BAPTIST MEDICAL CENTER-LEAKE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST MEDICAL CENTER-LEAKE INC (EIN 45-2896080)
- Tax period
- 2015-09-01 to 2016-08-31
- Filed
- 2017-07-17
- IRS object ID
- 201731989349302003
- Schema version
- 2015v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-07-17T16:16:44-05:00 | ReturnTs |
| Tax Period End | 2016-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 E Capitol Street Ste 500 | AddressLine1Txt |
| City | Jackson | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 392012190 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452896080 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST MEDICAL CENTER - LEAKE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % AMELIA H CONNER | InCareOfNm |
| Business Name Control | BAPT | 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 | WILLIAM F THOMPSON | PersonNm |
| Person Title | CORP VP | PersonTitleTxt |
| Phone | 6019683080 | PhoneNum |
| Signature | 2017-07-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Dustin W Taylor CPA | PreparerPersonNm |
| PTIN | P01250644 | PTIN |
| Phone | 6019486700 | PhoneNum |
| Preparation | 2017-07-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID JACKSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 909 | AddressLine1Txt |
| City | CARTHAGE | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39051 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,018,159 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MBHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | BAPTIST MEDICAL CENTER - LEAKE IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN CARTHAGE, MS, OFFERING A COMPREHENSIVE RANGE OF SERVICES TO PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 339 | TotalEmployeeCnt |
| Total Volunteers | 27 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $24,518 | PYContributionsGrantsAmt |
| CY Contributions Grants | $31,104 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,678,150 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,571,475 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,945 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,820 | CYInvestmentIncomeAmt |
| PY Other Revenue | $483,033 | PYOtherRevenueAmt |
| CY Other Revenue | $413,760 | CYOtherRevenueAmt |
| PY Total Revenue | $21,190,646 | PYTotalRevenueAmt |
| CY Total Revenue | $23,018,159 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,850 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,800 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,682,320 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,426,966 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,041,588 | PYOtherExpensesAmt |
| CY Other Expenses | $17,178,892 | CYOtherExpensesAmt |
| PY Total Expenses | $22,732,758 | PYTotalExpensesAmt |
| CY Total Expenses | $26,610,658 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,542,112 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,592,499 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,870,772 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,263,225 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,587,038 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,987,812 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,283,734 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,724,587 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF BAPTIST MEDICAL CENTER - LEAKE (BAPTIST LEAKE) IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES BY PROVIDING EXCELLENT HEALTH CARE SERVICES BY CONTINUALLY IMPROVING THE QUALITY OF PATIENT CARE AND UTILIZING RESOURCES EFFICIENTLY AND EFFECTIVELY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $24,895,852 | ExpenseAmt |
| Grant | $4,800 | GrantAmt |
| Revenue | $23,013,812 | RevenueAmt |
| Desc | BAPTIST LEAKE OFFERS ACUTE CARE AND SWING BED, AS WELL AS MRI, VASCULAR ULTRASOUND, ECHOCARDIOGRAPHY, WOUND CARE AND PODIATRY SERVICES. BAPTIST LEAKE'S LEVEL IV EMERGENCY ROOM IS STAFFED BY QUALIFIED PHYSICIANS AND ANCILLARY STAFF. FAMILY HEALTH CARE SERVICES ARE OFFERED FROM THREE CLINIC LOCATIONS IN WALNUT GROVE, MS AND CARTHAGE, MS, A 44-BED SKILLED NURSING HOME WHICH CLOSED OPERATIONS ON APRIL 30, 2016. A SENIOR LIFE INTENSIVE OUTPATIENT PROGRAM PROVIDES SUPPORT AND TREATMENT FOR ADULTS OVER AGE 55 WITH EMOTIONAL OR MENTAL DIFFICULTIES. A SWING BED PROGRAM OFFERS A MUCH NEEDED SERVICE FOR PATIENTS WHO NO LONGER NEED ACUTE HOSPITAL CARE, BUT DO NEED SKILLED NURSING OR THERAPY CARE TO COMPLETE THEIR RECOVERY. BAPTIST LEAKE RECORDED 26,641 HOSPITAL PATIENT VISITS DURING ITS 2016 FISCAL YEAR. THIS CONSISTED OF 868 INPATIENT ADMISSIONS WITH 6,680 DAYS OF CARE PROVIDED, 15,681 OUTPATIENT VISITS, AND 10,092 EMERGENCY ROOM VISITS. IN ADDITION, BAPTIST LEAKE RECORDED 10,463 DAYS OF CARE TO ITS NURSING HOME RESIDENTS. FINALLY, THE THREE PRIMARY CARE CLINICS PROVIDED SERVICES ON 26,611 OCCASIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, BAPTIST LEAKE RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, BAPTIST LEAKE PROVIDES FREE CARE AND SUBSIDIZED CARE WITHIN EXISTING RESOURCES WHERE THE NEED FOR SUCH CARE EXISTS. FOR FISCAL YEAR 2016, TRADITIONAL CHARITY CARE CHARGES FOREGONE BASED ON ESTABLISHED RATES WERE APPROXIMATELY $319,500 AND DISCOUNTS PROVIDED TO UNINSURED PATIENTS BASED ON ESTABLISHED RATES WERE APPROXIMATELY $1,001,016. ALL OF THE FOREGONE CHARGES MENTIONED ABOVE ARE NETTED AGAINST PATIENT SERVICE REVENUE TO ARRIVE AT NET PATIENT SERVICE REVENUE AS REFLECTED AS PROGRAM SERVICE REVENUE ON PART VIII OF FORM 990 IN ORDER TO BE CONSISTENT WITH FINANCIAL STATEMENT REPORTING AND ARE NOT REPORTED AS FUNCTIONAL EXPENSES ON THE TAX RETURN. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $24,895,852 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 92 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 339 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMELIA H CONNER | PersonNm |
| Phone | 6012671221 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 HWY 16E | AddressLine1Txt |
| City | CARTHAGE | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39051 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM B GRETE | ||||||||||
| CORP VP - GENERAL COUNSEL | 6.0 | 34.0 | Yes (X) | Yes (X) | $0 | $392,470 | $47,867 | |||
| BOBBIE K WARE | ||||||||||
| VP - CHIEF NURSING OFFICER | 6.0 | 34.0 | Yes (X) | Yes (X) | $0 | $358,517 | $29,288 | |||
| MICHAEL K STEVENS | ||||||||||
| VP - BUSINESS DEVELOPMENT | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $253,619 | $42,903 | |||
| CHRIS ANDERSON | ||||||||||
| PRESIDENT & CEO | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $651,793 | $165,315 | |||
| WILLIAM F THOMPSON | ||||||||||
| CORP VP - CFO | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $348,599 | $90,750 | |||
| ARTHUR SKIP JERNIGAN | ||||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| DARYL WEAVER | ||||||||||
| CEO | 40.0 | 0.0 | Yes (X) | $0 | $181,361 | $24,855 | ||||
| DAVID JACKSON | ||||||||||
| CFO - COMMUNITY HOSPITALS | 20.0 | 20.0 | Yes (X) | $101,922 | $127,698 | $0 | ||||
| MICHAEL D MAPLES | ||||||||||
| CORP VP- CHIEF MEDICAL OFFICER | 4.0 | 36.0 | Yes (X) | $0 | $359,605 | $104,720 | ||||
| LEE ANN FOREMAN | ||||||||||
| VP HUMAN RESOURCES | 4.0 | 36.0 | $0 | $205,396 | $58,583 | Yes (X) | ||||
| WILLIAM LOGAN | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $171,245 | $0 | $0 | Yes (X) | ||||
| WILLIAM D PERRY MD | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $349,043 | $0 | $0 | Yes (X) | ||||
| CHARLES M HARDIN | ||||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $145,369 | $0 | $0 | Yes (X) | ||||
| ANGELA ATKINSON | ||||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $115,529 | $0 | $0 | Yes (X) | ||||
| LINDA PICKERING | ||||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $105,157 | $0 | $0 | Yes (X) | ||||
| RUSSELL W YORK | ||||||||||
| FORMER CFO | 8.0 | 32.0 | $0 | $118,400 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $988,265 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,997,458 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $564,281 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CORRECT CARE INC | |||||
| 1111 NORTH CAUSEWAY BLVD | MANDEVILLE | LA | 70471 | PHYSICIAN FEES/HOSPI | $1,567,879 |
| BRASFIELD GORRIE LLC | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352460351 | CONSTRUCTION | $1,395,269 |
| WOUND CARE SPECIALISTS | |||||
| PO BOX 71849 | CHICAGO | IL | 606941849 | MEDICAL SERVICES | $582,175 |
| PERFORMANCE THERAPY | |||||
| 921 WEST BEACON STREET | PHILADELPHIA | MS | 39350 | PHYSICAL THERAPY SVC | $362,745 |
| MEDICAL PRACTICE SOLUTIONS | |||||
| 1600 NORTH STATE ST SUITE 400 | JACKSON | MS | 39202 | BILLING/MGMT SERVICE | $237,056 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $31,104 | GovernmentGrantsAmt |
| Total Contributions | $31,104 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 900099 | $22,464,319 | $22,464,319 |
| Related Rental Revenue | 900099 | $107,156 | $107,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,571,475 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,820 | TotalRevenueColumnAmt |
| Exclusion | $1,820 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Food Sales | 722320 | $2,527 | $2,527 | |
| Other Revenue | 900099 | $411,233 | $411,233 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $413,760 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,018,159 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,982,708 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,347 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,800 | TotalAmt |
| Program Services | $4,800 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,648 | TotalAmt |
| Management And General | $50,648 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,852,843 | TotalAmt |
| Program Services | $7,852,843 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,915 | TotalAmt |
| Program Services | $183,915 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,644 | TotalAmt |
| Program Services | $804,644 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,916 | TotalAmt |
| Program Services | $534,916 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,647,792 | TotalAmt |
| Program Services | $1,171,362 | ProgramServicesAmt |
| Management And General | $476,430 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,020 | TotalAmt |
| Management And General | $16,020 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,190 | TotalAmt |
| Management And General | $8,190 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,588,204 | TotalAmt |
| Program Services | $3,270,452 | ProgramServicesAmt |
| Management And General | $317,752 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,666 | TotalAmt |
| Program Services | $21,935 | ProgramServicesAmt |
| Management And General | $35,731 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,151,802 | TotalAmt |
| Program Services | $1,007,379 | ProgramServicesAmt |
| Management And General | $144,423 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,122 | TotalAmt |
| Program Services | $355,497 | ProgramServicesAmt |
| Management And General | $13,625 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,260 | TotalAmt |
| Program Services | $9,214 | ProgramServicesAmt |
| Management And General | $9,046 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,956 | TotalAmt |
| Program Services | $13,811 | ProgramServicesAmt |
| Management And General | $15,145 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $831,062 | TotalAmt |
| Program Services | $831,062 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,731,696 | TotalAmt |
| Program Services | $2,498,687 | ProgramServicesAmt |
| Management And General | $233,009 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,732,250 | TotalAmt |
| Program Services | $2,732,250 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt Expense | $1,959,954 | $1,959,954 | |
| Medical Supplies | $847,935 | $847,935 | |
| Taxes and Licenses | $617,232 | $490,548 | $126,684 |
| Repairs and Maintenance | $505,964 | $266,386 | $239,578 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,787 | TotalAmt |
| Program Services | $38,262 | ProgramServicesAmt |
| Management And General | $28,525 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,610,658 | TotalAmt |
| Program Services | $24,895,852 | ProgramServicesAmt |
| Management And General | $1,714,806 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,823,324 | BOYAmt |
| EOY | $741,985 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,494,862 | BOYAmt |
| EOY | $2,022,616 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,115 | BOYAmt |
| EOY | $165,028 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,336 | BOYAmt |
| EOY | $154,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,755,824 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,800,785 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,533,407 | BOYAmt |
| EOY | $22,955,039 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $714,728 | BOYAmt |
| EOY | $5,224,245 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,870,772 | BOYAmt |
| EOY | $31,263,225 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,259,462 | BOYAmt |
| EOY | $1,335,112 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,270,200 | BOYAmt |
| EOY | $27,260,200 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,057,376 | BOYAmt |
| EOY | $4,392,500 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,587,038 | BOYAmt |
| EOY | $32,987,812 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,283,734 | BOYAmt |
| EOY | -$1,724,587 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,283,734 | BOYAmt |
| EOY | -$1,724,587 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,870,772 | BOYAmt |
| EOY | $31,263,225 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,592,499 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $584,178 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,648,413 | OtherCostOrOtherBasisAmt |
| Book Value | $2,648,413 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,521,017 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,770,754 | DepreciationAmt |
| Book Value | $17,750,263 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,586,394 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,030,031 | DepreciationAmt |
| Book Value | $2,556,363 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $22,955,039 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD-PARTY PAYORS | $1,617,000 |
| Other Receivables | $109,465 |
| ASSETS LIMITED AS TO USE | $3,497,780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,224,245 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Professional Liab Ins Reserve | $2,943,500 |
| DUE TO THIRD-PARTY PAYORS | $699,000 |
| DUE TO RELATED ENTITY | $750,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,392,500 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Management has evaluated the company's income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $990,651 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $990,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,207,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,099,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $107,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,198,150 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,099,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,098,375 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04460 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,042,773 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $260,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $782,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03170 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,070,173 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $260,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $809,925 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03280 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,268,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,360,023 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,908,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07740 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,959,954 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $533,107 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,699,801 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,733,335 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$33,534 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 - LEAKE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 ELLIS STREET | AddressLine1Txt |
| City | CARTHAGE | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39051 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SEE SECTION C | WebsiteAddressTxt |
| State License | 13-187 | 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 - LEAKE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 199. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | false | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section A, Line 1: | http://www.mbhs.org/locations/baptist-medical-center-leake/ |
| Part V, Section B, Line 5: | The hospital engaged an independent consulting firm, the Solutions Group, to conduct surveys among specific area stakeholders including businesses and healthcare providers and governmental agencies. The firm also completed surveys of the community citizens at large. |
| Part V, Section B, Line 7a: | A COPY OF THE CHNA IS LOCATED AT: https://www.mbhs.org/locations/baptist-medical-center-leake/community-heal th-needs/ |
| Part V, Section B, Line 10a: | https://www.mbhs.org/locations/baptist-medical-center-leake/community-heal th-needs/ |
| Part V, Section B, Line 11: | Baptist Medical Center Leake does not have the resources to address each community health need identified through the CHNA. BMCL expends all of its resources providing care and services typically associated with critical access hospitals. |
| Part V, Section B, Line 13h: | The Hospital reserves the right to provide additional assistance to any patient determined to be in financial need. |
| Part V, Section B, Line 16a&b: | https://mbhs.patientcompass.com/RA/General/BillingPolicies/_FinancialAssis tance Part V, Section B, Line 16i: If at any time during the admission, discharge, billing, or collection process a patient informs the hospital representative that they are unable to pay their bill, then the patient will be referred to a payment coordinator who will inform them of the availability of financial assistance/charity care for those who qualify and offer the patient the opportunity to complete an application. |
| Part V, Section B, Line 22d: | ADJUSTMENTS DETERMINED ON A CASE-BY-CASE BASIS ARE MADE TO STATED CHARGES FOR ALL UNINSURED PATIENTS OTHER THAN THOSE WHO QUALIFY FOR CHARITY CARE (THOSE WITH INCOME LEVELS LESS THAN 100% OF FPG) OR THOSE WHO QUALIFY FOR A PRORATED DISCOUNT (THOSE WITH INCOME LEVELS 101%-199% OF FPG). |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | BAPTIST MEDICAL CENTER - LEAKE, INC. (BAPTIST - LEAKE) USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. IF THE PATIENT'S INCOME LEVEL IS 0-100% OF THE FEDERAL POVERTY LEVEL, AN ADJUSTMENT OF 100% OF THE HOSPITAL'S STATED CHARGES WILL BE MADE. IF THE PATIENT'S INCOME LEVEL IS 101-199% OF THE FEDERAL POVERTY LEVEL, A DISCOUNT WILL APPLY. THE DISCOUNT WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE OF THE FPL. PATIENTS WHOSE FAMILY GROSS INCOME IS EQUAL TO OR GREATER THAN 200% OF THE FPL ARE ELIGIBLE TO RECEIVE SERVICES AT A DISCOUNTED RATE. |
| Part I, Line 4: | The financial assistance and charity care policy of Baptist - Leake does not specifically provide for free or discounted care to the "medically indigent." However, the hospital reserves the right to provide additional assistance to any patient determined to be in financial need |
| Part I, Line 6a: | A description of the organization's programs and services that promote the health of the community served is included in the footnotes to the organization's audited financial statements. Baptist - Leake is part of a consolidated financial statement, which includes the activities of its parent company, Mississippi Baptist Health Systems, and subsidiaries. |
| Part I, Line 7G: | N/A |
| Part I, Line 7, Column (f): | Bad debt expense of $1,959,954 was included in total expense on form 990, part IX, Line 25, Column (a) but was subtracted from total expense for purposes of calculating the percentage of total expense in column (f). |
| Part I, Line 7: | The medicaid cost report was used to determine the amounts reported on Part I, Line 7b. The amounts reported on Part I, Line 7a were determined by using a cost to charge ratio, which was calculated using information from the medicaid cost report as adjusted for amounts included elsewhere on line 7b. Line 7a includes costs for providing charity care only. However, during the fiscal year ending August 31, 2016, Baptist - Leake provided discounts of $1,001,016 to uninsured individuals receiving care as well. The estimated cost based on the cost to charge ratio used for Line 7a was $750,962, which is 3.05% of total expense. Baptist - Leake feels that providing services to the uninsured and offering these discounts is an important part in keeping its commitment to the community, and therefore, should be included as a cost of providing community benefit. |
| Part II: | Baptist - Leake is involved in the community in many ways by offering volunteer help and health information to the county residents. Volunteer services include employee involvement in numerous events and board member service on various committees, including: Leake County Chamber of Commerce, Carthage Main Street, Leake County Health Network (Network of healthcare providers and businesses that offer numerous health information events for Leake County residents), Carthage Rotary Club, Leake County Health Foundation (Raises funds for local residents battling terminal illnesses needing assistance), Keep Leake Beautiful, and Leake County Schools Career Center Advisory Board. Baptist - Leake shows its support for the community by also sponsoring numerous community activities and events. Sponsorships include sponsor of the Leake County Sheriff's Rodeo, the local city park baseball/softball program, sponsor of the Leake County 4-H program livestock show, sponsor of the Life Time Achievement Award given at the Leake County Chamber of Commerce Banquet, sponsor of the local volunteer fire department banquet and fundraiser to help offset cost of equipment, sponsor of the Baptist Medical Center Leake Heart of MS 5K Run, sponsor of the Leake County D.A.R.E. program, and sponsor of the local Fashion Advantage Fashion Show. Baptist - Leake supports local schools in numerous ways, including support of numerous area scholarships, yearbook support, and support of athletic programs. Baptist - Leake was also the sponsor of the local high school rodeo and hosted 17 high school seniors in the Leake County Chamber of Commerce "Career for a Day" program. Baptist - Leake hosted Health Science students from the local high school on a tour of both Baptist - Leake and Jackson and provided an information session on health care. The students were also offered shadowing opportunities in various areas of Baptist - Leake. Baptist - Leake works with the Special Education Department of Leake County Schools in an ongoing volunteer program, helping teach the students life skills. This includes mock interviews to help students with their interview skills. Baptist - Leake also provided free physicals for area special need students to participate in the Special Olympics. Baptist - Leake participates in health fairs at local businesses and industries in the county offering free screenings to their associates. Over 500 employees are screened each year. Baptist - Leake also provided free health screenings to over 400 senior citizens at the Leake County Senior Citizens Day. In addition, Baptist - Leake provided health programs for local churches, businesses, and civic clubs. Baptist - Leake provides facility, lab needs, and staff for a charity clinic held once a month which offers health care to over 150 local residents. Baptist - Leake also offers discount health care to the Leake County Detention Center inmates. Baptist - Leake supports the women of Leake County in hosting "Go Red for Women" day, offering heart healthy snacks and heart healthy tips, and sponsoring the "Be Your Best Self Essay" scholarship at the Leake County Distinguished Young Woman program. Baptist - Leake Extended Care Facility hosted over 500 children for trick or treat on Halloween night. Over 30 employees volunteered for the event. In the town of Walnut Grove, Baptist - Leake sponsored the new fitness trail and the South of the River Roux festival. Baptist - Leake started a volunteer program with 27 members. These retired individuals answer the hospital switch board and help patients and visitors with directions throughout the facility. Baptist - Leake provides a health related article to the local newspaper each month. |
| Part III, Lines 2-4: | The amount reported in Part III, Line 2 as bad debt expense matches the amount of bad debt expense reported on Baptist - Leake's audited financial statements. To estimate the amount of the organization's bad debt expense attributable to patients eligible under the organization's charity care policy for line 3, Baptist - Leake used research based on Kaisar Foundation studies of uninsured rates in Leake County compared to Mississippi along with Census Bureau publications regarding various levels of poverty rates in Leake County. However, bad debt amounts have not been included in community benefit. Baptist - Leake's audited financial statements do not include a footnote specifically discussing bad debt expense, accounts receivable, or allowance for doubtful accounts. However, Baptist - Leake reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and other. Baptist - Leake provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluations and specific circumstances of the account. |
| Part III, Line 8: | The ratio of cost to charges used in the calculation of costs for Medicare was taken from the Medicare cost report. Charity care arises from a deliberate policy by a health care organization to forego payment for certain services provided to low income patients. Hospital participation in Medicare is voluntary. Medicare shortfalls occur when the payments received by Medicare are less than the costs of providing care to Medicare patients. Payment rates for Medicare are currently set below the cost of providing care resulting in underpayment. The organization must bridge the gap created by government underpayments. A majority of Baptist - Leake's patients are Medicare patients. The organization feels that providing care for the elderly and poor is an essential part of the community benefit standard and as such, any Medicare underpayments represent the real cost of serving its community and should count as quantifiable community benefit for tax compliance purposes. |
| Part III, Line 9b: | Patients may apply for financial assistance to cover all or part of their hospital bills. Baptist - Leake does not pursue collection of amounts determined to qualify as charity care. However, the collection policy is the same for all patients once the charity or financial discount has been applied. |
| Part VI, Line 2: | Needs Assessment Mississippi Baptist Health Systems, Inc., the parent company of Baptist Medical Center - Leake, 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 Baptist Health Systems service area and measure Baptist Health Systems' 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 Baptist Health Systems as a whole. Baptist Health Systems 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: | Patient education of eligibility for assistance Baptist - Leake has representatives from the Mississippi Division of Medicaid on campus once per month to assist patients with obtaining coverage. Also, there are general customer service personnel available. Information containing a financial assistance statement is given to each patient upon admission or during pre-admission, is posted at each registration booth, and is also available online. If at any time during the admission, discharge, billing, or collection process a patient informs a hospital representative that they are unable to pay their bill and need financial assistance, then the patient is referred to a payment coordinator who informs the patient of the availability of financial assistance/charity care for those who qualify and offers the patient the opportunity to complete an application. |
| Part VI, Line 4: | Community Information Baptist - Leake's primary service area consists of Leake County, which is located in central Mississippi. Leake County consists of approximately 24,000 people. Age demographics for the area show that approximately 26% of the population is under 18 years of age, approximately 59% is between 18 and 64 years of age and that 15% is 65 or older. Median household income of $33,452 for Leake County is below the overall average for Mississippi and significantly less than the nationwide average. Insurance coverage is lacking for much of the population with between 25-27% estimated to be uninsured. |
| Part VI, Line 5: | Promotion of community health Mississippi Baptist Health Systems (MBHS) is the parent company of an affiliated healthcare group (Baptist). Baptist - Leake is part of that group. Baptist is committed to involvement in the community and organizes various programs and activities which are offered to the public in order to promote community health. Baptist offers a multitude of low or no cost screenings to the community including heart, lung, and mammogram screenings. These low-cost screening packages help people determine if their health is headed in the right direction and provides the information necessary to make important lifestyle decisions at an affordable price. In addition, MBHS operates Baptist Health Line, which offers physician referrals, hospital services referrals, scheduling of classes for hospital services, and the health information library. 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 test, and the cancer test. A number of educational classes on a wide variety of health topics are also offered to the community at no cost. In keeping with MBHS's foundation and tradition in the Christian healing ministry, Baptist offers pastoral care for patients and visitors. Baptist has a team of chaplains, each assigned to a different area of the hospital, to minister and bring comfort and care to patients. The Pastoral Care Department offers many services including patient visitation, chapel services, memorial services, counseling sessions, prayer, scripture reading, and answering emergency calls. In addition to the programs and services offered, Baptist also supports its local community through financial donations. MBHS operates the Carry the Mission program through a committee of employees of the hospital willing to volunteer their time to serve. Carry the Mission is funded by employee donations, which are matched by Baptist at 50 cents for every dollar raised. MBHS splits the funds raised through Carry the Mission to support different areas in the community: 40% goes to local nonprofits and groups that meet the established criteria, 40% goes to Baptist employees experiencing unexpected financial difficulties, and 20% goes to support the Baptist Health Foundation. Through this program, MBHS is able to support a wide range of groups in the community. |
| Part VI, Line 6: | Affiliated health care system Baptist - Leake is part of an affiliated health care system. Mississippi Baptist Health Systems (MBHS) is the holding company for several nonprofit entities to which it provides various management and support services. In addition to Baptist - Leake, MBHS is the parent company to Mississippi Baptist Medical Center, a 638 bed tertiary medical center, Mississippi Hospital for Restorative Care, a 25 bed long term acute care hospital, Baptist Medical Center - Attala, a 25 bed critical access hospital, Baptist Medical Center - Yazoo, a 25 bed critical access hospital, and the Medical Foundation of Central Mississippi, a network of primary care and specialty physicians. Through various partnership relationships, MBHS also provides home health care and adult day care services. |
| Part VI, Line 7: | State filing of community benefit report Baptist Medical Center - Leake, Inc. does not file a community benefit report with the state of Mississippi as there is no requirement to do so. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | 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 | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM B GRETE | ||||||||||||||
| CORP VP - GENERAL COUNSEL | $0 | $374,470 | $0 | $0 | $18,000 | $0 | $10,200 | $0 | $37,667 | $0 | $440,337 | $0 | $0 | |
| BOBBIE K WARE | ||||||||||||||
| VP - CHIEF NURSING OFFICER | $0 | $357,917 | $0 | $0 | $600 | $0 | $8,019 | $0 | $21,269 | $0 | $387,805 | $0 | $0 | $0 |
| WILLIAM LOGAN | ||||||||||||||
| PHYSICIAN | $171,245 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $171,245 | $0 | $0 | $0 | $0 |
| MICHAEL K STEVENS | ||||||||||||||
| VP - BUSINESS DEVELOPMENT | $0 | $253,619 | $0 | $0 | $0 | $0 | $0 | $0 | $42,903 | $0 | $296,522 | $0 | $0 | $0 |
| RUSSELL W YORK | ||||||||||||||
| FORMER CFO | $0 | $15,857 | $0 | $0 | $102,543 | $0 | $0 | $0 | $0 | $0 | $118,400 | $0 | $56,063 | $0 |
| DARYL WEAVER | ||||||||||||||
| CEO | $0 | $181,361 | $0 | $0 | $0 | $0 | $7,556 | $0 | $17,299 | $0 | $206,216 | $0 | $0 | $0 |
| DAVID JACKSON | ||||||||||||||
| CFO - COMMUNITY HOSPITALS | $101,922 | $127,698 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $101,922 | $127,698 | $0 | $0 | $0 |
| MICHAEL D MAPLES | ||||||||||||||
| CORP VP- CHIEF MEDICAL OFFICER | $0 | $359,005 | $0 | $0 | $600 | $0 | $67,038 | $0 | $37,682 | $0 | $464,325 | $0 | $0 | $0 |
| CHRIS ANDERSON | ||||||||||||||
| PRESIDENT & CEO | $0 | $651,193 | $0 | $0 | $600 | $0 | $134,457 | $0 | $30,858 | $0 | $817,108 | $0 | $0 | $0 |
| LEE ANN FOREMAN | ||||||||||||||
| VP HUMAN RESOURCES | $0 | $204,796 | $0 | $0 | $600 | $0 | $37,621 | $0 | $20,962 | $0 | $263,979 | $0 | $0 | $0 |
| WILLIAM F THOMPSON | ||||||||||||||
| CORP VP - CFO | $0 | $347,999 | $0 | $0 | $600 | $0 | $61,423 | $0 | $29,327 | $0 | $439,349 | $0 | $0 | $0 |
| WILLIAM D PERRY MD | ||||||||||||||
| PHYSICIAN | $231,860 | $0 | $93,120 | $24,063 | $0 | $0 | $0 | $0 | $0 | $349,043 | $0 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B: | FormAndLineReferenceDesc |
| Explanation | PARTICIPANTS: MICHAEL D. MAPLES $59,774 CHRIS ANDERSON $124,054 WILLIAM F. THOMPSON $50,823 LEE ANN FOREMAN $29,701 Terms and Conditions: Baptist Health Systems, Inc. established the Baptist Health Systems, Inc. Supplemental Executive Retirement Plan, a nonqualified, unfunded deferred compensation plan effective July 1, 2010, for the benefit of certain management or highly-compensated employees of Baptist Health Systems, Inc. Participants are chosen by the Chairman's Council of the Board (the Council) of Baptist Health Systems, Inc. The purpose of the plan is to enhance the ability of Baptist Health Systems, Inc. to attract and retain qualified management personnel with a market-competitive supplemental retirement benefit for a select group of management or highly compensated employees on a tax-deferred basis. Baptist Health Systems, Inc. will contribute to each participant's plan an annual amount equal to a percentage of the participant's base salary commencing in 2010 and continuing each year thereafter until the year in which the participant separates from employment. An applicable percentage of either 17.5% or 15% of base salary will be contributed to each participant's plan (or such other percentage as the Council determines). The vested accrued balance or employer contribution (plus earnings or losses) will be paid for any event requiring such payment other than death, as soon as administratively feasible but no later than the last day of the calendar year in which the event occurs. If the event that results in the payment of the benefit is death, the balance will be paid as soon as the Board obtains satisfactory proof of death, but no later than the 15th day of the third month following the end of the calendar year in which the Participant dies. Certain participants who remain in continuous employment have a non-forfeitable right to receive the employer contribution made in a plan year as of the first day of the plan year that is five years from the first day of the Plan year in which such contribution was made. However, if such participant has attained a specified age, the participant shall have a non-forfeitable right to receive any future employer contributions along with earnings or losses that have not vested and an immediate non-forfeitable right to receive any future employer contributions as of the date such contributions are made. New participants other than those specifically identified in the Plan have a non-forfeitable right to receive their accrued balance based on a vesting schedule as described in the Plan document. Otherwise, a participant shall have a non-forfeitable right to receive his accrued balance upon his separation from service on account of death, disability, or upon involuntary separation from service without cause if such separation occurs prior to the completion of the five year period described above, prior to attaining the age specified above, or prior to the applicable vesting schedule described above. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MEDICAL PRACTICE SOLUTIONS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $288,164 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE (1) COLUMNS (B) & (D): | FormAndLineReferenceDesc |
| Explanation | OFFICERS, WILLIAM F. THOMPSON, WILLIAM B. GRETE, CHRIS ANDERSON, AND MICHAEL K. STEVENS, ARE BOARD MEMBERS OF MEDICAL PRACTICE SOLUTIONS, A RELATED ENTITY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, SECTION A, LINE 6: | BAPTIST MEDICAL CENTER - LEAKE, INC. IS A NOT-FOR-PROFIT, NONSTOCK, MEMBERSHIP CORPORATION OF WHICH MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE SOLE MEMBER AND HAS SOLE VOTING CONTROL. |
| Form 990, Page 6, Part VI, Section A, Line 7a: | The board of Baptist Medical Center - Leake, Inc. is appointed by Mississippi Baptist Health Systems, Inc. |
| Form 990, Page 6, Part VI, Section A, Line 7b: | The board of Mississippi Baptist Health Systems approves all major capital expenditures. |
| Form 990, Page 6, Part VI, Section B, Line 11B: | AN ELECTRONIC COPY OF THE FORM 990 IS DISTRIBUTED VIA EMAIL. ALL BOARD MEMBERS/DIRECTORS HAVE THE OPPORTUNITY TO REVIEW THE FORM PRIOR TO FILING WITH THE IRS. |
| Form 990, Page 6, Part VI, Section B, Line 12c: | The compliance committee of the governing body meets quarterly to review all compliance issues. Any persons with conflicts of interest are prohibited from participating in the board's deliberations and decisions in the transaction in which the conflict exists. |
| Form 990, Page 6, Part VI, Section B, Line 15 A&b: | An independent compensation consulting firm, the Hay group, conducts annual surveys to help establish the compensation of the organization's top management officials, officers and key employees. The chairman's council functions as the compensation committee of the board. The Hay Group presents their findings and recommendations to the council for their consideration and action. The council approves the salaries and benefit package for all senior management. The Hay Group maintains minutes of the Chairman's council meetings where compensation and benefits are discussed and approvals made. |
| Form 990, Page 6, Part VI, Section C, Line 19: | The organization's governing documents, conflict of interest policy and financial statements are available to the public upon request. |
| FORM 990, PAGE 12, PART XI, LINE 9: | TRANSFER FROM MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. 584,178 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| MS Hospital for Restorative Care Inc | ||||||||||
| 1225 North State Street | Jackson | MS | 39202 | 640833383 | Hospital | MS | 501(c)(3) | 3 | MBHS | Yes (true) |
| Medical Foundation of Central MS | ||||||||||
| 1225 North State Street | Jackson | MS | 39202 | 753068151 | Clinics | MS | 501(C)(3) | 3 | MBHS | Yes (true) |
| MS Baptist Health Systems Inc | ||||||||||
| 1225 North State Street | Jackson | MS | 39202 | 640306253 | Holding Co. | MS | 501(C)(3) | 11B-II | NA | false |
| MS Baptist Medical Center Inc | ||||||||||
| 1225 North State Street | Jackson | MS | 39202 | 640881013 | Hospital | MS | 501(C)(3) | 3 | MBHS | false |
| BAPTIST MEDICAL CENTER- YAZOO INC | ||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640844470 | HOSPITAL | MS | 501(C)(3) | 3 | MBHS | false |
| MJMH IMPROVEMENT CORPORATION | ||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 800812322 | HOLDING CO. | MS | 501(C)(3) | 11A-I | MBHS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST OUTPATIENT IMAGING 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 | 452968057 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MS | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MBHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MS Baptist Medical Enterprises Inc | |||||||||
| 1225 North State Street | Jackson | MS | 39202 | 640776164 | Investments | MS | MBHS | C Corp | false |
| Medical Practice Solutions | |||||||||
| 1225 North State Street | Jackson | MS | 39202 | 640833731 | Med Consulting | MS | MBME | C Corp | false |
| MS Real Estate Enterprises Inc | |||||||||
| 1225 North State Street | Jackson | MS | 39202 | 640746856 | Investments | MS | MBME | C Corp | false |
| HEALTHCARE FINANCIAL SERVICES INC | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640847789 | FINANCIAL SVC | MS | MBME | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |