2020-08-14T09:50:35-05:00 2019-09-30 861065772 DELOITTE TAX LLP 1033 DEMONBREUN STREET SUITE 400 NASHVILLE TN 37203 990 2018-10-01 621113167 BAPTIST MEMORIAL HOSPITAL-TIPTON INC BAPT 9014762621 1995 HIGHWAY 51 SOUTH COVINGTON TN 38019 JASON M LITTLE PRESIDENT 9012275117 2020-08-12 1 FRANCIS J BEDARD P00752421 6152591800 73.145.185.187 2020-08-12 14:55:39 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 83E387FBD1AB6D18D445BB5A405FBA040310C20C 2018 2020-09-22 18:59:49Z JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 127685119 0 X WWW.BAPTISTONLINE.ORG/TIPTON X 1982 TN BAPTIST MEMORIAL HOSPITAL-TIPTON, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. 8 4 422 13 0 0 731038 1237019 102786693 126012286 21243 4611 285030 319166 103824004 127573082 33250 27803 0 0 20622761 22122413 0 0 0 75083070 95047532 95739081 117197748 8084923 10375334 47537282 51494535 26861068 20442987 20676214 31051548 X THE MISSION OF BAPTIST MEMORIAL HOSPITAL-TIPTON, INC. IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING QUALITY HEALTH CARE SERVICES AND EDUCATION. 0 0 112218174 27803 125990992 BAPTIST MEMORIAL HOSPITAL-TIPTON, 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-TIPTON, 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-TIPTON, 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.THE LARGEST PROGRAM SERVICES PROVIDED THE FOLLOWING FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2019:- THE ONCOLOGY DEPARTMENT PERFORMED 107,807 PROCEDURES AT A COST OF $78,036,523.- THE ER DEPARTMENT HAD 22,474 PATIENT VISITS AT A COST OF $1,843,649.- THE RADIOLOGY DEPARTMENT PERFORMED 35,655 PROCEDURES AT A COST OF $1,875,873.- THE NURSING/SURGERY/LABOR AND DELIVERY DEPARTMENT HAD 344 BIRTHS, PERFORMED 388 SURGERIES, AND HAD 2,608 PATIENT DAYS AT A COST OF $5,450,768. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019, BAPTIST MEMORIAL HOSPITAL-TIPTON, INC. PROVIDED SERVICES FOR 1,172 INPATIENTS AND MORE THAN 63,881 OUTPATIENTS.BAPTIST MEMORIAL HOSPITAL-TIPTON, 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-TIPTON, 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 $288,222,730.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-TIPTON, INC. BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.EDUCATIONAL PROGRAMS WERE OFFERED TO THE PUBLIC ON A PERIODIC BASIS. ALSO, VARIOUS SUPPORT AND COMMUNITY GROUPS REGULARLY MEET IN THE HOSPITAL MEETING ROOMS. BREAST CANCER AWARENESS - DURING OCTOBER, THE MAMMOGRAPHY PATIENTS RECEIVED PROMOTIONAL EDUCATIONAL MATERIALS AS WELL AS GIVEAWAYS TO PROMOTE AWARENESS. ADS ARE RUN IN THE COVINGTON LEADER TO ENCOURAGE WOMEN TO GET MAMMOGRAMS.NURSING STUDENTS FROM DYERSBURG STATE COME TO BAPTIST MEMORIAL HOSPITAL-TIPTON, INC. TO COMPLETE THEIR CLINICAL ROTATIONS. STUDENTS ALSO COME FROM CONCORDE TO RECEIVE TRAINING IN THE LAB, RESPIRATORY THERAPY, RADIOLOGY AND PHARMACY.MEETING ROOMS WERE OFFERED TO AREA COMMUNITY GROUPS SUCH AS THE VOLUNTEER CHAPLAINS, HOSPITAL VOLUNTEER AUXILIARY, DIABETES SUPPORT GROUPS, AND CANCER SUPPORT GROUPS. LIFEBLOOD HOLDS QUARTERLY BLOOD DRIVES AT THE HOSPITAL EACH YEAR. USE OF THIS HOSPITAL SPACE EQUALS APPROXIMATELY $10,000 IN CONTRIBUTIONS TO BENEFIT THE COMMUNITY.CPR CLASSES ARE HELD AT VARIOUS TIMES THROUGHOUT THE YEAR IN THE COMMUNITY CLASSROOM.DIRECT SUPPORT:AMERICAN CANCER SOCIETYAMERICAN HOSPITAL ASSOCIATIONTENNESSEE HOSPITAL ASSOCIATIONSUSAN G. KOMENTIPTON COVINGTON CHAMBER OF COMMERCESOUTH TIPTON CHAMBER OF COMMERCECARL PERKINS CHILD ABUSE PREVENTION CENTERMUNFORD HIGH SCHOOLCOVINGTON HIGH SCHOOLLAW ENFORCEMENT FOR TIPTONGO LUCY GO FOUNDATIONCOMMUNITY ACTIVITIES:LIFE BLOOD DRIVESCAREER DAY AT HIGH SCHOOLSPEAKERS ON HEALTH TOPICS FOR ROTARY CLUB, LIONS CLUB, EXCHANGE CLUB AND AREA SCHOOLSUNITED WAYHEALTH FAIRS TIPTON COUNTY COMMISSION ON AGING - BREAST CANCER AWARENESSCOMMUNITY ADVISORY BOARDCOVINGTON LIBRARYROTARY CLUBJUNIOR AUXILIARY OF TIPTON COUNTYADULT TOTAL LEADERSHIPYOUTH TOTAL LEADERSHIPTIPTON COUNTY HEALTH DEPARTMENTTIPTON COUNTY HEALTH COUNCILHEALTHIER TN - TIPTON COUNTYBOYS AND GIRLS CLUBCELEBRATE MUNFORD 112218174 1 1 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 X 0 0 422 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 4 1 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 X PRISCILLA M HART 9014755526 1995 HIGHWAY 51 SOUTH COVINGTON TN 38019 ARIE SZATKOWSKI MD DIRECTOR (AS OF 1/19) 0.23 39.77 X 0 1292395 48384 CARY FINN MD DIRECTOR 0.23 39.77 X 0 480779 54344 DANA KELLY CHAIRMAN 0.23 3.10 X 0 0 0 DR DALE MORRIS DIRECTOR 0.23 1.84 X 0 0 0 DR RIAD HOMSI MD DIRECTOR (AS OF 1/19) 0.23 0.92 X 0 57625 0 JUDI CARNEY MD DIRECTOR (THRU 12/18) 0.23 0.66 X 0 0 0 MARTHA P BEARD DIRECTOR 0.23 1.12 X 0 0 0 RANDY J KING DIRECTOR 0.23 39.77 X 0 728910 71003 SPENCE WILSON DIRECTOR 0.23 0.89 X 0 0 0 STANLEY THOMPSON MD DIRECTOR (THRU 12/18) 0.23 0.69 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 PARKER HARRIS CEO (AS OF 12/18) 40.00 0.00 X 0 76840 25031 PAUL D DEPRIEST MD VICE PRESIDENT 0.23 39.77 X 0 955671 64212 PRISCILLA M HART CFO 40.00 0.00 X 104101 0 38999 SAMUEL S LYND CEO (THRU 12/18) 40.00 0.00 X 0 204613 22070 GINGER M WILLIAMS CRNA 40.00 0.00 X 195715 0 51960 JAMES H WITHAM ANESTHESIOLOGY DIRECTOR 40.00 0.00 X 235841 0 52889 KIERSTEN SIMPSON PHARMACIST 40.00 0.00 X 123526 0 25442 NEIL W BUETTNER CRNA 40.00 0.00 X 216759 0 57147 NORMA B ROWLAND PHARMACIST 40.00 0.00 X 121733 0 43874 997675 5621242 704275 11 0 1 0 OB HOSPITALIST GROUP 777 LOWNDES HILL RD GREENVILLE SC 29607 PHYSICIAN SERVICES 961200 CHRIS WOODS CONSTRUCTION CO 8068 US HIGHWAY 70 MEMPHIS TN 38133 CONTRACTOR SERVICES 458054 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 MANAGEMENT SERVICES 344448 SHIFTWISE PO BOX 70870 ST PAUL MN 55170 STAFFING AGENCY 136206 CENTRAL DEFENSE SECURITY PO BOX 750477 MEMPHIS TN 38175 SECURITY SERVICES 124148 7 1237019 1237019 PATIENT SERVICE REV. 622110 125990274 125990274 RENTS FROM AFFILIATES 900099 22012 22012 126012286 25905 25905 205593 90743 114850 114850 114850 21294 -21294 -21294 -21294 CAFETERIA REVENUE 722514 204316 204316 204316 127573082 125990992 0 345071 27803 27803 143399 129059 14340 17742109 15967898 1774211 495278 445750 49528 2545617 2291055 254562 1196010 1076409 119601 4404 4404 8772050 7898915 873135 20199 18179 2020 870228 783205 87023 1794524 1615072 179452 55703 22281 33422 4670 1868 2802 1841139 1657025 184114 860207 774186 86021 MEDICAL SUPPLIES 62864551 62864551 0 CORPORATE MGMT FEE 8570520 7713468 857052 MEDICAID ASSESSMENT 5431051 5431051 0 CORPORATE ALLOCATIONS 1871469 1684322 187147 2086817 1816077 270740 117197748 112218174 4979574 0 200 400 2363492 3609015 104847 283683 17841876 20361097 1645864 1858096 5396206 6153875 52210493 33197839 19614154 19012654 43715 47097 526928 168618 47537282 51494535 7281386 8313059 31889 55082 19547793 12074846 26861068 20442987 X 19171962 29547296 1504252 1504252 20676214 31051548 47537282 51494535 10375334 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 4404 4404 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. 3898459 3898459 33087308 19771813 13315495 885898 522638 363260 13814197 12491623 1322574 524631 411765 112866 19012654 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 131999 DUE TO AFFILIATES 11942847 12074846 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 4609232 0 4609232 0.03930 17988677 15710876 2277801 0.01940 185846 64546 121300 0.00100 22783755 15775422 7008333 0.05970 4345 0 4345 0.00000 15800373 12095662 3704711 0.03160 7170 7511 0 0.00000 2253 0 2253 0.00000 15814141 12103173 3711309 0.03160 38597896 27878595 10719642 0.09130 1500 0 1500 0.00000 1500 1500 0.00000 1 760570 70800 34580166 30911700 3668466 X 1 1 1 1 BAPTIST MEMORIAL HOSPITAL-TIPTON 1995 HIGHWAY 51 SOUTH COVINGTON TN 38019 WWW.BAPTISTONLINE.ORG/TIPTON/ 0000000117 X X X BAPTIST MEMORIAL HOSPITAL-TIPTON 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-TIPTON PART V, SECTION B, LINE 5: THE 2018 CHNA FOR BAPTIST'S MEMPHIS METRO 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 WAS CONDUCTED 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 80 COMMUNITY REPRESENTATIVES SERVING THE MEMPHIS METRO 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 MEMPHIS METRO 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: ABUNDANT GRACE FELLOWSHIPACADEMY FOR YOUTH EMPOWERMENTALLIANCE FOR A HEALTHIER GENERATIONARKANSAS BLUE CROSSARKANSAS STATE UNIVERSITYARTSMEMPHISATOKA POLICE DEPARTMENTBANCORPSOUTHBIG BROTHERS BIG SISTERSBOYS & GIRLS CLUB OF GREATER MEMPHISCHURCH HEALTH CENTER OF MEMPHISCITADEL CHURCH OF GOD IN CHRISTCITY OF BARTLETTCITY OF COVINGTONCITY OF HERNANDOCITY OF MILLINGTONCITY OF MUNFORDCOLLIERVILLE CHAMBER OF COMMERCECOLLIERVILLE SCHOOLSCOMMON TABLE HEALTH ALLIANCEDESOTO BAPTIST PATIENT FAMILY ADVISORY COUNCILDESOTO COUNTY ECONOMIC DEVELOPMENT COUNCILDESOTO COUNTY SCHOOLSDIXON GALLERY AND GARDENSEVOLVE BANK & TRUSTFAMILY CRISIS SERVICES OF NORTHWEST MISSISSIPPI, INC.FIRST BAPTIST CHURCH HORN LAKEGOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESSGRACE HOUSE OF MEMPHISHOME INSTEAD SENIOR CAREKROC CENTER OF MEMPHISLEADERSHIP MEMPHISMARCH OF DIMESMEMPHIS CATHOLIC MIDDLE & HIGH SCHOOLMEMPHIS CITY BEAUTIFULMEMPHIS JEWISH COMMUNITY CENTERMEMPHIS LIBRARY FOUNDATIONMETHODIST LE BONHEUR HEALTHCARENEW MEMPHISNORTHWEST MISSISSIPPI COMMUNITY COLLEGEOMEGA MINISTRIES/OMEGA HEALTHY PRACTICESOPTUS, INC.PROMATURAREGIONAL ONE HEALTHRISE FOUNDATION, INC.SHELBY COUNTY COMMISSIONSHELBY COUNTY GOVERNMENTSHELBY COUNTY HEALTH DEPARTMENTSHELBY COUNTY SCHOOLSSHELBY FARMS PARK CONSERVANCYSOUTH TIPTON COUNTY CHAMBER OF COMMERCESTARTING ALL OVER OUTREACH MINISTRYSUSAN G. KOMEN MEMPHIS - MID-SOUTH MISSISSIPPITENNESSEE GENERAL ASSEMBLYTENNESSEE MEDICAL FOUNDATIONTHARP CONSULTING SERVICESTHE MARKETING SPECTRUMTHE NEIGHBORHOOD CHRISTIAN CENTER, INC.TOWN OF WALLSUNIVERSITY OF MEMPHISUNIVERSITY OF MISSISSIPPI-DESOTOVITALANTYOUNG LIFE BAPTIST MEMORIAL HOSPITAL-TIPTON PART V, SECTION B, LINE 6A: BAPTIST MEMORIAL HOSPITAL-TIPTON CONDUCTED ITS CHNA WITH THE FOLLOWING OTHER HOSPITAL FACILITIES:BAPTIST MEMORIAL HOSPITAL-COLLIERVILLEBAPTIST MEMORIAL HOSPITAL-DESOTOBAPTIST MEMORIAL HOSPITAL-MEMPHISBAPTIST MEMORIAL HOSPITAL FOR WOMENBAPTIST MEMORIAL RESTORATIVE CARE HOSPITAL BAPTIST MEMORIAL HOSPITAL-TIPTON 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 MEMPHIS METRO 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-TIPTON WILL CARRY OUT IN SUPPORT OF THE SYSTEM-WIDE PLAN. 1. BEHAVIORAL HEALTHTHE GOAL IS TO IMPROVE OUTCOMES FOR RESIDENTS WITH A MENTAL HEALTH OR SUBSTANCE ABUSE CONDITION AND THEIR FAMILIES. BAPTIST MEMORIAL HOSPITAL-TIPTON HAS OUTLINED THE FOLLOWING OBJECTIVES:1) INCREASE THE NUMBER OF RESIDENTS WHO ARE SCREENED FOR DEPRESSION AND MENTAL 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) EDUCATE RESIDENTS ABOUT WARNING SIGNS FOR MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE, INCLUDING ALZHEIMER'S DISEASE. BAPTIST MEMORIAL HOSPITAL-TIPTON WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1) ATTEND HEALTH FAIRS AND HOST SPECIAL EVENTS TO PROMOTE BEHAVORIAL HEALTH EDUCATION. 2) HOST SUPPORT GROUPS FOR INDIVIDUALS AFFECTED BY BEHAVORIAL HEALTH CONDITIONS. 3) PARTICIPATE AS A MEMBER OF DRUG FREE TIPTON.4) PROVIDE COMMUNITY EDUCATION ABOUT BEHAVORIAL HEALTH CONDITIONS.5) SPONSOR SCHOOL HEALTH PROGRAMS THAT FOCUS ON SUICIDE PREVENTION AND HEALTHY LIFESTYLES. 2. CANCERTHE GOAL IS TO PROVIDE EARLY DETECTION AND TREATMENT TO REDUCE CANCER MORTALITY RATES AND IMPROVE QUALITY OF LIFE FOR PATIENTS LIVING WITH CANCER. BAPTIST MEMORIAL HOSPTIAL-TIPTON HAS OUTLINED THE FOLLOWING OBJECTIVES: 1) PROVIDE FREE OR REDUCED COST SCREENINGS AND SERVICES, ESPECIALLY TARGETING LOW-INCOME, AT-RISK, AND MINORITY POPULATIONS. 2) INCREASE RESIDENTS' AWARENESS OF THE BENEFITS OF CANCER PREVENTION, SCREENINGS, AND EARLY TREATMENT. BAPTIST MEMORIAL HOSPITAL-TIPTON 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 TO INCREASE AWARENESS OF RISK FACTORS AND PREVENTION ACTIVITIES.3) PROVIDE FREE SMOKING CESSATION CLASSES.4) HOLD MONTHLY SUPPORT GROUPS FOR CANCER SURVIVORS AND THEIR FAMILIES.5) PROVIDE FREE OR REDUCED COST MAMMOGRAPHY SCREENING FOR AT-RISK AND UNINSURED WOMEN.3. CHRONIC DISEASE MANAGEMENT AND PREVENTIONTHE GOAL IS TO REDUCE RISK FACTORS FOR CHRONIC DISEASE AND IMPROVE MANAGEMENT OF CHRONIC DISEASE THROUGH HEALTHY LIFESTYLE CHOICES. BAPTIST MEMORIAL HOSPITAL-TIPTON HAS OUTLINED THE FOLLOWING OBJECTIVES: 1) PROVIDE EDUCATION ABOUT HEALTHY LIFESTYLES AND RISK FACTORS FOR DISEASE. 2) ENCOURAGE PHYSICAL ACTIVITY AMONG RESIDENTS. BAPTIST MEMORIAL HOSPITAL-TIPTON WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1) PROVIDE HEALTH EDUCATION AND SCREENINGS FOR RISK FACTORS RELATED TO CHRONIC DISEASE. 2) COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE PHYSICAL ACTIVITY. 4. MATERNAL AND CHILD HEALTHTHE GOAL IS TO IMPROVE BIRTH OUTCOMES FOR WOMEN AND INFANTS. BAPTIST MEMORIAL HOSPITAL-TIPTON HAS OUTLINED THE FOLLOWING OBJECTIVES: 1) INCREASE THE PROPORTION OF WOMEN WHO RECEIVE EARLY AND ADEQUATE PRENATAL CARE.2) INCREASE THE PROPORTION OF INFANTS WHO ARE BREASTFED.BAPTIST MEMORIAL HOSPITAL-TIPTON WILL IMPLEMENT THE FOLLOWING STRATEGIES:1) COLLABORATE WITH COMMUNITY PARTNERS TO PROVIDE PRENATAL EDUCATION.2) PROVIDE FREE PARENTING AND CHILDBIRTH EDUCATION CLASSES TO NEW PARENTS.3) SUPPORT MARCH OF DIMES AND OTHER COMMUNITY PARTNERS TO IMPROVE OUTCOMES FOR MOTHERS AND BABIES.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.- SUPPORT BAPTIST MEMORIAL HEALTH CARE CORPORATION INITIATIVES TO SCREEN INDIVIDUALS FOR DEPRESSION AND MENTAL HEALTH CONDITIONS. TELE-ADDICTION IS ANOTHER RESOURCE THAT WAS ADDED AT BAPTIST MEMORIAL HOSPITAL-TIPTON.- USE BAPTIST EXPERTS TO SHARE EDUCATIONAL INFORMATION WITH THE PUBLIC VIA PRINTED DOCUMENTS, TELEVISION, AND RADIO. THE TIPTON ER MEDICAL DIRECTOR FREQUENTLY PUT ON EDUCATION FAIRS FOR THE EMS AND FIRE DEPARTMENTS.- IDENTIFY OPPORTUNITIES TO COLLABORATE WITH COMMUNITY AGENCIES THAT PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SUPPORT. THE PARTNERSHIP WE HAVE WITH IAC ALLOWS FOR ADDICTION TREATMENT. - PARTICIPATE IN EDUCATIONAL FORUMS TO INCREASE AWARENESS OF RISK FACTORS AND PREVENTION ACTIVITIES.- PARTNER WITH THE UNIVERSAL PARENTING PLACE TO PROVIDE COUNSELING FOR NEW MOTHERS.- PROVIDE INFORMATION ABOUT POSTPARTUM DEPRESSION AND PROMOTE AWARENESS OF SIGNS, SYMPTOMS, AND TREATMENT RESOURCES.- PARTNER WITH LOCAL SCHOOLS TO PROVIDE EDUCATION AND PROGRAMMING TOOLS FOR STUDENTS TO MAKE HEALTHY LIFESTYLE CHOICES.- PROVIDE MATERNAL AND CHILD HEALTH CLASSES AND PRESENTATIONS ON TOPICS SUCH AS EXPECTANT PARENTS, CHILD BIRTHING, AND PARENTING. WE TAUGHT A LACTATION CLASS WITH OUR 2 CERTIFIED TRAINERS. - SPONSOR LOCAL BABY FAIRS AIMED AT GIVING EXPECTANT MOTHERS ACCESS TO LOCAL RESOURCES AND EXPERTS THAT CAN HELP THEM MAKE THE BEST POSSIBLE CHOICES FOR THEIR BABIES.- PROMOTE BREASTFEEDING TO IMPROVE OUTCOMES FOR MOTHERS AND BABIES.- PROVIDE GRANT FUNDED MAMMOGRAPHY SCREENINGS FOR UNINSURED WOMEN. BAPTIST MEMORIAL HOSPITAL-TIPTON 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-TIPTON: PART V, SECTION B, LINE 16A: THE FAP FOR BAPTIST MEMORIAL HOSPITAL-TIPTON CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEMORIAL HOSPITAL-TIPTON:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FOR BAPTIST MEMORIAL HOSPITAL-TIPTON CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEMORIAL HOSPITAL-TIPTON:PART V, SECTION B, LINE 16C: THE PLAIN LANGUAGE SUMMARY OF THE FAP FOR BAPTIST MEMORIAL HOSPITAL-TIPTON CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE PART I, LINE 3C: BAPTIST MEMORIAL HOSPITAL-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, INC. CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES IT SERVES. BAPTIST MEMORIAL HOSPITAL-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, INC. SERVICES THE TIPTON COUNTY, TENNESSEE AND WEST TENNESSEE AREAS. THE AFRICAN AMERICAN COMMUNITY COMPRISES ABOUT 17.5% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 3.5%, AND CAUCASIANS ARE ABOUT 76.3%. 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-TIPTON, INC.'S PRIMARY MARKET SERVICE AREA HAS 86,865 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 1,042,463 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-TIPTON, 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 SUSAN G KOMENMIDSOUTH AFFILIATE 6645 POPLAR AVE SUITE 211 GERMANTOWN TN 38138 752942859 501(C)(3) 15000 RACE FOR THE CURE SPONSORSHIP AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW SUITE 400 ATLANTA GA 30303 131788491 501(C)(3) 10000 2019 IMAGINE BALL SPONSORSHIP 2 0 PART I, LINE 2: ALL ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF TAX EXEMPT STATUS THAT IS VERIFIED BY THE INTERNAL REVENUE SERVICE DATABASE BEFORE THEY CAN PROCEED WITH THEIR REQUEST. THEY MAY USE OUR ONLINE CHARITABLE REQUEST APPLICATION TO SUBMIT A REQUEST. IF THEY ARE NOT A 501(C)(3) ORGANIZATION, THEY ARE REQUIRED TO SUBMIT A COPY OF THEIR DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE VALIDATING THEIR EXEMPT STATUS BEFORE WE CAN PROVIDE ANY IN-KIND GIVEAWAYS OR SERVICES. WE ALSO MONITOR THE FUNDS TO ENSURE THEY ARE USED FOR THE PURPOSE GRANTED. WE MAKE EVERY EFFORT TO DIRECT OUR FUNDING TO A PROGRAM FOR A SPECIFIC PURPOSE. ORGANIZATIONS ARE ASKED TO SHOW RESULTS AND DOCUMENTATION ANNUALLY BEFORE THEIR REQUEST CAN BE CONSIDERED FOR FUTURE FUNDING. THE REQUESTS ARE REVIEWED AND APPROVED BY VARIOUS INDIVIDUALS DEPENDING UPON THE TYPE AND AMOUNT OF THE REQUEST. SMALL AMOUNTS MAY BE APPROVED BY THE SYSTEM DIRECTOR OF COMMUNICATIONS. ANYTHING OVER $10,000 MAY BE APPROVED BY THE BAPTIST MEMORIAL HEALTH CARE FOUNDATION SENIOR VICE PRESIDENT, AND ANYTHING OVER $50,000 NEEDS APPROVAL BY THE BAPTIST MEMORIAL HEALTH CARE CORPORATION PRESIDENT/CEO. FOR MORE INFORMATION ABOUT BAPTIST MEMORIAL HEALTH CARE CORPORATION'S CHARITABLE GIVING GUIDELINES, PLEASE VISIT: HTTPS://WWW.BMHGIVING.ORG/. 0 1 0 0 0 0 0 0 0 ARIE SZATKOWSKI MD DIRECTOR (AS OF 1/19) 0 1269433 0 0 0 22962 0 18500 0 29884 0 1340779 0 0 CARY FINN MD DIRECTOR 0 267215 0 212968 0 596 0 27500 0 26844 0 535123 0 0 RANDY J KING DIRECTOR 0 394955 0 60912 0 273043 0 45125 0 25878 0 799913 0 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 PAUL D DEPRIEST MD VICE PRESIDENT 0 699411 0 113318 0 142942 0 34812 0 29400 0 1019883 0 0 SAMUEL S LYND CEO (THRU 12/18) 0 146729 0 31228 0 26656 0 13681 0 8389 0 226683 0 0 GINGER M WILLIAMS CRNA 169252 0 0 0 26463 0 19013 0 32947 0 247675 0 0 0 JAMES H WITHAM ANESTHESIOLOGY DIRECTOR 211978 0 0 0 23863 0 25564 0 27325 0 288730 0 0 0 NEIL W BUETTNER CRNA 190080 0 0 0 26679 0 32750 0 24397 0 273906 0 0 0 NORMA B ROWLAND PHARMACIST 121458 0 0 0 275 0 15076 0 28798 0 165607 0 0 0 PART I, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF BAPTIST MEMORIAL HOSPITAL-TIPTON, 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. THE FOLLOWING INDIVIDUAL LISTED ON PART VII RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS DURING THE CALENDAR YEAR: RANDY J. KING - $226,703 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-TIPTON, 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-TIPTON, 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: ARIE SZATKOWSKI, MD GREGORY M. DUCKETT JASON M. LITTLE PAUL D. DEPRIEST, MD RANDY J. KING FORM 990, PART VI, SECTION A, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, 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-TIPTON, 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 ARIE SZATKOWSKI, MD - 8060 WOLF RIVER BLVD., GERMANTOWN, TN 38138. CARY FINN, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. DANA KELLY - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. DR. DALE MORRIS - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. DR. RIAD HOMSI, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. JASON M. LITTLE - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. JUDI CARNEY, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. MARTHA P. BEARD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. PAUL D. DEPRIEST, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. RANDY J. KING - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. SPENCE WILSON - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. STANLEY THOMPSON, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. FORM 990, PART XII, LINE 2C: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-TIPTON, 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-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 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 BAPTIST MEMORIAL HEALTH CARE CORPORATION D 5538773 CASH BAPTIST MEMORIAL HOSPITAL-UNION CITY INC K 80962 CASH BAPTIST MEMORIAL HEALTH CARE CORPORATION M 8570520 CASH BAPTIST MEMORIAL HOSPITAL M 5993534 CASH BAPTIST CLINICAL RESEARCH INSTITUTE INC R 455230 CASH BAPTIST MEMORIAL MEDICAL GROUP INC R 4575479 CASH BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST R 2216372 CASH