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BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC (EIN 64-0772726)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-11
IRS object ID
201722239349300102
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-11T12:27:24-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640772726EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEMORIAL HOSPITAL-BusinessNameLine1Txt
Business Name Line2NORTH MISSISSIPPI INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBAPTBusinessNameControlTxt
Phone6625131613PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 946AddressLine1Txt
CityOXFORDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38655ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJASON M LITTLEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9012275117PhoneNum
Signature2017-08-11SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJASON M LITTLEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N HUMPHREYS BLVDAddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38120ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$273,736,397GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BAPTISTONLINE.ORG/NORTH-MISSISSIPPIWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateMSLegalDomicileStateCd
Activity Or MissionBAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI PROVIDES QUALITY MEDICAL (SEE SCHEDULE O, PG 71)HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee1164TotalEmployeeCnt
Total Volunteers58TotalVolunteersCnt
Total Gross UBI$665,028TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$2,119NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$519,028PYContributionsGrantsAmt
CY Contributions Grants$515,604CYContributionsGrantsAmt
PY Program Service Revenue$202,454,378PYProgramServiceRevenueAmt
CY Program Service Revenue$182,882,239CYProgramServiceRevenueAmt
PY Investment Income$35,001,499PYInvestmentIncomeAmt
CY Investment Income$18,380,132CYInvestmentIncomeAmt
PY Other Revenue$4,986,021PYOtherRevenueAmt
CY Other Revenue$4,800,397CYOtherRevenueAmt
PY Total Revenue$242,960,926PYTotalRevenueAmt
CY Total Revenue$206,578,372CYTotalRevenueAmt
PY Grants And Similar Paid$99,478PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$42,115CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$57,143,979PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$57,074,048CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$129,488,746PYOtherExpensesAmt
CY Other Expenses$105,868,417CYOtherExpensesAmt
PY Total Expenses$186,732,203PYTotalExpensesAmt
CY Total Expenses$162,984,580CYTotalExpensesAmt
PY Revenues Less Expenses$56,228,723PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$43,593,792CYRevenuesLessExpensesAmt
Total Assets BOY$464,023,942TotalAssetsBOYAmt
Total Assets EOY$558,783,896TotalAssetsEOYAmt
Total Liabilities BOY$17,830,770TotalLiabilitiesBOYAmt
Total Liabilities EOY$339,423,021TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$446,193,172NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$219,360,875NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$149,676,380ExpenseAmt
Grant$42,115GrantAmt
Revenue$186,510,885RevenueAmt
DescBAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI PROVIDES QUALITY MEDICAL HEALTHCARE 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-NORTH MISSISSIPPI, 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 HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. (SEE SCHEDULE O, PG 71 FOR CONTINUATION)THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI 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 COMMUNITYTHESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI SERVICED 8,627 INPATIENTS AND PROVIDED MORE THAN 79,487 OUTPATIENT SERVICES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016.BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH THE HOSPITAL RECEIVES AT LESS THAN FAIR MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $353,401,632.DURING THE YEAR, BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI'S PROGRAM SERVICES PRODUCED THE FOLLOWING RESULTS:--THE PHARMACY DISPENSED 4,131,516 PRESCRIPTIONS AT A COST OF $8,559,706.--THE NURSING DEPARTMENT HAD 33,239 PATIENT DAYS AT A COST OF $23,200,420.--THE SURGERY DEPARTMENT PERFORMED 8,336 SURGERIES AT A COST OF $18,725,342.--THE CARDIAC SERVICES DEPARTMENT PERFORMED 29,823 BILLABLE PROCEDURES AT A COST OF $9,864,556.--THE INFUSION DEPARTMENT PERFORMED 18,206 BILLABLE PROCEDURES AT A COST OF $9,565,921.BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI HEART CARE CENTER OPENED IN THE SUMMER OF 1986. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE HEART CARE CENTER PERFORMED 1,531 CATHETERIZATIONS, 961 INTERVENTIONAL PROCEDURES, 1,078 PERIPHERAL STUDIES, AND IMPLANTED 364 CARDIAC DEVICES. INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR SURGERY AND ELECTROPHYSIOLOGY SERVICES PROVIDE A CONTINUUM OF CARE FOR THE RESIDENTS OF THE 27 COUNTIES WE SERVE. ADDITIONALLY, OVER 8,000 EKGS AND OVER 15,000 OTHER NON-INVASIVE PROCEDURES ARE PERFORMED WHICH AID IN THE DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR DISEASE. RELIEF FROM CHRONIC HEARTBURN IS NOW AVAILABLE AT THE BAPTIST HEARTBURN TREATMENT CENTER. WHILE HEARTBURN IS A COMMON SYMPTOM EXPERIENCED BY ALMOST EVERYONE AFTER A SPICY MEAL OR PERIOD OF INCREASED STRESS, CHRONIC HEARTBURN CAN BE INDICATIVE OF A MUCH MORE SERIOUS PROBLEM. THE BAPTIST HEARTBURN TREATMENT CENTER OFFERS THE LATEST IN STATE-OF-THE-ART DIAGNOSTICS TECNIQUES AND TREATMENT OPTIONS TO HELP EASE THE SUFFERING OF GERD.BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI OPENED A FREESTANDING, COMPREHENSIVE CANCER CENTER IN 2002 AND CONTINUES TO EXPERIENCE TREMENDOUS GROWTH. THE TEAM CONSISTING OF PHYSICIANS, A PHYSICIST, ONCOLOGY NURSES AND RADIATION THERAPISTS PROVIDED OVER 23,651 SERVICE UNITS DURING THE YEAR ENDED SEPTEMBER 30, 2016. BAPTIST CENTER FOR CANCER CARE SUPPORTS CONCENTRATED EFFORTS TO EDUCATE THE PUBLIC ON CANCER PREVENTION. ADDITIONALLY, LOW-COST SCREENINGS ARE AVAILABLE THROUGHOUT THE YEAR.PATIENTS COME TO BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI FROM 37 COUNTIES IN MISSISSIPPI AND SEVERAL SURROUNDING STATES. STATISTICS SHOW THAT NEARLY 70% OF BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI'S PATIENTS COME FROM OUTSIDE OF LAFAYETTE COUNTY. WHEN BAPTIST MEMORIAL HEALTH CARE CORP. FIRST LEASED THE HOSPITAL IN 1989 ONLY 30% OF PATIENTS TRAVELED TO LAFAYETTE COUNTY TO RECEIVE MEDICAL TREATMENT. ?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-NORTH MISSISSIPPI BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI PROVIDES A NUMBER OF SERVICES TO THE COMMUNITY. THE FOLLOWING IS A PARTIAL LISTING OF SUCH SERVICES AND ACTIVITIES OFFERED IN FISCAL YEAR 2016: --ANNUAL DONATIONS TO VARIOUS CHARITABLE ORGANIZATIONS --ASSISTANCE WAS OFFERED TO VARIOUS INDIVIDUALS WITH TRANSPORTATION, DIETARY, AND PHARMACEUTICAL NEEDS --DIAGNOSTIC AND LABORATORY TESTING WERE PROVIDED TO INDIVIDUALS IDENTIFIED BY A LOCAL CHARITY CLINIC --SCREENINGS AND SEMINARS WERE PROVIDED FOR SENIOR CITIZENS THROUGHOUT THE YEAR --SUPPORT GROUPS WERE PROVIDED FOR CANCER PATIENTS, BARIATRIC PATIENTS, HEART, PARKINSONS, EXPECTANT MOTHERS, AND ETC.--HOSPITAL EMPLOYEES CONDUCTED ADULT AND CHILD CPR CLASSES, AS WELL AS FIRST AID CLASSES, AT VARIOUS LOCATIONS. --PROGRAMS AND SEMINARS WERE CONDUCTED TO PROMOTE WOMEN'S SERVICES INCLUDING, BREAST CANCER AND HEART DISEASE AWARENESS, CHILDBIRTH PREPARATION CLASSES AND AN ANNUAL CHILDREN'S WELLNESS PROGRAM. --MULTIPLE CLASSES SUCH AS BREAST FEEDING, CHILD BIRTH, AND STRESS MANAGEMENT WERE PROVIDED. --THE HOSPITAL PARTICIPATED IN COMMUNITY EVENTS SUCH AS RELAY FOR LIFE, DOUBLE DECKER FESTIVAL, MARCH FOR BABIES, TICKLED PINK, WALK FOR DIABETES, UNITED WAY, AND THE CARE WALK.--FREE USAGE OF MEETING SPACE FOR CIVIC ORGANIZATIONS AND SUPPORT GROUPS WAS OFFERED.BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI RECOGNIZES THAT PEOPLE ARE ITS MOST VALUABLE ASSET. TO SHARE THIS ASSET WITH THE COMMUNITY AT LARGE, ALL PERSONNEL ARE ENCOURAGED TO GET INVOLVED BY VOLUNTEERING. BELOW IS A PARTIAL LISTING OF ORGANIZATIONS AND ACTIVITIES THAT BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI SUPPORTED THROUGH ITS VOLUNTEER EFFORTS:--OXFORD-LAFAYETTE CHAMBER OF COMMERCE/ECONOMIC DEVELOPMENT FOUNDATION--UNITED WAY--LEADERSHIP LAFAYETTE--"CAREER DAY" AT LOCAL SCHOOLS--JR. LEADERSHIP LAFAYETTE--BOY SCOUTS/GIRL SCOUTS--INTERFAITH COMPASSION MINISTRY--THE PANTRY--AMERICAN CANCER SOCIETY--MUSCULAR DYSTROPHY ASSOCIATION--UNITED BLOOD SERVICES--SALVATION ARMY--DIABETES FOUNDATION OF MISSISSIPPI--PARTNERSHIP FOR A HEALTHY MISSISSIPPI--EXCHANGE CLUB OF OXFORD--ROTARY CLUB--LIONS' CLUB--BOYS AND GIRLS CLUB OF OXFORDDesc
Total Program Service Expenses$149,676,380TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1164EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DANA WILLIAMS CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6622328102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 S LAMARAddressLine1Txt
CityOXFORDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38655ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BETH FITTS
DIRECTOR0.230.00Yes (X)$0$0$0
JOHN WEBB MD
DIRECTOR0.230.00Yes (X)$0$0$0
LARRY LITTLE
DIRECTOR0.230.00Yes (X)$0$0$0
SHERWIN HAYNIE
DIRECTOR0.230.00Yes (X)$0$0$0
DARLENE WASHINGTON
DIRECTOR0.230.00Yes (X)$0$0$0
DANA KELLY
DIRECTOR0.230.00Yes (X)$0$0$0
DANA W WILLIAMS
CFO40.000.00$170,867$0$26,523Yes (X)
WILLIAM C HENNING
CEO/ADMINISTRATOR40.000.00$0$396,597$40,982Yes (X)
JASON M LITTLE
PRESIDENT0.2339.77$0$1,245,920$55,034Yes (X)
GREGORY M DUCKETT
SECRETARY0.2339.77$0$635,401$59,461Yes (X)
PAUL D DEPRIEST MD
V.P.0.2339.77$0$899,879$55,805Yes (X)
MINDY MULLINS
CRNA40.000.00$193,220$0$12,351Yes (X)
JEREMY LAWRENCE
CRNA DIRECTOR40.000.00$220,344$0$44,377Yes (X)
GREGORY RHODES
CRNA40.000.00$196,930$0$45,205Yes (X)
CONTESSA FIELDS
CRNA LEAD40.000.00$189,540$0$49,514Yes (X)
JEFFERY P KURR
CHIEF PHYSICIST40.000.00$226,997$0$57,017Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,197,898TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,177,797TotReportableCompRltdOrgAmt
Total Other Compensation$446,269TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EARL SWENSSON ASSOCIATES
2100 WEST END AVE 1200NASHVILLETN37203CONSTRUCTION SERVICES$4,627,950
JOHNSON CONTROLS
PO BOX 730068DALLASTX75373PLANT OPS MGMT$639,879
MIDSOUTH CREDIT BUREAU INC
1410 INDUSTRIAL PARK RDPARISTN38242COLLECTION SERVICES$533,059
ARAMARK SERVICES INC
27310 NETWORK PLACECHICAGOIL606731273CONTRACT SERVICES$470,259
A2H INC
3009 DAVIS PLANTATION RDLAKELANDTN38002CONSTRUCTION SERVICES$293,888
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$27,555RelatedOrganizationsAmt
Government Grants$488,049GovernmentGrantsAmt
Total Contributions$515,604TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REV.Desc
Business621500BusinessCd
Total Revenue Column$182,882,239TotalRevenueColumnAmt
Related Or Exempt Func Income$182,842,443RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$39,796UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$182,882,239TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,854,435TotalRevenueColumnAmt
Exclusion$6,854,435ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$690,720RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,007,075RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$316,355RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$316,355TotalRevenueColumnAmt
Exclusion-$316,355ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$77,476,033SecuritiesAmt
Other$200,614OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$66,029,180SecuritiesAmt
Other$121,770OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,446,853SecuritiesAmt
Other$78,844OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,525,697TotalRevenueColumnAmt
Exclusion$11,525,697ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
SURGERY CTR REV.900099$3,668,442$3,668,442
CAFETERIA REVENUE900099$823,078$823,078
MANAGEMENT FEE REV.621500$625,232$625,232
FieldValueIRS element (for citing)
Other Revenue Total$5,116,752OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$206,578,372TotalRevenueColumnAmt
Related Or Exempt Func Income$186,510,885RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$665,028UnrelatedBusinessRevenueAmt
Exclusion$18,886,855ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$28,300TotalAmt
Program Services$28,300ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$13,815TotalAmt
Program Services$13,815ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$213,380TotalAmt
Program Services$189,908ProgramServicesAmt
Management And General$23,472ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$45,158,695TotalAmt
Program Services$40,191,239ProgramServicesAmt
Management And General$4,967,456ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,104,617TotalAmt
Program Services$983,109ProgramServicesAmt
Management And General$121,508ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,579,548TotalAmt
Program Services$6,745,798ProgramServicesAmt
Management And General$833,750ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,017,808TotalAmt
Program Services$2,685,849ProgramServicesAmt
Management And General$331,959ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$21,962TotalAmt
Management And General$21,962ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,540,758TotalAmt
Program Services$8,491,275ProgramServicesAmt
Management And General$1,049,483ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$267,624TotalAmt
Program Services$238,185ProgramServicesAmt
Management And General$29,439ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,413,004TotalAmt
Program Services$3,037,574ProgramServicesAmt
Management And General$375,430ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,095,599TotalAmt
Program Services$1,865,083ProgramServicesAmt
Management And General$230,516ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$101,260TotalAmt
Program Services$40,504ProgramServicesAmt
Management And General$60,756ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$76,830TotalAmt
Program Services$30,732ProgramServicesAmt
Management And General$46,098ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,110,795TotalAmt
Program Services$17,898,608ProgramServicesAmt
Management And General$2,212,187ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,137,717TotalAmt
Program Services$1,012,568ProgramServicesAmt
Management And General$125,149ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
UBI TAX$500$445$55
MEDICAL SUPPLIES$37,688,107$37,688,107$0
MANAGEMENT FEES$21,920,684$19,509,409$2,411,275
MEDICAID ASSESSMENTS$5,845,993$5,845,993$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,647,584TotalAmt
Program Services$3,179,879ProgramServicesAmt
Management And General$467,705ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$162,984,580TotalAmt
Program Services$149,676,380ProgramServicesAmt
Management And General$13,308,200ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,499BOYAmt
EOY$2,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$298,660,828BOYAmt
EOY$19,764,122EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,961,112BOYAmt
EOY$23,473,191EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,939,578BOYAmt
EOY$3,720,923EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,587,851BOYAmt
EOY$2,366,121EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$244,279,026LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$195,271,821LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$64,502,472BOYAmt
EOY$49,007,205EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$17,554,799BOYAmt
EOY$17,512,143EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$53,814,803BOYAmt
EOY$442,938,191EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$464,023,942BOYAmt
EOY$558,783,896EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,161,130BOYAmt
EOY$21,458,990EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$317,513,305EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$669,640BOYAmt
EOY$450,726EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,830,770BOYAmt
EOY$339,423,021EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$446,193,172BOYAmt
EOY$219,360,875EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$446,193,172BOYAmt
EOY$219,360,875EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$464,023,942BOYAmt
EOY$558,783,896EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$43,593,792ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$32,096,397NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$238,329,692OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$21,962OtherActivitiesAmt
Total Lobbying Expenditures$21,962TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationBAPTIST MEMORIAL HOSPITAL-N. MISSISSIPPI PAYS ANNUAL MEMBERSHIP DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH IS RELATED TO LOBBY EXPENSE. THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION, PAYS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE ARKANSAS HOSPITAL ASSOCIATION, THE MISSISSIPPI HOSPITAL ASSOCIATION, AND THE TENNESSEE HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ARE FOR CONSULTANTS WHO ADVISE AND CONSULT WITH THE ORGANIZATION ON LEGISLATIVE AND REGULATORY MATTERS THAT MAY AFFECT THE ORGANIZATION AND ITS AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSITIONS WITH THE LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE, AND FEDERAL LEVELS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,296,993OtherCostOrOtherBasisAmt
Book Value$13,296,993BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$112,845,797OtherCostOrOtherBasisAmt
Depreciation$95,063,689DepreciationAmt
Book Value$17,782,108BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,369,109OtherCostOrOtherBasisAmt
Depreciation$95,051,940DepreciationAmt
Book Value$12,317,169BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,767,127OtherCostOrOtherBasisAmt
Depreciation$5,156,192DepreciationAmt
Book Value$5,610,935BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$49,007,205TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
CONSTRUCTION IN PROCESS$133,021,642
ESTIMATED SETTLEMENTS WITH THIRD PARTIES$70,000
OTHER ASSETS$7,452,875
DUE FROM AFFILIATES$113,780,930
BOND COSTS$188,612,744
FieldValueIRS element (for citing)
Total Book Value Other Assets$442,938,191TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED SETTLEMENTS WITH THIRD PARTIESDesc
Amt$450,726Amt
FieldValueIRS element (for citing)
Total Liability$450,726TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationFROM THE COMBINED AUDITED FINANCIAL STATEMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND SUBSIDIARIES: AS OF SEPTEMBER 30, 2016 AND 2015, BAPTIST MEMORIAL HEALTH CARE CORPORATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT BAPTIST MEMORIAL HEALTH CARE CORPORATION WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, BAPTIST MEMORIAL HEALTH CARE CORPORATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2012 (FISCAL YEAR ENDED SEPTEMBER 30, 2013).ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,195,915TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,046,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,149,592NetCommunityBenefitExpnsAmt
Total Expense0.02550TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,328,810TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,990,721DirectOffsettingRevenueAmt
Net Community Benefit Expns-$1,661,911NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$642,516TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$613,212DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,304NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,167,241TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,650,256DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,516,985NetCommunityBenefitExpnsAmt
Total Expense0.02570TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served39219PersonsServedCnt
Total Community Benefit Expns$75,913TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,913NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served10PersonsServedCnt
Total Community Benefit Expns$295,165TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$120,340DirectOffsettingRevenueAmt
Net Community Benefit Expns$174,825NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,415,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,018,200DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,397,426NetCommunityBenefitExpnsAmt
Total Expense0.06380TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,647TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,487NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served2258PersonsServedCnt
Total Community Benefit Expns$37,791TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,791NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served41487PersonsServedCnt
Total Community Benefit Expns$59,903,142TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,200,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,702,442NetCommunityBenefitExpnsAmt
Total Expense0.06570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served41487PersonsServedCnt
Total Community Benefit Expns$94,070,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$80,850,956DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,219,427NetCommunityBenefitExpnsAmt
Total Expense0.09140TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served50PersonsServedCnt
Total Community Benefit Expns$2,642TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,642NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served725PersonsServedCnt
Total Community Benefit Expns$8,556TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,556NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$8,080TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,080NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served775PersonsServedCnt
Total Community Benefit Expns$21,778TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,778NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,561,203BadDebtExpenseAmt
Bad Debt Expense Attributable$6,576,012BadDebtExpenseAttributableAmt
Reimbursed By Medicare$22,933,469ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,292,752CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$5,640,717MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEMORIAL HOSPITAL-N MISSISSIPPIBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 S LAMARAddressLine1Txt
CityOXFORDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38655ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BAPTISTONLINE.ORG/NORTH-MISSISSIPPWebsiteAddressTxt
State License13-228StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEMORIAL HOSPITAL-N MISSISSIPPIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V SECTION CStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BAPTIST MEMORIAL HOSPITAL-N. MISSISSIPPIPart V, Section B, Line 5: THE 2016 CHNA FOR WAS CONDUCTED FOR THE THE BAPTIST MISSISSIPPI SERVICE AREA, WHICH IS SERVED BY BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, BAPTIST MEMORIAL HOSPITAL- NORTH MISSISSIPPI, AND BAPTIST MEMORIAL HOSPITAL-UNION COUNTY. THIS SERVICE AREA COMPRISES SIX COUNTIES ACROSS MISSISSIPPI: BENTON, LAFAYETTE, LOWNDES, PANOLA, PRENTISS, AND UNION COUNTY. 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. PRIMARY RESEARCH METHODS WERE USED TO SOLICIT INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SECONDARY RESEARCH METHODS WERE USED TO IDENTIFY COMMUNITY HEALTH NEEDS AND TRENDS ACROSS GEOGRAPHIC AREAS AND POPULATIONS. 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 WITH 58 COMMUNITY REPRESENTATIVES TO SOLICIT FEEDBACK ON COMMUNITY HEALTH PRIORITIES, UNDERSERVED POPULATIONS, AND PARTNERSHIP OPPORTUNITIES. --A FOCUS GROUP WITH 14 HEALTH CARE CONSUMERS TO IDENTIFY HEALTH NEEDS AND INFORM IMPLEMENTATION STRATEGIES AROUND HEALTH CARE DELIVERY, CANCER SCREENINGS AND CARE, AND CHRONIC CONDITION MANAGEMENT AND PREVENTION. --A PARTNER FORUM WITH COMMUNITY REPRESENTATIVES TO SOLICIT FEEDBACK ON COMMUNITY HEALTH PRIORITIES AND FACILITATE COLLABORATION. LEADERSHIP THE 2016 CHNA WAS OVERSEEN BY A STEERING COMMITTEE OF BAPTIST MEMORIAL HEALTH CARE REPRESENTATIVES WITH INPUT FROM COMMUNITY REPRESENTATIVES AND PARTNERS. A LIST OF COMMITTEE MEMBERS AND PARTNERS IS INCLUDED IN APPENDIX A OF THE CHNA.RESEARCH PARTNER BAPTIST'S CONSULTANT, BAKER TILLY, ASSISTED IN ALL PHASES OF THE CHNA INCLUDING PROJECT MANAGEMENT, QUANTITATIVE AND QUALITATIVE DATA COLLECTION, REPORT WRITING, AND DEVELOPMENT OF THE IMPLEMENTATION STRATEGY. PROJECT MANAGER: COLLEEN MILLIGAN, MBA LEAD RESEARCHER: CATHERINE BIRDSEY, MPH
BAPTIST MEMORIAL HOSPITAL-N. MISSISSIPPIPart V, Section B, Line 6a: BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI CONDUCTED ITS CHNA WITH THE FOLLOWING FACILITIES:BAPTIST MEMORIAL HOSPITAL-BOONEVILLEBAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLEBAPTIST MEMORIAL HOSPITAL-UNION COUNTYSCHEDULE H, PART V, SECTION B, LINE 7a: THE CHNA FOR BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI, INC. CAN BE FOUND AT http://www.baptistonline.org/app/files/public/2435/Baptist-CHNA-Report-2016-Mississippi.pdfSCHEDULE H, PART V, SECTION B, LINE 10a:THE IMPLEMENTATION STRATEGY FOR BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI, INC. CAN BE FOUND AT http://www.baptistonline.org/app/files/public/2508/Baptist-North-Mississippi-CHNA-Implementation-Plans-2016.pdf
BAPTIST MEMORIAL HOSPITAL-N. MISSISSIPPIPart 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 MISSISSIPPI SERVICE AREA. BAPTIST'S CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH ISSUES AND CONCERNS AND A CHANGING HEALTH CARE DELIVERY ENVIRONMENT, TO ADDRESS THE REGION'S MOST PRESSING COMMUNITY HEALTH NEEDS. BELOW ARE SPECIFIC ACTIVITIES THAT BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI WILL CARRY OUT IN SUPPORT OF THE SYSTEM-WIDE PLAN. 1. BEHAVIORAL HEALTH:THE GOAL IS TO IMPROVE OUTCOMES FOR RESIDENTS WITH A MENTAL HEALTH OR SUBSTANCE ABUSE CONDITION AND THEIR FAMILIES. BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI 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/OR 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-NORTH MISSISSIPPI WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1) WORK WITH COMMUNITY LEADERS TO IDENTIFY OPPORTUNITIES TO PROMOTE BEHAVIORAL HEALTH EDUCATION AND SCREENINGS.2) CONTINUE PARTICIPATING WITH THE SUICIDE PREVENTION TASK FORCE.3) HOST NATIONAL ASSOCIATION OF MENTAL ILLNESS SUPPORT GROUPS AT BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI.4) COLLABORATE WITH CLINIC FOR OUTREACH AND PERSONAL ENRICHMENT TO IDENTIFY AND PROMOTE MENTAL HEALTH RESOURCES FOR CHILDREN AND ADOLESCENTS.5) PARTICIPATE IN THE DRUG FREE PROGRAM WITH BOY SCOUTS OF AMERICA AND GIRL SCOUTS OF THE USA. 6) PARTICIPATE IN THE COLLEGIATE RECOVERY COMMUNITY AT THE UNIVERSITY OF MISSISSIPPI TO PROVIDE A SUBSTANCE-FREE ENVIRONMENT FOR STUDENTS.7) PROVIDE EDUCATION ABOUT ALZHEIMER'S DISEASE AT LOCAL RETIREMENT COMMUNITIES.8) HOST MEMORY MAKER'S SUPPORT GROUPS FOR ALZHEIMER'S DISEASE CAREGIVERS.2. CANCER:THE 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 HOSPITAL-NORTH MISSISSIPPI 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-NORTH MISSISSIPPI WILL IMPLEMENT THE FOLLOWIG STRATEGIES: 1) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AWARENESS OF CANCER RISK, PREVENTION, AND SCREENING. 2) PARTICIPATE IN AND/OR HOST EDUCATIONAL FORUMS TO INCREASE AWARENESS OF RISK FACTORS AND PREVENTION ACTIVITIES. 3) PROVIDE FREE OR REDUCED COST CANCER SCREENINGS FOR AT-RISK AND UNINSURED ADULTS. 3. CHRONIC DISEASE MANAGEMENT AND PREVENTION:THE GOAL IS TO REDUCE RISK FACTORS FOR CHRONIC DISEASE AND IMPROVE MANAGEMENT OF CHRONIC DISEASE THROUGH HEALTHY LIFESTYLE CHOICES. BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI 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-NORTH MISSISSIPPI WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1) PARTICIPATE IN HEALTH FAIRS AND OTHER COMMUNITY EVENTS THAT PROVIDE EDUCATION AND SCREENINGS FOR HEALTH RISK FACTORS RELATED TO CHRONIC DISEASE. 2) COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE PHYSICAL ACTIVITY. 3) HOST SUPPORT GROUPS FOR CHRONIC DISEASES.4. MATERNAL AND CHILD HEALTH: THE GOAL IS TO IMPROVE BIRTH OUTCOMES FOR WOMEN AND INFANTS. BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI 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-NORTH MISSISSIPPI WILL IMPLEMENT THE FOLLOWING STRATEGIES:1) COLLABORATE WITH COMMUNITY PARTNERS TO PROVIDE PRENATAL EDUCATION.2) PROVIDE FREE CHILDBIRTH EDUCATION AND PARENTING CLASSES TO NEW PARENTS.3) SUPPORT MARCH OF DIMES AND OTHE COMMUNITY PARTNERS TO IMPROVE OUTCOMES FOR MOTHERS AND BABIES.4) PROVIDE BREASTFEEDING SUPPORT AND EDUCATION TO NEW MOTHERS.5) PARTNER WITH THE SAV-A-LIFE PARTNERSHIP TP [REVENT TEEN PREGNANCY. BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI PLANS TO ADDRESS ALL FOUR OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. IT WILL CONTINUE TO PLAY A LEADERSHIP ROLE IN ADDRESSING THE HEALTH NEEDS OF THE RESIDENTS IN THE COMMUNITIES IT SERVES. FOR COMMUNITY NEEDS NOT IDENTIFIED AS PRIORITIES, BAPTIST MEMORIAL HOSPITAL-NORTH MISSISIIPI WILL CONTINUE TO PLAY A SUPPORT ROLE AS RESOURCES ARE AVAILABLE. AS WITH ALL BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI PROGRAMS, THE HOSPITAL WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY.2014-2016 IMPLEMENTED STRATEGIES: 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 RELATED TO THE PRIOR CHNA.--IMPLEMENTED DEPRESSION AND MENTAL HEALTH SCREENINGS AMONG PRIMARY CARE PATIENTS --OFFERED "LOOK GOOD, FEEL BETTER" CLASSES FOR WOMEN ACTIVELY UNDERGOING CHEMOTHERAPY OR RADIATION --OFFERED THE HEALTHY KIDS CAMP AND GET FIT PROGRAM, DESIGNED TO ENCOURAGE CHILDREN TO ADOPT HEALTHIER EATING AND EXERCISE HABITS --PARTICIPATED IN HEALTH FAIRS AND INFORMATIONAL BOOTHS TO PROVIDE HEALTH INFORMATION AND SCREENINGS (BLOOD PRESSURE, BMI, BALANCE, DIABETES, MAMMOGRAPHY, PSA, ETC.) AND PROMOTE HEALTHY LIFESTYLES --PARTICIPATED IN THE UNION COUNTY COMMUNITY HELPER DAY, PROVIDING HEALTHY LIFESTYLE EDUCATION TO PRE-KINDERGARTEN AND FIRST GRADE STUDENTS --PARTNERED WITH SAV-A-LIFE, A TEEN PREGNANCY RESOURCE CENTER, TO ADDRESS THE PREVENTION OF TEEN PREGNANCY AND ASSIST TEENS THAT ARE CURRENTLY PREGNANT --PROVIDED MATERNAL AND CHILD HEALTH CLASSES AND PRESENTATIONS ON TOPICS, INCLUDING CHILD BIRTHING, BREASTFEEDING, WOMEN'S HEALTH, CAR SEAT SAFETY, SIBLING SUPPORT, INFANT SKIN CARE, AND NEW PARENTS --PROVIDED CHRONIC CONDITION (ASTHMA, CANCER, COPD, DIABETES, AND HEART DISEASE) EDUCATION SESSIONS, MANAGEMENT CLASSES, AND LUNCHEON SERIES AND SPONSORED COMMUNITY AWARENESS CAMPAIGNS--PROVIDED DRUG AND ALCOHOL PREVENTION PROGRAMS TO YOUTH AND ADULTS--PROVIDED "HEALTH TALK WITH BAPTIST," SEGMENTS ABOUT HEALTHY LIFESTYLE CHOICES AND "THE DOCTOR IS IN" LECTURE SERIES--SPONSORED COMMUNITY AGENCIES/EVENTS, INCLUDING THE AGAPE HEALTH SERVICES, ALBANY POLICE DEPARTMENT, AMERICAN CANCER SOCIETY RELAY FOR LIFE, AMERICAN RED CROSS, DIABETES FOUNDATION, FARMER'S MARKETS, JUNIOR AUXILIARY, LOVE PACKS, MARCH OF DIMES, MYCHOICE PREGNANCY CARE CENTER, NORTH PONTOTOC SCHOOL JUMP ROPE FOR HEART HEALTH, SANCTUARY HOSPICE HOUSE-TUPELO, TANGLEFOOT TRAILS, ETC.--SPONSORED 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. --SPONSORED LOCAL BACK TO SCHOOL HEALTH FAIRS FEATURING SCREENINGS, SAFETY AWARENESS, AND HEALTH EDUCATION --SPONSORED SUPPORT GROUPS, INCLUDING SASSY SPARROWS BREAST CANCER SURVIVOR GROUP, RENEWAL WITH HOPE CANCER NUTRITION GROUP, BARIATRIC SUPPORT GROUP, NEVER ENDING CIRCLE GRIEF SUPPORT GROUP, MENDED HEARTS SUPPORT GROUP, NAMI CONNECTION SUPPORT GROUP, BREASTFEEDING SUPPORT GROUP, DIABETES SUPPORT GROUP, ETC. --SUPPORTED ALZHEIMER'S AWARENESS AND EDUCATION BY SPONSORING THE COLOR INVASION 5K AND OFFERING SUPPORT TO CAREGIVERS --SUPPORTED THE STOP THE KNOCK CAMPAIGN, AN INITIATIVE AIMED AT DECREASING FATAL CAR CRASHES.BY PROVIDING HEALTH EDUCATION AND OPPORTUNITIES FOR RESIDENTS TO PARTICIPATE IN PROGRAMS TO IMPROVE THEIR HEALTH, BAPTIST MEMORIAL HEALTH CARE HELPED THOUSANDS OF OUR COMMUNITY MEMBERS LEAD HEALTHIER LIVES. WE BELIEVE STRONGLY IN CORPORATE CITIZENSHIP AND RECOGNIZE THE IMPORTANCE OF COLLABORATION WITH LOCAL ORGANIZATIONS TO BUILD STRONGER AND HEALTHIER COMMUNITIES. WE REMAIN COMMITTED TO SUPPORTING COMMUNITY HEALTH IMPROVEMENT IN LINE WITH OUR MISSION AND VISION.
BAPTIST MEMORIAL HOSPITAL-N. MISSISSIPPIPart 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, TRUSTS, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES. WHEN CALCULATING INCOME FROM ANY OF THE PRECEDING SOURCES USE THE GROSS AMOUNT.2. NON-CASH BENEFITS (SUCH AS FOOD STAMPS AND HOUSING SUBSIDIES) DO NOT COUNT AS INCOME. 3. IF A PERSON LIVES WITH A FAMILY, CALCULATE THE TOTAL GROSS INCOME OF ALL FAMILY MEMBERS. (A) NON-RELATIVES, INCLUDING HOUSEMATES, DO NOT COUNT. (B) A CHILD WHO IS A FULL-TIME STUDENT AWAY FROM HOME IN AN ACCREDITED COLLEGE MAY BE COUNTED. (C) MINOR CHILDRENS' EARNED WAGES ARE NOT TO BE INCLUDED IN DETERMINING INCOME. (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.
PART V SECTION B, LINE 16:LINE 16A:THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT http://www.baptistonline.org/app/files/public/2454/Financial-Assisitance-Policies-FAP-Enlgish.pdfLINE 16B:THE FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT http://www.baptistonline.org/app/files/public/2456/Financial-Assisitance-Applications-Financial-Assistance-Application-English.pdfLINE 16C:THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT http://www.baptistonline.org/app/files/public/2452/Financial-Assisitance-Policies-Plain-Language-English.pdf

Supplemental Information Detail SupplementalInformationDetail (17 entries)

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Part I, Line 3c:BAPTIST MEMORIAL HOSPITAL 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, THE HOSPITAL USES UNDERINSURED STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
Part I, Line 6a:THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE HOSPITAL'S SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. 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 EFFORTS 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 DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
Part I, Ln 7 Col(f):PART I, LINE 7, COLUMN (F):PER IRS INSTRUCTIONS, BAD DEBT EXPENSE WAS NOT INCLUDED IN THE CALCULATION OF THE PERCENTAGE OF TOTAL CHARITY CARE AND COMMUNITY BENEFITS COST ON SCHEDULE H, LINE 7, COLUMN (F).PART I, LINE 7b, COLUMN (F):DUE TO SOFTWARE LIMITATIONS, THE PERCENT OF TOTAL EXPENSES FOR LINE 7b COLUMN (F) UNREIMBURSED MEDICAID PROGRAM IS REPORTED AS ZERO, BUT THE ACTUAL AMOUNT OF LINE 7b IS -1.02%.
Part II, Community Building Activities:BAPTIST MEMORIAL HOSPITAL-N. MISSISSIPPI CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES IT SERVES. BAPTIST ALSO IS INVOLVED IN LOCAL COMMUNITY AND NON-PROFIT ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY RACE FOR THE CURE, WALK AMERICA, ST. JUDE, AND MANY OTHERS. NOT ONLY DO WE PROVIDE MONETARY DONATIONS, BUT OUR EMPLOYEES ARE ACTIVE VOLUNTEERS IN THESE WORTHY CAUSES.
Part III, Line 2:THE ORGANIZATION'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:THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS DETERMINED AS FOLLOWS:WE RUN A QUERY OUT OF OUR INTERNAL DATA WAREHOUSE SYSTEM THAT IDENTIFIES THE PATIENT POPULATION WHO HAVE BEEN IDENTIFIED AS ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THIS INFORMATION IS ENTERED INTO THE STANDARD NOTE SECTION OF EACH PATIENT RECORD. WE ALSO QUALIFY OUR PATIENT QUERY BY THE STANDARD NOTES THAT REPRESENT WHEN A PATIENT REFUSES TO COMPLETE THE FINANCIAL ASSISTANCE PAPERWORK. IF A PATIENT IS DETERMINED TO BE EITHER ELIGIBLE FOR FINANCIAL ASSISTANCE, IF INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, OR WHEN A SELF-PAY MINIMUM DISCOUNT NOTE IS ENTERED ON THE PATIENT RECORD, WE THEN TAKE THIS PATIENT POPULATION AND 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 HOSPITAL-NORTH MISSISSIPPI, 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 THE ORGANIZATION'S 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 CAN'T GET THE PAYMENT AND MEDICARE ALLOWABLE COST INFORMATION FROM THE COST REPORT IN THE FORMAT THAT WE NEED, SO WE DO THE FOLLOWING. 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 CHARITY APPLICATION ON FILE AND WAS DEEMED TO BE A CHARITY CASE BY THE HOSPITAL. IF IT WAS DETERMINED THAT THE PATIENT IS A CHARITY CASE, THEN THE COLLECTION AGENCY WILL REVIEW THE REMAINING UNPAID BALANCE AFTER THE APPLICATION OF THE CHARITY DISCOUNT, AND PURSUE APPROPRIATE COLLECTION EFFORTS. DEPENDING UPON THE CIRCUMSTANCES AT THE TIME, THE ENTIRE AMOUNT OWED MAY BE WRITTEN OFF.OTHER PATIENTS, WHO ARE NOT CHARITY PATIENTS, GENERALLY ARE NOT OFFERED A DISCOUNT ON THE AMOUNT OWED IF THE ACCOUNT IS 0-6 MONTHS OLD. THE HOSPITAL'S COLLECTION AGENCY WILL TRY TO SET UP A PAYMENT PLAN. IF THE PATIENT HAS INSURANCE AND THE BILL WAS FILED WITH THEIR INSURANCE COMPANY, THE PRIOR PPO ADJUSTMENT IS GIVEN. THE AMOUNT OF DISCOUNT INCREASES AS THE AGE OF THE DEBT INCREASES. AS THE AGE OF THE DEBT INCREASES, DETERMINING FACTORS ARE ALSO CONSIDERED SUCH AS THE ABILITY OF THE PATIENT TO PAY, THE AGE AND HEALTH OF THE PATIENT, FAMILY CIRCUMSTANCES, CREDIT SCORE, ETC.RISK FACTORS ARE ALSO CONSIDERED WHEN DETERMINING WHETHER TO SETTLE AN ACCOUNT. RISK FACTORS INCLUDE HARDSHIP AND CATASTROPHE, OTHER DEBTS, AND FUTURE EXPECTANCIES.
Part VI, Line 2:BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF THE HOSPITAL, 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 HEALTH SERVICES RESEARCH DEPARTMENT IS YACOUBIAN RESEARCH, INC. 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 (WHICH EVER 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 PHYSCIANS 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 ON-LINE 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 ELIGIBILTY 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.
Part VI, Line 4:BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI SERVICES THE LAFAYETTE COUNTY AND NORTH MISSISSIPPI AREA. THE AFRICAN-AMERICAN COMMUNITY COMPRISES ABOUT 38.5% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 1.6%, AND CAUCASIONS ARE ABOUT 58.4%.DEMOGRAPHIC SNAPSHOTS ARE PROVIDED BY THE INDEPENDENT OUTSIDE FIRM OF CLARITAS, INC. OUR OWN HEALTH SERVICES RESEARCH DEPARTMENT AT BAPTIST MEMORIAL HEALTH CARE CORPORATION (AS SOLE MEMBER) 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-NORTH MISSISSIPPI'S PRIMARY MARKET SERVICE AREA HAS 166,947 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 408,616 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 INVOLVMENT, 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-N. MISSISSIPPI 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.
Part VI, Line 7, Reports Filed With StatesTN,MS,AR

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BAPTIST MEMORIAL HEALTH CARE CORPORATION
350 N HUMPHREYS BLVDMEMPHISTN381202177581544781501(c)(3)$5,000MEMORIAL ENDOWMENT
PALMER HOME FOR CHILDREN
912 11th AVE SCOLUMBUSMS39703640334999501(c)(3)$5,000SPONSOR
AMERICAN CANCER SOCIETY
607 W MAIN ST SUITE CTUPELOMS38804131788491501(c)(3)$6,000DONATION
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
ASSISTED INDIGENT PATIENTS WITH MEDICATIONS AND TAXI RIDES TO AND FROM THE DOCTOR OR HOSPITAL.71$11,198
ASSISTED EMPLOYEES IN NEED DUE TO MEDICAL OR PERSONAL DISASTERS SUCH AS FIRES, FLOODS, ETC.9$2,617

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationALL ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF TAX EXEMPT STATUS THAT IS VERIFIED BY THE IRS 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 IRS 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 COORDINATOR, CASH SPONSORSHIPS MAY BE APPROVED BY THE SYSTEM DIRECTOR OF COMMUNICATIONS, ANYTHING OVER $10,000 MAY BE APPROVED BY THE BAPTIST MEMORIAL HEALTH CARE FOUNDATION SENIOR V.P., AND ANYTHING OVER $50,000 NEEDS APPROVAL BY THE CORPORATE PRESIDENT/CEO. FOR MORE INFORMATION ABOUT BAPTIST CHARITABLE GIVING GUIDELINES, PLEASE VISIT: https://www.bmhgiving.org/ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANA W WILLIAMS
CFO$157,215$0$13,632$0$20$0$21,052$0$5,471$0$197,390$0$0$0
WILLIAM C HENNING
CEO/ADMINISTRATOR$0$278,934$0$66,473$0$51,190$0$19,875$0$21,107$0$437,579$0$0
JASON M LITTLE
PRESIDENT$0$773,843$0$357,353$0$114,724$0$31,250$0$23,784$0$1,300,954$0$0
GREGORY M DUCKETT
SECRETARY$0$406,753$0$152,260$0$76,388$0$33,125$0$26,336$0$694,862$0$0
PAUL D DEPRIEST MD
V.P.$0$566,927$0$229,883$0$103,069$0$30,625$0$25,180$0$955,684$0$0
MINDY MULLINS
CRNA$193,200$0$0$0$20$0$12,286$0$65$0$205,571$0$0$0
JEREMY LAWRENCE
CRNA DIRECTOR$218,388$0$1,936$0$20$0$21,199$0$23,178$0$264,721$0$0$0
GREGORY RHODES
CRNA$195,154$0$1,756$0$20$0$25,010$0$20,195$0$242,135$0$0$0
CONTESSA FIELDS
CRNA LEAD$189,520$0$0$0$20$0$23,710$0$25,804$0$239,054$0$0$0
JEFFERY P KURR
CHIEF PHYSICIST$224,565$0$2,412$0$20$0$30,152$0$26,865$0$284,014$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3BAPTIST 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 THE COMPENSATION OF THE ORGANIZATION'S 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.
Part I, Line 4bELIGIBLE 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 PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE YEAR.
Part I, Line 7THE BAPTIST MEMORIAL HEALTH CARE SYSTEM HAS ESTABLISHED A MANAGEMENT ACCOUNTABILITY AND FINANCIAL INCENTIVE PLAN THAT ENCOURAGES MANAGEMENT PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY, FINANCIAL, GROWTH, AND HUMAN RESOURCE RELATED OPERATIONS OF THE ORGANIZATION. AN INCENTIVE BONUS IS PAID TO ALL MANAGEMENT BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE SATISFACTION; 3) PHYSICIAN SATISFACTION; 4) QUALITY AND SAFETY; 5) OPERATIONAL PREFORMANCE METRICS; AND 6) OPERATING INCOME MARGIN. PARTICIPANTS RECEIVE POINTS UNDER A PLAN SCORING SYSTEM FOR MEETING THEIR PREDETERMINED GOALS. THE POINTS ARE THEN ENTERED INTO THE PLAN FORMULA TO DETERMINE THE INCENTIVE COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MISSISSIPPI HOSPITAL EQUIPMENT AND FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN640732320BondIssuerEIN
CUSIP605360SD9CUSIPNum
Bond Issued2016-09-29BondIssuedDt
Issue Price$242,513,305IssuePriceAmt
PurposeCONSTRUCTION OF NEW HOSPITALPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$242,513,305TotalProceedsAmt
Issuance Costs From Proceeds$1,997,343IssuanceCostsFromProceedsAmt
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990 SCHEDULE K, PART III, LINE 9, AND PART V:FormAndLineReferenceDesc
ExplanationOUR MASTER TRUST INDENTURE IS THE GOVERNING DOCUMENT FOR THE BONDS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 20B: AUDITED FINANCIAL STATEMENTSFROM THE COMBINED AUDITED FINANCIAL STATEMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND SUBSIDIARIES: AS OF SEPTEMBER 30, 2016 AND 2015, BAPTIST MEMORIAL HEALTH CARE CORPORATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT BAPTIST MEMORIAL HEALTH CARE CORPORATION WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, BAPTIST MEMORIAL HEALTH CARE CORPORATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2012 (FISCAL YEAR ENDED SEPTEMBER 30, 2013).
PART V: STATEMENTS REGARDING OTHER IRS FILINGS & TAX COMPLIANCELINE 1a: ALL FORMS 1099 ARE PREPARED BY THE ACCOUNTS PAYABLE DEPARTMENT OF THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. ALL FORMS 1099 ARE ISSUED USING THE FEDERAL TAX IDENTIFICATION NUMBER OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. THE 1099S ARE NOT PROCESSED BY ENTITY, BUT BY VENDOR GROUP. MANY VENDORS PERFORM SERVICES FOR MULTIPLE BAPTIST 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. LINE 2a: THE PAYROLL FUNCTION IS CENTRALIZED AT THE PAYROLL DEPARTMENT OF THE SOLE MEMBER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. THE CORPORATE PAYROLL DEPARTMENT IS RESPONSIBLE FOR ALL SALARIES AND WAGES OF THE EMPLOYEES FOR THE ENTIRE BAPTIST SYSTEM. THE W-3s AND W-2s ARE SUBMITTED ELECTRONICALLY TO THE IRS 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 PART V, LINE 2a REFLECTS THE NUMBER OF EMPLOYEES AT THIS FACILITY WHO RECEIVED A W-2. THE TOTAL NUMBER OF W-2S FOR ALL BAPTIST ENTITIES IS REPORTED ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION W-3. LINE 7g: THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY REQUIRING IT TO FILE A FORM 8899. Line 7h: THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES, OR OTHER VEHICLES REQUIRING IT TO FILE A FORM 1098-C.
Form 990, Part VI, Section A, line 3BAPTIST MEMORIAL HEALTH CARE CORPORATION AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT.
Form 990, Part VI, Section A, line 6BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION.
Form 990, Part VI, Section A, line 7aBAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI ELECTS ITS BOARD OF DIRECTORS.
Form 990, Part VI, Section A, line 7bBAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI APPROVES THE BOARD OF DIRECTORS ACTIONS.
Form 990, Part VI, Section B, line 11THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S PRESIDENT/CEO, SR. V.P./CFO, AND THE HOSPITAL CFO. IN ADDITION, THE FORM 990 IS REVIEWED ON A ROTATING BASIS OF EVERY FOUR YEARS BY AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM. THE FORM 990 WAS NOT REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO SUBMITTING IT TO THE IRS. HOWEVER, BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, HAS A GOVERNANCE COMMITTEE THAT IS APPOINTED BY ITS BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE CONSISTS OF THREE OR MORE MEMBERS ALL OF WHICH MAY OR MAY NOT BE MEMBERS OF THE BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE WILL REVIEW THE FORM 990 AFTER SUBMITTING IT TO THE IRS.
Form 990, Part VI, Section B, line 12cBAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI 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 V.P. 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 CEO, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPOATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE.
Form 990, Part VI, Section B, line 15BAPTIST 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 14, 2013 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2014 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR.
Form 990, Part VI, Section C, line 18BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI MAKES COPIES OF ITS FORMS 1023, 990, AND 990T AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS.
Form 990, Part VI, Section C, line 19BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIIJASON M. LITTLE - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. PAUL D. DEPRIEST, M.D. - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177.
Form 990, Part XI, line 9:GAIN/LOSS FROM INVESTMENT IN P/S 277,611. TRANSFERS TO/FROM BAPTIST MEMORIAL HEALTH CARE CORPORATION -238,607,303.
PART XII, LINE 2c: FINANCIAL STATEMENTS AND REPORTING:BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BAPTIST MEMORIAL HEALTH CARE CORPORATION
350 N HUMPHREYS BLVDMEMPHISTN381202177581521475MANAGEMENT, ADMINISTRATIVE, AND FINANCIAL SERVICESTN501(c)(3)509(a)(3)N/A0
BAPTIST MEMORIAL HEALTH CARE SYSTEM INC
350 N HUMPHREYS BLVDMEMPHISTN381202177581456556CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TNTN501(c)(3)509(a)(3)N/AYes (1)
BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC
1003 MONROEMEMPHISTN38104621599670EDUCATION OF HEALTH CARE PROFESSIONALSTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HOSPITAL INC
BAPTIST MEMORIAL HEALTH SERVICES INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621509127PROVISION OF HEALTH CARE PROVIDERS AND HOME MEDICAL EQUIPMENT/SERVICESTN501(c)(3)509(a)(2)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL INC
350 N HUMPHREYS BLVDMEMPHISTN381202177620123940HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
MEDICAL FINANCIAL SERVICES INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621112364COLLECTION AGENCY FOR BAPTIST ENTITIESTN501(c)(3)509(a)(3)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC
100 HOSPITAL STBOONEVILLEMS38829640663760HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-DESOTO INC
7601 SOUTHCREST PKWYSOUTHAVENMS38671640682111HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC
2520 FIFTH STCOLUMBUSMS39703621519754HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC
631 RB WILSON DRHUNTINGDONTN38344621166050HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST CLINICAL RESEARCH INSTITUTE INC
350 N HUMPHREYS BLVDMEMPHISTN381202177453032246FACILIATE MEDICAL & SCIENTIFIC RESEARCHTN501(c)(3)509(a)(3)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-TIPTON INC
1995 HWY 51 SOUTHCOVINGTONTN38019621113167HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-UNION CITY INC
1201 BISHOP STUNION CITYTN38261621138045HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC
200 HWY 30 WESTNEW ALBANYMS38652630997281HEALTH CARE FACILITY/HOSPITALMS501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC
2100 EXETER RDGERMANTOWNTN38138581645396HEALTH CARE FACILITY/HOSPITALTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOME CARE INC
350 N HUMPHREYS BLVDMEMPHISTN381202177581562973HOME HEALTH CARE & HOSPICE SERVICESTN501(c)(3)509(a)(2)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL MEDICAL GROUPINC
350 N HUMPHREYS BLVDMEMPHISTN381202177621545731PROVISION OF HEALTH CARE PROVIDERS FOR BAPTIST FACILITIESTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL PATIENT SAFETY ORGANIZATION INC
350 N HUMPHREYS BLVDMEMPHISTN381202177453032372ESTABLISHING, MAINTAINING & MANAGING A PATIENT SAFETY ORGANIZATIONTN501(c)(3)509(a)(3)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL MEDICAL MINI EMP HLTH & WELFARE TRUST
350 N HUMPHREYS BLVDMEMPHISTN381202177621407946BAPTIST EMPLOYEE HEALTH PLANTN501(c)(9)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MINOR MEDICAL CENTERS INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621538114NON-EMERGENCY MEDICAL CLINICSTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL MEDICAL GROUP INC
BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC
350 N HUMPHREYS BLVDMEMPHISTN381202177581544781SOLICIT, RAISE, MANAGE, APPLY, & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIESTN501(c)(3)509(a)(3)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC
4800 E JOHNSON AVEJONESBOROAR72401261214372HEALTH CARE FACILITY/HOSPITALAR501(c)(3)509(a)(1)Yes (1)NEA BAPTIST HEALTH SYSTEM INC
NEA BAPTIST HEALTH SYSTEM INC
4800 E JOHNSON AVEJONESBOROAR72401271799652HEALTH CARE SERVICE PROVIDERAR501(c)(3)509(a)(3)Yes (1)BAPTIST MEMORIAL HEALTH CARE CORPORATION
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION INC
4802 E JOHNSON AVEJONESBOROAR72401710850123HEALTH CARE SERVICE PROVIDERAR501(c)(3)509(a)(1)Yes (1)NEA BAPTIST HEALTH SYSTEM INC
THE STERN CARDIOVASCULAR FOUNDATION INC
8060 WOLF RIVER BLVDGERMANTOWNTN38138274396698HEALTH CARE SERVICE PROVIDERTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL MEDICAL GROUP INC
BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC
6029 WALNUT GROVE RDMEMPHISTN38120452842963HEALTH CARE SERVICE PROVIDERTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL MEDICAL GROUP INC
INTEGRITY ONCOLOGY FOUNDATION INC
6286 BRIARCREST AVE STE 308MEMPHISTN38120453303687HEALTH CARE SERVICE PROVIDERTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL MEDICAL GROUP INC
MEMPHIS LUNG PHYSICIANS FOUNDATION INC
6025 WALNUT GROVE RDMEMPHISTN38120452832975HEALTH CARE SERVICE PROVIDERTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL MEDICAL GROUP INC
BOSTON BASKIN CANCER FOUNDATION INC
6029 WALNUT GROVE RDMEMPHISTN38120453303607HEALTH CARE SERVICE PROVIDERTN501(c)(3)509(a)(1)Yes (1)BAPTIST MEMORIAL MEDICAL GROUP INC
GASTROINTESTINAL SPECIALISTS FOUNDATION INC
80 HUMPHREYS CENTERMEMPHISTN38120352461541HEALTH CARE SERVICE PROVIDERTN501(c)(3)170(b)(1)(A)(iii)Yes (1)BAPTIST MEMORIAL MEDICAL GROUP INC
BMG FAMILY PHYSICIANS GROUP FOUNDATION INC
2859 VAN LEER DRBARTLETTTN38134461953140HEALTH CARE SERVICE PROVIDERTN501(c)(3)170(b)(1)(A)(iii)Yes (1)BAPTIST MEMORIAL MEDICAL GROUP INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
BAPTIST-DESOTO SURGERY CENTER
40 BURTON HILLS BLVD STE 500NASHVILLETN37215200804946AMBULATORY SURGERYMSN/A
BAPTIST-EAST MEMPHIS SURGERY CENTER
80 HUMPHREYS CENTER 101MEMPHISTN38120621846584AMBULATORY SURGERYTNN/A
BAPTIST-GERMANTOWN SURGERY CENTER LP
40 BURTON HILLS BLVD STE 500NASHVILLETN37215621829424AMBULATORY SURGERYTNN/A
BAPTIST & PHYSICIANS OP SURGERY CENTER OF N MS
40 BURTON HILLS BLVD STE 500NASHVILLETN37215620925692AMBULATORY SURGERYMSBAPTIST MEMORIAL HOSPITAL-N MISSRELATED$2,277,561$3,161,6660Yes (1)0.60000
BAPTIST N MS IMAGING SERVICES LLC
504 AZALEA DROXFORDMS38655262641267DIAGNOSTIC SERVICESMSBAPTIST MEMORIAL HOSPITAL-N MISSRELATED$1,391,444$14,790,6540Yes (1)0.93570
EAST MEMPHIS UROLOGY CENTER LP
40 BURTON HILLS BLVD STE 500NASHVILLETN37215621810940AMBULATORY UROLOGICAL SERVICESTNN/A
MEDICAL ALTERNATIVES
6949 APPLING FARMS PKWY STE 109MEMPHISTN38133621488427HOME INFUSION PRODUCTS & SERVICES TO PATIENTSTNN/A
MEMPHIS BIOMED VENTURES I LP
17 W PONTOTOC STE 200MEMPHISTN38103943424417MEDICAL RESEARCHTNN/A
MIDTOWN SURGERY CENTER LP
40 BURTON HILLS BLVD STE 500NASHVILLETN37215621619344AMBULATORY SURGERYTNN/A
NORTHWEST TENNESSEE SURGERY CENTER LLC
1722 E REELFOOTUNION CITYTN38261621685508AMBULATORY SURGERYTNN/A
SM-B BUILDING LLC
5900 POPLAR AVE STE 100MEMPHISTN38119621834236PHYSICIAN OFFICESTNN/A
WOLF RIVER MEDICAL CENTER LP
350 N HUMPHREYS BLVDMEMPHISTN381202177621510287MEDICAL OFFICE BLDG.TNN/A
CANCER CARE CENTER OF UNION CITY LP
322 HOSPITAL BLVDJACKSONTN38305263425045CANCER CARE SERVICESTNN/A
MAYS & SCHNAPP PAIN CENTER
55 HUMPHREYS CENTER BLVD STE 200MEMPHISTN38120621512849PAIN MANAGEMENT SERVICESTNN/A
CONVENIENT CARE DIAGNOSTIC CENTER PLLC
555 HWY 6 EASTBATESVILLEMS38606640914382RADIOLOGY & DIAGNOSTIC SERVICESMSN/A
BAPTIST MEMORIAL REHABILITATION HOSPITAL GP
680 FOURTH STREETLOUSIVILLEKY40202461613457REHABILITATION SERVICESTNN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HEALTH TECH AFFILIATES INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621278576BUYING AND LEASING REAL & PERSONAL PROPERTYTNN/ACYes (1)
BAPTIST HEALTH SERVICES GROUP OF THE MID-SOUTH INC
350 N HUMPHREYS BLVDMEMPHISTN381202177621534210HEALTH INSURANCE CONTRACTINGTNN/ACYes (1)
SOUTHCREST PROPERTY OWNERS ASSOCIATION
7601 SOUTHCREST PKWYSOUTHAVENMS38671640768703BOOKKEEPING/DATA PROCESSING FOR SOUTHCREST DEV.MSN/ACYes (1)
GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION
350 N HUMPHREYS BLVDMEMPHISTN381202177201158216BOOKKEEPING/DATA PROCESSING FOR GERMANTOWN BUS. PARK DEV.TNN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BAPTIST MEMORIAL HEALTH CARE CORPORATION
E$111,248,148CASH
BAPTIST MEMORIAL HEALTH CARE CORPORATION
S$238,607,303CASH
BAPTIST MEMORIAL HEALTH CARE CORPORATION
M$19,503,408CASH
BMH-N MISSISSIPPI IMAGING SERVICES
S$1,629,401CASH
BAPTIST CANCER CENTER PHYSICIANS FOUNDATON INC
J$130,584CASH
BAPTIST & PHYSICIANS OUTPATIENT SURGERY CENTER OF N MS LP
S$2,145,783CASH
BAPTIST MEMORIAL MEDICAL GROUP INC
M$2,390,190CASH
BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST
R$8,924,549CASH
BAPTIST MEMORIAL HEALTH CARE FOUNDATION
B$77,779CASH
BAPTIST MEMORIAL MEDICAL GROUP INC
J$126,204CASH
NORTH MISSISSIPPI IMAGING SERVICES
J$267,204CASH
THE STERN CARDIOVASCULAR FOUNDATION INC
J$78,110CASH