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ObjectId: 202032279349301638 - Submission: 2020-08-14
TIN: 64-0306253
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
18
Open to Public Inspection
Name of the organization
MISSISSIPPI BAPTIST HEALTH SYSTEMS INC
Employer identification number
64-0306253
Part I
Questions Regarding Compensation
Yes
No
1a
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)
b
If any of the boxes in 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
.........
1b
No
2
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 in line 1a?
..
2
No
3
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
4
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:
a
Receive a severance payment or change-of-control payment?
.............
4a
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
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.
5
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:
a
The organization?
....................
5a
No
b
Any related organization?
.......................
5b
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization?
..................
6a
No
b
Any related organization?
......................
6b
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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
............
7
Yes
8
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
..........................
8
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018
Page 2
Schedule J (Form 990) 2018
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
(i)
Base
compensation
(ii)
Bonus & incentive
compensation
(iii)
Other
reportable compensation
1
GARY C ANDERSON
DIRECTOR/VP MS MKT OPERATION
(i)
(ii)
0
-------------
646,966
0
-------------
95,447
0
-------------
111,015
0
-------------
48,452
0
-------------
23,310
0
-------------
925,190
0
-------------
0
2
SAMUEL T LAWSON MD
DIRECTOR
(i)
(ii)
0
-------------
338,644
0
-------------
300,867
0
-------------
888
0
-------------
0
0
-------------
27,545
0
-------------
667,944
0
-------------
0
3
ZACHARY R CHANDLER
DIRECTOR
(i)
(ii)
0
-------------
538,089
0
-------------
85,047
0
-------------
52,528
0
-------------
24,063
0
-------------
22,446
0
-------------
722,173
0
-------------
0
4
GREGORY M DUCKETT
SECRETARY
(i)
(ii)
0
-------------
423,227
0
-------------
64,208
0
-------------
88,775
0
-------------
43,089
0
-------------
31,902
0
-------------
651,201
0
-------------
0
5
JASON M LITTLE
PRESIDENT
(i)
(ii)
0
-------------
972,994
0
-------------
162,516
0
-------------
112,689
0
-------------
39,125
0
-------------
34,804
0
-------------
1,322,128
0
-------------
0
6
MICHAEL D MAPLES
VP CHIEF OF MEDICAL OPERATIONS
(i)
(ii)
370,597
-------------
0
51,716
-------------
0
80,330
-------------
0
7,434
-------------
0
18,377
-------------
0
528,454
-------------
0
0
-------------
0
7
ROBERT COLEMAN
CEO
(i)
(ii)
68,875
-------------
89,642
10,317
-------------
0
4,768
-------------
5,833
2,084
-------------
4,462
664
-------------
336
86,708
-------------
100,273
0
-------------
0
8
WILLIAM F THOMPSON
CFO
(i)
(ii)
363,326
-------------
0
51,301
-------------
0
1,141
-------------
0
11,000
-------------
0
28,726
-------------
0
455,494
-------------
0
0
-------------
0
9
LEE ANN FOREMAN
CHIEF HUMAN RESOURCES OFFICER
(i)
(ii)
251,936
-------------
0
35,296
-------------
0
1,235
-------------
0
8,316
-------------
0
16,242
-------------
0
313,025
-------------
0
0
-------------
0
10
MICHAEL K STEVENS
VP BUSINESS DEVELOPMENT
(i)
(ii)
222,779
-------------
0
31,879
-------------
0
55,949
-------------
0
0
-------------
0
28,486
-------------
0
339,093
-------------
0
0
-------------
0
11
STEVE STANIC
VP CHIEF INFO OFFICER
(i)
(ii)
327,561
-------------
0
46,121
-------------
0
5,216
-------------
0
11,000
-------------
0
20,393
-------------
0
410,291
-------------
0
0
-------------
0
12
BRAD BEATTIE
ASSOC. ADMIN. - ANCILLARY
(i)
(ii)
164,484
-------------
0
0
-------------
0
4,924
-------------
0
6,580
-------------
0
1,403
-------------
0
177,391
-------------
0
0
-------------
0
13
BRENDA HOWIE
VP OF NURSING
(i)
(ii)
171,945
-------------
0
22,764
-------------
0
5,590
-------------
0
6,966
-------------
0
12,467
-------------
0
219,732
-------------
0
0
-------------
0
14
JUSTIN RHODES
CEO BAPTIST MEDICAL GROUP
(i)
(ii)
266,131
-------------
0
37,671
-------------
0
1,230
-------------
0
10,989
-------------
0
20,884
-------------
0
336,905
-------------
0
0
-------------
0
15
LEAH HARRIS
CONTROLLER
(i)
(ii)
131,857
-------------
0
9,947
-------------
0
3,831
-------------
0
5,902
-------------
0
28,456
-------------
0
179,993
-------------
0
0
-------------
0
16
MARY BRANNAN
DIRECTOR INFO SYSTEMS
(i)
(ii)
132,982
-------------
0
19,559
-------------
0
1,110
-------------
0
5,076
-------------
0
15,262
-------------
0
173,989
-------------
0
0
-------------
0
17
BOBBIE K WARE
FORMER VP CNO
(i)
(ii)
0
-------------
337,977
0
-------------
46,521
0
-------------
105,337
0
-------------
34,375
0
-------------
14,244
0
-------------
538,454
0
-------------
0
Schedule J (Form 990) 2018
Page 3
Schedule J (Form 990) 2018
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 1A
MOST OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVE A PERQUISITE ALLOWANCE WHICH IS INCLUDED IN THEIR SALARIES. SOME ADMINISTRATORS, BOARD MEMBERS, AND THEIR FAMILIES RECEIVE A FREE MEMBERSHIP TO A BAPTIST OWNED FITNESS CENTER WHICH IS NOT INCLUDED IN THEIR TAXABLE COMPENSATION.
PART I, LINE 1B
MOST OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVE A PERQUISITE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN THEIR SALARIES AND IS TAXABLE TO THEM AS ADDITIONAL INCOME. SOME ADMINISTRATORS, BOARD MEMBERS, AND THEIR FAMILIES RECEIVE A FREE MEMBERSHIP TO A BAPTIST OWNED FITNESS CENTER WHICH IS NOT INCLUDED IN THEIR TAXABLE COMPENSATION. BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., ALSO HAS AN ACCOUNTABLE PLAN, BUT A DISCRETIONARY SPENDING ACCOUNT AND HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES ARE NOT PART OF AN ACCOUNTABLE PLAN.
PART I, LINE 3
BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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
MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A NON-QUALIFIED, UNFUNDED DEFERRED COMPENSATION PLAN EFFECTIVE JULY 1, 2010, FOR THE BENEFIT OF CERTAIN MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE SYSTEM. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF THE SYSTEM TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PERSONNEL WITH A MARKET-COMPETITIVE SUPPLEMENTAL RETIREMENT BENEFIT ON A TAX-DEFERRED BASIS. THE FOLLOWING INDIVIDUALS LISTED ON PART VII RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS DURING THE CALENDAR YEAR: BOBBIE K. WARE - $44,049 MICHAEL K. STEVENS - $48,302 MICHAEL D. MAPLES - $64,645
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) 2018
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