2021-08-13T10:41:41-05:00 2020-09-30 861065772 DELOITTE TAX LLP 1033 DEMONBREUN STREET SUITE 400 NASHVILLE TN 37203 990 2019-10-01 753068151 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC MEDI 6019681067 1225 NORTH STATE STREET JACKSON MS 39202 JASON M LITTLE PRESIDENT 9012275117 2021-08-10 1 FRANCIS J BEDARD P00752421 6152591800 2019 2022-09-23 18:48:47Z JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 57053380 0 X WWW.BAPTISTMEDICALCLINIC.ORG X 2002 MS MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.'S PURPOSE IS TO PROMOTE HEALTH THROUGH THE OPERATION OF 26 MEDICAL CLINICS AND 8 PHYSICAL THERAPY CLINICS LOCATED THROUGHOUT THE JACKSON, MISSISSIPPI METROPOLITAN AREA. 5 0 523 0 0 0 0 1113772 53619056 54408819 0 791294 24800 104211 53643856 56418096 0 97 0 0 50691385 53063862 0 0 0 10608047 12922461 61299432 65986420 -7655576 -9568324 24241235 24974426 33423483 43724998 -9182248 -18750572 X THE MISSION OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. IS TO SERVE THE COMMUNITY THROUGH CONTINUOUSLY IMPROVING QUALITY CARE AND EFFECTIVE USE OF EDUCATION AND TECHNOLOGY IN A PERSONAL AND COMPASSIONATE ENVIRONMENT. 0 0 53174279 97 54408819 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. 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 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. 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.MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. OPERATES 8 OUTPATIENT REHABILITATION CLINICS AND 26 MEDICAL CLINICS, WHICH INCLUDE FAMILY MEDICINE CLINICS, CARDIOLOGY, NEUROLOGY, AND OCCUPATIONAL MEDICINE SPECIALTY CLINICS LOCATED THROUGHOUT THE JACKSON, MISSISSIPPI METROPOLITAN AREA. 53174279 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 X 0 0 523 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 X WILLIAM F THOMPSON 6019681067 1225 NORTH STATE STREET JACKSON MS 39202 JASON M LITTLE PRESIDENT 0.04 39.96 X 0 1820911 76548 MARK E SWANSON MD DIRECTOR 0.04 39.96 X 0 1179998 19113 GARY C ANDERSON DIRECTOR 0.23 39.77 X 0 1076857 74519 WILLIAM J HARRIS III MD PHYSICIAN 40.00 0.00 X 944267 0 71843 JAMES M BENSLER MD PHYSICIAN 40.00 0.00 X 920302 0 72338 TYLER W WINFORD MD PHYSICIAN 40.00 0.00 X 784506 0 63085 WILLIAM S HORSLEY MD PHYSICIAN 40.00 0.00 X 756980 0 69494 GREGORY M DUCKETT SECRETARY 0.23 39.77 X 0 728739 69972 HENRY C WATERER MD PHYSICIAN 39.77 0.23 X 743304 0 39287 BOBBIE K WARE DIRECTOR 0.23 39.77 X 0 453135 49909 MICHAEL D MAPLES FORMER VP CHIEF OF MED. OPS. 0.00 40.00 X 0 423260 41843 WILLIAM F THOMPSON DIRECTOR/CFO 8.00 32.00 X X 0 352408 60514 MICHAEL K STEVENS DIRECTOR 0.23 39.77 X 0 272825 40840 JUSTIN RHODES DIRECTOR (THRU 5/20) 32.00 8.00 X 252923 0 53442 LEE ANN FOREMAN CHIEF HUMAN RESOURCES OFFICER 8.00 32.00 X 0 263938 41888 4402282 6572071 844635 78 1 1 0 RADIOLOGICAL GROUP PA 1107 HIGHLAND COLONY PARKWAY STE RIDGELAND MS 39157 PHYSICIAN SERVICES 233643 HOLLIS COBB ASSOCIATES INC PO BOX 2248 NORCROSS GA 30091 COLLECTION SERVICES 218792 RCM TECHNOLOGIES INC PO BOX 536342 PITTSBURGH PA 15253 STAFFING AGENCY SERVICES 119718 3 1113772 1113772 PATIENT SERVICE REV. 621110 53892101 53892101 RENTS FROM AFFILIATES 900099 516718 516718 54408819 335789 231578 104211 104211 104211 1195000 403706 791294 791294 791294 56418096 54408819 0 895505 97 97 229779 183823 45956 45871714 36697371 9174343 1394753 1115802 278951 3335790 2668632 667158 2231826 1785461 446365 2470 2470 3877788 3104207 773581 113885 91108 22777 1444724 1155779 288945 2190463 1752370 438093 63155 25262 37893 107382 42953 64429 1871 1497 374 842127 673702 168425 465814 372651 93163 MEDICAL SUPPLIES 1924777 1924777 0 MGMT FEES/CORP ALLOC 724130 579304 144826 REPAIRS AND MAINTENANCE 434076 347261 86815 PANDEMIC PREPAREDNESS 319291 319291 0 410508 332931 77577 65986420 53174279 12812141 0 5347 5441 3851800 1226755 7959168 7306669 253716 206144 12588987 1348668 11381534 11240319 789670 4989098 24241235 24974426 4963247 8413510 28460236 35311488 33423483 43724998 X -9182248 -18750572 -9182248 -18750572 24241235 24974426 -9568324 0 X X 0 1 X 1 0 X 3368944 3368944 4956877 499808 4457069 1205849 160748 1045101 1900451 428495 1471956 1156866 259617 897249 11240319 OTHER RECEIVABLES 359987 RIGHT-OF-USE ASSET - OPERATING 3693596 CONSTRUCTION IN PROGRESS 139225 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 543708 OTHER LONG TERM ASSETS 252582 4989098 DUE TO AFFILIATES 27226907 RIGHT-OF-USE LIABILITY - CURRENT 807118 RIGHT-OF-USE LIABILITY - LONG-TERM 2894108 MEDICARE ADVANCE PAYMENTS 4339028 ASSET RETIREMENT LIABILITY 44327 35311488 X PART X, LINE 2: FROM THE COMBINED AUDITED FINANCIAL STATEMENTS OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND AFFILIATES: AS OF SEPTEMBER 30, 2020, BAPTIST MEMORIAL HEALTH CARE CORPORATION (BMHCC) HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT BMHCC WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, BMHCC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2015 (FISCAL YEAR ENDED SEPTEMBER 30, 2016). 0 1 0 0 0 0 0 1 0 JASON M LITTLE PRESIDENT 0 1032027 0 681922 0 106962 0 40000 0 36548 0 1897459 0 0 MARK E SWANSON MD DIRECTOR 0 569627 0 250054 0 360317 0 0 0 19113 0 1199111 0 0 GARY C ANDERSON DIRECTOR 0 654568 0 309266 0 113023 0 52140 0 22379 0 1151376 0 0 WILLIAM J HARRIS III MD PHYSICIAN 735441 0 178669 0 30157 0 42738 0 29105 0 1016110 0 0 0 JAMES M BENSLER MD PHYSICIAN 391819 0 527901 0 582 0 45871 0 26467 0 992640 0 0 0 TYLER W WINFORD MD PHYSICIAN 303990 0 471445 0 9071 0 37480 0 25605 0 847591 0 0 0 WILLIAM S HORSLEY MD PHYSICIAN 651458 0 0 0 105522 0 40890 0 28604 0 826474 0 0 0 GREGORY M DUCKETT SECRETARY 0 441273 0 206822 0 80644 0 44063 0 25909 0 798711 0 0 HENRY C WATERER MD PHYSICIAN 320125 0 422425 0 754 0 25000 0 14287 0 782591 0 0 0 BOBBIE K WARE DIRECTOR 0 342563 0 0 0 110572 0 35000 0 14909 0 503044 0 0 MICHAEL D MAPLES FORMER VP CHIEF OF MED. OPS. 0 356213 0 0 0 67047 0 32784 0 9059 0 465103 0 0 WILLIAM F THOMPSON DIRECTOR/CFO 0 347619 0 0 0 4789 0 33444 0 27070 0 412922 0 0 MICHAEL K STEVENS DIRECTOR 0 220815 0 0 0 52010 0 9647 0 31193 0 313665 0 0 JUSTIN RHODES DIRECTOR (THRU 5/20) 252591 0 0 0 332 0 30400 0 23042 0 306365 0 0 0 LEE ANN FOREMAN CHIEF HUMAN RESOURCES OFFICER 0 237055 0 0 0 26883 0 27752 0 14136 0 305826 0 0 PART I, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A NON-QUALIFIED, UNFUNDED DEFERRED COMPENSATION PLAN EFFECTIVE JULY 1, 2010, FOR THE BENEFIT OF CERTAIN MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE SYSTEM. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF THE SYSTEM TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PERSONNEL WITH A MARKET-COMPETITIVE SUPPLEMENTAL RETIREMENT BENEFIT ON A TAX-DEFERRED BASIS. THE FOLLOWING INDIVIDUAL(S) LISTED ON PART VII RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS DURING THE CALENDAR YEAR: LEE ANN FOREMAN - $26,522 MICHAEL K. STEVENS - $41,507 BOBBIE K. WARE - $48,735 MICHAEL D. MAPLES - $66,003 MARK E. SWANSON, MD - $251,170 PART I, LINE 7 THE BAPTIST MEMORIAL HEALTH CARE SYSTEM HAS ESTABLISHED A MANAGEMENT ACCOUNTABILITY AND FINANCIAL INCENTIVE PLAN THAT ENCOURAGES MANAGEMENT PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY, FINANCIAL, GROWTH, AND HUMAN RESOURCE RELATED OPERATIONS OF THE ORGANIZATION. AN INCENTIVE BONUS IS PAID TO ALL MANAGEMENT BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE SATISFACTION; 3) PHYSICIAN SATISFACTION; 4) QUALITY AND SAFETY; 5) OPERATIONAL PERFORMANCE METRICS; AND 6) OPERATING INCOME MARGIN. PARTICIPANTS RECEIVE POINTS UNDER A PLAN SCORING SYSTEM FOR MEETING THEIR PREDETERMINED GOALS. THE POINTS ARE THEN ENTERED INTO THE PLAN FORMULA TO DETERMINE THE INCENTIVE COMPENSATION. FORM 990, PART V, LINE 1A: ALL FORMS 1099 ARE PREPARED BY THE ACCOUNTS PAYABLE DEPARTMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., WHICH IS THE SOLE MEMBER OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. ALL FORMS 1099 ARE ISSUED USING THE FEDERAL TAX IDENTIFICATION NUMBER OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. FORMS 1099 ARE NOT PROCESSED BY ENTITY, BUT BY VENDOR GROUP. MANY VENDORS PERFORM SERVICES FOR MULTIPLE BAPTIST MEMORIAL HEALTH CARE CORPORATION 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. FORM 990, PART V, LINE 2A: THE PAYROLL FUNCTION IS CENTRALIZED AT THE CORPORATE PAYROLL DEPARTMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., WHICH IS THE SOLE MEMBER OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. THE CORPORATE PAYROLL DEPARTMENT IS RESPONSIBLE FOR ALL SALARIES AND WAGES OF EMPLOYEES FOR THE ENTIRE BAPTIST MEMORIAL HEALTH CARE CORPORATION SYSTEM. FORMS W-2 AND W-3 ARE SUBMITTED ELECTRONICALLY TO THE INTERNAL REVENUE SERVICE 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 FORM 990, PART V, LINE 2A REFLECTS THE NUMBER OF EMPLOYEES AT THIS FACILITY WHO RECEIVED A W-2. THE TOTAL NUMBER OF W-2'S FOR ALL BAPTIST MEMORIAL HEALTH CARE CORPORATION ENTITIES IS REPORTED ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION W-3. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS OF A TAXABLE ENTITY WITHIN BAPTIST MEMORIAL HEALTH CARE CORPORATION: GARY C. ANDERSON MICHAEL K. STEVENS WILLIAM F. THOMPSON GREGORY M. DUCKETT JASON M. LITTLE BOBBIE K. WARE MARK E. SWANSON, MD JUSTIN RHODES FORM 990, PART VI, SECTION A, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. IS A NON-PROFIT, NON-STOCK CORPORATION, OF WHICH MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE SOLE MEMBER AND HAS SOLE VOTING CONTROL. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. FORM 990, PART VI, SECTION A, LINE 7A MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.'S BOARD, WITH APPROVAL BY BAPTIST MEMORIAL HEALTH CARE CORPORATION, IS APPOINTED BY MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. FORM 990, PART VI, SECTION A, LINE 7B BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., APPROVES THE BOARD OF DIRECTORS' ACTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S EXECUTIVE VICE-PRESIDENT/CFO, THE ENTITY'S TOP FINANCIAL OFFICIAL, AND AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM PRIOR TO SUBMITTING THE FORM 990 TO THE IRS. THE FORM 990 WAS NOT REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE SUBMITTING IT TO THE IRS. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF THE ORGANIZATION, HAS A FINANCE, AUDIT AND COMPLIANCE COMMITTEE THAT IS APPOINTED BY ITS BOARD OF DIRECTORS. THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE WILL REVIEW THE FORM 990 AFTER SUBMITTING IT TO THE IRS. THE COMMITTEE REPORTS THE COMPLETION OF THE REVIEW TO THE CORPORATE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., REQUIRES THAT ALL EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES, PERIODICALLY COMPLETE A CERTIFICATION AND ACKNOWLEDGEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION STANDARDS OF CONDUCT, WHICH INCORPORATES THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS DISCLOSE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH DECEMBER. IN THE EVENT THAT AN EMPLOYEE OR BOARD MEMBER BECOMES AWARE OF A POTENTIAL CONFLICT OF INTEREST, HE/SHE IS REQUIRED TO REPORT IT TO THEIR CHIEF EXECUTIVE OFFICER BEFORE TAKING ANY ACTION. IF HE/SHE IS THE CHIEF EXECUTIVE OFFICER, THEN HE/SHE IS TO REPORT TO THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE SIGNED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE SENIOR VICE PRESIDENT 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 CHIEF EXECUTIVE OFFICER, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT TO RESOLVE THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., 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 10, 2018, THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2019 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. FORM 990, PART VI, SECTION C, LINE 18 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. MAKES COPIES OF ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 19 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. JASON M. LITTLE - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. MARK E. SWANSON, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. FORM 990, PART XII, LINE 2C: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., HAS AN AUDIT COMMITTEE THAT CHOOSES THE AUDIT FIRM, OVERSEES AND REVIEWS THE AUDIT REPORTS, AND THEN FOLLOWS UP ON ANY NECESSARY CHANGES AND RECOMMENDATIONS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. BAPTIST BESTHEALTH INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 831651534 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 12 TYPE I BAPTIST MEMORIAL HEALTH SERVICES INC 1 BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 452842963 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 3 BAPTIST MEMORIAL MEDICAL GROUP INC 1 BAPTIST CLINICAL RESEARCH INSTITUTE INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 453032246 FACILITATE MEDICAL & SCIENTIFIC RESEARCH TN 501(C)(3) 4 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST HEALTH FOUNDATION INC 1225 NORTH STATE STREET JACKSON MS 39202 473403762 SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIES MS 501(C)(3) 12 TYPE I MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 BAPTIST MEDICAL CENTER - LEAKE INC 1225 NORTH STATE STREET JACKSON MS 39202 452896080 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 BAPTIST MEDICAL CENTER - YAZOO INC 823 GRAND AVENUE YAZOO CITY MS 39194 640844470 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC 1003 MONROE AVE MEMPHIS TN 381043110 621599670 EDUCATION OF HEALTH CARE PROFESSIONALS TN 501(C)(3) 2 BAPTIST MEMORIAL HOSPITAL 1 BAPTIST MEMORIAL HEALTH CARE CORPORATION 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581521475 MANAGEMENT, ADMINISTRATIVE & FINANCIAL SERVICES TN 501(C)(3) 12 TYPE III-FI N/A 0 BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581544781 SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIES TN 501(C)(3) 12 TYPE I BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 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) 12 TYPE I N/A 1 BAPTIST MEMORIAL HEALTH SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621509127 PROVISIONS OF HEALTH CARE PROVIDERS & HOME MEDICAL EQUIPMENT/SERVICES TN 501(C)(3) 12 TYPE I BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOME CARE INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581562973 HOME HEALTH CARE & HOSPICE SERVICES TN 501(C)(3) 10 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 620123940 HEALTH CARE FACILITY/HOSPITAL TN 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC 100 HOSPITAL STREET BOONEVILLE MS 38829 640663760 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-CALHOUN INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 813257997 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-CRITTENDEN INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 823844150 HEALTH CARE FACILITY/HOSPITAL AR 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-DESOTO INC 7601 SOUTHCREST PARKWAY SOUTHAVEN MS 38671 640682111 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC 2520 5TH STREET NORTH COLUMBUS MS 39701 621519754 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC 631 RB WILSON DR HUNTINGDON TN 38344 621166050 HEALTH CARE FACILITY/HOSPITAL TN 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-JONESBORO INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 261214372 HEALTH CARE FACILITY/HOSPITAL AR 501(C)(3) 3 NEA BAPTIST HEALTH SYSTEM INC 1 BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC 1100 BELK BOULEVARD OXFORD MS 38655 640772726 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-TIPTON INC 1995 HIGHWAY 51 SOUTH COVINGTON TN 38019 621113167 HEALTH CARE FACILITY/HOSPITAL TN 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-UNION CITY INC 1201 BISHOP ST UNION CITY TN 382615403 621138045 HEALTH CARE FACILITY/HOSPITAL TN 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC 200 HIGHWAY 30 WEST NEW ALBANY MS 38652 630997281 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL MEDICAL GROUP INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621545731 PROVISION OF HEALTH CARE PROVIDERS FOR BAPTIST ENTITIES TN 501(C)(3) 12 TYPE I BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621407946 BAPTIST EMPLOYEE HEALTH PLAN TN 501(C)(9) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581645396 HEALTH CARE FACILITY/HOSPITAL TN 501(C)(3) 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