NORTHEAST ARKANSAS CLINIC CHAR FOUNDATION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST ARKANSAS CLINIC CHAR FOUNDATION INC (EIN 71-0850123)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-05
- IRS object ID
- 201542179349300719
- 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 C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-05T09:12:47-05:00 | 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 | 710850123 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST ARKANSAS CLINIC CHARITABLE | BusinessNameLine1 |
| Business Name Line2 | FOUNDATION INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8709345119 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4802 EAST JOHNSON AVE | AddressLine1 |
| City | JONESBORO | City |
| State | AR | State |
| ZIP Code | 72401 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY M DUCKETT | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 8709345119 | 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) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4802 EAST JOHNSON AVE | AddressLine1 |
| City | JONESBORO | City |
| State | AR | State |
| ZIP Code | 72401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $95,021,350 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NEABAPTISTCLINIC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PROVIDES QUALITY (SEE SCHEDULE O, PG 40) MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 769 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $1,103,964 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $103,835 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $91,133,458 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $94,583,944 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | -$13,014 | CYInvestmentIncomeAmt |
| PY Other Revenue | $448,303 | PYOtherRevenueAmt |
| CY Other Revenue | $397,082 | CYOtherRevenueAmt |
| PY Total Revenue | $91,581,761 | PYTotalRevenueAmt |
| CY Total Revenue | $94,968,012 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $86,983 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,165,176 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $52,277,874 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $38,780,004 | PYOtherExpensesAmt |
| CY Other Expenses | $44,529,669 | CYOtherExpensesAmt |
| PY Total Expenses | $91,945,180 | PYTotalExpensesAmt |
| CY Total Expenses | $96,894,526 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$363,419 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,926,514 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,431,203 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,724,850 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,596,883 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,580,527 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,834,320 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,144,323 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $81,870,189 | ExpenseAmt |
| Grant | $86,983 | GrantAmt |
| Revenue | $93,877,062 | RevenueAmt |
| Desc | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. (NEA BAPTIST CLINIC) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF NEA BAPTIST CLINIC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT THE MISSION OF THE CLINIC IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. SEE CONTINUATION AT SCHEDULE O, PAGE 40THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, NORTHEAST ARKANSAS BAPTIST CLINIC PROVIDES THE FOLLOWING:--FREE CARE AND/OR SUBSIDIZED CARE,--CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND--HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITYNEA BAPTIST CLINIC IS THE LARGEST AND MOST COMPREHENSIVE PHYSICIAN-LED AND PROFESSIONALLY MANAGED MULTI-SPECIALTY GROUP PRACTICE IN THE REGION. NEA BAPTIST CLINIC IS MADE UP OF OVER 110 PHYSICIANS PROVIDING CARE IN MORE THAN 35 MEDICAL SPECIALTIES. THE MISSION OF NEA BAPTIST CLINIC IS TO PROVIDE COMPREHENSIVE, PERSONALIZED, QUALITY HEALTH CARE FOR PATIENTS THROUGHOUT THE NORTHEAST ARKANSAS REGION. SINCE FORMING IN 1977, NEA BAPTIST CLINIC HAS BECOME A MULTI-SPECIALTY, AWARD-WINNING CLINIC AND PARTNER WITH NEA BAPTIST MEMORIAL HOSPITAL, INC. WE HAVE BECOME A LEADER IN CLINICAL RESEARCH AND KEY PROVIDER OF MEDICAL SPECIALTY SERVICES WITH HUNDREDS OF THOUSANDS OF CLINIC VISITS EACH YEAR.NEA BAPTIST CLINIC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH WE MAY RECEIVE LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE, MEDICAID AND UNINSURED PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, NEA BAPTIST CLINIC RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING SEPTEMBER 30, 2014, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $28,921,171.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICED SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT NEA BAPTIST CLINIC BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THROUGH ITS AFFILIATION WITH BAPTIST MEMORIAL HEALTH CARE CORPORATION, NEA BAPTIST CLINIC PROVIDES THE FOLLOWING PROGRAMS AND SERVICES FOR THE COMMUNITY:--COMMUNITY HEALTH FAIRS--PHYSICAL EXAMS FOR STUDENTS ACTIVE IN COMPETITIVE SPORTS--PROVISION OF STAFF NURSES TO HELP SENIOR CITIZENS HEALTH FAIR--EMPLOYEE ACTIVITIES TO RAISE MONEY FOR UNITED WAY, AMERICAN HEART ASSOCIATION, AND MARCH OF DIMES--PROVISIONS OF PHYSICIANS FOR SPEAKING ENGAGEMENTS ON TOPICAL HEALTH ISSUES TO THE COMMUNITYONE OF THE BIGGEST PROGRAMS AT NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION IS THE WELLNESS CENTER. THE WELLNESS CENTER AT NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION HAS A STATE OF THE ART CARDIO THEATRE, SELECTORIZED EQUIPMENT, FREE WEIGHTS, INDOOR RUBBERIZED RUNNING TRACK, INDOOR HEATED POOL, JUICE BAR AND NUTRITION CENTER, LOCKER ROOMS, PERSONAL TRAINING AND MORE. WE STRIVE TO DO WHATEVER IS NECESSARY TO HELP OUR MEMBERS MEET THEIR GOALS. OUR TRAINING PHILOSPHY IS BASED ON THE PERIODIZATION OF RESISTANCE TRAINING, SOUND NUTRITION, AND CARDIOVASCULAR TRAINING. THIS IS KNOWN AS OUR TRIANGLE OF SUCCESS.THE NEA BAPTIST WELLNESS CENTER IS A SILVER SNEAKER CERTIFIED FACILITY. ANYONE WHO HAS SILVER SNEAKERS AS A BENEFIT ON THEIR MEDICAL INSURANCE CAN COME TO THE WELLNESS CENTER FREE OF CHARGE.WE OFFER VARIOUS CLASSES SUCH AS AAA WATER AEROBICS, LATIN BOOTCAMP, SILVERSPLASH SILVER SNEAKERS, AB WORKOUTS, LATIN FIT, YOGASTRETCH SILVER SNEAKERS, CARDIO CIRCUIT SILVER SNEAKERS, MSROM SILVER SNEAKERS, AND ZUMBA, JUST TO NAME A FEW. | Desc |
| Total Program Service Expenses | $81,870,189 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | 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 | 117 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 769 | 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 | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | The Organization | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8709345119 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4802 EAST JOHNSON AVE | AddressLine1 |
| City | JONESBORO | City |
| State | AR | State |
| ZIP Code | 72401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|---|
| RANDY J KING | ||||||||
| DIRECTOR | 0.80 | 39.20 | Yes (X) | $0 | $489,106 | $67,188 | ||
| JAMES W BOSWELL | ||||||||
| DIRECTOR | 0.20 | 39.80 | Yes (X) | $0 | $619,884 | $71,074 | ||
| BRAD H PARSONS | ||||||||
| DIRECTOR | 0.20 | 39.80 | Yes (X) | $0 | $234,917 | $46,616 | ||
| ROBERT TAYLOR MD | ||||||||
| PRESIDENT | 0.20 | 39.80 | Yes (X) | $237,082 | $0 | $23,000 | Yes (X) | |
| JASON BRANDT MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $711,758 | $0 | $17,500 | ||
| ROBERT ABRAHAM MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $438,677 | $0 | $23,000 | ||
| MICHAEL MACKEY MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $410,650 | $0 | $12,396 | ||
| JAMES AMEIKA MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $413,700 | $0 | $23,000 | ||
| NORBERT DELACEY MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $358,060 | $0 | $17,500 | ||
| KENNETH JONES MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $348,462 | $0 | $23,000 | ||
| MICHAEL ISAACSON MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $224,877 | $0 | $0 | ||
| DOUGLAS MAGLOTHIN MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $212,654 | $0 | $23,000 | ||
| RAY HALL JR MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $199,947 | $0 | $5,500 | ||
| WILLIAM HUBBARD MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $26,595 | $0 | $0 | ||
| NATHAN TURNEY MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $252,917 | $0 | $0 | ||
| BROCK HARRIS MD | ||||||||
| DIRECTOR/EMPLOYEE | 40.00 | 0.00 | Yes (X) | $208,953 | $0 | $17,500 | ||
| GREGORY M DUCKETT | ||||||||
| SECRETARY | 0.10 | 39.90 | $0 | $582,127 | $65,914 | Yes (X) | ||
| STEPHEN WOODRUFFMD | ||||||||
| TREASURER | 0.20 | 39.80 | $259,667 | $0 | -$6,558 | Yes (X) | ||
| DARRELL KING | ||||||||
| CEO | 40.00 | 0.00 | $253,457 | $0 | $22,450 | Yes (X) | ||
| ANGIE CARLTON | ||||||||
| CFO | 40.00 | 0.00 | $155,956 | $0 | $8,113 | Yes (X) | ||
| LEXINE HORTON | ||||||||
| COO | 40.00 | 0.00 | $145,225 | $0 | $1,915 | Yes (X) | ||
| BEATA MAJEWSKIMD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $634,038 | $0 | $17,500 | Yes (X) | ||
| MARK WENDEL MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $595,284 | $0 | $25,552 | Yes (X) | ||
| RONALD SCHECHTER MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $593,937 | $0 | $10,250 | Yes (X) | ||
| JEFFREY MULLEN MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $577,462 | $0 | $17,500 | Yes (X) | ||
| DHARMENDRA PATEL MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $519,498 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,778,856 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,926,034 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $532,910 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 97 | 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 |
|---|---|---|---|---|---|
| SOUTHERN EMERGENCY SERVICES | |||||
| 1001 COUNTY RD 759 | JONESBORO | AR | 72401 | MEDICAL SERVICES | $850,777 |
| EXPRESS PERSONNEL SERVICES | |||||
| PO BOX 203901 | DALLAS | TX | 752841634 | TEMP SERVICES | $767,367 |
| ALLSCRIPTS | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 606731246 | EMR CONSULTING | $676,330 |
| SG 360 INTERNATIONAL LLC | |||||
| PO BOX 1501 | JONESBORO | AR | 72403 | BUILDING REPAIRS | $544,900 |
| TEAM HEALTH | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | ER SERVICES | $526,107 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH CARE SERVICES | Desc |
| Business | 541700 | BusinessCd |
| Total Revenue Column | $94,583,944 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,710,386 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $873,558 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $94,583,944 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,324 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $21,338 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$13,014 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,014 | TotalRevenueColumnAmt |
| Exclusion | -$13,014 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | WELLNESS CENTER REV. | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $397,082 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $166,676 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $230,406 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $397,082 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,968,012 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,877,062 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,103,964 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$13,014 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,983 | TotalAmt |
| Program Services | $86,983 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,818,488 | TotalAmt |
| Program Services | $4,095,715 | ProgramServicesAmt |
| Management And General | $722,773 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,543,002 | TotalAmt |
| Program Services | $32,761,552 | ProgramServicesAmt |
| Management And General | $5,781,450 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,551,501 | TotalAmt |
| Program Services | $2,168,776 | ProgramServicesAmt |
| Management And General | $382,725 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,719,226 | TotalAmt |
| Program Services | $3,161,342 | ProgramServicesAmt |
| Management And General | $557,884 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,645,657 | TotalAmt |
| Program Services | $2,248,808 | ProgramServicesAmt |
| Management And General | $396,849 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,709,275 | TotalAmt |
| Program Services | $9,102,884 | ProgramServicesAmt |
| Management And General | $1,606,391 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,799 | TotalAmt |
| Program Services | $485,179 | ProgramServicesAmt |
| Management And General | $85,620 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,830,376 | TotalAmt |
| Program Services | $2,405,820 | ProgramServicesAmt |
| Management And General | $424,556 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,887,911 | TotalAmt |
| Program Services | $5,004,724 | ProgramServicesAmt |
| Management And General | $883,187 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,642 | TotalAmt |
| Program Services | $319,296 | ProgramServicesAmt |
| Management And General | $56,346 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,294 | TotalAmt |
| Program Services | $108,200 | ProgramServicesAmt |
| Management And General | $19,094 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,043 | TotalAmt |
| Program Services | $5,987 | ProgramServicesAmt |
| Management And General | $1,056 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,242,733 | TotalAmt |
| Program Services | $1,906,323 | ProgramServicesAmt |
| Management And General | $336,410 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $923,275 | TotalAmt |
| Program Services | $784,784 | ProgramServicesAmt |
| Management And General | $138,491 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $17,887,428 | $15,204,314 | $2,683,114 |
| REPAIRS & MAINTENANCE | $1,167,763 | $992,599 | $175,164 |
| GOODWILL IMPAIRMENT CHG | $622,200 | $0 | $622,200 |
| TAX & LICENSES | $529,131 | $449,761 | $79,370 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648,799 | TotalAmt |
| Program Services | $577,142 | ProgramServicesAmt |
| Management And General | $71,657 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,894,526 | TotalAmt |
| Program Services | $81,870,189 | ProgramServicesAmt |
| Management And General | $15,024,337 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,280 | BOYAmt |
| EOY | $13,794 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,174 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,680,572 | BOYAmt |
| EOY | $31,177,324 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,030,189 | BOYAmt |
| EOY | $7,705,205 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,206,217 | BOYAmt |
| EOY | $1,762,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,681,941 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,916,805 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,478,552 | BOYAmt |
| EOY | $6,765,136 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,006,219 | BOYAmt |
| EOY | $301,249 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,431,203 | BOYAmt |
| EOY | $47,724,850 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,763,802 | BOYAmt |
| EOY | $4,170,012 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $619,193 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,833,081 | BOYAmt |
| EOY | $39,791,322 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,596,883 | BOYAmt |
| EOY | $44,580,527 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,834,320 | BOYAmt |
| EOY | $3,144,323 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,834,320 | BOYAmt |
| EOY | $3,144,323 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,431,203 | BOYAmt |
| EOY | $47,724,850 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,926,514 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $236,517 | 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 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 | $1 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1 | 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 | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC.,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. NORTHEAST ARKANSAS CLINIC FOUNDATION, INC. DID NOT PAY CONSULTANT FEES. "1" HAS BEEN USED SO THE "YES" ANSWER NEXT TO PART II-B, LINE 1i WILL TRANSMITTED WITH THE E-FILED FORM 990. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $471,340 | OtherCostOrOtherBasisAmt |
| Depreciation | $177,853 | DepreciationAmt |
| Book Value | $293,487 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,210,601 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,738,952 | DepreciationAmt |
| Book Value | $6,471,649 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,765,136 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $39,791,322 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $39,791,322 | 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|
| JONESBORO RADIO GROUP | |||||
| 314 UNION AVE | JONESBORO | AR | 72401 | $8,750 | COMMUNITY BREAKFAST AND FREEDOM FEST SPONSORSHIP |
| RED WOLVES SPORTS PROPERTIES | |||||
| PO BOX 25888 | WOODBURY | MN | 55125 | $14,000 | ARKANSAS STATE UNIVERSITY RED WOLVES SPONSORSHIP |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | ALL ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF TAX EXEMPT STATUS THAT'S VERIFIED BY THE IRS DATABASE BEFORE THEY CAN PROCEED WITH THEIR REQUEST. THEY MAY USE OUR ONLINE CHARITABLE REQUEST APPLICATION TO SUBMIT A REQUEST. IF THEY ARE NOT A 501 (C)(3) ORGANIZATION, THEY ARE REQUIRED TO SUBMIT A COPY OF THEIR DETERMINATION LETTER FROM THE IRS VALIDATING THEIR EXEMPT STATUS BEFORE WE CAN PROVIDE ANY IN-KIND GIVEAWAYS OR SERVICES. WE ALSO MONITOR THE FUNDS TO ENSURE THEY ARE USED FOR THE PURPOSE GRANTED. WE MAKE EVERY EFFORT TO DIRECT OUR FUNDING TO A PROGRAM FOR A SPECIFIC PURPOSE. ORGANIZATIONS ARE ASKED TO SHOW RESULTS AND DOCUMENTATION ANNUALLY BEFORE THEIR REQUEST CAN BE CONSIDERED FOR FUTURE FUNDING. THE REQUESTS ARE REVIEWED AND APPROVED BY VARIOUS INDIVIDUALS DEPENDING UPON THE TYPE AND AMOUNT OF THE REQUEST. SMALL AMOUNTS MAY BE APPROVED BY THE SYSTEM COORDINATOR, CASH SPONSORSHIPS MAY BE APPROVED BY THE SYSTEM DIRECTOR OF COMMUNICATIONS, ANYTHING OVER $10,000 MAY BE APPROVED BY THE BAPTIST MEMORIAL HEALTH CARE FOUNDATION SENIOR V.P., AND ANYTHING OVER $50,000 NEEDS APPROVAL BY THE CORPORATE PRESIDENT/CEO. FOR MORE INFORMATION ABOUT BAPTIST CHARITABLE GIVING GUIDELINES, PLEASE VISIT HTTP://WWW.BAPTISTONLINE.ORG/SERVICES/COMMUNITY/INVOLVEMENT/GIVING.ASP. | ExplanationTxt |
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 |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RANDY J KING | ||||||||||||||
| DIRECTOR | $0 | $326,338 | $0 | $137,044 | $0 | $25,724 | $0 | $48,500 | $0 | $18,688 | $0 | $556,294 | $0 | $0 |
| JAMES W BOSWELL | ||||||||||||||
| DIRECTOR | $0 | $565,018 | $0 | $26,688 | $0 | $28,178 | $0 | $48,500 | $0 | $22,574 | $0 | $690,958 | $0 | $0 |
| BRAD H PARSONS | ||||||||||||||
| DIRECTOR | $0 | $206,058 | $0 | $0 | $0 | $28,859 | $0 | $25,701 | $0 | $20,915 | $0 | $281,533 | $0 | $0 |
| ROBERT TAYLOR MD | ||||||||||||||
| PRESIDENT | $237,082 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $0 | $0 | $260,082 | $0 | $0 | $0 |
| JASON BRANDT MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $711,758 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $0 | $0 | $729,258 | $0 | $0 | $0 |
| ROBERT ABRAHAM MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $438,677 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $0 | $0 | $461,677 | $0 | $0 | $0 |
| MICHAEL MACKEY MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $410,650 | $0 | $0 | $0 | $0 | $0 | $12,396 | $0 | $0 | $0 | $423,046 | $0 | $0 | $0 |
| JAMES AMEIKA MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $413,700 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $0 | $0 | $436,700 | $0 | $0 | $0 |
| NORBERT DELACEY MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $358,060 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $0 | $0 | $375,560 | $0 | $0 | $0 |
| KENNETH JONES MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $348,462 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $0 | $0 | $371,462 | $0 | $0 | $0 |
| MICHAEL ISAACSON MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $224,877 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $224,877 | $0 | $0 | $0 |
| DOUGLAS MAGLOTHIN MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $212,654 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $0 | $0 | $235,654 | $0 | $0 | $0 |
| RAY HALL JR MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $199,947 | $0 | $0 | $0 | $0 | $0 | $5,500 | $0 | $0 | $0 | $205,447 | $0 | $0 | $0 |
| WILLIAM HUBBARD MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $26,595 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $26,595 | $0 | $0 | $0 |
| NATHAN TURNEY MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $252,917 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $252,917 | $0 | $0 | $0 |
| BROCK HARRIS MD | ||||||||||||||
| DIRECTOR/EMPLOYEE | $208,953 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $0 | $0 | $226,453 | $0 | $0 | $0 |
| 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 WOODRUFFMD | ||||||||||||||
| TREASURER | $259,667 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | -$6,558 | $0 | $253,109 | $0 | $0 | $0 |
| DARRELL KING | ||||||||||||||
| CEO | $253,457 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $4,950 | $0 | $275,907 | $0 | $0 | $0 |
| ANGIE CARLTON | ||||||||||||||
| CFO | $155,956 | $0 | $0 | $0 | $0 | $0 | $6,913 | $0 | $1,200 | $0 | $164,069 | $0 | $0 | $0 |
| LEXINE HORTON | ||||||||||||||
| COO | $145,225 | $0 | $0 | $0 | $0 | $0 | $390 | $0 | $1,525 | $0 | $147,140 | $0 | $0 | $0 |
| BEATA MAJEWSKIMD | ||||||||||||||
| PHYSICIAN | $634,038 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $0 | $0 | $651,538 | $0 | $0 | $0 |
| MARK WENDEL MD | ||||||||||||||
| PHYSICIAN | $595,284 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $8,052 | $0 | $620,836 | $0 | $0 | $0 |
| RONALD SCHECHTER MD | ||||||||||||||
| PHYSICIAN | $593,937 | $0 | $0 | $0 | $0 | $0 | $9,000 | $0 | $1,250 | $0 | $604,187 | $0 | $0 | $0 |
| JEFFREY MULLEN MD | ||||||||||||||
| PHYSICIAN | $577,462 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $0 | $0 | $594,962 | $0 | $0 | $0 |
| DHARMENDRA PATEL MD | ||||||||||||||
| PHYSICIAN | $519,498 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $519,498 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 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. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)
| Loan To OrganizationLoanToOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|
| R EDWARD COOPER MD PA DBA ADVANCED ORTHOPAEDICS PC | |||||
| Yes (X) | $62,500 | $37,500 | 0 | Yes (1) | Yes (1) |
| PEDIATRIC ASSOCIATES OF JONESBORO PLLC | |||||
| Yes (X) | $145,833 | $85,026 | 0 | Yes (1) | Yes (1) |
| ARKANSAS UROLOGY CLINIC LTD | |||||
| Yes (X) | $183,333 | $146,667 | 0 | Yes (1) | Yes (1) |
| BROOKLAND MEDICAL CLINIC INC | |||||
| Yes (X) | $125,000 | $100,000 | 0 | Yes (1) | Yes (1) |
| FAMILY PRACTICE CLINIC PLLC | |||||
| Yes (X) | $250,000 | $250,000 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $619,193 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MATTHEW P JACKSON MD | |||
| CURRENT EMPLOYEE WHO OWNED MORE THAN 5% OF SELLER, A PLLC | $474,346 | ON JANUARY 1, 2014 THE ORGANIZATION PURCHASED ASSETS & ASSUMED CERTAIN LIABILITIES FROM FAMILY PRACTICE CLINIC, PLLC ("SELLER") FOR A PURCHASE PRICE OF $447,315.74 OF WHICH $250,000 WAS REPRESENTED BY A NOTE PAYABLE TO THE SELLER. IN ADDITION, THE SELLER ASSIGNED TO THE ORGANIZATION CERTAIN LEASE AGREEMENTS FOR THE USE OF CERTAIN SPACE PREVIOUSLY UTILIZED BY THE SELLER. | 0 |
| RODDY S LOCHALA DO | |||
| CURRENT EMPLOYEE WHO OWNED MORE THAN 5% OF SELLER, A PLLC | ON JANUARY 1, 2014 THE ORGANIZATION PURCHASED ASSETS & ASSUMED CERTAIN LIABILITIES FROM FAMILY PRACTICE CLINIC, PLLC ("SELLER") FOR A PURCHASE PRICE OF $447,315.74 OF WHICH $250,000 WAS REPRESENTED BY A NOTE PAYABLE TO THE SELLER. IN ADDITION, THE SELLER ASSIGNED TO THE ORGANIZATION CERTAIN LEASE AGREEMENTS FOR THE USE OF CERTAIN SPACE PREVIOUSLY UTILIZED BY THE SELLER. | 0 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II: | FormAndLineReferenceDesc |
| Explanation | R. EDWARD COOPER, M.D., P.A. D/B/A ADVANCED ORTHOPEDICS, P.C.:LINE 1 COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. WHO OWN MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF R. EDWARD COOPER, M.D., P.A. D/B/A ADVANCED ORTHOPEDICS, P.C., THE INTERESTED PERSON.LINE 1 COLUMN (c):NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PURCHASED CERTAIN ASSETS FROM R. EDWARD COOPER, M.D., P.A. D/B/A ADVANCED ORTHOPAEDICS, P.C. ON AUGUST 15, 2012. THE PARTIES AGREED THAT $62,500 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO R. EDWARD COOPER, M.D., P.A. D/B/A ADVANCED ORTHOPAEDICS, P.C.PEDIATRIC ASSOCIATES OF JONESBORO, PLLC:LINE 2 COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. WHO OWN MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF PEDIATRIC ASSOCIATES OF JONESBORO, PLLC, THE INTERESTED PERSONS.LINE 2 COLUMN (c):NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PURCHASED CERTAIN ASSETS FROM PEDIATRIC ASSOCIATES OF JONESBORO, PLLC ON SEPTEMBER 14, 2012. THE PARTIES AGREED THAT $145,833 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO PEDIATRIC ASSOCIATES OF JONESBORO, PLLC.ARKANSAS UROLOGY CLINIC, LTD:LINE 3 COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. WHO OWN MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF ARKANSAS UROLOGY CLINIC, LTD THE INTERESTED PERSONS.LINE 3 COLUMN (c):NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PURCHASED CERTAIN ASSETS FROM ARKANSAS UROLOGY CLINIC, LTD ON APRIL 30, 2013. THE PARTIES AGREED THAT $183,333 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO ARKANSAS UROLOGY CLINIC, LTD.BROOKLAND MEDICAL CLINIC, INC.:LINE 4 COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. WHO OWN MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF BROOKLAND MEDICAL CLINIC, INC. THE INTERESTED PERSONS.LINE 4 COLUMN (c):NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PURCHASED CERTAIN ASSETS FROM BROOKLAND MEDICAL CLINIC, INC. ON JULY 1, 2013. THE PARTIES AGREED THAT $125,000 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO BROOKLAND MEDICAL CLINIC, INC.FAMILY PRACTICE CLINIC, PLLC:LINE 5 COLUMN (b):CERTAIN OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. WHO OWN MORE THAN 35 PERCENT OF THE TOTAL COMBINED VOTING POWER OF FAMILY PRACTICE CLINIC, PLLC THE INTERESTED PERSONS.LINE 5 COLUMN (c):NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PURCHASED CERTAIN ASSETS FROM FAMILY PRACTICE CLINIC, PLLC ON JANUARY 1, 2014. THE PARTIES AGREED THAT $250,000 OF THE PURCHASE PRICE WOULD BE PAID IN PERIODIC INSTALLMENTS REPRESENTED BY A PROMISSORY NOTE PAYABLE TO FAMILY PRACTICE CLINIC, PLLC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V: STATEMENTS REGARDING OTHER IRS FILINGS & TAX COMPLIANCE: | 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 | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC., PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT TO NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION,INC. |
| Form 990, Part VI, Section A, line 6 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. |
| Form 990, Part VI, Section A, line 7a | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC., THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., ELECTS THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Section A, line 7b | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARTIABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF NORTHEAST ARKANSAS HEALTH SYSTEM, APPROVES THE BOARD OF DIRECTORS ACTIONS. |
| Form 990, Part VI, Section B, line 11 | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE THE SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. 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 CLINIC 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 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 | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, 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 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, 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 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VII | RANDY J. KING - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. JAMES W. BOSWELL - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. BRAD H. PARSONS - 4800 E. JOHNSON AVE., JONESBORO, AR 72401. |
| Form 990, Part IX, line 11g | PHYSICIAN SERVICES: Program service expenses 5,864,150. Management and general expenses 1,034,850. Fundraising expenses 0. Total expenses 6,899,000. OTHER PURCHASED SERVICES: Program service expenses 3,238,734. Management and general expenses 571,541. Fundraising expenses 0. Total expenses 3,810,275. |
| Form 990, Part XI, line 9: | EQUITY CONTRIBUTION TO/FROM BAPTIST MEMORIAL MEDICAL GROUP, INC. 236,517. |
| PART XII, LINE 2c: FINANCIAL STATEMENTS AND REPORTING: | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC., HAS AN AUDIT COMMITTEE THAT CHOOSES THE AUDIT FIRM, OVERSEES AND REVIEWS THE AUDIT REPORTS, AND THEN FOLLOWS UP ON ANY NECESSARY CHANGES AND RECOMMENDATIONS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| NORTHWEST ARKANSAS BAPTIST MEMORIAL HEALTH CARE LLC | |||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 810572898 | OPERATION OF BAPTIST MEMORIAL HOSPITAL-JONESBORO, INC. | AR | BAPTIST MEMORIAL HOSPITAL-JONESBORO INC |
| NORTHWEST ARKANSAS BAPTIST HEALTH SERVICES GROUP LLC | |||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 271471186 | OPATE A PREFERRED PROVIDER ORGANIZATION | AR | BAPTIST MEMORIAL HOSPITAL-JONESBORO INC |
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 SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581456556 | CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TN | TN | 501(c)(3) | 509(a)(3) | N/A | 0 | |
| BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC | |||||||||||
| 1003 MONROE | MEMPHIS | TN | 381043110 | 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 INFUSION EQUIPMENT | 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/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 FACILITIES | 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/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/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/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/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/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/HOSPITAL | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-UNION CITY INC | |||||||||||
| 1201 BISHOP ST | UNION CITY | TN | 38261 | 621138045 | HEALTH CARE/HOSPITAL | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC | |||||||||||
| 200 HWY 30 WEST | MEW ALBANY | MS | 38652 | 630997281 | HEALTH CARE/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/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 BAPTIST 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 | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621407946 | BAPTIST EMPLOYEE HEALTH PLAN | TN | 501(c)(3) | 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 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/HOSPITAL | AR | 501(c)(3) | 509(a)(1) | 0 | NEA BAPTIST HEALTH SYSTEMINC | |
| 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 | |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581521475 | MANAGEMENT, ADMINISTRATIVE & FINANCIAL SERVICES FOT AFFILIATES | TN | 501(c)(3) | 509(a)(3) | N/A | 0 | |
| THE STERN CARDIOVASCULAR FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | mEMPHIS | TN | 381202177 | 274396698 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 452842963 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| INTEGRITY ONCOLOGY FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453303687 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| MEMPHIS LUNG PHYSICIANS FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 452832975 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3) | 509(a)(1) | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| BOSTON BASKIN CANCER FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 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 | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST-DESOTO SURGERY CENTER | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 200804946 | AMBULATORY SURGERY | MS | N/A | N/A | 0 | 0 |
| BAPTIST-EAST MEMPHIS SURGERY CENTER | ||||||||||
| 80 HUMPHREYS CENTER 101 | MEMPHIS | TN | 38120 | 621846584 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| BAPTIST-GERMANTOWN SURGERY CENTER LP | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621829424 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| BAPTIST & PHYSICIANS OP SURGERY CENTER OF N MS | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 620925692 | AMBULATORY SURGERY | MS | N/A | N/A | 0 | 0 |
| BAPTIST N MS IMAGING SERVICES LLC | ||||||||||
| 504 AZALEA DR | OXFORD | MS | 38655 | 262641267 | DIAGNOSTIC SERVICES | MS | N/A | N/A | 0 | 0 |
| EAST MEMPHIS UROLOGY CENTER LP | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621810940 | AMBULATORY UROLOGICAL SERVICES | TN | N/A | N/A | 0 | 0 |
| HAMILTON EYE INSTITUTE SURGERY CENTER LP | ||||||||||
| 930 MADISON AVE | MEMPHIS | TN | 38103 | 202873438 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| MEDICAL ALTERNATIVES | ||||||||||
| 4565 SHELBY RD | MEMPHIS | TN | 38083 | 621488427 | HOME INFUSION PRODUCTS & SERVICES TO PATIENTS | TN | N/A | N/A | 0 | 0 |
| MEMPHIS BIOMED VENTURES I LP | ||||||||||
| 17 W PONTOTOC STE 200 | MEMPHIS | TN | 38103 | 943424417 | MEDICAL RESEARCH | TN | N/A | N/A | 0 | 0 |
| MEMPHIS SURGERY CENTER LTD LP | ||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621218330 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| MEMPHIS-SC LLC | ||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621590322 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| MEMPHIS-SP LLC | ||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621590324 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| MIDTOWN SURGERY CENTER LP | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621619344 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| NORTHWEST TENNESSEE SURGERY CENTER LLC | ||||||||||
| 1722 E REELFOOT | UNION CITY | TN | 38261 | 621685508 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| SM-B BUILDING LLC | ||||||||||
| 5900 POPLAR AVE STE 100 | MEMPHIS | TN | 38119 | 621834236 | PHYSICIAN OFFICES | TN | N/A | N/A | 0 | 0 |
| TENNESSEE LITHOTRIPERS LP | ||||||||||
| 9825 SPECTRUM DR BLDG 3 | AUSTIN | TX | 78717 | 561720365 | LITHOTRIPSY SERVICES | TN | N/A | N/A | 0 | 0 |
| WOLF RIVER MEDICAL CENTER LP | ||||||||||
| 350 N HUMPHRESY BLVD | MEMPHIS | TN | 381202177 | 621510287 | MEDICAL OFFICE BLDG. | TN | N/A | N/A | 0 | 0 |
| CANCER CARE CENTER OF UNION CITY LP | ||||||||||
| 322 HOSPITAL BLVD | JACKSON | MS | 38305 | 263425045 | CANCER CARE SERVICES | MS | N/A | N/A | 0 | 0 |
| MAYS & SCHNAPP PAIN CENTER | ||||||||||
| 55 HUMPHREYS CENTER BLVD STE 200 | MEMPHIS | TN | 38120 | 621512849 | PAIN MANAGEMENT SERVICES | TN | N/A | N/A | 0 | 0 |
| CONVENIENT CARE DIAGNOSTIC CENTER PLLC | ||||||||||
| 555 HWY 6 EAST | BATESVILLE | MS | 38606 | 640914382 | RADIOLOGY & DIAGNOSTIC SERVICES | MS | N/A | N/A | 0 | 0 |
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 MEMORIAL HEALTH SERVICES GROUP OF THE MID-SOUTH 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 THE SOUTHCREST DEVELOPMENT | MS | N/A | C | 0 |
| GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 201158216 | BOOKKEEPING & DATA PROCESSING FOR THE GERMANTOWN BUSINESS 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | 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 | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC | ||
| C | $247,209 | FMV |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| E | $15,470,095 | FMV |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | ||
| L | $182,834 | FMV |
| BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HLTH & WELFARE TRUST | ||
| R | $3,108,866 | FMV |