BAPTIST MEMORIAL HOSPITAL UNION CITY INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BAPTIST MEMORIAL HOSPITAL UNION CITY INC (EIN 62-1138045)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-05
IRS object ID
201112179349300901
Schema version
2009v1.7
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)
Timestamp2011-08-05T08:14:05-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621138045EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEMORIAL HOSPITAL- UNION CITY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAPTNameControl
Phone9018848602Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 BISHOP STAddressLine1
CityUNION CITYCity
StateTNState
ZIP Code38261ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN C REYNOLDSName
TitlePRESIDENTTitle
Phone9012275117Phone
Date Signed2011-08-05DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN C REYNOLDSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1350 N HUMPHREYS BLVDAddressLine1
CityMEMPHISCity
StateTNState
ZIP Code38120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts44368794GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteBMHCC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionBAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. PROVIDES QUALITY MEDICAL (See Schedule O, pg 46) HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees447TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI540844TotalGrossUBI
Net Unrelated Business Txbl Income-56483NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year20768ContributionsGrantsPriorYear
Contributions Grants Current Year44037ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37585468ProgramServiceRevenuePriorYear
Program Service Revenue CY39135247ProgramServiceRevenueCY
Investment Income Prior Year61863InvestmentIncomePriorYear
Investment Income Current Year566385InvestmentIncomeCurrentYear
Other Revenue Prior Year964348OtherRevenuePriorYear
Other Revenue Current Year736547OtherRevenueCurrentYear
Total Revenue Prior Year38632447TotalRevenuePriorYear
Total Revenue Current Year40482216TotalRevenueCurrentYear
Grants And Similar Amnts CY10000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19567710SalariesEtcPriorYear
Salaries Etc Current Year19949439SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19566100OtherExpensePriorYear
Other Expenses Current Year20688436OtherExpensesCurrentYear
Total Expenses Prior Year39133810TotalExpensesPriorYear
Total Expenses Current Year40647875TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-501363RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-165659RevenuesLessExpensesCY
Total Assets BOY42034911TotalAssetsBOY
Total Assets EOY41963210TotalAssetsEOY
Total Liabilities BOY2168126TotalLiabilitiesBOY
Total Liabilities EOY2449716TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY39866785NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39513494NetAssetsOrFundBalancesEOY
Mission DescriptionBAPTIST MEMORIAL HOSPITAL-UNION CITY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense33698467Expense
Grants10000Grants
Revenue38704262Revenue
DescriptionBAPTIST MEMORIAL HOSPITAL-UNION CITY PROVIDES QUALITY MEDICAL HEALTH CARE 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 CITY, 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 CITY IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION.(See Schedule O, pg 46 for continuation)THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEMORIAL HOSPITAL-UNION CITY 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 COMMUNITY.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.BAPTIST MEMORIAL HOSPITAL-UNION CITY PROGRAM SERVICES AS OF SEPTEMBER 30, 2010 INCLUDED:--THE SKILLED NURSING DEPARTMENT HAD 8,005 PATIENT DAYS AT A COST OF $9,998,928.--THE RADIOLOGY DEPARTMENT PERFORMED 35,729 PROCEDURES AT A COST OF $2,562,107.--THE LABORATORY DEPARTMENT PERFORMED 155,819 PROCEDURES AT A COST OF $2,156,417.--THE PHARMACY DEPARTMENT DISPENSED 247,509 UNIT DOSES OF MEDICATION AT A COST OF $1,929,930.BAPTIST MEMORIAL HOSPITAL-UNION CITY SERVICED 3,269 INPATIENTS AND PROVIDED MORE THAN 48,300 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2010. BAPTIST MEMORIAL HOSPITAL-UNION CITY 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 CITY RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING SEPTEMBER 30, 2009 THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $43,890,247. 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 CITY BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.IN ADDITION, BAPTIST MEMORIAL HOSPITAL-UNION CITY HAS A REHABILITATION FACILITY WITH STATE-OF-THE-ART EQUIPMENT AND A PROFESSIONALLY TRAINED STAFF. AN EXAMPLE OF THE EQUIPMENT AVAILABLE TO THE PATIENTS IS THE BALANCE MASTER SYSTEM, WHICH IS USED TO RETRAIN BALANCE. BAPTIST MEMORIAL HOSPITAL-UNION CITY HAS PROVIDED PHYSICAL THERAPY AND REHABILITATION FOR MORE THAN 30 YEARS. THE STAFF AT BAPTIST MEMORIAL HOSPITAL-UNION CITY HAVE PARTNERED WITH AREA NURSING HOMES TO ENHANCE TREATMENT PLANS IN REGARDS TO PALLIATIVE CARE INITIATIVES. THE HOSPITAL HAS OPENED INPATIENT HOSPICE BEDS AND WORKED WITH AREA NURSING HOMES TO ESTABLISH HOSPICE CARE IN THEIR FACILITIES.BAPTIST MEMORIAL HOSPITAL-UNION CITY HAS PROVIDED A NUMBER OF SERVICES IN THE COMMUNITY SOME OF WHICH INCLUDE THE FOLLOWING: --HOSPITAL TOURS FOR VARIOUS GROUPS--REPRESENTATIVES WHO SPOKE FREE OF CHARGE TO VARIOUS COMMUNITY GROUPS --AARP DRIVING COURSE--BREASTFEEDING CLASSES--CHILDBIRTH CLASSES--COMMUNITY EMERGENCY SERVICES DAY--OBION COUNTY LEADERSHIP--OBION COUNTY YOUTH LEADERSHIP--SUPPORT GROUP MEETINGS--TEDDY BEAR CLINICS--TOY DRIVE FOR HEAD START--TOY DRIVE FOR CHIMES FOR CHARITYBAPTIST MEMORIAL HOSPITAL-UNION CITY ALSO PROVIDED SEVERAL COUNSELING SESSIONS THROUGHOUT THE YEAR WHICH INCLUDED:--AFTERCARE FOR BEHAVIORAL HEALTH--CLINICAL SUPERVISION--COUNSELING SUPERVISION--GRIEF SUPPORT GROUP MEETINGS--FREE HEALTH ASSESSMENTS--DIETARY CONSULTATIONS FOR DISCHARGED PATIENTSBAPTIST MEMORIAL HOSPITAL-UNION CITY ALSO PROVIDED THE FOLLOWING SERVICES TO THE COMMUNITY: --PRESENTATION OF SEVERAL HEALTH FAIRS THROUGHOUT THE YEAR FOR THE COMMUNITY.--MEETING ROOMS AT NO-CHARGE FOR VARIOUS COMMUNITY GROUPS. --HEALTH SCREENINGS THROUGHOUT THE YEAR FOR THE COMMUNITY AT NO-CHARGE OR REDUCED PRICES. --VARIOUS CAREER SEMINARS/MEETINGS FOR THE COMMUNITY. --FAMILY SERVICES --FREE OR REDUCED PRICE FLU VACCINES BAPTIST MEMORIAL HOSPITAL-UNION CITY 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 CITY SUPPORTED THROUGH ITS VOLUNTEER EFFORTS:--AMERICAN CANCER SOCIETY--MAIN STREET --PROJECT GRADUATION--OBION COUNTY FAIR--UNITED WAY--UNION CITY HIGH SCHOOL BAND--OBION COUNTY SCHOOLS--LITTLE LEAGUE TEAMS--HOMETOWN WALK OF HOPE --CAREER DAYS --OBION COUNTY CANCER AGENCY --REELFOOT ROAD RACE --MARCH OF DIMES --AMERICAN HEART ASSOCIATIONDONATIONS/SPONSORSHIPS WERE MADE TO VARIOUS ORGANIZATIONS:--AGAPE--BOYS & GIRLS CLUBS--MEDICAL EXPLORERS--CHIMES FOR CHARITY --CORN FEST--CHURCH MISSION TRIPS--HOMETOWN WALK OF HOPE--MARCH OF DIMES--AMERICAN CANCER SOCIETY--UNITED WAY OF OBION COUNTY--OBION COUNTY JOINT ECONOMIC DEVELOPMENT COUNCIL--HELPING HANDS MINISTRIES--OBION COUNTY RED CROSSDescription
Total Program Service Expense33698467TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
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 Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees447NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MIKE PERRYMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9018848602TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 BISHOP STAddressLine1
CityUNION CITYCity
StateTNState
ZIP Code382615403ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
HENRY LEWIS
DIRECTOR0.20X000
JAMES M GLASGOW JR
DIRECTOR0.20X000
EDWARD P MALLONEE
DIRECTOR0.20X000
MARY CARPENTER
DIRECTOR0.20X000
GARY M PERRYMAN
CFO40.00133175044754X
STEPHEN C REYNOLDS
PRESIDENT0.200290338869618X
DAVID C HOGAN
VP0.200195710364232X
ROBERT S GORDON
VP0.20099750872241X
DERICK ZIEGLER
CEO/ADMINISTRATOR40.00018844231691X
GREGORY M DUCKETT
SECRETARY0.20060703262915X
ANTHONY RICH
PSYCHIATRIST40.00167174050451X
TERESA A ERVIN
PHAR DIR40.00108274042527X
WILLA CARR
PHAR DIR40.00107364038889X
CAROL L TATE
PHAR DIR40.00103086035251X
FieldValueIRS element (for citing)
Total Reportable Comp From Org619073TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6653473TotalReportableCompFrmRltdOrgs
Total Other Compensation512569TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HOSPITAL HOUSEKEEPING SYS LTD
322 CONGRESS AVEAUSTINTX78701JANITORIAL SERVICES140118
WRIGHT JERNIGAN MD
1109 E REELFOOT AVE 1UNION CITYTN38261PHYSICIAN SERVICES103047
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations44037RelatedOrganizations
Total Contributions44037TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
HOSPITAL REVENUE7139403912839838595271533127
OTHER OPERATING REVENU90009968496849
FieldValueIRS element (for citing)
Total Program Service Revenue39135247TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column501814TotalRevenueColumn
Exclusion$501,814ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real698301Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real253961Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real444340Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column444340TotalRevenueColumn
Exclusion$444,340ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3651939Securities
Other45249Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3620621Securities
Other11996Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities31318Securities
Other33253Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column64571TotalRevenueColumn
Exclusion$64,571ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES7223201848017717$177,084
INVESTMENT IN SURGERY621990102142102142
PAT./EMP. CONVENIENCES9000995264$5,264
FieldValueIRS element (for citing)
Total Other Revenue292207TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column40482216TotalRevenueColumn
Related Or Exempt Function Income38704262RelatedOrExemptFunctionIncome
Unrelated Business Revenue540844UnrelatedBusinessRevenue
Exclusion$1,193,073ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10000Total
Program Services10000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total198201Total
Program Services161534ProgramServices
Management And General36667ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15108217Total
Program Services12313197ProgramServices
Management And General2795020ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total799148Total
Program Services651306ProgramServices
Management And General147842ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2738586Total
Program Services2231948ProgramServices
Management And General506638ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1105287Total
Program Services900809ProgramServices
Management And General204478ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2757152Total
Program Services2247079ProgramServices
Management And General510073ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total107312Total
Program Services87459ProgramServices
Management And General19853ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5709575Total
Program Services4653304ProgramServices
Management And General1056271ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1161140Total
Program Services946329ProgramServices
Management And General214811ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total84763Total
Program Services69082ProgramServices
Management And General15681ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16960Total
Program Services13822ProgramServices
Management And General3138ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total3684552Total
Program Services3002910ProgramServices
Management And General681642ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2175042Total
Program Services1772659ProgramServices
Management And General402383ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total46284Total
Program Services37721ProgramServices
Management And General8563ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT, NET OF RECOVE307350130735010
REPAIRS & MAINTENANCE1058135862380195755
RECRUITING EXP583719475731107988
CLAIMS PAID684725580512667
AUTO EXP45965374618504

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total115864Total
Program Services94430ProgramServices
Management And General21434ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40647875Total
Program Services33698467ProgramServices
Management And General6949408ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1300BOY
EOY1298EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16363662BOY
EOY19469115EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3614595BOY
EOY3790206EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1114026BOY
EOY1175626EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY168256BOY
EOY157274EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis53388245LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39200773LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16080023BOY
EOY14187472EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4357219BOY
EOY2266908EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY335830BOY
EOY915311EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42034911BOY
EOY41963210EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1820534BOY
EOY1981853EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY347592BOY
EOY467863EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2168126BOY
EOY2449716EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY39866785BOY
EOY39513494EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39866785BOY
EOY39513494EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42034911BOY
EOY41963210EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,807OtherActivitiesAmount
Total Lobbying Expenditures IIB1807TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationBAPTIST MEMORIAL HOSPITAL-UNION CITY PAYS MEMBERSHIP DUES TO THE TENNESSEE HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION A PORTION OF THE DUES IS RELATED TO LOBBYING EXPENSES. 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 ON ITS AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSITIONS WITH THE LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE AND FEDERAL LEVELS.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1440301OtherCostOrOtherBasis
Book Value1440301BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30915776OtherCostOrOtherBasis
Depreciation21378897Depreciation
Book Value9536879BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20604464OtherCostOrOtherBasis
Depreciation17412524Depreciation
Book Value3191940BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis427704OtherCostOrOtherBasis
Depreciation409352Depreciation
Book Value18352BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14187472TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN PENSION PLAN ANNUITY7732F
OTHER INVESTMENTS2259176F
FieldValueIRS element (for citing)
Total Of Book Value Program Related2266908TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SETTLEMENTS WITH THIRD PARTIES$309,532
DUE TO AFFILIATES$158,331
FieldValueIRS element (for citing)
Total Of Amounts467863TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationBAPTIST MEMORIAL HEALTH CARE CORPORATION ADOPTED THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES (FORMERLY FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES-AN INTERPRETATION OF FASB STATEMENT NO. 109), ON OCTOBER 1, 2009. 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 CODE. BAPTIST MEMORIAL HEALTH CARE CORPORATION EVALUATED THE EFFECT OF ASC TOPIC 740 AND DETERMINED THAT NO ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS WERE REQUIRED UPON THE ADOPTION OF ASC TOPIC 740 ON OCTOBER 1, 2009. AS OF SEPTEMBER 30, 2010, BAPTIST MEMORIAL HEALTH CARE CORPORATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER ASC TOPIC 740 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 2006 THROUGH 2009 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES, RESPECTIVELY. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served4551PersonsServed
Total Community Benefit Expense2783064TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2783064NetCommunityBenefitExpense
Percent Of Total Expense0.07360PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served9461PersonsServed
Total Community Benefit Expense5347950TotalCommunityBenefitExpense
Direct Offsetting Revenue3935875DirectOffsettingRevenue
Net Community Benefit Expense1412075NetCommunityBenefitExpense
Percent Of Total Expense0.03730PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served1251PersonsServed
Total Community Benefit Expense552899TotalCommunityBenefitExpense
Direct Offsetting Revenue814838DirectOffsettingRevenue
Net Community Benefit Expense-261939NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served15263PersonsServed
Total Community Benefit Expense8683913TotalCommunityBenefitExpense
Direct Offsetting Revenue4750713DirectOffsettingRevenue
Net Community Benefit Expense3933200NetCommunityBenefitExpense
Percent Of Total Expense0.11090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served1400PersonsServed
Total Community Benefit Expense32550TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense32550NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served21225PersonsServed
Total Community Benefit Expense13513640TotalCommunityBenefitExpense
Direct Offsetting Revenue13290449DirectOffsettingRevenue
Net Community Benefit Expense223191NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense33614TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense33614NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served22625PersonsServed
Total Community Benefit Expense13579804TotalCommunityBenefitExpense
Direct Offsetting Revenue13290449DirectOffsettingRevenue
Net Community Benefit Expense289355NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served37888PersonsServed
Total Community Benefit Expense22263717TotalCommunityBenefitExpense
Direct Offsetting Revenue18041162DirectOffsettingRevenue
Net Community Benefit Expense4222555NetCommunityBenefitExpense
Percent Of Total Expense0.11860PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense3958TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3958NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served20PersonsServed
Total Community Building Expense760TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense760NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served20PersonsServed
Total Community Building Expense4718TotalCommunityBuildingExpense
Net Community Building Expense4718NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,016,206BadDebtExpenseAmount
Amount Attributable To1769927AmountAttributableTo
Amount Reimbursed By Medicare5061209AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare4784535CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall276674MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEMORIAL HOSPITAL-UNION CITYBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11201 BISHOP STAddressLine1
CityUNION CITYCity
StateTNState
ZIP Code38261ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart I, Line 7: OUR COST ACCOUNTING PROCESS REFLECTS FULLY LOADED COST FOR ALL OF OUR PATIENT POPULATIONS. FULLY LOADED COST INCLUDES DIRECT, CAPITAL, AND INDIRECT COST. AFTER WORKING WITH OUR DEPARTMENT DIRECTORS AND CFOS TO MAKE SURE THE DOLLARS IN THE GENERAL LEDGER ARE IN THE CORRECT PLACE TO REFLECT OUR TIME AND EFFORTS SPENT THROUGHOUT THE YEAR, WE DEVELOP RELATIVE VALUE UNITS TO ALLOCATE THE ACTUAL GENERAL LEDGER COST DOWN TO THE PROCEDURE CHARGE CODES FROM OUR PATIENT ACCOUNTING SYSTEM. ALL OVERHEAD IS ALLOCATED DOWN TO THE REVENUE PRODUCING DEPARTMENTS BASED ON VARIOUS STATISTICS. ONCE EVERY CHARGE CODE HAS GONE THROUGH THE COST AND AUDIT PROCESS, WE CAN RUN THE PATIENT LEVEL REPORTS USED FOR THE FORM 990 TO GET TO THE COST INFORMATION NEEDED.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: 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 TOTA LEXPENSE FOR LINE 7C, COLUMN (F) OTHER MEANS-TESTED GOVERNMENT PROGRAMS IS REPORTED AS ZERO, BUT THE ACTUAL AMOUNT OF LINE 7C, COLUMN (F) IS -.69%.PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: 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.BadDebtFootnote
Shortfall As Community BenefitPart 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
General ExplanationPart 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.GeneralExplanation
Needs AssessmentPart VI, Line 2: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF THE HOSPITAL, 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 THE 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.NeedsAssessment
Patient Education AssistancePart VI, Line 3: PATIENTS ARE INFORMED OF THEIR ELIGIBILTY FOR ASSISTANCE IN PERSON UPON ENTERING THE HOSPITAL FACILITY. EACH PATIENT IS ASSIGNED AN ADMISSIONS PERSON WHO PROVIDES WRITTEN INFORMATION AS WELL AS VERBAL INFORMATION.PatientEducationAssistance
Community InformationPart VI, Line 4: BAPTIST MEMORIAL HOSPITAL-UNION CITY SERVICES THE OBION COUNTY, TENNESSEE AREA. SOME PATIENTS COME FROM KENTUCKY AND OTHER TENNESSEE COUNTIES SURROUNDING THE UNION CITY. THE AFRICAN-AMERICAN COMMUNITY COMPRISES ABOUT 8.5% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 2.5%, AND CAUCASIONS ARE ABOUT 86.5%.DEMOGRAPHIC SNAPSHOTS ARE PROVIDED BY THE INDEPENDENT OUTSIDE FIRM OF CLARITAS, INC. OUR OWN HEALTH SERVICES RESEARCH DEPARTMENT AT BAPTIST MEMORIAL HEALTH CARE CORPORATION (AS SOLE MEMBER) 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 CITY'S PRIMARY MARKET SERVICE AREA HAS 64,498 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 225,784 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.CommunityInformation
Community Building ActivitiesPart VI, Line 5: BAPTIST MEMORIAL HOSPITAL-UNION CITY 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.CommunityBuildingActivities
Other InformationPart 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.OtherInformation
Reports Filed With StatesTNReportsFiledWithStates
Reports Filed With StatesARReportsFiledWithStates
Reports Filed With StatesMSReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNITED WAY OF OBION COUNTY
PO BOX 484UNION CITYTN38261620759210501(c)(3)5000GENERAL DONATION
INDUSTRIAL DEVELOPMENT COUNCIL
214 E CHURCH STUNION CITYTN382615000GENERAL DONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: ALL ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF TAX EXEMPT STATUS THAT'S VERIFIED BY THE IRS DATABASE BEFORE THEY CAN PROCEED WITH THEIR REQUEST. THEY MAY USE OUR ONLINE CHARITABLE REQUEST APPLICATION TO SUBMIT A REQUEST. IF THEY ARE NOT A 501 (c)(3) ORGANIZATION, THEY ARE REQUIRED TO SUBMIT A COPY OF THEIR DETERMINATION LETTER FROM THE IRS VALIDATING THEIR EXEMPT STATUS BEFORE WE CAN PROVIDE ANY IN-KIND GIVEAWAYS OR SERVICES. WE ALSO MONITOR THE FUNDS TO ENSURE THEY ARE USED FOR THE PURPOSE GRANTED. WE MAKE EVERY EFFORT TO DIRECT OUR FUNDING TO A PROGRAM FOR A SPECIFIC PURPOSE. ORGANIZATIONS ARE ASKED TO SHOW RESULTS AND DOCUMENTATION ANNUALLY BEFORE THEIR REQUEST CAN BE CONSIDERED FOR FUTURE FUNDING. THE REQUESTS ARE REVIEWED AND APPROVED BY VARIOUS INDIVIDUALS DEPENDING UPON THE TYPE AND AMOUNT OF THE REQUEST. SMALL AMOUNTS MAY BE APPROVED BY THE SYSTEM COORDINATOR, CASH SPONSORSHIPS MAY BE APPROVED BY THE SYSTEM DIRECTOR OF COMMUNICATIONS, ANYTHING OVER $10,000 MAY BE APPROVED BY THE BAPTIST MEMORIAL HEALTH CARE FOUNDATION SENIOR V.P., AND ANYTHING OVER $50,000 NEEDS APPROVAL BY THE CORPORATE PRESIDENT/CEO. FOR MORE INFORMATION ABOUT BAPTIST CHARITABLE GIVING GUIDELINES, PLEASE VISIT HTTP://WWW.BAPTISTONLINE.ORG/SERVICES/COMMUNITY/INVOLVEMENT/GIVING.ASP.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
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 (8 entries)

Base 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
GARY M PERRYMAN
13317500000320380127160177929000
STEPHEN C REYNOLDS
010134010665439012245480465000231180297300600
DAVID C HOGAN
0630023040614309209370465000177320202133500
ROBERT S GORDON
059404403844310190330537900184510106974900
DERICK ZIEGLER
01796670008775011631020060022013300
GREGORY M DUCKETT
03460350244262016735036750026165066994700
ANTHONY RICH
16360200035720343120161390217625000
TERESA A ERVIN
10827400000294770130500150801000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aTHE OFFICERS RECEIVE A PERQUISITE ALLOWANCE WHICH IS INCLUDED IN THEIR SALARIES.
Part I, Line 1bTHE PRESIDENT, VICE PRESIDENTS, AND ADMINISTRATORS RECEIVE A PERQUISITE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN THEIR SALARIES AND IS TAXABLE TO THEM AS ADDITIONAL INCOME. THE ORGANIZATION ALSO HAS AN ACCOUNTABLE PLAN, BUT A DISCRETIONARY SPENDING ACCOUNT IS NOT PART OF AN ACCOUNTABLE PLAN. IF ANY OF THE OTHER ITEMS LISTED ON SCHEDULE J, PART I, LINE 1a WERE APPLICABLE, THE RECIPIENTS WOULD BE REQUIRED TO FOLLOW THE ORGANIZATION'S WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT.
Part IIIPART I, LINE 3: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, HAS A GOVERNANCE COMMITTEE MADE UP OF THE BOARD OF DIRECTORS, WHO ALONG WITH THE HUMAN RESOURCE DEPARTMENT, UTILIZES INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION STUDIES, AND APPROVAL BY THE COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR AND OTHER KEY PERSONNEL.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 3BAPTIST MEMORIAL HEALTH CARE CORPORATION AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION CITY PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT.
Form 990, Part VI, Section A, line 6BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION.
Form 990, Part VI, Section A, line 7aBAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. ELECTS ITS BOARD OF DIRECTORS.
Form 990, Part VI, Section A, line 7bBAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. APPROVES THE BOARD OF DIRECTORS ACTIONS.
Form 990, Part VI, Section B, line 11THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S 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 BEFORE SUBMITTING IT TO THE IRS.
Form 990, Part VI, Section B, line 12cBAPTIST MEMORIAL HOSPITAL-UNION CITY 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 15BAPTIST 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 8, 2008 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2009 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR.
Form 990, Part VI, Section C, line 18BAPTIST MEMORIAL HOSPITAL-UNION CITY, 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 19BAPTIST MEMORIAL HOSPITAL-UNION CITY, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIISTEPHEN C. REYNOLDS - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. DAVID C. HOGAN - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. ROBERT S. GORDON - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177.Contact Addresses for Officers, Directors, Etc
PART XI, 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTHEAST ARKANSAS BAPTIST MEMORIAL HEALTH CARE LLC
3024 STADIUM BLVDJONESBOROAR72401810572898OPERATION OF BAPTIST MEMORIAL HOSPITAL-JONESBORO, INC.ARBAPTIST MEMORIAL HOSPITAL-JONESBORO INC
NORTHEAST ARKANSAS BAPTIST HEALTH SERVICES GROUP LLC
3024 STADIUM BLVDJONESBOROAR72401271471186OPERATE A PREFERRED PROVIDER ORGANIZATIONARBAPTIST MEMORIAL HOSPITAL-JONESBORO INC

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BAPTIST MEMORIAL HEALTH CARE CORPORATION
350 N HUMPHREYS BLVDMEMPHISTN381202177581521475MANAGEMENT & DATA PROCESSING SERVICES FOR ITS AFFILIATESTN501(c)(3)509(a)(3)N/A
BAPTIST MEMORIAL HEALTH CARE SYSTEMS INC
350 N HUMPHREYS BLVDMEMPHISTN381202177581456556CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TNTN501(c)(3)509(a)(3)N/A
BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC
1003 MONROE AVEMEMPHISTN38104621599670EDUCATION OF HEALTH CARE PROFESSIONALSTN501(c)(3)509(a)(1)BAPTIST MEMORIAL HOSPITAL INC
BAPTIST MEMORIAL HEALTH SERVICES INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621509127PROVISION OF HEALTH CARE PROVIDERS & HOME MEDICAL EQUIPMENT/SERVICESTN501(c)(3)509(a)(2)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL INC
350 N HUMPHREYS BLVDMEMPHISTN381202177620123940HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
MEDICAL FINANCIAL SERVICES INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621112364COLLECTION AGENCY FOR BAPTIST ENTITIESTN501(c)(3)509(a)(3)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC
100 HOSPITAL STBOONEVILLEMS38829640663760HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-DESOTO INC
7601 SOUTHCREST PKWYSOUTHAVENMS38671640682111HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC
2520 FIFTH STCOLUMBUSMS39703621519754HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC
631 RB WILSON DRHUNTINGDONTN38344621166050HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-LAUDERDALE INC
326 ASBURY RDRIPLEYTN38063621088703HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC
2301 S LAMAROXFORDMS38655640772726HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-TIPTON INC
1995 HWY 51 SOUTHCOVINGTONTN38019621113167HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC
200 HWY 30 WESTNEW ALBANYMS38652630997281HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC
2100 EXETER RDGERMANTOWNTN38138581645396HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOME CARE INC
350 N HUMPHREYS BLVDMEMPHISTN381202177581562973HOME HEALTH CARE & HOSPICE SERVICESTN501(c)(3)509(a)(2)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL MEDICAL GROUP INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621545731PROVISION OF HEALTH CARE PROVIDERS FOR TN FACILITIESTN501(c)(3)509(a)(2)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HEALTH SERVICES INC-MS
350 N HUMPHREYS BLVDMEMPHISTN381202177621545710PROVISION OF HEALTH CARE PROVIDERS FOR MS FACILITIESMS501(c)(3)509(a)(2)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL MEDICAL MINI EMP HLTH & WELFARE TRUST INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621407946BAPTIST EMPLOYEE HEALTH PLANTN501(c)(9)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MINOR MEDICAL CENTERS INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621538114NON-EMERGENCY MEDICAL CLINICSTN501(c)(3)509(a)(1)BAPTIST MEMORIAL MEDICAL GROUP INC
BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC
350 N HUMPHREYS BLVDMEMPHISTN381202177581544781SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIESTN501(c)(3)509(A)(3)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC
3024 STADIUM BLVDJONESBOROAR72401261214372HEALTH CARE FACILITY/HOSPITALAR501(C)(3)509(a)(1)NEA BAPTIST HEALTH SYSTEM INC
NEA BAPTIST HEALTH SYSTEM INC
3024 STADIUM BLVDJONESBOROAR72401271799652HEALTH CARE SERVICE PROVIDERAR501(c)(3)PENDINGBAPTIST MEMORIAL HEALTH CARE CORPORATION
NEA CLINIC CHARITABLE FOUNDATION INC
3024 STADIUM BLVDJONESBOROAR72401710850123HEALTH CARE SERVICE PROVIDERAR501(c)(3)509(a)(1)NEA BAPTIST HEALTH SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
NORTHWEST TENNESSEE SURGERY CENTER LLC
1722 E REELFOOTUNION CITYTN38261621685508AMBULATORY SURGERYTNBAPTIST MEMORIAL HOSPITAL-UNION CITY INCRELATED01
CANCER CARE CENTER OF UNION CITY LP
322 HOSPITAL BLVDJACKSONTN38305263425045CANCER CARE MEDICAL SERVICESTNBAPTIST MEMORIAL HOSPITAL-UNION CITY INCRELATED01

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
HEALTH TECH AFFILIATES INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621278576BUYING & LEASING REAL & PERSONAL PROPERTYTNBAPTIST MEMORIAL HEALTH CARE CORPORATIONC
BAPTIST HEALTH SERVICES GROUP OF THE MIDSOUTH INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621534210HEALTH INSURANCE CONTRACTINGTNBAPTIST MEMORIAL HEALTH CARE CORPORATIONC
SOUTHCREST PROPERTY OWNERS ASSOCIATION
7601 SOUTHCREST PKWYSOUTHAVENMS38671640768703BOOKKEEPING/DATA PROCESSING FOR SOUTHCREST DEV.MSBAPTIST MEMORIAL HOSPITAL-DESOTO INCC
GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION
350 N HUMPHREYS BLVDMEMPHISTN381202177201158216BOOKKEEPING/DATA PROCESSING FOR GERMANTOWN BUS. PARK DEVELOPMENTTNBAPTIST MEMORIAL HEALTH CARE CORPORATIONC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
BAPTIST MEMORIAL HEALTH CARE CORPORATION
L3684552
NORTHWEST TENNESSEE SURGERY CENTER LLC
R251352
BAPTIST MEMORIAL HEALTH CARE FOUNDATION
B42040
BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST
Q2370346
BAPTIST MEMORIAL MEDICAL GROUP INC
Q1069681
BAPTIST MEMORIAL HEALTH CARE CORPORATION
E255633
CANCER CARE CENTER OF UNION CITY LLC
A361800

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