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Nonprofiteer
← BAPTIST PATIENT SAFETY SYSTEM INC

Form 990 for tax year 2024

Filed by BAPTIST PATIENT SAFETY SYSTEM INC.

Totals

Total revenue
$0
Total expenses
$808,313
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$11,932,824
Net assets or fund balances, end of year
-$11,932,824
Program services expenses (Part IX)
$722,292
Management and general expenses
$86,021
Fundraising expenses
$0
Program service expenses (Part III)
$722,292

Program services were 89.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $597,870 · program services $538,083 · management and general $59,787

  • 8 · Pension plan contributions

    total $34,136 · program services $30,722 · management and general $3,414

  • 9 · Other employee benefits

    total $64,934 · program services $58,441 · management and general $6,493

  • 10 · Payroll taxes

    total $44,246 · program services $39,821 · management and general $4,425

  • 11g · Fees: other

    total $55,704 · program services $50,134 · management and general $5,570

  • 13 · Office expenses

    total $1,006 · program services $905 · management and general $101

  • 17 · Travel

    total $9,083 · program services $3,633 · management and general $5,450

  • 19 · Conferences, conventions and meetings

    total $39 · program services $16 · management and general $23

  • 24a · Other expenses: DUES AND SUBSCRIPTIONS

    total $1,263 · program services $505 · management and general $758

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $32 · program services $32

Balance sheet

Part X, book values.

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $85,148 · end of year $0

  • 25 · Other liabilities

    beginning of year $11,039,363 · end of year $11,932,824

  • 27 · Net assets without donor restrictions

    beginning of year -$11,124,511 · end of year -$11,932,824

Mission and programs · 2024

Mission

BAPTIST PATIENT SAFETY SYSTEM, INC.'S MISSION IS TO ESTABLISH, MAINTAIN, AND MANAGE A PATIENT SAFETY ORGANIZATION.

Activities or mission (Part I)

BAPTIST PATIENT SAFETY SYSTEM, INC.'S MISSION IS TO ESTABLISH, MAINTAIN AND MANAGE A PATIENT SAFETY ORGANIZATION.

  • BAPTIST PATIENT SAFETY SYSTEM, INC. IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, RELIGIOUS AND SCIENTIFIC PURPOSES, INCLUDING, BUT NOT LIMITED TO, ESTABLISHING, MAINTAINING, AND MANAGING A PATIENT SAFETY ORGANIZATION PURSUANT TO THE PUBLIC HEALTH SERVICE ACT, 42 U.S.C. SECTION 299B, TO QUALIFY AS A PATIENT SAFETY ORGANIZATION AND TO PROVIDE CONFIDENTIAL, EXPERT ADVICE TO AFFILIATED HEALTH CARE PROVIDER ENTITIES WHOSE SOLE CORPORATE MEMBER IS BAPTIST MEMORIAL HEALTH CARE CORPORATION, AND TO ENGAGE IN ANY AND ALL PATIENT SAFETY ACTIVITIES AND ANY OTHER ACTIVITIES PERMITTED BY THE TENNESSEE NONPROFIT CORPORATION ACT UNLESS EXPRESSLY PROHIBITED TO BE CONDUCTED BY A PATIENT SAFETY ORGANIZATION BY THE PATIENT SAFETY AND QUALITY IMPROVEMENT ACT.

    Expenses $722,292

As filed on the 2024 return.

Listed in Part VII

  • Jason M Little

    PRESIDENT/DIRECTOR

    Total calculated
    $3,913,950
    From this org
    $0
    From related orgs
    $3,797,655
    Other
    $116,295
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,421,393 related
    Bonus
    $0 + $1,751,999 related
    Other
    $0 + $624,263 related
    Deferred
    $0 + $79,375 related
    Nontaxable benefits
    $0 + $36,920 related
    Filer's total
    $0 + $3,913,950 related

  • Gregory M Duckett

    SECRETARY/DIRECTOR

    Total calculated
    $1,760,131
    From this org
    $0
    From related orgs
    $1,667,844
    Other
    $92,287
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $518,957 related
    Bonus
    $0 + $500,750 related
    Other
    $0 + $648,137 related
    Deferred
    $0 + $52,833 related
    Nontaxable benefits
    $0 + $39,454 related
    Filer's total
    $0 + $1,760,131 related

  • Gary C Anderson

    DIRECTOR

    Total calculated
    $1,759,886
    From this org
    $0
    From related orgs
    $1,674,623
    Other
    $85,263
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $714,853 related
    Bonus
    $0 + $708,499 related
    Other
    $0 + $251,271 related
    Deferred
    $0 + $68,170 related
    Nontaxable benefits
    $0 + $17,093 related
    Filer's total
    $0 + $1,759,886 related

  • William Cloud MD

    DIRECTOR

    Total calculated
    $716,847
    From this org
    $0
    From related orgs
    $654,334
    Other
    $62,513
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $553,076 related
    Bonus
    $0 + $77,960 related
    Other
    $0 + $23,298 related
    Deferred
    $0 + $60,984 related
    Nontaxable benefits
    $0 + $1,529 related
    Filer's total
    $0 + $716,847 related

  • Kimberly O Young

    CFO

    Total calculated
    $1,216,119
    From this org
    $0
    From related orgs
    $1,130,258
    Other
    $85,861
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $556,447 related
    Bonus
    $0 + $493,099 related
    Other
    $0 + $80,712 related
    Deferred
    $0 + $79,058 related
    Nontaxable benefits
    $0 + $6,803 related
    Filer's total
    $0 + $1,216,119 related

  • Lauren L Hollenbeck

    SYSTEM DIRECTOR-RISK SERVICES

    Total calculated
    $192,948
    From this org
    $142,670
    From related orgs
    $0
    Other
    $50,278
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $125,884
    Bonus
    $12,005
    Other
    $4,781
    Deferred
    $17,659
    Nontaxable benefits
    $32,619
    Filer's total
    $192,948

  • Sharon L Fiveash

    DIRECTOR-RISK MANAGEMENT

    Total calculated
    $158,540
    From this org
    $105,839
    From related orgs
    $0
    Other
    $52,701
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $102,017
    Bonus
    $0
    Other
    $3,822
    Deferred
    $28,833
    Nontaxable benefits
    $23,868
    Filer's total
    $158,540

  • Kathy Bennett

    DIRECTOR-RISK MANAGEMENT

    Total calculated
    $133,344
    From this org
    $103,570
    From related orgs
    $920
    Other
    $28,854
    Hours/week
    39.65 + 0.35 related

  • William A Griffin

    FORMER CFO

    Total calculated
    $538,737
    From this org
    $0
    From related orgs
    $538,737
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $538,737 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $538,737 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
BAPTIST MEMORIAL HEALTH CARE CORPORATION, A RELATED ORGANIZATION OF BAPTIST PATIENT SAFETY SYSTEM, 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. THE FOLLOWING INDIVIDUAL(S) LISTED ON PART VII RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS DURING THE CALENDAR YEAR: GREGORY M. DUCKETT - $490,265 JASON M. LITTLE - $512,911 GARY C. ANDERSON - $99,462
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 MAY BE PAID TO APPROVED MEMBERS OF 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • BAPTIST - DESOTO SURGERY CENTER LP

    AMBULATORY SURGERY · MS · general or managing partner

  • BAPTIST - EMSC LP

    AMBULATORY SURGERY · TN · general or managing partner

  • BAPTIST - UT INSTITUTE FOR ACADEMIC EXCELLENCE LLC

    MEDICAL MANAGEMENT · TN · general or managing partner

  • BAPTIST-GERMANTOWN SURGERY CENTER LLC

    AMBULATORY SURGERY · TN · general or managing partner

  • BAPTIST MEMORIAL REHABILITATION HOSPITAL GP

    REHABILITATION SERVICES · TN · general or managing partner

  • BAPTIST MEMORIAL REHABILITATION HOSPITAL - MADISON LLC

    REHABILITATION SERVICES · MS · general or managing partner

  • BMH NORTH MISSISSIPPI IMAGING SERVICES LLC

    DIAGNOSTIC SERVICES · MS

  • BAPTIST AND PHYSICIANS' OUTPATIENT SURGERY CENTER OF N MISSISSIPPI LP

    AMBULATORY SURGERY · MS · general or managing partner

  • BAPTIST STERN CARDIOVASCULAR CO-MANAGEMENT LLC

    MEDICAL MANAGEMENT · TN · general or managing partner

  • BMHSIAEL MICROBIOLOGY LABORATORY GP

    LABORATORY SERVICES · TX · general or managing partner

  • BRAIN AND SPINE NETWORK BAPTIST SEMMES-MURPHEY LLC

    MEDICAL MANAGEMENT · TN · general or managing partner

  • EAST MEMPHIS UROLOGY CENTER LP

    AMBULATORY UROLOGICAL SERVICES · TN · general or managing partner

  • MADISON HEALTHPLEX PERFORMANCE TRAINING CENTER LLC

    FITNESS CENTER · MS · general or managing partner

  • MAIN STREET FAMILY MEDICAL LLC

    MEDICAL SERVICES · MS · general or managing partner

  • MAYS & SCHNAPP PAIN CLINIC

    PAIN MANAGEMENT SERVICES · TN · general or managing partner

  • MEDICAL ALTERNATIVES

    PROVIDE HOME INFUSION PRODUCTS AND SERVICES TO PATIENTS · TN · general or managing partner

  • MID-SOUTH IMAGING CENTER LLC

    DIAGNOSTIC SERVICES · MS · general or managing partner

  • WEST TENNESSEE IMAGING LLC

    MEDICAL SERVICES · TN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BAPTIST HEALTH SERVICES GROUP OF THE MID-SOUTH

    C · HEALTH INSURANCE CONTRACTING · TN · controlled entity

  • GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION

    C · BOOKKEEPING & DATA PROCESSING GERMANTOWN BUS. PARK · TN · controlled entity

  • HEALTH TECH AFFILIATES INC

    C · BUYING & LEASING REAL & PERSONAL PROPERTY · TN · controlled entity

  • MISSISSIPPI BAPTIST MEDICAL ENTERPRISES INC AND SUBS

    C · INVESTMENTS · MS · controlled entity

  • SOUTHCREST PROPERTY OWNERS ASSOCIATION INC

    C · BOOKKEEPING & DATA PROCESSING FOR THE SOUTHCREST DEVELOPMENT · MS · controlled entity

Provenance

Return type
form_990
Tax year
2024
Filed
13 August 2026
IRS schema version
2024v5.5
Source object
202632269349300213

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