TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CARY FINN MD...................................................................... DIRECTOR (AS OF 1/18)	0.23 ................. 39.77	X			0	520,966	53,135
(2) DANA KELLY...................................................................... CHAIRMAN	0.23 ................. 3.07	X			0	0	0
(3) DR DALE MORRIS...................................................................... DIRECTOR	0.23 ................. 1.61	X			0	0	0
(4) JUDI CARNEY MD...................................................................... DIRECTOR	0.23 ................. 0.66	X			0	0	0
(5) MARTHA P BEARD...................................................................... DIRECTOR	0.23 ................. 0.89	X			0	0	0
(6) RANDY J KING...................................................................... DIRECTOR	0.23 ................. 39.77	X			0	572,501	66,602
(7) SPENCE WILSON...................................................................... DIRECTOR	0.23 ................. 0.66	X			0	0	0
(8) STANLEY THOMPSON MD...................................................................... DIRECTOR	0.23 ................. 0.69	X			0	0	0
(9) STEVE THRELKELD MD...................................................................... DIRECTOR (THRU 12/17)	0.23 ................. 0.66	X			0	0	0
(10) GREGORY M DUCKETT...................................................................... SECRETARY	0.23 ................. 39.77		X		0	643,651	72,500
(11) JAMES R HUFFMAN...................................................................... CEO	40.00 ................. 0.00		X		0	362,737	64,236
(12) JASON M LITTLE...................................................................... PRESIDENT	0.23 ................. 39.77		X		0	1,382,153	58,832
(13) JOE MCWHERTER...................................................................... CFO	40.00 ................. 0.00		X		192,291	0	32,207
(14) PAUL D DEPRIEST MD...................................................................... VICE PRESIDENT	0.23 ................. 39.77		X		0	972,083	58,146
(15) BRIAN L HOGAN...................................................................... ADMINISTRATOR	40.00 ................. 0.00			X	185,812	0	34,281
(16) JOANN P WOOD...................................................................... CHIEF MEDICAL OFFICER	40.00 ................. 0.00			X	346,391	0	45,521
(17) MARY T TOWNSEND-GERVIS...................................................................... CHIEF NURSING OFFICER	40.00 ................. 0.00			X	200,000	0	44,157

(A) Name and business address	(B) Description of services	(C) Compensation
MIDSOUTH ANESTHESIA CONSULTANTS PO BOX 1572 SOUTHAVEN,MS38671	ANESTHESIA PHYSICIAN SERVICES	2,636,592
TEAM HEALTH PO BOX 634850 CINCINNATI,OH45263	PHYSICIAN SERVICES	1,902,353
MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA,GA30368	MANAGEMENT SERVICES	1,647,145
MIDSOUTH PICCS 117 S MAIN STREET BOLIVAR,TN38008	PHYSICIAN SERVICES	611,073
DESOTO TRAUMA SURGEON CONSULTANTS 7580 CLARINGTON COVE 3 SOUTHAVEN,MS38671	PHYSICIAN SERVICES	419,750
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 15

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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 ....................... right arrow

33 1/3% support test—2018. 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 ..................... right arrow

17a

10%-facts-and-circumstances test—2019. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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 ....... right arrow

33 1/3% support tests—2018. 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 .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

BAPTIST MEMORIAL HOSPITAL-DESOTO INC

Employer identification number

64-0682111

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

36,928

Total. Add lines 1c through 1i ....................................................................................................

36,928

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	BAPTIST MEMORIAL HEALTH CARE CORPORATION PAYS MEMBERSHIP DUES TO VARIOUS HOSPITAL ASSOCIATIONS SUCH AS THE TENNESSEE HOSPITAL ASSOCIATION, MISSISSIPPI HOSPITAL ASSOCIATION, AND ARKANSAS HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES IS DESIGNATED AS LOBBYING FEES BY THE HOSPITAL ASSOCIATIONS. EACH HOSPITAL ASSOCIATION ALLOCATES A DIFFERENT PERCENTAGE, AND THE PERCENTAGE MAY VARY ANNUALLY. THE HOSPITAL ASSOCIATIONS PAY CONSULTANTS WHO MONITOR AND ADVISE THE ORGANIZATIONS ON LEGISLATIVE AND REGULATORY MATTERS THAT MAY AFFECT THE MEMBER ORGANIZATIONS AND THE MEMBER'S AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSITIONS WITH LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE & FEDERAL LEVELS. BAPTIST MEMORIAL HEALTH CARE CORPORATION ALLOCATES A PORTION OF THESE FEES AMONG ITS HOSPITALS.

Return Reference

Explanation

PART II-B, LINE 1:

BAPTIST MEMORIAL HEALTH CARE CORPORATION PAYS MEMBERSHIP DUES TO VARIOUS HOSPITAL ASSOCIATIONS SUCH AS THE TENNESSEE HOSPITAL ASSOCIATION, MISSISSIPPI HOSPITAL ASSOCIATION, AND ARKANSAS HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES IS DESIGNATED AS LOBBYING FEES BY THE HOSPITAL ASSOCIATIONS. EACH HOSPITAL ASSOCIATION ALLOCATES A DIFFERENT PERCENTAGE, AND THE PERCENTAGE MAY VARY ANNUALLY. THE HOSPITAL ASSOCIATIONS PAY CONSULTANTS WHO MONITOR AND ADVISE THE ORGANIZATIONS ON LEGISLATIVE AND REGULATORY MATTERS THAT MAY AFFECT THE MEMBER ORGANIZATIONS AND THE MEMBER'S AFFILIATES. THESE CONSULTANTS MAY ADVOCATE POSITIONS WITH LEGISLATIVE AND REGULATORY BODIES OF GOVERNMENT AT LOCAL, STATE & FEDERAL LEVELS. BAPTIST MEMORIAL HEALTH CARE CORPORATION ALLOCATES A PORTION OF THESE FEES AMONG ITS HOSPITALS.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

BAPTIST MEMORIAL HOSPITAL-DESOTO INC

Employer identification number

64-0682111

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	12,629,718		12,629,718
b	Buildings ....	218,731,129	100,180,400	118,550,729
c	Leasehold improvements	252,309	252,309	0
d	Equipment ....	92,027,071	79,758,703	12,268,368
e	Other .....	5,591,843	4,552,658	1,039,185
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				144,488,000

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)CONSTRUCTION IN PROCESS				7,514,514
(2)ESTIMATED SETTLEMENTS WITH THIRD PARTIES				217,449
(3)DUE FROM AFFILIATES				81,363,911
(4)OTHER ASSETS				678,238
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				89,774,112

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,669,428
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

FROM THE COMBINED AUDITED FINANCIAL STATEMENTS OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND AFFILIATES: AS OF SEPTEMBER 30, 2018, AND 2017, BAPTIST MEMORIAL HEALTH CARE CORPORATION (BMHCC) HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT BMHCC WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, BMHCC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2014 (FISCAL YEAR ENDED SEPTEMBER 30, 2015).

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

BAPTIST MEMORIAL HOSPITAL-DESOTO INC

Employer identification number

64-0682111

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	17,284,898	549,237	16,735,661	6.530 %
b	Medicaid (from Worksheet 3, column a) . . . . .	46,110,158	49,582,864	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	302,617	473,661	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	63,697,673	50,605,762	16,735,661	6.530 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	218,398	0	218,398	0.090 %
f	Health professions education (from Worksheet 5) . . .	1,184,833	311,953	872,880	0.340 %
g	Subsidized health services (from Worksheet 6) . . . .	138,163,398	125,616,578	12,546,820	4.890 %
h	Research (from Worksheet 7) .	29,758	16,099	13,659	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	302,312	0	302,312	0.120 %
j	Total. Other Benefits . .	139,898,699	125,944,630	13,954,069	5.450 %
k	Total. Add lines 7d and 7j .	203,596,372	176,550,392	30,689,730	11.980 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	527,559	527,559	0.210 %
9	Other
10	Total	527,559	527,559	0.210 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,604,532

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,655,187

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

50,532,009

Enter Medicare allowable costs of care relating to payments on line 5.....

38,457,347

Subtract line 6 from line 5. This is the surplus (or shortfall)........

12,074,662

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	BAPTIST MEMORIAL HOSPITAL-DESOTO INC 7601 SOUTHCREST PKWY SOUTHAVEN,MS38671 WWW.BAPTISTONLINE.ORG/DESOTO 13-318	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BAPTIST MEMORIAL HOSPITAL-DESOTO INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.BAPTISTONLINE.ORG/ABOUT/CHNA

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.BAPTISTONLINE.ORG/ABOUT/CHNA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BAPTIST MEMORIAL HOSPITAL-DESOTO INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	BAPTIST MEMORIAL HOSPITAL-DESOTO INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	BAPTIST MEMORIAL HOSPITAL-DESOTO INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.	PART V, SECTION B, LINE 5: THE 2015 CHNA FOR THE BAPTIST MEMPHIS METRO SERVICE AREA WAS CONDUCTED BETWEEN SEPTEMBER 2015 AND JUNE 2016. 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 49 COMMUNITY REPRESENTATIVES TO SOLICIT FEEDBACK ON COMMUNITY HEALTH PRIORITIES, UNDERSERVED POPULATIONS, AND PARTNERSHIP OPPORTUNITIES.--A FOCUS GROUP WITH 17 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 2015 CHNA WAS OVERSEEN BY A STEERING COMMITTEE OF BAPTIST MEMORIAL HEALTH CARE REPRESENTATIVES WITH INPUT FROM COMMUNITY REPRESENTATIVES AND PARTNERS. 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, MPHTHE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:YMCAMEMPHIS LEADERSHIP FOUNDATIONSHELBY COUNTY HEALTH DEPARTMENTALLIANCE FOR A HEALTHIER GENERATIONSUSAN G. KOMEN RACE FOR THE CURECHURCH HEALTH CENTERLEMOYNE OWEN COLLEGEMEMPHIS LIBRARY FOUNDATION HARWOOD CENTERDOWN SYNDROME ASSOCIATIONCOMMON TABLE HEALTH ALLIANCEEDUCATION THAT WORKS AT MEMPHIS CATHOLICAMERICAN CANCER SOCIETYNAACP MEMPHIS BRANCHTENNESSEE MEDICAL FOUNDATIONLEADERSHIP MEMPHISSHELBY COUNTY GOVERNMENT
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.	PART V, SECTION B, LINE 6A: BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. CONDUCTED ITS CHNA WITH THE FOLLOWING OTHER HOSPITAL FACILITIES:BAPTIST MEMORIAL HOSPITAL-MEMPHISBAPTIST MEMORIAL HOSPITAL-COLLIERVILLEBAPTIST MEMORIAL HOSPITAL FOR WOMENBAPTIST MEMORIAL HOSPITAL-TIPTON, INC.BAPTIST MEMORIAL RESTORATIVE CARE HOSPITAL
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.	PART 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 MEMPHIS METRO 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-DESOTO, INC. 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-DESOTO, INC. 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 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-DESOTO, INC. HAS IMPLEMENTED THE FOLLOWING STRATEGIES: 1) PARTNER WITH PARKWOOD BEHAVIORAL HEALTH SYSTEM AND REGION IV MENTAL HEALTH SERVICES TO PROVIDE EDUCATIONAL HANDOUTS FOR COMMUNITY GROUPS WITH INFORMATION AND RESOURCES FOR CARE. 2) SPONSOR SCHOOL HEALTH PROGRAMS FOCUSING ON SUICIDE PREVENTION AND HEALTHY LIFESTYLES. 3) PARTNER WITH THE JUNIOR AUXILIARY OF DESOTO COUNTY TO PROVIDE WEEKLY SUPPORT GROUPS AND TUTORING FOR LOW INCOME ELEMENTARY AND MIDDLE SCHOOL STUDENTS. 4) HOLD A COMMUNITY FORUM TO PROVIDE EDUCATION ABOUT BEHAVIORAL HEALTH CONDITIONS. 5) PROVIDE EDUCATIONAL INFORMATION ABOUT MENTAL HEALTH CONDITIONS AMONG THE SENIOR POPULATION. 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 HOSPTIAL-DESOTO, INC. 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-DESOTO, INC. HAS IMPLEMENTED THE FOLLOWING STRATEGIES:1) PARTNER WITH THE AMERICAN CANCER SOCIETY AND OTHER COMMUNITY PARTNERS TO INCREASE PUBLIC AWARENESS OF CANCER RISK, PREVENTION, AND SCREENING. 2) PARTICIPATE IN AND HOST EDUCATIONAL FORUMS TO INCREASE AWARENESS OF RISK FACTORS AND PREVENTION ACTIVITIES. 3) PROVIDE FREE SMOKING CESSATION CLASSES. 4) HOLD MONTHLY SUPPORT GROUPS FOR CANCER SURVIVORS AND THEIR FAMILIES. 5) PROVIDE FREE OR REDUCED COST MAMMOGRAPHY SCREENING FOR AT-RISK AND UNINSURED WOMEN.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-DESOTO, INC. 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-DESOTO, INC. HAS IMPLEMENTED THE FOLLOWING STRATEGIES: 1) PROVIDE EDUCATION AND SCREENINGS FOR HEALTH RISK FACTORS RELATED TO CHRONIC DISEASE. 2) COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE PHYSICAL ACTIVITY. 4. MATERNAL AND CHILD HEALTH:THE GOAL IS TO IMPROVE BIRTH OUTCOMES FOR WOMEN AND INFANTS. BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. 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 BREATFED.BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. HAS IMPLEMENTED THE FOLLOWING STRATEGIES:1) COLLABORATE WITH COMMUNITY PARTNERS TO PROVIDE PRENATAL EDUCATION. 2) PROVIDE FREE BABY EDUCATION CLASSES TO NEW PARENTS. 3) PROVIDE SMOKING CESSATION CLASSES TO PREGNANT MOTHERS.BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. HAS ADDRESSED 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-DESOTO, INC. WILL CONTINUE TO PLAY A SUPPORT ROLE AS RESOURCES ARE AVAILABLE. AS WITH ALL BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. PROGRAMS, THE HOSPITAL WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY.BUILDING UPON THE PRIOR CHNA AND IMPLEMENTATION OF THE CURRENT CHNA, THE HOSPITAL CONTINUES TO DO THE FOLLOWING: 1) SUPPORT BAPTIST MEMORIAL HEALTH CARE CORPORATION INITIATIVES TO SCREEN INDIVIDUALS FOR DEPRESSION AND MENTAL HEALTH CONDITIONS. 2) IDENTIFY OPPORTUNITIES TO COLLABORATE WITH COMMUNITY AGENCIES THAT PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SUPPORT SERVICES. 3) HOST EDUCATIONAL FORUMS THROUGH PARTNERSHIPS WITH AMERICAN HEART ASSOCIATION, AMERICAN STROKE ASSOCIATION, AND ALZHEIMER'S ASSOCIATION. 4) USE BAPTIST EXPERTS TO SHARE EDUCATIONAL INFORMATION WITH THE PUBLIC VIA PRINTED DOCUMENTS, TELEVISION, AND RADIO. 5) OFFER FREE BLOOD PRESSURE CHECKS AT THE SOUTHERN HERITAGE CLASSIC. 6) PARTICIPATE IN EDUCATIONAL FORUMS TO INCREASE AWARENESS OF RISK FACTORS AND PREVENTION ACTIVITIES. 7) PARTNER WITH THE UNIVERSAL PARENTING PLACE TO PROVIDE COUNSELING FOR NEW MOTHERS. 8) PROVIDE INFORMATION ABOUT POSTPARTUM DEPRESSION AND PROMOTE AWARENESS OF SIGNS, SYMPTOMS, AND TREATMENT RESOURCES. 9) PROMOTE BREASTFEEDING TO IMPROVE OUTCOMES FOR MOTHERS AND BABIES.10) SUPPORT THE MOBILE CRISIS CENTER TO PROVIDE ONSITE AND TELEPHONIC COUNSELING FOR IMMEDIATE CRISIS.11) PARTNER WITH YOUTH VILLAGES TO PROVIDE SUPPORT AND RESOURCES TO YOUTH EXPERIENCING CRISIS.
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.	PART V, SECTION B, LINE 13B: 1. MONEY INCOME: INCLUDES EARNINGS, UNEMPLOYMENT COMPENSATION, WORKERS' COMPENSATION, SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, DISABILITY PAYMENTS, PUBLIC ASSISTANCE, VETERANS' PAYMENTS, SURVIVOR BENEFITS, PENSION OR RETIREMENT INCOME, INTEREST, DIVIDENDS, RENTS, ROYALTIES, INCOME FROM ESTATES OR TRUSTS, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES OF INCOME. THE GROSS AMOUNT IS USED WHEN CALCULATING INCOME FROM ANY OF THE PRECEDING SOURCES. 2. NON-CASH BENEFITS, SUCH AS FOOD STAMPS AND HOUSING SUBSIDIES, DO NOT COUNT AS INCOME.3. IF A PERSON LIVES WITH A FAMILY, THE TOTAL GROSS INCOME OF ALL FAMILY MEMBERS IS CALCULATED WHEN DETERMINING INCOME. PLEASE NOTE: (A) NON-RELATIVES, INCLUDING HOUSEMATES, DO NOT COUNT; (B) A CHILD WHO IS A FULL-TIME STUDENT AWAY FROM HOME AT AN ACCREDITED COLLEGE MAY BE COUNTED; (3) MINOR CHILDRENS' EARNED WAGES ARE NOT INCLUDED IN DETERMINING INCOME; AND (D) COURT-ORDERED OR STATE/FEDERAL ISSUED ASSISTANCE RELATED TO A MINOR SHOULD BE INCLUDED IN DETERMINING INCOME.4. PRIMARY RESIDENCE OF INDIVIDUALS CLAIMED IN A FAMILY UNIT SHOULD BE VERIFIED USING TAX RETURNS OR FEDERAL, STATE OR GOVERNMENTAL COURT DOCUMENTS INDICATING RESIDENCY.
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.	PART V, SECTION B, LINE 16A: THE FAP FOR BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FOR BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.:PART V, SECTION B, LINE 16C: THE PLAIN LANGUAGE SUMMARY OF THE FAP FOR BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.	PART V, SECTION B: THE CORPORATE INTERNAL AUDIT AND CONSULTING SERVICES DEPARTMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION (BMHCC), THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. (DESOTO), COMPLETED A DETAILED COMPLIANCE AUDIT OF INTERNAL REVENUE CODE (IRC) SECTION 501(R) AND THE RELATED TREASURY REGULATIONS IN OCTOBER/NOVEMBER 2017. THIS REVIEW WAS COMPLETED FOR ALL EIGHTEEN BMHCC HOSPITALS AND THE SCOPE INCLUDED THE ALL FOUR KEY 501(R) COMPLIANCE COMPONENTS - THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), FINANCIAL ASSISTANCE POLICY (FAP), AMOUNTS GENERALLY BILLED AND THE BILLING AND COLLECTION PRACTICES. THE CORPORATE INTERNAL AUDIT DEPARTMENT REVIEW INCLUDED THE RELATED POLICIES AND PROCEDURES, PROCESSES AND PRACTICES OF THE FAP DETERMINATION, MANUAL AND SYSTEM APPLICATION OF THE DISCOUNTS TO THE PATIENT ACCOUNTS, AS WELL AS THE BILLING STATEMENT LANGUAGE REQUIREMENTS FOR ALL BMHCC HOSPITALS AND CLINICS. INEFFICIENCIES AND MINOR, INADVERTENT DEFICIENCIES WERE CORRECTED EXPEDIENTLY. BMHCC'S CORPORATE INTERNAL AUDIT DEPARTMENT IDENTIFIED MINOR ISSUES WITH THE BILLING STATEMENTS FOR SELF-PAY PATIENTS DURING THE COMPLIANCE AUDIT. ISSUES IDENTIFIED INCLUDED THE TIMELINESS OF MAILING PLAIN LANGUAGE STATEMENT (PLS) COPIES AND THE COMPLETENESS OF BILLING STATEMENT LANGUAGE. THESE ISSUES WERE CORRECTED IN STAGES INCLUDING RE-CONTRACTING WITH BILLING VENDORS, CENTRALIZING BUSINESS OFFICE FUNCTIONS, AND IMPLEMENTING A BILLING SERIES WITH COMPLIANT STATEMENT LANGUAGE. COMPLIANT STATEMENTS WERE IMPLEMENTED BETWEEN DECEMBER 2017 AND FEBRUARY 2018. FAP DISCOUNTS TOTALING $22,803 WERE UNDER APPLIED FOR 46 PATIENT VISITS. THIS ERROR RESULTED IN REFUNDS OF $362 TO 5 PATIENTS FOR OVERPAYMENTS. THE DATES OF SERVICE REVIEWED RANGED FROM SEPTEMBER 1, 2017 THROUGH JANUARY 2019. UPON DISCOVERING THE ERRORS DESCRIBED ABOVE, BMHCC, THE SOLE MEMBER OF DESOTO, TOOK IMMEDIATE CORRECTIVE ACTION. BMHCC CONSIDERS THESE ERRORS TO BE MINOR AND INADVERTENT OR DUE TO REASONABLE CAUSE UNDER APPLICABLE 501(R) REGULATIONS AND INTERPRETATIONS. ACCORDINGLY, DESOTO HAS ALWAYS STRIVED TO COMPLY WITH ALL RELEVANT LAWS AND REGULATIONS. BMHCC HAS ESTABLISHED PRACTICES AND BOTH FORMAL AND INFORMAL PROCEDURES IN PLACE REASONABLY DESIGNED TO ADDRESS, MONITOR AND PROMOTE ITS COMPLIANCE WITH THE REQUIREMENTS OF IRC 501(R), AS WELL AS CONSISTENTLY ALLOCATE FINANCIAL ASSISTANCE TO THE PATIENTS THEY SERVE. IN ADDITION, AS OF FEBRUARY 2018, ALL BMHCC HOSPITALS ARE NOW OPERATING ON THE SAME EPIC COMPUTER SYSTEM PLATFORM UNDER THE SAME FAP. PROCESSES FOR DETERMINING THE FAP DISCOUNT PERCENTAGE HAVE BEEN CENTRALIZED. BMHCC'S CORPORATE INTERNAL AUDIT DEPARTMENT WILL COMPLETE FOLLOW-UP REVIEWS FOR 501(R) COMPLIANCE, AS WELL AS ANNUAL SYSTEM REVIEWS FOR THE ACCURACY AND APPROPRIATENESS OF THE FAP DISCOUNT DETERMINATION AND APPLICATION. IN AN EFFORT TO BE FULLY TRANSPARENT, BMHCC AND DESOTO HAVE CHOSEN TO PROACTIVELY DISCLOSE THESE MINOR AND INADVERTENT OMISSIONS AND ERRORS ON THIS FORM 990.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR FREE OR REDUCED CARE FOR LOW INCOME AND MEDICALLY INDIGENT INDIVIDUALS. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. USES MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS PREPARED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION (EIN: 58-1521475), THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. THE COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC BY MAIL AND AVAILABLE AT EACH AFFILIATE OF BAPTIST MEMORIAL HEALTH CARE CORPORATION.
PART I, LINE 7:	OUR COST ACCOUNTING PROCESS REFLECTS FULLY LOADED COST FOR ALL OF OUR PATIENT POPULATIONS. FULLY LOADED COST INCLUDES DIRECT, CAPITAL, AND INDIRECT COST. AFTER WORKING WITH OUR DEPARTMENT DIRECTORS AND CFOS TO MAKE SURE THE DOLLARS IN THE GENERAL LEDGER ARE IN THE CORRECT PLACE TO REFLECT OUR TIME AND EFFORT SPENT THROUGHOUT THE YEAR, WE DEVELOP RELATIVE VALUE UNITS TO ALLOCATE THE ACTUAL GENERAL LEDGER COST DOWN TO THE PROCEDURE CHARGE CODES FROM OUR PATIENT ACCOUNTING SYSTEM. ALL OVERHEAD IS ALLOCATED DOWN TO THE REVENUE PRODUCING DEPARTMENTS BASED ON VARIOUS STATISTICS. ONCE EVERY CHARGE CODE HAS GONE THROUGH THE COST AND AUDIT PROCESS, WE CAN RUN THE PATIENT LEVEL REPORTS USED FOR THE FORM 990 TO GET TO THE COST INFORMATION NEEDED.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART II, COMMUNITY BUILDING ACTIVITIES:	BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES IT SERVES. BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. ALSO IS INVOLVED IN LOCAL COMMUNITY AND NON-PROFIT ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, SUSAN G. KOMEN RACE FOR THE CURE, WALK AMERICA, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, AND MANY OTHERS. NOT ONLY DO WE PROVIDE MONETARY DONATIONS, BUT OUR EMPLOYEES ARE ACTIVE VOLUNTEERS IN THESE WORTHY CAUSES.
PART III, LINE 2:	BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.'S BAD DEBT EXPENSE WAS DETERMINED AS FOLLOWS:A BAD DEBT REPORT IS RUN TO PULL ALL PATIENTS THAT HAVE BEEN MOVED TO A BAD DEBT ACCOUNT LOCATION. WE THEN TAKE THE TOTAL ACCOUNT BALANCE OF ALL THE PATIENTS IN THE BAD DEBT LOCATION AND DIVIDE IT BY THE TOTAL CHARGES OF THE SAME PATIENT LOCATION. WE MULTIPLY THE RESULTING RATIO BY THE TOTAL COST OF THE SAME PATIENT POPULATION WHICH PROVIDES US WITH THE COST ASSOCIATED WITH THE TOTAL AMOUNT OF THE ACCOUNT BALANCE MOVED TO BAD DEBT STATUS.
PART III, LINE 3:	BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FINANCIAL ASSISTANCE POLICY WAS DETERMINED AS FOLLOWS:WE IDENTIFY THE PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FINANCIAL ASSISTANCE POLICY. THIS INFORMATION IS INCLUDED IN THE PATIENT'S RECORD. WE ALSO INCLUDE PATIENTS WHO REFUSE TO COMPLETE THE FINANCIAL ASSISTANCE PAPERWORK. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, IF INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, OR WHEN A SELF-PAY MINIMUM DISCOUNT NOTE IS ENTERED IN THE PATIENT RECORD, WE RUN A REPORT WHICH PROVIDES US THE COST ASSOCIATED WITH THE TOTAL AMOUNT OF BAD DEBT ATTRIBUTABLE TO THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART III, LINE 4:	BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL PROVIDERS.THERE IS NOT A SEPARATE BAD DEBT EXPENSE FOOTNOTE IN BAPTIST MEMORIAL HEALTH CARE CORPORATION'S COMBINED AUDITED FINANCIAL STATEMENTS. ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN A SEPARATE PARAGRAPH BEGINNING ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE SHORTFALL, IF ANY, IS NOT TREATED AS COMMUNITY BENEFIT.WE CANNOT GET THE PAYMENT AND MEDICARE ALLOWABLE COST INFORMATION FROM THE COST REPORT IN THE FORMAT WE NEED. THEREFORE, WE TAKE THE FOLLOWING STEPS. FOR LINE 5, WE TAKE THE TOTAL PAYMENTS FOR MEDICARE PATIENTS FROM SCHEDULE 6 PATIENT POPULATION AND DIVIDE THAT BY THE TOTAL HOSPITAL MEDICARE PAYMENTS. WE MULTIPLY THE RESULTING RATIO BY THE REVENUE NUMBERS THAT COME FROM THE COST REPORT. FOR LINE 6, WE USE THE SAME CONCEPT TO GET THE COST INFORMATION. WE GET THE TOTAL COST OF MEDICARE PATIENTS FROM SCHEDULE 6 AND DIVIDE THAT NUMBER BY THE TOTAL COST OF THE TOTAL MEDICARE PATIENT POPULATION OF THE HOSPITAL. WE THEN MULTIPLY THIS RATIO BY THE COST INFORMATION FROM THE COST REPORT.
PART III, LINE 9B:	THE HOSPITAL'S COLLECTION AGENCY WILL DETERMINE IF THE PATIENT HAS A FINANCIAL ASSISTANCE APPLICATION ON FILE AND WAS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE BY THE HOSPITAL. IF IT WAS DETERMINED THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THEN THE COLLECTION AGENCY WILL REVIEW THE REMAINING UNPAID BALANCE AFTER THE APPLICATION OF THE FINANCIAL ASSISTANCE DISCOUNT, AND PURSUE APPROPRIATE COLLECTION EFFORTS. DEPENDING UPON THE CIRCUMSTANCES AT THE TIME, THE ENTIRE AMOUNT OWED MAY BE WRITTEN OFF.
PART VI, LINE 2:	BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., 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 THE HEALTH SERVICES RESEARCH DEPARTMENT IS YACOUBIAN RESEARCH, INC.'S 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 (WHICHEVER 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 PHYSICIANS 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 ONLINE 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 ELIGIBILITY FOR ASSISTANCE IN PERSON UPON ENTERING THE HOSPITAL FACILITY. EACH PATIENT IS ASSIGNED AN ADMISSIONS PERSON WHO PROVIDES WRITTEN INFORMATION AS WELL AS VERBAL INFORMATION. IN ADDITION, THE PATIENT MAY OBTAIN INFORMATION AS FOLLOWS:(A) A COPY IS GIVEN TO THE PATIENT DURING THE ADMISSIONS AND/OR DISCHARGE PROCESS FOR EACH VISIT FOR MEDICAL TREATMENT.(B) A COPY IS SENT WITH THE FIRST POST-DISCHARGE BILLING STATEMENT.(C) COPIES ARE POSTED AND AVAILABLE UPON REQUEST AT ALL ADMISSIONS, EMERGENCY AND BUSINESS OFFICE DEPARTMENT AREAS AT ALL BAPTIST MEMORIAL HEALTH CARE CORPORATION FACILITIES.(D) COPIES ARE ALSO AVAILABLE FOR DOWNLOAD AND PRINTING ONLINE ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION WEBSITE UNDER "FINANCIAL ASSISTANCE OR BY CONTACTING THE FACILITY WHERE SERVICES WERE RECEIVED AND REQUESTING A COPY BY MAIL OR EMAIL AT FAP@BMHCC.ORG.(E) COPIES OF ALL FINANCIAL ASSISTANCE POLICY DOCUMENTS WILL BE PROVIDED ELECTRONICALLY TO ANY INDIVIDUAL WHO INDICATES THAT IS THEIR PREFERENCE.
PART VI, LINE 4:	BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. SERVICES THE MEMPHIS METRO AREA. SOME PATIENTS COME FROM ARKANSAS, TENNESSEE, AND OTHER MISSISSIPPI COUNTIES SURROUNDING THE MEMPHIS AREA. THE AFRICAN AMERICAN COMMUNITY COMPRISES ABOUT 48.8% OF OUR PRIMARY SERVICE AREA. HISPANICS MAKE UP ABOUT 6.1%, AND CAUCASIANS ARE ABOUT 40.9%.DEMOGRAPHIC SNAPSHOTS ARE PROVIDED BY THE INDEPENDENT OUTSIDE FIRM OF CLARITAS, INC. OUR OWN HEALTH SERVICES RESEARCH DEPARTMENT AT BAPTIST MEMORIAL HEALTH CARE CORPORATION (OUR PARENT) 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-DESOTO, INC.'S PRIMARY MARKET SERVICE AREA HAS 1,154,041 PERSONS WITH THE COMBINED PRIMARY AND SECONDARY AREA HAVING 1,371,214 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 INVOLVEMENT, 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-DESOTO, INC. IS AN AFFILIATE OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE SOLE MEMBER OF A NUMBER OF HOSPITALS, MINOR MEDICAL CENTERS, HOME CARE AND HOSPICE SERVICES, AND PHYSICIAN SERVICES IN WEST TENNESSEE, NORTH MISSISSIPPI, AND EAST ARKANSAS. EACH FACILITY PROVIDES HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITIES SERVED.

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

BAPTIST MEMORIAL HOSPITAL-DESOTO INC

Employer identification number

64-0682111

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CARY FINN MD DIRECTOR (AS OF 1/18)	(i) (ii)	0 ------------- 276,438	0 ------------- 244,107	0 ------------- 421	0 ------------- 27,000	0 ------------- 26,135	0 ------------- 574,101	0 ------------- 0
2RANDY J KING DIRECTOR	(i) (ii)	0 ------------- 391,397	0 ------------- 131,722	0 ------------- 49,382	0 ------------- 44,250	0 ------------- 22,352	0 ------------- 639,103	0 ------------- 0
3GREGORY M DUCKETT SECRETARY	(i) (ii)	0 ------------- 417,017	0 ------------- 138,516	0 ------------- 88,118	0 ------------- 42,336	0 ------------- 30,164	0 ------------- 716,151	0 ------------- 0
4JAMES R HUFFMAN CEO	(i) (ii)	0 ------------- 250,869	0 ------------- 72,429	0 ------------- 39,439	0 ------------- 43,441	0 ------------- 20,795	0 ------------- 426,973	0 ------------- 0
5JASON M LITTLE PRESIDENT	(i) (ii)	0 ------------- 910,132	0 ------------- 334,216	0 ------------- 137,805	0 ------------- 31,500	0 ------------- 27,332	0 ------------- 1,440,985	0 ------------- 0
6JOE MCWHERTER CFO	(i) (ii)	170,446 ------------- 0	16,591 ------------- 0	5,254 ------------- 0	22,659 ------------- 0	9,548 ------------- 0	224,498 ------------- 0	0 ------------- 0
7PAUL D DEPRIEST MD VICE PRESIDENT	(i) (ii)	0 ------------- 654,654	0 ------------- 212,569	0 ------------- 104,860	0 ------------- 30,750	0 ------------- 27,396	0 ------------- 1,030,229	0 ------------- 0
8BRIAN L HOGAN ADMINISTRATOR	(i) (ii)	173,091 ------------- 0	12,696 ------------- 0	25 ------------- 0	13,809 ------------- 0	20,472 ------------- 0	220,093 ------------- 0	0 ------------- 0
9JOANN P WOOD CHIEF MEDICAL OFFICER	(i) (ii)	310,550 ------------- 0	30,976 ------------- 0	4,865 ------------- 0	20,760 ------------- 0	24,761 ------------- 0	391,912 ------------- 0	0 ------------- 0
10MARY T TOWNSEND-GERVIS CHIEF NURSING OFFICER	(i) (ii)	181,862 ------------- 0	18,113 ------------- 0	25 ------------- 0	24,557 ------------- 0	19,600 ------------- 0	244,157 ------------- 0	0 ------------- 0
11BENJAMIN K LUK PHARMACY DIRECTOR	(i) (ii)	149,500 ------------- 0	0 ------------- 0	25 ------------- 0	37,168 ------------- 0	2,883 ------------- 0	189,576 ------------- 0	0 ------------- 0
12JOANN FRANK HEAD NURSE	(i) (ii)	138,374 ------------- 0	0 ------------- 0	25 ------------- 0	15,731 ------------- 0	9,156 ------------- 0	163,286 ------------- 0	0 ------------- 0
13RUSSELL S WADSWORTH PHARMACIST	(i) (ii)	132,675 ------------- 0	0 ------------- 0	25 ------------- 0	23,353 ------------- 0	24,190 ------------- 0	180,243 ------------- 0	0 ------------- 0
14TOMMY M SANDERS PHARMACIST	(i) (ii)	148,139 ------------- 0	0 ------------- 0	1,150 ------------- 0	16,217 ------------- 0	10,776 ------------- 0	176,282 ------------- 0	0 ------------- 0
15WALTER BANKS HUMAN RESOURCES DIRECTOR	(i) (ii)	135,843 ------------- 0	13,550 ------------- 0	741 ------------- 0	18,460 ------------- 0	24,181 ------------- 0	192,775 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B	ELIGIBLE EXECUTIVES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY PERSONS LISTED IN PART VII.
PART I, LINE 7	THE 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 PERFORMANCE 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 J (Form 990) 2019

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
BAPTIST MEMORIAL HOSPITAL-DESOTO INC

Employer identification number
64-0682111

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MISSISSIPPI HOSPITAL EQUIPMENT & FACILITIES AUTHORITY	64-0732320	605360RP3	11-05-2009	18,561,176	REFUNDING OF BONDS ISSUED 9/29/2004		X		X		X
B	MISSISSIPPI HOSPITAL EQUIPMENT & FACILITIES AUTHORITY	64-0732320	605360RZ1	03-31-2015	60,957,190	HOSPITAL EXPANSION/UPGRADES		X		X		X
C	MISSISSIPPI HOSPITAL EQUIPMENT & FACILITIES AUTHORITY	64-0732320	605360NN2	09-29-2004	163,118,043	HOSPITAL EXPANSION/UPGRADES AND REFUND PRIOR DEBT ISSUED 5/24/2001.		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................					129,385,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	18,561,176		60,957,190		163,118,043
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	180,892		444,454		955,839
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............					127,504,630
11 Other spent proceeds .............	18,380,284		60,512,736		34,657,574
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X			X
b Exception to rebate? ........	X			X		X
c No rebate due? .........		X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MISSISSIPPI HOSPITAL EQUIPMENT & FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/28/2019

Schedule K (Form 990) 2019

Additional Data

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- 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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 (CONTINUED):	BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. ESTABLISHED AN INTERNAL WELLNESS PROGRAM CALLED FIT4YOU FOR ITS COLLEAGUES TO ENCOURAGE A FULL SPECTRUM OF HEART HEALTHY CHANGES. THE HOSPITAL FELT THAT IF IT WAS TO STAND AS A RESOURCE FOR HEALTHY LIFESTYLES, IT MUST START WITH TANGIBLE EFFORTS WITHIN ITS OWN WALLS. THE PROGRAM INCLUDED NOT ONLY EDUCATIONAL NUTRITION STATIONS FOR EMPLOYEES AND VISITORS THROUGHOUT THE HOSPITAL BUT ALSO AN INTERNAL WALKING TRAIL, HEART HEALTHY CHOICES OF FOOD THROUGHOUT THE HOSPITAL IN THE CAFETERIA AND VENDING MACHINES, AND AN INTERNAL WEBSITE WITH MONTHLY FOOD TIPS AND COOKING RECIPES. AS A RESULT, THE SUCCESS OF THE EFFORT SPREAD TO THE COMMUNITY. BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. HOSTS A HEART HEALTHY COMMUNITY HEALTH FAIR EVERY YEAR IN THE SPRING. THIS YEAR'S EVENT ATTRACTED MORE THAN 600 VISITORS WHO PARTICIPATED IN PHYSICAL ACTIVITIES INCLUDING A FREE HEART HEALTHY 5K RACE AND A 1 MILE WALK; FREE HEART RISK ASSESSMENTS INCLUDING BLOOD PRESSURE, GLUCOSE, CHOLESTEROL AND BMI CHECKS; TALKS WITH 5 ON-SITE CARDIOLOGISTS TO ANSWER A VARIETY OF HEART-RELATED QUESTIONS; PARTICIPATED IN HEART HEALTHY COOKING DEMONSTRATIONS WITH A FULL SCALE PRODUCE MARKET OFFERED TO THE PUBLIC AT WHOLESALE PRICES; AND VISITS BY MORE THAN 30 VENDORS THAT ALL FOCUSED ON HEALTHY LIFESTYLE CHOICES. THE FRESH PRODUCE MARKET HAS BEEN SO SUCCESSFUL THAT THE HOSPITAL CONTINUES THE MARKETS PERIODICALLY THROUGHOUT THE SUMMER MONTHS. EDUCATION HAS CONTINUED TO BE A KEY FACTOR IN THE FIGHT AGAINST HEART DISEASE AS BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. OFFERED FREE HEART RISK ASSESSMENT SCREENINGS SUCH AS BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, AND BODY MASS INDEX CHECKS FOUR TIMES THROUGHOUT THE YEAR WITH EDUCATION ABOUT KNOWING THE PROPER NUMBERS. IN ADDITION, CARDIOLOGISTS WERE FEATURED IN DAILY PUBLIC SERVICE ANNOUNCEMENTS ABOUT PROPER NUTRITION, TIPS, RECIPES AND EXERCISE SUGGESTIONS TO LOWER RISK FACTORS FOR HEART DISEASE. EXPERTS WORKED THROUGH LOCAL CHAMBERS OF COMMERCE AND CIVIC ORGANIZATIONS TO EDUCATE BUSINESSES OF THE SIGNS AND SYMPTOMS OF HEART FAILURE. THE SPEAKER'S BUREAU CONSISTED OF PHYSICIANS AND CLINICAL EXPERTS WHO SPOKE ON BEHALF OF THE HOSPITAL ON MORE THAN 10 OCCASIONS TO LARGE COMMUNITY GROUPS. OUTREACH EFFORTS WERE SPECIFIC IN TARGETING KEY GROUPS. BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. ESTABLISHED ONGOING EDUCATIONAL CLASSES FOR THE COMMUNITY AS PART OF THE INITIATIVE, INCLUDING CPR TRAINING ON HOW TO RESPOND TO A HEART ATTACK PATIENT UNTIL HELP ARRIVES. FREE SMOKING CESSATION CLASSES AND DIABETES MANAGEMENT CLASSES IN THE FORM OF SUPPORT GROUPS WERE FORMED AND FOR THOSE HEART ATTACK SURVIVORS, A SPECIAL MONTHLY MENDED HEARTS GROUP WAS HELD TO HELP SURVIVORS WITH THEIR JOURNEY AND NEW LIFESTYLE. BAPTIST MEMORIAL HOSPITAL-DESOTO, INC.'S OUTREACH EFFORTS DID NOT STOP WITH THE COMMUNITY-AT-LARGE, BUT EXTENDED TO INCLUDE PHYSICIAN EDUCATION ACROSS NORTHWEST MISSISSIPPI THROUGH ITS ANNUAL PHYSICIAN'S CONFERENCE. EACH YEAR, THE PHYSICIAN-SPECIFIC CONFERENCE ATTRACTS ABOUT 60 PHYSICIANS IN ATTENDANCE. 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 DIETITIAN 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 HEALTHGRADES, 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. THE HOSPITAL HAS 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 TECHNIQUES TO IMPROVE RECOVERY TIME OF HEART PATIENTS. THE HOSPITAL'S PARTNERSHIP WITH THE STERN CARDIOVASCULAR FOUNDATION, INC. 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. WILL CONTINUE TO BE A LEADER ON MULTIPLE MEDICAL FRONTS INTO THE NEXT QUARTER CENTURY. THE HOSPITAL MADE TREMENDOUS EFFORTS 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, INC. HAS BEEN RECOGNIZED 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 2010, THE HOSPITAL WAS UPGRADED TO A LEVEL III TRAUMA CENTER--ONE OF ONLY FIVE IN THE STATE OF MISSISSIPPI. THE TRAUMA TEAM PARTNERS WITH SPECIALISTS WHO ARE ON CALL TO BRING INNOVATIVE TELEMEDICINE TO THE HOSPITAL EMERGENCY ROOM 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 THIS 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. 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. CONTRIBUTES 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 ASSOCIATION OF THE MID-SOUTH --RISING SUN OUTREACH MINISTRIES --MS IN MOTION
FORM 990, PART V, LINE 1A:	ALL FORMS 1099 ARE PREPARED BY THE ACCOUNTS PAYABLE DEPARTMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. ALL FORMS 1099 ARE ISSUED USING THE FEDERAL TAX IDENTIFICATION NUMBER OF BAPTIST MEMORIAL HEALTH CARE CORPORATION. FORMS 1099 ARE NOT PROCESSED BY ENTITY, BUT BY VENDOR GROUP. MANY VENDORS PERFORM SERVICES FOR MULTIPLE BAPTIST MEMORIAL HEALTH CARE CORPORATION ENTITIES, SO ONLY ONE 1099 IS ISSUED PER VENDOR WITH THE TOTAL AMOUNT PAID FOR SERVICES. THIS NUMBER IS REPORTED ON BAPTIST MEMORIAL HEALTH CARE CORPORATION'S FORM 990, PART V, LINE 1A.
FORM 990, PART V, LINE 2A:	THE PAYROLL FUNCTION IS CENTRALIZED AT THE CORPORATE PAYROLL DEPARTMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. THE CORPORATE PAYROLL DEPARTMENT IS RESPONSIBLE FOR ALL SALARIES AND WAGES OF EMPLOYEES FOR THE ENTIRE BAPTIST MEMORIAL HEALTH CARE CORPORATION SYSTEM. FORMS W-2 AND W-3 ARE SUBMITTED ELECTRONICALLY TO THE INTERNAL REVENUE SERVICE 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 FORM 990, PART V, LINE 2A REFLECTS THE NUMBER OF EMPLOYEES AT THIS FACILITY WHO RECEIVED A W-2. THE TOTAL NUMBER OF W-2'S FOR ALL BAPTIST MEMORIAL HEALTH CARE CORPORATION ENTITIES IS REPORTED ON THE BAPTIST MEMORIAL HEALTH CARE CORPORATION W-3.
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS OF A TAXABLE ENTITY WITHIN BAPTIST MEMORIAL HEALTH CARE CORPORATION: BRIAN L. HOGAN GREGORY M. DUCKETT JAMES R. HUFFMAN JASON M. LITTLE JOE MCWHERTER PAUL D. DEPRIEST, MD RANDY J. KING
FORM 990, PART VI, SECTION A, LINE 3	BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., 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-PROFIT, NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., APPOINTS ITS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., APPROVES THE BOARD OF DIRECTORS' ACTIONS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S EXECUTIVE VP/CFO, THE ENTITY'S TOP FINANCIAL OFFICIAL, AND AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM PRIOR TO SUBMITTING THE FORM 990 TO THE IRS. THE FORM 990 WAS NOT REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE SUBMITTING IT TO THE IRS. BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF THE ORGANIZATION, HAS A FINANCE, AUDIT AND COMPLIANCE COMMITTEE THAT IS APPOINTED BY ITS BOARD OF DIRECTORS. THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE WILL REVIEW THE FORM 990 AFTER SUBMITTING IT TO THE IRS. THE COMMITTEE REPORTS THE COMPLETION OF THE REVIEW TO THE CORPORATE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., REQUIRES THAT ALL EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES, PERIODICALLY COMPLETE A CERTIFICATION AND ACKNOWLEDGEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION STANDARDS OF CONDUCT, WHICH INCORPORATES THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS DISCLOSE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH DECEMBER. IN THE EVENT THAT AN EMPLOYEE OR BOARD MEMBER BECOMES AWARE OF A POTENTIAL CONFLICT OF INTEREST, HE/SHE IS REQUIRED TO REPORT IT TO THEIR CHIEF EXECUTIVE OFFICER BEFORE TAKING ANY ACTION. IF HE/SHE IS THE CHIEF EXECUTIVE OFFICER, THEN HE/SHE IS TO REPORT TO THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE SIGNED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE SENIOR VICE PRESIDENT AND CORPORATE COUNSEL AND ARE MAINTAINED IN THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT. IF A CONFLICT OF INTEREST IS FOUND TO EXIST, IT WILL BE THE RESPONSIBILITY OF THE CHIEF EXECUTIVE OFFICER, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT TO RESOLVE THE ISSUE.
FORM 990, PART VI, SECTION B, LINE 15	AS SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., 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, 2016 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2017 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 FORM 1023, FORM 990, AND FORM 990-T AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION C, LINE 19	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 CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC	GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. JASON M. LITTLE - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. PAUL D. DEPRIEST, MD - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. RANDY J. KING - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120.
FORM 990, PART XII, LINE 2C:	BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., HAS AN AUDIT COMMITTEE THAT CHOOSES THE AUDIT FIRM, OVERSEES AND REVIEWS THE AUDIT REPORTS, AND THEN FOLLOWS UP ON ANY NECESSARY CHANGES AND RECOMMENDATIONS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

BAPTIST MEMORIAL HOSPITAL-DESOTO INC

Employer identification number

64-0682111

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 45-2842963	HEALTH CARE SERVICE PROVIDER	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL MEDICAL GROUP INC	Yes
(2)BAPTIST CLINICAL RESEARCH INSTITUTE INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 45-3032246	FACILITATE MEDICAL & SCIENTIFIC RESEARCH	TN	501(C)(3)	509(A)(3)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(3)BAPTIST HEALTH FOUNDATION INC 1225 NORTH STATE ST JACKSON,MS39202 47-3403762	SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIES	MS	501(C)(3)	509(A)(3)	MISSISSIPPI BAPTIST HEALTH SYSTEMS INC	Yes
(4)BAPTIST MEDICAL CENTER - LEAKE INC 1225 NORTH STATE ST JACKSON,MS39202 45-2896080	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	MISSISSIPPI BAPTIST HEALTH SYSTEMS INC	Yes
(5)BAPTIST MEDICAL CENTER - YAZOO INC 1225 NORTH STATE ST JACKSON,MS39202 64-0844470	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	MISSISSIPPI BAPTIST HEALTH SYSTEMS INC	Yes
(6)BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC 1003 MONROE AVE MEMPHIS,TN38104 62-1599670	EDUCATION OF HEALTH CARE PROFESSIONALS	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HOSPITAL	Yes
(7)BAPTIST MEMORIAL HEALTH CARE CORPORATION 350 N HUMPHREYS BLVD MEMPHIS,TN38120 58-1521475	MANAGEMENT, ADMINISTRATIVE & FINANCIAL SERVICES	TN	501(C)(3)	509(A)(3)	N/A		No
(8)BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 58-1544781	SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST	TN	501(C)(3)	509(A)(3)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(9)BAPTIST MEMORIAL HEALTH CARE SYSTEM INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 58-1456556	CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TN	TN	501(C)(3)	509(A)(3)	N/A	Yes
(10)BAPTIST MEMORIAL HEALTH SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 62-1509127	PROVISIONS OF HEALTH CARE PROVIDERS & HOME MEDICAL EQUIPMENT/SERVICES	TN	501(C)(3)	509(A)(2)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(11)BAPTIST MEMORIAL HOME CARE INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 58-1562973	HOME HEALTH CARE & HOSPICE SERVICES	TN	501(C)(3)	509(A)(2)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(12)BAPTIST MEMORIAL HOSPITAL 350 N HUMPHREYS BLVD MEMPHIS,TN38120 62-0123940	HEALTH CARE FACILITY/HOSPITAL	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(13)BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC 100 HOSPITAL ST BOONEVILLE,MS38829 64-0663760	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(14)BAPTIST MEMORIAL HOSPITAL-CALHOUN INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 81-3257997	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(15)BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC 2520 5TH STREET N COLUMBUS,MS39701 62-1519754	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(16)BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC 631 RB WILSON DR HUNTINGDON,TN38344 62-1166050	HEALTH CARE FACILITY/HOSPITAL	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(17)BAPTIST MEMORIAL HOSPITAL-JONESBORO INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 26-1214372	HEALTH CARE FACILITY/HOSPITAL	AR	501(C)(3)	509(A)(1)	NEA BAPTIST HEALTH SYSTEM INC	Yes
(18)BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC PO BOX 946 OXFORD,MS38655 64-0772726	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(19)BAPTIST MEMORIAL HOSPITAL-TIPTON INC HIGHWAY 51 S COVINGTON,TN38019 62-1113167	HEALTH CARE FACILITY/HOSPITAL	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(20)BAPTIST MEMORIAL HOSPITAL-UNION CITY INC 1201 BISHOP ST UNION CITY,TN38261 62-1138045	HEALTH CARE FACILITY/HOSPITAL	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(21)BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC 200 HIGHWAY 30 W NEW ALBANY,MS38652 63-0997281	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(22)BAPTIST MEMORIAL MEDICAL GROUP INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 62-1545731	PROVISION OF HEALTH CARE PROVIDERS FOR BAPTIST ENTITIES	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(23)BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST 350 N HUMPHREYS BLVD MEMPHIS,TN38120 62-1407946	BAPTIST EMPLOYEE HEALTH PLAN	TN	501(C)(9)		BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(24)BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 58-1645396	HEALTH CARE FACILITY/HOSPITAL	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(25)BAPTIST MINOR MEDICAL CENTERS INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 62-1538114	NON-EMERGENCY CLINICS	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL MEDICAL GROUP INC	Yes
(26)BAPTIST NURSING HOME-CALHOUN INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 81-3655778	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(3)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(27)BAPTIST PATIENT SAFETY SYSTEM INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 45-3032372	ESTABLISH, MAINTAIN & MANAGE A PATIENT SAFETY ORGANIZATION	TN	501(C)(3)	509(A)(3)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(28)BMG FAMILY PHYSICIANS GROUP FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 46-1953140	HEALTH CARE SERVICE PROVIDER	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL MEDICAL GROUP INC	Yes
(29)BOSTON BASKIN CANCER FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 45-3303607	HEALTH CARE SERVICE PROVIDER	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL MEDICAL GROUP INC	Yes
(30)GASTROINTESTINAL SPECIALISTS FOUNDATION INC 80 HUMPHREYS CTR MEMPHIS,TN38120 35-2461541	HEALTH CARE SERVICE PROVIDER	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL MEDICAL GROUP INC	Yes
(31)INTEGRITY ONCOLOGY FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 45-3303687	HEALTH CARE SERVICE PROVIDER	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL MEDICAL GROUP INC	Yes
(32)MEDICAL FINANCIAL SERVICES INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 62-1112364	COLLECTION AGENCY FOR BAPTIST ENTITIES	TN	501(C)(3)	509(A)(3)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(33)MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC 1225 NORTH STATE ST JACKSON,MS39202 75-3068151	CLINICS	MS	501(C)(3)	509(A)(1)	MISSISSIPPI BAPTIST HEALTH SYSTEMS INC	Yes
(34)MEMPHIS LUNG PHYSICIANS FOUNDATION INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 45-2832975	HEALTH CARE SERVICE PROVIDER	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL MEDICAL GROUP INC	Yes
(35)MISSISSIPPI BAPTIST HEALTH SYSTEMS INC 1225 NORTH STATE ST JACKSON,MS39202 64-0306253	HOLDING COMPANY	MS	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(36)MISSISSIPPI BAPTIST MEDICAL CENTER INC 1225 NORTH STATE ST JACKSON,MS39202 64-0881013	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	MISSISSIPPI BAPTIST HEALTH SYSTEMS INC	Yes
(37)MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE INC 1225 NORTH STATE ST JACKSON,MS39202 64-0833383	HEALTH CARE FACILITY/HOSPITAL	MS	501(C)(3)	509(A)(1)	MISSISSIPPI BAPTIST HEALTH SYSTEMS INC	Yes
(38)MJMH IMPROVEMENT CORPORATION 1225 NORTH STATE ST JACKSON,MS39202 80-0812322	HOLDING COMPANY	MS	501(C)(3)	509(A)(1)	MISSISSIPPI BAPTIST HEALTH SYSTEMS INC	Yes
(39)NEA BAPTIST HEALTH SYSTEM INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 27-1799652	HEALTH CARE SERVICE PROVIDER	AR	501(C)(3)	509(A)(3)	BAPTIST MEMORIAL HEALTH CARE CORPORATION	Yes
(40)NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION INC 4802 E JOHNSON AVE JONESBORO,AR72401 71-0850123	HEALTH CARE SERVICE PROVIDER	AR	501(C)(3)	509(A)(1)	NEA BAPTIST HEALTH SYSTEM INC	Yes
(41)THE STERN CARDIOVASCULAR FOUNDATION INC 8060 WOLF RIVER BLVD GERMANTOWN,TN38138 27-4396698	HEALTH CARE SERVICE PROVIDER	TN	501(C)(3)	509(A)(1)	BAPTIST MEMORIAL MEDICAL GROUP INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BAPTIST-DESOTO SURGERY CENTER 310 SEVEN SPRINGS WAY STE 500 BRENTWOOD,TN37027 20-0804946	AMBULATORY SURGERY	MS	BAPTIST MEMORIAL HOSPITAL-DESOTO INC	RELATED	332,124	738,341		No		Yes		78.000 %
(2) BAPTIST-EAST MEMPHIS SURGERY CENTER 80 HUMPHREYS CENTER STE 101 MEMPHIS,TN38120 62-1846584	AMBULATORY SURGERY	TN	N/A
(3) BAPTIST-GERMANTOWN SURGERY CENTER LP 310 SEVEN SPRINGS WAY STE 500 BRENTWOOD,TN37027 62-1829424	AMBULATORY SURGERY	TN	N/A
(4) BAPTIST MEMORIAL REHABILITATION HOSPITAL GP 680 FOURTH ST LOUISVILLE,KY40202 46-1613457	REHABILITATION SERVICES	TN	N/A
(5) BAPTIST N MS IMAGING SERVICES LLC 504 AZALEA DR OXFORD,MS38655 26-2641267	DIAGNOSTIC SERVICES	MS	N/A
(6) BAPTIST OUTPATIENT IMAGING LLC 1107 HIGHLAND COLONY PKWY STE 209 RIDGELAND,MS39157 45-2968057	DIAGNOSTIC SERVICES	MS	N/A
(7) BAPTIST & PHYSICIANS OUTPATIENT SURGERY CENTER OF N MS 310 SEVEN SPRINGS WAY STE 500 BRENTWOOD,TN37027 64-0925692	AMBULATORY SURGERY	MS	N/A
(8) BAPTIST STERN CARDIOVASCULAR CO-MANAGEMENT LLC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 82-0605766	MEDICAL MANAGEMENT	TN	N/A
(9) BAPTIST - UCH INSTITUTE FOR PLASTIC AND RECONSTRUCTIVE SURGERY LLC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 82-1046465	MEDICAL MANAGEMENT	TN	N/A
(10) BRAIN AND SPINE NETWORK BAPTIST SEMMES-MURPHEY LLC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 47-5240436	MEDICAL MANAGEMENT	TN	N/A
(11) CANCER CARE CENTER OF UNION CITY LP 322 HOSPITAL BLVD JACKSON,TN38305 26-3425045	CANCER CARE SERVICES	TN	N/A
(12) EAST MEMPHIS UROLOGY CENTER LP 310 SEVEN SPRINGS WAY STE 500 BRENTWOOD,TN37027 62-1810940	AMBULATORY UROLOGICAL SERVICES	TN	N/A
(13) MAYS & SCHNAPP PAIN CENTER 55 HUMPHREYS CENTER STE 200 MEMPHIS,TN38120 62-1512849	PAIN MANAGEMENT SERVICES	TN	N/A
(14) NORTHWEST TN SURGERY CENTER LLC 1722 E REELFOOT UNION CITY,TN38261 62-1685508	AMBULATORY SURGERY	TN	N/A
(15) PRIMARY CARE PROPERTIES II 2859 VAN LEER DR MEMPHIS,TN38133 62-1774052	MEDICAL OFFICE BUILDING	TN	N/A
(16) WEST TENNESSEE IMAGING LLC 840 CRESCENT CENTRE DR STE 200 FRANKLIN,TN37067 90-1022012	MEDICAL SERVICES	TN	N/A
(17) DOWNTOWN FITNESS LLC 100 EAST CAPITOL STREET SUITE 107 JACKSON,MS39201 61-1852202	FITNESS CENTER	MS	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) BAPTIST HEALTH SERVICES GROUP OF THE MID-SOUTH INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 62-1534210	HEALTH INSURANCE CONTRACTING	TN	N/A	C				Yes
(2) GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION 350 N HUMPHREYS BLVD MEMPHIS,TN38120 20-1158216	BOOKKEEPING & DATA PROCESSING GERMANTOWN BUS. PARK	TN	N/A	C				Yes
(3) HEALTH TECH AFFILIATES INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120 62-1278576	BUYING & LEASING REAL & PERSONAL PROPERTY	TN	N/A	C				Yes
(4) MEDICAL PRACTICE SOLUTIONS 1225 NORTH STATE ST JACKSON,MS39202 64-0833731	MEDICAL CONSULTING	MS	N/A	C				Yes
(5) MISSISSIPPI BAPTIST MEDICAL ENTERPRISES INC 1225 NORTH STATE ST JACKSON,MS39202 64-0776164	INVESTMENTS	MS	N/A	C				Yes
(6) MISSISSIPPI REAL ESTATE ENTERPRISES INC 1225 NORTH STATE ST JACKSON,MS39202 64-0746856	INVESTMENTS	MS	N/A	C				Yes
(7) SOUTHCREST PROPERTY OWNERS ASSOCIATION 7601 SOUTHCREST PKWY SOUTHAVEN,MS38671 64-0768703	BOOKKEEPING & DATA PROCESSING FOR THE SOUTHCREST DEVELOPMENT	MS	BAPTIST MEMORIAL HOSPITAL-DESOTO INC	C	61,595	50,029	86.750 %	Yes

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BAPTIST MEMORIAL HEALTH CARE CORPORATION	D	24,989,849	CASH
(2) BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC	E	370,112	CASH
(3) BAPTIST MEMORIAL HOSPITAL-CALHOUN INC	E	92,926	CASH
(4) BAPTIST MEMORIAL MEDICAL GROUP INC	J	57,923	CASH
(5) BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC	M	75,014	CASH
(6) BAPTIST MEMORIAL HEALTH CARE CORPORATION	M	22,769,772	CASH
(7) MEMPHIS LUNG PHYSICIANS FOUNDATION INC	M	1,200,000	CASH
(8) THE STERN CARDIOVASCULAR FOUNDATION INC	M	1,424,385	CASH
(9) BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC	R	88,435	CASH
(10) BAPTIST MEMORIAL MEDICAL GROUP INC	R	5,473,000	CASH
(11) BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST	R	12,496,608	CASH
(12) BAPTIST-DESOTO SURGERY CENTER	S	323,649	CASH

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	2,106
6	Total number of volunteers (estimate if necessary) .............	6	65
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,500
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	279,408,024	274,075,161
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	56,580	9,435,427
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,596,869	2,558,070
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	281,061,473	286,068,658
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	89,064	1,901
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	105,228,163	108,408,783
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	151,360,455	147,928,248
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	256,677,682	256,338,932
19	Revenue less expenses. Subtract line 18 from line 12.......	24,383,791	29,729,726
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	268,419,144	297,045,510
21	Total liabilities (Part X, line 26).............	122,782,273	121,678,913
22	Net assets or fund balances. Subtract line 21 from line 20.....	145,636,871	175,366,597

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 239,455,887 including grants of $ 1,901 ) (Revenue $ 283,935,448 )
	BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. PROVIDES THE FOLLOWING:--FREE CARE AND/OR SUBSIDIZED CARE WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST,--CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND--HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. PROVIDED SERVICES FOR MORE THAN 17,534 INPATIENTS AND MORE THAN 125,005 OUTPATIENTS.THE LARGEST PROGRAM SERVICES PROVIDED THE FOLLOWING FOR FISCAL YEAR ENDED SEPTEMBER 30, 2018:--ACUTE CARE SERVICES HAD 82,460 PATIENT DAYS AT A COST OF $35,757,899.--THE PHARMACY DEPARTMENT DISPENSED 122,647 UNIT DOSES OF MEDICATION AT A COST OF $15,817,224.--THE RADIOLOGY DEPARTMENT PERFORMED 215,891 PROCEDURES AT A COST OF $25,686,387.--THE SURGERY DEPARTMENT PERFORMED 9,045 SURGERY HOURS AT A COST OF $13,293,270.BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FROM WHICH THE HOSPITAL RECEIVES PAYMENT AT LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE, MEDICAID AND UNINSURED PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $867,858,375.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICED SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED.FOR OVER 25 YEARS, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC., LOCATED IN SOUTHAVEN, MISSISSIPPI, HAS GIVEN PATIENTS ACROSS NORTHWEST MISSISSIPPI A PLACE TO FIND QUALITY, SPECIALIZED CARE. ITS COLLEAGUES DEDICATE EACH DAY TO RAISING THE STANDARD FOR CLINICAL EXCELLENCE, AND THEIR HARD WORK HAS PAID OFF IN CONSISTENT NATIONAL RECOGNITION FOR QUALITY OUTCOMES. THE HOSPITAL HAS BEEN RANKED #1 IN MISSISSIPPI FOR CARDIAC SERVICES BY HEALTHGRADES, THE NATION'S LEADING INDEPENDENT RATINGS COMPANY. IT HAS BEEN AN ILLUSTRIOUS QUARTER-CENTURY FOR THE HOSPITAL WHICH CONTINUES TO GROW AND ENHANCE SERVICES TO MEET THE EVER-CHANGING NEEDS OF NORTH MISSISSIPPI. SINCE HEART DISEASE KILLS ONE IN FOUR MISSISSIPPIANS EACH YEAR, ALMOST 40 PERCENT OF THE SERVICES PROVIDED BY BAPTIST MEMORIAL HOSPTIAL-DESOTO, INC. WERE ASSOCIATED WITH CARDIAC-RELATED ILLNESS. MISSISSIPPIANS RANK AS HIGHEST IN THE COUNTRY FOR CARDIAC RISK FACTORS INCLUDING: HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, LOW PHYSICAL ACTIVITY AND TOBACCO USE. AS A PRINCIPAL HEALTH CARE PROVIDER IN A STATE WHICH HAS THE HIGHEST OBESITY RATE IN THE NATION, LIMITED AVAILABILITY OF PRIMARY CARE PHYSICIANS, A HIGH RATE OF PREVENTABLE HOSPITALIZATIONS DUE TO CONGESTIVE HEART FAILURE AND A HIGH RATE OF DEATHS FROM CARDIOVASCULAR DISEASE EACH YEAR, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. HAS AN URGENT RESPONSIBILITY AND OBLIGATION TO IMPROVE THE QUALITY OF HEART CARE IN NORTH MISSISSIPPI. IN RESPONSE TO THE STATEWIDE NEED TO ADDRESS HEART DISEASE, BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. ESTABLISHED ITS STRONG HEARTS INITIATIVE IN 2010 AND CONTINUES TO DEVELOP THE PROGRAM EACH YEAR. THE GOAL IS TO EDUCATE RESIDENTS ACROSS NORTHWEST MISSISSIPPI ON PREVENTING HEART DISEASE AND RESPONDING PROPERLY WHEN SYMPTOMS ARE PRESENT. THROUGH THE STRONG HEARTS INITIATIVE, MANY ANNUAL PROGRAMS HAVE BEEN ESTABLISHED TO HELP THE COMMUNITIES OF NORTH MISSISSIPPI.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	SEE SCHEDULE O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses239,455,887

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) BENJAMIN K LUK........................................................................ PHARMACY DIRECTOR	40.00 .......................0.00	X	149,525	0	40,051
(19) JOANN FRANK........................................................................ HEAD NURSE	40.00 .......................0.00	X	138,399	0	24,887
(20) RUSSELL S WADSWORTH........................................................................ PHARMACIST	40.00 .......................0.00	X	132,700	0	47,543
(21) TOMMY M SANDERS........................................................................ PHARMACIST	40.00 .......................0.00	X	149,289	0	26,993
(22) WALTER BANKS........................................................................ HUMAN RESOURCES DIRECTOR	40.00 .......................0.00	X	150,134	0	42,641

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,644,541	4,454,091	711,732

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	PATIENT SERVICE REV.	622110	274,008,994	274,007,494	1,500
b	RENTS FROM AFFILIATES	900099	66,167	66,167	0
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		274,075,161

3 Investment income (including dividends, interest, and othersimilar amounts) ......			-5,516			-5,516
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,553,745	6a
b	Less: rental expenses		1,082,842	6b
c	Rental income or (loss)		470,903	6c
d	Net rental income or (loss).......			470,903			470,903
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	12,002,202		7a
b	Less: cost or other basis and sales expenses	2,561,259		7b
c	Gain or (loss)	9,440,943		7c
d	Net gain or (loss).........			9,440,943	9,440,943
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA REVENUE		722320	1,623,144			1,623,144
b	INVEST.-SURGERY CENTER		900099	332,124	332,124
c	PATIENT/EMP/VISITORS		900099	43,179			43,179
d	All other revenue ....			88,720	88,720
e	Total. Add lines 11a–11d ......			2,087,167
12	Total revenue. See instructions.....			286,068,658	283,935,448	1,500	2,131,710

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,901	1,901
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	831,726	756,871	74,855
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	86,361,167	78,588,662	7,772,505
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,040,514	1,856,868	183,646
9	Other employee benefits .......	13,235,447	12,044,257	1,191,190
10	Payroll taxes ...........	5,939,929	5,405,335	534,594
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........	36,928		36,928
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	25,574,567	23,272,855	2,301,712
12	Advertising and promotion ....	123,513	112,397	11,116
13	Office expenses .......	4,778,460	4,348,398	430,062
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	3,239,602	2,948,037	291,565
17	Travel ............	41,754	16,701	25,053
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	83,330	33,332	49,998
20	Interest ...........	2,495,583	2,270,981	224,602
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	9,271,039	8,436,646	834,393
23	Insurance ...	1,945,641	1,945,641
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	59,170,109	59,170,109	0
b	CORPORATE MGMT FEE	24,366,149	22,173,196	2,192,953
c	MEDICAID ASSESSMENT	10,958,377	10,958,377	0
d	REPAIRS AND MAINTENANCE	5,035,251	4,582,079	453,172
e	All other expenses	807,945	533,244	274,701
25	Total functional expenses. Add lines 1 through 24e	256,338,932	239,455,887	16,883,045	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			2,500	1	2,500
2	Savings and temporary cash investments .........			3,156,461	2	2,858,154
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			36,528,088	4	34,768,600
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			16,954,142	7	16,612,758
8	Inventories for sale or use ............			4,743,991	8	4,951,152
9	Prepaid expenses and deferred charges ......			2,511,528	9	2,611,759
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	329,232,070
b	Less: accumulated depreciation	10b	184,744,070	144,414,534	10c	144,488,000
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			954,168	13	978,475
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			59,153,732	15	89,774,112
16	Total assets. Add lines 1 through 15 (must equal line 33)...			268,419,144	16	297,045,510

17	Accounts payable and accrued expenses .....	12,171,305	17	13,603,952
18	Grants payable ...		18
19	Deferred revenue .........	4,985	19	23,916
20	Tax-exempt bond liabilities .........	110,005,187	20	106,381,617
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	600,796	25	1,669,428
26	Total liabilities. Add lines 17 through 25..	122,782,273	26	121,678,913

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	145,636,871	32	175,366,597
33	Total liabilities and net assets/fund balances ........	268,419,144	33	297,045,510