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 630997281 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC BAPT 6625382406 200 HWY 30 W NEW ALBANY MS 38652 JASON M LITTLE PRESIDENT 9012275117 2021-08-11 1 FRANCIS J BEDARD P00752421 6152591800 2019 2022-09-23 18:48:47Z JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 66488825 0 X WWW.BAPTISTONLINE.ORG/UNION-COUNTY X 1991 MS SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. 3 3 470 11 0 0 78749 3681556 62397395 62528544 1767 -2020 273568 241870 62751479 66449950 19209 14740 0 0 23774168 22803910 0 0 0 30813329 34949013 54606706 57767663 8144773 8682287 66723430 87958915 9088795 21641993 57634635 66316922 X BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. PROVIDES QUALITY HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. ITS MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. 0 0 50384472 14740 62522496 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC., 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, INC. 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, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.'S PROGRAM SERVICES AS OF SEPTEMBER 30, 2020 INCLUDED THE FOLLOWING:- THE SKILLED NURSING DEPARTMENT HAD 10,091 PATIENT DAYS AT A COST OF $9,423,902.- THE SURGERY DEPARTMENT PERFORMED 3,320 PROCEDURES AT A COST OF $6,179,244.- THE PHARMACY DEPARTMENT DISPENSED MEDICATION AT A COST OF $3,496,304.- THE RADIOLOGY DEPARTMENT PERFORMED 49,779 PROCEDURES AT A COST OF $2,762,063.- THE LAB DEPARTMENT PERFORMED 187,067 PROCEDURES AT A COST OF $3,293,752.- THE ONCOLOGY DEPARTMENT PERFORMED PROCEDURES AND HAD A CLINIC AT A COST OF $8,773,882.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. SERVICED 2,773 INPATIENTS AND PROVIDED MORE THAN 55,907 OUTPATIENT VISITS DURING FISCAL YEAR 2020.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. 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, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDED SEPTEMBER 30, 2020, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $133,117,927. 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, INC. BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. HAS PROVIDED A NUMBER OF SERVICES IN THE COMMUNITY, SOME OF WHICH INCLUDE THE FOLLOWING:- HOSPITAL CLINICAL ROTATIONS FOR NEW ALBANY/UNION COUNTY ALLIED HEALTH STUDENTS- REPRESENTATIVES WHO SPOKE FREE OF CHARGE TO VARIOUS COMMUNITY GROUPS, CHURCHES, INDUSTRIES, AND SCHOOLS THROUGHOUT THE YEAR- MULTIPLE HEALTH FAIRS IN VARIOUS SECTORS OF THE COMMUNITY, INCLUDING SCHOOLS AND BUSINESSES- SPONSORED HEALTHY LIFESTYLE PROGRAMS AS WELL AS 5K RUNS THROUGHOUT THE YEAR FOR ADULTS AND CHILDREN- VACCINATIONS THROUGHOUT THE YEAR FOR THE COMMUNITY AT NO-CHARGE OR REDUCED PRICES, INCLUDING FIRST RESPONDERS AND LAW ENFORCEMENT - CONDUCTED FREE LUNCHEONS ON VARIOUS HEALTH-RELATED TOPICS FOR THE COMMUNITY, SUCH AS BREAST CANCER AWARENESS AND DIABETES- PROVIDED VARIOUS FREE OR REDUCED-PRICED CLASSES TO THE COMMUNITY THROUGHOUT THE YEAR, WHICH INCLUDED THE FOLLOWING: - CPR, FIRST AID, STOP-THE-BLEED CLASSES - CHILDBIRTH CLASSES - BREASTFEEDING CLASSES - DIABETIC CLASSESBAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. OFFERS A FREE ANNUAL COMMUNITY HEALTH FAIR. INDIVIDUALS WERE ABLE TO RECEIVE FREE CHOLESTEROL, GLUCOSE, TRIGLYCERIDES, AND PSA RESULTS. FLU VACCINES WERE ALSO PROVIDED FREE AT THE COMMUNITY HEALTH FAIR. OTHER SCREENINGS AVAILABLE FOR FREE INCLUDED: HEIGHT, WEIGHT, BMI, BLOOD PRESSURE, AND BONE DENSITY. EDUCATIONAL INFORMATION WAS PROVIDED ON HEALTH ISSUES SUCH AS NUTRITION, ALZHEIMER'S, MEN'S HEALTH, WOMEN'S HEALTH, CANCER, COPD, BLOOD PRESSURE, AND BMI. REPRESENTATIVES FROM THE RADIOLOGY DEPARTMENT WERE ALSO ON HAND TO PROMOTE BREAST CANCER AWARENESS EDUCATION AND EARLY DETECTION THROUGH SCREENINGS.AN EMPLOYEE HEALTH FAIR WAS PROVIDED ON-SITE FOR EMPLOYEES AT THE NEW ALBANY SCHOOLS. HEALTH INFORMATION WAS PROVIDED ON-SITE TO THE UNION COUNTY SCHOOLS AND PRIDE MOBILITY.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. ASSISTED PHYSICIANS AND VOLUNTEERS TO PROVIDE FREE SPORTS PHYSICALS FOR ATHLETES AT MULTIPLE AREA SCHOOLS AS WELL AS BLUE MOUNTAIN COLLEGE. FURTHER SCHOOL SUPPORT INCLUDES PARTICIPATION IN CAREER FAIRS AND OTHER SPECIAL PROGRAMS. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. PARTNERED WITH THE NEW ALBANY SCHOOL SYSTEM TO OFFER CAREER SHADOWING THROUGH THE IMPACTO PROGRAM FOR STUDENTS INTERESTED IN HEALTH CARE CAREERS.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. WAS A SPONSOR OF THE "NIGHT TO SHINE" PROGRAM THAT GIVES KIDS AND ADULTS WITH SPECIAL NEEDS A NIGHT TO CELEBRATE. SEVERAL BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. EMPLOYEES VOLUNTEERED AND SERVED AS MEDICAL PERSONNEL FOR THE EVENT. CHILDREN AGES NEWBORN TO 12 YEARS OLD WERE INVITED TO ATTEND THE ANNUAL BACK TO SCHOOL HEALTH FAIR. THIS EVENT WAS EXPANDED TO NEWBORNS AND TODDLERS TO PROMOTE LEARNING IN EARLY CHILDHOOD AS PART OF THE EXCEL BY 5 COMMUNITY INITIATIVE. DUE TO COVID-19, THE EVENT WAS HELD AS A DRIVE-THRU EVENT THAT PROVIDED IMPORTANT HEALTH EDUCATION AND SCHOOL SUPPLIES. EDUCATION TOPICS INCLUDED NUTRITION, BULLYING, HANDWASHING, TOBACCO PREVENTION, HOME SAFETY, IMMUNIZATIONS, AND CAR SEAT SAFETY. THE ANNUAL EVENT RESULTED IN OVER 300 CHILDREN PLUS MORE THAN 300 ADULTS THAT PARTICIPATED. A FREE SACK LUNCH WAS PROVIDED TO ALL THAT ATTENDED ALONG WITH MANY GIVEAWAYS AND SCHOOL SUPPLIES.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. 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, INC. SUPPORTED THROUGH ITS VOLUNTEERS' EFFORTS: - NEW HAVEN CENTER FOR SPECIAL NEEDS ADULTS- BOYS AND GIRLS CLUBS- AMERICAN HEART ASSOCIATION - HEART EDUCATION IN SCHOOLS- AMERICAN CANCER SOCIETY'S RELAY FOR LIFE- AMERICAN RED CROSS- CREATE IMAGINE THE POSSIBILITIES CAREER FAIR- NORTHEAST UNION FIRE DEPARTMENT FIRE SAFETY HOUSE- NEW ALBANY FIRE DEPARTMENT - FIRE SAFETY- DIABETIC SUPPORT- FIRST CHOICE PREGNANCY CENTER- AGAPE FREE HEALTH CLINIC- NIGHT TO SHINE FOR SPECIAL NEEDS CHILDREN AND ADULTS- BREAST CANCER AWARENESS- TALLAHATCHIE 5K RIVER RUN- BLUE MOUNTAIN COLLEGE- REGIONAL REHABILITATION- FOOD DRIVE FOR THE GOOD SAMARITAN CENTER- NEW ALBANY MAIN STREET ASSOCIATION- MAGNOLIA CIVIC CENTER- NEW ALBANY KIWANIS- NEW ALBANY ROTARY- UNION COUNTY DEVELOPMENT ASSOCIATION- SANCTUARY HOSPICE HOUSE- JUNIOR AUXILIARY- KOMEN FOUNDATION- MINORITY PUL ALLIANCE- EXCEL BY 5 COALITION- UNION COUNTY SCHOOLS- NEW ALBANY CITY SCHOOLS 50384472 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 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 1 1 1 0 1 X 0 0 470 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 1 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 X KIMBERLY D HIGH 6625382406 200 HIGHWAY 30 WEST NEW ALBANY MS 38652 JASON M LITTLE PRESIDENT 0.23 39.77 X 0 1820911 76548 PAUL D DEPRIEST MD VICE PRESIDENT 0.23 39.77 X 0 1265263 66047 GREGORY M DUCKETT SECRETARY 0.23 39.77 X 0 728739 69972 WALTER J GRACE CEO (THRU 11/19) 40.00 0.00 X 0 240143 35522 JAMES A GRANTHAM CEO (AS OF 11/19) 20.00 20.00 X 0 176717 49067 RANDY WHITE CNO (THRU 02/20) 16.00 24.00 X 125425 0 39403 ROBERT S HATCHER PHARMACIST 40.00 0.00 X 102498 0 57272 LARRY RAMSEY PHARMACIST 40.00 0.00 X 111773 0 44911 KIMBERLY D HIGH CFO 30.00 10.00 X 121151 0 34492 CYNTHIA R ADKINS HEAD NURSE 26.00 14.00 X 76782 41129 28929 COLLIN R CHEEK CAO (AS OF 12/19) 15.14 24.86 X 0 101543 31514 HEATHER REID CNO (AS OF 02/20) 40.00 0.00 X 87657 0 34912 DR JOHN STANFORD DIRECTOR 0.23 1.18 X 0 0 0 LUDWRICK E BROWN CHAIRMAN 0.23 0.00 X 0 0 0 REV TOM SUMRALL DIRECTOR 0.23 0.00 X 0 0 0 625286 4374445 568589 4 0 1 0 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 MANAGEMENT SERVICES 752331 MIDSOUTH ANESTHESIA CONSULTANTS PO BOX 1572 SOUTHAVEN MS 38671 ANESTHESIA SERVICES 698867 TEAM HEALTH INC PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 535807 SECURITY PLUS INC 141 N MAIN ST PONTOTOC MS 38863 SECURITY SERVICES 191582 LINEN KING LLC 1521 W 36TH PLACE TULSA OK 74107 LINEN SERVICES 184678 7 39526 3642030 3681556 PATIENT SERVICE REV. 622110 62513034 62513034 RENTS FROM AFFILIATES 900099 15510 15510 62528544 4028 4028 48723 32827 15896 15896 15896 6048 -6048 -6048 -6048 CAFETERIA REVENUE 722210 225974 225974 225974 66449950 62522496 0 245898 X 14740 14740 304632 252845 51787 17115038 14205482 2909556 616439 511644 104795 3522300 2923509 598791 1245501 1033766 211735 8414 8414 7085484 5880951 1204533 87739 72823 14916 1615344 1340736 274608 891322 739797 151525 18758 7503 11255 20327 8131 12196 391528 324968 66560 1719782 1427419 292363 369556 306731 62825 MEDICAL SUPPLIES 13521494 13521494 0 CORPORATE MGMT FEE 4681044 3885267 795777 REPAIRS AND MAINTENANCE 1426520 1184012 242508 MEDICAID ASSESSMENT 1338657 1338657 0 1773044 1403997 369047 57767663 50384472 7383191 0 1095 1095 3695588 3255261 10445033 10352955 1987384 2034389 915644 1050490 56150787 41922043 15553274 14228744 26837 30549 34098575 57005432 66723430 87958915 2911346 3584141 2592198 6177449 15465654 9088795 21641993 X 57583481 66265768 51154 51154 57634635 66316922 66723430 87958915 8682287 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8414 8414 0 PART II-B, LINE 1: BAPTIST MEMORIAL HEALTH CARE CORPORATION PAYS MEMBERSHIP DUES TO VARIOUS HOSPITAL ASSOCIATIONS SUCH AS THE TENNESSEE HOSPITAL ASSOCIATION, MISSISSIPPI HOSPITAL ASSOCIATION, AND ARKANSAS HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES IS DESIGNATED AS LOBBYING FEES BY THE HOSPITAL ASSOCIATIONS. EACH HOSPITAL ASSOCIATION ALLOCATES A DIFFERENT PERCENTAGE, AND THE PERCENTAGE MAY VARY ANNUALLY. THE HOSPITAL ASSOCIATIONS PAY CONSULTANTS WHO MONITOR AND ADVISE THE ORGANIZATIONS ON LEGISLATIVE AND REGULATORY MATTERS THAT MAY AFFECT THE MEMBER ORGANIZATIONS AND THE MEMBERS' AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSITIONS WITH LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE AND FEDERAL LEVELS. BAPTIST MEMORIAL HEALTH CARE CORPORATION ALLOCATES A PORTION OF THESE FEES AMONG ITS HOSPITALS. 250000 250000 22775685 12357919 10417766 5755381 5316973 438408 26671198 23836955 2834243 698523 410196 288327 14228744 DUE FROM AFFILIATES 56180769 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 310665 RIGHT-OF-USE ASSET - OPERATING 513998 57005432 LONG TERM DEBT - CURRENT 23814 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 114266 MEDICARE ADVANCED PAYMENT 8195204 RIGHT-OF-USE LIABILITY - CURRENT 300321 RIGHT-OF-USE LIABILITY - LONG-TERM 218534 CAPITAL LEASE OBLIGATION - LONG-TERM 5308515 OTHER LONG TERM PAYABLES 1305000 15465654 X 66488825 0 66488825 -38875 -38875 66449950 57806538 38875 38875 57767663 0 57767663 PART X, LINE 2: AS OF SEPTEMBER 30, 2020, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. (THE HOSPITAL) HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, 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, THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2015 (FISCAL YEAR ENDED SEPTEMBER 30, 2016). PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -32,827. LOSS ON DISPOSAL OF ASSETS -6,048. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 32,827. LOSS ON DISPOSAL OF ASSETS 6,048. 1 1 X 1 X 1 X 1 1 0 1 1 4284391 0 4284391 0.07420 13580791 17123583 0 0.00000 361067 421209 0 0.00000 18226249 17544792 4284391 0.07420 93452 3135 90317 0.00160 17230 17230 0.00030 18497408 15781972 2715436 0.04700 8435 1227 7208 0.00010 11393 11393 0.00020 18627918 15786334 2841584 0.04920 36854167 33331126 7125975 0.12340 3446 3446 0.00010 1022 1022 0.00000 7166 7166 0.00010 11634 11634 0.00020 1 667078 19489 10537265 10985277 -448012 X 1 1 1 1 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY 200 HWY 30 W NEW ALBANY MS 38652 WWW.BAPTISTONLINE.ORG/UNION-COUNTY/ 16-239 X X X BAPTIST MEMORIAL HOSPITAL-UNION COUNTY 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X HTTPS://WWW.BAPTISTONLINE.ORG/ABOUT/CHNA X 1 18 1 HTTPS://WWW.BAPTISTONLINE.ORG/ABOUT/CHNA 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X 1 X 0 0 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PART V, SECTION B, LINE 5: THE FY2019 CHNA FOR BAPTIST'S NORTH MISSISSIPPI SERVICE AREA WAS CONDUCTED FROM AUGUST 2018 TO AUGUST 2019. QUANTITATIVE AND QUALITATIVE METHODS, REPRESENTING BOTH PRIMARY AND SECONDARY RESEARCH, WERE USED TO ILLUSTRATE AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS EACH HOSPITAL'S SERVICE AREA. THE FOLLOWING RESEARCH METHODS WERE USED TO DETERMINE COMMUNITY HEALTH NEEDS:- A REVIEW OF PUBLIC HEALTH AND DEMOGRAPHIC DATA PORTRAYING THE HEALTH AND SOCIOECONOMIC STATUS OF THE COMMUNITY.- A KEY INFORMANT SURVEY OF 79 COMMUNITY REPRESENTATIVES SERVING THE NORTH MISSISSIPPI SERVICE AREA TO IDENTIFY COMMUNITY HEALTH PRIORITIES, UNDERSERVED POPULATIONS, PARTNERSHIP OPPORTUNITIES AND OTHER INSIGHTS. - FOCUS GROUPS WITH 98 CANCER SURVIVORS OR CAREGIVERS TO COLLECT PERSPECTIVES ABOUT THEIR EXPERIENCES, PREFERENCES AND ATTITUDES RELATED TO CANCER DIAGNOSIS AND CARE.- CRITERIA-BASED PRIORITIZATION OF HEALTH ISSUES TO DETERMINE THE MOST PRESSING HEALTH NEEDS AFFECTING THE HEALTH STATUS OF NORTH MISSISSIPPI RESIDENTS.COMMUNITY ENGAGEMENT:COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE CHNA RESEARCH. IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, BAPTIST SOLICITED AND RECEIVED INPUT FROM COMMUNITY LEADERS AND RESIDENTS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH AND MEMBERS OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED VALUABLE INFORMATION ABOUT HEALTH TRENDS, INSIGHTS ABOUT EXISTING RESOURCES AND GAPS IN SERVICES AND PERSPECTIVES ABOUT FACTORS THAT CONTRIBUTE TO HEALTH DISPARITIES.CHNA LEADERSHIP:A BAPTIST MEMORIAL HEALTH CARE STEERING COMMITTEE, ALONG WITH COMMUNITY REPRESENTATIVES AND PARTNERS, OVERSAW THE 2018 CHNA. COMMUNITY HEALTH CONSULTANTS ASSISTED IN ALL PHASES OF THE CHNA, INCLUDING PROJECT MANAGEMENT, DATA COLLECTION AND ANALYSIS, REPORT WRITING AND DEVELOPMENT OF IMPLEMENTATION PLANS.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:AARON E. HENRY COMMUNITY HEALTH CENTERAGAPE HEALTH SERVICES FREE CLINICARKANSAS STATE UNIVERSITYBANCORPSOUTHBANNER-INDEPENDENTBAPTIST COMMUNITY ADVISORY BOARDBNA BANKBROOKS EYE CENTER, INC.CADENCE BANKCALHOUN ECONOMIC DEVELOPMENT ASSOCIATION, INC.CITY OF BRUCECITY OF OXFORDCITY OF WEST POINTCOLDWELL BANKER WEST REALTYCOLUMBUS-LOWNDES PUBLIC LIBRARY SYSTEMCONTACT HELPLINECOWBOY MALONEY'SCREEKMORE CLINICELECTRIC MOTOR SALES & SERVICE, INC.EXCEL BY 5FAMILY CRISIS SERVICES OF NORTHWEST MISSISSIPPI, INC.FAMILY RESOURCE CENTER - FAMILIES FIRSTFIRST BAPTIST CHURCHGORDON COMMUNITY AND CULTURAL CENTER, INC.GSC MANAGEMENT LLC/LEIGH MALLHOME INSTEAD SENIOR CAREKINDRED HOME HEALTHLAFAYETTE COUNTY SCHOOLSLE BONHEURLIFE CARE CENTER BRUCETONMAGNOLIA MONTESSORI SCHOOLMAIN STREETMCCRARY WEST CONSTRUCTIONMISSISSIPPI COALITION AGAINST DOMESTIC VIOLENCEMISSISSIPPI FARM TO SCHOOL NETWORKMISSISSIPPI HOSPITAL ASSOCIATIONMISSISSIPPI REGIONAL HOUSING AUTHORITY IVNEW ALBANY SCHOOL DISTRICTNORTHWEST MS COMMUNITY COLLEGEOFFICE OF THE LAFAYETTE COUNTY CORONERON TIME HEALTH CARE & CONSULTING, INC.OPTUS, INC.OXFORD SCHOOL DISTRICTPILOT CLUB OF PROJECTSREBELWELLRSVP SHAW PIT BULL RESCUE, INC.SMITH DRUG & HOME MEDICALSUSAN G. KOMEN MEMPHIS MID-SOUTH MISSISSIPPITHE MARKETING SPECTRUMUNION COUNTY DEVELOPMENT ASSOCIATIONUNION COUNTY SCHOOL DISTRICT/MYRTLE SCHOOLUNITED WAYVARDAMAN SCHOOLSVINEYARD COURT NURSING AND REHABILITATIONVITALANTWASTE PRO SALESWEECARE SPECIAL NEEDS COUNSELING AND ASSISTANCEWINCHESTER-OLINWTVAYMCA BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PART V, SECTION B, LINE 6A: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY CONDUCTED ITS CHNA WITH THE FOLLOWING OTHER HOSPITAL FACILITIES:BAPTIST MEMORIAL HOSPITAL-BOONEVILLEBAPTIST MEMORIAL HOSPITAL-CALHOUNBAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLEBAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PART V, SECTION B, LINE 11: BAPTIST MEMORIAL HEALTH CARE DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS THE NORTH MISSISSIPPI SERVICE AREA. BAPTIST'S CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH ISSUES AND CONCERNS AND A CHANGING HEALTH CARE DELIVERY ENVIRONMENT, TO ADDRESS THE REGION'S MOST PRESSING COMMUNITY HEALTH NEEDS. BELOW ARE SPECIFIC ACTIVITIES THAT BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL CARRY OUT IN SUPPORT OF THIS SYSTEMWIDE PLAN.1. BEHAVIORAL HEALTHTHE GOAL IS TO INCREASE BEHAVIORAL HEALTH SCREENINGS TO INITIATE EARLY TREATMENT AND IMPROVED OUTCOMES FOR RESIDENTS AT ALL STAGES OF LIFE.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HAS OUTLINED THE FOLLOWING OBJECTIVES:1) INCREASE THE NUMBER OF RESIDENTS WHO ARE SCREENED FOR BEHAVIORAL HEALTH CONDITIONS.2) DEVELOP OR CONTINUE COLLABORATION WITH COMMUNITY AGENCIES THAT PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SUPPORT SERVICES TO REDUCE SUICIDE AND DRUG-INDUCED DEATH RATES.3) INCREASE AVAILABILITY OF SERVICES FOR PATIENTS WITH ALZHEIMER'S DISEASE AND THEIR CAREGIVERS.4) EDUCATE RESIDENTS ON THE SIGNS AND SYMPTOMS OF MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE AND WHERE TO GET HELP.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL IMPLEMENT THE FOLLOWING STRATEGIES:1) COLLABORATE WITH COMMUNITY PARTNERS TO IDENTIFY OPPORTUNITIES TO PROMOTE BEHAVIORAL HEALTH EDUCATION AND SCREENINGS.2) PARTNER WITH THE NEW ALBANY POLICE DEPARTMENT AND LOCAL SCHOOLS TO REDUCE DRUG AND ALCOHOL USE AMONG YOUTH.3) PARTICIPATE IN AND HOST EDUCATIONAL FORUMS AND HEALTH FAIRS TO INCREASE AWARENESS OF BEHAVIORAL HEALTH CONDITIONS AND AVAILABLE SERVICES.4) PROVIDE ALZHEIMER'S DISEASE EDUCATION AND SUPPORT FOR SENIORS AND CAREGIVERS.2. CANCERTHE GOAL IS TO PROVIDE EARLY DETECTION AND TREATMENT TO REDUCE DEATH FROM BREAST, COLORECTAL AND LUNG CANCERS, AND IMPROVE QUALITY OF LIFE FOR PATIENTS.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HAS OUTLINED THE FOLLOWING OBJECTIVES:1) INCREASE AWARENESS OF BENEFITS OF GENETIC TESTING AND EARLY SCREENINGS FOR IMPROVED OUTCOMES.2) INCREASE PHYSICIANS' PARTICIPATION IN SECONDARY SCREENING PROTOCOLS FOR LUNG CANCER TO INCREASE EARLY DIAGNOSIS OF THE DISEASE.3) INCREASE ACCESS TO SCREENINGS IN RURAL AREAS TO REDUCE DISPARITIES AMONG LOW-INCOME, AT-RISK, AND MINORITY POPULATIONS.4) INCREASE ACCESS TO CARE CLOSE TO HOME FOR RURAL RESIDENTS.5) IMPROVE CARE COORDINATION AND CAREGIVER SUPPORT.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL IMPLEMENT THE FOLLOWING STRATEGIES:1) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE PUBLIC AWARENESS OF CANCER RISK, PREVENTION AND SCREENING.2) PARTICIPATE IN AND HOST EDUCATIONAL FORUMS AND SPECIAL EVENTS TO INCREASE AWARENESS OF RISK FACTORS AND PREVENTION ACTIVITIES.3) PROVIDE FREE OR REDUCED COST CANCER SCREENINGS FOR AT-RISK AND UNINSURED ADULTS.4) IMPROVE CAREGIVER SUPPORT THROUGH DEVELOPMENT OF A COMMUNITY RESOURCE GUIDE.3. CHRONIC DISEASE MANAGEMENT AND PREVENTIONTHE GOAL IS TO PROMOTE HEALTH AS A COMMUNITY PRIORITY AND INCREASE HEALTHY LIFESTYLE CHOICES.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HAS OUTLINED THE FOLLOWING OBJECTIVES:1) INCREASE RESIDENTS' KNOWLEDGE OF THEIR RISK FACTORS FOR DISEASE.2) COLLABORATE WITH COMMUNITY PARTNERS TO ENCOURAGE PHYSICAL ACTIVITY AMONG RESIDENTS.3) ADVOCATE FOR PLANNING AND POLICIES THAT PROMOTE HEALTH AS A COMMUNITY PRIORITY.4) REDUCE FOOD INSECURITY AND INCREASE COMMUNITY OPTIONS FOR HEALTHY FOODS.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL IMPLEMENT THE FOLLOWING STRATEGIES:1) PARTICIPATE IN HEALTH FAIRS AND COMMUNITY EVENTS TO PROVIDE EDUCATION FOR HEALTHY LIFESTYLES AND PREVENTION OF CHRONIC DISEASE.2) PROVIDE FREE SCREENINGS FOR HEALTH RISK FACTORS RELATED TO CHRONIC DISEASE.3) PROVIDE FREE MONTHLY DIABETES MANAGEMENT CLASSES AND PEDIATRIC NUTRITION CLASSES, OVERSEEN BY A REGISTERED DIETITIAN AND/OR COMMUNITY HEALTH NURSE.4) PROVIDE FREE TOBACCO CESSATION CLASSES.5) SPONSOR THE LOCAL FARMER'S MARKET AND PROVIDE MONTHLY HEALTH EDUCATION TO ATTENDEES.6) PROVIDE CPR AND FIRST AID TRAINING AND CERTIFICATION TO THE COMMUNITY.7) SPONSOR COMMUNITY AGENCIES AND PROGRAMS THAT ENCOURAGE HEALTHY, ACTIVE LIFESTYLES.8) HOST SUPPORT GROUPS FOR INDIVIDUALS WITH CHRONIC DISEASE.9) PARTNER WITH COMMUNITY AGENCIES TO EXPLORE CERTIFICATION AS A HEALTHY COMMUNITY.4. MATERNAL AND CHILD HEALTHTHE GOAL IS TO IMPROVE BIRTH OUTCOMES FOR WOMEN AND INFANTS.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY HAS OUTLINED THE FOLLOWING OBJECTIVES:1) INCREASE THE PROPORTION OF PREGNANT WOMEN IN RURAL COMMUNITIES WHO RECEIVE EARLY AND ADEQUATE PRENATAL CARE.2) REDUCE SMOKING AND RELATED RISK BEHAVIORS AMONG PREGNANT WOMEN.3) PROVIDE EARLY INTERVENTION FOR MOTHERS WHO USE SUBSTANCES KNOWN TO CAUSE NEONATAL ABSTINENCE SYNDROME (NAS).4) INCREASE THE PROPORTION OF INFANTS WHO ARE BREASTFED DURING THEIR FIRST 6 MONTHS.5) REDUCE DISPARITIES IN PRENATAL CARE AND BIRTH OUTCOMES.BAPTIST MEMORIAL HOSPITAL-UNION COUNTY WILL IMPLEMENT THE FOLLOWING STRATEGIES:1) PARTICIPATE IN COMMUNITY EVENTS TO PROVIDE EDUCATION AND RESOURCES FOR PRENATAL CARE, BREASTFEEDING AND NEWBORN EDUCATION.2) PROVIDE CHILDBIRTH EDUCATION AND PARENTING CLASSES FOR NEW PARENTS.3) PROVIDE BREASTFEEDING CLASSES AND SUPPORT TO NEW MOTHERS.4) PARTNER WITH COMMUNITY ORGANIZATIONS TO REDUCE TEEN PREGNANCY.WE RECOGNIZE THAT OUR HOSPITALS ARE VITAL ORGANIZATIONS WITHIN THE COMMUNITIES WE SERVE, AND WE KNOW THAT WE CANNOT ADDRESS EVERY COMMUNITY NEED BY OURSELVES. IN ORDER TO PROMOTE HEALTH AND QUALITY OF LIFE, WE COLLABORATE WITH COMMUNITY PARTNERS WHO HAVE EXPERTISE IN SOCIAL NEEDS, SPECIALTY SERVICES, FAITH LEADERSHIP, ADVOCACY AND ESSENTIAL RESOURCES. WE ALSO FOSTER ONGOING RELATIONSHIPS WITH THESE PARTNERS AND PROVIDE FINANCIAL AND IN-KIND GIFTS TO SUPPORT THEIR WORK.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL DID THE FOLLOWING DURING FY'20 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:- PROVIDED EDUCATIONAL INFORMATION AND RESOURCES FOR DEPRESSION AND MENTAL HEALTH AT HEALTH FAIRS.- HOSTED AN ANNUAL FREE COMMUNITY HEALTH FAIR TO PROVIDE FREE SCREENINGS INCLUDING BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, PSA, AND BONE DENSITY AS WELL AS FREE FLU VACCINATIONS.- PROVIDED FREE "STOP THE BLEED" CLASSES TO AREA BUSINESSES AND ORGANIZATIONS.- OFFERED COMMUNITY CPR CLASSES FOR RESIDENTS, BUSINESSES, CLINICS, INDUSTRIES, AND OTHER ORGANIZATIONS.- HOSTED QUARTERLY BLOOD DRIVES.- PROVIDED FREE SPORTS CHECK-UPS AND SCREENINGS FOR AREA SCHOOL ATHLETES.- PROVIDED EDUCATIONAL PROGRAMS AT AREA SCHOOLS, INCLUDING HEART HEALTH, HAND HYGIENE, NUTRITION, AND PERSONAL HYGIENE.- PARTICIPATED IN HEALTH FAIRS AND INFORMATIONAL BOOTHS TO PROVIDE HEALTH INFORMATION AND SCREENINGS (BLOOD PRESSURE, BMI, MEN'S HEALTH, NUTRITION, DIABETES, MAMMOGRAPHY, PSA, ETC.) AND PROMOTE HEALTHY LIFESTYLES.- PARTICIPATED IN THE UNION COUNTY COMMUNITY HELPER DAY, PROVIDING HEALTHY LIFESTYLE EDUCATION TO PRE-KINDERGARTEN AND FIRST GRADE STUDENTS.- PARTNERED WITH FIRST CHOICE, A TEEN PREGNANCY RESOURCE CENTER, TO ADDRESS THE PREVENTION OF TEEN PREGNANCY AND ASSIST PREGNANT TEENS.- PROVIDED MATERNAL AND CHILD HEALTH CLASSES AND PRESENTATIONS ON TOPICS, INCLUDING CHILD BIRTHING, BREASTFEEDING, WOMEN'S HEALTH, CAR SEAT SAFETY, IMMUNIZATIONS, AND NEW PARENTS.- PROVIDED DIABETES MONTHLY MANAGEMENT CLASSES.- PROVIDED "MEDICAL MINUTE" SEGMENTS TO INCREASE AWARENESS OF SEPSIS, MAMMOGRAPHY, BREAST CANCER, MELANOMA, WELLNESS CHECK-UPS, AND OTHER HEALTH INITIATIVES.- SPONSORED COMMUNITY AGENCIES/EVENTS, INCLUDING THE AGAPE FREE CLINIC, NEW ALBANY POLICE DEPARTMENT DRUG-PREVENTION PROGRAM, NORTHEAST UNION FIRE DEPARTMENT'S FIRE SAFETY PROGRAM, AMERICAN CANCER SOCIETY RELAY FOR LIFE, AMERICAN RED CROSS, JUNIOR AUXILIARY, REGIONAL REHABILITATION, AND BOYS & GIRLS CLUB.- HOSTED AN ANNUAL BACK TO SCHOOL HEALTH FAIR FEATURING SCHOOL SUPPLIES, SAFETY AWARENESS, AND HEALTH EDUCATION.- PROVIDED CLINICAL ROTATIONS FOR NEW ALBANY/UNION COUNTY ALLIED HEALTH STUDENTS.- PROVIDED FREE FLU VACCINATIONS FOR EMERGENCY RESPONDERS IN THE COMMUNITY.- HOSTED A FOOD DRIVE TO COLLECT FOOD AND MONIES FOR THE GOOD SAMARITAN CENTER TO FEED NEEDY FAMILIES AND ASSIST WITH UTILITIES.- PROVIDED TOBACCO CESSATION CLASSES ON-SITE AT LOCAL INDUSTRIES.- HOSTED A SUPER SITTER CLASS TO TEACH TEENS IMPORTANT INFORMATION FOR BABYSITTING, INCLUDING CPR, FIRST AID, AND AGE-APPROPRIATE FOODS AND ACTIVITIES. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY PART V, SECTION B, LINE 13B: 1. MONEY INCOME INCLUDING: EARNINGS, UNEMPLOYMENT COMPENSATION, WORKERS' COMPENSATION, SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, DISABILITY PAYMENTS, PUBLIC ASSISTANCE, VETERANS' PAYMENTS, SURVIVOR BENEFITS, PENSION OR RETIREMENT INCOME, INTEREST, DIVIDENDS, RENTS, ROYALTIES, INCOME FROM ESTATES AND/OR TRUSTS, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES OF INCOME. THE GROSS AMOUNT IS USED WHEN CALCULATING INCOME FROM ANY OF THE PRECEDING SOURCES. 2. NON-CASH BENEFITS, SUCH AS FOOD STAMPS AND HOUSING SUBSIDIES, DO NOT COUNT AS INCOME.3. IF A PERSON LIVES WITH A FAMILY, THE TOTAL GROSS INCOME OF ALL FAMILY MEMBERS IS CALCULATED WHEN DETERMINING INCOME. PLEASE NOTE: (A) NON-RELATIVES, INCLUDING HOUSEMATES, DO NOT COUNT; (B) A CHILD WHO IS A FULL-TIME STUDENT AWAY FROM HOME AT AN ACCREDITED COLLEGE MAY BE COUNTED; (3) MINOR CHILDRENS' EARNED WAGES ARE NOT INCLUDED IN DETERMINING INCOME; AND (D) COURT-ORDERED OR STATE/FEDERAL ISSUED ASSISTANCE RELATED TO A MINOR SHOULD BE INCLUDED IN DETERMINING INCOME.4. PRIMARY RESIDENCE OF INDIVIDUALS CLAIMED IN A FAMILY UNIT SHOULD BE VERIFIED USING TAX RETURNS OR FEDERAL, STATE OR GOVERNMENTAL COURT DOCUMENTS INDICATING RESIDENCY. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY: PART V, SECTION B, LINE 16A: THE FAP FOR BAPTIST MEMORIAL HOSPITAL-UNION COUNTY CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCEBAPTIST MEMORIAL HOSPITAL-UNION COUNTY:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FOR BAPTIST MEMORIAL HOSPITAL-UNION COUNTY CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCEBAPTIST MEMORIAL HOSPITAL-UNION COUNTY:PART V, SECTION B, LINE 16C: THE PLAIN LANGUAGE SUMMARY OF THE FAP FOR BAPTIST MEMORIAL HOSPITAL-UNION COUNTY CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE PART I, LINE 3C: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR FREE OR REDUCED CARE FOR LOW INCOME AND MEDICALLY INDIGENT INDIVIDUALS. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. USES MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PREPARED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION (EIN: 58-1521475), THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. 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 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 EFFORT 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. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART II, COMMUNITY BUILDING ACTIVITIES: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES ITSERVES. BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. IS ALSO INVOLVED IN LOCAL COMMUNITY AND NON-PROFIT ORGANIZATIONS SUCH AS THE AMERICAN CANCERSOCIETY, RACE FOR THE CURE, WALK AMERICA, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, INC., AND MANY OTHERS. NOT ONLY DO WE PROVIDE MONETARY DONATIONS, BUT OUR EMPLOYEES ARE ACTIVE VOLUNTEERS IN THESE WORTHY CAUSES. PART III, LINE 2: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC.'S BAD DEBT EXPENSE WAS DETERMINED AS FOLLOWS:A BAD DEBT REPORT IS RUN TO PULL ALL PATIENTS THAT HAVE BEEN MOVED TO A BAD DEBT ACCOUNT LOCATION. WE THEN 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 LOCATION. WE MULTIPLY THE RESULTING RATIO BY THE TOTAL COST OF THE SAME PATIENT POPULATION WHICH PROVIDES US WITH THE COST ASSOCIATED WITH THE TOTAL AMOUNT OF THE ACCOUNT BALANCE MOVED TO BAD DEBT STATUS. PART III, LINE 3: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FINANCIAL ASSISTANCE POLICY WAS DETERMINED AS FOLLOWS:WE IDENTIFY THE PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FINANCIAL ASSISTANCE POLICY. THIS INFORMATION IS INCLUDED IN THE PATIENT'S RECORD. WE ALSO INCLUDE PATIENTS WHO REFUSE TO COMPLETE THE FINANCIAL ASSISTANCE PAPERWORK. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, IF INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, OR WHEN A SELF-PAY MINIMUM DISCOUNT NOTE IS ENTERED IN THE PATIENT RECORD, WE RUN A REPORT WHICH PROVIDES US THE COST ASSOCIATED WITH THE TOTAL AMOUNT OF BAD DEBT ATTRIBUTABLE TO THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART III, LINE 4: BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC., HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL PROVIDERS.THERE IS NOT A SEPARATE BAD DEBT EXPENSE FOOTNOTE IN BAPTIST MEMORIAL HEALTH CARE CORPORATION'S COMBINED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE SHORTFALL, IF ANY, IS NOT TREATED AS COMMUNITY BENEFIT.WE CANNOT GET THE PAYMENT AND MEDICARE ALLOWABLE COST INFORMATION FROM THE COST REPORT IN THE FORMAT WE NEED. THEREFORE, WE TAKE THE FOLLOWING STEPS. 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: THE HOSPITAL'S COLLECTION AGENCY WILL DETERMINE IF THE PATIENT HAS A FINANCIAL ASSISTANCE APPLICATION ON FILE AND WAS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE BY THE HOSPITAL. IF IT WAS DETERMINED THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THEN THE COLLECTION AGENCY WILL REVIEW THE REMAINING UNPAID BALANCE AFTER THE APPLICATION OF THE FINANCIAL ASSISTANCE DISCOUNT, AND PURSUE APPROPRIATE COLLECTION EFFORTS. DEPENDING UPON THE CIRCUMSTANCES AT THE TIME, THE ENTIRE AMOUNT OWED MAY BE WRITTEN OFF. PART VI, LINE 2: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC., 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 THE HEALTH SERVICES RESEARCH DEPARTMENT IS YACOUBIAN RESEARCH, INC.'S COMMUNITY OPINION SURVEY. THIS IS A QUARTERLY RANDOM-DIGIT DIALING TELEPHONE SURVEY.SURVEYS INCLUDE QUESTIONS ASKING RESPONDENTS 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 (WHICHEVER 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 PHYSICIANS 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 OFFICER 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 ONLINE 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 ELIGIBILITY 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. IN ADDITION, THE PATIENT MAY OBTAIN INFORMATION AS FOLLOWS:(A) A COPY IS GIVEN TO THE PATIENT DURING THE ADMISSIONS AND/OR DISCHARGE PROCESS FOR EACH VISIT FOR MEDICAL TREATMENT.(B) A COPY IS SENT WITH THE FIRST POST-DISCHARGE BILLING STATEMENT.(C) COPIES ARE POSTED AND AVAILABLE UPON REQUEST AT ALL ADMISSIONS, EMERGENCY AND BUSINESS OFFICE DEPARTMENT AREAS AT ALL BAPTIST MEMORIAL HEALTH CARE CORPORATION FACILITIES.(D) COPIES ARE ALSO AVAILABLE FOR DOWNLOAD AND PRINTING ONLINE ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION WEBSITE UNDER "FINANCIAL ASSISTANCE OR BY CONTACTING THE FACILITY WHERE SERVICES WERE RECEIVED AND REQUESTING A COPY BY MAIL OR EMAIL AT FAP@BMHCC.ORG.(E) COPIES OF ALL FINANCIAL ASSISTANCE POLICY DOCUMENTS WILL BE PROVIDED ELECTRONICALLY TO ANY INDIVIDUAL WHO INDICATES THAT IS THEIR PREFERENCE. PART VI, LINE 4: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. SERVICES THE UNION COUNTY, MISSISSIPPI AREA. SOME PATIENTS COME FROM OTHER MISSISSIPPI COUNTIES SURROUNDING THE UNION COUNTY AREA. THE AFRICAN AMERICAN COMMUNITY COMPRISES ABOUT 15.9% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 4.5%, AND CAUCASIANS ARE ABOUT 76.1%.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, INC.'S PRIMARY MARKET SERVICE AREA HAS 86,014 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 346,570 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 5: THE HOSPITALS HAVE OPEN MEDICAL STAFFS, COMMUNITY BOARD INVOLVEMENT, SUPPORT SERVICES, FREE AND/OR REDUCED MAMMOGRAMS, HEALTH FAIRS, DONATION OF SUPPLIES AND MONEY, AND MANY OTHER THINGS. PART VI, LINE 6: BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. IS AN AFFILIATE OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE SOLE MEMBER OF A NUMBER OF HOSPITALS, MINOR MEDICAL CENTERS, HOME CARE AND HOSPICE SERVICES, AND PHYSICIAN SERVICES IN WEST TENNESSEE, NORTH MISSISSIPPI, AND EAST ARKANSAS. EACH FACILITY PROVIDES HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITIES SERVED. 1 1 0 0 0 0 0 0 0 JASON M LITTLE PRESIDENT 0 1032027 0 681922 0 106962 0 40000 0 36548 0 1897459 0 0 PAUL D DEPRIEST MD VICE PRESIDENT 0 727904 0 390364 0 146995 0 35500 0 30547 0 1331310 0 0 GREGORY M DUCKETT SECRETARY 0 441273 0 206822 0 80644 0 44063 0 25909 0 798711 0 0 WALTER J GRACE CEO (THRU 11/19) 0 169244 0 0 0 70899 0 22929 0 12593 0 275665 0 0 JAMES A GRANTHAM CEO (AS OF 11/19) 0 147223 0 0 0 29494 0 26702 0 22365 0 225784 0 0 RANDY WHITE CNO (THRU 02/20) 120671 0 0 0 4754 0 16565 0 22838 0 164828 0 0 0 ROBERT S HATCHER PHARMACIST 101926 0 0 0 572 0 28866 0 28406 0 159770 0 0 0 LARRY RAMSEY PHARMACIST 111501 0 0 0 272 0 15675 0 29236 0 156684 0 0 0 KIMBERLY D HIGH CFO 120655 0 0 0 496 0 16619 0 17873 0 155643 0 0 0 PART I, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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 4A: UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM THE ORGANIZATION. SEVERANCE PAYMENTS WERE MADE DURING CALENDAR YEAR 2019 TO THE FOLLOWING LISTED PERSON(S) IN PART VII: WALTER J. GRACE - $27,320 PART 1, LINE 4B: ELIGIBLE EXECUTIVES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY PERSONS LISTED IN PART VII. 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 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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: GREGORY M. DUCKETT JASON M. LITTLE PAUL D. DEPRIEST, MD JAMES A. GRANTHAM FORM 990, PART VI, SECTION A, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC., 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, INC. IS A NON-PROFIT, 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, INC., APPOINTS 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, 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 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, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. MAKES COPIES OF ITS FORM 1023, FORM 990, AND FORM 990-T AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 19 BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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 JASON M. LITTLE - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. PAUL D. DEPRIEST, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. DR. JOHN STANFORD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,579,468. MANAGEMENT AND GENERAL EXPENSES 528,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,107,793. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,068,406. MANAGEMENT AND GENERAL EXPENSES 423,650. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,492,056. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,233,077. MANAGEMENT AND GENERAL EXPENSES 252,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,485,635. FORM 990, PART XII, LINE 2C: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, 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 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) 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST MINOR MEDICAL CENTERS INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621538114 NON-EMERGENCY CLINICS TN 501(C)(3) 3 BAPTIST MEMORIAL MEDICAL GROUP INC 1 BAPTIST NURSING HOME - CALHOUN INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 813655778 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 12 TYPE I BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST PATIENT SAFETY SYSTEM INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 453032372 ESTABLISH, MAINTAIN & MANAGE A PATIENT SAFETY ORGANIZATION TN 501(C)(3) 11 BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BMG FAMILY PHYSICIANS GROUP FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 461953140 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 3 BAPTIST MEMORIAL MEDICAL GROUP INC 1 BOSTON BASKIN CANCER FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 453303607 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 3 BAPTIST MEMORIAL MEDICAL GROUP INC 1 GASTROINTESTINAL SPECIALISTS FOUNDATION INC 80 HUMPHREYS CENTER MEMPHIS TN 381202177 352461541 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 3 BAPTIST MEMORIAL MEDICAL GROUP INC 1 INTEGRITY ONCOLOGY FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS 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GROUP INC 1 BAPTIST - DESOTO SURGERY CENTER LP 310 SEVEN SPRINGS WAY SUITE 500 BRENTWOOD TN 37027 200804946 AMBULATORY SURGERY MS N/A BAPTIST - EMSC LP 80 HUMPHREYS CENTER SUITE 101 MEMPHIS TN 38120 621846584 AMBULATORY SURGERY TN N/A BAPTIST MEMORIAL REHABILITATION HOSPITAL GP 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 461613457 REHABILITATION SERVICES TN N/A BMH NORTH MISSISSIPPI IMAGING SERVICES LLC 504 AZALEA DRIVE OXFORD MS 38655 262641267 DIAGNOSTIC SERVICES MS N/A BAPTIST OUTPATIENT IMAGING LLC 1107 HIGHLAND COLONY PKWY SUITE 209 RIDGELAND MS 39157 452968057 DIAGNOSTIC SERVICES MS N/A BAPTIST AND PHYSICIANS' OUTPATIENT SURGERY CENTER OF N MISSISSIPPI LP 310 SEVEN SPRINGS WAY SUITE 500 BRENTWOOD TN 37027 640925692 AMBULATORY SURGERY MS N/A BAPTIST STERN CARDIOVASCULAR CO-MANAGEMENT LLC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 820605766 MEDICAL MANAGEMENT TN N/A BAPTIST - UCH INSTITUTE FOR PLASTIC AND RECONSTRUCTIVE SURGERY LLC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 821046465 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