2019-08-15T14:44:42-05:00 2018-09-30 861065772 DELOITTE TAX LLP 1033 DEMONBREUN STREET SUITE 400 NASHVILLE TN 37203 990 2017-10-01 640306253 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC MISS 6019685130 1225 NORTH STATE STREET JACKSON MS 39202 JASON M LITTLE PRESIDENT 9012275117 2019-08-15 1 FRANCIS J BEDARD P00752421 6152591800 167.219.88.140 2019-08-15 12:33:32 ED P 5D794220C68C161820A811785299AFD302F4C684 9619F2C7021C66826DF30859F1D2CB526B2B095F 2017 2019-02-21 02:37:17Z JASON M LITTLE 350 N HUMPHREYS BLVD MEMPHIS TN 38120 95664952 0 X WWW.MBHS.ORG X 1912 MS MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE HOLDING COMPANY FOR SEVERAL NON-PROFIT ENTITIES TO WHICH IT PROVIDES VARIOUS MANAGEMENT AND SUPPORT SERVICES. 14 10 447 10 13638 12638 0 440000 7223242 71024915 1796019 10854693 -442905 -2636846 8576356 79682762 84513 236727 0 0 1851116 24871430 0 0 0 6213700 50640099 8149329 75748256 427027 3934506 598996746 568841451 650022878 611526761 -51026132 -42685310 X MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC.'S FOUNDATION AND TRADITION IS ITS CHRISTIAN HEALING MINISTRY. THE MISSION IS TO SERVE THE COMMUNITY THROUGH CONTINUOUSLY IMPROVING QUALITY MEDICAL CARE AND EFFECTIVE USE OF EDUCATION AND TECHNOLOGY IN A PERSONAL AND COMPASSIONATE ENVIRONMENT. 0 0 68560278 236727 75207202 MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE HOLDING COMPANY FOR SEVERAL NON-PROFIT ENTITIES TO WHICH IT PROVIDES VARIOUS MANAGEMENT AND SUPPORT SERVICES. MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE PARENT COMPANY OF MISSISSIPPI BAPTIST MEDICAL CENTER, INC., A 638 BED CRITICAL ACCESS HOSPITAL, BAPTIST MEDICAL CENTER - LEAKE, INC., A 25 BED CRITICAL ACCESS HOSPITAL, BAPTIST MEDICAL CENTER - YAZOO, INC., A 25 BED CRITICAL ACCESS HOSPITAL, BAPTIST MEDICAL CENTER-ATTALA, A 25 BED CRITICAL ACCESS HOSPITAL, AND MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS. THROUGH VARIOUS PARTNERSHIP RELATIONSHIPS, MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ALSO PROVIDES HOME HEALTH CARE, HOME MEDICAL EQUIPMENT, AND ADULT DAY CARE SERVICES.THROUGH THE DECADES, MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. HAS CONTINUED TO PROVIDE QUALITY, COMPASSIONATE, CHRISTIAN-BASED MEDICAL CARE TO THE PEOPLE OF MISSISSIPPI.THE ACTIVITIES OF BAPTIST MEDICAL CENTER-ATTALA, LLC, A DISREGARDED ENTITY OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., ARE INCLUDED WITH THE FILING OF THIS FORM 990. BAPTIST MEDICAL CENTER-ATTALA, LLC OPERATES A LICENSED HOSPITAL FACILITY, BAPTIST MEDICAL CENTER-ATTALA.BAPTIST MEDICAL CENTER-ATTALA 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 MEDICAL CENTER-ATTALA, 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 MEDICAL CENTER-ATTALA 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, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.BAPTIST MEDICAL CENTER - ATTALA IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED IN KOSCIUSKO, MISSISSIPPI SERVING THE ATTALA COUNTY COMMUNITY AND SURROUNDING AREAS. BAPTIST MEDICAL CENTER-ATTALA OFFERS INPATIENT, OUTPATIENT, AND 24-HOUR EMERGENCY DEPARTMENT SERVICES, INCLUDING TWO OPERATING ROOMS, TWO ENDOSCOPY SUITES, AND A RURAL HEALTH CLINIC. BAPTIST MEDICAL CENTER-ATTALA IS COMMITTED TO ITS MISSION OF PROVIDING IMMEDIATE ACCESS TO QUALITY HEALTH CARE.DURING ITS 2018 FISCAL YEAR, BAPTIST MEDICAL CENTER-ATTALA RECORDED 480 INPATIENT ADMISSIONS WITH 3,059 PATIENT DAYS OF CARE PROVIDED, 12,206 EMERGENCY ROOM VISITS, 5,720 CLINIC VISITS, AND 553 SURGERIES. BAPTIST MEDICAL CENTER-ATTALA ALSO PROVIDES BENEFITS TO THE BROADER COMMUNITY IN THE AREA OF CHARITABLE DONATIONS. 68560278 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 261 0 1 447 1 1 1 0 0 0 0 0 0 0 0 0 X 14 10 1 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 0 0 1 1 X WILLIAM F THOMPSON 6019681067 1225 NORTH STATE STREET JACKSON MS 39202 ALVENO CASTILLA DIRECTOR 1.00 1.00 X 0 0 0 ARTHUR SKIP JERNIGAN DIRECTOR 1.00 3.00 X 22500 7900 0 DANA KELLY DIRECTOR 1.00 2.30 X 0 0 0 DAVID LANDRUM DIRECTOR 1.00 1.00 X 0 0 0 DORIAN E TURNER DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS M BUCKLES SR DIRECTOR 1.00 1.00 X 0 0 0 DR TAMMY YOUNG DIRECTOR 1.00 1.00 X 0 0 0 GARY C ANDERSON DIRECTOR/VP MS MKT OPERATION 12.00 28.00 X X 438299 242554 43632 JAMES R FUTRAL JR DIRECTOR 1.00 1.00 X 0 0 0 LEE MILLER DIRECTOR 1.00 1.20 X 0 0 0 PAUL W CALHOUN DIRECTOR 1.00 1.00 X 0 0 0 ROBERT M GATHINGS JR DIRECTOR 1.00 1.75 X 0 0 0 SAMUEL T LAWSON MD DIRECTOR 1.00 39.00 X 0 603883 27935 ZACHARY R CHANDLER DIRECTOR 0.23 39.77 X 0 760240 46314 GREGORY M DUCKETT SECRETARY 0.23 39.77 X 0 643651 72500 JASON M LITTLE PRESIDENT 0.23 39.77 X 0 1382153 58832 MICHAEL D MAPLES VP CHIEF OF MEDICAL OPERATIONS 6.00 34.00 X 586957 0 31094 ROBERT COLEMAN CEO (AS OF 5/18) 36.00 4.00 X 148932 0 5812 WILLIAM F THOMPSON CFO 6.00 34.00 X 356951 0 39905 LEE ANN FOREMAN VP HUMAN RESOURCES 4.00 36.00 X 252035 0 26100 MICHAEL K STEVENS VP BUSINESS DEVELOPMENT 31.54 8.46 X 269215 0 31399 PHILLIP HUGHES EXEC. DIR. FOUND. (THRU 2/18) 0.00 40.00 X 209658 0 39130 STEVE STANIC VP CHIEF INFO OFFICER 20.00 20.00 X 323625 0 24686 BRAD BEATTIE ASSOC. ADMIN. - ANCILLARY 40.00 0.00 X 158106 0 7587 BRENDA HOWIE VP OF NURSING 2.00 38.00 X 165705 0 18638 JEFF BATES ASSOC. ADMIN. - ANCILLARY 40.00 0.00 X 147650 0 24669 PAT HERRINGTON SAFETY & COMPLIANCE OFFICER 20.00 20.00 X 158000 0 29411 STEVEN REED DIR. OF IT PROJECTS & ADMIN 40.00 0.00 X 137429 0 19077 BOBBIE K WARE FORMER VP CNO 0.00 40.00 X 249965 139774 29759 WILLIAM B GRETE FORMER VP GENERAL COUNSEL 0.00 0.00 X 354746 0 31912 3979773 3780155 608392 32 1 1 0 BAPTIST OUTPATIENT IMAGING LLC 1107 HIGHLAND COLONY PARKWAY STE RIDGELAND MS 752677979 RADIOLOGY SERVICES 5287748 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 CAFETERIA MANAGEMENT 3840550 CROTHALL HEALTHCARE INC 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 BIO-MEDICAL EQUIPMENT R & M 3267254 MS PATHOLOGY ASSOCIATES PLLC PO BOX 4198 JACKSON MS 392964198 PHYSICIAN SERVICES 3163969 JACKSON ANESTHESIA ASSOCIATES PA 1151 N STATE ST STE 311 JACKSON MS 39202 PHYSICIAN SERVICES 2990461 96 440000 440000 CORPORATE ALLOCATIONS 900099 52032288 52032288 PATIENT SERVICE REV. 622110 18303963 18303963 RENTS FROM AFFILIATES 900099 688664 688664 71024915 5701165 13638 5687527 9086430 13158833 -4072403 -4072403 -4072403 2406798 5570087 0 2823357 2406798 2746730 5153528 2746730 2406798 EQUITY IN INVESTMENTS 900099 1062939 1062939 NON-OPERATING INCOME 900099 372618 372618 1435557 79682762 75207202 13638 4021922 X 236727 236727 2097462 1992589 104873 17704936 16819689 885247 470921 447375 23546 3323253 3157090 166163 1274858 1211115 63743 1405803 1237107 168696 25869 22765 3104 59836 52656 7180 3048 3048 8230757 7358906 871851 2411493 2122114 289379 2260865 1989561 271304 4347759 3826028 521731 150412 60165 90247 55452 22181 33271 5569743 4901374 668369 11470341 10093900 1376441 1441749 1268739 173010 REPAIRS AND MAINTENANCE 8262334 7270854 991480 CORPORATE MGMT FEES 1540356 1355513 184843 TAXES AND LICENSES 1347413 1185723 161690 MEDICAL SUPPLIES 1034960 1034960 0 1021909 893147 128762 75748256 68560278 7187978 0 30185 10435 213606432 185567368 3861435 5092872 915672 619833 95353 128004 4926680 3003062 332129242 45607235 293169505 286522007 24151530 33433612 7800000 58239954 46664258 598996746 568841451 9851786 8090943 11424 201839727 191501975 427682 438331365 411494737 650022878 611526761 X -52995270 -44654448 1969138 1969138 -51026132 -42685310 598996746 568841451 3934506 4406316 0 X X 0 1 X 1 0 X X 5 MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE INC 640833383 3 0 0 0 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC 753068151 3 0 0 2184318 BAPTIST MEDICAL CENTER - LEAKE INC 452896080 3 0 0 206446 BAPTIST MEDICAL CENTER - YAZOO INC 640844470 3 0 0 160846 BAPTIST HEALTH FOUNDATION INC 473403762 3 0 341671 0 5 341671 2551610 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 12G, COLUMN (VI): MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. PROVIDED SERVICES TO ITS SUPPORTED ORGANIZATIONS. PART IV, SECTION A, LINE 1: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC.'S SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. THE SUPPORTED ORGANIZATIONS ARE AFFILIATES LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2). PART IV, SECTION A, LINE 6: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. PROVIDES LIMITED SUPPORT TO PUBLIC CHARITIES ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. SUPPORT IS GIVEN TO PUBLIC CHARITIES THAT FURTHER THE PURPOSES OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., SUCH AS CANCER RESEARCH, SERVICES TO THE HOMELESS, MEDICAL EDUCATION, SERVICES PROVIDED TO THE NEEDY, WOMEN AND CHILDREN'S SERVICES, THE ELDERLY, AND HOME CARE AND HOSPICE. FUNDS ARE COLLECTED BY BAPTIST MEMORIAL HEALTH CARE FOUNDATION, INC. FOR ALL OF ITS RELATED ENTITIES AND THEN INVESTED AND DISPERSED AS DIRECTED BY THE SUPPORTED ORGANIZATIONS. PLEASE SEE SCHEDULE I, PART II FOR DONATIONS TO PUBLIC CHARITIES THAT FURTHER THE MISSION OF THE SUPPORTED ORGANIZATIONS. PART IV, SECTION C, LINE 1: A SUBSTANTIAL AMOUNT OF CONTROL OVER THE SUPPORTED ORGANIZATIONS IS VESTED IN THE SAME PERSONS. A MAJORITY OF THE OFFICERS WHO MANAGE MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ARE ALSO OFFICERS THAT MANAGE THE SUPPORTED ORGANIZATIONS. 0 0 0 0 0 0 0 0 1 3048 3048 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 & FEDERAL LEVELS. BAPTIST MEMORIAL HEALTH CARE CORPORATION ALLOCATES A PORTION OF THESE FEES AMONG ITS HOSPITALS. 235000 48931972 49166972 169869263 16948498 152920765 1448719 264199 1184520 91214462 25137092 66077370 20429826 3257446 17172380 286522007 INVESTMENTS IN RELATED PARTIES 33433612 C 33433612 ASSETS WHOSE USE IS LIMITED 14289416 DEFERRED COMPENSATION FUND 9236193 CONSTRUCTION IN PROCESS 5993733 INTEREST RATE SWAP RECEIVABLE 293045 ABOVE MARKET LEASE ASSET 1626799 OTHER ASSETS 262552 DUE FROM AFFILIATES 14962520 46664258 ASSET RETIREMENT OBLIGATION 1382034 DEFERRED COMPENSATION 9470193 BELOW MARKET LEASE LIABILITY 6908006 DUE TO AFFILIATES 388893191 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 1519532 CAPITAL LEASE OBLIGATIONS 3114781 RESERVE FOR SELF INSURANCE 207000 411494737 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). CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 SCHEDULE F, PART I, LINE 3: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. OWNED AN INTEREST IN POINTER OFFSHORE, LTD., A HEDGE FUND DOMICILED IN THE CAYMAN ISLANDS. THIS INTEREST WAS SOLD IN JANUARY AND JULY 2018, WITH A BOOK VALUE OF $8,196,000. THE BOOK VALUE AS OF THE END OF FISCAL YEAR 2018 WAS $0. 1 1 X 1 X 1 X 1 1 1 0 1 1 843009 843009 0.01110 2899934 1811020 1088914 0.01440 44046 21900 22146 0.00030 3786989 1832920 1954069 0.02580 8829881 5466972 3362909 0.04440 8829881 5466972 3362909 0.04440 12616870 7299892 5316978 0.07020 1 424810 31245 6041129 3805528 2235601 X 1 1 1 1 BAPTIST MEDICAL CENTER-ATTALA 220 HWY 12 WEST KOSCIUSKO MS 39090 HTTPS://WWW.BAPTISTONLINE.ORG/ATTALA 11-008 X X X X BAPTIST MEDICAL CENTER-ATTALA 1 0 0 1 X X X X X X X X 16 1 0 0 1 X HTTPS://WWW.BAPTISTONLINE.ORG/ABOUT/CHNA X 1 16 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 MEDICAL CENTER-ATTALA PART V, SECTION B, LINE 5: THE CHNA EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING POPULATION HEALTH DATA (SECONDARY DATA ANALYSIS) PAIRED WITH FOCUS GROUP INTERVIEWS AND SURVEY DATA COLLECTED FROM THE COMMUNITY (PRIMARY DATA ANALYSIS).SURVEY METHODOLOGY:THE ONLINE SURVEY WAS WIDELY DISTRIBUTED VIA EMAIL, HOSPITAL WEBSITE, ONLINE SOCIAL MEDIA AND OTHER MEANS OF ELECTRONIC COMMUNICATION. INSTRUCTIONS FOR ACCESSING THE ONLINE SURVEY WERE DISTRIBUTED IN AREAS HIGHLY TRAFFICKED BY PATIENTS AND VISITORS THROUGHOUT AREA CLINICS, BAPTIST MEDICAL CENTER-ATTALA, LOCAL CIVIC AND COMMUNITY MEETINGS, THE LOCAL PUBLIC LIBRARY WHERE FREE ONLINE ACCESS IS AVAILABLE, LOCAL BUSINESSES AS WELL AS OTHER LOCAL MEDIA OUTLETS.PRINTED COPIES OF THE SURVEY WERE ALSO MADE AVAILABLE TO ENSURE OPPORTUNITIES FOR A DIVERSE PARTICIPATION. PAPER SURVEYS WERE DISTRIBUTED AT LOCAL CIVIC AND COMMUNITY MEETINGS AND EVENTS, LOCAL BUSINESSES, BAPTIST MEDICAL CENTER-ATTALA'S MAIN LOBBY AND CLINICS. THE COMPLETED HARDCOPY SURVEYS WERE COLLECTED AND ENTERED TO THE ONLINE DATA FOR ANALYSIS ALONG WITH THOSE WHICH WERE DIRECTLY SUBMITTED BY PARTICIPANTS TO CREATE A UNIVERSAL DATA SET.FOCUS GROUP METHODOLOGY:A CRITICAL COMPONENT IN GATHERING RELEVANT COMMUNITY HEALTH NEEDS DATA INVOLVES CONDUCTING FOCUS GROUP INTERVIEWS WITH COMMUNITY MEMBERS WHO ARE INTERESTED IN AND REPRESENT THE BROADER INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. ADDITIONAL INPUT WAS SOLICITED FROM THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS REPRESENTING KEY INFORMANTS, WITH SPECIFIC INFORMATION RELATED TO PUBLIC HEALTH AND/OR RURAL HEALTH AS WELL AS ORGANIZATIONS REPRESENTING MINORITIES AND THE TRADITIONALLY UNDERSERVED:-- ATTALA COUNTY PUBLIC LIBRARY-- BAPTIST ATTALA PRIMARY CARETHE FOCUS GROUP WAS OPEN TO THE PUBLIC AND SPECIFICALLY DESIGNED TO INCLUDE PARTICIPANTS FROM ACROSS ATTALA COUNTY WHO MAY NOT BE REPRESENTED BY A PARTICULAR GROUP OR ORGANIZATION. INFORMATION REGARDING THE FOCUS GROUP THAT INCLUDED THE DATE, TIME, AND LOCATION WAS DISSEMINATED BY EMAIL, NEWSPAPER, THE LOCAL MAIN STREET CHAMBER, AND LOCAL CIVIC ORGANIZATION AND COMMUNITY MEETINGS. A SERIES OF QUESTIONS AND TIMELY ARTICLES WERE PRESENTED TO THE FOCUS GROUP SERVING AS A GUIDE FOR THE MEETING IN WHICH THE ATTENDEES WERE ASKED TO SHARE THEIR RESPONSES. THE RESPONSES WERE, IN TURN, DOCUMENTED BY A DESIGNATED SCRIBE. BAPTIST MEDICAL CENTER-ATTALA PART V, SECTION B, LINE 11: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ACQUIRED MONTFORT JONES HOSPITAL ON JUNE 1, 2015. THE NAME WAS CHANGED TO BAPTIST MEDICAL CENTER-ATTALA. THERE IS NO CHNA PRIOR TO THE CURRENT CHNA.BASED ON THE FINDINGS OF BOTH THE QUANTITATIVE AND QUALITATIVE DATA GATHERED, BAPTIST MEDICAL CENTER-ATTALA HAS IDENTIFIED GAPS IN HEALTH CARE SERVICES WITHIN THE COMMUNITY. WHILE ACKNOWLEDGING ITS IMPORTANT ROLE IN MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, THE HOSPITAL ALSO RECOGNIZES THAT TRULY "MOVING THE NEEDLE" ON HEALTH CARE FOR THE COMMUNITY (I.E. IMPROVING THE OVERALL HEALTH OF THE COMMUNITY) IMPLIES SHARED RESPONSIBILITY AND COORDINATION OF RESOURCES ON THE PART OF ALL STAKEHOLDERS INCLUDING THE HOSPITAL, OTHER HEALTH CARE PROVIDERS, ELECTED AND NON-ELECTED OFFICIALS AS WELL THE CITIZENS, WHO ARE THE ULTIMATE CONSUMERS OF HEALTH CARE SERVICES.IN ANALYSIS OF BOTH THE QUANTITATIVE AND QUALITATIVE DATA GATHERED, BAPTIST MEDICAL CENTER-ATTALA IDENTIFIED OPPORTUNITIES TO EXPAND OR IMPROVE SERVICES IN THREE BROAD CATEGORIES. THESE INCLUDED: AT-RISK POPULATIONS, DISEASE-SPECIFIC NEEDS AND AREAS OF SOCIAL CONCERN THAT IMPACT THE COMMUNITY'S SHORT-TERM AND LONG-HEALTH.THE RECOMMENDATIONS AND ACTION PLANS WHICH FOLLOW ARE GROUPED INTO FOUR TYPES OF INTERVENTIONS:1. EDUCATION:THOSE ACTIVITIES AND RESOURCES THAT BAPTIST MEDICAL CENTER-ATTALA CAN PROVIDE, BOTH INTERNALLY AND EXTERNALLY TO ASSIST INDIVIDUALS AND/OR PARTNER ORGANIZATIONS IN ADDRESSING HEALTH-RELATED ISSUES.2. ADVOCACY:OPPORTUNITIES TO ENGAGE WITH OFFICIALS (BOTH ELECTED AND APPOINTED) WHO MAKE OR ADMINISTER POLICIES WHICH DIRECTLY OR INDIRECTLY IMPACT THE HEALTH OF THE COMMUNITY.3. PARTNERSHIPS:THE HOSPITAL WILL SEEK TO WORK COLLABORATIVELY WITH INDIVIDUALS, STAKEHOLDERS, AND OUTSIDE ORGANIZATIONS TOWARD THE OVERALL GOAL OF IMPROVING COMMUNITY HEALTH.4. PROVISION OF SERVICES:THOSE SERVICES WHICH THE HOSPITAL PLANS TO PROVIDE DIRECTLY AND INDEPENDENTLY TO PATIENTS.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL CONTINUES TO DO THE FOLLOWING:1) AT-RISK POPULATIONS: A. PROVIDE NEWBORN AND EARLY CHILDHOOD VACCINATIONS. B. PROVIDE MEDICAID CHILDHOOD RISK ASSESSMENT PROGRAM. C. PROMOTE PROSTATE SCREENING DURING PROSTATE AWARENESS MONTH. D. SPONSOR MEN'S HEALTH DAY. E. OFFER FALL RISK ASSESSMENT AND BALANCE TRAINING FOR SENIOR ADULTS, CONTINUE WEEKLY EXERCISE CLASS FOR SENIORS, AND CONTINUE TO SPONSOR SENIOR DAY AT CENTRAL MISSISSIPPI FAIR. F. CONTINUE TO PARTICIPATE IN BREAST AND CERVICAL CANCER PROGRAMS TO PROVIDE FREE MAMMOGRAMS AND ULTRASOUNDS.2) DISEASE/CONDITION SPECIFIC: A. CONTINUE PARTICIPATION IN MISSISSIPPI DEPARTMENT OF HEALTH TRAUMA PROGRAM TO IMPROVE TRAUMA SERVICES, AND EDUCATION TO NURSES AND PHYSICIANS. B. ADD MINI MENTAL HEALTH SCREENING EXAMS TO SENIOR DAY SCREENINGS. C. PROVIDE GERIATRIC PSYCHIATRY OUTPATIENT CARE TO EARLY STAGE ALZHEIMER'S PATIENTS IN THE INTENSIVE OUTPATIENT PROGRAM (IOP). D. CONTINUE PARTICIPATION IN SUSAN G. KOMEN TO PROVIDE SCREENING MAMMOGRAMS TO PATIENTS WITHOUT INSURANCE AND RAISE AWARENESS OF BREAST CANCER, EDUCATION ON COLORECTAL CANCER, AND PROMOTE LUNG CANCER AWARENESS. E. PROVIDE FREE GUAIAC KITS DURING COLON CANCER AWARENESS ACTIVITIES. F. PROVIDE EDUCATIONAL MATERIALS ON CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND RESOURCES TO ASSIST WITH SMOKING CESSATION. G. PROVIDE FREE GLUCOSE SCREENINGS AT AREA HEALTH FAIRS AND EDUCATION FOR BETTER DIABETIC DIET AND CARE. H. PROVIDE EDUCATION ON STROKE AWARENESS, SIGNS OF STROKE, AND EARLY INTERVENTION AND PARTICIPATE IN THE STATE-WIDE STROKE NETWORK AS A PRIMARY STROKE HOSPITAL. I. CONTINUE TO SERVE AS AN AMERICAN HEART ASSOCIATION (AHA) CARDIOPULMONARY RESUSCITATION (CPR) AND ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EDUCATION SITE. J. PROVIDE BLOOD PRESSURE SCREENING AT HEALTH FAIRS AND IN PUBLIC SETTINGS SUCH AS WALMART. K. RE-OPEN THE IOP AT THE HOSPITAL, PROVIDE TELE-PSYCHIATRY SERVICE, AND COLLABORATE WITH LOCAL MENTAL HEALTH DISTRICT'S LIFE STEPS. L. OFFER ONSITE FLU AND PNEUMONIA VACCINE TO BUSINESS, INDUSTRY, AND COMMUNITY GROUPS.3) SOCIAL CHALLENGES AFFECTING HEALTH: A. COLLABORATE WITH MISSISSIPPI RURAL SCHOLARS PROGRAM TO INCREASE AWARENESS OF PROGRAMS IN ATTALA COUNTY HIGH SCHOOLS. B. COLLABORATE WITH HIGH SCHOOL GUIDANCE COUNSELORS TO MAKE STUDENTS AWARE OF HEALTH CARE OPPORTUNITIES. C. EDUCATE COMMUNITY ON THE HOSPITAL'S CHARITY CARE PROGRAM.NEEDS IDENTIFIED BUT NOT ADDRESSED:BAPTIST MEDICAL CENTER-ATTALA IS CLASSIFIED AS A CRITICAL ACCESS HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY DEFINITION, IT OFFERS A LIMITED ARRAY OF SERVICES IN A RURAL COMMUNITY. GIVEN LIMITED RESOURCES, WE ARE UNABLE TO ADDRESS EACH OF THE HEALTH NEEDS THAT EXIST WITHIN OUR COMMUNITY AND THOSE NEEDS IDENTIFIED IN OUR SURVEY. NEEDS WERE PRIORITIZED TO FACILITATE THE EFFICIENT AND EFFECTIVE UTILIZATION OF AVAILABLE RESOURCES. SOME NEEDS IDENTIFIED IN OUR CHNA REPORT MAY NOT HAVE BEEN ADDRESSED IN OUR IMPLEMENTATION STRATEGY DUE TO A LACK OF HUMAN OR FINANCIAL RESOURCES, INADEQUATE EXPERTISE IN A SPECIFIC FIELD OR DISCIPLINE AND/OR NEEDS THAT ARE ALREADY BEING ADDRESSED BY OUR COMMUNITY PARTNERS, PROGRAMS AND/OR INITIATIVES. BAPTIST MEDICAL CENTER-ATTALA PART V, SECTION B, LINE 13B: 1. MONEY INCOME: INCLUDES 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 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 MEDICAL CENTER-ATTALA: PART V, SECTION B, LINE 16A: THE FAP FOR BAPTIST MEDICAL CENTER-ATTALA CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEDICAL CENTER-ATTALA:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FOR BAPTIST MEDICAL CENTER-ATTALA CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEDICAL CENTER-ATTALA:PART V, SECTION B, LINE 16C: THE PLAIN LANGUAGE SUMMARY OF THE FAP FOR BAPTIST MEDICAL CENTER-ATTALA CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEDICAL CENTER-ATTALA: PART V, SECTION B: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. (MBHS) WAS ACQUIRED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION (BMHCC) IN MAY 2017. MBHS'S FINANCIAL ASSISTANCE POLICY (FAP) AND PRACTICES WERE INTEGRATED WITH BMHCC'S EFFECTIVE SEPTEMBER 1, 2017. BMHCC'S CORPORATE INTERNAL AUDIT AND CONSULTING SERVICES DEPARTMENT COMPLETED A DETAILED COMPLIANCE AUDIT OF THE INTERNAL REVENUE CODE (IRC) SECTION 501(R) AND THE RELATED TREASURY REGULATIONS IN OCTOBER/NOVEMBER 2017. THIS REVIEW WAS COMPLETED FOR ALL EIGHTEEN BMHCC HOSPITALS, AND THE SCOPE INCLUDED ALL FOUR KEY 501(R) COMPLIANCE COMPONENTS - THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), FAP, AMOUNTS GENERALLY BILLED, AND THE BILLING AND COLLECTION PRACTICES.THE CORPORATE INTERNAL AUDIT DEPARTMENT REVIEW ALSO INCLUDED THE RELATED POLICIES AND PROCEDURES, PROCESSES AND PRACTICES OF THE FAP DETERMINATION, MANUAL AND SYSTEM APPLICATION OF THE DISCOUNTS TO THE PATIENT ACCOUNTS, AS WELL AS THE BILLING STATEMENT LANGUAGE REQUIREMENTS FOR ALL BMHCC HOSPITALS AND CLINICS. INEFFICIENCIES AND MINOR, INADVERTENT DEFICIENCIES WERE CORRECTED EXPEDIENTLY.DURING THIS REVIEW, DOCUMENTATION EVIDENCED THAT THE CHNA IMPLEMENTATION STRATEGY (CHNA-IS) POSTED ON THE MBHS'S WEBSITE DID NOT ADDRESS SOME OF THE REQUIRED ELEMENTS. THESE ISSUES WERE DISCOVERED BY THE CORPORATE INTERNAL AUDIT DEPARTMENT IN OCTOBER/NOVEMBER 2017. ACCORDINGLY, IN RESPONSE TO THE AUDIT RESULTS, AN ADDENDUM TO OFFICIALLY CORRECT THE CHNA-IS WAS APPROVED BY THE BOARD ON FEBRUARY 22, 2018. ALL CHNA-IS UPDATES AND CORRECTIONS WERE MADE TO THE BMHCC WEBSITE IN AUGUST 2018, AND AT THE SAME TIME MBHS'S CHNA-IS WEBSITE DOCUMENTATION WAS INTEGRATED WITH BMHCC'S. THE CHNA PROCESS FOR ALL HOSPITALS IS NOW BEING MANAGED BY BMHCC CORPORATE. THEREFORE, THE MBHS HOSPITALS ARE INCLUDED IN THE SAME COMPLIANCE PROCESS AS ALL OF THE OTHER BMHCC HOSPITALS. THE NEXT ROUND OF CHNA ASSESSMENTS WILL BE ISSUED IN SEPTEMBER 2019. MBHS DID NOT HAVE THE BAPTIST MEDICAL CENTER-ATTALA (ATTALA) FINANCIAL ASSISTANCE POLICY (FAP) POSTED ON ITS WEBSITE. NOR DID THEY HAVE LISTS OF PARTICIPATING AND NON-PARTICIPATING PROVIDERS. THESE ISSUES WERE IDENTIFIED BY THE CORPORATE INTERNAL AUDIT DEPARTMENT ON OR ABOUT SEPTEMBER 2017. ALL ISSUES WERE CORRECTED IN SEPTEMBER 2017 AS MBHS'S FAP WEBSITE DOCUMENTATION WAS SIMULTANEOUSLY INTEGRATED WITH BMHCC'S. IN ADDITION, ATTALA'S FAP AND/OR BILLING AND COLLECTION POLICIES DID NOT CONTAIN ALL OF THE REQUIRED SPECIFICATIONS. FOR EXAMPLE, POLICIES DID NOT SPECIFY THE COLLECTION TIME PERIODS AND NOTIFICATION REQUIREMENTS, DETAIL POTENTIAL EXTRAORDINARY COLLECTION ACTIONS (ECAS) AVAILABLE AND/OR EXPLAIN THE PROCESS FOR OBTAINING A FREE COPY OF THE FAP AND/OR FINANCIAL ASSISTANCE APPLICATION. THESE ISSUES WERE IDENTIFIED BY BMHCC'S CORPORATE INTERNAL AUDIT DEPARTMENT AROUND AUGUST 2017. THESE ISSUES WERE CORRECTED IN SEPTEMBER 2017 WITH THE INTEGRATION AND SYSTEM IMPLEMENTATION OF THE BMHCC FAP. ALL FAP UPDATES AND CORRECTIONS WERE MADE TO THE BMHCC WEBSITE IN SEPTEMBER 2017, AND AT THE SAME TIME, MBHS'S FAP WEBSITE DOCUMENTATION WAS INTEGRATED WITH BMHCC'S. MINOR ISSUES WITH THE BILLING STATEMENTS FOR SELF-PAY PATIENTS WERE DISCOVERED BY BMHCC'S CORPORATE INTERNAL AUDIT DEPARTMENT BETWEEN AUGUST AND DECEMBER 2017. NONE OF THE HOSPITALS' THIRD-PARTY BILLING VENDORS WERE MAILING A PLAIN LANGUAGE STATEMENT (PLS) WITH THEIR BILLING STATEMENTS. ADDITIONALLY, THESE STATEMENTS DID NOT INCLUDE REQUIRED BILLING STATEMENT LANGUAGE. THESE ISSUES WERE CORRECTED IN STAGES INCLUDING THE SEPTEMBER 2017 FAP IMPLEMENTATION, RE-CONTRACTING WITH BILLING VENDORS, CENTRALIZING BUSINESS OFFICE FUNCTIONS, AND IMPLEMENTING BILLING SERIES WITH COMPLIANT STATEMENT LANGUAGE. FAP DISCOUNTS TOTALING $3,299 WERE UNDER APPLIED FOR 55 PATIENT VISITS. THIS ERROR RESULTED IN REFUNDS OF $1,853 TO 39 PATIENTS FOR OVERPAYMENTS. THE DATES OF SERVICE REVIEWED RANGED FROM FEBRUARY 2018 THROUGH JANUARY 2019.UPON DISCOVERING THE ERRORS DESCRIBED ABOVE, BMHCC, THE SOLE MEMBER OF MBHS, THE SOLE MEMBER OF ATTALA, TOOK IMMEDIATE CORRECTIVE ACTION. BMHCC CONSIDERS THESE ERRORS TO BE MINOR AND INADVERTENT OR DUE TO REASONABLE CAUSE UNDER APPLICABLE 501(R) REGULATIONS AND INTERPRETATIONS. ACCORDINGLY, ATTALA HAS ALWAYS STRIVED TO COMPLY WITH ALL RELEVANT LAWS AND REGULATIONS. BMHCC HAS ESTABLISHED PRACTICES AND BOTH FORMAL AND INFORMAL PROCEDURES IN PLACE REASONABLY DESIGNED TO ADDRESS, MONITOR, AND PROMOTE ITS COMPLIANCE WITH THE REQUIREMENTS OF IRC 501(R), AS WELL AS CONSISTENTLY ALLOCATE FINANCIAL ASSISTANCE TO THE PATIENTS THEY SERVE. IN ADDITION, AS OF FEBRUARY 2018, ALL BMHCC HOSPITALS ARE NOW OPERATING ON THE SAME EPIC COMPUTER SYSTEM PLATFORM UNDER THE SAME FAP. PROCESSES FOR DETERMINING THE FAP DISCOUNT PERCENTAGE HAVE BEEN CENTRALIZED. BMHCC'S CORPORATE INTERNAL AUDIT DEPARTMENT WILL CONDUCT FOLLOW-UP REVIEWS FOR 501(R) COMPLIANCE, AS WELL AS ANNUAL SYSTEM REVIEWS FOR THE ACCURACY AND APPROPRIATENESS OF THE FAP DISCOUNT DETERMINATION AND APPLICATION. IN AN EFFORT TO BE FULLY TRANSPARENT, BMHCC AND ATTALA HAVE CHOSEN TO PROACTIVELY DISCLOSE THESE MINOR AND INADVERTENT OMISSIONS AND ERRORS ON THIS FORM 990. 1 1 - BAPTIST MEDICAL CLINIC KOSCIUSKO 220 HIGHWAY 12 W KOSCIUSKO MS 39090 RURAL HEALTH CLINIC PART I, LINE 3C: MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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, MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 III, LINE 2: MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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: MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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. ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN A SEPARATE PARAGRAPH BEGINNING ON PAGE 7 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: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES PRIMARILY BY PERFORMING CONSUMER SURVEYS EACH MONTH. THE SURVEYS ARE CONDUCTED ON A RANDOM SELECTION OF CONSUMERS FROM THE 17 COUNTIES IN THE MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. AREA AND MEASURE MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC.'S PERFORMANCE AGAINST OTHER MAJOR HOSPITALS IN THE AREA, AS WELL AS PROVIDE INFORMATION ON UTILIZATION OF HEALTH SERVICES, SATISFACTION WITH HEALTH CARE SERVICES, AND PUBLIC PERCEPTION OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. AS A WHOLE. MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ENGAGES NEW SOUTH RESEARCH TO CONDUCT THE SURVEYS VIA TELEPHONE AND ALSO CONDUCTS SURVEYS OF PARTICIPANTS FOLLOWING COMMUNITY SEMINARS AND EDUCATIONAL CLASSES. 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: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC.'S PRIMARY SERVICE AREA CONSISTS OF ATTALA COUNTY, WHICH IS LOCATED IN CENTRAL MISSISSIPPI. THE COUNTY CONSISTS OF APPROXIMATELY 20,000 PEOPLE. AGE DEMOGRAPHICS FOR THE AREA SHOW THAT APPROXIMATELY 35% OF THE POPULATION IS UNDER 24 YEARS OF AGE, APPROXIMATELY 49% IS BETWEEN 24 AND 64 YEARS OF AGE, AND 16% IS 65 OR OLDER. MEDIAN HOUSEHOLD INCOME OF $32,866 FOR ATTALA COUNTY IS BELOW THE OVERALL AVERAGE FOR MISSISSIPPI AND SIGNIFICANTLY LESS THAN NATIONWISE AVERAGE. INSURANCE COVERAGE IS LACKING FOR MUCH OF THE POPULATION WITH APPROXIMATELY 21% ESTIMATED TO BE UNINSURED. PART VI, LINE 5: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. (MBHS) IS THE PARENT COMPANY OF AN AFFILIATED HEALTH CARE GROUP. MBHS OFFERS VARIOUS PROGRAMS AND ACTIVITIES TO THE PUBLIC IN ORDER TO PROMOTE COMMUNITY HEALTH. THERE ARE MANY LOW OR NO COST SCREENINGS OFFERED TO THE COMMUNITY INCLUDING HEART, LUNG, AND MAMMOGRAMS. A NUMBER OF EDUCATIONAL CLASSES ON A WIDE VARIETY OF HEALTH TOPICS ARE ALSO OFFERD TO THE COMMUNITY AT NO COST.IN ADDITION, MBHS OPERATES BAPTIST HEALTH LINE, WHICH OFFERS SEVERAL SERVICES, INCLUDING HOSPITAL SERVICES REFERRALS, SCHEDULING OF CLASSES FOR HOSITAL SERVICES, AND THE HEALTH INFORMATION LIBRARY. THE BAPTIST HEALTH LINE PROFESSIONALS ALSO OFFER BAPTIST'S RISK ASSESSMENT TOOLS, INCLUDING THE HEART TEST, THE HEALTH TEST, THE WOMEN'S HEALTH CHECK, THE DIABETES HEALTH CHECK, AND THE CANCER TEST.MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. OFFERS PASTORAL CARE FOR PATIENTS AND VISITORS. MBHS HAS A TEAM OF CHAPLAINS, EACH ASSIGNED TO A DIFFERENT AREA OF THE HOSPITAL, TO MINISTER AND BRING COMFORT AND CARE TO PATIENTS AND THEIR CAREGIVERS.IN ADDITION TO PROGRAMS AND SERVICES, MBHS SUPPORTS ITS LOCAL COMMUNITY THROUGH FINANCIAL DONATIONS. EMPLOYEES ALSO VOLUNTEER THEIR TIME ON VARIOUS COMMUNITY PROGRAMS. PART VI, LINE 6: MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 GREATER BELHAVEN NEIGHBORHOOD FOUNDATION 954 FORTIFICATION STREET JACKSON MS 39202 640917645 501(C)(3) 33750 TO SUPPORT COMMUNITY AWARENESS AND TO HELP PRESERVE THE GREATER BELHAVEN AREA MISSION FIRST INC PO BOX 250 JACKSON MS 39205 640797107 501(C)(3) 26000 TO HELP COMMUNITY RESIDENTS WITH BOTH PHYSICAL AND SPIRITUAL NEEDS THE JUNIOR LEAGUE OF JACKSON MS INC 805 RIVERSIDE DRIVE JACKSON MS 39202 646011106 501(C)(3) 28355 SUPPORT COMMUNITY AWARENESS HABITAT FOR HUMANITY MISSISSIPPI CAPITAL AREA PO BOX 55634 JACKSON MS 39296 640750633 501(C)(3) 20000 SUPPORT COMMUNITY BUILDING CENTER FOR PREGNANCY CHOICES METRO AREA PO BOX 55664 JACKSON MS 39296 640757399 501(C)(3) 5700 SUPPORT CLINIC FOR WOMEN BAPTIST HEALTH FOUNDATION INC 1225 N STATE STREET JACKSON MS 39202 473403762 501(C)(3) 88464 SUPPORT HEALTH CARE MISSION 6 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/. X X 0 0 0 1 0 0 0 0 0 0 0 GARY C ANDERSON DIRECTOR/VP MS MKT OPERATION 436442 224383 0 0 1857 18171 8856 10160 17456 7160 464611 259874 0 0 SAMUEL T LAWSON MD DIRECTOR 0 340044 0 263252 0 587 0 0 0 27935 0 631818 0 0 ZACHARY R CHANDLER DIRECTOR 0 524835 0 183472 0 51933 0 23625 0 22689 0 806554 0 0 GREGORY M DUCKETT SECRETARY 0 417017 0 138516 0 88118 0 42336 0 30164 0 716151 0 0 JASON M LITTLE PRESIDENT 0 910132 0 334216 0 137805 0 31500 0 27332 0 1440985 0 0 MICHAEL D MAPLES VP CHIEF OF MEDICAL OPERATIONS 359583 0 0 0 227374 0 7283 0 23811 0 618051 0 0 0 ROBERT COLEMAN CEO (AS OF 5/18) 147389 0 0 0 1543 0 4422 0 1390 0 154744 0 0 0 WILLIAM F THOMPSON CFO 355830 0 0 0 1121 0 10800 0 29105 0 396856 0 0 0 LEE ANN FOREMAN VP HUMAN RESOURCES 244687 0 0 0 7348 0 8127 0 17973 0 278135 0 0 0 MICHAEL K STEVENS VP BUSINESS DEVELOPMENT 215546 0 0 0 53669 0 0 0 31399 0 300614 0 0 0 PHILLIP HUGHES EXEC. DIR. FOUND. (THRU 2/18) 208562 0 0 0 1096 0 8785 0 30345 0 248788 0 0 0 STEVE STANIC VP CHIEF INFO OFFICER 320784 0 0 0 2841 0 4718 0 19968 0 348311 0 0 0 BRAD BEATTIE ASSOC. ADMIN. - ANCILLARY 155001 0 0 0 3105 0 6200 0 1387 0 165693 0 0 0 BRENDA HOWIE VP OF NURSING 160445 0 0 0 5260 0 6504 0 12134 0 184343 0 0 0 JEFF BATES ASSOC. ADMIN. - ANCILLARY 130891 0 0 0 16759 0 2789 0 21880 0 172319 0 0 0 PAT HERRINGTON SAFETY & COMPLIANCE OFFICER 156910 0 0 0 1090 0 6521 0 22890 0 187411 0 0 0 STEVEN REED DIR. OF IT PROJECTS & ADMIN 131944 0 0 0 5485 0 5415 0 13662 0 156506 0 0 0 BOBBIE K WARE FORMER VP CNO 204619 125483 0 0 45346 14291 8292 8383 9695 3389 267952 151546 0 0 WILLIAM B GRETE FORMER VP GENERAL COUNSEL 236013 0 0 0 118733 0 10812 0 21100 0 386658 0 0 0 PART I, LINE 1A MOST OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVE A PERQUISITE ALLOWANCE WHICH IN INCLUDED IN THEIR SALARIES. SOME ADMINISTRATORS, BOARD MEMBERS, AND THEIR FAMILIES RECEIVE A FREE MEMBERSHIP TO A BAPTIST OWNED FITNESS CENTER WHICH IS NOT INCLUDED IN THEIR TAXABLE COMPENSATION. PART I, LINE 1B MOST OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVE A PERQUSITE ALLOWANCE. THE ALLOWANCE INCLUDED IS IN THEIR SALARIES AND IS TAXABLE TO THEM AS ADDITIONAL INCOME. SOME ADMINISTRATORS, BOARD MEMBERS, AND THEIR FAMILIES RECEIVE A FREE MEMBERSHIP TO A BAPTIST OWNED FITNESS CENTER WHICH IS NOT INCLUDED IN THEIR TAXABLE COMPENSATION. BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., ALSO HAS AN ACCOUNTABLE PLAN, BUT A DISCRETIONARY SPENDING ACCOUNT AND HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES ARE NOT PART OF AN ACCOUNTABLE PLAN. PART I, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A NON-QUALIFIED, UNFUNDED DEFERRED COMPENSATION PLAN EFFECTIVE JULY 1, 2010, FOR THE BENEFIT OF CERTAIN MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE SYSTEM. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF THE SYSTEM TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PERSONNEL WITH A MARKET-COMPETITIVE SUPPLEMENTAL RETIREMENT BENEFIT ON A TAX-DEFERRED BASIS. THE FOLLOWING INDIVIDUALS LISTED ON PART VII RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS DURING THE CALENDAR YEAR: MICHAEL D. MAPLES - $211,689 WILLIAM B. GRETE - $50,287 BOBBIE K. WARE - $43,379 LEE ANN FOREMAN - $6,112 MICHAEL K. STEVENS - $46,161 A MS HOSPITAL EQUIPMENT & FACILITIES AUTHORITY 640732320 605360QE9 2017-08-16 63990000 SEE PART VI 0 0 0 B MS HOSPITAL EQUIPMENT & FACILITIES AUTHORITY 640732320 000000000 2017-12-22 46872000 SEE PART VI 0 0 0 C MS HOSPITAL EQUIPMENT & FACILITIES AUTHORITY 640732320 000000000 2017-12-22 11058000 SEE PART VI 0 0 0 D MS HOSPITAL EQUIPMENT & FACILITIES AUTHORITY 640732320 605360SA5 2015-04-01 80865000 SEE PART VI 0 0 0 A 63990000 63990000 1 0 1 1 B 1545000 46872000 184658 46687342 1 0 1 1 C 357000 11058000 11058000 1 0 1 1 D 30140000 80865000 880000 79985000 1 0 1 1 A 0 0 1 0 0 0 0 0 B 0 0 1 0 0 0 0 0 C 0 0 1 0 0 0 0 0 D 0 0 1 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 1 0 0 1 0 0 0 0 A 0 B 0 C 0 D 0 ENTITY 1: SCHEDULE K, PART I, ROW A, COLUMN (F): THESE BONDS WERE ORIGINALLY ISSUED ON 3/1/2007. BOND COUNSEL HAS CONCLUDED THAT THE BONDS MAY HAVE BEEN REISSUED ON 8/16/2017, AND A NEW FORM 8038 WAS FILED, ACCORDINGLY. WE ARE REPORTING ON SCHEDULE K IN A MANNER CONSISTENT WITH THE FILING OF THE NEW FORM 8038. ENTITY 1: SCHEDULE K, PART I, ROW B, COLUMN (F): TO CURRENT REFUND BONDS ISSUED 9/10/2012 AND 4/1/2015. ENTITY 1: SCHEDULE K, PART I, ROW C, COLUMN (F): TO CURRENT REFUND BONDS ISSUED 12/21/2012. ENTITY 1: SCHEDULE K, PART I, ROW D, COLUMN (F): TO CURRENT REFUND BONDS ISSUED 5/20/2009. ENTITY 2: SCHEDULE K, PART I, ROW A, COLUMN (F): TO CURRENT REFUND (REISSUANCE) BONDS ISSUED 5/26/2011. A MISSISSIPPI DEVELOPMENT BANK 640848675 60534RZ36 2015-06-01 6145000 SEE PART VI 0 0 0 A 570000 6145000 6145000 1 0 1 1 A 0 0 1 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 A 0 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 GARY C. ANDERSON WILLIAM F. THOMPSON LEE ANN FOREMAN MICHAEL K. STEVENS FORM 990, PART VI, SECTION A, LINE 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., APPOINTS ITS BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 C, LINE 18 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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. ZACHARY R. CHANDLER - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,786,795. MANAGEMENT AND GENERAL EXPENSES 789,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,575,903. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,572,111. MANAGEMENT AND GENERAL EXPENSES 82,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,654,854. FORM 990, PART XII, LINE 2C: BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MEDICAL CENTER-ATTALA LLC 1225 NORTH STATE STREET JACKSON MS 39202 473684354 HEALTH CARE FACILITY/HOSPITAL MS 17214569 15891378 MISSISSIPPI BAPTIST HEALTH SYSTEMS INC BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 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 381202177 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 STREET 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 STREET 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 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