TY 2012 Form 990 Schedule O

efile Public Visual Render ObjectId: 201442239349301454 - Submission: 2014-08-11 TIN: 62-1545731

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

BAPTIST MEMORIAL MEDICAL GROUP INC

Employer identification number

62-1545731

Identifier	Return Reference	Explanation
	Form 990, Part VI, Section A, line 3	BAPTIST MEMORIAL HEALTH CARE CORPORATION AS SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, 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 MEDICAL GROUP, INC. IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION.
	Form 990, Part VI, Section A, line 7a	BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC. ELECTS ITS BOARD OF DIRECTORS.
	Form 990, Part VI, Section A, line 7b	BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC. APPROVES THE BOARD OF DIRECTORS ACTIONS.
	Form 990, Part VI, Section B, line 11	THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S PRESIDENT/CEO, SR. V.P./CFO, THE V.P. OF CORPORATE FINANCE, AND THE CONTROLLER. IN ADDITION, THE FORM 990 IS REVIEWED ON A ROTATING BASIS OF EVERY THREE YEARS BY AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM. THE FORM 990 HAS NOT BEEN REVIEWED BY THE BOARD OF DIRECTORS. HOWEVER, BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, HAS A GOVERNANCE COMMITTEE THAT IS APPOINTED BY ITS BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE CONSISTS OF THREE OR MORE MEMBERS ALL OF WHICH MAY OR MAY NOT BE MEMBERS OF THE BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE WILL REVIEW THE FORM 990 AFTER SUBMITTING IT TO THE IRS.
	Form 990, Part VI, Section B, line 12c	BAPTIST MEMORIAL MEDICAL GROUP, 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 V.P. AND CORPORATE COUNSEL, AND ARE MAINTAINED IN THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT. IF A CONFLICT OF INTEREST IS FOUND TO EXIST, IT WILL BE THE RESPONSIBILITY OF THE CEO, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE.
	Form 990, Part VI, Section B, line 15	BAPTIST MEMORIAL HEALTH CARE CORPORATION'S HUMAN RESOURCE DEPARTMENT, THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORM ANNUAL REVIEWS EACH DECEMBER AND APPROVE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. THEY USE COMPARABILITY DATA AND OTHER SOURCES AS NEEDED. THE CEO AND OTHER TOP MANAGEMENT USE THE SAME TYPE OF INFORMATION TO APPROVE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. ON DECEMBER 12, 2011 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2012 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATORS.
	Form 990, Part VI, Section C, line 18	BAPTIST MEMORIAL MEDICAL GROUP, INC. MAKES COPIES OF ITS FORMS 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS.
	Form 990, Part VI, Section C, line 19	BAPTIST MEMORIAL MEDICAL GROUP, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Other Fees	Form 990, Part IX, line 11g	OTHER PURCHASED SERVICES: Program service expenses 7,104,539. Management and general expenses 2,368,180. Fundraising expenses 0. Total expenses 9,472,719. PHYSICIAN FEES: Program service expenses 6,827,297. Management and general expenses 2,275,766. Fundraising expenses 0. Total expenses 9,103,063.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 9:	TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL, INC. 13,014,057. TRANSFERS TO/FROM BAPTIST MEMORIAL REGIONAL REHAB SERVICES, INC. 2,092,765. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-TIPTON 2,730,605. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-HUNTINGDON 1,078,670. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-UNION CITY 2,635,149. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. 1,904,535. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-N. MS, INC. 4,318,344. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. 1,402,736. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC. 7,749,006. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. 801,202.
	PART XII, LINE 2c: FINANCIAL STATEMENTS AND REPORTING:	BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, HAS AN AUDIT COMMITTEE THAT CHOOSES THE AUDIT FIRM, OVERSEES AND REVIEWS THE AUDIT REPORTS, AND THEN FOLLOWS UP ON ANY NECESSARY CHANGES AND RECOMMENDATIONS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

Identifier

Return Reference

Explanation

Form 990, Part VI, Section A, line 3

BAPTIST MEMORIAL HEALTH CARE CORPORATION AS SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, 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 MEDICAL GROUP, INC. IS A NON-STOCK CORPORATION WHOSE SOLE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION.

Form 990, Part VI, Section A, line 7a

BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC. ELECTS ITS BOARD OF DIRECTORS.

Form 990, Part VI, Section A, line 7b

BAPTIST MEMORIAL HEALTH CARE CORPORATION AS THE SOLE MEMBER OF BAPTIST MEMORIAL MEDICAL GROUP, INC. APPROVES THE BOARD OF DIRECTORS ACTIONS.

Form 990, Part VI, Section B, line 11

THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S PRESIDENT/CEO, SR. V.P./CFO, THE V.P. OF CORPORATE FINANCE, AND THE CONTROLLER. IN ADDITION, THE FORM 990 IS REVIEWED ON A ROTATING BASIS OF EVERY THREE YEARS BY AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM. THE FORM 990 HAS NOT BEEN REVIEWED BY THE BOARD OF DIRECTORS. HOWEVER, BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, HAS A GOVERNANCE COMMITTEE THAT IS APPOINTED BY ITS BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE CONSISTS OF THREE OR MORE MEMBERS ALL OF WHICH MAY OR MAY NOT BE MEMBERS OF THE BOARD OF DIRECTORS. THE BAPTIST MEMORIAL HEALTH CARE CORPORATION GOVERNANCE COMMITTEE WILL REVIEW THE FORM 990 AFTER SUBMITTING IT TO THE IRS.

Form 990, Part VI, Section B, line 12c

BAPTIST MEMORIAL MEDICAL GROUP, 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 V.P. AND CORPORATE COUNSEL, AND ARE MAINTAINED IN THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT. IF A CONFLICT OF INTEREST IS FOUND TO EXIST, IT WILL BE THE RESPONSIBILITY OF THE CEO, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE.

Form 990, Part VI, Section B, line 15

BAPTIST MEMORIAL HEALTH CARE CORPORATION'S HUMAN RESOURCE DEPARTMENT, THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND AN INDEPENDENT COMPENSATION CONSULTING FIRM PERFORM ANNUAL REVIEWS EACH DECEMBER AND APPROVE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. THEY USE COMPARABILITY DATA AND OTHER SOURCES AS NEEDED. THE CEO AND OTHER TOP MANAGEMENT USE THE SAME TYPE OF INFORMATION TO APPROVE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. ON DECEMBER 12, 2011 THE COMPENSATION WAS REVIEWED AND APPROVED FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2012 FOR THE PRESIDENT, THE VICE PRESIDENTS, AND THE CEO/ADMINISTRATORS.

Form 990, Part VI, Section C, line 18

BAPTIST MEMORIAL MEDICAL GROUP, INC. MAKES COPIES OF ITS FORMS 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS.

Form 990, Part VI, Section C, line 19

BAPTIST MEMORIAL MEDICAL GROUP, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Other Fees

Form 990, Part IX, line 11g

OTHER PURCHASED SERVICES: Program service expenses 7,104,539. Management and general expenses 2,368,180. Fundraising expenses 0. Total expenses 9,472,719. PHYSICIAN FEES: Program service expenses 6,827,297. Management and general expenses 2,275,766. Fundraising expenses 0. Total expenses 9,103,063.

Changes in Net Assets or Fund Balances:

Form 990, Part XI, line 9:

TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL, INC. 13,014,057. TRANSFERS TO/FROM BAPTIST MEMORIAL REGIONAL REHAB SERVICES, INC. 2,092,765. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-TIPTON 2,730,605. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-HUNTINGDON 1,078,670. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-UNION CITY 2,635,149. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-DESOTO, INC. 1,904,535. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-N. MS, INC. 4,318,344. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-UNION COUNTY, INC. 1,402,736. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE, INC. 7,749,006. TRANSFERS TO/FROM BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. 801,202.

PART XII, LINE 2c: FINANCIAL STATEMENTS AND REPORTING:

BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, HAS AN AUDIT COMMITTEE THAT CHOOSES THE AUDIT FIRM, OVERSEES AND REVIEWS THE AUDIT REPORTS, AND THEN FOLLOWS UP ON ANY NECESSARY CHANGES AND RECOMMENDATIONS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

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