2020-08-14T09:50:09-05:00 2019-09-30 861065772 DELOITTE TAX LLP 1033 DEMONBREUN STREET SUITE 400 NASHVILLE TN 37203 990 2018-10-01 621166050 BAPTIST MEMORIAL HOSPITAL- HUNTINGDON INC BAPT 7319867280 631 RB WILSON DRIVE HUNTINGDON TN 38344 JASON M LITTLE PRESIDENT 9012275117 2020-08-12 1 FRANCIS J BEDARD P00752421 6152591800 73.145.185.187 2020-08-12 14:43:28 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 83E387FBD1AB6D18D445BB5A405FBA040310C20C 2018 2020-09-23 17:36:50Z BAPTIST MEMORIAL HOSPITAL-CARROLL CO JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 18391430 0 X WWW.BAPTISTONLINE.ORG/HUNTINGDON X 1984 TN BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. 5 5 256 22 3492 -551 21103 0 12344661 18419579 104769 92554 253515 -198768 12724048 18313365 3460 0 0 0 9377040 11833879 0 0 0 8433439 10262057 17813939 22095936 -5089891 -3782571 9147496 11080883 44013591 48606951 -34866095 -37526068 X BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. 0 0 20105888 0 18067808 BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. (D/B/A BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY) 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-HUNTINGDON, 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, BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. PROVIDES THE FOLLOWING:- FREE CARE AND/OR SUBSIDIZED CARE WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY CO-EXIST,- 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 PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT SERVICES. BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. SERVICED 1,247 INPATIENTS, AND PROVIDED MORE THAN 26,430 OUTPATIENT REGISTRATIONS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019.DURING THE FISCAL YEAR, BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC.'S PROGRAM SERVICES PRODUCED THE FOLLOWING RESULTS, INCLUDING OUR SENIOR CARE UNIT WHICH IS A GERIATRIC BEHAVIORAL CARE UNIT THAT WE OPENED OCTOBER 1, 2015:- SKILLED NURSING HAD 6,645 PATIENT DAYS AND PERFORMED 17,926 PROCEDURES AT A COST OF $6,883,745.- THE PHARMACY DEPARTMENT DISPENSED 394,549 DOSES OF MEDICATION AT A COST OF $972,176.- THE RADIOLOGY DEPARTMENT PERFORMED 26,189 PROCEDURES AT A COST OF $2,172,190.- THE REHABILITATION DEPARTMENT HAD 48,673 TIME UNITS AT A COST OF $1,066,524.- THE LABORATORY DEPARTMENT PERFORMED 49,725 PROCEDURES AT A COST OF $965,113.BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH THE HOSPITAL RECEIVES PAYMENT 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-HUNTINGDON, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $66,066,142.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. HAS PROVIDED A NUMBER OF SERVICES IN THE COMMUNITY, SOME OF WHICH INCLUDE THE FOLLOWING:- DEVELOPED NEWSPAPER ARTICLES THAT PROVIDE THE PUBLIC WITH ONGOING MEDICAL CARE INFORMATION.- MAINTAINED A FACEBOOK PAGE FOR PROVIDING THE PUBLIC WITH ONGOING MEDICAL CARE INFORMATION, SERVICES, AND DONATIONS.- PROVIDED A FREE HEALTH FAIR FOR THE PUBLIC THAT PROVIDED MEDICAL CARE INFORMATION AND FREE SCREENINGS: COMMUNITY HEALTH FAIR.- PROVIDED FREE CARDIAC WELLNESS INFORMATION FOR WOMEN (GO RED FOR WOMEN BOOTH) DURING FEBRUARY IN RECOGNITION OF CARDIAC MONTH.- PROVIDED GIFT/SERVICE RECOVERY ITEMS FOR THE ENHANCEMENT OF CUSTOMER SATISFACTION.- PROVIDED FREE BLOOD PRESSURE/BLOOD SUGAR/CHOLESTEROL SCREENS, HEALTH FAIRS AND POP SOCKETS TO AREA COMMUNITIES THROUGHOUT THE YEAR WHEN REQUESTED.- HOME CARE AND HOSPICE DIVISION SPONSORED HEALTH FAIRS FOR LOCAL COMMUNITIES.BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. ALSO PARTICIPATED IN THE FOLLOWING:- BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. AND BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES, INC. SPONSORED BOOTHS AT THE BUSINESS EXPO TO HELP EDUCATE THE PUBLIC ON SERVICES AVAILABLE AS WELL AS TO PROVIDE MEDICAL INFORMATION TO TAKE HOME.- PARTICIPATED IN THE PARTNERS IN EDUCATION PROGRAM WITH HUNTINGDON MIDDLE SCHOOL AND PROVIDED BASIC HEALTH CHECKS FOR STUDENTS PARTICIPATING IN SCHOOL CONFERENCES AND COMMUNITY PROJECTS.- HOSTED A SPEAKERS BUREAU COMPOSED OF HOSPITAL PHYSICIANS, MANAGEMENT AND PROFESSIONAL PERSONNEL AVAILABLE TO SPEAK ON HEALTH CARE RELATED TOPICS DURING THE YEAR TO BUSINESSES, CLUBS, GROUPS, ORGANIZATIONS AND SCHOOLS.- PROVIDED CONSULTATION AND ASSISTANCE TO THE ELDERLY IN DEALING WITH PROBLEM MEDICAL BILLS.- PROVIDED JOB SHADOWING (ON-THE-JOB OBSERVANCE PROGRAM) FOR PROSPECTIVE MEDICAL CAREER STUDENTS.- SERVED AS A TRAINING SITE FOR SEVERAL LOCAL COLLEGES AND UNIVERSITIES FOR HEALTH CARE CAREERS, I.E. RN, LPN, EMS, PT, PTA, RADIOLOGY, AND PHARMACY.- HOSTED FREE MENTAL HEALTH AND FIRST AID TRAINING FOR THE COMMUNITY.BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, 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 THE HOSPITAL SUPPORTED THROUGH ITS VOLUNTEERS:- CONDUCTED HOSPITAL TOURS FOR LOCAL SCHOOLS AND GROUPS- AMERICAN CANCER SOCIETY - RELAY FOR LIFE- GO RED FOR WOMEN FOR HEART DISEASE- HEALTH FAIRS AT LOCAL SCHOOLS (CLARKSBURG SCHOOL AND MCKENZIE MIDDLE SCHOOL)- CARROLL COUNTY CHAMBER VOLUNTEERS- FEED AMERICA FIRST PROGRAM- TEEN SUMMIT HEALTH COUNCIL SPONSORSHIP- PATIENT ADVISORY COUNCIL PARTICIPATION- HABITAT FOR HUMANITY GALA SPONSORSHIP- CARROLL COUNTY BUSINESS EXPO SPONSORSHIP IN PARTNERSHIP WITH BAPTIST MEMORIAL MEDICAL GROUP, INC.- HOSPITAL VOLUNTEERS DONATED HOURS TOWARD THE COMMON PURPOSE OF PROVIDING FOR THE HEALTH CARE NEEDS OF OUR COMMUNITY.- BRUCETON IN MAY COMMUNITY SPONSOR OF 5K RUN- HUNTINGDON HERITAGE FESTIVAL BLOOD PRESSURE CHECKS BOOTH- PROVIDED FREE DIETARY CONSULTS TO PATIENTS AND COMMUNITY- MCKENZIE SCHOOLS BAND COMPETITION BOOTH TO PROVIDE LIFE SAVING INFORMATION AND TIPS--MCKENZIE SWEET TEA FESTIVAL VOLUNTEERSBAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. ALSO CONTRIBUTED TO NUMEROUS OTHER COMMUNITY ORGANIZATIONS AND ACTIVITIES THROUGH DIRECT FINANCIAL SUPPORT AND DONATED USE OF HOSPITAL FACILITIES. SOME OF THESE ARE AS FOLLOWS:DIRECT SUPPORT:- CLARKSBURG HEALTH FAIR- TUITION ASSISTANCE PROGRAM TO COMMUNITY FOR MEDICAL CAREERS- BUSINESS EXPO- GREAT AMERICAN SMOKE OUT CAMPAIGN- VOLUNTEER TEA- JOB SHADOWING WITH CARROLL COUNTY SCHOOLS AND LOCAL COLLEGES THROUGHOUT THE YEAR.- CHRISTMAS ANGEL SPONSORSHIPS OF 5 FAMILIES FROM CARROLL COUNTY SPECIAL SCHOOL DISTRICTS- HOSA (HEALTH OCCUPATIONS SOCIETY OF AMERICA)- CLINICAL FOR BETHEL UNIVERSITY, UTM/PARSONS, JSCC, AND UNION UNIVERSITY, TENNESSEE TECHNOLOGY (PARIS, JACKSON, LEXINGTON) STUDENTS- PRECEPTOR SITE FOR JACKSON STATE COMMUNITY COLLEGE- GRIEF SHARE PROGRAM- PARTNER IN EDUCATION BANQUET FOR HUNTINGDON MIDDLE SCHOOL - CARROLL COUNTY TECHNICAL CENTER- AMERICAN CANCER SOCIETY- TEEN SUMMIT HEALTH COUNCIL- CARL PERKINS CHILD ABUSE PREVENTION- CARROLL COUNTY SHERRIFF'S DEPARTMENT- HABITAT FOR HUMANITY- COMMUNITY EVENTS SUCH AS HUNTINGDON HERITAGE FESTIVAL, BRUCETON IN MAY FESTIVAL, MCKENZIE SWEET TEA FESTIVAL, MCKENZIE SCHOOLS MARCHING BAND COMPETITION, HUNTINGDON MARCHING BAND, AND MANY MORE.- CARROLL COUNTY CHAMBER OF COMMERCE- CARROLL COUNTY TECHNICAL CENTER COMMUNITY USE OF FACILITIES DONATED FOR:- WOMEN'S CLUB- MINISTERIAL ALLIANCE- HOSPICE VOLUNTEERS- RIGHT TO LIFE- DIABETIC EDUCATION CLASSES- CHILD FATALITY REVIEW BOARD- JUNIOR WOMEN'S CLUB- CARROLL COUNTY INDIGENT CARE BOARD- COMMUNITY ADVISORY BOARD- GIDEON'S- CARROLL COUNTY HEALTH COUNCIL- AMERICAN CANCER SOCIETY - RELAY FOR LIFE 20105888 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 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 0 256 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 5 5 1 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 X SHARRON HOLLAND 7319867282 631 RB WILSON DRIVE HUNTINGDON TN 38344 DR LEE NICHOLSON DIRECTOR 0.23 0.00 X 0 0 0 JOHN WRIGHT DIRECTOR (AS OF 1/19) 0.23 0.00 X 0 0 0 MICHAEL CARY DIRECTOR 0.23 0.75 X 0 0 0 NATALIE PORTER DIRECTOR 0.23 0.00 X 0 0 0 THELMA TRAUT CHAIRMAN 0.23 0.00 X 0 0 0 GREGORY M DUCKETT SECRETARY 0.23 39.77 X 0 576210 74991 JASON M LITTLE PRESIDENT 0.23 39.77 X 0 1248199 73929 KIMBERLY SANDERS CNO 40.00 0.00 X 81405 0 35251 SHARRON HOLLAND CFO 40.00 0.00 X 74496 0 50147 SUSAN M BREEDEN CEO 40.00 0.00 X 0 224357 44749 NINA R SMOTHERS PHARMACY DIRECTOR 40.00 0.00 X 140440 0 30881 STEPHANIE SLACK ALLEN NURSE PRACTITIONER 40.00 0.00 X 145589 0 6065 441930 2048766 316013 2 0 1 0 TEAM HEALTH PO BOX 740023 CINCINNATI OH 45274 PHYSICIAN SERVICES 694520 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 MANAGEMENT SERVICES 299031 WEST TENNESSEE ANESTHESIA 17C BRENTSHIRE SQ JACKSON TN 38305 ANESTHESIA SERVICES 178260 RYBAR GROUP INC 3150 OWEN RD FENTON MI 48430 HEALTH CARE CONSULTANTS 105751 4 PATIENT SERVICE REV. 622110 18419579 18419579 18419579 1120 1120 147722 0 147722 147722 147722 169499 78065 91434 91434 91434 CLINIC BILLING REVENUE 900099 124413 124413 0 CAFETERIA REVENUE 722320 95650 0 3492 92158 CLINIC REVENUE 621610 -567618 -567618 0 1065 1065 -346490 18313365 18067808 3492 242065 235337 211803 23534 9066057 8159451 906606 245917 221325 24592 1666403 1499763 166640 620165 558148 62017 2514 2514 2169935 1952942 216993 13252 11927 1325 629463 566517 62946 698507 628656 69851 25967 10387 15580 18370 7348 11022 6168 5551 617 775104 697594 77510 69111 62200 6911 CORPORATE MGMT FEE 2067744 1860970 206774 MEDICAL SUPPLIES 1896707 1896707 0 REPAIRS AND MAINTENANCE 1113267 1001940 111327 MEDICAID ASSESSMENT 543060 543060 0 232888 209599 23289 22095936 20105888 1990048 0 1000 1500 587508 886962 0 0 1961080 3248886 0 0 0 0 3051 74184 466488 523230 70603 129813 24186618 17993343 6019100 6193275 18498 23033 0 0 20168 9147496 11080883 846335 1062207 0 39573 0 0 0 0 0 0 0 0 0 0 0 43127683 47544744 44013591 48606951 X -34866095 -37526068 -34866095 -37526068 9147496 11080883 X -3782571 1122598 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 2514 2514 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 MEMBER'S 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. 243350 243350 15052669 10892558 4160111 159313 21241 138072 8225759 6638506 1587253 505527 441038 64489 6193275 DUE TO AFFILIATES 47386601 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 47569 LONG TERM CAPITAL LEASE 110574 47544744 X PART X, LINE 2: FROM THE COMBINED AUDITED FINANCIAL STATEMENTS OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND AFFILIATES: AS OF SEPTEMBER 30, 2019, 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 2014 (FISCAL YEAR ENDED SEPTEMBER 30, 2015). 1 1 X 1 X 1 X 1 1 1 0 1 1 986946 0 986946 0.04470 3395046 1808027 1587019 0.07180 21761 9333 12428 0.00060 4403753 1817360 2586393 0.11710 4736 0 4736 0.00020 500 0 500 0.00000 9021086 8183204 837882 0.03790 10503 0 10503 0.00050 9036825 8183204 853621 0.03860 13440578 10000564 3440014 0.15570 6397 6397 0.00030 6397 6397 0.00030 1 128617 86163 3152800 3483739 -330939 X 1 1 1 1 BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY 631 RB WILSON DR HUNTINGDON TN 38344 WWW.BAPTISTONLINE.ORG/HUNTINGDON/ 0000000010 X X X BAPTIST MEMORIAL HOSPITAL-CARROLL 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-CARROLL COUNTY PART V, SECTION B, LINE 5: THE 2018 CHNA FOR BAPTIST'S WEST TENNESSEE 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 36 COMMUNITY REPRESENTATIVES SERVING THE WEST TENNESSEE 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 WEST TENNESSEE 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 2019 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:ARKANSAS STATE UNIVERSITYBANCORPSOUTHBOYS & GIRLS CLUBS OF NORTHWEST TENNESSEECARROLL COUNTY NEWS LEADERCARROLL COUNTY OFFICE ON AGING/SENIOR CENTERCIRCUIT COURT 24TH JUDICIAL DISTRICTCITY OF CLARKSBURGCITY OF SOUTH FULTONCITY OF UNIONELAM GLASGOW AND CHISMGRACE HOUSE OF MEMPHISHUNTINGDON INSURANCE AGENCYKIWANIS CLUB OF UNION CITYLE BONHEURLIFE CARE CENTER BRUCETONOBION COUNTY JOINT ECONOMIC DEVELOPMENT COUNCILOBION COUNTY PUBLIC LIBRARYOBION COUNTY SENIOR CITIZENS ASSOCIATIONOBION REGIONAL LIBRARYOPTUS, INC.SIMMONS BANKTENNESSEE STATE LIBRARY & ARCHIVESTENNESSEE MEDICAL FOUNDATIONTWIN OAKS TECHNOLOGY LLCTYSON FOODSUNION CITY SCHOOLSUNION CITY URGENT CAREVITALANTWHITE & ASSOCIATES INSURANCE BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY PART V, SECTION B, LINE 6A: BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY CONDUCTED ITS CHNA WITH BAPTIST MEMORIAL HOSPITAL-UNION CITY. BAPTIST MEMORIAL HOSPITAL-CARROLL 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 WEST TENNESSEE 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-CARROLL 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-CARROLL 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-CARROLL COUNTY WILL IMPLEMENT THE FOLLOWING STRATEGIES:1) PROVIDE SCREENINGS FOR DEPRESSION AND OTHER MENTAL HEALTH CONDITIONS.2) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AWARENESS OF BEHAVIORAL HEALTH, SUICIDE PREVENTION AND AVAILABLE SERVICES.3) SPONSOR COMMUNITY ORGANIZATIONS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SUPPORT SERVICES.4) HOST GRIEF SHARE SUPPORT GROUPS FOR INDIVIDUALS COPING WITH LOSS AND BEREAVEMENT.5) PROVIDE CRISIS INTERVENTION TRAINING FOR FIRST RESPONDERS.6) PARTICIPATE IN AND HOST EDUCATIONAL FORUMS AND EVENTS TO INCREASE AWARENESS AND SUPPORT FOR ALZHEIMER'S DISEASE.7) PARTICIPATE IN THE ANNUAL TEEN SUMMIT TO PROVIDE EDUCATION ON SUBSTANCE USE, TEEN PREGNANCY AND SUICIDE PREVENTION.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-CARROLL COUNTY HAS OUTLINED THE FOLLOWING OBJECTIVES:1) INCREASE AWARENESS OF BENEFITS OF GENETIC TESTING AND EARLY SCREENING 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-CARROLL 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 HEALTH FAIRS TO INCREASE AWARENESS OF CANCER RISK FACTORS AND PREVENTION ACTIVITIES.3) USE MEDIA OPPORTUNITIES TO INCREASE AWARENESS OF CANCER SCREENINGS AND SERVICES.3. CHRONIC DISEASE MANAGEMENT AND PREVENTIONTHE GOAL IS TO PROMOTE HEALTH AS A COMMUNITY PRIORITY AND INCREASE HEALTHY LIFESTYLE CHOICES.BAPTIST MEMORIAL HOSPITAL-CARROLL 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-CARROLL 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) COLLABORATE WITH COMMUNITY PARTNERS TO SPONSOR EVENTS PROMOTING PHYSICAL ACTIVITY.4) PROVIDE DIABETES PREVENTION AND MANAGEMENT PROGRAMS FOR NEWLY DIAGNOSED PATIENTS.5) PROVIDE SMOKING CESSATION CLASSES AND COMMUNITY EDUCATION FOR ADULT SMOKERS.4. MATERNAL AND CHILD HEALTHTHE GOAL IS TO IMPROVE BIRTH OUTCOMES FOR WOMEN AND INFANTS.BAPTIST MEMORIAL HOSPITAL-CARROLL 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-CARROLL COUNTY WILL IMPLEMENT THE FOLLOWING STRATEGIES:1) PARTNER WITH THE CARROLL COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY AGENCIES TO INCREASE AWARENESS OF PRENATAL CARE SERVICES AND PROVIDE BREASTFEEDING EDUCATION.2) PROVIDE SMOKING CESSATION CLASSES FOR PREGNANT WOMEN AND WOMEN PLANNING FOR PREGNANCY.3) USE MEDIA OPPORTUNITIES TO INCREASE EDUCATION AND PREVENTION OF 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.NO ACTIONS WERE TAKEN DURING THE TAX YEAR RELATED TO THE MOST RECENT CHNA BECAUSE THE CHNA WAS ADOPTED AT THE END OF THE TAX YEAR. HOWEVER, THE FOLLOWING ACTIONS WERE TAKEN DURING THE FISCAL YEAR RELATED TO THE PRIOR CHNA.- HOSTED THE TEEN SUMMIT HEALTH COUNCIL, SUPPORTING HEALTHY LIFESTYLES AMONG TEENS IN LOCAL SCHOOL DISTRICTS BY PROVIDING EDUCATION AND PROGRAMMING.- PROVIDED CAREGIVER SUPPORT GROUPS FOR INDIVIDUALS PROVIDING CARE FOR PATIENTS WITH ALZHEIMER'S/DEMENTIA. - PARTICIPATED IN HEALTH FAIRS AND INFORMATIONAL BOOTHS TO PROVIDE HEALTH INFORMATION AND SCREENINGS (BLOOD PRESSURE, BMI, BALANCE, SLEEP, DEPRESSION, ETC.) AND PROMOTE HEALTHY LIFESTYLES.- PRESENTED CHRONIC CONDITION (ARTHRITIS, DIABETES, ETC.) HEALTH EDUCATION MATERIALS TO RESIDENTS AND VULNERABLE POPULATION GROUPS.- PRESENTED TO SENIOR LIVING GROUPS ON CANCER EDUCATION/SIGNS & SYMPTOMS, INCLUDING THE MOST COMMON CASES AMONG THE ELDERLY. - PRESENTED TO SENIOR LIVING AND VETERAN GROUPS ON BREAKING AWAY FROM WORRY/STRESS MANAGEMENT AND RECOGNIZING THE SIGNS OF MENTAL ILLNESS, INCLUDING POST-TRAUMATIC STRESS DISORDER.- PROVIDED DEMONSTRATIONS WITH HANDS ONLY CPR TO PROMOTE AN EFFECTIVE WAY FOR BYSTANDERS TO HELP SAVE LIVES. - PROVIDED GRIEF SHARE BEREAVEMENT SUPPORT GROUPS TO INDIVIDUALS EXPERIENCING LOSS OF LIFE.- PROVIDED SEMINARS ADDRESSING ELDER ABUSE IN THE COMMUNITY.- PROVIDED SEMINARS ADDRESSING HIGH BLOOD PRESSURE AMONG COMMUNITY MEMBERS. - SPONSORED COMMUNITY AGENCIES/EVENTS (E.G. RELAY FOR LIFE, CARROLL COUNTY HEALTH COUNCIL, AND AMERICAN CANCER SOCIETY) IN SUPPORT OF CANCER PREVENTION AND MANAGEMENT.- PARTICIPATED IN SUICIDE PREVENTION AMONG BETHEL UNIVERSITY STUDENTS AND STAFF.- SPONSORED THE CARL PERKINS CENTER FOR THE PREVENTION OF CHILD ABUSE. BAPTIST MEMORIAL HOSPITAL-CARROLL 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-CARROLL COUNTY: PART V, SECTION B, LINE 16A: THE FAP FOR BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FOR BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY:PART V, SECTION B, LINE 16C: THE PLAIN LANGUAGE SUMMARY OF THE FAP FOR BAPTIST MEMORIAL HOSPITAL-CARROLL COUNTY CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE 1 1 - BAPTIST CARROLL COUNTY FAMILY HEALTH CAR 641 RB WILSON DRIVE HUNTINGDON TN 38344 RURAL HEALTH CLINIC PART I, LINE 3C: BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, 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-HUNTINGDON, 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-HUNTINGDON, 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-HUNTINGDON, INC. CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES IT SERVES. BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, INC. IS ALSO INVOLVED IN LOCAL COMMUNITY AND NON-PROFIT ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, SUSAN G. KOMEN RACE FOR THE CURE, WALK AMERICA, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, 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-HUNTINGDON, 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-HUNTINGDON, 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-HUNTINGDON, 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. BAD DEBTS ARE DISCUSSED BEGINNING ON PAGE 8 OF THE 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-HUNTINGDON, 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 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 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-HUNTINGDON, INC. SERVICES THE CARROLL COUNTY, TENNESSEE AREA. SOME PATIENTS COME FROM OTHER TENNESSEE COUNTIES SURROUNDING THE HUNTINGDON AREA. THE AFRICAN AMERICAN COMMUNITY COMPRISES ABOUT 9.5% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 2.9%, AND CAUCASIANS ARE ABOUT 84.5%.DEMOGRAPHIC SNAPSHOTS ARE PROVIDED BY THE INDEPENDENT OUTSIDE FIRM OF CLARITAS, INC. OUR OWN HEALTH SERVICES RESEARCH DEPARTMENT AT BAPTIST MEMORIAL HEALTH CARE CORPORATION (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-HUNTINGDON, INC.'S PRIMARY MARKET SERVICE AREA HAS 31,595 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 240,842 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-HUNTINGDON, 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. 0 1 0 0 0 0 0 1 0 GREGORY M DUCKETT SECRETARY 0 423227 0 64208 0 88775 0 43089 0 31902 0 651201 0 0 JASON M LITTLE PRESIDENT 0 972994 0 162516 0 112689 0 39125 0 34804 0 1322128 0 0 SUSAN M BREEDEN CEO 0 169562 0 25466 0 29329 0 33762 0 10987 0 269106 0 0 NINA R SMOTHERS PHARMACY DIRECTOR 132762 0 6859 0 819 0 17670 0 13211 0 171321 0 0 0 STEPHANIE SLACK ALLEN NURSE PRACTITIONER 145564 0 0 0 25 0 0 0 6065 0 151654 0 0 0 PART I, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, 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 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. 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 BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, 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-HUNTINGDON, 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: JASON M. LITTLE GREGORY M. DUCKETT FORM 990, PART VI, SECTION A, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, 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-HUNTINGDON, 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-HUNTINGDON, 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-HUNTINGDON, 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-HUNTINGDON, 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-HUNTINGDON, 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 11, 2017, THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2018 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR. FORM 990, PART VI, SECTION C, LINE 18 BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, 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-HUNTINGDON, 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. MICHAEL CARY - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO BAPTIST MEMORIAL HOME CARE, INC. 1,122,598. FORM 990, PART XII, LINE 2C: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-HUNTINGDON, 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-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) 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 TN 381202177 453303687 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 3 BAPTIST MEMORIAL MEDICAL GROUP INC 1 MEDICAL FINANCIAL SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621112364 COLLECTION AGENCY FOR BAPTIST ENTITIES TN 501(C)(3) 12 TYPE II BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC 1225 NORTH STATE STREET JACKSON MS 39202 753068151 CLINICS MS 501(C)(3) 3 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 MEMPHIS LUNG PHYSICIANS FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 452832975 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 3 BAPTIST MEMORIAL MEDICAL GROUP INC 1 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1225 NORTH STATE STREET JACKSON MS 39202 640306253 HOLDING COMPANY MS 501(C)(3) 12 TYPE II BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 MISSISSIPPI BAPTIST MEDICAL CENTER INC 1225 NORTH STATE STREET JACKSON MS 39202 640881013 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE INC 1225 NORTH STATE STREET JACKSON MS 39202 640833383 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 3 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 MJMH IMPROVEMENT CORPORATION 1225 NORTH STATE STREET JACKSON MS 39202 800812322 HOLDING COMPANY MS 501(C)(3) 12 TYPE I MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 NEA BAPTIST HEALTH SYSTEM INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 271799652 HEALTH CARE SERVICE PROVIDER AR 501(C)(3) 12 TYPE II BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION INC 4802 EAST JOHNSON AVE JONESBORO AR 72401 710850123 HEALTH CARE SERVICE PROVIDER AR 501(C)(3) 3 NEA BAPTIST HEALTH SYSTEM INC 1 THE BAPTIST HEALTHPLEX INC 102 CLINTON PARKWAY CLINTON MS 39056 640900902 PROMOTION OF HEALTH & FITNESS MS 501(C)(3) 10 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 THE STERN CARDIOVASCULAR FOUNDATION INC 8060 WOLF RIVER BLVD GERMANTOWN TN 38138 274396698 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 3 BAPTIST MEMORIAL MEDICAL 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 MEDICAL MANAGEMENT TN N/A BMHSIAEL MICROBIOLOGY LABORATORY GP 12357-A RIATA TRACE PARKWAY SUITE 2 AUSTIN TX 78727 814211152 LABORATORY SERVICES TX N/A BRAIN AND SPINE NETWORK BAPTIST SEMMES-MURPHEY LLC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 475240436 MEDICAL MANAGEMENT TN N/A DOWNTOWN FITNESS LLC 100 EAST CAPITOL STREET SUITE 107 JACKSON MS 39201 611852202 FITNESS CENTER MS N/A EAST MEMPHIS UROLOGY CENTER LP 310 SEVEN SPRINGS WAY SUITE 500 BRENTWOOD TN 37027 621810940 AMBULATORY UROLOGICAL SERVICES TN N/A MADISON HEALTHPLEX PERFORMANCE TRAINING CENTER LLC 1600 N STATE STREET SUITE 400 JACKSON MS 39202 461218603 FITNESS CENTER MS N/A MAIN STREET FAMILY MEDICAL LLC 1225 NORTH STATE STREET JACKSON MS 39202 452778113 MEDICAL SERVICES MS N/A MAYS & SCHNAPP PAIN CLINIC 55 HUMPHREYS CENTER DRIVE SUITE 200 MEMPHIS TN 38120 621512849 PAIN MANAGEMENT SERVICES TN N/A PRIMARY CARE PROPERTIES II 2859 VAN LEER DRIVE MEMPHIS TN 38133 621774052 MEDICAL OFFICE BUILDING TN N/A WEST TENNESSEE IMAGING LLC 840 CRESCENT CENTRE DR SUITE 200 FRANKLIN TN 37067 901022012 MEDICAL SERVICES TN N/A BAPTIST HEALTH SERVICES GROUP OF THE MID-SOUTH INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621534210 HEALTH INSURANCE CONTRACTING TN N/A C 1 GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 201158216 BOOKKEEPING & DATA PROCESSING GERMANTOWN BUS. PARK TN N/A C 1 HEALTH TECH AFFILIATES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621278576 BUYING & LEASING REAL & PERSONAL PROPERTY TN N/A C 1 MISSISSIPPI BAPTIST MEDICAL ENTERPRISES INC AND SUBS 1225 NORTH STATE STREET JACKSON MS 39202 640776164 INVESTMENTS MS N/A C 1 SOUTHCREST PROPERTY OWNERS ASSOCIATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 640768703 BOOKKEEPING & DATA PROCESSING FOR THE SOUTHCREST DEVELOPMENT MS N/A C 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 BAPTIST MEMORIAL HEALTH CARE CORPORATION E 5804972 CASH BAPTIST MEMORIAL HEALTH CARE CORPORATION M 2067744 CASH BAPTIST MEMORIAL MEDICAL GROUP INC R 567618 CASH BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST R 1556560 CASH