BAPTIST MEDICAL CENTER-LEAKE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST MEDICAL CENTER-LEAKE INC (EIN 45-2896080)
- Tax period
- 2016-09-01 to 2017-08-31
- Filed
- 2018-07-09
- IRS object ID
- 201821909349300642
- Schema version
- 2016v3.0
- 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 | 2018-07-09T12:06:50-05:00 | ReturnTs |
| Tax Period End | 2017-08-31 | 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 STE 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 | 2016-09-01 | 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) |
|---|---|---|
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 6012671100 | 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/CEO | PersonTitleTxt |
| Phone | 9012275117 | PhoneNum |
| Signature | 2018-07-09 | 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 | 6152591811 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | 381202177 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,109,046 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | BAPTIST MEDICAL CENTER-LEAKE, INC. IS A 25 BED CRITICAL ACCESS HOSPITAL (SEE SCHEDULE O PG 56) LOCATED IN CARTHAGE, MS, OFFERING A COMPREHENSIVE RANGE OF SERVICES TO PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 322 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $31,104 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,571,475 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,880,649 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,820 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,137 | CYInvestmentIncomeAmt |
| PY Other Revenue | $413,760 | PYOtherRevenueAmt |
| CY Other Revenue | $226,260 | CYOtherRevenueAmt |
| PY Total Revenue | $23,018,159 | PYTotalRevenueAmt |
| CY Total Revenue | $19,109,046 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,800 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,426,966 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,792,885 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,178,892 | PYOtherExpensesAmt |
| CY Other Expenses | $11,596,306 | CYOtherExpensesAmt |
| PY Total Expenses | $26,610,658 | PYTotalExpensesAmt |
| CY Total Expenses | $20,389,191 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,592,499 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,280,145 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,263,225 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,535,068 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,987,812 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,102,900 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,724,587 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,567,832 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF BAPTIST MEDICAL CENTER-LEAKE, INC. (BAPTIST LEAKE) IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES BY PROVIDING EXCELLENT HEALTH CARE SERVICES BY CONTINUALLY OMPROVING THE QUALITY OF PATIENT CARE AND UTILIZING RESOURCES EFFICIENTLY AND EFFECTIVELY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,479,068 | ExpenseAmt |
| Revenue | $19,106,909 | RevenueAmt |
| Desc | BAPTIST MEDICAL CENTER-LEAKE, INC. PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER, THAT THE MISSION OF THE BAPTIST MEDICAL CENTER-LEAKE, INC. IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. CONTINUED ON SCH O PG 56THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THEREFORE, IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, BAPTIST MEDICAL CENTER-LEAKE, INC. PROVIDES THE FOLLOWING:--FREE CARE AND/OR SUBSIDIZED CARE,--CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND--HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITYBAPTIST MEDICAL CENTER-LEAKE, INC. OFFERS ACUTE CARE AND SWING BED, AS WELL AS MRI, VASCULAR ULTRASOUND, ECHOCARDIOGRAPHY, WOUND CARE AND PODIATRY SERVICES. THE HOSPITAL'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 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 MEDICAL CENTER-LEAKE, INC. RECORDED 25,254 HOSPITAL PATIENT VISITS DURING ITS 2017 FISCAL YEAR. THIS CONSISTED OF 803 INPATIENT ADMISSIONS WITH 6,319 DAYS OF CARE PROVIDED. 15,083 OUTPATIENT VISITS, AND 9,368 EMERGENCY ROOM VISITS. FINALLY, THE THREE PRIMARY CARE CLINICS PROVIDED SERVICES ON 26,489 OCCASIONS. BAPTIST MEDICAL CENTER-LEAKE, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS FOR WHICH THE HOSPITAL RECEIVES LESS THAN MARKET VALUE REIMBURSEMENT. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE, MEDICAID AND UNINSURED PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, BAPTIST MEDICAL CENTER-LEAKE, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. DURING THE YEAR ENDING AUGUST 31, 2017, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $9,587,201.CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICED SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT BAPTIST MEDICAL CENTER-LEAKE, INC. BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. | Desc |
| Total Program Service Expenses | $18,479,068 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | 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 | 0 | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | 0 | 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 | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 322 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMELIA H CONNER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (19 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 |
|---|---|---|---|---|---|---|---|---|---|
| GARY C ANDERSON | |||||||||
| DIRECTOR/VP MS MKT (AS OF 5/17) | 4.00 | 36.00 | Yes (X) | Yes (X) | $0 | $748,812 | $33,827 | ||
| WILLIAM B GRETE | |||||||||
| DIRECTOR/VP (THRU 5/1/17) | 6.00 | 34.00 | Yes (X) | Yes (X) | $0 | $446,721 | $42,764 | ||
| BRENDA HOWIE | |||||||||
| DIRECTOR/CNO MBMC (AS OF 5/17) | 4.00 | 36.00 | Yes (X) | Yes (X) | $0 | $154,656 | $16,005 | ||
| WILLIAM F THOMPSON | |||||||||
| DIRECTOR/CFO MBMC (AS OF 5/17) | 4.00 | 36.00 | Yes (X) | Yes (X) | $0 | $407,321 | $39,236 | ||
| MICHAEL K STEVENS | |||||||||
| DIR./EXEC DIR BUS. DEV.(AS OF 5/17) | 4.00 | 36.00 | Yes (X) | Yes (X) | $0 | $294,358 | $35,990 | ||
| A SKIP JERNIGAN | |||||||||
| DIRECTOR | 1.00 | 2.23 | Yes (X) | $0 | $22,100 | $0 | |||
| JEFF WEBB | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LEE CARSON | |||||||||
| DIRECTOR | 1.00 | 0.23 | Yes (X) | $0 | $0 | $0 | |||
| JASON LITTLE | |||||||||
| PRESIDENT | 0.10 | 39.90 | Yes (X) | $0 | $1,470,615 | $58,636 | |||
| GREGORY M DUCKETT | |||||||||
| SECRETARY | 0.23 | 39.77 | Yes (X) | $0 | $707,234 | $63,288 | |||
| DARYL WEAVER | |||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $202,396 | $0 | $0 | |||
| MICHAEL D MAPLES | |||||||||
| VP CHIEF OF MEDICAL OPERATIONS | 4.00 | 36.00 | Yes (X) | $0 | $410,613 | $37,740 | |||
| BOBBIE K WARE | |||||||||
| VP CNO | 6.00 | 34.00 | Yes (X) | $0 | $395,170 | $24,277 | |||
| LEE ANN FOREMAN | |||||||||
| VP HUMAN RESOURCES | 4.00 | 36.00 | $0 | $247,515 | $22,529 | Yes (X) | |||
| WILLIAM PERRY MD | |||||||||
| PHYSICIAN | 50.00 | 0.00 | $339,859 | $0 | $0 | Yes (X) | |||
| CHARLIE HARDIN | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $132,613 | $0 | $0 | Yes (X) | |||
| TOMMIE JONES | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $125,308 | $0 | $0 | Yes (X) | |||
| RONNIE BROWN | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $116,280 | $0 | $0 | Yes (X) | |||
| ANGELA ATKINSON | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $119,264 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,035,720 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,305,115 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $374,292 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 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 SERVICES | $1,643,181 |
| WOUND CARE SPECIALISTS | |||||
| PO BOX 71849 | CHICAGO | IL | 606941849 | PHYSICIAN SERVICES | $499,175 |
| PERFORMANCE THERAPY | |||||
| 921 WEST BEACON ST | PHILADELPHIA | MS | 39350 | PHYSICAL THERAPY | $410,318 |
| MCKESSON TECHNOLOGIES INC | |||||
| PO BOX 98347 | CHICAGO | IL | 606938347 | IT MGMT AND SUPPORT | $294,258 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REV. | 900099 | $18,731,976 | $18,731,976 |
| RENTS FROM AFFILIATES | 900099 | $148,673 | $148,673 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,880,649 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,127 | TotalRevenueColumnAmt |
| Exclusion | $2,127 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10 | TotalRevenueColumnAmt |
| Exclusion | $10 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON-OPERATING REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $226,260 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $226,260 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $226,260 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,109,046 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,106,909 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,137 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,804 | TotalAmt |
| Program Services | $183,538 | ProgramServicesAmt |
| Management And General | $19,266 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,967,746 | TotalAmt |
| Program Services | $6,305,810 | ProgramServicesAmt |
| Management And General | $661,936 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,314 | TotalAmt |
| Program Services | $183,999 | ProgramServicesAmt |
| Management And General | $19,315 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,246,643 | TotalAmt |
| Program Services | $1,128,212 | ProgramServicesAmt |
| Management And General | $118,431 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,378 | TotalAmt |
| Program Services | $156,002 | ProgramServicesAmt |
| Management And General | $16,376 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,064 | TotalAmt |
| Program Services | $21,778 | ProgramServicesAmt |
| Management And General | $2,286 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,176,332 | TotalAmt |
| Program Services | $3,779,581 | ProgramServicesAmt |
| Management And General | $396,751 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,372 | TotalAmt |
| Program Services | $40,157 | ProgramServicesAmt |
| Management And General | $4,215 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $946,152 | TotalAmt |
| Program Services | $856,268 | ProgramServicesAmt |
| Management And General | $89,884 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,167 | TotalAmt |
| Program Services | $318,711 | ProgramServicesAmt |
| Management And General | $33,456 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,879 | TotalAmt |
| Program Services | $12,752 | ProgramServicesAmt |
| Management And General | $19,127 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,000 | TotalAmt |
| Program Services | $7,200 | ProgramServicesAmt |
| Management And General | $10,800 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,185 | TotalAmt |
| Program Services | $774,847 | ProgramServicesAmt |
| Management And General | $81,338 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,964,589 | TotalAmt |
| Program Services | $1,777,953 | ProgramServicesAmt |
| Management And General | $186,636 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,273 | TotalAmt |
| Program Services | $282,607 | ProgramServicesAmt |
| Management And General | $29,666 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MANAGEMENT FEES | $1,466,359 | $1,327,055 | $139,304 |
| MEDICAL SUPPLIES | $740,612 | $740,612 | $0 |
| REPAIR & MAINTENANCE | $623,577 | $564,337 | $59,240 |
| DUES & SUBSCRIPTIONS | $36,278 | $14,511 | $21,767 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,467 | TotalAmt |
| Program Services | $3,138 | ProgramServicesAmt |
| Management And General | $329 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,389,191 | TotalAmt |
| Program Services | $18,479,068 | ProgramServicesAmt |
| Management And General | $1,910,123 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $741,985 | BOYAmt |
| EOY | $1,351 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $717,893 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,022,616 | BOYAmt |
| EOY | $1,822,159 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,028 | BOYAmt |
| EOY | $217,832 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,312 | BOYAmt |
| EOY | $185,776 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,817,050 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,765,374 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,955,039 | BOYAmt |
| EOY | $21,051,676 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,224,245 | BOYAmt |
| EOY | $5,538,381 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,263,225 | BOYAmt |
| EOY | $29,535,068 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,335,112 | BOYAmt |
| EOY | $1,027,461 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,260,200 | BOYAmt |
| EOY | $27,260,200 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,392,500 | BOYAmt |
| EOY | $3,815,239 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,987,812 | BOYAmt |
| EOY | $32,102,900 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,724,587 | BOYAmt |
| EOY | -$2,567,832 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,724,587 | BOYAmt |
| EOY | -$2,567,832 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,263,225 | BOYAmt |
| EOY | $29,535,068 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,280,145 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $436,900 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $799,278 | OtherCostOrOtherBasisAmt |
| Book Value | $799,278 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,521,017 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,893,205 | DepreciationAmt |
| Book Value | $16,627,812 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,647,620 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,527,570 | DepreciationAmt |
| Book Value | $2,120,050 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,849,135 | OtherCostOrOtherBasisAmt |
| Depreciation | $344,599 | DepreciationAmt |
| Book Value | $1,504,536 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,051,676 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED SETTLEMENTS W/THIRD PARTIES | $720,155 |
| ASSETS WHOSE USE IS LIMITED | $3,531,261 |
| DUE FROM AFFILIATES | $1,286,965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,538,381 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PROFESSIONAL LIABILITY INSURANCE | $3,116,707 |
| ESTIMATED SETTLEMENTS W/THIRD PARTIES | $698,532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,815,239 | 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 STATEMENT OF BAPTIST MEMORIAL HEALTH CARE CORPORATION AND SUBSIDIARIES: AS OF SEPTEMBER 30, 2017 AND 2016, BAPTIST MEMORIAL HEALTH CARE CORPORATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER FASB ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT BAPTIST MEMORIAL HEALTH CARE CORPORATION WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS INTEREST EXPENSE. GENERALLY, BAPTIST MEMORIAL HEALTH CARE CORPORATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2013 (FISCAL YEAR ENDED SEPTEMBER 30, 2014). | 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 |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $897,357 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $897,357 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04400 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,669,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,357,560 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $311,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,566,534 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,357,560 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,208,974 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05930 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,200 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,250 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,450 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,584,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,357,560 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,227,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,536,954 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $690,051 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,519,260 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,568,719 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$49,459 | 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 (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 - 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 PART VI | 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) |
|---|---|---|
| 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 | 15 | 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 | SEE PART V SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V SECTION C | 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | 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 |
| None Made | Yes (X) | NoneMadeInd |
| 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 - 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 HEALTH CARE PROVIDERS AND GOVERNEMENTAL AGENCIES. THE FIRM ALSO COMPLETED SURVEYS OF THE COMMUNITY CITIZENS AT LARGE.ADDITIONAL INPUT WAS SOLICITED FROM THE FOLLOWING ORGANIZATIONS REPRESENTING KEY INFORMANTS, WITH SPECIFIC INFORMATION RELATED TO PUBLIC HEALTH AND/OR RURAL HEALTH AS WELL AS ORGANIZATIONS REPRESENTING MINORITIES AND THE TRADITIONALLY UNDERSERVED: --BAPTIST MEDICAL CENTER - LEAKE --TRUELIGHT MISSIONARY BAPTIST CHURCH --GALILEE MISSIONARY BAPTIST CHURCH --FIRST BAPTIST MARTIN LUTHER KING BAPTIST CHURCH --WEEMS COMMUNITY MENTAL HEALTH CENTER --LEAKE COUNTY HEALTH NETWORK --LEAKE COUNTY HEALTH DEPARTMENT --EAST CENTRAL MISSISSIPPI HEALTHCARE ALLIANCE --STANDING PINES ELEMENTARY SCHOOL OF THE MISSISSIPPI BAND OF CHOCTAW INDIANS --MISSISSIPPI OFFICE OF RURAL HEALTH--MISSISSIPPI HOSPITAL ASSOCIATION --MISSISSIPPI RURAL HOSPITAL ALLIANCE --TYSON FOODS, INC. (LOCAL EMPLOYER OF PREDOMINANTLY LOW-SKILLED AND MINORITY WORKFORCE) |
| BAPTIST MEDICAL CENTER - LEAKE | PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF BOTH THE QUANTITATIVE AND QUALITATIVE DATA GATHERED, BAPTIST MEDICAL CENTER LEAKE HAS IDENTIFIED GAPS IN HEALTHCARE SERVICES WITHIN THE COMMUNITY. WHILE ACKNOWLEDGING ITS IMPORTANT ROLE IN MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY, THE HOSPITAL ALSO RECOGNIZES THAT TRULY "MOVING THE NEEDLE" ON HEALTHCARE 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 HEALTHCARE PROVIDERS, ELECTED AND NON-ELECTED OFFICIALS AS WELL THE CITIZENS, WHO ARE THE ULTIMATE CONSUMERS OF HEALTHCARE SERVICES. IN ANALYSIS OF BOTH THE QUANTITATIVE AND QUALITATIVE DATA GATHERED, BAPTIST MEDICAL CENTER LEAKE EXPANDED OR IMPROVED SERVICES IN THREE BROAD CATEGORIES. THESE INCLUDED AT-RISK POPULATIONS, DISEASE-SPECIFIC NEEDS, AND AREAS OF SOCIAL CONCERN THAT IMPACT THE COMMUNITY'S SHORT- AND LONG-TERM 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-LEAKE 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 PRIOR CHNA AND IMPLEMENTATION STRATEGY OF THE CURRECNT CHNA, THE HOSPITAL CONTINUES TO DO THE FOLLOWING:1.AT-RISK POPULATIONS: A. PROVIDE ACCESS TO ALL LEAKE COUNTY K-6 TEACHERS WITH ACCESS TO GONOODLE EDUCATION RESOURCES. B. PROVIDE INSTRUCTORS TO AREA SCHOOLS ON HEALTH-RELATED MATTERS. C. DEVELOPMENT OF SCHOOL-BASED CLINICS AS CHILD SITES OF OUR RURAL HEALTH CLINICS TO PROVIDE IMMUNIZATIONS WITH THE FUTURE GOAL OF PROVIDING WELL CARE AND SICK CARE VISITS. D. PROVIDE INFORMATIONAL MATERIALS ON PROSTRATE SCREENINGS. E. PROVIDE INFORMATION ON CHANGES TO MEDICARE COVERAGE OPTIONS INCLUDING NEW EXPANDED PROGRAMS ON MEDICARE ADVANTAGE. F. HOST PUBLIC EDUCATION MEETINGS ON HEALTH TOPICS OF INTEREST TO SENIOR CITIZENS. G. PROVIDE WOMEN'S HEALTH EDUCATION SEMINARS AND MATERIALS FOR BREAST CANCER, HEART DISEASE, AND OTHER TOPICS OF INTEREST TO WOMEN. H.PROVIDE WOMEN'S HEALTH CLINIC THROUGH OUR RURAL HEALTH CLINIC AND OFFER LOW COST MAMMOGRAMS AND BONE DENSITY SCREENINGS THE MONTH OF OCTOBER.2.DISEASE/CONDITION SPECIFIC: A. PROVIDE PUBLIC INFORMATION RELATED TO INJURY PREVENTION AND TREATMENT, AND FACILITATE TIMELY AND APPROPRIATE TRANSFER OF EMERGENCY PATIENTS. B. PROVIDE EDUCATION ON HEALTH-RELATED DISORDERS, SUNSCREEN USE, FIRE DANGERS, ETC. C. PROVIDE SAFETY/INJURY AVOIDANCE INFORMATION AT COUNTY FAIRS. D. PROVIDE CPR TRAINING AND CERTIFICATION TO ALL AREA SCHOOL COACHING STAFF. E. DEVELOP EDUCATIONAL MATERIALS, AND PROVIDE EDUCATIONAL RESOURCES AND SUPPORT PROGRAMS FOR CAREGIVERS THROUGH THE STATE ALZHEIMER'S ORGANIZATION. F. CONTINUE TO SPONSOR ANNUAL "PINK AFFAIR OR SIMILAR PROGRAMS IN CARTHAGE AS A MEANS TO RAISE AWARENESS OF BREAST CANCER, EDUCATION ON COLORECTAL CANCER, AND PROMOTE LUNG CANCER AWARENESS. G. EXPAND GI SCREENINGS FOR COLORECTAL CANCER. H. PROVIDE EDUCATION ON COPD AND LUNG CANCER AWARENESS. I. PROVIDE FREE OR REDUCED COST FLU SHOTS FOR AREA EMPLOYERS AND AREA SCHOOLS. J. PROVIDE FREE GLUCOSE SCREENINGS AT AREA HEALTH FAIRS AND EDUCATION FOR BETTER DIABETIC DIET AND CARE. K. PROVIDE EDUCATION ON STROKE AWARENESS, SIGNS OF STROKE AND EARLY INTERVENTION. PARTICIPATE IN THE STATE-WIDE STROKE NETWORK AS A PRIMARY STROKE HOSPITAL. L. PROVIDE BASIC CPR INSTRUCTION AT ALL AREA HIGH SCHOOLS FOR JUNIORS AND SENIORS IN COLLABORATION WITH STATE-WIDE GRADUATION REQUIREMENTS. M. EXPAND SERVICES TO PROVIDE ACCESS TO A BOARD-CERTIFIED CARDIOLGIST AT AN ON-SITE CLINIC AT THE LEAKE CAMPUS ON A WEEKLY BASIS. N. PROVIDE FREE BLOOD PRESSURE CHECKS THROUGH THE HOSPITAL EMERGENCY DEPARTMENT, RURAL HEALTH CLINICS AND HEALTH FAIRS. O. PROVIDE A UROLOGY CLINIC ON THE LEAKE CAMPUS. P. PROVIDE OUTPATIENT GERIPSYCH SERVICES TO LEAKE COUNTY. Q. EDUCATE THE COMMUNITY ON LOW-COST OPTIONS FOR PRIMARY CARE NEEDS INCLUDING OUR CLINICS AND CHARITY CARE PROGRAMS AND SUPPLIES FOR THE MONTHLY COMMUNITY FREE-CLINIC.NEEDS IDENTIFIED BUT NOT ADDRESSED:BAPTIST MEDICAL CENTER LEAKE 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/OR 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 OR EXPERTISE IN A SPECIFIC FIELD OR DISCIPLINE. IS SOME CASES, THOSE NEEDS ARE ALREADY BEING ADDRESSED BY COMMUNITY PARTNERS, PROGRAMS AND/OR INITIATIVES. |
| BAPTIST MEDICAL CENTER - LEAKE | 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, TRUSTS, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES. WHEN CALCULATING INCOME FROM ANY OF THE PRECEDING SOURCES USE THE GROSS AMOUNT.2. NON-CASH BENEFITS (SUCH AS FOOD STAMPS AND HOUSING SUBSIDIES) DO NOT COUNT AS INCOME. 3. IF A PERSON LIVES WITH A FAMILY, CALCULATE THE TOTAL GROSS INCOME OF ALL FAMILY MEMBERS. (A) NON-RELATIVES, INCLUDING HOUSEMATES, DO NOT COUNT. (B) A CHILD WHO IS A FULL-TIME STUDENT AWAY FROM HOME IN AN ACCREDITED COLLEGE MAY BE COUNTED. (C) MINOR CHILDRENS' EARNED WAGES ARE NOT TO BE INCLUDED IN DETERMINING INCOME. (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. |
| PART V SECTION B: | LINE 7A:THE CHNA FOR BAPTIST MEDICAL CENTER-LEAKE CAN BE FOUND AT:HTTP://MBHS.ORG/LOCATIONS/BAPTIST-HEALTH-SYSTEMS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/LINE 10A:THE HOSPITAL'S IMPLEMENTATION STRATEGY CAN BE FOUND IN APPENDIX D "OPPORTUNITIES FOR IMPROVEMENT AND ACTION PLAN" AT:HTTP://MBHS.ORG/LOCATIONS/BAPTIST-HEALTH-SYSTEMS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| PART V, SECTION B, LINE 16 | LINE 16A:THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND ATHTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCELINE 16B:THE APPLICATION FOR FINANCIAL ASSISTANCE CAN BE FOUND AT HTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCELINE 16C:THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND ATHTTPS://WWW.BAPTISTONLINE.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE HOSPITAL 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, THE HOSPITAL USES UNDERINSURED STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS PREPARED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION, THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. 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: | 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. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. |
| PART I, LN 7 COL(F): | PER IRS INSTRUCTIONS, BAD DEBT EXPENSE WAS NOT INCLUDED IN THE CALCULATION OF THE PERCENTAGE OF TOTAL CHARITY CARE AND COMMUNITY BENEFITS COST ON SCHEDULE H, LINE 7, COLUMN (F). |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL CONDUCTS SEVERAL HEALTH FAIRS, SEMINARS AND CLASSES THROUGHOUT THE YEAR FOR THE COMMUNITIES IT SERVES. BAPTIST ALSO IS INVOLVED IN LOCAL COMMUNITY AND NON-PROFIT ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY RACE FOR THE CURE, WALK AMERICA, ST. JUDE, AND MANY OTHERS. NOT ONLY DO WE PROVIDE MONETARY DONATIONS, BUT OUR EMPLOYEES ARE ACTIVE VOLUNTEERS IN THESE WORTHY CAUSES. |
| PART III, LINE 2: | THE HOSPITAL USES ACCRUAL BASED ACCOUNTING ALLOWANCE PRIMARILY BASED ON THE AGE OF A PARTICULAR PATIENT ACCOUNT OR THE AGE OF A PARTICULAR CLASS OF PATIENT ACCOUNTS TO ESTIMATE THE AMOUNT REPORTED. |
| PART III, LINE 3: | TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE, THE ORGANIZATION USED RESEARCH BASED ON KAISER FOUNDATION STUDIES OF UNINSURED RATES IN THE COUNTY COMPARED TO MISSISSIPPI ALONG WITH CENSUS BUREAU PUBLICATIONS REGARDING VARIOUS LEVELS OF POVERTY RATES IN THE COUNTY. |
| PART III, LINE 4: | THE HOSPITAL 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 THE ORGANIZATION'S 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 RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FORM 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. ANY SHORTFALL IS ABSORBED INTO THE FINANCIAL STATEMENTS. |
| PART III, LINE 9B: | THE HOSPITAL'S COLLECTION AGENCY, WILL DETERMINE IF THE PATIENT HAS A CHARITY APPLICATION ON FILE AND WAS DEEMED TO BE A CHARITY CASE BY THE HOSPITAL. IF IT WAS DETERMINED THAT THE PATIENT IS A CHARITY CASE, THEN THE COLLECTION AGENCY WILL REVIEW THE REMAINING UNPAID BALANCE AFTER THE APPLICATION OF THE CHARITY DISCOUNT, AND PURSUE APPROPRIATE COLLECTION EFFORTS. DEPENDING UPON THE CIRCUMSTANCES AT THE TIME, THE ENTIRE AMOUNT OWED MAY BE WRITTEN OFF.OTHER PATIENTS, WHO ARE NOT CHARITY PATIENTS, GENERALLY ARE NOT OFFERED A DISCOUNT ON THE AMOUNT OWED IF THE ACCOUNT IS 0-6 MONTHS OLD. THE HOSPITAL'S COLLECTION AGENCY WILL TRY TO SET UP A PAYMENT PLAN. IF THE PATIENT HAS INSURANCE AND THE BILL WAS FILED WITH THEIR INSURANCE COMPANY, THE PRIOR PPO ADJUSTMENT IS GIVEN. THE AMOUNT OF DISCOUNT INCREASES AS THE AGE OF THE DEBT INCREASES. AS THE AGE OF THE DEBT INCREASES, DETERMINING FACTORS ARE ALSO CONSIDERED SUCH AS THE ABILITY OF THE PATIENT TO PAY, THE AGE AND HEALTH OF THE PATIENT, FAMILY CIRCUMSTANCES, CREDIT SCORE, ETC.RISK FACTORS ARE ALSO CONSIDERED WHEN DETERMINING WHETHER TO SETTLE AN ACCOUNT. RISK FACTORS INCLUDE HARDSHIP AND CATASTROPHE, OTHER DEBTS, AND FUTURE EXPECTANCIES. |
| LINE 1: HOSPITAL WEBSITE | HTTP://MBHS.ORG/LOCATIONS/BAPTIST-MEDICAL-CENTER-LEAKE/ |
| PART VI, LINE 2: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE PARENT COMPANY OF THE HOSPITAL, 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 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: | PATIENTS ARE INFORMED OF THEIR ELIGIBILTY 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 FACILITIES.(D) THEY ARE ALSO AVAILABLE FOR DOWNLOAD AND PRINTING ONLINE ON THE BAPTIST 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) IN ADDITION, BAPTIST WILL PROVIDE ALL OF THE FAP-RELATED DOCUMENTSELECTRONICALLY TO ANY INDIVIDUAL WHO INDICATES THAT IS THEIR PREFERENCE. |
| PART VI, LINE 4: | 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 BETWEEM 25-27% ESTIMATED TO BE UNINSURED. |
| PART VI, LINE 5: | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. (MBMS) IS THE PARENT COMPANY OF AN AFFILIATED HEALTH CARE GROUP. MBMS 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, MBMS 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. BAPTIST 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: | THE HOSPITAL IS A 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. THE SYSTEM CONSISTS OF SEVERAL HOSPITALS, A MEDICAL FOUNDATION, A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS. THROUGH VARIOUS PARTNERSHIP RELATIONSHIPS, MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. PROVIDES HOME HEALTH CARE AND ADULT DAY CARE SERVICES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (12 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 (AS OF 5/17) | $0 | $609,900 | $0 | $106,212 | $0 | $32,700 | $0 | $6,192 | $0 | $27,635 | $0 | $782,639 | $0 | $0 |
| WILLIAM B GRETE | ||||||||||||||
| DIRECTOR/VP (THRU 5/1/17) | $0 | $319,730 | $0 | $58,808 | $0 | $68,183 | $0 | $10,200 | $0 | $32,564 | $0 | $489,485 | $0 | $0 |
| BRENDA HOWIE | ||||||||||||||
| DIRECTOR/CNO MBMC (AS OF 5/17) | $0 | $114,150 | $0 | $26,698 | $0 | $13,808 | $0 | $4,987 | $0 | $11,018 | $0 | $170,661 | $0 | $0 |
| WILLIAM F THOMPSON | ||||||||||||||
| DIRECTOR/CFO MBMC (AS OF 5/17) | $0 | $334,220 | $0 | $57,736 | $0 | $15,365 | $0 | $10,600 | $0 | $28,636 | $0 | $446,557 | $0 | $0 |
| MICHAEL K STEVENS | ||||||||||||||
| DIR./EXEC DIR BUS. DEV.(AS OF 5/17) | $0 | $198,966 | $0 | $36,574 | $0 | $58,818 | $0 | $0 | $0 | $35,990 | $0 | $330,348 | $0 | $0 |
| JASON LITTLE | ||||||||||||||
| PRESIDENT | $0 | $851,732 | $0 | $493,430 | $0 | $125,453 | $0 | $31,250 | $0 | $27,386 | $0 | $1,529,251 | $0 | $0 |
| GREGORY M DUCKETT | ||||||||||||||
| SECRETARY | $0 | $417,673 | $0 | $199,147 | $0 | $90,414 | $0 | $33,125 | $0 | $30,163 | $0 | $770,522 | $0 | $0 |
| DARYL WEAVER | ||||||||||||||
| CEO | $202,396 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $202,396 | $0 | $0 | $0 |
| MICHAEL D MAPLES | ||||||||||||||
| VP CHIEF OF MEDICAL OPERATIONS | $0 | $312,570 | $0 | $58,203 | $0 | $39,840 | $0 | $7,036 | $0 | $30,704 | $0 | $448,353 | $0 | $0 |
| BOBBIE K WARE | ||||||||||||||
| VP CNO | $0 | $274,060 | $0 | $49,951 | $0 | $71,159 | $0 | $8,394 | $0 | $15,883 | $0 | $419,447 | $0 | $0 |
| LEE ANN FOREMAN | ||||||||||||||
| VP HUMAN RESOURCES | $0 | $187,418 | $0 | $35,051 | $0 | $25,046 | $0 | $8,103 | $0 | $14,426 | $0 | $270,044 | $0 | $0 |
| WILLIAM PERRY MD | ||||||||||||||
| PHYSICIAN | $339,859 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $339,859 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | AN INDEPENDENT COMPENSATION CONSULTING FIRM 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 INDEPENDENT CONSULTING FIRM PRESENTS THEIR FINDINGS AND RECOMMENDS TO THE COUNCIL FOR THEIR CONSIDERATION AND ACTION. THE COUNCIL APPROVES THE SALARIES AND BENEFIT PACKAGE FOR ALL SENIOR MANAGEMENT. |
| PART I, LINE 4B | CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS ARE PROVIDED TO CERTAIN OFFICERS, KEY EMPLOYEES AND PHYSICIANS. THESE BENEFITS ARE PROVIDED THROUGH A NON QUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. TO BECOME ENTITLED TO THE BENEFITS BEING PROVIDED, EACH COVERED EMPLOYEE MUST MEET SPECIFIED REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES, THOSE SUPPLEMENTAL RETIREMENT BENEFITS WOULD NOT HAVE BEEN PAID OUT. IT SHOULD BE NOTED THAT THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE TO THE ORGANIZATION. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: WILLIAM B. GRETE -$50,287 MICHAEL STEVENS - $46,161 LEE ANN FOREMAN - $6,112 MICHAEL D. MAPLES - $211,689 BOBBIE K. WARE - $43,379 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, LINE J WEBSITE: | HTTP://MBHS.ORG/LOCATIONS/BAPTIST-MEDICAL-CENTER-LEAKE/ |
| FORM 990, PART VI, SECTION A, LINE 2 | SOME OF THE OFFICERS AND BOARD OF DIRECTORS ALSO SERVED AS OFFICERS OF TWO RELATED ENTITIES-MEDICAL PRACTICE SOLUTIONS, INC., AND MISSISSIPPI BAPTIST MEDICAL ENTERPRISES, INC. |
| FORM 990, PART VI, SECTION A, LINE 3 | BAPTIST MEMORIAL HEALTH CARE CORPORATION AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC, WHICH IS THE SOLE MEMBER OF THE HOSPITAL, PROVIDES CERTAIN LEGAL, FINANCE, QUALITY, AND PERSONNEL SERVICES PURSUANT TO A SHARED SERVICES AGREEMENT. |
| FORM 990, PART VI, SECTION A, LINE 4 | ON MAY 1, 2017, BAPTIST MEMORIAL HEALTH CARE CORPORATION MERGED WITH MISSISSIPPI BAPTIST HEALTH SYSTEMS (THE PARENT OF THE HOSPITAL) WHICH IS ALSO A SECTION 501(C)(3) ORGANIZATION. THE BOARDS OF BOTH BAPTIST MEMORIAL HEALTH CARE CORPORATION AND MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. APPROVED THE MERGER, AND THE DOCUMENTS HAVE BEEN AMENDED TO INCLUDE THIS INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE HOSPITAL IS A NON-PROFIT, NON-STOCK, MEMBERSHIP CORPORATION OF WHICH MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE SOLE MEMBER AND HAS SOLE VOTING CONTROL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE HOSPITAL BOARD IS APPOINTED BY MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. APPROVES ALL MAJOR CAPITAL EXPENDITURES. |
| FORM 990, PART VI, SECTION B, LINE 11B | MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF BAPTIST MEDICAL CENTER-LEAKE, INC. BAPTIST MEMORIAL HEALTH CARE CORPORATION IS THE SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC. THE FORM 990 IS REVIEWED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION'S EXEC. V.P./CFO, AND THE HOSPITAL CFO. IN ADDITION, THE FORM 990 IS REVIEWED ON A ROTATING BASIS OF EVERY FOUR YEARS BY AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM. THE FORM 990 WAS NOT REVIEWED BY THE BOARD OF DIRECTORS BEFORE SUBMITTING IT TO THE IRS. HOWEVER, BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER, 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, WHICH IS THE SOLE MEMBER OF THE HOSPITAL, 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 V.P. 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 CEO, WITH THE INVOLVEMENT OF THE BAPTIST MEMORIAL HEALTH CARE CORPORATION LEGAL DEPARTMENT, TO RESOLVE THE ISSUE. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES COPIES OF ITS FORMS 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION TO ANYONE WHO REQUESTS THEM AS REQUIRED BY THE IRS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL 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 | JASON LITTLE - 350 N. HUMPHREYS BLVD., MEMPHI, TN 38120-2177. GREGORY M. DUCKETT - 350 N. HUMPHREYS BLVD., MEMPHI, TN 38120-2177. |
| FORM 990, PART IX, LINE 11G | OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,092,162. MANAGEMENT AND GENERAL EXPENSES 219,619. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,311,781. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,687,419. MANAGEMENT AND GENERAL EXPENSES 177,132. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,864,551. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO/FROM MISSISSIPPI BAPTIST HEALTH SYSTEMS 436,900. |
| PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING: | BAPTIST MEMORIAL HEALTH CARE CORPORATION, AS SOLE MEMBER OF MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., THE SOLE MEMBER OF BAPTIST MEDICAL CENTER-LEAKE, 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. |
Schedule R IRS990ScheduleR
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 | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST MEMORIAL HEALTH CARE CORPORATION | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581521475 | MANAGEMENT, ADMINISTRATIVE FINANCIAL SERVICES | TN | 501(C)(3) | 509(A)(3) | N/A | 0 | |
| 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) | N/A | Yes (1) | |
| BAPTIST MEMORIAL HEALTH SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621509127 | PROVISION OF HEALTH CARE PROVIDERS & HOME MEDICAL EQUIPMENT/SERVICES | TN | 501(C)(3) | 509(A)(2) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 620123940 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| MEDICAL FINANCIAL SERVICES INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621112364 | COLLECTION AGENCY FOR BAPTIST ENTITIES | TN | 501(C)(3) | 509(A)(3) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-BOONEVILLE INC | |||||||||||
| 100 HOSPITAL ST | BOONEVILLE | MS | 38829 | 640663760 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-DESOTO INC | |||||||||||
| 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 640682111 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INC | |||||||||||
| 2520 FIFTH ST | COLUMBUS | MS | 39703 | 621519754 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-HUNTINGDON INC | |||||||||||
| 631 RB WILSON DR | HUNTINGDON | TN | 38344 | 621166050 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | |||||||||||
| 1100 BELK BLVD | OXFORD | MS | 38655 | 640772726 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-TIPTON INC | |||||||||||
| 1995 HWY 51 SOUTH | COVINGTON | TN | 38019 | 621113167 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-UNION CITY INC | |||||||||||
| 1201 BISHOP ST | UNION CITY | TN | 38261 | 621138045 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-UNION COUNTY INC | |||||||||||
| 200 HWY 30 WEST | NEW ALBANY | MS | 38652 | 630997281 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| 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) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOME CARE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 581562973 | HEALTH CARE FACILITY/HOSPITAL | TN | 501(C)(3) | 509(A)(2) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| 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) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL MEDICAL MINISTRIES EMP HLTH & WELFARE TRUST | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621407946 | BAPTIST EMPLOYEE HEALTH PLAN | TN | 509(C)(9) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | ||
| BAPTIST MINOR MEDICAL CENTERS INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621538114 | NON-EMERGENCY CLINICS | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| 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) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST MEMORIAL HOSPITAL-JONESBORO INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 261214372 | HEALTH CARE FACILITY/HOSPITAL | AR | 501(C)(3) | 509(A)(1) | Yes (1) | NEA BAPTIST HEALTH SYSTEM INC | |
| 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) | Yes (1) | NEA BAPTIST HEALTH SYSTEM INC | |
| NEA BAPTIST HEALTH SYSTEM INC | |||||||||||
| 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 271799652 | HEALTH CARE SERVICE PROVIDER | AR | 501(C)(3) | 509(A)(3) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| THE STERN CARDIOVASCULAR FOUNDATION INC | |||||||||||
| 8060 WOLF RIVER BLVD | GERMANTOWN | TN | 38138 | 274396698 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| 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) | Yes (1) | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| INTEGRITY ONCOLOGY FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453303687 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| MEMPHIS LUNG PHYSICIANS FOUNDATION INC | |||||||||||
| 6025 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 452832975 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| BAPTIST CLINICAL RESEARCH INSTITUTE INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453032246 | FACILITATE MEDICAL & SCIENTIFIC RESEARCH | TN | 501(C)(3) | 509(A)(3) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BOSTON BASKIN CANCER FOUNDATION INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 453303607 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| 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) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BMG FAMILY PHYSICIANS GROUP INC | |||||||||||
| 2859 VAN LEER DR | BARTLETT | TN | 38134 | 461953140 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL MEDICAL GROUP INC | |
| BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES INC | |||||||||||
| 1003 MONROE | MEMPHIS | TN | 38104 | 621599670 | EDUCATION OF HEALTH CARE PROFESSIONALS | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HOSPITAL INC | |
| BAPTIST MEMORIAL HOSPITAL-CALHOUN INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 813257997 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(3) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| BAPTIST NURSING HOME-CALHOUN INC | |||||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 813655778 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(3) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640306253 | HOLDING COMPANY | MS | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL HEALTH CARE CORPORATION | |
| MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640833383 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | Yes (1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | |
| MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 753068151 | CLINICS | MS | 501(C)(3) | 509(A)(1) | Yes (1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | |
| BAPTIST MEDICAL CENTER-YAZOO INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640844470 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | Yes (1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | |
| MJMH IMPROVEMENT CORPORATION | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 800812322 | HOLDING COMPANY | MS | 501(C)(3) | 509(A)(1) | Yes (1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | |
| BAPTIST HEALTH FOUNDATION INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 473403762 | SOLICIT, RAISE, MANAGE, APPLY & INVEST FUNDS IN SUPPORT OF BAPTIST | MS | 501(C)(3) | 509(A)(3) | Yes (1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | |
| MISSISSIPPI BAPTIST MEDICAL CENTER INC | |||||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640881013 | HEALTH CARE FACILITY/HOSPITAL | MS | 501(C)(3) | 509(A)(1) | Yes (1) | MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | |
| GASTROINTESTINAL SPECIALISTS FOUNDATION INC | |||||||||||
| 80 HUMPHREYS CENTER | MEMPHIS | TN | 38120 | 352461541 | HEALTH CARE SERVICE PROVIDER | TN | 501(C)(3) | 509(A)(1) | Yes (1) | BAPTIST MEMORIAL MEDICAL GROUP INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| BAPTIST-DESOTO SURGERY CENTER | |||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 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 | |||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621829424 | AMBULATORY SURGERY | TN | N/A |
| BAPTIST & PHYSICIANS OUTPATIENT SURGERY CENTER OF N MS | |||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 640925692 | AMBULATORY SURGERY | MS | N/A |
| BAPTIST N MS IMAGING SERVICES LLC | |||||||
| 504 AZALEA DR | OXFORD | MS | 38655 | 262641267 | DIAGNOSTIC SERVICES | MS | N/A |
| EAST MEMPHIS UROLOGY CENTER LP | |||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621810940 | AMBULATORY UROLOGICAL SERVICES | TN | N/A |
| MEDICAL ALTERNATIVES | |||||||
| 6949 APPLING FARMS PKWY STE 109 | MEMPHIS | TN | 38133 | 621488427 | HOME INFUSION PRODUCTS & SERVICES TO PATIENTS | TN | N/A |
| MIDTOWN SURGERY CENTER LP | |||||||
| 40 BURTON HILLS BLVD STE 500 | NASHVILLE | TN | 37215 | 621619344 | AMBULATORY SURGERY | TN | N/A |
| NORTHWEST TENNESSEE SURGERY CENTER LLC | |||||||
| 1722 E REELFOOT | UNION CITY | TN | 38261 | 621685508 | AMBULATORY SURGERY | TN | N/A |
| CANCER CARE CENTER OF UNION CITY LP | |||||||
| 322 HOSPITAL BLVD | JACKSON | TN | 38305 | 263425045 | CANCER CARE SERVICES | TN | N/A |
| MAYS & SCHNAPP PAIN CENTER | |||||||
| 55 HUMPHREYS BLVD STE 200 | MEMPHIS | TN | 38120 | 621512849 | PAIN MANAGEMENT SERVICES | TN | N/A |
| BAPTIST MEMORIAL REHABILITATION HOSPITAL GP | |||||||
| 680 FOURTH STREET | LOUISVILLE | KY | 40202 | 461613457 | REHABILITATION SERVICES | TN | N/A |
| CONVENIENT CARE DIAGNOSTIC CENTER PLLC | |||||||
| 555 HWY 6 EAST | BATESVILLE | MS | 38606 | 640914382 | RADIOLOGY & DIAGNOSTIC SERVICES | MS | N/A |
| BAPTIST OUTPATIENT IMAGING LLC | |||||||
| 1107 HIGHLAND COLONY PKWY STE 209 | RIDGELAND | MS | 39157 | 452968057 | MEDICAL SERVICES | MS | N/A |
| SM-B BUILDING LLC | |||||||
| 5900 POPLAR AVE | MEMPHIS | TN | 38119 | 621834236 | PHYSICIAN OFFICES | TN | N/A |
| WOLF RIVER MEDICAL CENTER LP | |||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621510287 | MEDICAL OFFICE BLDG | TN | 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 |
|---|---|---|---|---|---|---|---|---|---|
| MISSISSIPPI BAPTIST MEDICAL ENTERPRISES INC | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640776164 | INVESTMENTS | MS | N/A | C | Yes (1) |
| MEDICAL PRACTICE SOLUTIONS | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640833731 | MEDICAL CONSULTING | MS | 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) |
| BAPTIST HEALTH SERVICES GROUP OF THE MIDSOUTH INC | |||||||||
| 350 N HUMPHREYS BLVD | MEMPHIS | TN | 381202177 | 621534210 | HEALTH INSURANCE CONTRACTING | TN | N/A | C | Yes (1) |
| SOUTHCREST PROPERTY OWNERS ASSOCIATION | |||||||||
| 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 37671 | 640768703 | BOOKKEEPING & DATA PROCESSING SOUTHCREST BUS. PARK | MS | 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) |
| MISSISSIPPI REAL ESTATE ENTERPRISES INC | |||||||||
| 1225 NORTH STATE STREET | JACKSON | MS | 39202 | 640746856 | INVESTMENTS | 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 | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | 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 | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | ||
| E | $1,286,965 | CASH |
| MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | ||
| D | $750,000 | CASH |
| MEDICAL PRACTICE SOLUTIONS | ||
| M | $287,195 | CASH |
| MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | ||
| O | $227,523 | CASH |
| MISSISSIPPI BAPTIST HEALTH SYSTEMS INC | ||
| R | $436,900 | CASH |
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