2019-08-14T15:24:26-05:00 2018-09-30 861065772 DELOITTE TAX LLP 1033 DEMONBREUN STREET SUITE 400 NASHVILLE TN 37203 990 2017-10-01 621407946 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST BAPT 9012275207 350 N HUMPHREYS BLVD MEMPHIS TN 38120 JASON M LITTLE PRESIDENT 9012275207 2019-08-12 1 FRANCIS J BEDARD P00752421 6152591800 167.219.88.140 2019-08-12 16:28:40 CD P F821929016DC0F48A42118C677E65E4DF9420738 8E5DD02D6FD07D47D406EE69A10E668F9F637DB9 2017 2019-02-21 02:37:17Z JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 147477613 0 X WWW.BAPTISTONLINE.ORG X 1990 TN BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST PROVIDES BENEFIT PLANS AND HEALTH INSURANCE TO THE EMPLOYEES (AND THEIR FAMILIES) OF BAPTIST MEMORIAL HEALTH CARE SYSTEM. 3 0 0 0 0 0 0 0 136261562 147477599 0 14 0 0 136261562 147477613 0 0 0 0 0 0 0 0 0 136092206 145624226 136092206 145624226 169356 1853387 8154302 23413962 4158887 17565160 3995415 5848802 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST PROVIDES BENEFIT PLANS AND HEALTH INSURANCE TO THE EMPLOYEES (AND THEIR FAMILIES) OF BAPTIST MEMORIAL HEALTH CARE SYSTEM. 0 0 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST PROVIDES BENEFIT PLANS AND HEALTH INSURANCE TO THE EMPLOYEES (AND THEIR FAMILIES) OF BAPTIST MEMORIAL HEALTH CARE SYSTEM. THESE BENEFITS ENABLE THE SYSTEM TO RETAIN QUALITY EMPLOYEES AND CARRY OUT ITS MISSION OF PROVIDING QUALITY HEALTH CARE TO THE COMMUNITY. 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X RODNEY BETTS 9012274371 350 N HUMPHREYS BLVD MEMPHIS TN 38120 JASON M LITTLE TRUSTEE/PRESIDENT/CEO 0.10 39.90 X X 0 1382153 58832 PAUL D DEPRIEST MD TRUSTEE/EXECUTIVE VP/COO 0.10 39.90 X X 0 972083 58146 WILLIAM A GRIFFIN TRUSTEE/CFO 0.10 39.90 X X 0 657593 67261 0 3011829 184239 0 0 1 0 AETNA INC 151 FARMINGTON AVE HARTFORD CT 06156 ADMINISTRATIVE SERVICES 5026363 HUMANA INC PO BOX 14601 LEXINGTON KY 40512 ADMINISTRATIVE SERVICES 386751 CVS HEALTH CORPORATION 1 CVS DR WOONSOCKET RI 02895 ADMINISTRATIVE SERVICES 109370 3 PREMIUMS RECEIVED 525100 147477599 147477599 147477599 14 14 147477613 147477599 0 14 4500 CLAIMS PAID 138919585 ADMINISTRATIVE FEES 6700141 145624226 2657 1892 131435 967679 8020975 22443626 8154302 23413962 4158887 17565160 4158887 17565160 X 3995415 5848802 3995415 5848802 8154302 23413962 1853387 0 X X 0 1 X 1 0 0 DUE FROM AFFILIATES 22443626 22443626 X PART X, LINE 2: FROM THE COMBINED AUDITED FINANCIAL STATEMENTS OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND AFFILIATES: AS OF SEPTEMBER 30, 2018, AND 2017, 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). 0 1 0 JASON M LITTLE TRUSTEE/PRESIDENT/CEO 0 910132 0 334216 0 137805 0 31500 0 27332 0 1440985 0 0 PAUL D DEPRIEST MD TRUSTEE/EXECUTIVE VP/COO 0 654654 0 212569 0 104860 0 30750 0 27396 0 1030229 0 0 WILLIAM A GRIFFIN TRUSTEE/CFO 0 456763 0 131473 0 69357 0 43038 0 24223 0 724854 0 0 PART I, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST, 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. 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 MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST. 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 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 PAUL D. DEPRIEST, MD WILLIAM A. GRIFFIN FORM 990, PART VI, SECTION A, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST, PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST 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 MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST, 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 MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST, 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 VP/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 MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST, 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 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST DID NOT HAVE ANY EMPLOYEES DURING CALENDAR YEAR 2017. FORM 990, PART VI, SECTION C, LINE 18 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST MAKES COPIES OF ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 19 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST, 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 CANCER CENTER PHYSICIANS FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 38120 452842963 HEALTH CARE SERVICE PROVIDER TN 501(C)(3) 509(A)(1) BAPTIST MEMORIAL MEDICAL GROUP INC 1 BAPTIST CLINICAL RESEARCH INSTITUTE INC 350 N HUMPHREYS BLVD MEMPHIS TN 38120 453032246 FACILITATE MEDICAL & SCIENTIFIC RESEARCH TN 501(C)(3) 509(A)(3) BAPTIST MEMORIAL HEALTH CARE CORPORATION 1 BAPTIST HEALTH FOUNDATION INC 1225 NORTH STATE ST JACKSON MS 39202 473403762 SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIES MS 501(C)(3) 509(A)(3) MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 BAPTIST MEDICAL CENTER - LEAKE INC 1225 NORTH STATE ST JACKSON MS 39202 452896080 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 509(A)(1) MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 BAPTIST MEDICAL CENTER - YAZOO INC 1225 NORTH STATE ST JACKSON MS 39202 640844470 HEALTH CARE FACILITY/HOSPITAL MS 501(C)(3) 509(A)(1) MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1 BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC 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