Skip to content
Nonprofiteer
← BAPTIST PATIENT SAFETY SYSTEM INC

Form 990 for tax year 2022

Filed by BAPTIST PATIENT SAFETY SYSTEM INC.

Totals

Total revenue
$0
Total expenses
$756,424
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$679,089
Management and general expenses
$77,335
Fundraising expenses
$0
Program service expenses (Part III)
$679,089

Program services were 89.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JASON M LITTLE

    PRESIDENT/DIRECTOR

    Total calculated
    $2,456,642
    From this org
    $0
    From related orgs
    $2,357,357
    Other
    $99,285
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,300,107 related
    Bonus
    $0 + $571,150 related
    Other
    $0 + $486,100 related
    Deferred
    $0 + $63,875 related
    Nontaxable benefits
    $0 + $35,410 related
    Filer's total
    $0 + $2,456,642 related

  • PAUL D DEPRIEST MD

    DIRECTOR (THRU 08/23)

    Total calculated
    $1,495,416
    From this org
    $0
    From related orgs
    $1,407,602
    Other
    $87,814
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $802,180 related
    Bonus
    $0 + $343,970 related
    Other
    $0 + $261,452 related
    Deferred
    $0 + $58,938 related
    Nontaxable benefits
    $0 + $28,876 related
    Filer's total
    $0 + $1,495,416 related

  • GREGORY M DUCKETT

    SECRETARY/DIRECTOR

    Total calculated
    $1,202,849
    From this org
    $0
    From related orgs
    $1,120,752
    Other
    $82,097
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $487,324 related
    Bonus
    $0 + $191,182 related
    Other
    $0 + $442,246 related
    Deferred
    $0 + $48,172 related
    Nontaxable benefits
    $0 + $33,925 related
    Filer's total
    $0 + $1,202,849 related

  • GARY C ANDERSON

    DIRECTOR (AS OF 09/23)

    Total calculated
    $1,146,758
    From this org
    $0
    From related orgs
    $1,062,887
    Other
    $83,871
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $531,848 related
    Bonus
    $0 + $213,044 related
    Other
    $0 + $317,995 related
    Deferred
    $0 + $58,938 related
    Nontaxable benefits
    $0 + $24,933 related
    Filer's total
    $0 + $1,146,758 related

  • SAJU JOY MD

    DIRECTOR

    Total calculated
    $712,351
    From this org
    $0
    From related orgs
    $670,269
    Other
    $42,082
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $567,187 related
    Bonus
    $0
    Other
    $0 + $103,082 related
    Deferred
    $0 + $10,125 related
    Nontaxable benefits
    $0 + $31,957 related
    Filer's total
    $0 + $712,351 related

  • WILLIAM A GRIFFIN

    CFO

    Total calculated
    $1,258,096
    From this org
    $0
    From related orgs
    $1,190,725
    Other
    $67,371
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $623,950 related
    Bonus
    $0 + $246,770 related
    Other
    $0 + $320,005 related
    Deferred
    $0 + $49,875 related
    Nontaxable benefits
    $0 + $17,496 related
    Filer's total
    $0 + $1,258,096 related

  • LAUREN L HOLLENBECK

    SYSTEM DIRECTOR-RISK SERVICES

    Total calculated
    $201,821
    From this org
    $149,089
    From related orgs
    $0
    Other
    $52,732
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $126,062
    Bonus
    $14,329
    Other
    $8,698
    Deferred
    $17,605
    Nontaxable benefits
    $35,127
    Filer's total
    $201,821

  • SHARON L FIVEASH

    DIRECTOR-RISK MANAGEMENT

    Total calculated
    $153,719
    From this org
    $104,334
    From related orgs
    $0
    Other
    $49,385
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $99,234
    Bonus
    $0
    Other
    $5,100
    Deferred
    $27,921
    Nontaxable benefits
    $21,464
    Filer's total
    $153,719

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 — 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: PAUL D. DEPRIEST, MD - $84,690 GREGORY M. DUCKETT - $344,125 WILLIAM A. GRIFFIN - $206,248 JASON M. LITTLE - $351,138 GARY C. ANDERSON - $216,372
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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202402279349303875

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.