BAPTIST MEDICAL CENTER-LEAKE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BAPTIST MEDICAL CENTER-LEAKE INC (EIN 45-2896080)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-11
IRS object ID
201411929349300516
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-07-11T14:10:07-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 E Capitol Street Ste 500AddressLine1
CityJacksonCity
StateMSState
ZIP Code392012190ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN452896080EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Baptist Medical Center - Leake IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID A JACKSONInCareOfName
Name ControlBAPTNameControl
Phone6019683080Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11225 North State StreetAddressLine1
Address Line2SuiteAddressLine2
CityJacksonCity
StateMSState
ZIP Code39202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM B GRETEName
TitleCorp VPTitle
Phone6019683080Phone
Date Signed2014-07-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePenny Wood CPAName
Phone6019486700Phone
Date Prepared2014-07-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam B GreteNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11225 N State StAddressLine1
CityJacksonCity
StateMSState
ZIP Code39202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16776044GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteSee Schedule OWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2011YearFormation
State Legal DomicileMSStateLegalDomicile
Activity Or Mission DescriptionBaptist Medical Center - Leake is a 25-bed critical access hospital & a 44-bed skilled nursing home located in Carthage, MS, which offers a comprehensive range of services for patients.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees304TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year20255ContributionsGrantsPriorYear
Contributions Grants Current Year364900ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12365586ProgramServiceRevenuePriorYear
Program Service Revenue CY16329695ProgramServiceRevenueCY
Investment Income Prior Year822InvestmentIncomePriorYear
Investment Income Current Year1472InvestmentIncomeCurrentYear
Other Revenue Prior Year165829OtherRevenuePriorYear
Other Revenue Current Year79977OtherRevenueCurrentYear
Total Revenue Prior Year12552492TotalRevenuePriorYear
Total Revenue Current Year16776044TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5585101SalariesEtcPriorYear
Salaries Etc Current Year7708338SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7682458OtherExpensePriorYear
Other Expenses Current Year9082489OtherExpensesCurrentYear
Total Expenses Prior Year13267559TotalExpensesPriorYear
Total Expenses Current Year16790827TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-715067RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14783RevenuesLessExpensesCY
Total Assets BOY2495080TotalAssetsBOY
Total Assets EOY5874271TotalAssetsEOY
Total Liabilities BOY3210147TotalLiabilitiesBOY
Total Liabilities EOY5775204TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-715067NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY99067NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15588099Expense
Revenue16404565Revenue
DescriptionBaptist 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, located on campus, serves the community's older adults as they live out their golden years. 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 21,010 hospital patient visits during its 2013 fiscal year. This consisted of 808 inpatient admissions with 4,408 days of care provided, 11,496 outpatient visits, and 8,706 emergency room visits. In addition, Baptist Leake provided 15,943 days of care to its nursing home residents. Finally, the four primary care clinics provided services on 21,067 occasions.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionAlthough 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. 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense15588099TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees304NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID A JACKSONNamePerson
Telephone Number6012671204TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1310 ELLIS STREETAddressLine1
CityCarthageCity
StateMSState
ZIP Code39051ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationReportable Comp From OrganizationReportableCompFromOrganizationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
William B Grete
Corp VP - General Counsel2.038.0XX35471977538
Bobbie K Ware
VP - Chief Nursing Officer2.038.0XX32322858474
Eddie James
Director40.00.0X137338238840
Michael K Stevens
Director4.036.0X26881562482
Russell W York
Corp VP - CFO2.038.0XX50729793949
Kerry R Tirman
President2.038.0XX30455666354
C Gerald Cotton
Chief Executive Officer40.00.0XX16125000
Darryl Weaver
CEO (08/2013)40.00.0XX
David Jackson
Chief Financial Officer40.00.0X931760122487
Lee Ann Foreman
VP Human Resources2.038.015425741373X
William Perry MD
Medical Doctor40.00.024163319255X
FieldValueIRS element (for citing)
Total Reportable Comp From Org441742TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2304636TotalReportableCompFrmRltdOrgs
Total Other Compensation448217TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Maximum Physician Resources
12558 Collections CTR DriveCHICAGOIL60693Physician Services554609
CPP Wound Care
3017 N Causeway BlvdMETAIRIELA70002Clinical Services447975
Evan Pickus MD
4659 Gleason AveSARASOTAFL34242Physician Services360292
William Logan MD
518 Woodland Hills DriveCARTHAGEMS39051Physician Services268862
Manuel Ong MD
106 Summer Lake DriveRIDGELANDMS39157Physician Services246778
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants364900GovernmentGrants
Total Contributions364900TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Revenue9000991628772516287725
Related Rental Revenue9000994197041970
FieldValueIRS element (for citing)
Total Program Service Revenue16329695TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1472TotalRevenueColumn
Exclusion$1,472ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Food Sales7221005107$5,107
OTHER REVENUE9000997487074870
FieldValueIRS element (for citing)
Total Other Revenue79977TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16776044TotalRevenueColumn
Related Or Exempt Function Income16404565RelatedOrExemptFunctionIncome
Exclusion$6,579ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total104402Total
Management And General104402ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6530596Total
Program Services6530596ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total91685Total
Program Services91685ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total541412Total
Program Services541412ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total440243Total
Program Services440243ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1110361Total
Program Services721320ProgramServices
Management And General389041ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15541Total
Management And General15541ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9520Total
Management And General9520ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2547504Total
Program Services2229950ProgramServices
Management And General317554ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total47326Total
Program Services14617ProgramServices
Management And General32709ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1107756Total
Program Services941982ProgramServices
Management And General165774ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total368138Total
Program Services362850ProgramServices
Management And General5288ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total43775Total
Program Services43417ProgramServices
Management And General358ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29055Total
Program Services21358ProgramServices
Management And General7697ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total72670Total
Program Services72670ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total259553Total
Program Services259553ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total245706Total
Program Services245706ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense18201261820126
MEDICAL SUPPLIES688707688707
TAXES AND LICENSES40478032068484096
REPAIRS AND MAINTENANCE21832220778210540

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total93649Total
Program Services33441ProgramServices
Management And General60208ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16790827Total
Program Services15588099ProgramServices
Management And General1202728ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY130412BOY
EOY23480EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1613280BOY
EOY1720691EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY152152BOY
EOY144576EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY73466BOY
EOY60455EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4021036LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec297002LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY403729BOY
EOY3724034EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY122041BOY
EOY201035EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2495080BOY
EOY5874271EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY719110BOY
EOY2775204EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1037BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2490000BOY
EOY3000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3210147BOY
EOY5775204EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-715067BOY
EOY99067EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-715067BOY
EOY99067EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2495080BOY
EOY5874271EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-14783ReconcilationRevenueExpenses
Reconcilation Other Changes828917ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3294634OtherCostOrOtherBasis
Depreciation297002Depreciation
Book Value2997632BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis726402OtherCostOrOtherBasis
Book Value726402BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3724034TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt14955918TotRevenueEtcAuditedFinclStmt
Other Revenues-1820126OtherRevenues
Revenue Not Rptd F990-1820126RevenueNotRptdF990
Revenue Subtotal16776044RevenueSubtotal
Total Revenue Per Form99016776044TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14970701TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14970701ExpensesSubtotal
Other Expenses Not Included1820126OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1820126ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016790827TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
Part X, Line 2: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.
Part XI, Line 2d:Bad debt expense is netted with revenue on the financial statements but included in expenses on the return.
Part XII, Line 4b:Bad debt expense is netted with revenue on the financial statements but included in expenses on the return.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense693640TotalCommunityBenefitExpense
Net Community Benefit Expense693640NetCommunityBenefitExpense
Percent Of Total Expense0.04630PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1924457TotalCommunityBenefitExpense
Direct Offsetting Revenue634334DirectOffsettingRevenue
Net Community Benefit Expense1290123NetCommunityBenefitExpense
Percent Of Total Expense0.08620PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2618097TotalCommunityBenefitExpense
Direct Offsetting Revenue634334DirectOffsettingRevenue
Net Community Benefit Expense1983763NetCommunityBenefitExpense
Percent Of Total Expense0.13250PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1750TotalCommunityBenefitExpense
Net Community Benefit Expense1750NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1750TotalCommunityBenefitExpense
Net Community Benefit Expense1750NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2619847TotalCommunityBenefitExpense
Direct Offsetting Revenue634334DirectOffsettingRevenue
Net Community Benefit Expense1985513NetCommunityBenefitExpense
Percent Of Total Expense0.13260PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense3500TotalCommunityBuildingExpense
Net Community Building Expense3500NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense9770TotalCommunityBuildingExpense
Net Community Building Expense9770NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense13270TotalCommunityBuildingExpense
Net Community Building Expense13270NetCommunityBuildingExpense
Percent Of Total Expense0.00090PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,820,126BadDebtExpenseAmount
Amount Attributable To1638113AmountAttributableTo
Amount Reimbursed By Medicare5770500AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5977101CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-206601MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Baptist Medical Center - LeakeBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1310 Ellis StreetAddressLine1
CityCarthageCity
StateMSState
ZIP Code39051ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Baptist Medical Center - LeakeBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted11NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Baptist Leake Extended Care Facility
310 Ellis StreetCarthageMS39051Nursing Home
Baptist Medical Clinic - Carthage
302 Ellis StreetCarthageMS39051Family Medical Clinic
Baptist Medical Clinic - Walnut Grove
110 Park StreetWalnut GroveMS39189Family Medical Clinic
Baptist Medical Clinic - West Franklin
303 West Franklin StreetCarthageMS39051Family Medical Clinic
Baptist Medical Clinic - Highway 16
Highway 16CarthageMS39051Family Medical Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 0-200% 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 201-400% of the federal poverty level, an adjustment of 75% will be made. Finally, if a patient is uninsured and the patient's income level is above 400% of the federal poverty level, an adjustment of 50% will be made.
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 $1,820,126 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, Lines 7b & 7f. 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 lines 7b & 7f.
Part II:Baptist - Leake is involved in the community in many ways by offering volunteer help and health information to the county residents. The Leake County Health network (the network) meets quarterly to assess needs in the community and to plan health information and fundraising events for the Leake County Health Foundation (the local health foundation) to be conducted throughout the year. In October, Baptist - Leake and the network recognizes Breast Cancer Awareness with pink ribbons distributed to employees and community members. "Pink Affair", a fundraiser conducted by the local health foundation, celebrates those who have survived the fight against breast cancer. Over 25 volunteers from Baptist - Leake and the network help host this event. "Christmas with Disney", a fundraiser conducted by the local health foundation, was coordinated and hosted by Baptist - Leake Employees and network volunteers. Over 50 volunteers were used along with over 200 children in attendance. Over 30 Baptist - Leake employees volunteer to set up and run a section of the Haunted House fundraiser for the local Boys and Girls Club. In conjunction with this event, the network coordinated a color 5K run as a fundraiser for the local health foundation. Over 30 Baptist - Leake employees volunteered and participated in the event. Baptist - Leake works closely with the Leake County School district supporting them in several ways. Baptist - Leake hosts the Allied Health Students each year for a tour of the campus and a health job field discussion. Baptist - Leake also participated in the Leake County Special Ed Mock Interview program, the Special Needs Spring Fling (a spring carnival for the special needs children of Leake County), and an ongoing volunteer program where the Special Ed students produce our patient admission packets. Baptist - Leake participates with a health information booth and free health screenings for the county residents at the local Sheriff's Senior Citizen Day. 10 volunteers helped with this program with over 400 in attendance. Baptist - Leake works closely with several of our local businesses and industries offering health information programs and health fairs for their associates. Some of those include Trustmark Bank and Tyson Foods. Baptist - Leake organizes and hosts two community blood drives each year on the Baptist - Leake Campus. Heart month was recognized with a Red Balloon release and red dress pins distributed to employees and community members. There were over 75 in attendance for the balloon release. Baptist - Leake worked with the Baptist Foundation to incorporate the Healthteacher program (a program that offers health lesson plans and activities free of charge to the teacher) in the Leake County School District. Baptist - Leake supports and sponsors many events held by the Leake County Chamber of Commerce and Carthage Main Street. The "Sweets and Treats" program was held on Halloween night for Leake County Kids with over 500 kids participating. "Main Street Movie Night", a free of charge movie held each quarter for the Leake County residents, is sponsored by Baptist - Leake with employees volunteering at the event. "Career for a Day", is a program for high school seniors to experience a career of their choice for a day. Baptist - Leake hosted 15 students, sponsored, and volunteered at the event luncheon. The "Baptist Heart of MS 5K", a fundraiser for the local D.A.R.E. drug program, was held in May with over 20 employees volunteering and participating in the event. Baptist - Leake sponsored and volunteered for the "Local Fashion Advantage", a fundraiser for the Leake County Foundation and the Leake County Health Foundation. Baptist -Leake also made an effort to raise monies for Leake County residents who are battling terminal illnesses and life altering diseases and for the renovation of the Old Elementary School to be used as a Fine Arts Center for Leake County. Baptist - Leake provides facilities, lab needs, and staff for a charity clinic which is held once a month to offer health care to over 100 local residents. Plans are to increase this effort to twice a month.
Part III, Line 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 V, Line 3: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, Line 5a: A COPY OF THE CHNA IS LOCATED AT: http://www.mbhs.org/locations/baptist-medical-center-leake/
Part V, Line 7:Some health needs identified are considered outside the scope of services the hospital can deliver.
Part V, Line 12h:The Hospital reserves the right to provide additional assistance to any patient determined to be in financial need.
Part V, Line 14g: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 assisstance/charity care for those who qualify and offer the patient the opportunity to complete an application.
Part V, Line 20d:An adjustment of 50% is made to stated charges for all uninsured patients other than those who qualify for charity care (those with income levels less than 200% of FPG) or those who qualify for a 75% discount (those with income levels 201%-400% of FPG).
Part VI, Line 2: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.Needs Assessment
Part VI, Line 3: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.Patient education of eligibility for assistance
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 appproximately 31% of the population is under 18 years of age, approximately 56% is between 18 and 64 years of age and that 13% is 65 or older. Median household income of $32,537 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 23-25% estimated to be uninsured.Community Information
Part VI, Line 5: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.Promotion of community health
Part VI, Line 6: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, 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.Affiliated health care system
Part VI, Line 7: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.State filing of community benefit report

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
William B Grete
Corp VP - General Counsel2532176256438938450573248143225721838
Bobbie K Ware
VP - Chief Nursing Officer2452845635621588406031787138170221588
Eddie James
Director122168100935077232921555161222000000
Michael K Stevens
Director21540749011439728363341193312974397
Russell W York
Corp VP - CFO289547724961452545169942250601246126723
Kerry R Tirman
President22102842231412974240723947370910
C Gerald Cotton
Chief Executive Officer1612500000161250000000
David Jackson
Chief Financial Officer931760000931761224870000122487
Lee Ann Foreman
VP Human Resources1229412969816182198819385195630
William Perry MD
Medical Doctor2132551060000664317520343418

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPart I, Line 4b:Identifier
ExplanationParticipants: William B. Grete $45,057 Bobbie K. Ware $40,603 Michael K. Stevens $28,363 Lee Ann Foreman $19,543 Kerry Tirman $42,407 Russell W. York $51,699 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMedical Practice SolutionsNamePerson
FieldValueIRS element (for citing)
RelationshipSee Part VRelationship
Amount Of Transaction189450AmountOfTransaction
Description Of TransactionSee Part VDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPart IV, Line (1) Columns (b) & (d):Identifier
ExplanationOfficer, Russell York, is an officer of Medical Practice Solutions, a related entity.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Page 1, Section J:Organization's Website:http://mbhs.org/locations/baptist-medical-center-leake/
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 through the director's desk, a web-based document distribution service. All outside 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 to Mississippi Baptist Health Systems, Inc. 828,917

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MS Hospital for Restorative Care Inc
1225 North State StreetJacksonMS39202640833383HospitalMS501(c)(3)3MBHSfalse
Medical Foundation of Central MS
1225 North State StreetJacksonMS39202753068151ClinicsMS501(c)(3)3MBHSfalse
MS Baptist Health Systems Inc
1225 North State StreetJacksonMS39202640306253Holding Co.MS501(c)(3)11b-IINAfalse
MS Baptist Medical Center Inc
1225 North State StreetJacksonMS39202640881013HospitalMS501(c)(3)3MBHSfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Baptist Outpatient Imaging LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11225 North State StreetAddressLine1
CityJacksonCity
StateMSState
ZIP Code39202ZIPCode
FieldValueIRS element (for citing)
EIN452968057EIN
Primary ActivityMedical ServicesPrimaryActivity
Legal Domicile StateMSLegalDomicileState

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
MS Baptist Medical Enterprises Inc
1225 North State StreetJacksonMS39202640776164InvestmentsMSNAC Corpfalse
Medical Practice Solutions
1225 North State StreetJacksonMS39202640833731Med ConsultingMSNAC Corpfalse
MS Real Estate Enterprises Inc
1225 North State StreetJacksonMS39202640746856InvestmentsMSNAC Corpfalse
Hlthcare Financial
Services IncFlowoodMS39232640847789Financial SvcMSNAC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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