MISSISSIPPI BAPT HEALTH SYSTEMS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MISSISSIPPI BAPT HEALTH SYSTEMS INC (EIN 64-0306253)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-15
- IRS object ID
- 201912279349301841
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-15T14:44:42-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1033 DEMONBREUN STREET SUITE 400 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640306253 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MISS | BusinessNameControlTxt |
| Phone | 6019685130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1225 NORTH STATE STREET | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON M LITTLE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9012275117 | PhoneNum |
| Signature | 2019-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRANCIS J BEDARD | PreparerPersonNm |
| PTIN | P00752421 | PTIN |
| Phone | 6152591800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.219.88.140 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-15 | IPDt |
| IP Tm | 12:33:32 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5D794220C68C161820A811785299AFD302F4C684 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9619F2C7021C66826DF30859F1D2CB526B2B095F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JASON M LITTLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N HUMPHREYS BLVD | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $95,664,952 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MBHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE HOLDING COMPANY FOR SEVERAL NON-PROFIT ENTITIES TO WHICH IT PROVIDES VARIOUS MANAGEMENT AND SUPPORT SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 447 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $13,638 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $12,638 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $440,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,223,242 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71,024,915 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,796,019 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,854,693 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$442,905 | PYOtherRevenueAmt |
| CY Other Revenue | -$2,636,846 | CYOtherRevenueAmt |
| PY Total Revenue | $8,576,356 | PYTotalRevenueAmt |
| CY Total Revenue | $79,682,762 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $84,513 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $236,727 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,851,116 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,871,430 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,213,700 | PYOtherExpensesAmt |
| CY Other Expenses | $50,640,099 | CYOtherExpensesAmt |
| PY Total Expenses | $8,149,329 | PYTotalExpensesAmt |
| CY Total Expenses | $75,748,256 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $427,027 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,934,506 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $598,996,746 | TotalAssetsBOYAmt |
| Total Assets EOY | $568,841,451 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $650,022,878 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $611,526,761 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$51,026,132 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$42,685,310 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC.'S FOUNDATION AND TRADITION IS ITS CHRISTIAN HEALING MINISTRY. THE MISSION IS TO SERVE THE COMMUNITY THROUGH CONTINUOUSLY IMPROVING QUALITY MEDICAL CARE AND EFFECTIVE USE OF EDUCATION AND TECHNOLOGY IN A PERSONAL AND COMPASSIONATE ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $68,560,278 | ExpenseAmt |
| Grant | $236,727 | GrantAmt |
| Revenue | $75,207,202 | RevenueAmt |
| Desc | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE HOLDING COMPANY FOR SEVERAL NON-PROFIT ENTITIES TO WHICH IT PROVIDES VARIOUS MANAGEMENT AND SUPPORT SERVICES. MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE PARENT COMPANY OF MISSISSIPPI BAPTIST MEDICAL CENTER, INC., A 638 BED CRITICAL ACCESS HOSPITAL, BAPTIST MEDICAL CENTER - LEAKE, INC., A 25 BED CRITICAL ACCESS HOSPITAL, BAPTIST MEDICAL CENTER - YAZOO, INC., A 25 BED CRITICAL ACCESS HOSPITAL, BAPTIST MEDICAL CENTER-ATTALA, A 25 BED CRITICAL ACCESS HOSPITAL, AND MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC., A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS. THROUGH VARIOUS PARTNERSHIP RELATIONSHIPS, MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ALSO PROVIDES HOME HEALTH CARE, HOME MEDICAL EQUIPMENT, AND ADULT DAY CARE SERVICES.THROUGH THE DECADES, MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. HAS CONTINUED TO PROVIDE QUALITY, COMPASSIONATE, CHRISTIAN-BASED MEDICAL CARE TO THE PEOPLE OF MISSISSIPPI.THE ACTIVITIES OF BAPTIST MEDICAL CENTER-ATTALA, LLC, A DISREGARDED ENTITY OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., ARE INCLUDED WITH THE FILING OF THIS FORM 990. BAPTIST MEDICAL CENTER-ATTALA, LLC OPERATES A LICENSED HOSPITAL FACILITY, BAPTIST MEDICAL CENTER-ATTALA.BAPTIST MEDICAL CENTER-ATTALA 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 MEDICAL CENTER-ATTALA, 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 MEDICAL CENTER-ATTALA 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.BAPTIST MEDICAL CENTER - ATTALA IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED IN KOSCIUSKO, MISSISSIPPI SERVING THE ATTALA COUNTY COMMUNITY AND SURROUNDING AREAS. BAPTIST MEDICAL CENTER-ATTALA OFFERS INPATIENT, OUTPATIENT, AND 24-HOUR EMERGENCY DEPARTMENT SERVICES, INCLUDING TWO OPERATING ROOMS, TWO ENDOSCOPY SUITES, AND A RURAL HEALTH CLINIC. BAPTIST MEDICAL CENTER-ATTALA IS COMMITTED TO ITS MISSION OF PROVIDING IMMEDIATE ACCESS TO QUALITY HEALTH CARE.DURING ITS 2018 FISCAL YEAR, BAPTIST MEDICAL CENTER-ATTALA RECORDED 480 INPATIENT ADMISSIONS WITH 3,059 PATIENT DAYS OF CARE PROVIDED, 12,206 EMERGENCY ROOM VISITS, 5,720 CLINIC VISITS, AND 553 SURGERIES. BAPTIST MEDICAL CENTER-ATTALA ALSO PROVIDES BENEFITS TO THE BROADER COMMUNITY IN THE AREA OF CHARITABLE DONATIONS. | Desc |
| Total Program Service Expenses | $68,560,278 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 261 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 447 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM F THOMPSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6019681067 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1225 NORTH STATE STREET | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALVENO CASTILLA | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ARTHUR SKIP JERNIGAN | ||||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $22,500 | $7,900 | $0 | ||||
| DANA KELLY | ||||||||||
| DIRECTOR | 1.00 | 2.30 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID LANDRUM | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DORIAN E TURNER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUGLAS M BUCKLES SR | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR TAMMY YOUNG | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY C ANDERSON | ||||||||||
| DIRECTOR/VP MS MKT OPERATION | 12.00 | 28.00 | Yes (X) | $438,299 | $242,554 | $43,632 | Yes (X) | |||
| JAMES R FUTRAL JR | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LEE MILLER | ||||||||||
| DIRECTOR | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL W CALHOUN | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT M GATHINGS JR | ||||||||||
| DIRECTOR | 1.00 | 1.75 | Yes (X) | $0 | $0 | $0 | ||||
| SAMUEL T LAWSON MD | ||||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $603,883 | $27,935 | ||||
| ZACHARY R CHANDLER | ||||||||||
| DIRECTOR | 0.23 | 39.77 | Yes (X) | $0 | $760,240 | $46,314 | ||||
| GREGORY M DUCKETT | ||||||||||
| SECRETARY | 0.23 | 39.77 | $0 | $643,651 | $72,500 | Yes (X) | ||||
| JASON M LITTLE | ||||||||||
| PRESIDENT | 0.23 | 39.77 | $0 | $1,382,153 | $58,832 | Yes (X) | ||||
| MICHAEL D MAPLES | ||||||||||
| VP CHIEF OF MEDICAL OPERATIONS | 6.00 | 34.00 | $586,957 | $0 | $31,094 | Yes (X) | ||||
| ROBERT COLEMAN | ||||||||||
| CEO (AS OF 5/18) | 36.00 | 4.00 | $148,932 | $0 | $5,812 | Yes (X) | ||||
| WILLIAM F THOMPSON | ||||||||||
| CFO | 6.00 | 34.00 | $356,951 | $0 | $39,905 | Yes (X) | ||||
| LEE ANN FOREMAN | ||||||||||
| VP HUMAN RESOURCES | 4.00 | 36.00 | $252,035 | $0 | $26,100 | Yes (X) | ||||
| MICHAEL K STEVENS | ||||||||||
| VP BUSINESS DEVELOPMENT | 31.54 | 8.46 | $269,215 | $0 | $31,399 | Yes (X) | ||||
| PHILLIP HUGHES | ||||||||||
| EXEC. DIR. FOUND. (THRU 2/18) | 0.00 | 40.00 | $209,658 | $0 | $39,130 | Yes (X) | ||||
| STEVE STANIC | ||||||||||
| VP CHIEF INFO OFFICER | 20.00 | 20.00 | $323,625 | $0 | $24,686 | Yes (X) | ||||
| BRAD BEATTIE | ||||||||||
| ASSOC. ADMIN. - ANCILLARY | 40.00 | 0.00 | $158,106 | $0 | $7,587 | Yes (X) | ||||
| BRENDA HOWIE | ||||||||||
| VP OF NURSING | 2.00 | 38.00 | $165,705 | $0 | $18,638 | Yes (X) | ||||
| JEFF BATES | ||||||||||
| ASSOC. ADMIN. - ANCILLARY | 40.00 | 0.00 | $147,650 | $0 | $24,669 | Yes (X) | ||||
| PAT HERRINGTON | ||||||||||
| SAFETY & COMPLIANCE OFFICER | 20.00 | 20.00 | $158,000 | $0 | $29,411 | Yes (X) | ||||
| STEVEN REED | ||||||||||
| DIR. OF IT PROJECTS & ADMIN | 40.00 | 0.00 | $137,429 | $0 | $19,077 | Yes (X) | ||||
| BOBBIE K WARE | ||||||||||
| FORMER VP CNO | 0.00 | 40.00 | $249,965 | $139,774 | $29,759 | Yes (X) | ||||
| WILLIAM B GRETE | ||||||||||
| FORMER VP GENERAL COUNSEL | 0.00 | 0.00 | $354,746 | $0 | $31,912 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,979,773 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,780,155 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $608,392 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BAPTIST OUTPATIENT IMAGING LLC | |||||
| 1107 HIGHLAND COLONY PARKWAY STE | RIDGELAND | MS | 752677979 | RADIOLOGY SERVICES | $5,287,748 |
| MORRISON MANAGEMENT SPECIALISTS INC | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | CAFETERIA MANAGEMENT | $3,840,550 |
| CROTHALL HEALTHCARE INC | |||||
| 13028 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | BIO-MEDICAL EQUIPMENT R & M | $3,267,254 |
| MS PATHOLOGY ASSOCIATES PLLC | |||||
| PO BOX 4198 | JACKSON | MS | 392964198 | PHYSICIAN SERVICES | $3,163,969 |
| JACKSON ANESTHESIA ASSOCIATES PA | |||||
| 1151 N STATE ST STE 311 | JACKSON | MS | 39202 | PHYSICIAN SERVICES | $2,990,461 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 96 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $440,000 | RelatedOrganizationsAmt |
| Total Contributions | $440,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CORPORATE ALLOCATIONS | 900099 | $52,032,288 | $52,032,288 |
| PATIENT SERVICE REV. | 622110 | $18,303,963 | $18,303,963 |
| RENTS FROM AFFILIATES | 900099 | $688,664 | $688,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,024,915 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,701,165 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $13,638 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,687,527 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,086,430 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,158,833 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$4,072,403 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,072,403 | TotalRevenueColumnAmt |
| Exclusion | -$4,072,403 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,406,798 | SecuritiesAmt |
| Other | $5,570,087 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,823,357 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,406,798 | SecuritiesAmt |
| Other | $2,746,730 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,153,528 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,746,730 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,406,798 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EQUITY IN INVESTMENTS | 900099 | $1,062,939 | $1,062,939 |
| NON-OPERATING INCOME | 900099 | $372,618 | $372,618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,435,557 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,682,762 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,207,202 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $13,638 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,021,922 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,727 | TotalAmt |
| Program Services | $236,727 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,097,462 | TotalAmt |
| Program Services | $1,992,589 | ProgramServicesAmt |
| Management And General | $104,873 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,704,936 | TotalAmt |
| Program Services | $16,819,689 | ProgramServicesAmt |
| Management And General | $885,247 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,921 | TotalAmt |
| Program Services | $447,375 | ProgramServicesAmt |
| Management And General | $23,546 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,323,253 | TotalAmt |
| Program Services | $3,157,090 | ProgramServicesAmt |
| Management And General | $166,163 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,274,858 | TotalAmt |
| Program Services | $1,211,115 | ProgramServicesAmt |
| Management And General | $63,743 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,405,803 | TotalAmt |
| Program Services | $1,237,107 | ProgramServicesAmt |
| Management And General | $168,696 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,869 | TotalAmt |
| Program Services | $22,765 | ProgramServicesAmt |
| Management And General | $3,104 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,836 | TotalAmt |
| Program Services | $52,656 | ProgramServicesAmt |
| Management And General | $7,180 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,048 | TotalAmt |
| Management And General | $3,048 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,230,757 | TotalAmt |
| Program Services | $7,358,906 | ProgramServicesAmt |
| Management And General | $871,851 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,411,493 | TotalAmt |
| Program Services | $2,122,114 | ProgramServicesAmt |
| Management And General | $289,379 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,260,865 | TotalAmt |
| Program Services | $1,989,561 | ProgramServicesAmt |
| Management And General | $271,304 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,347,759 | TotalAmt |
| Program Services | $3,826,028 | ProgramServicesAmt |
| Management And General | $521,731 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,412 | TotalAmt |
| Program Services | $60,165 | ProgramServicesAmt |
| Management And General | $90,247 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,452 | TotalAmt |
| Program Services | $22,181 | ProgramServicesAmt |
| Management And General | $33,271 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,569,743 | TotalAmt |
| Program Services | $4,901,374 | ProgramServicesAmt |
| Management And General | $668,369 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,470,341 | TotalAmt |
| Program Services | $10,093,900 | ProgramServicesAmt |
| Management And General | $1,376,441 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,441,749 | TotalAmt |
| Program Services | $1,268,739 | ProgramServicesAmt |
| Management And General | $173,010 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $8,262,334 | $7,270,854 | $991,480 |
| CORPORATE MGMT FEES | $1,540,356 | $1,355,513 | $184,843 |
| TAXES AND LICENSES | $1,347,413 | $1,185,723 | $161,690 |
| MEDICAL SUPPLIES | $1,034,960 | $1,034,960 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,021,909 | TotalAmt |
| Program Services | $893,147 | ProgramServicesAmt |
| Management And General | $128,762 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,748,256 | TotalAmt |
| Program Services | $68,560,278 | ProgramServicesAmt |
| Management And General | $7,187,978 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,185 | BOYAmt |
| EOY | $10,435 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,606,432 | BOYAmt |
| EOY | $185,567,368 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,861,435 | BOYAmt |
| EOY | $5,092,872 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $915,672 | BOYAmt |
| EOY | $619,833 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,353 | BOYAmt |
| EOY | $128,004 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,926,680 | BOYAmt |
| EOY | $3,003,062 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $332,129,242 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $45,607,235 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,169,505 | BOYAmt |
| EOY | $286,522,007 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,151,530 | BOYAmt |
| EOY | $33,433,612 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,800,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,239,954 | BOYAmt |
| EOY | $46,664,258 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,996,746 | BOYAmt |
| EOY | $568,841,451 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,851,786 | BOYAmt |
| EOY | $8,090,943 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,424 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,839,727 | BOYAmt |
| EOY | $191,501,975 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $427,682 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $438,331,365 | BOYAmt |
| EOY | $411,494,737 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,022,878 | BOYAmt |
| EOY | $611,526,761 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$52,995,270 | BOYAmt |
| EOY | -$44,654,448 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,969,138 | BOYAmt |
| EOY | $1,969,138 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$51,026,132 | BOYAmt |
| EOY | -$42,685,310 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,996,746 | BOYAmt |
| EOY | $568,841,451 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,934,506 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,406,316 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE INC | ||||
| 640833383 | 3 | 0 | $0 | $0 |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | ||||
| 753068151 | 3 | 0 | $0 | $2,184,318 |
| BAPTIST MEDICAL CENTER - LEAKE INC | ||||
| 452896080 | 3 | 0 | $0 | $206,446 |
| BAPTIST MEDICAL CENTER - YAZOO INC | ||||
| 640844470 | 3 | 0 | $0 | $160,846 |
| BAPTIST HEALTH FOUNDATION INC | ||||
| 473403762 | 3 | 0 | $341,671 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $341,671 | SupportSumAmt |
| Other Support Sum | $2,551,610 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | 0 | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 12G, COLUMN (VI): | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. PROVIDED SERVICES TO ITS SUPPORTED ORGANIZATIONS. |
| PART IV, SECTION A, LINE 1: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC.'S SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. THE SUPPORTED ORGANIZATIONS ARE AFFILIATES LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2). |
| PART IV, SECTION A, LINE 6: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. PROVIDES LIMITED SUPPORT TO PUBLIC CHARITIES ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. SUPPORT IS GIVEN TO PUBLIC CHARITIES THAT FURTHER THE PURPOSES OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., SUCH AS CANCER RESEARCH, SERVICES TO THE HOMELESS, MEDICAL EDUCATION, SERVICES PROVIDED TO THE NEEDY, WOMEN AND CHILDREN'S SERVICES, THE ELDERLY, AND HOME CARE AND HOSPICE. FUNDS ARE COLLECTED BY BAPTIST MEMORIAL HEALTH CARE FOUNDATION, INC. FOR ALL OF ITS RELATED ENTITIES AND THEN INVESTED AND DISPERSED AS DIRECTED BY THE SUPPORTED ORGANIZATIONS. PLEASE SEE SCHEDULE I, PART II FOR DONATIONS TO PUBLIC CHARITIES THAT FURTHER THE MISSION OF THE SUPPORTED ORGANIZATIONS. |
| PART IV, SECTION C, LINE 1: | A SUBSTANTIAL AMOUNT OF CONTROL OVER THE SUPPORTED ORGANIZATIONS IS VESTED IN THE SAME PERSONS. A MAJORITY OF THE OFFICERS WHO MANAGE MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ARE ALSO OFFICERS THAT MANAGE THE SUPPORTED ORGANIZATIONS. |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,048 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,048 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $235,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $48,931,972 | OtherCostOrOtherBasisAmt |
| Book Value | $49,166,972 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $169,869,263 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,948,498 | DepreciationAmt |
| Book Value | $152,920,765 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,448,719 | OtherCostOrOtherBasisAmt |
| Depreciation | $264,199 | DepreciationAmt |
| Book Value | $1,184,520 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,214,462 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,137,092 | DepreciationAmt |
| Book Value | $66,077,370 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,429,826 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,257,446 | DepreciationAmt |
| Book Value | $17,172,380 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $286,522,007 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS IN RELATED PARTIES | Desc |
| Book Value | $33,433,612 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $33,433,612 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS WHOSE USE IS LIMITED | $14,289,416 |
| DEFERRED COMPENSATION FUND | $9,236,193 |
| CONSTRUCTION IN PROCESS | $5,993,733 |
| INTEREST RATE SWAP RECEIVABLE | $293,045 |
| ABOVE MARKET LEASE ASSET | $1,626,799 |
| OTHER ASSETS | $262,552 |
| DUE FROM AFFILIATES | $14,962,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $46,664,258 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $1,382,034 |
| DEFERRED COMPENSATION | $9,470,193 |
| BELOW MARKET LEASE LIABILITY | $6,908,006 |
| DUE TO AFFILIATES | $388,893,191 |
| ESTIMATED SETTLEMENTS WITH THIRD PARTIES | $1,519,532 |
| CAPITAL LEASE OBLIGATIONS | $3,114,781 |
| RESERVE FOR SELF INSURANCE | $207,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $411,494,737 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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). | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA & THE CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. OWNED AN INTEREST IN POINTER OFFSHORE, LTD., A HEDGE FUND DOMICILED IN THE CAYMAN ISLANDS. THIS INTEREST WAS SOLD IN JANUARY AND JULY 2018, WITH A BOOK VALUE OF $8,196,000. THE BOOK VALUE AS OF THE END OF FISCAL YEAR 2018 WAS $0. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $843,009 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $843,009 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,899,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,811,020 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,088,914 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01440 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,046 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,146 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,786,989 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,832,920 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,954,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02580 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,829,881 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,466,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,362,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04440 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,829,881 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,466,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,362,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,616,870 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,299,892 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,316,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $424,810 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $31,245 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,041,129 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,805,528 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,235,601 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEDICAL CENTER-ATTALA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 HWY 12 WEST | AddressLine1Txt |
| City | KOSCIUSKO | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39090 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.BAPTISTONLINE.ORG/ATTALA | WebsiteAddressTxt |
| State License | 11-008 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEDICAL CENTER-ATTALA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.BAPTISTONLINE.ORG/ABOUT/CHNA | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.BAPTISTONLINE.ORG/ABOUT/CHNA | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BAPTIST MEDICAL CENTER-ATTALA | PART V, SECTION B, LINE 5: THE CHNA EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING POPULATION HEALTH DATA (SECONDARY DATA ANALYSIS) PAIRED WITH FOCUS GROUP INTERVIEWS AND SURVEY DATA COLLECTED FROM THE COMMUNITY (PRIMARY DATA ANALYSIS).SURVEY METHODOLOGY:THE ONLINE SURVEY WAS WIDELY DISTRIBUTED VIA EMAIL, HOSPITAL WEBSITE, ONLINE SOCIAL MEDIA AND OTHER MEANS OF ELECTRONIC COMMUNICATION. INSTRUCTIONS FOR ACCESSING THE ONLINE SURVEY WERE DISTRIBUTED IN AREAS HIGHLY TRAFFICKED BY PATIENTS AND VISITORS THROUGHOUT AREA CLINICS, BAPTIST MEDICAL CENTER-ATTALA, LOCAL CIVIC AND COMMUNITY MEETINGS, THE LOCAL PUBLIC LIBRARY WHERE FREE ONLINE ACCESS IS AVAILABLE, LOCAL BUSINESSES AS WELL AS OTHER LOCAL MEDIA OUTLETS.PRINTED COPIES OF THE SURVEY WERE ALSO MADE AVAILABLE TO ENSURE OPPORTUNITIES FOR A DIVERSE PARTICIPATION. PAPER SURVEYS WERE DISTRIBUTED AT LOCAL CIVIC AND COMMUNITY MEETINGS AND EVENTS, LOCAL BUSINESSES, BAPTIST MEDICAL CENTER-ATTALA'S MAIN LOBBY AND CLINICS. THE COMPLETED HARDCOPY SURVEYS WERE COLLECTED AND ENTERED TO THE ONLINE DATA FOR ANALYSIS ALONG WITH THOSE WHICH WERE DIRECTLY SUBMITTED BY PARTICIPANTS TO CREATE A UNIVERSAL DATA SET.FOCUS GROUP METHODOLOGY:A CRITICAL COMPONENT IN GATHERING RELEVANT COMMUNITY HEALTH NEEDS DATA INVOLVES CONDUCTING FOCUS GROUP INTERVIEWS WITH COMMUNITY MEMBERS WHO ARE INTERESTED IN AND REPRESENT THE BROADER INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. ADDITIONAL INPUT WAS SOLICITED FROM THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS REPRESENTING KEY INFORMANTS, WITH SPECIFIC INFORMATION RELATED TO PUBLIC HEALTH AND/OR RURAL HEALTH AS WELL AS ORGANIZATIONS REPRESENTING MINORITIES AND THE TRADITIONALLY UNDERSERVED:-- ATTALA COUNTY PUBLIC LIBRARY-- BAPTIST ATTALA PRIMARY CARETHE FOCUS GROUP WAS OPEN TO THE PUBLIC AND SPECIFICALLY DESIGNED TO INCLUDE PARTICIPANTS FROM ACROSS ATTALA COUNTY WHO MAY NOT BE REPRESENTED BY A PARTICULAR GROUP OR ORGANIZATION. INFORMATION REGARDING THE FOCUS GROUP THAT INCLUDED THE DATE, TIME, AND LOCATION WAS DISSEMINATED BY EMAIL, NEWSPAPER, THE LOCAL MAIN STREET CHAMBER, AND LOCAL CIVIC ORGANIZATION AND COMMUNITY MEETINGS. A SERIES OF QUESTIONS AND TIMELY ARTICLES WERE PRESENTED TO THE FOCUS GROUP SERVING AS A GUIDE FOR THE MEETING IN WHICH THE ATTENDEES WERE ASKED TO SHARE THEIR RESPONSES. THE RESPONSES WERE, IN TURN, DOCUMENTED BY A DESIGNATED SCRIBE. |
| BAPTIST MEDICAL CENTER-ATTALA | PART V, SECTION B, LINE 11: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ACQUIRED MONTFORT JONES HOSPITAL ON JUNE 1, 2015. THE NAME WAS CHANGED TO BAPTIST MEDICAL CENTER-ATTALA. THERE IS NO CHNA PRIOR TO THE CURRENT CHNA.BASED ON THE FINDINGS OF BOTH THE QUANTITATIVE AND QUALITATIVE DATA GATHERED, BAPTIST MEDICAL CENTER-ATTALA HAS IDENTIFIED GAPS IN HEALTH CARE SERVICES WITHIN THE COMMUNITY. WHILE ACKNOWLEDGING ITS IMPORTANT ROLE IN MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, THE HOSPITAL ALSO RECOGNIZES THAT TRULY "MOVING THE NEEDLE" ON HEALTH CARE FOR THE COMMUNITY (I.E. IMPROVING THE OVERALL HEALTH OF THE COMMUNITY) IMPLIES SHARED RESPONSIBILITY AND COORDINATION OF RESOURCES ON THE PART OF ALL STAKEHOLDERS INCLUDING THE HOSPITAL, OTHER HEALTH CARE PROVIDERS, ELECTED AND NON-ELECTED OFFICIALS AS WELL THE CITIZENS, WHO ARE THE ULTIMATE CONSUMERS OF HEALTH CARE SERVICES.IN ANALYSIS OF BOTH THE QUANTITATIVE AND QUALITATIVE DATA GATHERED, BAPTIST MEDICAL CENTER-ATTALA IDENTIFIED OPPORTUNITIES TO EXPAND OR IMPROVE SERVICES IN THREE BROAD CATEGORIES. THESE INCLUDED: AT-RISK POPULATIONS, DISEASE-SPECIFIC NEEDS AND AREAS OF SOCIAL CONCERN THAT IMPACT THE COMMUNITY'S SHORT-TERM AND LONG-HEALTH.THE RECOMMENDATIONS AND ACTION PLANS WHICH FOLLOW ARE GROUPED INTO FOUR TYPES OF INTERVENTIONS:1. EDUCATION:THOSE ACTIVITIES AND RESOURCES THAT BAPTIST MEDICAL CENTER-ATTALA CAN PROVIDE, BOTH INTERNALLY AND EXTERNALLY TO ASSIST INDIVIDUALS AND/OR PARTNER ORGANIZATIONS IN ADDRESSING HEALTH-RELATED ISSUES.2. ADVOCACY:OPPORTUNITIES TO ENGAGE WITH OFFICIALS (BOTH ELECTED AND APPOINTED) WHO MAKE OR ADMINISTER POLICIES WHICH DIRECTLY OR INDIRECTLY IMPACT THE HEALTH OF THE COMMUNITY.3. PARTNERSHIPS:THE HOSPITAL WILL SEEK TO WORK COLLABORATIVELY WITH INDIVIDUALS, STAKEHOLDERS, AND OUTSIDE ORGANIZATIONS TOWARD THE OVERALL GOAL OF IMPROVING COMMUNITY HEALTH.4. PROVISION OF SERVICES:THOSE SERVICES WHICH THE HOSPITAL PLANS TO PROVIDE DIRECTLY AND INDEPENDENTLY TO PATIENTS.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL CONTINUES TO DO THE FOLLOWING:1) AT-RISK POPULATIONS: A. PROVIDE NEWBORN AND EARLY CHILDHOOD VACCINATIONS. B. PROVIDE MEDICAID CHILDHOOD RISK ASSESSMENT PROGRAM. C. PROMOTE PROSTATE SCREENING DURING PROSTATE AWARENESS MONTH. D. SPONSOR MEN'S HEALTH DAY. E. OFFER FALL RISK ASSESSMENT AND BALANCE TRAINING FOR SENIOR ADULTS, CONTINUE WEEKLY EXERCISE CLASS FOR SENIORS, AND CONTINUE TO SPONSOR SENIOR DAY AT CENTRAL MISSISSIPPI FAIR. F. CONTINUE TO PARTICIPATE IN BREAST AND CERVICAL CANCER PROGRAMS TO PROVIDE FREE MAMMOGRAMS AND ULTRASOUNDS.2) DISEASE/CONDITION SPECIFIC: A. CONTINUE PARTICIPATION IN MISSISSIPPI DEPARTMENT OF HEALTH TRAUMA PROGRAM TO IMPROVE TRAUMA SERVICES, AND EDUCATION TO NURSES AND PHYSICIANS. B. ADD MINI MENTAL HEALTH SCREENING EXAMS TO SENIOR DAY SCREENINGS. C. PROVIDE GERIATRIC PSYCHIATRY OUTPATIENT CARE TO EARLY STAGE ALZHEIMER'S PATIENTS IN THE INTENSIVE OUTPATIENT PROGRAM (IOP). D. CONTINUE PARTICIPATION IN SUSAN G. KOMEN TO PROVIDE SCREENING MAMMOGRAMS TO PATIENTS WITHOUT INSURANCE AND RAISE AWARENESS OF BREAST CANCER, EDUCATION ON COLORECTAL CANCER, AND PROMOTE LUNG CANCER AWARENESS. E. PROVIDE FREE GUAIAC KITS DURING COLON CANCER AWARENESS ACTIVITIES. F. PROVIDE EDUCATIONAL MATERIALS ON CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND RESOURCES TO ASSIST WITH SMOKING CESSATION. G. PROVIDE FREE GLUCOSE SCREENINGS AT AREA HEALTH FAIRS AND EDUCATION FOR BETTER DIABETIC DIET AND CARE. H. PROVIDE EDUCATION ON STROKE AWARENESS, SIGNS OF STROKE, AND EARLY INTERVENTION AND PARTICIPATE IN THE STATE-WIDE STROKE NETWORK AS A PRIMARY STROKE HOSPITAL. I. CONTINUE TO SERVE AS AN AMERICAN HEART ASSOCIATION (AHA) CARDIOPULMONARY RESUSCITATION (CPR) AND ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EDUCATION SITE. J. PROVIDE BLOOD PRESSURE SCREENING AT HEALTH FAIRS AND IN PUBLIC SETTINGS SUCH AS WALMART. K. RE-OPEN THE IOP AT THE HOSPITAL, PROVIDE TELE-PSYCHIATRY SERVICE, AND COLLABORATE WITH LOCAL MENTAL HEALTH DISTRICT'S LIFE STEPS. L. OFFER ONSITE FLU AND PNEUMONIA VACCINE TO BUSINESS, INDUSTRY, AND COMMUNITY GROUPS.3) SOCIAL CHALLENGES AFFECTING HEALTH: A. COLLABORATE WITH MISSISSIPPI RURAL SCHOLARS PROGRAM TO INCREASE AWARENESS OF PROGRAMS IN ATTALA COUNTY HIGH SCHOOLS. B. COLLABORATE WITH HIGH SCHOOL GUIDANCE COUNSELORS TO MAKE STUDENTS AWARE OF HEALTH CARE OPPORTUNITIES. C. EDUCATE COMMUNITY ON THE HOSPITAL'S CHARITY CARE PROGRAM.NEEDS IDENTIFIED BUT NOT ADDRESSED:BAPTIST MEDICAL CENTER-ATTALA IS CLASSIFIED AS A CRITICAL ACCESS HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY DEFINITION, IT OFFERS A LIMITED ARRAY OF SERVICES IN A RURAL COMMUNITY. GIVEN LIMITED RESOURCES, WE ARE UNABLE TO ADDRESS EACH OF THE HEALTH NEEDS THAT EXIST WITHIN OUR COMMUNITY AND THOSE NEEDS IDENTIFIED IN OUR SURVEY. NEEDS WERE PRIORITIZED TO FACILITATE THE EFFICIENT AND EFFECTIVE UTILIZATION OF AVAILABLE RESOURCES. SOME NEEDS IDENTIFIED IN OUR CHNA REPORT MAY NOT HAVE BEEN ADDRESSED IN OUR IMPLEMENTATION STRATEGY DUE TO A LACK OF HUMAN OR FINANCIAL RESOURCES, INADEQUATE EXPERTISE IN A SPECIFIC FIELD OR DISCIPLINE AND/OR NEEDS THAT ARE ALREADY BEING ADDRESSED BY OUR COMMUNITY PARTNERS, PROGRAMS AND/OR INITIATIVES. |
| BAPTIST MEDICAL CENTER-ATTALA | 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 MEDICAL CENTER-ATTALA: | PART V, SECTION B, LINE 16A: THE FAP FOR BAPTIST MEDICAL CENTER-ATTALA CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEDICAL CENTER-ATTALA:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FOR BAPTIST MEDICAL CENTER-ATTALA CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE BAPTIST MEDICAL CENTER-ATTALA:PART V, SECTION B, LINE 16C: THE PLAIN LANGUAGE SUMMARY OF THE FAP FOR BAPTIST MEDICAL CENTER-ATTALA CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE |
| BAPTIST MEDICAL CENTER-ATTALA: | PART V, SECTION B: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. (MBHS) WAS ACQUIRED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION (BMHCC) IN MAY 2017. MBHS'S FINANCIAL ASSISTANCE POLICY (FAP) AND PRACTICES WERE INTEGRATED WITH BMHCC'S EFFECTIVE SEPTEMBER 1, 2017. BMHCC'S CORPORATE INTERNAL AUDIT AND CONSULTING SERVICES DEPARTMENT COMPLETED A DETAILED COMPLIANCE AUDIT OF THE 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 ALL FOUR KEY 501(R) COMPLIANCE COMPONENTS - THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), FAP, AMOUNTS GENERALLY BILLED, AND THE BILLING AND COLLECTION PRACTICES.THE CORPORATE INTERNAL AUDIT DEPARTMENT REVIEW ALSO 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.DURING THIS REVIEW, DOCUMENTATION EVIDENCED THAT THE CHNA IMPLEMENTATION STRATEGY (CHNA-IS) POSTED ON THE MBHS'S WEBSITE DID NOT ADDRESS SOME OF THE REQUIRED ELEMENTS. THESE ISSUES WERE DISCOVERED BY THE CORPORATE INTERNAL AUDIT DEPARTMENT IN OCTOBER/NOVEMBER 2017. ACCORDINGLY, IN RESPONSE TO THE AUDIT RESULTS, AN ADDENDUM TO OFFICIALLY CORRECT THE CHNA-IS WAS APPROVED BY THE BOARD ON FEBRUARY 22, 2018. ALL CHNA-IS UPDATES AND CORRECTIONS WERE MADE TO THE BMHCC WEBSITE IN AUGUST 2018, AND AT THE SAME TIME MBHS'S CHNA-IS WEBSITE DOCUMENTATION WAS INTEGRATED WITH BMHCC'S. THE CHNA PROCESS FOR ALL HOSPITALS IS NOW BEING MANAGED BY BMHCC CORPORATE. THEREFORE, THE MBHS HOSPITALS ARE INCLUDED IN THE SAME COMPLIANCE PROCESS AS ALL OF THE OTHER BMHCC HOSPITALS. THE NEXT ROUND OF CHNA ASSESSMENTS WILL BE ISSUED IN SEPTEMBER 2019. MBHS DID NOT HAVE THE BAPTIST MEDICAL CENTER-ATTALA (ATTALA) FINANCIAL ASSISTANCE POLICY (FAP) POSTED ON ITS WEBSITE. NOR DID THEY HAVE LISTS OF PARTICIPATING AND NON-PARTICIPATING PROVIDERS. THESE ISSUES WERE IDENTIFIED BY THE CORPORATE INTERNAL AUDIT DEPARTMENT ON OR ABOUT SEPTEMBER 2017. ALL ISSUES WERE CORRECTED IN SEPTEMBER 2017 AS MBHS'S FAP WEBSITE DOCUMENTATION WAS SIMULTANEOUSLY INTEGRATED WITH BMHCC'S. IN ADDITION, ATTALA'S FAP AND/OR BILLING AND COLLECTION POLICIES DID NOT CONTAIN ALL OF THE REQUIRED SPECIFICATIONS. FOR EXAMPLE, POLICIES DID NOT SPECIFY THE COLLECTION TIME PERIODS AND NOTIFICATION REQUIREMENTS, DETAIL POTENTIAL EXTRAORDINARY COLLECTION ACTIONS (ECAS) AVAILABLE AND/OR EXPLAIN THE PROCESS FOR OBTAINING A FREE COPY OF THE FAP AND/OR FINANCIAL ASSISTANCE APPLICATION. THESE ISSUES WERE IDENTIFIED BY BMHCC'S CORPORATE INTERNAL AUDIT DEPARTMENT AROUND AUGUST 2017. THESE ISSUES WERE CORRECTED IN SEPTEMBER 2017 WITH THE INTEGRATION AND SYSTEM IMPLEMENTATION OF THE BMHCC FAP. ALL FAP UPDATES AND CORRECTIONS WERE MADE TO THE BMHCC WEBSITE IN SEPTEMBER 2017, AND AT THE SAME TIME, MBHS'S FAP WEBSITE DOCUMENTATION WAS INTEGRATED WITH BMHCC'S. MINOR ISSUES WITH THE BILLING STATEMENTS FOR SELF-PAY PATIENTS WERE DISCOVERED BY BMHCC'S CORPORATE INTERNAL AUDIT DEPARTMENT BETWEEN AUGUST AND DECEMBER 2017. NONE OF THE HOSPITALS' THIRD-PARTY BILLING VENDORS WERE MAILING A PLAIN LANGUAGE STATEMENT (PLS) WITH THEIR BILLING STATEMENTS. ADDITIONALLY, THESE STATEMENTS DID NOT INCLUDE REQUIRED BILLING STATEMENT LANGUAGE. THESE ISSUES WERE CORRECTED IN STAGES INCLUDING THE SEPTEMBER 2017 FAP IMPLEMENTATION, RE-CONTRACTING WITH BILLING VENDORS, CENTRALIZING BUSINESS OFFICE FUNCTIONS, AND IMPLEMENTING BILLING SERIES WITH COMPLIANT STATEMENT LANGUAGE. FAP DISCOUNTS TOTALING $3,299 WERE UNDER APPLIED FOR 55 PATIENT VISITS. THIS ERROR RESULTED IN REFUNDS OF $1,853 TO 39 PATIENTS FOR OVERPAYMENTS. THE DATES OF SERVICE REVIEWED RANGED FROM FEBRUARY 2018 THROUGH JANUARY 2019.UPON DISCOVERING THE ERRORS DESCRIBED ABOVE, BMHCC, THE SOLE MEMBER OF MBHS, THE SOLE MEMBER OF ATTALA, 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, ATTALA 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 CONDUCT 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 ATTALA HAVE CHOSEN TO PROACTIVELY DISCLOSE THESE MINOR AND INADVERTENT OMISSIONS AND ERRORS ON THIS FORM 990. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - BAPTIST MEDICAL CLINIC KOSCIUSKO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 HIGHWAY 12 W | AddressLine1Txt |
| City | KOSCIUSKO | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39090 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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, MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 III, LINE 2: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES PRIMARILY BY PERFORMING CONSUMER SURVEYS EACH MONTH. THE SURVEYS ARE CONDUCTED ON A RANDOM SELECTION OF CONSUMERS FROM THE 17 COUNTIES IN THE MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. AREA AND MEASURE MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC.'S PERFORMANCE AGAINST OTHER MAJOR HOSPITALS IN THE AREA, AS WELL AS PROVIDE INFORMATION ON UTILIZATION OF HEALTH SERVICES, SATISFACTION WITH HEALTH CARE SERVICES, AND PUBLIC PERCEPTION OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. AS A WHOLE. MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. ENGAGES NEW SOUTH RESEARCH TO CONDUCT THE SURVEYS VIA TELEPHONE AND ALSO CONDUCTS SURVEYS OF PARTICIPANTS FOLLOWING COMMUNITY SEMINARS AND EDUCATIONAL CLASSES. |
| 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: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC.'S PRIMARY SERVICE AREA CONSISTS OF ATTALA COUNTY, WHICH IS LOCATED IN CENTRAL MISSISSIPPI. THE COUNTY CONSISTS OF APPROXIMATELY 20,000 PEOPLE. AGE DEMOGRAPHICS FOR THE AREA SHOW THAT APPROXIMATELY 35% OF THE POPULATION IS UNDER 24 YEARS OF AGE, APPROXIMATELY 49% IS BETWEEN 24 AND 64 YEARS OF AGE, AND 16% IS 65 OR OLDER. MEDIAN HOUSEHOLD INCOME OF $32,866 FOR ATTALA COUNTY IS BELOW THE OVERALL AVERAGE FOR MISSISSIPPI AND SIGNIFICANTLY LESS THAN NATIONWISE AVERAGE. INSURANCE COVERAGE IS LACKING FOR MUCH OF THE POPULATION WITH APPROXIMATELY 21% ESTIMATED TO BE UNINSURED. |
| PART VI, LINE 5: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. (MBHS) IS THE PARENT COMPANY OF AN AFFILIATED HEALTH CARE GROUP. MBHS OFFERS VARIOUS PROGRAMS AND ACTIVITIES TO THE PUBLIC IN ORDER TO PROMOTE COMMUNITY HEALTH. THERE ARE MANY LOW OR NO COST SCREENINGS OFFERED TO THE COMMUNITY INCLUDING HEART, LUNG, AND MAMMOGRAMS. A NUMBER OF EDUCATIONAL CLASSES ON A WIDE VARIETY OF HEALTH TOPICS ARE ALSO OFFERD TO THE COMMUNITY AT NO COST.IN ADDITION, MBHS OPERATES BAPTIST HEALTH LINE, WHICH OFFERS SEVERAL SERVICES, INCLUDING HOSPITAL SERVICES REFERRALS, SCHEDULING OF CLASSES FOR HOSITAL SERVICES, AND THE HEALTH INFORMATION LIBRARY. THE BAPTIST HEALTH LINE PROFESSIONALS ALSO OFFER BAPTIST'S RISK ASSESSMENT TOOLS, INCLUDING THE HEART TEST, THE HEALTH TEST, THE WOMEN'S HEALTH CHECK, THE DIABETES HEALTH CHECK, AND THE CANCER TEST.MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. OFFERS PASTORAL CARE FOR PATIENTS AND VISITORS. MBHS HAS A TEAM OF CHAPLAINS, EACH ASSIGNED TO A DIFFERENT AREA OF THE HOSPITAL, TO MINISTER AND BRING COMFORT AND CARE TO PATIENTS AND THEIR CAREGIVERS.IN ADDITION TO PROGRAMS AND SERVICES, MBHS SUPPORTS ITS LOCAL COMMUNITY THROUGH FINANCIAL DONATIONS. EMPLOYEES ALSO VOLUNTEER THEIR TIME ON VARIOUS COMMUNITY PROGRAMS. |
| PART VI, LINE 6: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| GREATER BELHAVEN NEIGHBORHOOD FOUNDATION | |||||||
| 954 FORTIFICATION STREET | JACKSON | MS | 39202 | 640917645 | 501(C)(3) | $33,750 | TO SUPPORT COMMUNITY AWARENESS AND TO HELP PRESERVE THE GREATER BELHAVEN AREA |
| MISSION FIRST INC | |||||||
| PO BOX 250 | JACKSON | MS | 39205 | 640797107 | 501(C)(3) | $26,000 | TO HELP COMMUNITY RESIDENTS WITH BOTH PHYSICAL AND SPIRITUAL NEEDS |
| THE JUNIOR LEAGUE OF JACKSON MS INC | |||||||
| 805 RIVERSIDE DRIVE | JACKSON | MS | 39202 | 646011106 | 501(C)(3) | $28,355 | SUPPORT COMMUNITY AWARENESS |
| HABITAT FOR HUMANITY MISSISSIPPI CAPITAL AREA | |||||||
| PO BOX 55634 | JACKSON | MS | 39296 | 640750633 | 501(C)(3) | $20,000 | SUPPORT COMMUNITY BUILDING |
| CENTER FOR PREGNANCY CHOICES METRO AREA | |||||||
| PO BOX 55664 | JACKSON | MS | 39296 | 640757399 | 501(C)(3) | $5,700 | SUPPORT CLINIC FOR WOMEN |
| BAPTIST HEALTH FOUNDATION INC | |||||||
| 1225 N STATE STREET | JACKSON | MS | 39202 | 473403762 | 501(C)(3) | $88,464 | SUPPORT HEALTH CARE MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF TAX EXEMPT STATUS THAT IS VERIFIED BY THE INTERNAL REVENUE SERVICE DATABASE BEFORE THEY CAN PROCEED WITH THEIR REQUEST. THEY MAY USE OUR ONLINE CHARITABLE REQUEST APPLICATION TO SUBMIT A REQUEST. IF THEY ARE NOT A 501(C)(3) ORGANIZATION, THEY ARE REQUIRED TO SUBMIT A COPY OF THEIR DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE VALIDATING THEIR EXEMPT STATUS BEFORE WE CAN PROVIDE ANY IN-KIND GIVEAWAYS OR SERVICES. WE ALSO MONITOR THE FUNDS TO ENSURE THEY ARE USED FOR THE PURPOSE GRANTED. WE MAKE EVERY EFFORT TO DIRECT OUR FUNDING TO A PROGRAM FOR A SPECIFIC PURPOSE. ORGANIZATIONS ARE ASKED TO SHOW RESULTS AND DOCUMENTATION ANNUALLY BEFORE THEIR REQUEST CAN BE CONSIDERED FOR FUTURE FUNDING. THE REQUESTS ARE REVIEWED AND APPROVED BY VARIOUS INDIVIDUALS DEPENDING UPON THE TYPE AND AMOUNT OF THE REQUEST. SMALL AMOUNTS MAY BE APPROVED BY THE SYSTEM DIRECTOR OF COMMUNICATIONS. ANYTHING OVER $10,000 MAY BE APPROVED BY THE BAPTIST MEMORIAL HEALTH CARE FOUNDATION SENIOR VICE PRESIDENT, AND ANYTHING OVER $50,000 NEEDS APPROVAL BY THE BAPTIST MEMORIAL HEALTH CARE CORPORATION PRESIDENT/CEO. FOR MORE INFORMATION ABOUT BAPTIST MEMORIAL HEALTH CARE CORPORATION'S CHARITABLE GIVING GUIDELINES, PLEASE VISIT: HTTPS://WWW.BMHGIVING.ORG/. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY C ANDERSON | ||||||||||||||
| DIRECTOR/VP MS MKT OPERATION | $436,442 | $224,383 | $0 | $0 | $1,857 | $18,171 | $8,856 | $10,160 | $17,456 | $7,160 | $464,611 | $259,874 | $0 | $0 |
| SAMUEL T LAWSON MD | ||||||||||||||
| DIRECTOR | $0 | $340,044 | $0 | $263,252 | $0 | $587 | $0 | $0 | $0 | $27,935 | $0 | $631,818 | $0 | $0 |
| ZACHARY R CHANDLER | ||||||||||||||
| DIRECTOR | $0 | $524,835 | $0 | $183,472 | $0 | $51,933 | $0 | $23,625 | $0 | $22,689 | $0 | $806,554 | $0 | $0 |
| GREGORY M DUCKETT | ||||||||||||||
| SECRETARY | $0 | $417,017 | $0 | $138,516 | $0 | $88,118 | $0 | $42,336 | $0 | $30,164 | $0 | $716,151 | $0 | $0 |
| JASON M LITTLE | ||||||||||||||
| PRESIDENT | $0 | $910,132 | $0 | $334,216 | $0 | $137,805 | $0 | $31,500 | $0 | $27,332 | $0 | $1,440,985 | $0 | $0 |
| MICHAEL D MAPLES | ||||||||||||||
| VP CHIEF OF MEDICAL OPERATIONS | $359,583 | $0 | $0 | $0 | $227,374 | $0 | $7,283 | $0 | $23,811 | $0 | $618,051 | $0 | $0 | $0 |
| ROBERT COLEMAN | ||||||||||||||
| CEO (AS OF 5/18) | $147,389 | $0 | $0 | $0 | $1,543 | $0 | $4,422 | $0 | $1,390 | $0 | $154,744 | $0 | $0 | $0 |
| WILLIAM F THOMPSON | ||||||||||||||
| CFO | $355,830 | $0 | $0 | $0 | $1,121 | $0 | $10,800 | $0 | $29,105 | $0 | $396,856 | $0 | $0 | $0 |
| LEE ANN FOREMAN | ||||||||||||||
| VP HUMAN RESOURCES | $244,687 | $0 | $0 | $0 | $7,348 | $0 | $8,127 | $0 | $17,973 | $0 | $278,135 | $0 | $0 | $0 |
| MICHAEL K STEVENS | ||||||||||||||
| VP BUSINESS DEVELOPMENT | $215,546 | $0 | $0 | $0 | $53,669 | $0 | $0 | $0 | $31,399 | $0 | $300,614 | $0 | $0 | $0 |
| PHILLIP HUGHES | ||||||||||||||
| EXEC. DIR. FOUND. (THRU 2/18) | $208,562 | $0 | $0 | $0 | $1,096 | $0 | $8,785 | $0 | $30,345 | $0 | $248,788 | $0 | $0 | $0 |
| STEVE STANIC | ||||||||||||||
| VP CHIEF INFO OFFICER | $320,784 | $0 | $0 | $0 | $2,841 | $0 | $4,718 | $0 | $19,968 | $0 | $348,311 | $0 | $0 | $0 |
| BRAD BEATTIE | ||||||||||||||
| ASSOC. ADMIN. - ANCILLARY | $155,001 | $0 | $0 | $0 | $3,105 | $0 | $6,200 | $0 | $1,387 | $0 | $165,693 | $0 | $0 | $0 |
| BRENDA HOWIE | ||||||||||||||
| VP OF NURSING | $160,445 | $0 | $0 | $0 | $5,260 | $0 | $6,504 | $0 | $12,134 | $0 | $184,343 | $0 | $0 | $0 |
| JEFF BATES | ||||||||||||||
| ASSOC. ADMIN. - ANCILLARY | $130,891 | $0 | $0 | $0 | $16,759 | $0 | $2,789 | $0 | $21,880 | $0 | $172,319 | $0 | $0 | $0 |
| PAT HERRINGTON | ||||||||||||||
| SAFETY & COMPLIANCE OFFICER | $156,910 | $0 | $0 | $0 | $1,090 | $0 | $6,521 | $0 | $22,890 | $0 | $187,411 | $0 | $0 | $0 |
| STEVEN REED | ||||||||||||||
| DIR. OF IT PROJECTS & ADMIN | $131,944 | $0 | $0 | $0 | $5,485 | $0 | $5,415 | $0 | $13,662 | $0 | $156,506 | $0 | $0 | $0 |
| BOBBIE K WARE | ||||||||||||||
| FORMER VP CNO | $204,619 | $125,483 | $0 | $0 | $45,346 | $14,291 | $8,292 | $8,383 | $9,695 | $3,389 | $267,952 | $151,546 | $0 | $0 |
| WILLIAM B GRETE | ||||||||||||||
| FORMER VP GENERAL COUNSEL | $236,013 | $0 | $0 | $0 | $118,733 | $0 | $10,812 | $0 | $21,100 | $0 | $386,658 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | MOST OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVE A PERQUISITE ALLOWANCE WHICH IN 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 PERQUSITE ALLOWANCE. THE ALLOWANCE INCLUDED IS 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: MICHAEL D. MAPLES - $211,689 WILLIAM B. GRETE - $50,287 BOBBIE K. WARE - $43,379 LEE ANN FOREMAN - $6,112 MICHAEL K. STEVENS - $46,161 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MS HOSPITAL EQUIPMENT & FACILITIES AUTHORITY | ||||||||
| A | 640732320 | 605360QE9 | 2017-08-16 | $63,990,000 | SEE PART VI | 0 | 0 | 0 |
| MS HOSPITAL EQUIPMENT & FACILITIES AUTHORITY | ||||||||
| B | 640732320 | 000000000 | 2017-12-22 | $46,872,000 | SEE PART VI | 0 | 0 | 0 |
| MS HOSPITAL EQUIPMENT & FACILITIES AUTHORITY | ||||||||
| C | 640732320 | 000000000 | 2017-12-22 | $11,058,000 | SEE PART VI | 0 | 0 | 0 |
| MS HOSPITAL EQUIPMENT & FACILITIES AUTHORITY | ||||||||
| D | 640732320 | 605360SA5 | 2015-04-01 | $80,865,000 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt |
|---|---|---|---|---|---|---|---|---|
| A | $63,990,000 | $63,990,000 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $46,872,000 | $46,687,342 | Yes (1) | 0 | Yes (1) | Yes (1) | $1,545,000 | $184,658 |
| C | $11,058,000 | $11,058,000 | Yes (1) | 0 | Yes (1) | Yes (1) | $357,000 | |
| D | $80,865,000 | $79,985,000 | Yes (1) | 0 | Yes (1) | Yes (1) | $30,140,000 | $880,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| D | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ENTITY 1: SCHEDULE K, PART I, ROW A, COLUMN (F): | THESE BONDS WERE ORIGINALLY ISSUED ON 3/1/2007. BOND COUNSEL HAS CONCLUDED THAT THE BONDS MAY HAVE BEEN REISSUED ON 8/16/2017, AND A NEW FORM 8038 WAS FILED, ACCORDINGLY. WE ARE REPORTING ON SCHEDULE K IN A MANNER CONSISTENT WITH THE FILING OF THE NEW FORM 8038. |
| ENTITY 1: SCHEDULE K, PART I, ROW B, COLUMN (F): | TO CURRENT REFUND BONDS ISSUED 9/10/2012 AND 4/1/2015. |
| ENTITY 1: SCHEDULE K, PART I, ROW C, COLUMN (F): | TO CURRENT REFUND BONDS ISSUED 12/21/2012. |
| ENTITY 1: SCHEDULE K, PART I, ROW D, COLUMN (F): | TO CURRENT REFUND BONDS ISSUED 5/20/2009. |
| ENTITY 2: SCHEDULE K, PART I, ROW A, COLUMN (F): | TO CURRENT REFUND (REISSUANCE) BONDS ISSUED 5/26/2011. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI DEVELOPMENT BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 640848675 | BondIssuerEIN |
| CUSIP | 60534RZ36 | CUSIPNum |
| Bond Issued | 2015-06-01 | BondIssuedDt |
| Issue Price | $6,145,000 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $570,000 | RetiredAmt |
| Total Proceeds | $6,145,000 | TotalProceedsAmt |
| Other Spent Proceeds | $6,145,000 | OtherSpentProceedsAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | 0 | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: JASON M. LITTLE GREGORY M. DUCKETT GARY C. ANDERSON WILLIAM F. THOMPSON LEE ANN FOREMAN MICHAEL K. STEVENS |
| FORM 990, PART VI, SECTION A, LINE 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. |
| FORM 990, PART VI, SECTION A, LINE 6 | MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., APPOINTS ITS BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 C, LINE 18 | MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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 | MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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. ZACHARY R. CHANDLER - 350 N. HUMPHREYS BLVD., MEMPHIS, TN 38120. |
| FORM 990, PART IX, LINE 11G | OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,786,795. MANAGEMENT AND GENERAL EXPENSES 789,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,575,903. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,572,111. MANAGEMENT AND GENERAL EXPENSES 82,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,654,854. |
| FORM 990, PART XII, LINE 2C: | BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEDICAL CENTER-ATTALA LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1225 NORTH STATE STREET | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 473684354 | EIN |
| Primary Activities | HEALTH CARE FACILITY/HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Total Income | $17,214,569 | TotalIncomeAmt |
| End Of Year Assets | $15,891,378 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (41 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 452842963 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| BAPTIST CLINICAL RESEARCH INSTITUTE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453032246 | FACILITATE MEDICAL & SCIENTIFIC RESEARCH | TN | 501(C)(3) | 509(A)(3) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST HEALTH FOUNDATION INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 473403762 | SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST ENTITIES | MS | 501(C)(3) | 509(A)(3) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| BAPTIST MEDICAL CENTER - LEAKE INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 452896080 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| BAPTIST MEDICAL CENTER - YAZOO INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640844470 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC | |||||||||||
| 1003 MONROE AVE | MEMPHIS | TN | 381043110 | 621599670 | EDUCATION OF HEALTH CARE PROFESSIONALS | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HOSPITAL | Yes (1) | |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581521475 | MANAGEMENT, ADMINISTRATIVE & FINANCIAL SERVICES | TN | 501(C)(3) | 509(A)(3) | 0 | N/A | |
| BAPTIST MEMORIAL HEALTH CARE FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581544781 | SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST | TN | 501(C)(3) | 509(A)(3) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HEALTH CARE SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581456556 | CARRY OUT THE HEALTH CARE MISSIONS OF THE BAPTIST CONVENTIONS OF AR, MS, TN | TN | 501(C)(3) | 509(A)(3) | Yes (1) | N/A | |
| BAPTIST MEMORIAL HEALTH SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621509127 | PROVISIONS OF HEALTH CARE PROVIDERS & HOME MEDICAL EQUIPMENT/SERVICES | TN | 501(C)(3) | 509(A)(2) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOME CARE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581562973 | HOME HEALTH CARE & HOSPICE SERVICES | TN | 501(C)(3) | 509(A)(2) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 620123940 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC | |||||||||||
| 100 HOSPITAL STREET | BOONEVILLE | MS | 38829 | 640663760 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-CALHOUN INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 813257997 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-DESOTO INC | |||||||||||
| 7601 SOUTHCREST PARKWAY | SOUTHAVEN | MS | 38671 | 640682111 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC | |||||||||||
| 2520 5TH STREET NORTH | COLUMBUS | MS | 39701 | 621519754 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC | |||||||||||
| 631 RB WILSON DR | HUNTINGDON | TN | 38344 | 621166050 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 261214372 | HEALTH CARE FACILITY/HOSPITAL | AR | 501(C)(3) | 509(A)(1) | NEA BAPTIST HEALTH SYSTEM INC | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | |||||||||||
| PO BOX 946 | OXFORD | MS | 38655 | 640772726 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-TIPTON INC | |||||||||||
| HIGHWAY 51 SOUTH | COVINGTON | TN | 38019 | 621113167 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-UNION CITY INC | |||||||||||
| 1201 BISHOP ST | UNION CITY | TN | 382615403 | 621138045 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC | |||||||||||
| 200 HIGHWAY 30 WEST | NEW ALBANY | MS | 38652 | 630997281 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL MEDICAL GROUP INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621545731 | PROVISION OF HEALTH CARE PROVIDERS FOR BAPTIST ENTITIES | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH & WELFARE TRUST | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621407946 | BAPTIST EMPLOYEE HEALTH PLAN | TN | 501(C)(9) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | ||
| BAPTIST MEMORIAL REGIONAL REHABILITATION SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581645396 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST MINOR MEDICAL CENTERS INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621538114 | NON-EMERGENCY CLINICS | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| BAPTIST NURSING HOME-CALHOUN INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 813655778 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(3) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BAPTIST PATIENT SAFETY SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453032372 | ESTABLISH, MAINTAIN & MANAGE A PATIENT SAFETY ORGANIZATION | TN | 501(C)(3) | 509(A)(3) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| BMG FAMILY PHYSICIANS GROUP FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 461953140 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| BOSTON BASKIN CANCER FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453303607 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| GASTROINTESTINAL SPECIALISTS FOUNDATION INC | |||||||||||
| 80 HUMPHREYS CENTER | MEMPHIS | TN | 381202177 | 352461541 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| INTEGRITY ONCOLOGY FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453303687 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| MEDICAL FINANCIAL SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621112364 | COLLECTION AGENCY FOR BAPTIST ENTITIES | TN | 501(C)(3) | 509(A)(3) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 753068151 | CLINICS | MS | 501(C)(3) | 509(A)(1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| MEMPHIS LUNG PHYSICIANS FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 452832975 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
| MISSISSIPPI BAPTIST MEDICAL CENTER INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640881013 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640833383 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| MJMH IMPROVEMENT CORPORATION | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 800812322 | HOLDING COMPANY | MS | 501(C)(3) | 509(A)(1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | Yes (1) | |
| NEA BAPTIST HEALTH SYSTEM INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 271799652 | HEALTH CARE SERVICE PROVIDER | AR | 501(C)(3) | 509(A)(3) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | Yes (1) | |
| NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION INC | |||||||||||
| 4802 E JOHNSON AVE | JONESBORO | AR | 72401 | 710850123 | HEALTH CARE SERVICE PROVIDER | AR | 501(C)(3) | 509(A)(1) | NEA BAPTIST HEALTH SYSTEM INC | Yes (1) | |
| THE STERN CARDIOVASCULAR FOUNDATION INC | |||||||||||
| 8060 WOLF RIVER BLVD | GERMANTOWN | TN | 38138 | 274396698 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | BAPTIST MEMORIAL MEDICAL GROUP INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST-DESOTO SURGERY CENTER | ||||||||||||||
| 310 SEVEN SPRINGS WAY SUITE 500 | BRENTWOOD | TN | 37027 | 200804946 | AMBULATORY SURGERY | MS | N/A | |||||||
| BAPTIST-EAST MEMPHIS SURGERY CENTER | ||||||||||||||
| 80 HUMPHREYS CENTER STE 101 | MEMPHIS | TN | 38120 | 621846584 | AMBULATORY SURGERY | TN | N/A | |||||||
| BAPTIST-GERMANTOWN SURGERY CENTER LP | ||||||||||||||
| 310 SEVEN SPRINGS WAY SUITE 500 | BRENTWOOD | TN | 37027 | 621829424 | AMBULATORY SURGERY | TN | N/A | |||||||
| BAPTIST MEMORIAL REHABILITATION HOSPITAL GP | ||||||||||||||
| 680 FOURTH STREET | LOUISVILLE | KY | 40202 | 461613457 | REHABILITATION SERVICES | TN | N/A | |||||||
| BAPTIST N MS IMAGING SERVICES LLC | ||||||||||||||
| 504 AZALEA DR | OXFORD | MS | 38655 | 262641267 | DIAGNOSTIC SERVICES | MS | N/A | |||||||
| BAPTIST OUTPATIENT IMAGING LLC | ||||||||||||||
| 1107 HIGHLAND COLONY PKWY STE 209 | RIDGELAND | MS | 39157 | 452968057 | DIAGNOSTIC SERVICES | MS | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | RELATED | $864,643 | $1,436,116 | 0 | 0 | 0.51000 | |
| BAPTIST & PHYSICIANS OUTPATIENT SURGERY CENTER OF N MS | ||||||||||||||
| 310 SEVEN SPRINGS WAY SUITE 500 | BRENTWOOD | TN | 37027 | 640925692 | AMBULATORY SURGERY | MS | N/A | |||||||
| BAPTIST STERN CARDIOVASCULAR CO-MANAGEMENT LLC | ||||||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 820605766 | MEDICAL MANAGEMENT | TN | N/A | |||||||
| BAPTIST - UCH INSTITUTE FOR PLASTIC AND RECONSTRUCTIVE SURGERY LLC | ||||||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 821046465 | MEDICAL MANAGEMENT | TN | N/A | |||||||
| BRAIN AND SPINE NETWORK BAPTIST SEMMES-MURPHEY LLC | ||||||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 475240436 | MEDICAL MANAGEMENT | TN | N/A | |||||||
| CANCER CARE CENTER OF UNION CITY LP | ||||||||||||||
| 322 HOSPITAL BLVD | JACKSON | TN | 38305 | 263425045 | CANCER CARE SERVICES | TN | N/A | |||||||
| EAST MEMPHIS UROLOGY CENTER LP | ||||||||||||||
| 310 SEVEN SPRINGS WAY SUITE 500 | BRENTWOOD | TN | 37027 | 621810940 | AMBULATORY UROLOGICAL SERVICES | TN | N/A | |||||||
| MAYS & SCHNAPP PAIN CENTER | ||||||||||||||
| 55 HUMPHREYS CENTER STE 200 | MEMPHIS | TN | 38120 | 621512849 | PAIN MANAGEMENT SERVICES | TN | N/A | |||||||
| NORTHWEST TN SURGERY CENTER LLC | ||||||||||||||
| 1722 E REELFOOT | UNION CITY | TN | 38261 | 621685508 | AMBULATORY SURGERY | TN | N/A | |||||||
| PRIMARY CARE PROPERTIES II | ||||||||||||||
| 2859 VAN LEER DR | MEMPHIS | TN | 38133 | 621774052 | MEDICAL OFFICE BUILDING | TN | N/A | |||||||
| WEST TENNESSEE IMAGING LLC | ||||||||||||||
| 840 CRESCENT CENTRE DR SUITE 200 | FRANKLIN | TN | 37067 | 901022012 | MEDICAL SERVICES | TN | N/A | |||||||
| DOWNTOWN FITNESS LLC | ||||||||||||||
| 100 EAST CAPITOL STREET SUITE 107 | JACKSON | MS | 39201 | 611852202 | FITNESS CENTER | MS | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BAPTIST HEALTH SERVICES GROUP OF THE MID-SOUTH INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621534210 | HEALTH INSURANCE CONTRACTING | TN | N/A | C | Yes (1) |
| GERMANTOWN BUSINESS PARK OWNERS ASSOCIATION | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 201158216 | BOOKKEEPING & DATA PROCESSING GERMANTOWN BUS. PARK | TN | N/A | C | Yes (1) |
| HEALTH TECH AFFILIATES INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621278576 | BUYING & LEASING REAL & PERSONAL PROPERTY | TN | N/A | C | Yes (1) |
| MEDICAL PRACTICE SOLUTIONS | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640833731 | MEDICAL CONSULTING | MS | N/A | C | Yes (1) |
| MISSISSIPPI BAPTIST MEDICAL ENTERPRISES INC | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640776164 | INVESTMENTS | MS | N/A | C | Yes (1) |
| MISSISSIPPI REAL ESTATE ENTERPRISES INC | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640746856 | INVESTMENTS | MS | N/A | C | Yes (1) |
| SOUTHCREST PROPERTY OWNERS ASSOCIATION | |||||||||
| 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 640768703 | BOOKKEEPING & DATA PROCESSING FOR THE SOUTHCREST DEVELOPMENT | MS | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (30 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BAPTIST HEALTH FOUNDATION INC | ||
| B | $88,464 | CASH |
| MJMH IMPROVEMENT CORPORATION INC | ||
| C | $440,000 | CASH |
| BAPTIST HEALTH FOUNDATION INC | ||
| D | $253,207 | CASH |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| D | $200,671,136 | CASH |
| MEDICAL PRACTICE SOLUTIONS INC | ||
| D | $2,000,995 | CASH |
| BAPTIST MEDICAL CENTER - LEAKE INC | ||
| E | $15,301,726 | CASH |
| BAPTIST MEDICAL CENTER - YAZOO INC | ||
| E | $12,451,643 | CASH |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | ||
| E | $335,988 | CASH |
| MISSISSIPPI BAPTIST MEDICAL CENTER INC | ||
| E | $119,196,104 | CASH |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | ||
| J | $486,318 | CASH |
| MISSISSIPPI BAPTIST MEDICAL CENTER INC | ||
| J | $432,429 | CASH |
| MJMH IMPROVEMENT CORPORATION INC | ||
| K | $600,000 | CASH |
| BAPTIST MEDICAL CENTER - LEAKE INC | ||
| L | $206,446 | CASH |
| BAPTIST MEDICAL CENTER - YAZOO INC | ||
| L | $160,846 | CASH |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | ||
| L | $1,698,000 | CASH |
| MISSISSIPPI BAPTIST MEDICAL CENTER INC | ||
| L | $51,792,288 | CASH |
| BAPTIST MEDICAL CENTER - YAZOO INC | ||
| M | $124,587 | CASH |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| M | $1,540,356 | CASH |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | ||
| M | $520,176 | CASH |
| MEDICAL PRACTICE SOLUTIONS INC | ||
| M | $1,098,433 | CASH |
| MISSISSIPPI BAPTIST MEDICAL CENTER INC | ||
| M | $245,272 | CASH |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| O | $88,783 | CASH |
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| R | $229,300,000 | CASH |
| BAPTIST MEMORIAL MEDICAL MINISTRIES EMPLOYEE HEALTH AND WELFARE TRUST | ||
| R | $660,146 | CASH |
| BAPTIST MEDICAL CENTER - LEAKE INC | ||
| S | $16,737,812 | CASH |
| BAPTIST MEDICAL CENTER - YAZOO INC | ||
| S | $12,816,700 | CASH |
| BAPTIST OUTPATIENT IMAGING LLC | ||
| S | $808,929 | CASH |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | ||
| S | $46,277,000 | CASH |
| MISSISSIPPI BAPTIST MEDICAL CENTER INC | ||
| S | $5,764,765 | CASH |
| MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE INC | ||
| E | $351,883 | CASH |