BAPTIST MEMORIAL HOSPITAL UNION COUNTY INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST MEMORIAL HOSPITAL UNION COUNTY INC (EIN 63-0997281)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-11
- IRS object ID
- 201412239349300876
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2014-08-11T10:44:05-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 CHURCH STREET SUITE 2400 | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37219 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630997281 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEMORIAL HOSPITAL- UNION COUNTY INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BAPT | NameControl |
| Phone | 6625382406 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HIGHWAY 30 WEST | AddressLine1 |
| City | NEW ALBANY | City |
| State | MS | State |
| ZIP Code | 38652 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JASON M LITTLE | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 9012275117 | Phone |
| Date Signed | 2014-08-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FRANCIS J BEDARD | Name |
| PTIN | P00752421 | PTIN |
| Phone | 6152591811 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JASON M LITTLE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 83315274 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | BMHCC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | MS | StateLegalDomicile |
| Activity Or Mission Description | SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEATHCARE EDUCATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 506 | TotalNbrEmployees |
| Total Nbr Volunteers | 28 | TotalNbrVolunteers |
| Total Gross UBI | 367937 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -277289 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 221732 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 51368 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 60201213 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 63615174 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3939657 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4065327 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 273082 | OtherRevenuePriorYear |
| Other Revenue Current Year | 463945 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 64635684 | TotalRevenuePriorYear |
| Total Revenue Current Year | 68195814 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23940521 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 24180172 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 36599561 | OtherExpensePriorYear |
| Other Expenses Current Year | 37202581 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 60546082 | TotalExpensesPriorYear |
| Total Expenses Current Year | 61387753 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4089602 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6808061 | RevenuesLessExpensesCY |
| Total Assets BOY | 60019436 | TotalAssetsBOY |
| Total Assets EOY | 65307410 | TotalAssetsEOY |
| Total Liabilities BOY | 7129749 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6035244 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 52889687 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 59272166 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. ITS MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEATHCARE EDUCATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 53653538 | Expense |
| Grants | 5000 | Grants |
| Revenue | 63477595 | Revenue |
| Description | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT THE MISSION OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION.(SEE CONTINUATION AT SCHEDULE O, PAGE 51)THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES THE FOLLOWING:--FREE CARE AND/OR SUBSIDIZED CARE WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST,--CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND--HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITYTHESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROGRAM SERVICES INCLUDED AS OF SEPTEMBER 30, 2013 INCLUDED THE FOLLOWING:--THE SKILLED NURSING DEPARTMENT HAD 14,657 PATIENT DAYS AT A COST OF $10,162,854.--THE SURGERY DEPARTMENT PERFORMED 4,034 PROCEDURES AT A COST OF $5,152,188.--THE PHARMACY DEPARTMENT DISPENSED 337,058 UNIT DOSES OF MEDICATION Cost of $2,272,991.--THE RADIOLOGY DEPARTMENT PERFORMED 43,601 PROCEDURES AT A COST OF $2,265,268.--THE LAB DEPARTMENT PERFORMED 164,404 PROCEDURES AT A COST OF $2,174,213.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SERVICED 3,774 INPATIENTS AND PROVIDED MORE THAN 46,651 OUTPATIENT VISITS DURING THE FISCAL YEAR 2013.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH THE HOSPITAL RECEIVES 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 COUNTY RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING SEPTEMBER 30, 2013, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $80,205,672. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH BAPTIST MEMORIAL HOSPITAL-UNION COUNTY BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HAS PROVIDED A NUMBER OF SERVICES IN THE COMMUNITY, SOME OF WHICH INCLUDE THE FOLLOWING: --HOSPITAL TOURS FOR VARIOUS COMMUNITY GROUPS AND SCHOOL ORGANIZATIONS --PROVIDED REPRESENTATIVES WHO SPOKE FREE OF CHARGE TO VARIOUS COMMUNITY GROUPS, CHURCHES, AND SCHOOLS THROUGHOUT THE YEAR --BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PRESENTED SEVERAL HEALTH FAIRS, BAPTIST HEALTHPLEX and HOSPITAL SPONSORED HEALTHY LIFESTYLE PROGRAMS AS WELL AS 5K RUNS THROUGHOUT THE YEAR FOR ADULTS AND CHILDREN. --BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDED SEVERAL HEALTH SCREENINGS AND VACCINATIONS THROUGHOUT THE YEAR FOR THE COMMUNITY AT NO-CHARGE OR REDUCED PRICES. --BAPTIST MEMORIAL HOSPITAL-UNION COUNTY CONDUCTED FREE LUNCHEONS ON VARIOUS HEALTH-RELATED TOPICS FOR THE COMMUNITY, SUCH AS BREAST CANCER AWARENESS, STROKE, AND HEART HEALTH. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDED VARIOUS FREE OR REDUCED PRICED CLASSES TO THE COMMUNITY THROUGHOUT THE YEAR, WHICH INCLUDED THE FOLLOWING:--CPR, FIRST AID, AED CLASSES --CHILDBIRTH CLASSES --BREASTFEEDING CLASSES --TOBACCO CESSATION CLASSES--DIABETIC CLASSES BAPTIST MEMORIAL HOSPITAL-UNION COUNTY OFFERS AN ANNUAL COMMUNITY HEALTH FAIR. FOR A REDUCED RATE, INDIVIDUALS WERE ABLE TO RECEIVE CHOLESTEROL, GLUCOSE, TRIGLYCERIDES AND PSA RESULTS AND RECEIVE FLU AND/OR PNEUMONIA VACCINES. OTHER SCREENINGS AVAILABLE FOR FREE ARE: HEIGHT, WEIGHT, BMI, BLOOD PRESSURE AND BONE DENSITY AND FREE EYE SCREENING FROM A LOCAL OPTOMETRIST. EDUCATIONAL INFORMATION WAS PROVIDED ON HEALTH ISSUES SUCH AS NUTRITION, MEN'S HEALTH, WOMEN'S HEALTH, CANCER, FITNESS, AND BMI. REPRESENTATIVES FROM THE RADIOLOGY DEPARTMENT WERE ALSO ON HAND TO PROMOTE BREAST CANCER AWARENESS AND EARLY DETECTION THROUGH SCREENINGS.IN ADDITION TO THE COMMUNITY HEALTH FAIR, SEVERAL HEALTH FAIRS WERE PROVIDED ON-SITE FOR EMPLOYEES INCLUDING BNA BANK, WORTHINGTON CYCLINDERS, NEW ALBANY GAZETTE, NEWALBANY SCHOOLS, AND UNION COUNTY SCHOOLS. CHILDREN, AGES NEWBORN TO 12 YEARS OLD, WERE INVITED TO ATTEND OUR ANNUAL BACK TO SCHOOL HEALTH FAIR. THIS EVENT WAS EXPANDED TO NEWBORNS AND TODDLERS TO PROMOTE LEARNING IN EARLY CHILDHOOL AS PART OF THE EXCEL BY 5 COMMUNITY INIATITVE. SCREENINGS OFFERED WERE BLOOD PRESSURE, HEIGHT AND WEIGHT, BMI, AND VISION. EDUCATIONAL DISPLAYS FROM VARIOUS COMMUNITY GROUPS AND HOSPITAL REPRESENTATIVES WERE AVAILABLE, SUCH AS, NUTRITION, DENTAL, FINGERPRINTING, HANDWASHING, TOBACCO PREVENTION, ATV SAFETY, CHILDREN'S ASHTMA, AND CAR SEAT SAFETY TO NAME A FEW. THE ANNUAL EVENT ALWAYS DRAWS A CROWD OF 500 OR MORE CHILDREN PLUS ADULTS. PARTICIPANTS ENJOY FREE GAMES AND REFRESHMENTS ALONG WITH MANY GIVEAWAYS AND SCHOOL SUPPLIES.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HOSTS AN ANNUAL BABY CARE FAIR FOR EXPECTANT MOTHERS. INFORMATION INCLUDES CARSEAT SAFETY, NUTRITION, WELLNESS, BABY CARE, PREADMISSIONS, LACTATION SPECIALIST, AND WIC. THE EVENT ATTRACTS ABOUT 120 MOTHERS ON AVERAGE.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY RECOGNIZES THAT ITS PEOPLE ARE ITS MOST VALUABLE ASSET. TO SHARE THIS ASSET WITH THE COMMUNITY AT LARGE, ALL PERSONNEL ARE ENCOURAGED TO GET INVOLVED BY VOLUNTEERING. BELOW IS A PARTIAL LISTING OF ORGANIZATIONS AND ACTIVITIES BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SUPPORTED THROUGH ITS VOLUNTEER'S EFFORTS: --NEW HAVEN CENTER FOR SPECIAL NEEDS ADULTS--BOYS AND GIRLS CLUBS--AMERICAN HEART ASSOCIATION HEART EDUCATION IN SCHOOLS--AMERICAN CANCER SOCIETY'S RELAY FOR LIFE--TANGLEFOOT TRAILS--BNA PARK AND SPORTSPLEX--AMERICAN RED CROSS--NORTHEAST UNION FIRE DEPARTMENT FIRE SAFETY HOUSE--DIABETIC SUPPORT--BREAST CANCER AWARENESS--TALLAHATCHIE 5K RIVER RUN--SPONSORSHIP OF SCHOOL SAFETY--FOOD DRIVE FOR THE GOOD SAMARITIAN CENTER--UNION COUNTY FAIR ASSOCIATION CHILDREN'S DAY AT THE FAIR--UNION COUNTY FAIR SENIOR ADULT HEALTH FAIR--CAMP BLUEBIRD--NEW ALBANY MAIN STREET ASSOCIATION--MAGNOLIA CIVIC CENTER--LIGHTHOUSE CENTER--FIRST CHOICE FOR WOMEN--NEW ALBANY KIWANIS--NEW ALBANY ROTARY--UNION COUNTY DEVELOPMENT ASSOCIATION--SANCTUARY HOSPICE HOUSE--JUNIOR AUXILIARY--KOMEN FOUNDATION--MINORITY PUL ALLIANCE--EXCEL BY 5 COALITION--UNION COUNTY SCHOOLS--NEW ALBANY CITY SCHOOLS | Description |
| Total Program Service Expense | 53653538 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 506 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIM HIGH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6625382406 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | HIGHWAY 30 WEST | AddressLine1 |
| City | NEW ALBANY | City |
| State | MS | State |
| ZIP Code | 38652 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| REV TOM SUMRALL | ||||||||
| DIRECTOR | 0.20 | 0.00 | X | 0 | 0 | 0 | ||
| JOHN STANFORD DDS | ||||||||
| DIRECTOR | 0.20 | 0.00 | X | 0 | 0 | 0 | ||
| LUDWRICK E BROWN | ||||||||
| DIRECTOR | 0.20 | 0.00 | X | 0 | 0 | 0 | ||
| KIMBERLY D HIGH | ||||||||
| CFO | 40.00 | 0.00 | 105847 | 0 | 37337 | X | ||
| STEPHEN C REYNOLDS | ||||||||
| PRESIDENT | 0.20 | 39.80 | 0 | 2474610 | 68968 | X | ||
| JASON M LITTLE | ||||||||
| VICE PRESIDENT | 0.20 | 39.80 | 0 | 1140766 | 51370 | X | ||
| GREGORY M DUCKETT | ||||||||
| SECRETARY | 0.20 | 39.80 | 0 | 807335 | 64462 | X | ||
| WALTER J GRACE | ||||||||
| CEO/ADMINISTRATOR | 40.00 | 0.00 | 0 | 210375 | 44865 | X | ||
| LARRY RAMSEY | ||||||||
| PHAR. | 40.00 | 0.00 | 110481 | 0 | 37337 | X | ||
| ANGELA BROWNING | ||||||||
| DIR. PHAR. | 40.00 | 0.00 | 102681 | 0 | 37322 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 319009 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4633086 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 341661 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDSOUTH ANESTHESIA CONSULTANTS PLLC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1572 | AddressLine1 |
| City | SOUTHAVEN | City |
| State | MS | State |
| ZIP Code | 38671 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | ANESTHESIA SERVICES | DescriptionOfServices |
| Compensation | 1290365 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Related Organizations | 12535 | RelatedOrganizations |
| Government Grants | 38833 | GovernmentGrants |
| Total Contributions | 51368 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HOSPITAL REVENUES | Description |
| Business Code | 713940 | BusinessCode |
| Total Revenue Column | 63615174 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63298480 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 316694 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 63615174 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1321704 | TotalRevenueColumn |
| Exclusion | $1,321,704 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 55686 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44324 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11362 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11362 | TotalRevenueColumn |
| Exclusion | $11,362 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17729084 | Securities |
| Other | 89675 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 14945882 | Securities |
| Other | 129254 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2783202 | Securities |
| Other | -39579 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2743623 | TotalRevenueColumn |
| Exclusion | $2,743,623 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|---|
| CAFETERIA REVENUE | 722210 | 250424 | 51243 | $199,181 | |
| INSURANCE RECOVERIES | 900099 | 178356 | 178356 | ||
| PAT./EMP. CONVENIENCES | 900099 | 23044 | $23,044 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 759 | TotalRevenueColumn |
| Related Or Exempt Function Income | 759 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 452583 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68195814 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63477595 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 367937 | UnrelatedBusinessRevenue |
| Exclusion | $4,298,914 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Program Services | 5000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137736 | Total |
| Program Services | 114321 | ProgramServices |
| Management And General | 23415 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18076723 | Total |
| Program Services | 15003680 | ProgramServices |
| Management And General | 3073043 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 783263 | Total |
| Program Services | 650108 | ProgramServices |
| Management And General | 133155 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3874942 | Total |
| Program Services | 3216202 | ProgramServices |
| Management And General | 658740 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1307508 | Total |
| Program Services | 1085232 | ProgramServices |
| Management And General | 222276 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6857 | Total |
| Program Services | 6857 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3861604 | Total |
| Program Services | 3205132 | ProgramServices |
| Management And General | 656472 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84189 | Total |
| Program Services | 69877 | ProgramServices |
| Management And General | 14312 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1336586 | Total |
| Program Services | 1109366 | ProgramServices |
| Management And General | 227220 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1205752 | Total |
| Program Services | 1000774 | ProgramServices |
| Management And General | 204978 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67944 | Total |
| Program Services | 56394 | ProgramServices |
| Management And General | 11550 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31738 | Total |
| Program Services | 26343 | ProgramServices |
| Management And General | 5395 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227023 | Total |
| Program Services | 188429 | ProgramServices |
| Management And General | 38594 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5318526 | Total |
| Program Services | 4414377 | ProgramServices |
| Management And General | 904149 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1777543 | Total |
| Program Services | 1475361 | ProgramServices |
| Management And General | 302182 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68990 | Total |
| Program Services | 57262 | ProgramServices |
| Management And General | 11728 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT, NET OF RECOVE | 13321216 | 13321216 | 0 |
| MEDICAL SUPPLIES | 5304551 | 4402777 | 901774 |
| MEDICAID ASSESSMENT | 2545877 | 2545877 | 0 |
| REPAIRS & MAINTENANCE | 1573873 | 1306315 | 267558 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 470312 | Total |
| Program Services | 392638 | ProgramServices |
| Management And General | 77674 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61387753 | Total |
| Program Services | 53653538 | ProgramServices |
| Management And General | 7734215 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1566 | BOY |
| EOY | 1564 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1819170 | BOY |
| EOY | 2307136 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5771475 | BOY |
| EOY | 5813711 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1455062 | BOY |
| EOY | 1494950 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119602 | BOY |
| EOY | 126301 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 43495099 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 32471640 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11640058 | BOY |
| EOY | 11023459 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38614187 | BOY |
| EOY | 43698953 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 598316 | BOY |
| EOY | 841336 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60019436 | BOY |
| EOY | 65307410 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2345176 | BOY |
| EOY | 2565572 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4784573 | BOY |
| EOY | 3469672 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7129749 | BOY |
| EOY | 6035244 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52838533 | BOY |
| EOY | 59221012 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51154 | BOY |
| EOY | 51154 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52889687 | BOY |
| EOY | 59272166 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60019436 | BOY |
| EOY | 65307410 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6808061 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 977154 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -1402736 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $6,857 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 6857 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PAYS MEMBERSHIP DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION FOR WHICH A PERCENTAGE OF THE DUES IS RELATED TO LOBBYING EXPENDITURES. THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION, PAYS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE ARKANSAS HOSPITAL ASSOCIATION, THE MISSISSIPPI HOSPITAL ASSOCIATION, AND THE TENNESSEE HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ARE FOR CONSULTANTS WHO ADVISE AND CONSULT WITH THE ORGANIZATION ON LEGISLATIVE AND REGULATORY MATTERS THAT MAY AFFECT THE ORGANIZATION AND ITS AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSITIONS WITH THE LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE, AND FEDERAL LEVELS. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 250000 | OtherCostOrOtherBasis |
| Book Value | 250000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12686613 | OtherCostOrOtherBasis |
| Depreciation | 7556033 | Depreciation |
| Book Value | 5130580 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24651364 | OtherCostOrOtherBasis |
| Depreciation | 20121245 | Depreciation |
| Book Value | 4530119 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5907122 | OtherCostOrOtherBasis |
| Depreciation | 4794362 | Depreciation |
| Book Value | 1112760 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11023459 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN GROUP ASSET FUNDS | 43687654 | F |
| PENSION FUND INVESTMENTS | 11299 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 43698953 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $3,064,806 |
| ESTIMATED SETTLEMENTS WITH THIRD PARTIES | $58,026 |
| DUE TO AFFILIATES | $346,840 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3469672 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 54780145 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 54780145 | RevenueSubtotal |
| Other Revenues Not Included | 13415669 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 13415669 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 68195814 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 47972084 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 47972084 | ExpensesSubtotal |
| Other Expenses Not Included | 13415669 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 13415669 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 61387753 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | AS OF SEPTEMBER 30, 2013 AND 2012, THE HOSPITAL HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS FINANCIAL STATEMENTS. IN THE EVENT THE HOSPITAL WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, TAX YEARS 2010 THROUGH 2013 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS. |
| Part XI, Line 4b - Other Adjustments: | LOSS ON DISPOSAL OF ASSETS -39,579. INSURANCE RECOVERIES 178,356. BAD DEBTS, NET OF RECOVERIES 13,321,216. RENT EXPENSE -44,324. | |
| Part XII, Line 4b - Other Adjustments: | LOSS ON DISPOSAL OF ASSETS -39,579. INSURANCE RECOVERIES 178,356. RENTAL EXPENSES -44,324. BAD DEBTS, NET OF RECOVERIES 13,321,216. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2809445 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2809445 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05840 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16250766 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15853267 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 397499 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00830 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 560227 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 710438 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -150211 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19620438 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16563705 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3056733 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06670 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 11242 | PersonsServed |
| Total Community Benefit Expense | 116027 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15369 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 100658 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 193 | PersonsServed |
| Total Community Benefit Expense | 42631 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 42631 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16316281 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13042358 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3273923 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06810 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 744 | PersonsServed |
| Total Community Benefit Expense | 21390 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21390 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 12179 | PersonsServed |
| Total Community Benefit Expense | 16496329 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13057727 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3438602 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07150 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 12179 | PersonsServed |
| Total Community Benefit Expense | 36116767 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29621432 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6495335 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13820 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 3897 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 3897 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 535 | PersonsServed |
| Total Community Building Expense | 10543 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 10543 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 176 | PersonsServed |
| Total Community Building Expense | 6239 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 6239 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 350 | PersonsServed |
| Total Community Building Expense | 26222 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 220 | DirectOffsettingRevenue |
| Net Community Building Expense | 26002 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 1061 | PersonsServed |
| Total Community Building Expense | 46901 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 220 | DirectOffsettingRevenue |
| Net Community Building Expense | 46681 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,808,915 | BadDebtExpenseAmount |
| Amount Attributable To | 3013316 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 6195878 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5703645 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 492233 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HWY 30 WEST | AddressLine1 |
| City | NEW ALBANY | City |
| State | MS | State |
| ZIP Code | 38652 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BAPTISTONLINE.ORG/UNION-COUNTY/ | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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, L7 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 -.31%. | ||
| 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: BAPTIST MEMORIAL HOSPITAL CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES IT SERVES. BAPTIST ALSO IS INVOLVED IN LOCAL COMMUNITY AND NON-PROFIT ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY RACE FOR THE CURE, WALK AMERICA, ST. JUDE, AND MANY OTHERS. NOT ONLY DO WE PROVIDE MONETARY DONATIONS, BUT OUR EMPLOYEES ARE ACTIVE VOLUNTEERS IN THESE WORTHY CAUSES. | ||
| Part III, Line 4: FROM THE AUDITED FINANCIAL STATEMENTS OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND SEPTEMBER 30, 2012:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ACCOUNTS RECEIVABLE BY PAYOR CATEGORY IN DETERMINING THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ADDITIONALLY, THE HOSPITAL ALSO CONSIDERS PAST HISTORY, COLLECTION TRENDS, THE AGE OF THE ACCOUNTS RECEIVABLE, AND RECOVERIES OF AMOUNTS PREVIOUSLY WRITTEN OFF IN DETERMINING AND EVALUATING THE AMOUNT OF THE ALLOWANCE. HISTORICALLY, THE HOSPITAL HAS NOT HAD SIGNIFICANT BAD DEBTS ON ACCOUNTS RECEIVABLE FROM THIRD-PARTY PAYORS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF OFFERED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS INCREASED FROM 38.62% OF ACCOUNTS RECEIVABLE (NET OF CONTRACTUALS) AS OF SPETEMBER 30, 2012, TO 42.48% AS OF SEPTEMBER 30, 2013. THIS INCREASE IS PRIMARILY THE RESULT OF DECREASES IN COLLECTION RATES EXPERIENCED IN 2012.PART II, LINES 2 AND 3: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 V, Section B, Line 3: SURVEYS:A STATISTICAL HOUSEHOLD SURVEY WAS COMPLETED WITH 528 ADULTS FROM THE BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SERVICE AREA. THE SURVEY THAT WAS UTILIZED ALIGNS WITH THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE THAT IS ANNUALLY CONDUCTED NATIONWIDE BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND STATE HEALTH DEPARTMENTS. THE SURVEY ASSESSED INDICATORS SUCH AS GENERAL HEALTH STATUS, PREVENTION ACTIVITIES (SCREENINGS, EXERCISE, ETC.), AND RISKY BEHAVIORS (ALCOHOL USE, ETC.). THE RESULTS WERE ALSO EXAMINED BY A VARIETY OF DEMOGRAPHIC INDICATORS SUCH AS AGE, RACE, ETHNICITY, AND GENDER.KEY INFORMANT INTERVIEWS:KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 75 PROFESSIONALS AND KEY CONTACTS IN THE AREAS SURROUNDING THE 14-HOSPITAL SERVICE AREAS. WORKING WITH LEADERSHIP FROM EACH OF THE SYSTEM HOSPITALS, BAPTIST IDENTIFIED SPECIFIC INDIVIDUALS TO BE INTERVIEWED AND INVITED THEM TO PARTICIPATE IN THE STUDY. THE SURVEY INCLUDED A RANGE OF INDIVIDUALS, INCLUDING ELECTED OFFICIALS, PRIVATE PHYSICIANS, HEALTH AND HUMAN SERVICES EXPERTS, LONG-TERM CARE PROVIDERS, REPRESENTATIVES FROM THE FAITH COMMUNITY, AND EDUCATORS. THE CONTENT OF THE QUESTIONNAIRE FOCUSED ON PERCEPTIONS OF COMMUNITY NEEDS AND STRENGTHS ACROSS THREE KEY DOMAINS: PERCEIVED QUALITY OF CARE, KEY HEALTH ISSUES PROMINENT IN THE COMMUNITY, AND QUALITY OF LIFE ISSUES. FOCUS GROUPS:IN NOVEMBER 2012, HEALTH CARE CONSUMERS FROM THE HOSPITALS' SERVICE AREAS PARTICIPATED IN FOCUS GROUPS. THE FOCUS GROUPS ADDRESSED DIABETES AND PRE-DIABETES BASED ON FINDINGS FROM THE SURVEYS. DISCUSSION TOPICS INCLUDED HEALTH KNOWLEDGE, SELF-CARE BEHAVIORS, HEALTH CARE ACCESS, COMMUNICATION PREFERENCES, AND DESIRED SUPPORT SERVICES. A DISCUSSION GUIDE, DEVELOPED IN CONSULTATION WITH BAPTIST MEMORIAL HEALTH CARE, WAS USED TO PROMPT DISCUSSION AND GUIDE THE FACILITATION. PARTICIPANTS WERE RECRUITED THROUGH TELEPHONE CALLS TO HOUSEHOLDS WITHIN THE SERVICE AREA AND THROUGH LOCAL HEALTH AND HUMAN SERVICE ORGANIZATIONS. PARTICIPANTS WERE PRE-SCREENED TO ENSURE THAT THEY WERE EITHER DIABETIC OR PRE-DIABETIC. EACH SESSION LASTED APPROXIMATELY TWO HOURS AND WAS FACILITATED BY TRAINED HOLLERAN STAFF. IN EXCHANGE FOR THEIR PARTICIPATION, ATTENDEES WERE GIVEN A $50 CASH INCENTIVE AT THE COMPLETION OF THE FOCUS GROUP; DINNER WAS ALSO PROVIDED. IT IS IMPORTANT TO NOTE THAT THE FOCUS GROUP RESULTS REFLECT THE PERCEPTIONS OF A SMALL SAMPLE OF COMMUNITY MEMBERS AND MAY NOT NECESSARILY REPRESENT ALL COMMUNITY MEMBERS IN THE HOSPITAL'S SERVICE AREA. COMMUNITY REPRESENTATION:COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. A STATISTICALLY VALID SAMPLING STRATEGY ENSURED COMMUNITY REPRESENTATION IN THE HOUSEHOLD SURVEY. PUBLIC HEALTH EXPERTS, HEALTH CARE PROFESSIONALS, AND REPRESENTATIVES OF UNDERSERVED POPULATIONS SHARED KNOWLEDGE AND EXPERTISE ABOUT COMMUNITY HEALTH ISSUES AS PART OF THE KEY INFORMANT INTERVIEWS. HEALTH CARE CONSUMERS, INCLUDING MEDICALLY UNDERSERVED INDIVIDUALS AND CHRONICALLY-ILL PATIENTS, WERE INCLUDED IN THE FOCUS GROUPS.LINE 5a:THE CHNA IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT WWW.BAPTISTONLINE.ORG/UNION-COUNTY. | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY | |
| 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. | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY | |
| Part VI, Line 2: BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC., PROVIDES NEEDS ASSESSMENTS THROUGH THE HEALTH SERVICES RESEARCH DEPARTMENT. IN ADDITION, LOCAL ADVISORY BOARDS PROVIDE FEEDBACK TO THE LOCAL HOSPITAL ADMINISTRATORS. THE HEALTH SERVICES RESEARCH DEPARTMENT USES VARIOUS TOOLS TO ASSIST THEM IN THE ASSESSMENTS.ONE OF THESE TOOLS USED BY HEALTH SERVICES RESEARCH DEPARTMENT IS YACOUBIAN RESEARCH, INC. COMMUNITY OPINION SURVEY. THIS IS A QUARTERLY RANDOM-DIGIT DIALING TELEPHONE SURVEY. SURVEYS INCLUDE QUESTIONS ASKING RESPONENTS TO GRADE THE QUALITY OF HEALTH CARE SERVICES IN THEIR COMMUNITY. THE SERVICES ARE GRADED FROM A-F. IF A SERVICE IS GIVEN A RATING OF C OR BELOW, THE RESPONDENTS ARE ASKED FOR IDEAS FOR IMPROVEMENT. THESE CAN BE REVIEWED BY AREA, COUNTY, TOWN, ZIP CODE, AGE, GENDER, AND RACE. THE IMPROVEMENTS REQUESTED GENERALLY INVOLVE REQUESTS FOR MORE AND BETTER DOCTORS AND STAFF, AND LESS WAIT TIME. MEDICAL STAFF SURVEYS ARE ALSO USED TO ASSESS NEEDS. THESE ARE CONDUCTED BY MAIL OR INTERNET (WHICH EVER IS PREFERRED BY THE RESPONDENT) BY PRESS-GANEY, A NATIONALLY KNOWN RESEARCH COMPANY FOR BOTH PATIENT SATISFACTION AND PHYSICIAN SATISFACTION. IN THIS SURVEY, CONDUCTED EVERY OTHER YEAR, RESPONDENTS ARE QUESTIONED ABOUT THE NEED FOR NEW SERVICES OR PHYSICIAN SPECIALTIES IN THE HOSPITAL OR COMMUNITY. THERE ARE USUALLY MULTI-PHYSICIAN RECOMMENDATIONS FOR ADDITIONAL EQUIPMENT AND CERTAIN TYPES OF PHYSICIAN SPECIALISTS. THIS IS USED AS A STARTING POINT FOR DETERMINING POTENTIAL PRIORITIES FOR PHYSICIAN RECRUITING.COMMUNITY NEEDS ASSESSMENT FOR ADDITIONAL PHYSICIANS IN THE COMMUNITY IS ALSO CONDUCTED. POPULATION-BASED DEMAND ESTIMATES ARE OBTAINED FROM THE MEDSTAT INFORUM MEDI-EDGE SOFTWARE, AND TAKES INTO ACCOUNT THE AGE AND GENDER OF THE POPULATION. THIS IS THEN COMPARED TO THE SUPPLY OF PHYSICIANS AS DETERMINED THROUGH SEVERAL DIFFERENT SOURCES-INCLUDING OUR OWN CALLING OF OFFICES TO DETERMINE THE FULL TIME EQUIVALENT OF PHYSCIANS AVAILABLE IN THE SPECIALTY OF INTEREST. THE DEMAND MINUS THE SUPPLY GIVES THE "NET NEED" CURRENTLY, AND IN 5 YEARS. THE REQUEST FOR THESE ANALYSES ARE MADE BY THE HOSPITAL'S CHIEF EXECUTIVE OFFICERS' BASED ON THE PRIORITIES GIVEN BY THE MEDICAL STAFF AND ACCORDING TO KNOWLEDGE OF CERTAIN PHYSICIANS THAT ARE LIKELY TO BE LEAVING THE AREA IN THE NEXT YEAR OR TWO. GENERALLY THE DEMAND AND SUPPLY ESTIMATES ARE FOR A GEOGRAPHIC AREA DEFINED BY THE HALF-WAY MARK BETWEEN OUR FACILITY AND THE COMMUNITY HAVING A SIMILAR SIZED MEDICAL FACILITY OF A COMPETITOR. IN LARGER MARKET AREAS, THE PHYSICIAN NEEDS ARE GENERALLY CONCENTRATED AROUND HIGHLY SPECIALIZED PHYSICIANS WHO MAY BE LEAVING OR RETIRING. THE SOFTWARE PACKAGE HAS MODULES THAT ARE USED TO DETERMINE THE NEED FOR NEW FACILITIES, SUCH AS HOSPITALS, URGENT CARE CENTERS, EXPANDED EMERGENCY ROOMS, ETC. THIS IS REVIEWED IF THERE IS AN INCREASE IN POPULATION GROWTH.PATIENT SATISFACTION SURVEYS ARE ANOTHER TOOL USED TO ASSESS NEED. PRESS GANEY MAILS SURVEYS EVERY TWO WEEKS TO A RANDOM SAMPLE OF DISCHARGED PATIENTS. THE GOAL IS TO GET APPROXIMATELY 350 COMPLETED SURVEYS PER YEAR IN EACH OF THE VARIOUS CARE SETTINGS PER FACILITY. THESE CARE SETTINGS INCLUDE INPATIENT, OUTPATIENT, EMERGENCY ROOMS, OUTPATIENT SURGERY, OUTPATIENT DIAGNOSTICS, HOME HEALTH CARE, URGENT CARE CENTERS, ETC. BASED ON THESE SURVEYS, THE NEED FOR SPECIFIC CHANGES IN PROCESSES OR TYPES OF PERSONNEL ARE ASSESSED TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE.NATIONAL RESEARCH CORPORATION IS A RESEARCH COMPANY THAT INTERVIEWS 600 PEOPLE IN OUR COMMUNITY SERVICE AREA EACH YEAR VIA THE INTERNET. THESE PEOPLE ARE A PART OF A PANEL SELECTED TO REPRESENT THE CHARACTERISTICS OF THE COMMUNITY. THIS SURVEY PROVIDES AN ON-LINE TOOL FOR DETERMINING SELF-REPORTED PERCENTAGES WITH CHRONIC CONDITIONS AND USE OF PREVENTIVE SERVICES IN AREAS OF SIMILAR SIZE AND CHARACTERISTICS AROUND THE COUNTRY. | ||
| Part VI, Line 3: PATIENTS ARE INFORMED OF THEIR ELIGIBILTY FOR ASSISTANCE IN PERSON UPON ENTERING THE HOSPITAL FACILITY. EACH PATIENT IS ASSIGNED AN ADMISSION'S PERSON WHO PROVIDES WRITTEN INFORMATION AS WELL AS VERBAL INFORMATION. | ||
| Part VI, Line 4: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SERVICES THE UNION COUNTY, MISSISSIPPI AREA. SOME PATIENTS COME FROM OTHER MISSISSIPPI COUNTIES SURROUNDING THE UNION COUNTY AREA. THE AFRICAN-AMERICAN COMMUNITY COMPRISES ABOUT 17.4% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 3.2%, AND CAUCASIONS ARE ABOUT 78.4%.DEMOGRAPHIC SNAPSHOTS ARE PROVIDED BY THE INDEPENDENT OUTSIDE FIRM OF CLARITAS, INC. OUR OWN HEALTH SERVICES RESEARCH DEPARTMENT AT BAPTIST MEMORIAL HEALTH CARE CORPORATION (OUR PARENT) CALCULATES THE DISTRIBUTION OF INPATIENT DISCHARGES (EXCLUDING NEWBORNS) BY COUNTY. THIS IS SORTED IN DESCENDING NUMBER PER COUNTY AND DETERMINES THOSE COUNTIES WITH UP TO 75-77% OF THE DISCHARGES AND THESE CONTIGUOUS COUNTIES COMPRISE THE PRIMARY MARKET AREA. COUNTIES COMPRISING 78-95% OF THE DISCHARGES ARE DESIGNATED THE SECONDARY MARKET, WHILE THE REMAINING 5% IS THE TERTIARY MARKET.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY'S PRIMARY MARKET SERVICE AREA HAS 85,324 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 264,178 PERSONS. OTHER ITEMS SUCH AS AGE, HOUSEHOLD INCOME, AND RACE/ETHNICITY PERCENTAGES, AS COMPARED TO THE NATION AS A WHOLE, ARE ALSO USED IN THE MIX.DUNN AND BRADSTREET DATA IS ALSO USED TO DETERMINE THE COMMUNITIES LARGEST EMPLOYERS. | ||
| Part VI, Line 5: THE HOSPITALS HAVE OPEN MEDICAL STAFFS, COMMUNITY BOARD INVOLVMENT, SUPPORT SERVICES, FREE AND/OR REDUCED MAMMOGRAMS, HEALTH FAIRS, DONATION OF SUPPLIES AND MONEY, AND MANY OTHER THINGS. | ||
| Part VI, Line 6: BAPTIST MEMORIAL HOSPITAL IS AN AFFILIATE OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE PARENT ORGANIZATION OF A NUMBER OF HOSPITALS, MINOR MEDICAL CENTERS, HOME CARE AND HOSPICE SERVICES, AND PHYSICIAN SERVICES IN WEST TENNESSEE, NORTH MISSISSIPPI, AND EAST ARKANSAS. | ||
| AR,MS,TN | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN C REYNOLDS | ||||||||||||||
| PRESIDENT | 0 | 1154210 | 0 | 1182630 | 0 | 137770 | 0 | 47500 | 0 | 21468 | 0 | 2543578 | 0 | 0 |
| JASON M LITTLE | ||||||||||||||
| VICE PRESIDENT | 0 | 582009 | 0 | 515627 | 0 | 43130 | 0 | 29500 | 0 | 21870 | 0 | 1192136 | 0 | 0 |
| GREGORY M DUCKETT | ||||||||||||||
| SECRETARY | 0 | 375226 | 0 | 406217 | 0 | 25892 | 0 | 37500 | 0 | 26962 | 0 | 871797 | 0 | 0 |
| WALTER J GRACE | ||||||||||||||
| CEO/ADMINISTRATOR | 0 | 157131 | 0 | 32702 | 0 | 20542 | 0 | 23577 | 0 | 21288 | 0 | 255240 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 III | PART I, LINE 3: BAPTIST MEMORIAL HEALTH CARE CORPORATION'S HUMAN RESOURCE DEPARTMENT, THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORM ANNUAL REVIEWS EACH DECEMBER AND APPROVE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. THEY USE COMPARABILITY DATA AND OTHER SOURCES AS NEEDED. THE CEO AND OTHER TOP MANAGEMENT USE THE SAME TYPE OF INFORMATION TO APPROVE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 20B: AUDITED FINANCIAL STATEMENTS: | ATTACHED ARE THE FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND SEPTEMBER 30, 2012, AND INDEPENDENT AUDITOR'S REPORT FOR BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. | |
| PART V: STATEMENTS REGARDING OTHER IRS FILINGS & TAX COMPLIANCE: | LINE 1a: ALL FORMS 1099 ARE PREPARED BY THE ACCOUNTS PAYABLE DEPARTMENT OF THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. ALL FORMS 1099 ARE ISSUED USING THE FEDERAL TAX IDENTIFICATION NUMBER OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. THE 1099S ARE NOT PROCESSED BY ENTITY, BUT BY VENDOR GROUP. MANY VENDORS PERFORM SERVICES FOR MULTIPLE BAPTIST ENTITIES, SO ONLY ONE 1099 IS ISSUED PER VENDOR WITH THE TOTAL AMOUNT PAID FOR SERVICES. THIS NUMBER IS REPORTED ON BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FORM 990, PART V, LINE 1a. LINE 2a: THE PAYROLL FUNCTION IS CENTRALIZED AT THE PAYROLL DEPARTMENT OF THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. THE CORPORATE PAYROLL DEPARTMENT IS RESPONSIBLE FOR ALL SALARIES AND WAGES OF THE EMPLOYEES FOR ENTIRE THE BAPTIST SYSTEM. THE W-3s AND W-2s ARE SUBMITTED ELECTRONICALLY TO THE IRS USING BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FEDERAL TAX IDENTIFICATION NUMBER, ACCORDING TO THE GUIDELINES ASSOCIATED WITH COMMON PAYMASTER. HOWEVER, THE EMPLOYEE INFORMATION IS ALLOCATED TO ITS RESPECTIVE FACILITY FOR FINANCIAL REPORTING PURPOSES AND THEY ARE REPORTED TO THE STATE BY EACH FACILITY. THUS, THE AMOUNT REPORTED ON PART V, LINE 2a REFLECTS THE NUMBER OF EMPLOYEES AT THIS FACILITY WHO RECEIVED A W-2. THE TOTAL NUMBER OF W-2S FOR ALL BAPTIST ENTITIES IS REPORTED ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION W-3. LINE 7g: THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY REQUIRING IT TO FILE A FORM 8899. Line 7h: THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES, OR OTHER VEHICLES REQUIRING IT TO FILE A FORM 1098-C. | |
| Form 990, Part VI, Section A, line 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. | |
| Form 990, Part VI, Section A, line 6 | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION. | |
| Form 990, Part VI, Section A, line 7a | BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY ELECTS ITS BOARD OF DIRECTORS. | |
| Form 990, Part VI, Section A, line 7b | BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY 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 COUNTY 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 CORPOATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE. | |
| Form 990, Part VI, Section B, line 15 | BAPTIST MEMORIAL HEALTH CARE CORPORATION'S HUMAN RESOURCE DEPARTMENT, THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORM ANNUAL REVIEWS EACH DECEMBER AND APPROVE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. THEY USE COMPARABILITY DATA AND OTHER SOURCES AS NEEDED. THE CEO AND OTHER TOP MANAGEMENT USE THE SAME TYPE OF INFORMATION TO APPROVE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. ON DECEMBER 12, 2011 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2012 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. | |
| Form 990, Part VI, Section C, line 18 | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY MAKES COPIES OF ITS FORMS 1023, 990, AND 990T AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS. | |
| Form 990, Part VI, Section C, line 19 | BAPTIST MEMORIAL HOSPITAL-UNION COUNTY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| Form 990, Part VII | STEPHEN C. REYNOLDS - 350 N. HUMPHREYS BLVD, MEMPHIS, TN 38120-2177. JASON M. LITTLE - 350 N. HUMPHREYS BLVD, MEMPHIS, TN 38120-2177. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD, MEMPHIS, TN 38120-2177. | Contact Addresses for Officers, Directors, Etc |
| Form 990, Part XI, line 9: | EQUITY TRANSFER TO/FROM BAPTIST MEMORIAL MEDICAL GROUP, INC. -1,402,736. | Changes in Net Assets or Fund Balances: |
| PART XII, LINE 2c: FINANCIAL STATEMENTS AND REPORTING: | BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, HAS AN AUDIT COMMITTEE THAT CHOOSES THE AUDIT FIRM, OVERSEES AND REVIEWS THE AUDIT REPORTS, AND THEN FOLLOWS UP ON ANY NECESSARY CHANGES AND RECOMMENDATIONS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| NORTHEAST ARKANSAS BAPTIST MEMORIAL HEALTH CARE LLC | |||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 810572898 | OPERATION OF BAPTIST MEMORIAL HOSPTIAL-JONESBORO, INC. | AR | N/A |
| NORTHEAST ARKANSAS BAPTIST HEALTH SERVICES GROUP LLC | |||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 271471186 | OPERATE A PREFERRED PROVIDER ORGANIZATION | AR | N/A |
Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581521475 | MANAGEMENT, ADMINISTRATIVE & FINANCIAL SERVICES FOR AFFILIATES | TN | 501(c)(3) | 509(a)(3) | N/A | 0 | |
| BAPTIST MEMORIAL HEALTH CARE SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581456556 | CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TN | TN | 501(c)(3) | 509(a)(3) | N/A | 0 | |
| BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC | |||||||||||
| 1003 MONROE | MEMPHIS | TN | 38104 | 621599670 | EDUCATION OF HEALTH CARE PROFESSIONALS | TN | 501(c)(3) | 509(a)(1) | 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)PENDING | 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 CITY INC | |||||||||||
| 1201 BISHOP ST | UNION ICTY | TN | 38261 | 621138045 | HEALTH CARE FACILITY/HOSPITAL | TN | 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 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)(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)PENDING | 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 | |
| FAMILY CANCER CENTER 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 INC | |||||||||||
| 6025 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 452832975 | HEALTH CARE SERVICE PROVIDER | TN | 501(c)(3)PENDING | 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)PENDING | 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)PENDING | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | ||
Form990 Schedule R Part III Form990ScheduleRPartIII (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST-DESOTO SURGERY CENTER | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 200804946 | AMBULATORY SURGERY | MS | N/A | N/A | 0 | 0 |
| BAPTST-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 |
| SN-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 HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621510287 | MEDICAL OFFICE BLDG. | TN | N/A | N/A | 0 | 0 |
| CANCER CARE CENTER OF UNIN CITY LP | ||||||||||
| 32 HOSPITAL BLVD | JACKSON | TN | 38305 | 263425045 | CANCER CARE SERVICES | TN | N/A | N/A | 0 | 0 |
| MAYS & SCHNAPP PAIN CENTER | ||||||||||
| 55 HUMPHREYS CENTER BLVD STE 200 | MEMPHIS | TN | 38120 | 621512849 | PAIN MANAGEMENT SERVICES | TN | N/A | N/A | 0 | 0 |
| CONVENIENT CARE DIAGNOSTIC CENTER PLLC | ||||||||||
| 555 HWY 6 EAST | BATESVILLE | MS | 38606 | 640914382 | RADIOLOGY & DIAGNOSTIC SERVICES | MS | N/A | N/A | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| HEALTH TECH AFFILIATES INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621278576 | BUYING AND LEASING REAL & PERSONAL PROPERTY | TN | N/A | C | 0 |
| BAPTIST HEALTH SERVICES GROUP OF THE MIDSOUTH INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621534210 | HEALTH INSURANCE CONTRACTING | TN | N/A | C | 0 |
| SOUTHCREST PROPERTY OWNERS ASSOCIATION | |||||||||
| 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 640768703 | BOOKKEEPING & DATA PROCESSING FOR SOUTHCREST DEVELOPMENT | MS | N/A | C | 0 |
| GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 201158216 | BOOKKEEPING & DATA PROCESSING FOR GERMANTOWN BUS. PARK DEVELOPMENT | TN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| M | 5321940 | FMV |
| BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST | ||
| R | 3785973 | FMV |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| E | 1484052 | FMV |
| BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| R | 1402736 | FMV |
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