Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BAPTIST MEMORIAL HOSPITAL-DESOTO INC
Employer identification number
64-0682111
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BAPTIST MEMORIAL HOSPITAL-DESOTO INC
Employer identification number
64-0682111
Return Reference
Explanation
PART III, LINE 4a:
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. SUPPORTED SIMILAR NON-PROFIT ORGANIZATIONS THROUGH EVENTS LIKE THE CITY OF HERNANDO'S HEAL PROGRAM (HEALTHY EATING, ACTIVE LIVING) WHERE THE HOSPITAL NOT ONLY PROVIDED PRE AND POST PROGRAM SCREENINGS OF THE 12 WEEK PROGRAM, BUT ALSO WEEKLY EDUCATION THROUGH ITS DIETICIAN RESOURCES. THE HOSPITAL ALSO ENCOURAGES THEIR EMPLOYEES ALONG WITH THE COMMUNITY TO LIVE HEALTHY LIFESTYLES THROUGH MOVEMENT. THE HOSPITAL IS THE MAIN SPONSOR FOR MOVE DESOTO WHICH IS A PROGRAM IN PARTNERSHIP WITH MORE THAN 40 LOCAL DESOTO COUNTY SCHOOLS, TARGETING TEENS TO LEAD HEALTH-BASED INITIATIVES IN PHYSICAL EDUCATION AND NUTRITION IN THEIR SCHOOLS. THE HOSPITAL PROVIDES EXPERT SUPPORT AND RESOURCES THAT THE TEENS NEED TO MAKE A PURPOSEFUL IMPACT ON THEIR PEERS. THE HOSPITAL ALSO ENCOURAGES HEALTHY LIVING THROUGH SPONSORSHIP OF RACES AND WALKS THROUGHOUT THE COUNTY INCLUDING A COLOR RUN IN SOUTHAVEN, A HEART HEALTHY 5K RACE IN OLIVE BRANCH, A 10K RACE IN HERNANDO AND A 5K RACE IN HORN LAKE. BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. HAS BEEN RANKED #1 IN MISSISSIPPI FOR CARDIAC SERVICES BY HEALTH GRADES, THE NATION'S LEADING INDEPENDENT RATINGS COMPANY, FOR ITS EXCELLENT CLINICAL OUTCOMES AS THEY RELATE TO CARDIOLOGY SERVICES. IN FACT, IT WAS THE ONLY HOSPITAL IN THE STATE OF MISSISSIPPI TO BE RATED 5 STARS FOR THE TREATMENT OF HEART ATTACKS. IN 2013, THE HOSPITAL CONTINUED ITS FIGHT AGAINST HEART DISEASE BY ADVANCING MEDICINE THROUGH SEVERAL TECHNOLOGICAL IMPROVEMENTS INCLUDING BEING THE FIRST IN THE STATE TO USE THE S-ICD FOR HEART PROCEDURES AND SEVERAL LESS INVASIVE TECHNICS TO IMPROVE RECOVERY TIME OF HEART PATIENTS. THE HOSPITAL'S PARTNERSHIP WITH THE STERN CARDIOVASCULAR FOUNDATION CONTINUES TO BE A SMART INVESTMENT AS THE CARDIOLOGISTS SUPPORT EFFORTS TO ADVANCE MEDICINE THROUGH NEW PROCEDURES AND INVESTMENTS IN ADVANCED TECHNOLOGY. WHILE HEART DISEASE IS A PRIORITY FOR THE HOSPITAL, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. CONTINUES TO BE A LEADER ON MULTIPLE MEDICAL FRONTS INTO THE NEXT QUARTER CENTURY. IN 2014, THE HOSPTIAL WELCOMED MORE THAN 2000 NEW BORN BABIES. THE HOSPITAL MADE TREMENDOUS EFFORT TO IMPROVE THE QUALITY OF LIFE FOR NEW BABIES BY COMMITTING NOT TO PERFORM ELECTIVE C-SECTIONS PRIOR TO 39 WEEKS. THE OUTCOMES WERE SO SUCCESSFUL THAT BAPTIST MEMORIAL HOSPITAL-DESOTO WAS RECOGNIZED IN 2013 BY THE MARCH OF DIMES FOR ITS EFFORTS. LIKEWISE, THE HOSPITAL HAS MADE MANY "FIRST" ADVANCEMENTS OVER THE LAST DECADE. IT IS HOME TO THE FIRST REHABILITATION GARDEN IN THE MID-SOUTH, HOST OF THE FIRST SKILLS LAB FEATURING ROBOTIC PATIENTS, WAS RANKED IN THE TOP 10% NATIONALLY FOR INPATIENT REHABILITATION SERVICES, AND WAS NAMED THE BEST LARGE EMPLOYER BY MEMPHIS BUSINESS JOURNAL. BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. IS ALSO COMMITTED TO INCREASED FOCUS ON ITS RESPONSIBILITY TO HEAL THE COMMUNITY IN OTHER WAYS, BEYOND THE HOSPITAL WALLS. HOSPITAL VOLUNTEERS STARTED THE SHOEBOXES FOR SOLDIERS INITIATIVE IN 2007, A PROGRAM THAT IN ITS FIRST YEAR SENT 500 CARE BOXES TO SOLDIERS OVERSEAS. TO DATE, MORE THAN 13,000 BOXES HAVE BEEN DONATED TO MISSISSIPPI SOLDIERS FROM DESOTO, TATE, MARSHALL, PANOLA, AND TUNICA COUNTIES. IN 2014, THE COMMUNITY-WIDE EFFORT, SPEARHEADED BY BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. SENT OVER 5,000 BOXES OVERSEAS TO NORTH MISSISSIPPI TROOPS. IN 2010, THE HOSPITAL WAS UPGRADED TO A LEVEL III TRAUMA CENTER--ONE OF ONLY FIVE IN THE STATE OF MISSISSIPPI. AS A RESULT, IN 2013, THE TRAUMA TEAM WAS ABLE TO PARTNER WITH SPECIALISTS WHO WERE ON CALL TO BRING INNOVATIVE TELEMEDICINE TO THE HOSPITAL ER ENABLING A FASTER RESPONSE TIME TO POTENTIAL STROKE PATIENTS. OVER THE LAST SEVERAL YEARS, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. HAS BEEN RECOGNIZED AS THE BEST PLACE TO WORK BY MODERN HEALTHCARE MAGAZINE, RANKED #1 IN MISSISSIPPI FOR CARDIOLOGY SERVICES BY HEALTHGRADES, RECOGNIZED AS A CHEST PAIN CENTER FOR EXCELLENCE BY THE SOCIETY OF CHEST PAIN CENTERS, AND SELECTED AS ONE OF ONLY FIVE HOSPITALS IN THE NATION TO PARTICIPATE IN THE STAR-2 QUALITY IMPROVEMENT RESEARCH STUDY AS PART OF THE IMPROVEMENT SCIENCE RESEARCH NETWORK. THE HOSPITAL HAS ALSO BEEN RECOGNIZED AS AN ENERGY STAR HOSPITAL, THE ONLY HOSPITAL IN THE MID-SOUTH REGION WITH THE DESIGNATION IN OVER A DECADE. IT HAS ALL ADDED UP TO AN EXCITING NEW ERA BOTH FOR BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. AND HEALTH CARE IN NORTH MISSISSIPPI, AS WE CONTINUE TO ADD NEW TECHNOLOGIES LIKE THE DA VINCI SURGICAL ROBOT AND TRUEBEAM LINEAR ACCELERATOR, EXPAND SERVICES IN REHABILITATION, CARDIAC, AND CANCER SERVICES, AND INVEST IN NURSE TRAINING AND DEVELOPMENT. AT THE FOREFRONT OF THE HOSPITAL'S 25 YEAR ANNIVERSARY MILESTONE, IS STILL ITS ORIGINAL MISSION--A COMMITMENT TO PROVIDING EXCEPTIONAL, INNOVATIVE CARE TO THE COMMUNITIES IT SERVES. BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. ALSO CONDUCTS NUMEROUS CLASSES, SEMINARS, AND HEALTH FAIRS THROUGHOUT THE COMMUNITY, SUCH AS: --STRESS MANAGEMENT --BABYSITTING CLASSES --SMOKING CESSATION --HEART DISEASE LECTURES FOR WOMEN --FREE HEALTH SCREENINGS --HEART PATIENT SUPPORT GROUP --FREE H1N1 VACCINES --SURVIVING AND THRIVING A STROKE SYMPOSIUM --CPR CLASSES --FREE STROKE SCREENINGS --DIABETES MANAGEMENT --FREE MAMMOGRAMS TO THE UNINSURED BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. CONTRIBUTED TO NUMEROUS OTHER HELPFUL ORGANIZATIONS THROUGH DIRECT FINANCIAL SUPPORT AND COMMUNITY SERVICE SUCH AS: --ALZHEIMER'S DISEASE CONFERENCE --HABITAT FOR HUMANITY --SHOEBOXES FOR SOLDIERS --UNITED WAY --CRYSTAL BALL/COMMUNITY FOUNDATION OF NORTHWEST MS --MARCH OF DIMES WALK AMERICA --ROTARY CLUB OF OLIVE BRANCH --DOWN SYNDROME ASSN. OF THE MID-SOUTH --RISING SUN OUTREACH MINISTRIES --MS IN MOTION
PART IV, LINE 20B: AUDITED FINANCIAL STATEMENTS:
ATTACHED ARE THE BAPTIST MEMORIAL HEALTH CARE CORPORATION AND AFFILIATES COMBINED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND SEPTEMBER 30, 2013, AND INDEPENDENT AUDITOR'S REPORT. ALTHOUGH NOT SEPARATELY SHOWN, THE COMBINED FINANCIAL STATEMENTS INCLUDE THE FINANCIAL STATEMENTS OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 3
BAPTIST MEMORIAL HEALTH CARE CORPORATION AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT.
Form 990, Part VI, Section A, line 6
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION.
Form 990, Part VI, Section A, line 7a
BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. ELECTS ITS BOARD OF DIRECTORS.
Form 990, Part VI, Section A, line 7b
BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. APPROVES THE BOARD OF DIRECTORS 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, THE V.P. OF CORPORATE FINANCE, AND THE HOSPITAL CFO. 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 DIRECTORS. 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 12c
BAPTIST MEMORIAL HOSPITAL-DESOTO 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 CORPORATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE.
Form 990, Part VI, Section B, line 15
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 10, 2012 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2013 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATOR.
Form 990, Part VI, Section C, line 18
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. 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 19
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII
JASON M. LITTLE - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. STEPHEN C. REYNOLDS - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. PAUL D. DEPRIEST, M.D. - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. ZACHARY R. CHANDLER - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177. RANDY KING - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120-2177.
Form 990, Part XI, line 9:
TRANSFERS TO/FROM BAPTIST MEMORIAL MEDICAL GROUP, INC. -3,260,190. INVESTMENT INCOME/LOSS -285,153. TRANSFERS TO/FROM BAPTIST MEMORIAL HEALTH CARE CORPORATION -79,473,498.
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.
PART V: STATEMENTS REGARDING OTHER IRS FILINGS & TAX COMPLIANCE:
LINE 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 ENTIRE THE 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.