2012-08-08T09:26:46-05:00 2011-09-30 990 2010-10-01 621407946 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST BAPT 9012275207 350 N HUMPHREYS BLVD MEMPHIS TN 38120 GREGORY M DUCKETT 9012275207 2012-08-08 2010 2016-02-24 21:20:13Z STEPHEN C REYNOLDS 350 N HUMPHREYS BLVD MEMPHIS TN 38120 97568246 0 X BMHCC.ORG X 1990 TN BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST...(SEE SCHEDULE O, PG 22) PROVIDES GROUP HEALTH INSURANCE TO THE EMPLOYEES AND FAMILIES OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND ITS SUBSIDIARIES. 4 0 0 0 0 0 0 0 92110646 97568246 3 0 0 0 92110649 97568246 0 0 0 0 0 0 0 0 0 92382787 97568246 92382787 97568246 -272138 0 24997934 28104901 16786434 19893401 8211500 8211500 BAPTIST MEMORIAL MEDICAL MINITRIES EMPLOYEE HEALTH AND WELFARE TRUST PROVIDES BENEFIT PLANS & HEALTH INSURANCE TO THE EMPLOYEES AND THEIR FAMILIES OF THE BAPTIST MEMORIAL HEALTH CARE SYSTEM. 0 0 97565996 97568246 PROVISION OF BENEFIT PLANS & HEALTH INSURANCE TO EMPLOYEES OF THE BAPTIST MEMORIAL HEALTH CARE SYSTEM. THESE BENEFITS ENABLE THE SYSTEM TO RETAIN QUALITY EMPLOYEES & CARRY OUT ITS MISSION OF PROVIDING QUALITY HEALTH CARE TO THE COMMUNITY. 97565996 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X RODNEY BETTS 9012274371 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 LARRY V BRAUGHTON 0.10 X 0 637820 62044 DAVID HOGAN 0.10 X 0 1997734 64393 STEPHEN C REYNOLDS 0.10 X 0 3203534 69866 ROBERT S GORDON 0.10 X 0 1036560 72623 JASON M LITTLE 0.10 X 0 567768 45787 0 7443416 314713 0 0 1 0 AETNA 151 FARMINGTON AVE HARTFORD CT 06156 ADMINISTRATIVE SERVICES 61370297 1 PREMIUMS RECEIVED 525100 97568246 97568246 97568246 97568246 97568246 0 0 2250 2250 CLAIMS PAID 92705828 92705828 ADMINISTRATIVE FEES 4860168 4860168 97568246 97565996 2250 0 364 292 5912788 6739088 19084782 21365521 24997934 28104901 16786434 16758115 0 3135286 16786434 19893401 X 8211500 8211500 8211500 8211500 24997934 28104901 0 0 X X 0 1 1 X 0 0 DUE FROM AFFILIATES 21365521 21365521 RESERVE-EMPLOYEE REFUND 3135286 3135286 Description of Uncertain Tax Positions Under FIN 48: Part X: BAPTIST MEMORIAL HEALTH CARE CORPORATION ADOPTED THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES, ON OCTOBER 1, 2009 FOR UNCERTAIN TAX POSITIONS. APPLICATION OF ASC TOPIC 740 TO A TAX-EXEMPT ORGANIZATION IS PRIMARILY DIRECTED AT THE CHARACTERIZATION OF INCOME AS TAX EXEMPT (RELATED OR EXCLUDED EXEMPT FUNCTION INCOME) AND/OR TAXABLE AS UNRELATED BUSINESS INCOME AS DEFINED IN THE CODE. BAPTIST MEMORIAL HEALTH CARE CORPORATION EVALUATED THE EFFECT OF FASB ASC TOPIC 740 FOR UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS WERE REQUIRED UPON THE ADOPTION. AS OF SEPTEMBER 30, 2011 AND 2010, BAPTIST MEMORIAL HEALTH CARE CORPORATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740 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 TAX YEARS 2007 THROUGH 2010 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES, RESPECTIVELY. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS. X 0 0 X X X X 0 0 0 LARRY V BRAUGHTON 0 276887 0 197995 0 162938 0 36750 0 25294 0 699864 0 0 DAVID HOGAN 0 631021 0 438378 0 928335 0 46500 0 17893 0 2062127 0 0 STEPHEN C REYNOLDS 0 1017704 0 752307 0 1433523 0 46500 0 23366 0 3273400 0 0 ROBERT S GORDON 0 594502 0 414957 0 27101 0 53520 0 19103 0 1109183 0 0 JASON M LITTLE 0 348403 0 194405 0 24960 0 24500 0 21287 0 613555 0 0 Part I, Line 1a THE OFFICERS RECEIVE A PERQUISITE ALLOWANCE WHICH IS INCLUDED IN THEIR SALARIES. Part I, Line 1b THE PRESIDENT, VICE PRESIDENTS, AND ADMINISTRATORS RECEIVE A PERQUISITE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN THEIR SALARIES AND IS TAXABLE TO THEM AS ADDITIONAL INCOME. THE ORGANIZATION ALSO HAS AN ACCOUNTABLE PLAN, BUT A DISCRETIONARY SPENDING ACCOUNT IS NOT PART OF AN ACCOUNTABLE PLAN. IF ANY OF THE OTHER ITEMS LISTED ON SCHEDULE J, PART I, LINE 1a WERE APPLICABLE, THE RECIPIENTS WOULD BE REQUIRED TO FOLLOW THE ORGANIZATIONS WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT. Supplemental Information Part III BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST DID NOT PAY COMPENSATION TO ANY OFFICERS OR BOARD OF TRUSTEE MEMBERS. BAPTIST MEMORIAL MEDICAL MINISTRIES DID NOT HAVE ANY EMPLOYEES. HOWEVER, COMPENSATION IS LISTED ON SCHEDULE J, PART II FOR THE COMPENSATION THAT EACH OFFICER AND TRUSTEE RECEIVED FROM BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE 100% OWNER. Form 990, Part VI, Section A, line 3 BAPTIST MEMORIAL HEALTH CARE CORPORATION AS 100% OWNER OF BAPTIST MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. Form 990, Part VI, Section A, line 7a BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST HAS A BOARD OF TRUSTEES WHO ARE APPOINTED BY ITS 100% OWNER, BAPTIST MEMORIAL HEALTH CARE CORPORATION. Form 990, Part VI, Section A, line 7b BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE 100% OWNER OF BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST APPROVES THE BOARD OF TRUSTEES ACTIONS. Form 990, Part VI, Section B, line 11 THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S PRESIDENT/CEO, SR. V.P./CFO AND THE V.P. OF CORPORATE FINANCE. IN ADDITION, THE FORM 990 IS REVIEWED ON A ROTATING BASIS OF EVERY THREE YEARS BY AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM. THE FORM 990 HAS NOT BEEN REVIEWED BY THE BOARD OF TRUSTEES. HOWEVER, BAPTIST MEMORIAL HEALTH CARE CORPORATION 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 NOT BE AVAILABLE TO REVIEW THE FORM 990 BEFORE SUBMITTING TO THE IRS. IT WILL REVIEW AFTER IT IS FILED. Form 990, Part VI, Section B, line 12c BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST REQUIRES THAT ALL OFFICERS PERIODICALLY COMPLETE A CERTIFICATION AND ACKNOWLEDGEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION STANDARDS OF CONDUCT, WHICH INCORPORATES THE CONFLICT OF INTEREST POLICY. BOARD OF TRUSTEE MEMBERS DISCLOSE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH DECEMBER. IN THE EVENT THAT AN OFFICER OR BOARD TRUSTEE 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 TRUSTEES. 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 CHIEF EXECUTIVE OFFICER, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE. Form 990, Part VI, Section B, line 15a BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST DOES NOT HAVE ANY EMPLOYEES. BAPTIST MEMORIAL HEALTH CARE CORPORATION'S HUMAN RESOURCE DEPARTMENT, THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORM ANNUAL REVIEWS EACH DECEMBER AND APPROVE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. THEY USE COMPARABILITY DATA AND OTHER SOURCES AS NEEDED. THE CEO AND OTHER TOP MANAGEMENT USE THE SAME TYPE OF INFORMATION TO APPROVE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. ON DECEMBER 14, 2009 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2010 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATORS. Form 990, Part VI, Section C, line 18 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST MAKES ITS FORM 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST PER IRS GUIDELINES. Form 990, Part VI, Section C, line 19 BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. 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. NORTHEAST ARKANSAS BAPTIST MEMORIAL HEALTH CARE LLC 3024 STADIUM BLVD JONESBORO AR 72401 810572898 OPERATION OF BAPTIST MEMORIAL HOSPITAL-JONESBORO, INC. AR N/A NORTHEAST ARKANSAS BAPTIST HEALTH SERVICES GROUP LLC 3024 STADIUM BLVD JONESBORO AR 72401 271471186 OPERATE A PREFERRED PROVIDER ORGANIZATION AR N/A BAPTIST MEMORIAL HEALTH CARE CORPORATION 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581521475 MANAGEMENT, ADMINISTRATIVE, DATA PROCESSING SERVICES FOR AFFILIATES TN 501(c)(3) 509(a)(3) N/A 0 BAPTIST MEMORIAL HEALTH CARE SYSTEM INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581456556 CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TN TN 501(c)(3) 509(a)(3) N/A 0 BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC 1003 MONROE MEMPHIS TN 38104 621599670 EDUCATION OF HEALTH CARE PROFESSIONALS TN 501(c)(3) 509(a)(1) BAPTIST MEMORIAL HOSPITAL INC 0 BAPTIST MEMORIAL HEALTH SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621509127 PROVISION OF HEALTH CARE PROVIDERS AND HOME MEDICAL EQUIPMENT & SERVICES TN 501(c)(3) 509(a)(2) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 BAPTIST MEMORIAL HOSPITAL INC 350 N HUMPHREYS 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501(c)(3) 509(a)(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 BAPTIST MEMORIAL HOME CARE INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581562973 HOME HEALTH CARE & HOSPICE SERVICES TN 501(c)(3) 509(a)(2) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 BAPTIST MEMORIAL MEDICAL GROUP INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621545731 PROVISION OF HEALTH CARE PROVIDERS FOR TN FACILITIES TN 501(c)(3) 509(a)(2) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 BAPTIST MEMORIAL HEALTH SERVICES INC-MS 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621545710 PROVISION OF HEALTH CARE PROVIDERS FOR MS FACILITIES MS 501(c)(3) 509(a)(2) BAPTIST MEMORIAL HEALTH CARE CORPORATION 0 BAPTIST MINOR MEDICAL CENTERS INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 621538114 NON-EMERGENCY MEDICAL CLINICS TN 501(c)(3) 509a)(1) BAPTIST MEMORIAL MEDICAL GROUP INC 0 BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS TN 381202177 581544781 SOLICIT, RAISE, MANAGE, APPLY, & INVEST FUNDS IN SUPPORT OF 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