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HW MEMPHIS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HW MEMPHIS INC (EIN 62-1280261)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201303179349302810
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-13T11:43:19-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621280261EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMPHIS MEDICAL CENTER AIR AMBULANCEBusinessNameLine1
Business Name Line2SERVICES INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMEMPNameControl
Phone9015225321Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11080 EASTMORELAND AVENUEAddressLine1
CityMEMPHISCity
StateTNState
ZIP Code38104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM CONWAYName
TitleCEOTitle
Phone9015225321Phone
Date Signed2013-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM CONWAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11080 EASTMORELAND AVENUEAddressLine1
CityMEMPHISCity
StateTNState
ZIP Code38104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19537340GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPITALWING.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF AIR AMBULANCE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees81TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15141519ProgramServiceRevenuePriorYear
Program Service Revenue CY19527808ProgramServiceRevenueCY
Investment Income Prior Year19135InvestmentIncomePriorYear
Investment Income Current Year9532InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15160654TotalRevenuePriorYear
Total Revenue Current Year19537340TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY830GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5313525SalariesEtcPriorYear
Salaries Etc Current Year5784157SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8644794OtherExpensePriorYear
Other Expenses Current Year10360458OtherExpensesCurrentYear
Total Expenses Prior Year13958319TotalExpensesPriorYear
Total Expenses Current Year16145445TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1202335RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3391895RevenuesLessExpensesCY
Total Assets BOY16290600TotalAssetsBOY
Total Assets EOY19991704TotalAssetsEOY
Total Liabilities BOY890724TotalLiabilitiesBOY
Total Liabilities EOY1199933TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15399876NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18791771NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ESTABLISH, MAINTAIN, CONDUCT, MANAGE, OWN AND OPERATE AN AIR AMBULANCE SERVICE FOR THE TRANSPORTATION AND CARE OF THE SICK, INJURED, DISABLED OR DISEASED OR OTHER PERSONS IN NEED OF SUCH SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15523044Expense
Grants830Grants
Revenue19527808Revenue
DescriptionMEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICES, INC., THE "WING", IS A NON-PROFIT AIR MEDICAL TRANSPORT WHICH PROVIDES INTER-HOSPITAL TRANSFERS AS WELL AS EMERGENCY SCENE CALLS WITHIN 150 MILE RADIUS OF MEMPHIS. THIS AREA INCLUDES WEST TENNESSEE, ARKANSAS, MISSISSIPPI, MISSOURI, ALABAMA, AND KENTUCKY.HOSPITAL WING OWNS 6 HELICOPTERS EQUIPPED TO TRANSPORT CRITICALLY ILL AND INJURED PATIENTS. THREE HELICOPTERS ARE STAFFED 24 HOURS A DAY, SEVEN DAYS A WEEK AND ONE HELICOPTER IS AVAILABLE FOR PEDIFLITE.IN 2012, THE WING TRANSPORTED AN AVERAGE OF 196 PATIENTS PER MONTH WITH 36% OF THESE BEING TRAUMA RELATED. SCENE FLIGHTS ACCOUNT FOR APPROXIMATELY 41% OF THESE TRANSPORTS. DURING 2012, 2,352 PATIENTS WERE TRANSPORTED.IN CONJUNCTION WITH THEIR MISSION AND CHARITABLE EFFORTS, THE WING ANNUALLY PROVIDES CHARITY CARE TO PATIENTS WHO HAVE DEMONSTRATED AN INABILITY TO PAY. IN 2012, THE HOSPITAL WING'S PROVISION FOR BAD DEBT WAS OVER $9 MILLION WITH A SIGNIFICANT PORTION ATTRIBUTABLE TO CHARITY CARE AT APPROXIMATELY $3.9 MILLION.Description
Total Program Service Expense15523044TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees81NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUE WAUGHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9015160656TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11211 UNION SUITE 600AddressLine1
CityMEMPHISCity
StateTNState
ZIP Code38104ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT GORDON
PRESIDENT / CHAIR2.0040.00XX000
DR REGINALD COOPWOOD
VP / VICE CHAIR2.0040.00XX000
JAMIE CARTER
SECRETARY / TREASURER2.0040.00XX000
JOE HOLLY MD
BOARD MEMBER2.00X000
JASON LITTLE
BOARD MEMBER2.00X000
MERI ARMOUR
BOARD MEMBER2.0050.00X0633060116589
TIM FABIAN MD
BOARD MEMBER2.00X000
ROBERT SUMTER
BOARD MEMBER2.00X000
ALLEN BURNETT
PROGRAM DIRECTOR50.00X134412033647
WILLIAM CONWAY
CEO50.00X725950943
RITA MCCOY
MANAGER/WING COMMUNICATOR40.00108440018728X
JOHN WREN
FLIGHT PARAMEDIC40.00106673012734X
FieldValueIRS element (for citing)
Total Reportable Comp From Org422120TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs633060TotalReportableCompFrmRltdOrgs
Total Other Compensation182641TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LINKOUS CONSTRUCTION COMPANY INC
1661 AARON BRENNER DR STE 207MEMPHISTN38120CONSTRUCTION1249302
AEROMEDICAL COLLECTION SERVICES
401 MARKET ST STE 200SHREVEPORTLA71101COLLECTIONS & BILLING366988
METHODIST HEALTHCARE-MEMPHIS HOSPITALS
1211 UNION AVE STE 600MEMPHISTN38104PEDIATRIC FLIGHTS303691
METHODIST LE BONHEUR HEALTHCARE
1211 UNION AVE STE 600MEMPHISTN38104ACCOUNTING AND FINANCE165971
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FLIGHT REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column19527808TotalRevenueColumn
Related Or Exempt Function Income19527808RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19527808TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9532TotalRevenueColumn
Exclusion$9,532ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19537340TotalRevenueColumn
Related Or Exempt Function Income19527808RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,532ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total830Total
Program Services830ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total241597Total
Management And General241597ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4685775Total
Program Services4488832ProgramServices
Management And General196943ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total172155Total
Program Services156833ProgramServices
Management And General15322ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total319785Total
Program Services291324ProgramServices
Management And General28461ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total364845Total
Program Services332374ProgramServices
Management And General32471ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9208Total
Management And General9208ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total67884Total
Management And General67884ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1320021Total
Program Services1320021ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total107191Total
Program Services107191ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1069467Total
Program Services1038952ProgramServices
Management And General30515ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total691389Total
Program Services691389ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total64550Total
Program Services64550ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total42277Total
Program Services42277ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total551784Total
Program Services551784ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total973969Total
Program Services973969ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT EXPENSE53232785323278
MEDICAL SUPPLIES139440139440

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16145445Total
Program Services15523044ProgramServices
Management And General622401ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY613341BOY
EOY824910EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6204252BOY
EOY4524422EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1681939BOY
EOY2112790EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY369110BOY
EOY459223EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18083968LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6013609LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7324869BOY
EOY12070359EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY97089BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16290600BOY
EOY19991704EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY890724BOY
EOY1199933EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY890724BOY
EOY1199933EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15399876BOY
EOY18791771EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15399876BOY
EOY18791771EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16290600BOY
EOY19991704EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3391895ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
SHELBY COUNTY HEALTH CARE CORPORATION
62111316930$0
BAPTIST MEMORIAL HOSPITAL
62012394030$0
METHODIST HEALTHCARE-MEMPHIS HOSPITALS
62047936730$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART I, LINE 11(H) REASON FOR PUBLIC CHARITY STATUS: THE ORGANIZATION WAS ESTABLISHED BY THE SUPPORTED ORGANIZATIONS TO PROVIDE AIR AMBULANCE SERVICES AS REQUIRED BY THE SUPPORTED ORGANIZATIONS TO FULFILL THEIR EXEMPT PURPOSES IN PROVIDING MEDICAL CARE. MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICE DOES NOT PROVIDE CASH OR NONCASH DIRECT SUPPORT TO THE SUPPORTED ORGANIZATIONS; HOWEVER, IT PERFORMS A VALUABLE RELATED SERVICE THAT WOULD OTHERWISE HAVE TO BE PERFORMED BY THE SUPPORTED ORGANIZATIONS.GeneralExplanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1420113OtherCostOrOtherBasis
Depreciation17752Depreciation
Book Value1402361BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4900OtherCostOrOtherBasis
Depreciation82Depreciation
Book Value4818BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14142821OtherCostOrOtherBasis
Depreciation5995775Depreciation
Book Value8147046BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2516134OtherCostOrOtherBasis
Book Value2516134BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12070359TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14214062TotRevenueEtcAuditedFinclStmt
Other Revenues-5323278OtherRevenues
Revenue Not Rptd F990-5323278RevenueNotRptdF990
Revenue Subtotal19537340RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99019537340TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10822167TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10822167ExpensesSubtotal
Other Expenses Not Included5323278OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt5323278ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016145445TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS SIMILARLY EXEMPT FROM TENENESSEE STATE INCOME TAXES UNDER PROVISIONS OF THE TENNESSEE TAX REGULATIONS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2012 OR 2011, AND THERE ARE NO INTEREST AND PENALTIES RELATED TO INCOME TAX ASSESMENTS. TAX RETURNS FOR 2009 AND LATER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT -5,323,278.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 5,323,278.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MERI ARMOUR
BOARD MEMBER03881280105094013983809748001910907496490100539
ALLEN BURNETT
PROGRAM DIRECTOR92125060000362870225000111470168059000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationTHE PURPOSE OF THE METHODIST LE BONHEUR HEALTHCARE CONSOLIDATED EXECUTIVE DEFERRED COMPENSATION PLAN IS TO PROVIDE RETIREMENT BENEFITS FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES IN ADDITION TO THE BENEFITS PROVIDED THROUGH THE OTHER RETIREMENT PLANS THAT ARE SPONSORED BY THE COMPANY. IT IS INTENDED THAT THIS PLAN COMPLY WITH INTERNAL REVENUE CODE SECTION 457(F) AND QUALIFY FOR THE SHORT TERM DEFERRAL EXCEPTION TO CODE SECTION 409A. UNDER THE PLAN, CORPORATE EXECUTIVES AT OR ABOVE THE VICE PRESIDENT LEVEL ARE ELIGIBLE TO RECEIVE EXECUTIVE DEFERRED COMPENSATION CREDITS DEPENDING ON THEIR POSITION CLASSIFICATION [6%,8%,10%,12% OF BASE SALARY]. EACH PLAN YEAR, THE EXECUTIVE MUST ELECT A DEFERRED VESTING DATE TO BE APPLIED TO THE DEFERRED COMPENSATION CREDIT THAT WILL BE EARNED IN THAT PLAN YEAR. THE DEFERRED VESTING DATE IS SUBJECT TO A VESTING SCHEDULE THAT REQUIRES A MINIMUM DEFERRAL OF 5 YEARS TO BECOME VESTED. UPON REACHING AGE 55, THE MINIMUM DEFERRAL IS REDUCED TO 3 YRS. UPON REACHING AGE 60, THE MINIMUM DEFERRAL IS REDUCED TO 2 YRS. AT AGE 64, A CASH EQUIVALENT IS PROVIDED TO THE EXECUTIVE AND NO ADDITIONAL DEFERRALS ARE MADE UNDER THIS PLAN. THE PLAN IS UNFUNDED WITH ALL BENEFITS PAID FROM THE COMPANY'S GENERAL ASSETS. HOWEVER, THE EXECUTIVE IS ALLOWED TO DIRECT THE INVESTMENTS OF HIS DEFERRED COMPENSATION CREDIT IN A MENU OF INVESTMENT ALTERNATIVES MADE AVAILABLE BY THE COMPANY. UPON VESTING, A DISTRIBUTION IS PROVIDED LESS APPLICABLE TAX. IN THE CASE OF A VOLUNTARY TERMINATION OF EMPLOYMENT BY THE EXECUTIVE OR INVOLUNTARY TERMINATION OF EMPLOYMENT FOR CAUSE BY THE COMPANY, THE NON-VESTED FUNDS ARE FORFEITED. ACCELERATED VESTING (100%) IS ALLOWED UPON DEATH, DISABILITY OR AN INVOLUNTARY TERMINATION BY THE COMPANY WITHOUT CAUSE. ALLOCATIONS TO THE PLAN FROM RELATED ORGANIZATIONS FOR 2012 INCLUDE THE FOLLOWING: MERI ARMOUR - $ 47,900Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE BOARD OF DIRECTORS DESIGNATES AND APPOINTS AN EXECUTIVE COMMITTEE, WHICH IS COMPROSED OF THREE MEMBERS, ONE FROM METHODIST, ONE FROM BAPTIST, AND ONE FROM THE MED. THIS COMMITTEE HAS THE POWER TO ACT WITHIN THE POLICY ESTABLISHED BY THE BOARD WHEN THE BOARD IS NOT IN SESSION AND IT SHALL PERFORM SUCH FUNCTIONS AND DUTIES THAT MAY BE DELEGATED TO IT BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7ATHE FOLLOWING INSTITUTIONS SHALL HAVE THE RIGHT TO ELECT, BY ACTION OF ITS GOVERNING BODY, THE FOLLOWING NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION: - BAPTIST MEMORIAL HEALTHCARE: 3 - METHODIST HEALTHCARE-MEMPHIS HOSPITALS: 3 - SHELBY CO. HEALTHCARE CORPORATION: 3 - CRITTENDEN MEMORIAL HOSPITAL: 1 - ST. FRANCIS HOSPITAL: 1 ON OR BEFORE DECEMBER 1ST OF EACH CALENDAR YEAR, EACH INSTITUTION SHALL NOTIFY THE ORGANIZATION BY WRITING ADDRESSED TO THE BOARD OF DIRECTORS OF THE ORGANIZATION OF THE PERSONS ELECTED BY SUCH INSTITUTION FOR A TERM TO COMMENCE ON THE NEXT FOLLOWING JANUARY 1ST. EACH MEMBER OF THE BOARD OF DIRECTORS SHALL SERVE FOR A TERM ONE YEAR AND UNTIL HIS OR HER SUCCESSOR IS DULY ELECTED AND QUALIFIED.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS PROVIDED TO EACH VOTING BOARD MEMBER PRIOR TO A SCHEDULED MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS USES COMPARABILITY DATA FROM ORGANIZATIONS SIMILAR TO THE FILING ORGANIZATION TO DETERMINE APPROPRIATE COMPENSATION FOR THE EXECUTIVE DIRECTOR/CEO. THE BOARD UTILIZES RESOURCES FROM ITS MEMBER ORGANIZATIONS TO GATHER AMPLE DATA FOR THE DECISION.
FORM 990, PART VI, SECTION C, LINE 18PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. PLEASE SEE FORM 990, LINE 20. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ON THE ORGANIZATION'S HOMEPAGE.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. PLEASE SEE FORM 990, LINE 20. GOVERNING DOCUMENTS AND A CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART VII, LINE 1, NON-VOTING MEMBERS:THE FOLLOWING PERSON HELD AN ADVISORY, NON-VOTING POSITION ON THE GOVERNING BODY DURING THE TAX YEAR: DAVE ARCHER
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SHELBY COUNTY HEALTH CARE CORPORATION
877 JEFFERSON AVEMEMPHISTN38103621113169HEALTHCARETN501(C)(3)LINE 7N/A0
BAPTIST MEMORIAL HOSPITAL
350 N HUMPHREYS BLVDMEMPHISTN38120620123940HEALTHCARETN501(C)(3)LINE 3N/A0
METHODIST HEALTHCARE-MEMPHIS HOSPITALS
1265 UNION AVEMEMPHISTN38104620479367HEALTHCARETN501(C)(3)LINE 30METHODIST LE BONHEUR HEALTHCARE
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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