2012-08-08T09:10:52-05:00 2011-09-30 990 2010-10-01 630997281 BAPTIST MEMORIAL HOSPITAL- UNION COUNTY INC BAPT 6625382406 200 HIGHWAY 30 WEST NEW ALBANY MS 38652 STEPHEN C REYNOLDS 9012275117 2012-08-08 2010 2016-02-24 21:20:13Z STEPHEN C REYNOLDS 350 N HUMPHREYS BLVD MEMPHIS TN 38120 72343776 0 X BMHCC.ORG X 1991 MS SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEATHCARE EDUCATION. 3 3 499 30 283730 -56120 351295 154695 54075321 55764787 1274752 2655651 483420 688674 56184788 59263807 0 0 0 0 22274484 23415898 0 0 0 28897728 32678418 51172212 56094316 5012576 3169491 61986373 64398042 4988891 5781630 56997482 58616412 X 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. 0 0 48403255 56169592 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 49)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, 2011 INCLUDED THE FOLLOWING:--THE SKILLED NURSING DEPARTMENT HAD 16,709 PATIENT DAYS AT A COST OF $10,302,123.--THE SURGERY DEPARTMENT PERFORMED 4,181 PROCEDURES AT A COST OF $5,105,859.--THE PHARMACY DEPARTMENT DISPENSED 387,361 UNIT DOSES OF MEDICATION Cost of $2,280,089.--THE RADIOLOGY DEPARTMENT PERFORMED 40,201 PROCEDURES AT A COST OF $2,351,829.--THE LAB DEPARTMENT PERFORMED 183,760 PROCEDURES AT A COST OF $1,990,433.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY SERVICED 4,154 INPATIENTS AND PROVIDED MORE THAN 44,906 OUTPATIENT VISITS DURING THE FISCAL YEAR 2011.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, 2011, THE UN-REIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $60,016,167. 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 AND SCHOOLS THROUGHOUT THE YEAR --PRESENTED SEVERAL HEALTH FAIRS AND SPONSORED SEVERAL HEALTHY LIFESTYLE PROGRAMS THROUGHOUT THE YEAR FOR ADULTS AND CHILDREN--PROVIDED SEVERAL HEALTH SCREENINGS AND VACCINATIONS THROUGHOUT THE YEAR FOR THE COMMUNITY AT NO-CHARGE OR REDUCED PRICES. --CONDUCTED FREE LUNCHEONS ON VARIOUS HEALTH-RELATED TOPICS FOR THE COMMUNITY SUCH AS BREAST CANCER AWARENESS, PRE-TEEN EDUCATION (CHANGES), HEART HEALTH, AND NUTRITION 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 --SIBLING CLASSES --BABY SITTERS 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 AND BAPTIST HEALHPLEX OFFERED FITNESS AND EXERCISE INFORMATION. REPRESENTATIVES FROM THE RADIOLOGY DEPARTMENT WERE ALSO ON HAND TO PROMOTE BREAST CANCER AWARENESS.CHILDREN AGE 4-6TH GRADE WERE INVITED TO ATTEND OUR ANNUAL BACK TO SCHOOL HEALTH FAIR. SCREENINGS OFFERED WERE BLOOD PRESSURE, HEIGHTT AND WEIGHT. EDUCATIONAL DISPLAYS FROM VARIOUS COMMUNITY GROUPS AND HOSPITAL REPRESENTATIVES WERE AVAILABLE, SUCH AS, NUTRITION, DENTAL, FINGERPRINTING, HANDWASHING, TOBACCO PREVENTION, ATV SAFETY, AND CARSEAT SAFETY TO NAME A FEW. THE ANNUAL EVENT ALWAYS DRAWS A CROWD OF 400 OR MORE CHILDREN. PARTICIPANTS ENJOY FREE GAMES, HOTDOGS, POPCORN AND SNOWCONES ALONG WITH MANY GIVEAWAYS.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY OFFERS TWO BABY CARE FAIRS ANNUALLY FOR EXPECTANT MOTHERS. INFORMATION INCLUDES CAR SEAT SAFETY, NUTRITION, WELLNESS, BABY CARE, PREADMISSIONS, LACTATION SPECIALIST, AND WIC. THE EVENT ATTRACTS ABOUT 160 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--BOYS AND GIRLS CLUBS--AMERICAN HEART ASSOCIATIONS'S HEART EDUCATION IN SCHOOLS--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--MEALS ON WHEELS--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--JUVENILLE DIABETES FOUNDATION--JUNIOR AUXILIARY--KOMEN FOUNDATION 48403255 1 1 0 1 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 1 499 1 1 1 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 X KIM HIGH 6625382406 HIGHWAY 30 WEST NEW ALBANY MS 38652 JOHN STANFORD DDS 0.20 X 0 0 0 LUDWICK E BROWN 0.20 X 0 0 0 REV TOM SUMRALL 0.20 X 0 0 0 KIMBERLY D HIGH 40.00 X 80690 0 31041 STEPHEN C REYNOLDS 0.20 X 0 3203534 69866 DAVID C HOGAN 0.20 X 0 1997734 64393 GREGORY M DUCKETT 0.20 X 0 645685 65419 WALTER J GRACE 40.00 X 0 146494 26451 JASON M LITTLE 0.20 X 0 567768 45787 JAMES HUFFMAN III 40.00 X 0 243998 54750 JAMES P PULLMAN 40.00 X 134332 0 42484 LARRY RAMSEY 40.00 X 108321 0 35392 323343 6805213 435583 2 0 1 0 0 49089 70822 34784 154695 HOSPITAL REVENUES 713940 55764787 55507225 257562 55764787 1406175 1406175 41995 41856 139 139 139 14287589 12958057 80056 1329532 -80056 1249476 1249476 INSURANCE RECOVERIES 525100 426790 426790 CAFETERIA REVENUE 722210 238853 212685 26168 PAT./EMP. CONVENIENCES 900099 22892 22892 688535 59263807 56169592 283730 2655790 124830 103609 21221 17800251 14774208 3026043 707554 587270 120284 3492950 2899149 593801 1290313 1070960 219353 4321715 3587023 734692 56632 47005 9627 7019733 5826378 1193355 1252062 1039211 212851 56108 46570 9538 27762 23042 4720 195806 162519 33287 5070816 4208777 862039 1970157 1635230 334927 68585 56926 11659 BAD DEBT, NET OF RECOVE 10737904 10737904 0 REPAIRS & MAINTENANCE 1329683 1103637 226046 RECRUITING 257568 213781 43787 CHARITABLE DONATIONS/CO 114883 114883 0 DUES & SUBSCRIPTIONS 75946 63035 12911 123058 102138 20920 56094316 48403255 7691061 0 1565 1566 1256338 1046289 7903798 7592525 1527065 1447925 185061 147043 41884962 31702954 11218188 10182008 39344653 42662061 549705 1318625 61986373 64398042 2269239 2770033 18305 2701347 3011597 4988891 5781630 X 56946328 58565258 51154 51154 56997482 58616412 61986373 64398042 X 3169491 -1550561 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10551 10551 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: 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. IN ADDITION, THE PARENT, BAPTIST MEMORIAL HEALTH CARE CORPORATION, PAYS CONSULTANTS WHO MONITOR AND ADVISE 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. 250000 250000 10684863 6656762 4028101 5637316 4345651 1291665 25042977 20471425 4571552 269806 229116 40690 10182008 INVESTMENT IN GROUP ASSET FUNDS 42592384 F PENSION FUND INVESTMENTS 69677 F 42662061 CAPITAL LEASE OBLIGATIONS 2627577 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 384020 3011597 59263807 56094316 3169491 -1075821 -474740 -1550561 1618930 58958929 0 58958929 304878 304878 59263807 55789438 0 55789438 304878 304878 56094316 Description of Uncertain Tax Positions Under FIN 48: Part X: THE HOSPITAL ADOPTED THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES, ON OCTOBER 1, 2009 FOR UNCERTAIN TAX POSITIONS. APPLICATION OF ASC TOPIC 740 TO A TAX-EXEMPT ORGANIZATION IS PRIMARILY DIRECTED AT THE CHARACTERIZATION OF INCOME AS TAX EXEMPT (RELATED OR EXCLUDED EXEMPT FUNCTION INCOME) AND/OR TAXABLE AS UNRELATED BUSINESS INCOME AS DEFINED IN THE INTERNAL REVENUE CODE. THE HOSPITAL EVALUATED THE EFFECT OF ASC TOPIC 740 FOR UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO ADJUSTMENTS TO ITS FINANCIAL STATEMENTS WERE REQUIRED UPON THE ADOPTION. AS OF SEPTEMBER 30, 2011 AND 2010, THE HOSPITAL HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER ASC TOPIC 740 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 2007 THROUGH 2010 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS. Part XI, Line 8 - Other Adjustments: EQUITY TRANSFER TO BAPTIST MEMORIAL MEDICAL GROUP, INC. -474,740. Part XII, Line 4b - Other Adjustments: LOSS ON DISPOSAL OF ASSETS -80,056. INSURANCE RECOVERIES 426,790. RENTAL EXPENSES -41,856. Part XIII, Line 4b - Other Adjustments: LOSS ON DISPOSAL OF ASSETS -80,056. INSURANCE RECOVERIES 426,790. RENTAL EXPENSES -41,856. 1 1 X 1 X 1 X 1 1 0 1 1 7139 2217772 2217772 0.04890 13801 14528079 13698737 829342 0.01830 689 358132 597757 -239625 0.00000 21629 17103983 14296494 2807489 0.06720 10179 104684 14340 90344 0.00200 70 24645 0 24645 0.00050 20510 15689982 10671021 5018961 0.11070 140 7644 0 7644 0.00020 30899 15826955 10685361 5141594 0.11340 52528 32930938 24981855 7949083 0.18060 1 792 0 792 0.00000 1 9 854 0 854 0.00000 1 82 2634 0 2634 0.00000 3 91 4280 4280 1 3241841 1819943 5372565 5043537 329028 X 1 1 1 1 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY

200 HWY 30 WEST NEW ALBANY MS 38652

X X X NA 1 Part I, Line 7: FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND SUBSIDIARIES:IN DECEMBER 2010, THE FASB RATIFIED ISSUE 09-H, HEALTH CARE ENTITIES: PRESENTATION AND DISCLOSURE OF NET PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THIS REQUIRES HEALTH CARE ENTITIES TO PRESENT THE PROVISION FOR BAD DEBTS AS A COMPONENT OF NET REVENUES WITHIN THE REVENUE SECTION OF THE STATEMENT OF OPERATIONS. AS PRESENTLY WRITTEN, A HEALTH CARE ENTITY IS REQUIRED TO DISCLOSE (a) ITS POLICY FOR CONSIDERING COLLECTIBILITY IN THE TIMING AND AMOUNT OF REVENUE AND BAD DEBT RECOGNIZED, (b) PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) BEFORE ANY PROVISION FOR BAD DEBTS, AND (c) A TABULAR RECONCILIATION, DESCRIBING THE MATERIAL ACTIVITY IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THE PERIOD BY MAJOR PAYOR CLASS. NONPUBLIC ENTITIES WILL BE REQUIRED TO PROVIDE THE NEW DISCLOSURES AND STATEMENT OF OPERATIONS PRESENTATION IN FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2011, WITH EARLY ADOPTION PERMITTED. THE REQUIREMENT TO REPORT THE PROVISION FOR BAD DEBTS AS A COMPONENT OF THE NET REVENUE WILL BE APPLIED RETROSPECTIVELY FOR ALL PERIODS PRESENTED, WHILE THE NEW DISCLOSURE REQUIREMENTS WILL BE APPLIED PROSPECTIVELY. ON DECEMBER 8, 2010, THE FASB ANNOUNCED THEY WERE AGAIN SEEKING PUBLIC COMMENTS ON THIS ISSUE. BAPTIST MEMORIAL HEALTH CARE CORPORATION HAS NOT EARLY-ADOPTED OR DETERMINED THE EFFECT ON THEIR COMBINED FINANCIAL STATEMENTS.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 I, Line 7g: SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. Part I, L7 Col(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 EXPENSE ON LINE 7C, COLUMN (F) OTHER MEANS-TESTED GOVERNMENT PROGRAMS IS REPORTED AS ZERO, BUT THE ACTUAL AMOUNT OF LINE 7C, COLUMN (F) IS -.53%. 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:IN JULY 2011, THE FASB ISSUED ASU NO. 2011-07, HEALTH CARE ENTITIES (TOPIC 954): PRESENTATION AND DISCLOSURE OF NET PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, A CONSENSUS OF THE FASB EMERGING ISSUES TASK FORCE, WHICH PROVIDES FOR GREATER TRANSPARENCY REGARDING A HEALTH CARE ENTITY'S NET PATIENT REVENUE AND THE RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. ASU NO. 2001-07 REQUIRES CERTAIN HEALTH CARE ENTITIES TO CHANGE THE PRESENTATION OF THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE BY RECLASSIFYING THE PROVISION FROM OPERATING EXPENSES TO A DEDUCTION FROM NET PATIENT REVENUE AND REQUIRES ENHANCED DISCLOSURES ABOUT NET PATIENT REVENUE AND THE POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS, THE ADOPTION OF ASU NO. 2011-07 IS EFFECTIVE FOR BAPTIST MEMORIAL HEALTH CARE CORPORATION FOR THE FISCAL YEAR 2013. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS PRESENTLY EVALUATING THE IMPACT OF THIS STANDARD. 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: MEDICAL FINANCIAL SERVICES, INC., THE HOSPITAL'S COLLECTION AGENCY, WILL DETERMINE IF THE PATIENT HAS A CHARITY APPLICATION ON FILE AND IS DEEMED TO BE A CHARITY CASE. IF IT IS DETERMINED THAT THE PATIENT IS A CHARITY CASE, THEN MEDICAL FINANCIAL SERVICES, INC. WILL LOOK AT THE AMOUNT OF THE CHARITY DISCOUNT TO DETERMINE WHETHER TO MAKE A SETTLEMENT OFFER. 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. MEDICAL FINANCIAL SERVICES, INC. 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 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 I, LINE 7C, COLUMN (F):DUE TO SOFTWARE LIMITATIONS, THE PERCENTAGE OF TOTAL EXPENSE FOR LINE 7C COLUMN (F) OTHER MEANS-TESTED GOVERNMENT PROGRAMS IS REPORTED AS ZERO, BUT THE ACTUAL AMOUNT OF LINE 7C, COLUMN (F) IS -.34%. Part VI, Line 2: BAPTIST MEMORIAL HOSPITAL'S PARENT, BAPTIST MEMORIAL HEALTH CARE CORPORATION, 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. THE MEMPHIS METRO MARKET HAS 500 RESPONDENTS PER QUARTER. 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 6: 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 7: 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. Reports Filed With States Part VI, Line 7 AR,MS,TN X 0 0 X X X X 0 0 0 0 0 0 0 0 0 STEPHEN C REYNOLDS 0 1017704 0 752307 0 1433523 0 46500 0 23366 0 3273400 0 0 DAVID C HOGAN 0 631021 0 438378 0 928335 0 46500 0 17893 0 2062127 0 0 GREGORY M DUCKETT 0 341408 0 238951 0 65326 0 36750 0 28669 0 711104 0 0 WALTER J GRACE 0 116130 0 13165 0 17199 0 6149 0 20302 0 172945 0 0 JASON M LITTLE 0 348403 0 194405 0 24960 0 24500 0 21287 0 613555 0 0 JAMES HUFFMAN III 0 184723 0 43866 0 15409 0 33200 0 21550 0 298748 0 0 JAMES P PULLMAN 104440 0 10959 0 18933 0 23328 0 19156 0 176816 0 0 0 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. Supplemental Information 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. PART IV, LINE 20B: AUDITED FINANCIAL STATEMENTS: ATTACHED ARE THE BAPTIST MEMORIAL HOSPITAL-UNION COUNTY FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND SEPTEMBER 30, 2010, AND INDEPENDENT AUDITORS' REPORT. 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 14, 2009 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2010 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. Contact Addresses for Officers, Directors, Etc Form 990, Part VII STEPHEN C. REYNOLDS - 350 N. HUMPHREYS BLVD, MEMPHIS, TN 38120-2177. DAVID C. HOGAN - 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 HUFFMAN, III - 7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -1,075,821. EQUITY TRANSFER TO BAPTIST MEMORIAL MEDICAL GROUP, INC. -474,740. Total to Form 990, Part XI, Line 5: -1,550,561. 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. 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. NORTHEAST ARKANSAS BAPTIST MEMORIAL HEALTH CARE LLC 3024 STADIUM BLVD JONESBORO AR 72401 810572898 OPERATION OF BAPTIST MEMORIAL HOSPTIAL-JONESBORO, INC. AR N/A NORTHEAST ARKANSAS BAPTIST HEALTH SERVICES GROUP LLC 3024 STADIUM BLVD JONESBORO AR 72401 271471186 OPERATE A PREFERRED PROVIDER ORGANIZATION AR N/A 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) BAPTIST MEMORIAL HOSPITAL INC 0 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) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 BAPTIST MEMORIAL HOSPITAL INC 350 N HUMPHREYS BLVD 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