NORTH MISSISSIPPI HEALTH SERVICES INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- NORTH MISSISSIPPI HEALTH SERVICES INC (EIN 64-0653269)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-12
- IRS object ID
- 202212249349300541
- Schema version
- 2020v4.1
- 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 | 2022-08-12T12:21:41-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3667 | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640653269 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North Mississippi Health Services Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % KRISTY DUKE | InCareOfNm |
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 6623773978 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 830 South Gloster Street | AddressLine1Txt |
| City | Tupelo | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 38801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHARON NOBLES | PersonNm |
| Person Title | CHIEF FINANCIAL OFF. | PersonTitleTxt |
| Phone | 6623774229 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHARON | PersonFirstNm |
| Person Last | NOBLES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amber Sherrill CPA | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHARON NOBLES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 830 South Gloster Street | AddressLine1Txt |
| City | Tupelo | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 38801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $54,434,920 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nmhs.net | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | North Mississippi Health Services is the parent company of a diversified regional health care organization. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 436 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $237,600 | PYContributionsGrantsAmt |
| CY Contributions Grants | $947,188 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $54,351,722 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $52,699,090 | CYProgramServiceRevenueAmt |
| PY Investment Income | $63,330 | PYInvestmentIncomeAmt |
| CY Investment Income | $130,338 | CYInvestmentIncomeAmt |
| PY Other Revenue | $433,542 | PYOtherRevenueAmt |
| CY Other Revenue | $343,781 | CYOtherRevenueAmt |
| PY Total Revenue | $55,086,194 | PYTotalRevenueAmt |
| CY Total Revenue | $54,120,397 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $131,701 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $121,800 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $29,225,707 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,609,257 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,534,680 | PYOtherExpensesAmt |
| CY Other Expenses | $12,630,221 | CYOtherExpensesAmt |
| PY Total Expenses | $46,892,088 | PYTotalExpensesAmt |
| CY Total Expenses | $48,361,278 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,194,106 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,759,119 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $80,955,057 | TotalAssetsBOYAmt |
| Total Assets EOY | $89,508,592 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $68,123,556 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $64,592,110 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,831,501 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,916,482 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTH MISSISSIPPI HEALTH SERVICES (NMHS) IS THE PARENT COMPANY OF A DIVERSIFIED REGIONAL HEALTH CARE ORGANIZATION, WHICH SERVES 24 COUNTIES IN NORTH MISSISSIPPI AND NORTHWEST ALABAMA FROM HEADQUARTERS IN TUPELO, MS. NMHS OFFERS MANAGEMENT SERVICES TO ITS AFFILIATED COMPANIES. THE NMHS ORGANIZATION COVERS A BROAD RANGE OF ACUTE DIAGNOSTIC AND THERAPEUTIC SERVICES, WHICH ARE OFFERED THROUGH NORTH MISSISSIPPI MEDICAL CENTER IN TUPELO; A COMMUNITY HOSPITAL SYSTEM WITH LOCATIONS IN EUPORA, IUKA, PONTOTOC, WEST POINT, AMORY, MS, AND HAMILTON, AL; NORTH MISSISSIPPI MEDICAL CLINICS, WHICH IS A REGIONAL NETWORK OF MORE THAN 27 PRIMARY AND SPECIALTY CLINICS AND NURSING HOMES. THE MISSION OF NMHS IS TO CONTINUOUSLY IMPROVE THE HEALTH OF THE PEOPLE OF OUR REGION. NMHS WORKS TO ACHIEVE ITS CORPORATE MISSION TO IMPROVE THE HEALTH OF THE PEOPLE OF THIS REGION BY PROVIDING CONVENIENTLY ACCESSIBLE, COST-EFFECTIVE HEALTH CARE OF THE HIGHEST QUALITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $15,956,274 | ExpenseAmt |
| Revenue | $26,736,206 | RevenueAmt |
| Desc | North Mississippi Health Services provides management services to its affiliated companies. The cost of providing these services was $23,461,505. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $835,918 | ExpenseAmt |
| Grant | $121,800 | GrantAmt |
| Desc | Nurse Link is a free community telephone service that assists callers with health information, offers triage for symptom-based calls, and makes recommendations for care by utilizing a physician approved, computerized protocol system and reference materials. Nurse Link is staffed by registered nurses. The service also includes the appointment desk, which is a free community health information and physician referral service, and physician consult line, which is a free service that provides regional physicians and their staff access to all departments, specialists and clinics. It offers after-hours coverage for physician clinics throughout northeast Mississippi and for the branch offices of NMMC Home Health Agency and Hospice. It also provides a call-back service to discharged patients. The cost of providing these services was approximately $714,118 in fiscal year 2021. NMHS makes cash donations to a wide variety of community charitable organizations involved in local schools, the arts, public health, and community development activities. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,975,935 | ExpenseAmt |
| Revenue | $20,524,644 | RevenueAmt |
| Desc | North Mississippi Medical Center provides Ambulance Services in Clay, Itawamba, Lee, Pontotoc, Tishomingo and Webster counties. NMMC Ambulance Services work closely with area 911 Dispatch Centers to provide emergency response to all 911 calls. NMMC Ambulance Services also provide non-emergency transportation to move patients to and from NMMC facilities and personal residences. NMMC-Tupelo was the first EMS in Mississippi to receive the American Heart Association's Mission: Lifeline EMS Gold Award for implementing quality improvement measures for the treatment of patients who experience severe heart attacks, from the 911 call, to the ambulance, to the ER, to the treatment for restoring blood flow through the heart. Form 990, Part III, Line 4d - Other Program Services ------------------------------------------------------------- North Mississippi Health Services, Inc. is the sole member of North Mississippi Joint Ventures, LLC (NMJV) which serves as a holding company for their 51% controlling interests in North Mississippi Ambulatory Surgery Center, LLC (ASC), 72.01% in Medical Imaging, LLC (MI) and 51% in Center for Digestive Health, LLC (CDH). North Mississippi Ambulatory Surgery Center opened in 1986. The facility now includes seven operating suites and 24 treatment rooms, and is a joint venture between North Mississippi Joint Ventures, LLC and physician owners. The most frequent surgical procedures performed at North Mississippi Ambulatory Surgery Center are ear tubes, tonsils and adenoids, knee arthroscopy, cataracts, dental restorations and carpal tunnel release. Medical Imaging is a joint venture between North Mississippi Joint Ventures and physician owners. Medical Imaging now has one location in Tupelo, Mississippi, Medical Imaging at Barnes Crossing. Medical Imaging on Crossover is now a part of The Imaging Center at Gloster Creek joint venture. Medical Imaging at Barnes Crossing offers leading edge MRI, CT, Ultrasound, Fluoroscopy and Radiography Examinations. The Center for Digestive Health is a joint venture between North Mississippi Joint Ventures and physician owners. The Center for Digestive Health offers all diagnostic and therapeutic gastrointestinal procedures performed by fellowship trained board certified gastroenterologists, experts in endoscopy. The Center provides care for a broad range of gastrointestinal disorders such as heartburn/GERD, inflammatory bowel disease, IBS, pancreatitis, hepatitis and liver disease, and peptic ulcer disease. In addition, the Center provides care for all related gastrointestinal cancers. The Imaging Center at Gloster Creek, formerly Medical Imaging on Crossover, is a joint venture between North Mississippi Joint Ventures and physician owners. The Imaging Center at Gloster Greek offers its patients access to a Volume (64-SLICE) CT that can freeze frame the heart pumping, the blood moving and the lungs breathing. Because it captures images so quickly and with such detail, it allows physicians to diagnose diseases, such as heart and lung disorders, without the need for invasive procedures. This facility also houses the strongest open MRI in the area. This MRI is designed especially for larger or claustrophobic patients who are unable to use the standard, closed MRI. X-ray or Radiography is also available at this facility. Connected Care Partners (CCP) is a clinically integrated network (CIN)composed of a group of providers, who, in partnership with North Mississippi Health Services, have made a collective committment to performance improvement with a focus on improving the quality and efficiency of care for the patients they serve. CCP will address providers' requirements for health care reform and the needs of payers and seeks to improve value for payers, employers and patients. Area independent and employed providers and NMHS have established CCP to: 1. Transform care delivery through a provider-led CIN sponsored by NMHS that is accountable for the full continuum of care 2. Lead the market in high quality, cost-effective care through population health management that includes engaging patients in the ownership of their care, and 3. Become the preferred partner for providers in our communities through a culture of collaboration. Area independent and employed providers and NMHS have established CCP to: 1. Transform care delivery through a provider-led CIN sponsored by NMHS that is accountable for the full continuum of care 2. Lead the market in high quality, cost-effective care through population health management that includes engaging patients in the ownership of their care, and 3. Become the preferred partner for providers in our communities through a culture of collaboration. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $826,169 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,438,240 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $38,594,296 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 222 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 436 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTY DUKE | PersonNm |
| Phone | 6623773977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 830 SOUTH GLOSTER STREET | AddressLine1Txt |
| City | Tupelo | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 38801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| Michael S Spees | |||||||||
| President & CEO | 36.0 | 4.0 | Yes (X) | $1,113,747 | $0 | $23,249 | |||
| Sharon Nobles | |||||||||
| Treasurer & CFO | 20.0 | 20.0 | Yes (X) | $540,231 | $0 | $12,156 | |||
| Jeremy R Blanchard | |||||||||
| Chief Medical Officer | 15.0 | 25.0 | $440,414 | $0 | $4,479 | Yes (X) | |||
| Bruce J Toppin | |||||||||
| Secretary | 20.0 | 20.0 | Yes (X) | $383,500 | $0 | $12,233 | |||
| David Barber | |||||||||
| Chief Network Dev Officer | 20.0 | 20.0 | $362,292 | $0 | $22,036 | Yes (X) | |||
| Sondra A Davis | |||||||||
| Chief Human Resources Officer | 20.0 | 20.0 | $338,510 | $0 | $12,948 | Yes (X) | |||
| Carol R Plato | |||||||||
| VP - Revenue Cycle | 20.0 | 20.0 | $253,997 | $0 | $4,507 | Yes (X) | |||
| Kevin Moraski | |||||||||
| VP - Supply Chain & Support | 20.0 | 20.0 | $246,040 | $0 | $8,911 | Yes (X) | |||
| Lynn Holland | |||||||||
| Vice President of Finance | 3.0 | 37.0 | $223,763 | $0 | $7,712 | Yes (X) | |||
| James P Weldon | |||||||||
| Chief Information Officer | 40.0 | 0.0 | $229,358 | $0 | $1,502 | Yes (X) | |||
| Melody Poole | |||||||||
| VP- Organizational Performance | 20.0 | 20.0 | $170,260 | $0 | $14,880 | Yes (X) | |||
| Wallace T Davis Jr | |||||||||
| VP - Managed Care | 10.0 | 30.0 | $169,776 | $0 | $7,845 | Yes (X) | |||
| Nicholas R Barron | |||||||||
| CRNA | 40.0 | 0.0 | $156,928 | $0 | $13,816 | Yes (X) | |||
| Kelvin Monroe | |||||||||
| CFO - Community Hospitals | 40.0 | 0.0 | $166,098 | $0 | $4,364 | Yes (X) | |||
| James P Stanzell | |||||||||
| Chief Compliance Officer | 40.0 | 0.0 | $156,855 | $0 | $13,460 | Yes (X) | |||
| Ormella Cummings | |||||||||
| Chief Strategy Officer | 40.0 | 0.0 | $151,643 | $0 | $3,075 | Yes (X) | |||
| Debbie Kelley | |||||||||
| CRNA | 40.0 | 0.0 | $147,369 | $0 | $2,738 | Yes (X) | |||
| Mary Werner | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| David Rumbarger | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Mickey Holliman | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Barney Guyton MD | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Tom Foy | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Dan Rollins | |||||||||
| Chairman | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Mitch Waycaster | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Mark Ray MD | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Skipper Holliman | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| John Wheeler | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| George Purnell | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,250,781 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $169,911 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PREMIER HEALTHCARE SOLUTIONS | |||||
| 5882 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | SOFTWARE SUPPORT | $811,621 |
| COMPLETE BILLING SOLUTIONS | |||||
| PO BOX 713362 | CINCINATTI | OH | 452713362 | BILLING SERVICES | $619,404 |
| HORNE LLP | |||||
| 661 SUNNYBROOK ROAD SUITE 100 | RIDGELAND | MS | 39157 | CPA & ADVISORY SERV | $408,283 |
| BIOQUELL PROFESSIONALS | |||||
| 702 ELECTRONI DRIVE SUITE 200 | HORSHAM | PA | 19044 | BIO DECONTAMINATION | $282,804 |
| MC ANALYTXS INC | |||||
| 5757 FLEWELLEN OAKS LANE 202 | FULSHEAR | TX | 77441 | PAYMENT SYSTEM MGMT | $221,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $831,923 | GovernmentGrantsAmt |
| All Other Contributions | $115,265 | AllOtherContributionsAmt |
| Total Contributions | $947,188 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Management Fees | 561000 | $33,823,665 | $33,823,665 |
| NET PATIENT SERVICE REVENUE | 622110 | $13,135,825 | $13,135,825 |
| INCOME FROM JOINT VENTURES | 622110 | $5,438,240 | $5,438,240 |
| HEALTH LINK REVENUE | 622110 | $301,360 | $301,360 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $52,699,090 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,140 | TotalRevenueColumnAmt |
| Exclusion | $23,140 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $239,555 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $314,523 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$74,968 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$74,968 | TotalRevenueColumnAmt |
| Exclusion | -$74,968 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $59,284 | SecuritiesAmt |
| Other | $47,913 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $59,284 | SecuritiesAmt |
| Other | $47,913 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,198 | TotalRevenueColumnAmt |
| Exclusion | $107,198 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Rebate Income | 900099 | $366,689 | $366,689 |
| Dues Income | 900099 | $1,120 | $1,120 |
| All Other Misc Revenue | 900099 | $50,940 | $50,940 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $418,749 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,120,397 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,699,090 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $474,119 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,800 | TotalAmt |
| Program Services | $121,800 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,762,715 | TotalAmt |
| Management And General | $5,762,715 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,599,620 | TotalAmt |
| Program Services | $23,599,620 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,550,930 | TotalAmt |
| Program Services | $1,550,930 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,061,987 | TotalAmt |
| Program Services | $3,061,987 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,634,005 | TotalAmt |
| Program Services | $1,634,005 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,041 | TotalAmt |
| Management And General | $446,041 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,981 | TotalAmt |
| Management And General | $165,981 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,980 | TotalAmt |
| Management And General | $219,980 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,611,552 | TotalAmt |
| Program Services | $1,614,219 | ProgramServicesAmt |
| Management And General | $2,997,333 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,398 | TotalAmt |
| Program Services | $507,398 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $960,581 | TotalAmt |
| Program Services | $960,581 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,657 | TotalAmt |
| Program Services | $209,657 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,751 | TotalAmt |
| Program Services | $320,751 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,373 | TotalAmt |
| Program Services | $590,373 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $629,673 | TotalAmt |
| Program Services | $629,673 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $943,468 | TotalAmt |
| Program Services | $943,468 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,932 | TotalAmt |
| Management And General | $174,932 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| TAXES AND LICENSES | $1,316,901 | $1,316,901 |
| DUES AND SUBSCRIPTIONS | $619,953 | $619,953 |
| MEDICAL SUPPLIES | $386,216 | $386,216 |
| RECRUITMENT EXPENSE | $136,742 | $136,742 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,022 | TotalAmt |
| Program Services | $390,022 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,361,278 | TotalAmt |
| Program Services | $38,594,296 | ProgramServicesAmt |
| Management And General | $9,766,982 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,083,842 | BOYAmt |
| EOY | $2,560,104 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,064,412 | BOYAmt |
| EOY | $1,499,797 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,984 | BOYAmt |
| EOY | $87,193 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,777,168 | BOYAmt |
| EOY | $2,819,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,277,021 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,824,284 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,376,820 | BOYAmt |
| EOY | $4,452,737 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,332,968 | BOYAmt |
| EOY | $31,921,933 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,270,863 | BOYAmt |
| EOY | $46,167,462 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,955,057 | BOYAmt |
| EOY | $89,508,592 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,591,276 | BOYAmt |
| EOY | $27,411,691 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,532,280 | BOYAmt |
| EOY | $37,180,419 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,123,556 | BOYAmt |
| EOY | $64,592,110 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,817,042 | BOYAmt |
| EOY | $24,902,023 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,459 | BOYAmt |
| EOY | $14,459 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,831,501 | BOYAmt |
| EOY | $24,916,482 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,955,057 | BOYAmt |
| EOY | $89,508,592 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,759,119 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $6,325,862 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH MISSISSIPPI MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640662976 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | false | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (true) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | false | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Page 4, Part IV, Section A, Line 1: | NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS) IS A SUPPORTING ORGANIZATION THAT IS SUPERVISED OR CONTROLLED IN CONNECTION WITH NORTH MISSISSIPPI MEDICAL CENTER, INC. (NMMC). THE REQUIREMENTS OF REG. SEC. 1.509(A)-4(D)(2) ARE MET IF AN ORGANIZATION SPECIFIES THE CLASS OR PURPOSE OF THE SUPPORTED ORGANIZATIONS INSTEAD OF IDENTIFYING THEM BY NAME. THIS MAY INCLUDE ORGANIZATIONS CLOSELY RELATED IN PURPOSE OR FUNCTION TO SUCH ORGANIZATIONS. NMHS' CERTIFICATE OF INCORPORATION IDENTIFIES THE CLASS OF ORGANIZATIONS THAT IT SUPPORTS AS NOT-FOR-PROFIT EXEMPT ORGANIZATIONS OF WHICH IT IS A MEMBER. NMMC, NORTH MISSISSIPPI MEDICAL CLINICS, INC. (CLINICS), MARION REGIONAL MEDICAL CENTER, INC. (MRMC), AND WEBSTER HEALTH SERVICES, INC. (WHS) ARE NOT-FOR-PROFIT EXEMPT ORGANIZATIONS FOR WHICH NMHS IS SOLE MEMBER. IN ADDITION, CLINICS, MRMC, AND WHS ARE CLOSELY RELATED IN PURPOSE OR FUNCTION TO SUCH ORGANIZATIONS. THEREFORE, NMHS SATISFIES THE REQUIREMENTS OF REG. SEC. 1.509(A)-4(D)(2)(I). |
| Page 4, Part IV, Section A, Line 6: | NORTH MISSISSIPPI HEALTH SERVICES PROVIDED GRANTS TO TWO ORGANIZATIONS: $62,300 TO UNIVERSITY OF MS FOUNDATION AND $35,000 ANTONE TANNEHILL FREE CLINIC. NORTH MISSISSIPPI HEALTH SERVICES, INC. MAKES CASH DONATIONS TO A WIDE VARIETY OF COMMUNITY CHARITABLE ORGANIZATIONS INVOLVED IN LOCAL SCHOOLS, THE ARTS, PUBLIC HEALTH, AND COMMUNITY DEVELOPMENT ACTIVITIES. BOTH UNIVERSITY OF MS FOUNDATION AND ANTONE TANNEHILL FREE CLINIC MEET THIS DEFINITION. THE DONATIONS TO THESE TWO ORGANIZATIONS WERE GIVEN TO FUND AND HELP FURTHER EACH ORGANIZATION'S WORK IN THE COMMUNITY. |
| Page 5, Part IV, Section C, Line 1: | THE GOVERNANCE INTERRELATIONSHIPS BETWEEN NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS) AND NORTH MISSISSIPPI MEDICAL CENTER, INC. (NMMC), AS SET FORTH IN NMHS' BYLAWS, DEMONSTRATE THAT NMHS IS "SUPERVISED OR CONTROLLED IN CONNECTION WITH" NMMC BECAUSE A SUBSTANTIAL AMOUNT OF CONTROL OVER THE ORGANIZATIONS IS VESTED IN THE SAME PERSONS. NMHS' BYLAWS PROVIDE FOR A SIGNIFICANT DEGREE OF OVERLAP BETWEEN THE OFFICERS AND KEY COMMITTEES OF THE ORGANIZATIONS. SPECIFICALLY, THE ORGANIZATIONS ARE REQUIRED TO HAVE THE SAME SECRETARY AND TREASURER. IN ADDITION, THE ORGANIZATIONS ARE REQUIRED TO HAVE THE SAME NOMINATING AND GOVERNANCE COMMITTEE, COMPENSATION COMMITTEE, EXTERNAL DEVELOPMENT COMMITTEE, INVESTMENT COMMITTEE, AUDIT COMMITTEE, CORPORATE COMPLIANCE COMMITTEE, RISK MANAGEMENT COMMITTEE, AND CONFLICTS COMMITTEE. THERE IS ALSO A SIGNIFICANT DEGREE OF OVERLAP BETWEEN THE OFFICERS AND KEY COMMITTEES OF NMHS AND NORTH MISSISSIPPI MEDICAL CLINICS, INC., MARION REGIONAL MEDICAL CENTER, INC., AND WEBSTER HEALTH SERVICES, INC. HEALTH SERVICES, INC. |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $62,151 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $62,151 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1g: | FormAndLineReferenceDesc |
| Explanation | Lobbying expenses were incurred through the use of lobbying consultants who had direct contact with legislators to discuss various public policy issues and legislative matters. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $648,845 | OtherCostOrOtherBasisAmt |
| Book Value | $648,845 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,493,664 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,460,915 | DepreciationAmt |
| Book Value | $2,032,749 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,112,280 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,361,545 | DepreciationAmt |
| Book Value | $1,750,735 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,232 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,824 | DepreciationAmt |
| Book Value | $20,408 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,452,737 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN SUBSIDIARIES | $26,459 | F |
| INVESTMENT IN HPIC | $27,582,409 | F |
| INVESTMENT IN JOINT VENTURE | $3,212,065 | F |
| INVESTMENT IN VHA | $1,101,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $31,921,933 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Malpractice Trust Fund | $23,861,489 |
| Due from Affiliates | $17,554,521 |
| Liab Insurance Recovery | $3,175,294 |
| Right of Use Leases | $1,576,158 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $46,167,462 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $13,096,118 |
| Estimated Malpractice Costs | $24,084,301 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $37,180,419 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $54,929,387 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $930,790 | OtherRevenueAmt |
| Revenue Not Reported | $930,790 | RevenueNotReportedAmt |
| Revenue Subtotal | $53,998,597 | RevenueSubtotalAmt |
| Other Revenues Not Included | $121,800 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $121,800 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $54,120,397 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $49,170,268 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $930,790 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $930,790 | ExpensesNotReportedAmt |
| Expenses Subtotal | $48,239,478 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $121,800 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $121,800 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $48,361,278 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | MANAGEMENT HAS EVALUATED ITS INCOME TAX POSITIONS UNDER GUIDANCE INCLUDED IN ASC 740. BASED ON ITS REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| Part XI, Line 2d: | Pension cost being included in revenue on the financial statements but included in expenses on the return - 616,267 Rental expenses being included in revenue on the financial statements but included in expenses on the return - 314,523 Total on Line 2d - 930,790 |
| Part XI, Line 4b: | Grants in nonoperating gains being included in expenses on the financial statements but included in revenue on the return - 121,800 Total on Line 4b - 121,800 |
| Part XII, Line 2d: | Pension cost being included in revenue on the financial statements but included in expenses on the return - 616,267 Rental expenses being included in revenue on the financial statements but included in expenses on the return - 314,523 Total on Line 2d - 930,790 |
| Part XII, Line 4b: | Grants in nonoperating gains being included in expenses on the financial statements but included in revenue on the return - 121,800 Total on Line 4b - 121,800 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| University of MS Foundation | |||||||
| 406 UNIVERSITY AVE | OXFORD | MS | 38655 | 237310293 | 501(c)(3) | $62,300 | See Part IV |
| ANTONE TANNEHILL FREE CLINIC | |||||||
| PO BOX 1821 | TUPELO | MS | 38802 | 581986683 | 501(C)(3) | $35,000 | SEE PART IV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 2: | North Mississippi Health Services, Inc. makes cash donations to a wide variety of community charitable organizations involved in local schools, the arts, public health, and community development activities. These contributions are given based on the needs of the organization. North Mississippi Health Services, Inc. monitors the use of these funds through involvement with the organizations through our leadership's inclusion on the organizations' boards, the interaction between their operations with ours, and through our participation in the events sponsored with these donations. |
| Part II, Line 1, Column (h): | North Mississippi Health Services, Inc. makes cash donations to a wide variety of community charitable organizations involved in local schools, the arts, public health, and community development activities. The donations made to each of the organizations reported in Schedule I, Part II were given to fund and help further each organization's work in the community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Bruce J Toppin | |||||||||||
| Secretary | $335,135 | $15 | $48,350 | $3,567 | $0 | $8,666 | $0 | $395,733 | $0 | $0 | $0 |
| Lynn Holland | |||||||||||
| Vice President of Finance | $216,463 | $15 | $7,285 | $2,993 | $0 | $4,719 | $0 | $231,475 | $0 | $0 | $0 |
| Wallace T Davis Jr | |||||||||||
| VP - Managed Care | $165,036 | $15 | $4,725 | $2,308 | $0 | $5,537 | $0 | $177,621 | $0 | $0 | $0 |
| Michael S Spees | |||||||||||
| President & CEO | $966,324 | $25 | $147,398 | $17,100 | $0 | $6,149 | $0 | $1,136,996 | $0 | $0 | $0 |
| Ormella Cummings | |||||||||||
| Chief Strategy Officer | $146,891 | $15 | $4,737 | $2,002 | $0 | $1,073 | $0 | $154,718 | $0 | $0 | $0 |
| Sharon Nobles | |||||||||||
| Treasurer & CFO | $538,926 | $15 | $1,290 | $5,700 | $0 | $6,456 | $0 | $552,387 | $0 | $0 | $0 |
| David Barber | |||||||||||
| Chief Network Dev Officer | $301,901 | $15 | $60,376 | $14,250 | $0 | $7,786 | $0 | $384,328 | $0 | $0 | $0 |
| James P Weldon | |||||||||||
| Chief Information Officer | $139,097 | $15 | $90,246 | $0 | $0 | $1,502 | $0 | $230,860 | $0 | $0 | $0 |
| Kelvin Monroe | |||||||||||
| CFO - Community Hospitals | $165,778 | $15 | $305 | $3,291 | $0 | $1,073 | $0 | $170,462 | $0 | $0 | $0 |
| James P Stanzell | |||||||||||
| Chief Compliance Officer | $152,443 | $15 | $4,397 | $6,471 | $0 | $6,989 | $0 | $170,315 | $0 | $0 | $0 |
| Melody Poole | |||||||||||
| VP- Organizational Performance | $160,885 | $15 | $9,360 | $10,749 | $0 | $4,131 | $0 | $185,140 | $0 | $0 | $0 |
| Sondra A Davis | |||||||||||
| Chief Human Resources Officer | $336,084 | $15 | $2,411 | $5,700 | $0 | $7,248 | $0 | $351,458 | $0 | $0 | $0 |
| Kevin Moraski | |||||||||||
| VP - Supply Chain & Support | $244,808 | $15 | $1,217 | $3,757 | $0 | $5,154 | $0 | $254,951 | $0 | $0 | $0 |
| Carol R Plato | |||||||||||
| VP - Revenue Cycle | $250,485 | $15 | $3,497 | $3,193 | $0 | $1,314 | $0 | $258,504 | $0 | $0 | $0 |
| Jeremy R Blanchard | |||||||||||
| Chief Medical Officer | $418,756 | $15 | $21,643 | $519 | $0 | $3,960 | $0 | $444,893 | $0 | $0 | $0 |
| Nicholas R Barron | |||||||||||
| CRNA | $153,838 | $475 | $2,615 | $9,185 | $0 | $4,631 | $0 | $170,744 | $0 | $0 | $0 |
| Debbie Kelley | |||||||||||
| CRNA | $144,549 | $475 | $2,345 | $1,665 | $0 | $1,073 | $0 | $150,107 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b: | The following people participated in or received payment from a supplemental nonqualified retirement plan: James P. Weldon - $89,816 Michael Shane Spees - $93,057 Bruce Toppin - $37,995 David Barber - $33,299 |
| Part I, Line 7 | PHYSICIAN BONUSES ARE ALL CONTINGENT INCOME DEPENDING UPON EITHER THE NUMBER OF SERVICES PROVIDED OR THE QUALITY OF PERFORMANCE PERFORMED. ALL ARE SPECIFIED IN THEIR CONTRACTS. ANY OTHER INCENTIVES ARE PAID OUT AS CONTINGENT INCOME ALSO BASED ON QUALITY AND FINANCIAL PERFORMANCE METRICS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Page 4, Part V, Line 1a: | The amount on line 1a includes both North Mississippi Health Services and its disregarded entities. The breakout is as follows: North Mississippi Health Services: 47 North Mississippi Joint Ventures: 1 Connected Care, LLC: 170 North Mississippi Ground Ambulance: 4 ------------------------------------------ TOTAL: 222 |
| Form 990, Page 6, Part VI, Section A, Line 6: | North Mississippi Health Services, Inc. has members that are entitled to renew their membership annually if they are approved for continued membership by the Board of Directors and upon payment of an annual membership due. Vacancies in the membership may be filled by the Board of Directors. The membership may not exceed two hundred persons. In all meetings of the members, each member present is entitled to one vote. |
| Form 990, Page 6, Part VI, Section A, Line 7a: | Members are entitled to elect members of the Board of Directors from the list of persons nominated for election by the nominating and governance committees. |
| Form 990, Page 6, Part VI, Section B, Line 11b: | The Form 990 goes through a review process in the Accounting Department. The accountant reviews the return for reasonableness and accuracy. All totals are tied to the audit reports, and all amounts are cross-referenced to schedules or other parts of the actual return. Once the accountant reviews, the Accounting Supervisor and the Director of Accounting reviews. The Supervisor does a detailed review by checking the return for the same items that the accountant checked for. Then the Director does a more high level review, reading the return for reasonableness and comparing prior year amounts to current year amounts. Finally, the VP of Finance reviews the return for reasonableness. The return is then sent to the EXECUTIVE VP/TREASURER to be reviewed and presented to the Board. The Chief Financial Officer signs the return and it is then sent to the IRS. |
| Form 990, Page 6, Part VI, Section B, Line 12c: | An annual conflict of interest questionnaire is required to be completed by all officers and directors of the organization. The questionnaire is reviewed by the organization's compliance officer and Conflict Committee. The Conflict Committee reviews conflict transactions and makes recommendations to the board of directors regarding conflict transactions in accordance with the organization's conflict of interest policy. All members of the Conflict Committee are prohibited from engaging in transactions with the organization or its affiliates during their tenure on the Conflict Committee and one year after their service concludes. |
| Form 990, Page 6, Part VI, Section B, Line 15a&b: | AN INDEPENDENT COMPENSATION CONSULTING FIRM, KORN FERRY, IS USED TO HELP ESTABLISH THE COMPENSATION OF THE SENIOR EXECUTIVES. THE FIRM PRESENTS THEIR INDEPENDENT ANALYSIS, WHICH CONTAINS COMPARABILITY DATA, TO THE COMPENSATION COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS). THE COMPENSATION OF THE INDIVIDUALS ARE THEN APPROVED BY THE COMPENSATION COMMITTEE. THE SALARIES OF NMHS' SENIOR EXECUTIVES ARE THEN REVIEWED BY THE NMHS BOARD OF DIRECTORS. THE INDIVIDUAL WHOSE COMPENSATION IS BEING DISCUSSED IS NOT PRESENT DURING THE DISCUSSION OR APPROVAL OF THEIR COMPENSATION. THE DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN THE MINUTES OF THE MEETINGS. COMPENSATION OF THESE INDIVIDUALS IS APPROVED ANNUALLY. |
| Form 990, Page 6, Part VI, Section C, Line 19: | The governing documents, conflict of interest policy, and financial statements are available to the public upon request. A consolidated statement of operations is available on the organization's website. |
| Form 990, Page 12, Part XI, Line 9: | BOOK/TAX DIFFERENCE IN INCOME: (141,944) PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS: 6,467,806 TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCE = 6,325,862 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| North MS Joint Ventures LLC | |||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 680561912 | Mgmt Services | DE | $5,438,240 | $5,522,516 | NMHS |
| NORTH MISSISSIPPI GROUND AMBULANCE LLC | |||||||||
| 830 S GLOSTER STREET | TUPELO | MS | 38801 | 811818334 | AMBULANCE SVC | DE | $14,256,965 | $3,307,544 | NMHS |
| CONNECTED CARE LLC | |||||||||
| 830 S GLOSTER STREET | TUPELO | MS | 38801 | 384011228 | CIN | DE | $0 | $0 | NMHS |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| North MS Management Services Inc | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640762694 | Mgmt & Admin | DE | 501(c)(3) | 12-I | NMHS | Yes (true) |
| North MS Medical Center Inc | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640662976 | Hospital | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| Clay County Medical Corporation | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640668465 | Hospital | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| Tishomingo Health Services Inc | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640741047 | Hospital | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| Pontotoc Health Services Inc | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640751410 | Hospital | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| North MS Medical Clinics Inc | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640787918 | Med Clinics | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| Tupelo Service Finance Inc | ||||||||||
| 830 S GLOSTER STREET | Tupelo | MS | 38801 | 640508308 | Collections | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| Webster Health Services Inc | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640819193 | Hospital | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| Marion Regional Medical Center Inc | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640926753 | Hospital | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| North MS Emergency Services Inc | ||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640780130 | ER Physicians | DE | 501(c)(3) | 10 | NMHS | Yes (true) |
| Monroe Health Services | ||||||||||
| 830 South Gloster Street | Tupelo | MS | 38801 | 320583236 | Hospital | DE | 501(c)(3) | 3 | NMHS | Yes (true) |
| Health Care Foundation of North MS | ||||||||||
| 830 SOUTH GLOSTER STREET | TUPELO | MS | 38801 | 640914704 | FUNDRAISING | DE | 501(C)(3) | 7 | NMHS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| North MS Ambulatory | ||||||||||||||
| Surgery Center LLC | Tupelo | MS | 38801 | 200145190 | Ambulatory Surg | MS | NMJV | RELATED | $2,769,492 | $150,112 | false | $0 | false | 0.51000 |
| Medical Imaging | ||||||||||||||
| LLC | Tupelo | MS | 38801 | 770647210 | Medical Imaging | MS | NMJV | RELATED | $306,965 | $1,910,880 | false | $0 | false | 0.72010 |
| Cntr for Digestive | ||||||||||||||
| Health LLC | Tupelo | MS | 38801 | 201606438 | Digestive Care | MS | NMJV | RELATED | $2,134,401 | $1,048,046 | false | $0 | false | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| North MS Healthlink Inc | ||||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640715886 | Medical Services | DE | NMHS | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| North MS Enterprises Inc | ||||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 640658059 | Medical Services | DE | NMHS | C Corp | $11,630,425 | $2,064,041 | 1.00000 | Yes (true) |
| Professional Practice Management Inc | ||||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 721390014 | Med Serv Mgmt | DE | NA | C Corp | $0 | $0 | 0.00000 | Yes (true) |
| Acclaim Inc | ||||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 721356116 | Hlth Care Claims | DE | HEALTHLINK | C Corp | $2,006,207 | $872,968 | 1.00000 | Yes (true) |
| North MS Support Services Inc | ||||||||||||
| 830 S Gloster Street | Tupelo | MS | 38801 | 260718275 | Support Services | DE | NMHS | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (37 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Medical Imaging LLC | ||
| A | $239,555 | See Part VII |
| North Mississippi Joint Ventures Inc | ||
| C | $3,230,000 | See Part VII |
| North Mississippi Medical Center Inc | ||
| E | $23,600,000 | See Part VII |
| North Mississippi Medical Center Inc | ||
| K | $377,401 | See Part VII |
| Clay County Medical Corporation | ||
| L | $425,878 | See Part VII |
| North Mississippi Medical Clinics Inc | ||
| L | $189,159 | See Part VII |
| Marion Regional Medical Center Inc | ||
| L | $162,973 | See Part VII |
| North Mississippi Medical Center Inc | ||
| L | $32,892,272 | See Part VII |
| Tishomingo Health Services Inc | ||
| L | $137,968 | See Part VII |
| Webster Health Services Inc | ||
| L | $151,429 | See Part VII |
| Monroe Health Services Inc | ||
| L | $425,430 | See Part VII |
| Acclaim Inc | ||
| O | $735,708 | See Part VII |
| Clay County Medical Corporation | ||
| O | $103,042 | See Part VII |
| North Mississippi Medical Clinics Inc | ||
| O | $55,295 | See Part VII |
| North Mississippi Enterprises Inc | ||
| O | $8,433,616 | See Part VII |
| North Mississippi Medical Center Inc | ||
| O | $3,726,700 | See Part VII |
| Acclaim Inc | ||
| P | $125,846 | See Part VII |
| North Mississippi Medical Center Inc | ||
| P | $5,811,049 | See Part VII |
| Clay County Medical Corporation | ||
| Q | $531,211 | See Part VII |
| North Mississippi Medical Clinics Inc | ||
| Q | $1,143,562 | See Part VII |
| Marion Regional Medical Center Inc | ||
| Q | $396,830 | See Part VII |
| North Mississippi Medical Center Inc | ||
| Q | $21,822,865 | See Part VII |
| Pontotoc Health Services Inc | ||
| Q | $606,836 | See Part VII |
| Tishomingo Health Services Inc | ||
| Q | $221,352 | See Part VII |
| Webster Health Services Inc | ||
| Q | $391,366 | See Part VII |
| Monroe Health Services Inc | ||
| Q | $359,576 | See Part VII |
| North Mississippi Medical Clinics Inc | ||
| R | $285,941 | See Part VII |
| North Mississippi Medical Center Inc | ||
| R | $17,498,297 | See Part VII |
| Clay County Medical Corporation | ||
| S | $1,355,185 | See Part VII |
| North Mississippi Medical Clinics Inc | ||
| S | $2,668,311 | See Part VII |
| Marion Regional Medical Center Inc | ||
| S | $987,182 | See Part VII |
| North Mississippi Enterprises Inc | ||
| S | $83,762 | See Part VII |
| North Mississippi Medical Center Inc | ||
| S | $105,080 | See Part VII |
| Pontotoc Health Services Inc | ||
| S | $1,440,880 | See Part VII |
| Tishomingo Health Services Inc | ||
| S | $549,681 | See Part VII |
| Webster Health Services Inc | ||
| S | $968,030 | See Part VII |
| Monroe Health Services Inc | ||
| S | $1,012,780 | See Part VII |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 2, Column (d): | FormAndLineReferenceDesc |
| Explanation | Method of determining amounts for transactions described in lines 1b, 1c, 1e, 1r, and 1s: North Mississippi Health Services, Inc. (NMHS) provides operating funds in the form of working capital loans that have no set repayment date. These working capital loans have historically been converted to capital transfers in many cases, and therefore, the loans are forgiven such that the facility never makes repayment. NMHS does this in order to provide access to a variety of services across the service area and is an intentional part of its business model. Amounts reported in Line 2, Column (c) for these transaction types are stated at cash value. Method of determining amounts for transactions described in lines 1a, 1k, 1l, 1m, 1o, 1p, and 1q: Certain routine management, financial, and accounting services are provided by North Mississippi Health Services, Inc. (NMHS) to its related affiliates. Additionally, third-party services are provided by related affiliates for the NMHS system. Amounts reported on Line 2, Column (c) for these transactions are at fair market value and are comparable to transactions between two or more unrelated parties dealing at arm's length. | ExplanationTxt |
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