NORTHEAST ARKANSAS CLINIC CHAR FOUNDATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST ARKANSAS CLINIC CHAR FOUNDATION INC (EIN 71-0850123)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2014-08-28
- IRS object ID
- 201442409349300109
- Schema version
- 2011v1.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-28T10:30:37-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710850123 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST ARKANSAS CLINIC CHARITABLE | BusinessNameLine1 |
| Business Name Line2 | FOUNDATION INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 8709345119 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1835 GRANT AVE | AddressLine1 |
| City | JONESBORO | City |
| State | AR | State |
| ZIP Code | 724016155 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGORY M DUCKETT | Name |
| Title | SECRETARY | Title |
| Phone | 8709345119 | Phone |
| Date Signed | 2014-08-28 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | ROBERT TAYLOR MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1835 GRANT AVE | AddressLine1 |
| City | JONESBORO | City |
| State | AR | State |
| ZIP Code | 724016155 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 88729799 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | BMHCC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | AR | StateLegalDomicile |
| Activity Or Mission Description | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PROVIDES QUALITY (SEE SCHEDULE O, PG 29) MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 568 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 66142 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -16449 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 80448239 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 88199359 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1316 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 536959 | OtherRevenuePriorYear |
| Other Revenue Current Year | 472440 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 80985198 | TotalRevenuePriorYear |
| Total Revenue Current Year | 88670483 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 49417 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 49034973 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 51079872 | 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 | 34510347 | OtherExpensePriorYear |
| Other Expenses Current Year | 37590611 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 83594737 | TotalExpensesPriorYear |
| Total Expenses Current Year | 88670483 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2609539 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 0 | RevenuesLessExpensesCY |
| Total Assets BOY | 19433215 | TotalAssetsBOY |
| Total Assets EOY | 22821614 | TotalAssetsEOY |
| Total Liabilities BOY | 14577590 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17815099 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4855625 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5006515 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 75379479 | Expense |
| Revenue | 88605657 | Revenue |
| Description | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. (NEA BAPTIST CLINIC) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF NEA BAPTIST CLINIC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT THE MISSION OF THE CLINIC IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. SEE CONTINUATION AT SCHEDULE O, PAGE 29THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, NORTHEAST ARKANSAS BAPTIST CLINIC PROVIDES THE FOLLOWING:--FREE CARE AND/OR SUBSIDIZED CARE,--CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND--HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITYNEA BAPTIST CLINIC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH WE MAY RECEIVE LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE, MEDICAID AND UNINSURED PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, NEA BAPTIST CLINIC RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING SEPTEMBER 30, 2012, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $30,071,735.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICED SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT NEA BAPTIST CLINIC BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THROUGH ITS AFFILIATION WITH BAPTIST MEMORIAL HEALTH CARE CORPORATION, NEA BAPTIST CLINIC PROVIDES THE FOLLOWING PROGRAMS AND SERVICES FOR THE COMMUNITY:--COMMUNITY HEALTH FAIRS--PHYSICAL EXAMS FOR STUDENTS ACTIVE IN COMPETITIVE SPORTS--PROVISION OF STAFF NURSES TO HELP SENIOR CITIZENS HEALTH FAIR--EMPLOYEE ACTIVITIES TO RAISE MONEY FOR UNITED WAY, AMERICAN HEART ASSOCIATION, AND MARCH OF DIMES--PROVISIONS OF PHYSICIANS FOR SPEAKING ENGAGEMENTS ON TOPICAL HEALTH ISSUES TO THE COMMUNITYONE OF THE BIGGEST PROGRAMS AT NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION IS THE WELLNESS CENTER.THE WELLNESS CENTER AT NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION HAS A STATE OF THE ART CARDIO THEATRE, SELECTORIZED EQUIPMENT, FREE WEIGHTS, INDOOR RUBBERIZED RUNNING TRACK, INDOOR HEATED POOL, JUICE BAR AND NUTRITION CENTER, LOCKER ROOMS, PERSONAL TRAINING AND MORE. WE STRIVE TO DO WHATEVER IS NECESSARY TO HELP OUR MEMBERS MEET THEIR GOALS. OUR TRAINING PHILOSPHY IS BASED ON THE PERIODIZATION OF RESISTANCE TRAINING, SOUND NUTRITION, AND CARDIOVASCULAR TRAINING. THIS IS KNOWN AS OUR TRIANGLE OF SUCCESS.THE NEA BAPTIST WELLNESS CENTER IS A SILVER SNEAKER CERTIFIED FACILITY. ANYONE WHO HAS SILVER SNEAKERS AS A BENEFIT ON THEIR MEDICAL INSURANCE CAN COME TO THE WELLNESS CENTER FREE OF CHARGE.WE OFFER VARIOUS CLASSES SUCH AS AAA WTER AEROBICS, LATIN BOOTCAMP, SILVERSPLASH SILVER SNEAKERS, AB WORKOUTS, LATIN FIT, YOGASTRETCH SILVER SNEAKERS, CARDIO CIRCUIT SILVER SNEAKERS, MSROM SILVER SNEAKERS, AND ZUMBA, JUST TO NAME A FEW.FOR THE PERIOD ENDING SEPTEMBER 30, 2012, WE HAD APPROXIMATELY 785 REGULAR MEMBERS. | Description |
| Total Program Service Expense | 75379479 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | 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 | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | 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 | 0 | Hospital |
| 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 104 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 568 | NumberOfEmployees |
| Employment Tax Returns Filed | 0 | 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 | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | 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 | ANGIE CARLTON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8709345119 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1835 GRANT ST | AddressLine1 |
| City | JONESBORO | City |
| State | AR | State |
| ZIP Code | 72401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PAUL B BETZ | |||||||
| DIRECTOR | 0.20 | X | 0 | 252611 | 53202 | ||
| JASON M LITTLE | |||||||
| DIRECTOR | 0.20 | X | 0 | 737988 | 46078 | ||
| JAMES W BOSWELL | |||||||
| DIRECTOR | 0.20 | X | 0 | 589594 | 69486 | ||
| BRAD H PARSONS | |||||||
| DIRECTOR | 0.20 | X | 0 | 180424 | 33420 | ||
| ERROL S DAVIS | |||||||
| DIRECTOR | 0.20 | X | 245745 | 0 | 12453 | ||
| MICHAEL MACKEY MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 566656 | 0 | 16060 | ||
| BRUCE JONES MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 387139 | 0 | 23420 | ||
| MICHAEL ISAACSON MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 288201 | 0 | 13420 | ||
| JAMES AMEIKA MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 351580 | 0 | 23420 | ||
| NORBERT DELACEY MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 372608 | 0 | 14986 | ||
| ROBERT TAYLOR MD | |||||||
| PRESIDENT/DIRECTOR | 40.00 | X | 301032 | 0 | 23420 | X | |
| BRANNON TREECE | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 263105 | 0 | 17919 | ||
| NATHAN TURNEY MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 242492 | 0 | 16531 | ||
| KEVIN GANONG MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 274196 | 0 | 23416 | ||
| DARRELL KING | |||||||
| DIRECTOR/CEO | 40.00 | X | 222382 | 0 | 18453 | X | |
| STEPHEN WOODRUFFMD | |||||||
| CMO/TREASURER | 40.00 | X | 280085 | 0 | 1420 | X | |
| DOUGLAS MAGLOTHIN MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 218603 | 0 | 23420 | ||
| RAY HALL JR MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 198251 | 0 | 1358 | ||
| JASON BRANDT MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 728373 | 0 | 16740 | ||
| ROBERT ABRAHAM MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 615538 | 0 | 23420 | ||
| WILLIAM HUBBARD MD | |||||||
| DIRECTOR/EMPLOYEE | 40.00 | X | 118454 | 0 | 944 | ||
| GREGORY M DUCKETT | |||||||
| SECRETARY | 0.10 | 0 | 642252 | 63859 | X | ||
| ANGIE CARLTON | |||||||
| CFO | 40.00 | 126854 | 0 | 1953 | X | ||
| LEXINE HORTON | |||||||
| COO | 40.00 | 132284 | 0 | 3312 | X | ||
| DHARMENDRA PATEL MD | |||||||
| PHYSICIAN | 40.00 | 582293 | 0 | 16740 | X | ||
| JEFFREY MULLEN MD | |||||||
| PHYSICIAN | 40.00 | 580888 | 0 | 16740 | X | ||
| BEATA MAJEWSKIMD | |||||||
| PHYSICIAN | 40.00 | 575678 | 0 | 17920 | X | ||
| JOHN PHILLIPS MD | |||||||
| PHYSICIAN | 40.00 | 556116 | 0 | 16740 | X | ||
| FRED GEORGE MD | |||||||
| PHYSICIAN | 40.00 | 550757 | 0 | 22240 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8779310 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2402869 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 632490 | TotalOtherCompensation |
| Number Individuals GT100 K | 88 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SOUTHERN EMERGENCY SERVICES | |||||
| 1001 COUNTY RD 759 | JONESBORO | AR | 72401 | MEDICAL SERVICES | 1194144 |
| LARRY PATRICK MD | |||||
| 302 CR 7593 | JONESBORO | AR | 72401 | MEDICAL SERVICES | 377385 |
| OKSANA REDKO MD | |||||
| 2916 RIDGEPOINTE DR | JONESBORO | AR | 72404 | MEDICAL SERVICES | 376542 |
| LISA SHACKLEFORD MD | |||||
| 304 CR 388 | JONESBORO | AR | 72401 | MEDICAL SERVICES | 187687 |
| SUPERIOR ANESTHESIA SERVICES LLC | |||||
| 4921 INVERNESS RUN DR | JONESBORO | AR | 72401 | MEDICAL SERVICES | 185473 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PROGRAM SERVICES | 900099 | 77361526 | 77361526 |
| OTHER OPERATING REVENU | 900099 | 10837833 | 10837833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 88199359 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 48000 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 48000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11316 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1316 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1316 | TotalRevenueColumn |
| Exclusion | -$1,316 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | WELLNESS CENTER REV. | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 472440 | TotalRevenueColumn |
| Related Or Exempt Function Income | 406298 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 66142 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 472440 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 88670483 | TotalRevenueColumn |
| Related Or Exempt Function Income | 88605657 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 66142 | UnrelatedBusinessRevenue |
| Exclusion | -$1,316 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6058047 | Total |
| Program Services | 5149340 | ProgramServices |
| Management And General | 908707 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37066011 | Total |
| Program Services | 31506109 | ProgramServices |
| Management And General | 5559902 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2361346 | Total |
| Program Services | 2007144 | ProgramServices |
| Management And General | 354202 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3436614 | Total |
| Program Services | 2921122 | ProgramServices |
| Management And General | 515492 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2157854 | Total |
| Program Services | 1834176 | ProgramServices |
| Management And General | 323678 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10555644 | Total |
| Program Services | 8972297 | ProgramServices |
| Management And General | 1583347 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 420678 | Total |
| Program Services | 357576 | ProgramServices |
| Management And General | 63102 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17597131 | Total |
| Program Services | 14957561 | ProgramServices |
| Management And General | 2639570 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3718068 | Total |
| Program Services | 3160358 | ProgramServices |
| Management And General | 557710 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364874 | Total |
| Program Services | 310143 | ProgramServices |
| Management And General | 54731 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157851 | Total |
| Program Services | 134173 | ProgramServices |
| Management And General | 23678 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6680 | Total |
| Program Services | 5678 | ProgramServices |
| Management And General | 1002 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1663627 | Total |
| Program Services | 1414083 | ProgramServices |
| Management And General | 249544 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1044783 | Total |
| Program Services | 888066 | ProgramServices |
| Management And General | 156717 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 1261952 | 1072659 | 189293 |
| TAX & LIC. | 308133 | 261913 | 46220 |
| DUES & SUBSCRIPTIONS | 300772 | 255656 | 45116 |
| CHARITABLE DONATIONS | 63796 | 63796 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126622 | Total |
| Program Services | 107629 | ProgramServices |
| Management And General | 18993 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88670483 | Total |
| Program Services | 75379479 | ProgramServices |
| Management And General | 13291004 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8880 | BOY |
| EOY | 10413 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2278091 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8316578 | BOY |
| EOY | 12206413 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3032601 | BOY |
| EOY | 4892421 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 643580 | BOY |
| EOY | 746449 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8618691 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4034313 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5153485 | BOY |
| EOY | 4584378 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 381540 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19433215 | BOY |
| EOY | 22821614 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6070429 | BOY |
| EOY | 5752224 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8507161 | BOY |
| EOY | 12062875 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14577590 | BOY |
| EOY | 17815099 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4855625 | BOY |
| EOY | 5006515 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4855625 | BOY |
| EOY | 5006515 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19433215 | BOY |
| EOY | 22821614 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 0 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 150890 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | |||||
| 261214372 | 3 | 1 | 1 | 1 | $3,941,921 |
| BAPTIST MEMORIAL MEDICAL GROUP INC | |||||
| 621545731 | 501(C)(3) | 1 | 1 | 1 | $1,208,912 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 5150833 | SumOfAmounts |
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 | $1 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1 | 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 | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC.,PAYS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE ARKANSAS HOSPITAL ASSOCIATION, THE MISSISSIPPI HOSPITAL ASSOCIATION, AND THE TENNESSEE HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ARE FOR CONSULTANTS WHO ADVISE AND CONSULT WITH THE ORGANIZATION ON LEGISLATIVE AND REGULATORY MATTERS THAT MAY AFFECT THE ORGANIZATION AND ITS AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSITIONS WITH THE LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE, AND FEDERAL LEVELS. NORTHEAST ARKANSAS CLINIC FOUNDATION, INC. DID NOT PAY CONSULTANT FEES. "1" HAS BEEN USED SO THE "YES" ANSWER NEXT TO PART II-B, LINE 1I WILL BE PRINTED ON THE FORM 990. | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 293997 | OtherCostOrOtherBasis |
| Depreciation | 79841 | Depreciation |
| Book Value | 214156 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8324694 | OtherCostOrOtherBasis |
| Depreciation | 3954472 | Depreciation |
| Book Value | 4370222 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4584378 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $11,765,775 |
| OTHER CURRENT LIABIITIES | $297,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12062875 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | AS OF SEPTEMBER 30, 2012 AND 2011, BAPTIST MEMORIAL HEALTH CARE CORPORATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT BAPTIST MEMORIAL HEALTH CARE CORPORATION WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY TAX YEARS 2009 THROUGH 2012 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS. | Explanation |
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 |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (26 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL B BETZ | |||||||||||||
| 0 | 195465 | 0 | 41986 | 0 | 15160 | 0 | 32269 | 0 | 20933 | 0 | 305813 | 0 | 0 |
| JASON M LITTLE | |||||||||||||
| 0 | 479737 | 0 | 225623 | 0 | 32628 | 0 | 24500 | 0 | 21578 | 0 | 784066 | 0 | 0 |
| JAMES W BOSWELL | |||||||||||||
| 0 | 521651 | 0 | 52500 | 0 | 15443 | 0 | 46500 | 0 | 22986 | 0 | 659080 | 0 | 0 |
| BRAD H PARSONS | |||||||||||||
| 0 | 140632 | 0 | 18665 | 0 | 21127 | 0 | 13869 | 0 | 19551 | 0 | 213844 | 0 | 0 |
| ERROL S DAVIS | |||||||||||||
| 245745 | 0 | 0 | 0 | 0 | 0 | 10500 | 0 | 1953 | 0 | 258198 | 0 | 0 | 0 |
| MICHAEL MACKEY MD | |||||||||||||
| 566656 | 0 | 0 | 0 | 0 | 0 | 14640 | 0 | 1420 | 0 | 582716 | 0 | 0 | 0 |
| BRUCE JONES MD | |||||||||||||
| 387139 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 1420 | 0 | 410559 | 0 | 0 | 0 |
| MICHAEL ISAACSON MD | |||||||||||||
| 288201 | 0 | 0 | 0 | 0 | 0 | 12000 | 0 | 1420 | 0 | 301621 | 0 | 0 | 0 |
| JAMES AMEIKA MD | |||||||||||||
| 351580 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 1420 | 0 | 375000 | 0 | 0 | 0 |
| NORBERT DELACEY MD | |||||||||||||
| 372608 | 0 | 0 | 0 | 0 | 0 | 13566 | 0 | 1420 | 0 | 387594 | 0 | 0 | 0 |
| ROBERT TAYLOR MD | |||||||||||||
| 301032 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 1420 | 0 | 324452 | 0 | 0 | 0 |
| BRANNON TREECE | |||||||||||||
| 263105 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 1419 | 0 | 281024 | 0 | 0 | 0 |
| NATHAN TURNEY MD | |||||||||||||
| 242492 | 0 | 0 | 0 | 0 | 0 | 15125 | 0 | 1406 | 0 | 259023 | 0 | 0 | 0 |
| KEVIN GANONG MD | |||||||||||||
| 274196 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 1416 | 0 | 297612 | 0 | 0 | 0 |
| DARRELL KING | |||||||||||||
| 221732 | 0 | 0 | 0 | 650 | 0 | 16500 | 0 | 1953 | 0 | 240835 | 0 | 0 | 0 |
| STEPHEN WOODRUFFMD | |||||||||||||
| 280085 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1420 | 0 | 281505 | 0 | 0 | 0 |
| DOUGLAS MAGLOTHIN MD | |||||||||||||
| 218603 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 1420 | 0 | 242023 | 0 | 0 | 0 |
| RAY HALL JR MD | |||||||||||||
| 198251 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1358 | 0 | 199609 | 0 | 0 | 0 |
| JASON BRANDT MD | |||||||||||||
| 728373 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 240 | 0 | 745113 | 0 | 0 | 0 |
| ROBERT ABRAHAM MD | |||||||||||||
| 615538 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 1420 | 0 | 638958 | 0 | 0 | 0 |
| GREGORY M DUCKETT | |||||||||||||
| 0 | 357628 | 0 | 243995 | 0 | 40629 | 0 | 36750 | 0 | 27109 | 0 | 706111 | 0 | 0 |
| DHARMENDRA PATEL MD | |||||||||||||
| 582293 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 240 | 0 | 599033 | 0 | 0 | 0 |
| JEFFREY MULLEN MD | |||||||||||||
| 580888 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 240 | 0 | 597628 | 0 | 0 | 0 |
| BEATA MAJEWSKIMD | |||||||||||||
| 575678 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 1420 | 0 | 593598 | 0 | 0 | 0 |
| JOHN PHILLIPS MD | |||||||||||||
| 556116 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 240 | 0 | 572856 | 0 | 0 | 0 |
| FRED GEORGE MD | |||||||||||||
| 550757 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 240 | 0 | 572997 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PAGE 1, BOX B, EXPLANATION OF AMENDED RETURN FILING: | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. IS FILING AN AMENDED RETURN FOR THE PERIOD ENDING 9/30/12 TO FILE FORM 8594, ASSET ACQUISITION STATEMENT, WHICH WAS INADVERTANTLY OMITTED FROM THE ORIGINAL RETURN. | |
| PART V: STATEMENTS REGARDING OTHER IRS FILINGS & TAX COMPLIANCE: | LINE 7G: THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY REQUIRING IT TO FILE A FORM 8899. LINE 7H: THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES, OR OTHER VEHICLES REQUIRING IT TO FILE A FORM 1098-C. | |
| FORM 990, PART VI, SECTION A, LINE 3 | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC., PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT TO NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION,INC. | |
| FORM 990, PART VI, SECTION A, LINE 6 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC., THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC., ELECTS THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARTIABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF NORTHEAST ARKANSAS HEALTH SYSTEM, APPROVES THE BOARD OF DIRECTORS ACTIONS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | MORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE THE SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S PRESIDENT/CEO, SR. V.P./CFO, THE V.P. OF CORPORATE FINANCE, AND THE CLINIC CFO. IN ADDITION, THE FORM 990 IS REVIEWED ON A ROTATING BASIS OF EVERY THREE YEARS BY AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM. THE FORM 990 HAS NOT BEEN REVIEWED BY THE BOARD OF DIRECTORS. HOWEVER, BAPTIST MEMORIAL HEALTH CARE CORPORATION HAS A GOVERNANCE COMMITTEE THAT IS APPOINTED BY ITS BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE CONSISTS OF THREE OR MORE MEMBERS ALL OF WHICH MAY OR MAY NOT BE MEMBERS OF THE BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE WILL REVIEW THE FORM 990 AFTER SUBMITTING IT TO THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. REQUIRES THAT ALL EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES, PERIODICALLY COMPLETE A CERTIFICATION AND ACKNOWLEDGEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION STANDARDS OF CONDUCT, WHICH INCORPORATES THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS DISCLOSE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH DECEMBER. IN THE EVENT THAT AN EMPLOYEE OR BOARD MEMBER BECOMES AWARE OF A POTENTIAL CONFLICT OF INTEREST, HE/SHE IS REQUIRED TO REPORT IT TO THEIR CHIEF EXECUTIVE OFFICER BEFORE TAKING ANY ACTION. IF HE/SHE IS THE CHIEF EXECUTIVE OFFICER, THEN HE/SHE IS TO REPORT TO THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE SIGNED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE SENIOR V.P. AND CORPORATE COUNSEL, AND ARE MAINTAINED IN THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT. IF A CONFLICT OF INTEREST IS FOUND TO EXIST, IT WILL BE THE RESPONSIBILITY OF THE CEO, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | BAPTIST MEMORIAL HEALTH CARE CORPORATION'S HUMAN RESOURCE DEPARTMENT, THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORM ANNUAL REVIEWS EACH DECEMBER AND APPROVE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. THEY USE COMPARABILITY DATA AND OTHER SOURCES AS NEEDED. THE CEO AND OTHER TOP MANAGEMENT USE THE SAME TYPE OF INFORMATION TO APPROVE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. ON DECEMBER 13, 2010 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2011 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. | |
| FORM 990, PART VI, SECTION C, LINE 18 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. MAKES COPIES OF ITS FORMS 1023, 990, AND 990T AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VII | PAUL B. BETZ - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. JASON M. LITTLE - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. JAMES W. BOSWELL - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. BRAD H. PARSONS - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. ERROL S. DAVIS - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. | CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC |
| PART VII, COL B: | ESTIMATE OF AVERAGE HOURS WORKED PER WEEK DEVOTED TO RELATED ORGANIZATIONS: BRAD H. PARSONS--39.8 HOURS GREGORY M. DUCKETT--39.9 HOURS JASON M. LITTLE--39.8 HOURS ERROL S. DAVIS--39.8 HOURS PAUL B. BETZ--39.8 HOURS JAMES W. BOSWELL--39.8 HOURS | |
| FORM 990, PART XI, LINE 5: | EQUITY CONTRIBUTION 150,890. TOTAL TO FORM 990, PART XI, LINE 5: 150,890. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING: | NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF NORTHEAST ARKANSAS BAPTIST HEALTH SYSTEM, INC., HAS AN AUDIT COMMITTEE THAT CHOOSES THE AUDIT FIRM, OVERSEES AND REVIEWS THE AUDIT REPORTS, AND THEN FOLLOWS UP ON ANY NECESSARY CHANGES AND RECOMMENDATIONS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| NORTHWEST ARKANSAS BAPTIST MEMORIAL HEALTH CARE LLC | |||||||
| 3024 STADIUM BLVD | JONESBORO | AR | 72401 | 810572898 | OPERATION OF BAPTIST MEMORIAL HOSPITAL-JONESBORO, INC. | AR | BAPTIST MEMORIAL HOSPITAL-JONESBORO INC |
| NORTHWEST ARKANSAS BAPTIST HEALTH SERVICES GROUP LLC | |||||||
| 3024 STADIUM BLVD | JONESBORO | AR | 72401 | 271471186 | OPATE A PREFERRED PROVIDER ORGANIZATION | AR | BAPTIST MEMORIAL HOSPITAL-JONESBORO INC |
Form990 Schedule R Part II Form990ScheduleRPartII (29 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 SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581456556 | CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TN | TN | 501(C)(3) | 509(A)(3) | N/A | 0 | |
| BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC | |||||||||||
| 1003 MONROE | MEMPHIS | TN | 381043110 | 621599670 | EDUCATION OF HEALTH CARE PROFESSIONALS | TN | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HOSPITAL INC | |
| BAPTIST MEMORIAL HEALTH SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621509127 | PROVISION OF HEALTH CARE PROVIDERS & HOME INFUSION EQUIPMENT | TN | 501(C)(3) | 509(A)(2) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 620123940 | HEALTH CARE/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| MEDICAL FINANCIAL SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621112364 | COLLECTION AGENCY FOR BAPTIST FACILITIES | TN | 501(C)(3) | 509(A)(3) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC | |||||||||||
| 100 HOSPITAL ST | BOONEVILLE | MS | 38829 | 640663760 | HEALTH CARE/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-DESOTO INC | |||||||||||
| 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 640682111 | HEALTH CARE/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC | |||||||||||
| 2520 FIFTH ST | COLUMBUS | MS | 39703 | 621519754 | HEALTH CARE/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC | |||||||||||
| 631 RB WILSON DR | HUNTINGDON | TN | 38344 | 621166050 | HEALTH CARE/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST CLINICAL RESEARCH INSTITUTE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453032246 | FACILITATE MEDICAL & SCIENTIFIC RESEARCH | TN | 501(C)(3)PENDING | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | |||||||||||
| 2301 S LAMAR | OXFORD | MS | 38655 | 640772726 | HEALTH CARE/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-TIPTON INC | |||||||||||
| 1995 HWY 51 SOUTH | COVINGTON | TN | 38019 | 621113167 | HEALTH CARE/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-UNION CITY INC | |||||||||||
| 1201 BISHOP ST | UNION CITY | TN | 38261 | 621138045 | HEALTH CARE/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC | |||||||||||
| 200 HWY 30 WEST | MEW ALBANY | MS | 38652 | 630997281 | HEALTH CARE/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC | |||||||||||
| 2100 EXETER RD | GERMANTOWN | TN | 38138 | 581645396 | HEALTH CARE/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOME CARE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581562973 | HOME HEALTH CARE & HOSPICE SERVICES | TN | 501(C)(3) | 509(A)(2) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL MEDICAL GROUP INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621545731 | PROVISION OF HEALTH CARE PROVIDERS FOR TN FACILITIES | TN | 501(C)(3) | 509(A)(2) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL PATIENT SAFETY ORGANIZATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453032372 | ESTABLISHING, MAINTAINING & MANAGING A PATIENT SAFETY ORGANIZATION | TN | 501(C)(3)PENDING | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| BAPTIST MEMORIAL MEDICAL MINI EMP HLTH & WELFARE TRUST | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621407946 | BAPTIST EMPLOYEE HEALTH PLAN | TN | 501(C)(3) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| BAPTIST MINOR MEDICAL CENTERS | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621538114 | NON-EMERGENCY MEDICAL CLINICS | TN | 501(C)(3) | 509(A)(1) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581544781 | SOLICIT, RAISE, MANAGE, APPLY & INVEST IN SUPPORT OF BAPTIST ENTITIES | TN | 501(C)(3) | 509(A)(3) | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | |||||||||||
| 3024 STADIUM BLVD | JONESBORO | AR | 72401 | 261214372 | HEALTH CARE/HOSPITAL | AR | 501(C)(3) | 509(A)(1) | 0 | NEA BAPTIST HEALTH SYSTEMINC | |
| NEA BAPTIST HEALTH SYSTEM INC | |||||||||||
| 3024 STADIUM BLVD | JONESBORO | AR | 72401 | 271799652 | HEALTH CARE SERVICE PROVIDER | AR | 501(C)(3)PENDING | 0 | BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581521475 | MANAGEMENT, ADMINISTRATIVE & FINANCIAL SERVICES FOT AFFILIATES | TN | 501(C)(3) | 509(A)(3) | N/A | 0 | |
| THE STERN CARDIOVASCULAR FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 274396698 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3)PENDING | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| FAMILY CANCER CENTER FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 452842963 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3)PENDING | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| INTEGRITY ONCOLOGY FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453303687 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3)PENDING | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| MEMPHIS LUNG PHYSICIANS FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 452832975 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3)PENDING | 0 | BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| BOSTON BASKIN CANCER FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453303607 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3)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 |
| BAPTIST-EAST MEMPHIS SURGERY CENTER | ||||||||||
| 80 HUMPHREYS CENTER 101 | MEMPHIS | TN | 38120 | 621846584 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| BAPTIST-GERMANTOWN SURGERY CENTER LP | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621829424 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| BAPTIST & PHYSICIANS OP SURGERY CENTER OF N MS | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 620925692 | AMBULATORY SURGERY | MS | N/A | N/A | 0 | 0 |
| BAPTIST N MS IMAGING SERVICES LLC | ||||||||||
| 504 AZALEA DR | OXFORD | MS | 38655 | 262641267 | DIAGNOSTIC SERVICES | MS | N/A | N/A | 0 | 0 |
| EAST MEMPHIS UROLOGY CENTER LP | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621810940 | AMBULATORY UROLOGICAL SERVICES | TN | N/A | N/A | 0 | 0 |
| HAMILTON EYE INSTITUTE SURGERY CENTER LP | ||||||||||
| 930 MADISON AVE | MEMPHIS | TN | 38103 | 202873438 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| MEDICAL ALTERNATIVES | ||||||||||
| 4565 SHELBY RD | MEMPHIS | TN | 38083 | 621488427 | HOME INFUSION PRODUCTS & SERVICES TO PATIENTS | TN | N/A | N/A | 0 | 0 |
| MEMPHIS BIOMED VENTURES I LP | ||||||||||
| 17 W PONTOTOC STE 200 | MEMPHIS | TN | 38103 | 943424417 | MEDICAL RESEARCH | TN | N/A | N/A | 0 | 0 |
| MEMPHIS SURGERY CENTER LTD LP | ||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621218330 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| MEMPHIS-SC LLC | ||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621590322 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| MEMPHIS-SP LLC | ||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 621590324 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| MIDTOWN SURGERY CENTER LP | ||||||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621619344 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| NORTHWEST TENNESSEE SURGERY CENTER LLC | ||||||||||
| 1722 E REELFOOT | UNION CITY | TN | 38261 | 621685508 | AMBULATORY SURGERY | TN | N/A | N/A | 0 | 0 |
| SM-B BUILDING LLC | ||||||||||
| 5900 POPLAR AVE STE 100 | MEMPHIS | TN | 38119 | 621834236 | PHYSICIAN OFFICES | TN | N/A | N/A | 0 | 0 |
| TENNESSEE LITHOTRIPERS LP | ||||||||||
| 9825 SPECTRUM DR BLDG 3 | AUSTIN | TX | 78717 | 561720365 | LITHOTRIPSY SERVICES | TN | N/A | N/A | 0 | 0 |
| WOLF RIVER MEDICAL CENTER LP | ||||||||||
| 350 N HUMPHRESY BLVD | MEMPHIS | TN | 381202177 | 621510287 | MEDICAL OFFICE BLDG. | TN | N/A | N/A | 0 | 0 |
| CANCER CARE CENTER OF UNION CITY LP | ||||||||||
| 322 HOSPITAL BLVD | JACKSON | MS | 38305 | 263425045 | CANCER CARE SERVICES | MS | N/A | N/A | 0 | 0 |
| MAYS & SCHNAPP PAIN CENTER | ||||||||||
| 55 HUMPHREYS CENTER BLVD STE 200 | MEMPHIS | TN | 38120 | 621512849 | PAIN MANAGEMENT SERVICES | TN | N/A | N/A | 0 | 0 |
| CONVENIENT CARE DIAGNOSTIC CENTER PLLC | ||||||||||
| 555 HWY 6 EAST | BATESVILLE | MS | 38606 | 640914382 | RADIOLOGY & DIAGNOSTIC SERVICES | MS | N/A | N/A | 0 | 0 |
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 |
|---|---|---|---|---|---|---|---|---|
| HEALTH TECH AFFILIATES INC | ||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621278576 | BUYING & LEASING REAL & PERSONAL PROPERTY | TN | N/A | C |
| BAPTIST MEMORIAL HEALTH SERVICES GROUP OF THE MID-SOUTH INC | ||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621534210 | HEALTH INSURANCE CONTRACTING | TN | N/A | C |
| SOUTHCREST PROPERTY OWNERS ASSOCIATION | ||||||||
| 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 640768703 | BOOKKEEPING & DATA PROCESSING FOR THE SOUTHCREST DEVELOPMENT | MS | N/A | C |
| GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION | ||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 201158216 | BOOKKEEPING & DATA PROCESSING FOR THE GERMANTOWN BUSINESS PARK DEVELOPMENT | TN | N/A | C |
| 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 | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| 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 | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| N | 54114 | FMV |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| E | 3395147 | FMV |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | ||
| K | 3941921 | FMV |
| BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| K | 1154798 | FMV |
| BAPTIST MEMORIAL MEDICAL GROUP INC | ||
| C | 150890 | FMV |
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