THE STAFF AT BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. HAVE PARTNERED WITH AREA NURSING HOMES TO ENHANCE TREATMENT PLANS IN REGARDS TO PALLIATIVE CARE INITIATIVES. THE HOSPITAL HAS OPENED INPATIENT HOSPICE BEDS AND WORKED WITH AREA NURSING HOMES TO ESTABLISH HOSPICE CARE IN THEIR FACILITIES.BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. HAS PROVIDED A NUMBER OF SERVICES IN THE COMMUNITY SOME OF WHICH INCLUDE THE FOLLOWING: --HOSPITAL TOURS FOR VARIOUS GROUPS--REPRESENTATIVES WHO SPOKE FREE OF CHARGE TO VARIOUS COMMUNITY GROUPS--BREASTFEEDING CLASSES--CHILDBIRTH CLASSES--COMMUNITY EMERGENCY SERVICES DAY--LAMAZE CLASSES--OBION COUNTY LEADERSHIP--OBION COUNTY YOUTH LEADERSHIP--SUPPORT GROUP MEETINGS--TEDDY BEAR CLINIC--TOY DRIVE FOR HEAD START--TOY DRIVE FOR CHIMES FOR CHARITYBAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. ALSO PROVIDED SEVERAL COUNSELING SESSIONS THROUGHOUT THE YEAR WHICH INCLUDED:--CLINICAL SUPERVISION--COUNSELING SUPERVISION--GRIEF SUPPORT GROUP MEETINGS--FREE HEALTH ASSESSMENTS--DIETARY CONSULTATIONS FOR DISCHARGED PATIENTSBAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. ALSO PROVIDED THE FOLLOWING SERVICES TO THE COMMUNITY: --PRESENTATION OF SEVERAL HEALTH FAIRS THROUGHOUT THE YEAR FOR THE COMMUNITY.--MEETING ROOMS AT NO-CHARGE FOR VARIOUS COMMUNITY GROUPS. --HEALTH SCREENINGS THROUGHOUT THE YEAR FOR THE COMMUNITY AT NO-CHARGE OR REDUCED PRICES. --VARIOUS CAREER SEMINARS/MEETINGS FOR THE COMMUNITY. --FAMILY SERVICES --FREE OR REDUCED PRICE FLU VACCINES BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. 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 BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. SUPPORTED THROUGH ITS VOLUNTEER EFFORTS:--AMERICAN CANCER SOCIETY--MAIN STREET --DISCOVERY PARK OF AMERICA--OBION COUNTY FAIR--UNITED WAY--UNION CITY HIGH SCHOOL --OBION COUNTY SCHOOLS--LITTLE LEAGUE TEAMS--HOMETOWN WALK OF HOPE --CAREER DAYS --OBION COUNTY CANCER AGENCY --REELFOOT ROAD RACE --MARCH OF DIMES --AMERICAN HEART ASSOCIATIONDONATIONS/SPONSORSHIPS WERE MADE TO VARIOUS ORGANIZATIONS:--AGAPE--CORN FEST--CHURCH MISSION TRIPS--HOMETOWN WALK OF HOPE--MARCH OF DIMES--AMERICAN CANCER SOCIETY--UNITED WAY OF OBION COUNTY--OBION COUNTY PUBLIC LIBRARY--MASQUERADE THEATER--OBION COUNTY YOUTH LEADERSHIP--THE COMMUNITY CONCERT ASSOCIATION--CYSTIC FIBROSIS--ST. JUDE CHILDRENS RESEARCH HOSPITAL--SPECIAL OLYMPICS--BOY SCOUTS OF AMERICA--KIWANIS CLUB OF UNION CITYAWARDS & RECOGNITIONS:--PREMIER QUEST AWARD FOR HIGH-VALUE HEALTHCARE (2014)--PRESS GANEY GUARDIAN OF EXCELLENCE AWARD (2013) | Desc |
| Total Program Service Expenses | $40,606,704 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 420 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | Yes (1) | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | Yes (1) | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIKE PERRYMAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9018848602 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 BISHOP ST | AddressLine1 |
| City | UNION CITY | City |
| State | TN | State |
| ZIP Code | 382615403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JAMES M GLASGOW JR | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD P MALLONEE | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY HOUSTON | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY CARPENTER | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHUCK DOSS | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TERRY ROBERSON | ||||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GREGORY M DUCKETT | ||||||||
| SECRETARY | 0.20 | 39.80 | $0 | $582,127 | $65,914 | Yes (X) | ||
| STEPHEN C REYNOLDS | ||||||||
| PRESIDENT (6/01/14-9/30/14) | 0.20 | 39.80 | $0 | $1,898,392 | $88,125 | Yes (X) | ||
| JASON M LITTLE | ||||||||
| PRESIDENT (10/01/13-5/31/14) | 0.20 | 39.80 | $0 | $881,834 | $83,275 | Yes (X) | ||
| PAUL D DEPRIEST MD | ||||||||
| VP | 0.10 | 39.90 | $0 | $526,494 | $50,292 | Yes (X) | ||
| BARRY BONDURANT | ||||||||
| CEO/ADMINISTRATOR | 40.00 | 0.00 | $0 | $210,914 | $41,386 | Yes (X) | ||
| GARY M PERRYMAN | ||||||||
| CFO | 40.00 | 0.00 | $128,110 | $0 | $46,862 | Yes (X) | ||
| CAROL TATE | ||||||||
| PHAR | 40.00 | 0.00 | $120,992 | $0 | $39,323 | Yes (X) | ||
| WILLA CARR | ||||||||
| PHAR | 40.00 | 0.00 | $119,392 | $0 | $46,028 | Yes (X) | ||
| TERESA A ERVIN | ||||||||
| PHAR DIR | 40.00 | 0.00 | $119,644 | $0 | $55,730 | Yes (X) | ||
| COLLEEN RYAN | ||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $202,040 | $0 | $36,272 | Yes (X) | ||
| SELINA SEAGRAVES | ||||||||
| PHAR | 40.00 | 0.00 | $103,327 | $0 | $30,474 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $793,505 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,099,761 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $583,681 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TEAM HEALTH | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | PHYSICIAN SERVICES | $471,272 |
| UNION CITY ANESTHESIA GROUP LLP | |||||
| PO BOX 387 | UNION CITY | TN | 38281 | ANESTHESIA SERVICES | $217,132 |
| HOSPITAL MEDICAL ASSOCIATES | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | PHYSICIAN SERVICES | $204,738 |
| JENNIFER DICOCCO MD | |||||
| 1019 N TROY RD | UNION CITY | TN | 38261 | PHYSICIAN SERVICES | $198,261 |
| ANELICA | |||||
| 1105 LAKEWOOD PKWY 210 | ATLANTA | GA | 30004 | CLEANING SERVICES | $169,022 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,254 | RelatedOrganizationsAmt |
| All Other Contributions | $21,300 | AllOtherContributionsAmt |
| Total Contributions | $25,554 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| HOSPITAL REVENUE | 713940 | $43,795,712 | $43,605,899 | $189,813 |
| CONTRACT SERVICES | 561000 | $355,466 | $355,466 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $44,151,178 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,146 | TotalRevenueColumnAmt |
| Exclusion | $2,146 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $864,594 | RealAmt |
| Personal | $15,779 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $473,886 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $390,708 | RealAmt |
| Personal | $15,779 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $406,487 | TotalRevenueColumnAmt |
| Exclusion | $406,487 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $56,925 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $45,939 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,986 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,986 | TotalRevenueColumnAmt |
| Exclusion | $10,986 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| INVESTMENT IN SURGERY | 621990 | $241,088 | $241,088 | |
| CAFETERIA SALES | 722320 | $190,209 | $189,615 | $594 |
| PAT./EMP. CONVENIENCES | 900099 | $6,326 | $6,326 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$160 | TotalRevenueColumnAmt |
| Exclusion | -$160 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $437,463 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,033,814 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,605,899 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $545,873 | UnrelatedBusinessRevenueAmt |
| Exclusion | $856,488 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,462 | TotalAmt |
| Program Services | $4,462 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,601 | TotalAmt |
| Program Services | $150,450 | ProgramServicesAmt |
| Management And General | $34,151 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,568,544 | TotalAmt |
| Program Services | $13,503,363 | ProgramServicesAmt |
| Management And General | $3,065,181 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,609 | TotalAmt |
| Program Services | $572,626 | ProgramServicesAmt |
| Management And General | $129,983 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,471,931 | TotalAmt |
| Program Services | $2,829,624 | ProgramServicesAmt |
| Management And General | $642,307 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,170,119 | TotalAmt |
| Program Services | $953,647 | ProgramServicesAmt |
| Management And General | $216,472 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,200 | TotalAmt |
| Program Services | $82,478 | ProgramServicesAmt |
| Management And General | $18,722 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,571 | TotalAmt |
| Program Services | $3,725 | ProgramServicesAmt |
| Management And General | $846 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,306,824 | TotalAmt |
| Program Services | $2,695,061 | ProgramServicesAmt |
| Management And General | $611,763 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,555 | TotalAmt |
| Program Services | $86,027 | ProgramServicesAmt |
| Management And General | $19,528 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $963,617 | TotalAmt |
| Program Services | $785,348 | ProgramServicesAmt |
| Management And General | $178,269 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,005,375 | TotalAmt |
| Program Services | $819,381 | ProgramServicesAmt |
| Management And General | $185,994 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,959 | TotalAmt |
| Program Services | $114,067 | ProgramServicesAmt |
| Management And General | $25,892 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,227 | TotalAmt |
| Program Services | $9,965 | ProgramServicesAmt |
| Management And General | $2,262 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,048,732 | TotalAmt |
| Program Services | $4,929,717 | ProgramServicesAmt |
| Management And General | $1,119,015 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,598,317 | TotalAmt |
| Program Services | $1,302,628 | ProgramServicesAmt |
| Management And General | $295,689 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,275 | TotalAmt |
| Program Services | $106,989 | ProgramServicesAmt |
| Management And General | $24,286 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $4,926,033 | $4,014,717 | $911,316 |
| BAD DEBT, NET OF RECOVE | $4,464,190 | $4,464,190 | $0 |
| MEDICAID ASSESSMENT | $1,646,520 | $1,646,520 | $0 |
| REPAIRS & MAINTENANCE | $773,087 | $630,066 | $143,021 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,102,059 | TotalAmt |
| Program Services | $901,653 | ProgramServicesAmt |
| Management And General | $200,406 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,431,807 | TotalAmt |
| Program Services | $40,606,704 | ProgramServicesAmt |
| Management And General | $7,825,103 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,299 | BOYAmt |
| EOY | $952 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,120,048 | BOYAmt |
| EOY | $3,953,650 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,598,646 | BOYAmt |
| EOY | $6,087,257 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $892,403 | BOYAmt |
| EOY | $1,120,890 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,689 | BOYAmt |
| EOY | $194,453 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $60,885,205 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,939,860 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,869,234 | BOYAmt |
| EOY | $16,945,345 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $711,475 | BOYAmt |
| EOY | $705,781 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,803 | BOYAmt |
| EOY | $2,144,983 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,581,597 | BOYAmt |
| EOY | $31,153,311 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,225,028 | BOYAmt |
| EOY | $2,911,169 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,608,457 | BOYAmt |
| EOY | $9,955,205 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,833,485 | BOYAmt |
| EOY | $12,866,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,748,112 | BOYAmt |
| EOY | $18,286,937 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,748,112 | BOYAmt |
| EOY | $18,286,937 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,581,597 | BOYAmt |
| EOY | $31,153,311 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,397,993 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,331 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,053,851 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,571 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,571 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | BAPTIST MEMORIAL HOSPITAL-UNION CITY PAYS MEMBERSHIP DUES TO THE TENNESSEE HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES IS RELATED TO LOBBYING EXPENSES. 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,590,301 | OtherCostOrOtherBasisAmt |
| Book Value | $1,590,301 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,619,039 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,649,456 | DepreciationAmt |
| Book Value | $11,969,583 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,301,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,923,229 | DepreciationAmt |
| Book Value | $3,378,484 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $374,152 | OtherCostOrOtherBasisAmt |
| Depreciation | $367,175 | DepreciationAmt |
| Book Value | $6,977 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,945,345 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED SETTLEMENTS WITH THIRD PARTIES | $15,713 |
| CONSTRUCTION IN PROCESS | $2,129,270 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,144,983 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED SETTLEMENTS WITH THIRD PARTIES | $35,470 |
| DUE TO AFFILIATES | $9,919,735 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,955,205 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,090,541 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,090,541 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,245,558 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,702,641 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,542,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08060 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,108,032 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,523,999 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,415,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,444,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,226,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,217,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 76 | PersonsServedCnt |
| Total Community Benefit Expns | $3,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,186,906 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,130,033 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,056,873 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09230 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,271 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,271 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 76 | PersonsServedCnt |
| Total Community Benefit Expns | $20,205,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,130,033 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,075,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 76 | PersonsServedCnt |
| Total Community Benefit Expns | $31,650,026 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,356,673 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,293,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24360 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,000 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,318,800 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,105,232 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,910,809 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,774,415 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $136,394 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEMORIAL HOSPITAL-UNION CITY | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 BISHOP ST | AddressLine1 |
| City | UNION CITY | City |
| State | TN | State |
| ZIP Code | 38261 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BAPTISTONLINE.ORG/UNION-CITY/ | WebsiteAddressTxt |
| State License | 0000000091 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEMORIAL HOSPITAL-UNION CITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BAPTISTONLINE.ORG/UNION-CITY | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BAPTIST MEMORIAL HOSPITAL-UNION CITY | Part V, Section B, Line 3: SURVEYS:A STATISTICAL HOUSEHOLD SURVEY WAS COMPLETED WITH 528 ADULTS FROM THE BAPTIST MEMORIAL HOSPITAL-UNION CITY 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. A NUMBER OF EXISTING RESOURCES WERE REVIEWED TO FULLY UNDERSTAND SECONDARY DATA TRENDS. THE SECONDARY DATA THAT WAS ANALYZED INCLUDED STATISTICS SUCH AS MORTALITY RATES, CANCER STATISTICS, COMMUNICABLE DISEASE DATA, SOCIAL DETERMINANTS OF HEALTH (POVERTY, CRIME, EDUCATION, ETC.), AMONG OTHERS. THIS INFORMATION WAS USED TO SUPPLEMENT THE PRIMARY DATA THAT WAS COLLECTED AND FLESH OUT RESEARCH GAPS NOT ADDRESSED IN THE HOUSEHOLD SURVEY. THE PRIMARY SOURCES OF THE SECONDARY DATA INCLUDED THE U.S. CENSUS BUREAU, STATE PUBLIC HEALTH AGENCIES, AND THE COUNTY HEALTH RANKINGS REPORTS. WHERE AVAILABLE, THE LOCAL-LEVEL DATA WAS COMPARED TO STATE AND NATIONAL BENCHMARKS.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.LINE 5a:THE CHNA IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT WWW.BAPTISTONLINE.ORG/UNIONCITY. |
| BAPTIST MEMORIAL HOSPITAL-UNION CITY | Part V, Section B, Line 20d: 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. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 -3.22%. |
| 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-UNION CITY 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 4: | BAPTIST MEMORIAL HOSPITAL-UNION CITY, 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 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 8: | 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, AS SOLE MEMBER OF THE HOSPITAL, 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 THE 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 ADMISSIONS PERSON WHO PROVIDES WRITTEN INFORMATION AS WELL AS VERBAL INFORMATION. |
| Part VI, Line 4: | BAPTIST MEMORIAL HOSPITAL-UNION CITY SERVICES THE OBION COUNTY, TENNESSEE AREA. SOME PATIENTS COME FROM KENTUCKY AND OTHER TENNESSEE COUNTIES SURROUNDING THE UNION CITY. THE AFRICAN-AMERICAN COMMUNITY COMPRISES ABOUT 8.5% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 2.5%, AND CAUCASIONS ARE ABOUT 86.5%.DEMOGRAPHIC SNAPSHOTS ARE PROVIDED BY THE INDEPENDENT OUTSIDE FIRM OF CLARITAS, INC. OUR OWN HEALTH SERVICES RESEARCH DEPARTMENT AT BAPTIST MEMORIAL HEALTH CARE CORPORATION (AS SOLE MEMBER) 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 CITY'S PRIMARY MARKET SERVICE AREA HAS 64,498 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 225,784 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 SOLE MEMBER 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 | TN,AR,MS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREGORY M DUCKETT | ||||||||||||||
| SECRETARY | $0 | $390,718 | $0 | $138,345 | $0 | $53,064 | $0 | $38,250 | $0 | $27,664 | $0 | $648,041 | $0 | $0 |
| STEPHEN C REYNOLDS | ||||||||||||||
| PRESIDENT (6/01/14-9/30/14) | $0 | $1,218,339 | $0 | $409,863 | $0 | $270,190 | $0 | $66,000 | $0 | $22,125 | $0 | $1,986,517 | $0 | $0 |
| JASON M LITTLE | ||||||||||||||
| PRESIDENT (10/01/13-5/31/14) | $0 | $641,389 | $0 | $198,009 | $0 | $42,436 | $0 | $60,500 | $0 | $22,775 | $0 | $965,109 | $0 | $0 |
| PAUL D DEPRIEST MD | ||||||||||||||
| VP | $0 | $495,377 | $0 | $0 | $0 | $31,117 | $0 | $28,010 | $0 | $22,282 | $0 | $576,786 | $0 | $0 |
| BARRY BONDURANT | ||||||||||||||
| CEO/ADMINISTRATOR | $0 | $158,630 | $0 | $31,970 | $0 | $20,314 | $0 | $17,324 | $0 | $24,062 | $0 | $252,300 | $0 | $0 |
| GARY M PERRYMAN | ||||||||||||||
| CFO | $128,110 | $0 | $0 | $0 | $0 | $0 | $30,851 | $0 | $16,011 | $0 | $174,972 | $0 | $0 | $0 |
| CAROL TATE | ||||||||||||||
| PHAR | $120,992 | $0 | $0 | $0 | $0 | $0 | $18,402 | $0 | $20,921 | $0 | $160,315 | $0 | $0 | $0 |
| WILLA CARR | ||||||||||||||
| PHAR | $119,392 | $0 | $0 | $0 | $0 | $0 | $30,669 | $0 | $15,359 | $0 | $165,420 | $0 | $0 | $0 |
| TERESA A ERVIN | ||||||||||||||
| PHAR DIR | $119,529 | $0 | $0 | $0 | $115 | $0 | $34,776 | $0 | $20,954 | $0 | $175,374 | $0 | $0 | $0 |
| COLLEEN RYAN | ||||||||||||||
| PSYCHIATRIST | $202,040 | $0 | $0 | $0 | $0 | $0 | $14,767 | $0 | $21,505 | $0 | $238,312 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 20B: AUDITED FINANCIAL STATEMENTS: | ATTACHED ARE THE BAPTIST MEMORIAL HEALTH CARE CORPORATION AND AFFILIATES COMBINED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND SEPTEMBER 30, 2013, AND INDEPENDENT AUDITOR'S REPORT. ALTHOUGH NOT SEPARATELY SHOWN, THE COMBINED FINANCIAL STATEMENTS INCLUDE THE FINANCIAL STATEMENTS OF THE ORGANIZATION. |
| 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 HOSPITAL-UNION CITY 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 CITY, 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 CITY, 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 CITY, 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, THE V.P. OF CORPORATE FINANCE, AND THE HOSPITAL CFO. IN ADDITION, THE FORM 990 IS REVIEWED ON A ROTATING BASIS OF EVERY THREE 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 CITY, 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 10, 2012 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2013 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. |
| Form 990, Part VI, Section C, line 18 | BAPTIST MEMORIAL HOSPITAL-UNION CITY, 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 CITY, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VII | GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. STEPHEN C. REYNOLDS - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. JASON M. LITTLE - 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: | TRANSFERS TO/FROM BAPTIST MEMORIAL MEDICAL GROUP, INC. -2,895,684. GAIN/LOSS ON INVESTMENTS IN SURGERY CENTERS -158,167. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| 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 |
| NORTHEAST ARKANSAS BAPTIST HEALTH SERVICES GROUP LLC | |||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 271471186 | OPERATE A PREFERRED PROVIDER ORGANIZATION | AR | N/A |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581521475 | MANAGEMENT & DATA PROCESSING SERVICES FOR ITS AFFILIATES | TN | 501(c)(3) | 509(a)(3) | N/A | 0 | |
| BAPTIST MEMORIAL HEALTH CARE SYSTEMS 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) | 0 | BAPTIST MEMORIAL HOSPITAL INC | |
| 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) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 620123940 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| MEDICAL FINANCIAL SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621112364 | COLLECTION AGENCY FOR BAPTIST ENTITIES | TN | 501(c)(3) | 509(a)(3) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC | |||||||||||
| 100 HOSPITAL ST | BOONEVILLE | MS | 38829 | 640663760 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-DESOTO INC | |||||||||||
| 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 640682111 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC | |||||||||||
| 2520 FIFTH ST | COLUMBUS | MS | 39703 | 621519754 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC | |||||||||||
| 631 RB WILSON DR | HUNTINGDON | TN | 38344 | 621166050 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST CLINICAL RESEARCH INSTITUTE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453032246 | FACILITATE MEDICAL & SCIENTIFIC RESEARCH | TN | 501(c)(3) | 509(a)(3) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | |||||||||||
| 2301 S LAMAR | OXFORD | MS | 38655 | 640772726 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-TIPTON INC | |||||||||||
| 1995 HWY 51 SOUTH | COVINGTON | TN | 38019 | 621113167 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| 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) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC | |||||||||||
| 2100 EXETER RD | GERMANTOWN | TN | 38138 | 581645396 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| 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) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL MEDICAL GROUP INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621545731 | PROVISION OF HEALTH CARE PROVIDERS FOR TN FACILITIES | TN | 501(c)(3) | 509(a)(2) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| 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)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL MEDICAL MINI EMP HLTH & WELFARE TRUST INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621407946 | BAPTIST EMPLOYEE HEALTH PLAN | TN | 501(c)(9) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| BAPTIST MINOR MEDICAL CENTERS INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621538114 | NON-EMERGENCY MEDICAL CLINICS | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| 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) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | |||||||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 261214372 | HEALTH CARE FACILITY/HOSPITAL | AR | 501(C)(3) | 509(a)(1) | 0 | NEA BAPTIST HEALTH SYSTEM INC | |
| NEA BAPTIST HEALTH SYSTEM INC | |||||||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 271799652 | HEALTH CARE SERVICE PROVIDER | AR | 501(c)(3) | 509(a)(3) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| NEA CLINIC CHARITABLE FOUNDATION INC | |||||||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 710850123 | HEALTH CARE SERVICE PROVIDER | AR | 501(c)(3) | 509(a)(1) | 0 | NEA BAPTIST HEALTH SYSTEM INC | |
| THE STERN CARDIOVASCULAR FOUNDATION INC | |||||||||||
| 8060 WOLF RIVER BLVD | GERMANTOWN | TN | 38138 | 274396698 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC | |||||||||||
| 6029 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 452842963 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| INTEGRITY ONCOLOGY FOUNDATION INC | |||||||||||
| 6286 BRIARCREST AVE STE 308 | MEMPHIS | TN | 38120 | 453303687 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| MEMPHIS LUNG PHYSICIANS FOUNDATION INC | |||||||||||
| 6025 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 452832975 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| BOSTON BASKIN CANCER FOUNDATION INC | |||||||||||
| 6029 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 453303607 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| GASTROINTESTINAL SPECIALISTS FOUNDATION INC | |||||||||||
| 80 HUMPHREYS CENTER | MEMPHIS | TN | 38120 | 352461541 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 170(b)(1)(A)(iii) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| BMG FAMILY PHYSICIANS GROUP FOUNDATION INC | |||||||||||
| 2859 VAN LEER DR | BARTLETT | TN | 38134 | 461953140 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 170(b)(1)(A)(iii) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST TENNESSEE SURGERY CENTER LLC | ||||||||||||||
| 1722 E REELFOOT | UNION CITY | TN | 38261 | 621685508 | AMBULATORY SURGERY | TN | BAPTIST MEMORIAL HOSPITAL-UNION CITY INC | RELATED | $155,669 | $568,901 | 0 | 0 | 0.50000 | |
| CANCER CARE CENTER OF UNION CITY LP | ||||||||||||||
| 322 HOSPITAL BLVD | JACKSON | TN | 38305 | 263425045 | CANCER CARE MEDICAL SERVICES | TN | BAPTIST MEMORIAL HOSPITAL-UNION CITY INC | RELATED | $85,787 | $130,676 | 0 | 0 | 0.51000 | |
| BAPTIST-DESOTO SURGERY CENTER | ||||||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 200804946 | AMBULATORY SURGERY | MS | N/A | 0 | 0 | N/A | ||||
| BAPTIST-EAST MEMPHIS SURGERY CENTER | ||||||||||||||
| 80 HUMPHREYS CENTER 101 | MEMPHIS | TN | 38120 | 621846584 | AMBULATORY SURGERY | TN | N/A | 0 | 0 | N/A | ||||
| BAPTIST-GERMANTOWN SURGERY CENTER LP | ||||||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621829424 | AMBULATORY SURGERY | TN | N/A | 0 | 0 | N/A | ||||
| BAPTIST & PHYSICIANS OP SURGERY CENTER OF N MS | ||||||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 620925692 | AMBULATORY SURGERY | MS | N/A | 0 | 0 | N/A | ||||
| BAPTIST N MS IMAGING SERVICES LLC | ||||||||||||||
| 504 AZALEA DR | OXFORD | MS | 38655 | 262641267 | DIAGNOSTIC SERVICES | MS | N/A | 0 | 0 | N/A | ||||
| EAST MEMPHIS UROLOGY CENTER LP | ||||||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621810940 | AMBULATORY UROLOGICAL SERVICES | TN | N/A | 0 | 0 | N/A | ||||
| HAMILTON EYE INSTITUTE SURGERY CENTER LP | ||||||||||||||
| 930 MADISON AVE | MEMPHIS | TN | 38103 | 202873438 | AMBULATORY SURGERY | TN | N/A | 0 | 0 | N/A | ||||
| MEDICAL ALTERNATIVES | ||||||||||||||
| 4565 SHELBY RD | MEMPHIS | TN | 38083 | 621488427 | HOME INFUSION PRODUCTS & SERVICES TO PATIENTS | TN | N/A | 0 | 0 | N/A | ||||
| MEMPHIS BIOMED VENTURES I LP | ||||||||||||||
| 17 W PONTOTOC STE 200 | MEMPHIS | TN | 38103 | 943424417 | MEDICAL RESEARCH | TN | N/A | 0 | 0 | N/A | ||||
| MEMPHIS SURGERY CENTER LTD LP | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621218330 | AMBULATORY SURGERY | TN | N/A | 0 | 0 | N/A | ||||
| MEMPHIS-SC LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621590322 | AMBULATORY SURGERY | TN | N/A | 0 | 0 | N/A | ||||
| MEMPHIS-SP LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621590324 | AMBULATORY SURGERY | TN | N/A | 0 | 0 | N/A | ||||
| MIDTOWN SURGERY CENTER LP | ||||||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621619344 | AMBULATORY SURGERY | TN | N/A | 0 | 0 | N/A | ||||
| SM-B BUILDING LLC | ||||||||||||||
| 5900 POPLAR AVE STE 100 | MEMPHIS | TN | 38119 | 621834236 | PHYSICIAN OFFICES | TN | N/A | 0 | 0 | N/A | ||||
| TENNESSEE LITHOTRIPERS LP | ||||||||||||||
| 9825 SPECTRUM DR BLDG 3 | AUSTIN | TX | 78717 | 561720365 | LITHOTRIPSY SERVICES | TN | N/A | 0 | 0 | N/A | ||||
| WOLF RIVER MEDICAL CENTER LP | ||||||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621510287 | MEDICAL OFFICE BLDG. | TN | N/A | 0 | 0 | N/A | ||||
| MAYS & SCHNAPP PAIN CENTER | ||||||||||||||
| 55 HUMPHREYS CENTER BLVD STE 200 | MEMPHIS | TN | 38120 | 621512849 | PAIN MANAGEMENT SERVICES | TN | N/A | 0 | 0 | N/A | ||||
| CONVENIENT CARE DIAGNOSTIC CENTER PLLC | ||||||||||||||
| 555 HWY 6 EAST | BATESVILLE | MS | 38606 | 640914382 | RADIOLOGY & DIAGNOSTIC SERVICES | MS | N/A | 0 | 0 | N/A | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HEALTH TECH AFFILIATES INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621278576 | BUYING & 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 DEV. | MS | N/A | C | 0 |
| GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 201158216 | BOOKKEEPING/DATA PROCESSING FOR GERMANTOWN BUS. PARK DEVELOPMENT | TN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CANCER CARE CENTER OF UNION CITY LLC | ||
| S | $117,300 | CASH |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| E | $7,432,498 | CASH |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| M | $6,048,727 | CASH |
| BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST | ||
| R | $3,183,292 | CASH |
| BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| R | $2,895,664 | CASH |
| NORTHWEST TN SURGERY CENTER LLC | ||
| S | $59,210 | CASH |
Comments