2022-08-12T12:25:06-05:00 2021-09-30 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2020-10-01 640787918 North Mississippi Medical Clinics Inc % KRISTY DUKE NORT 6623773978 830 South Gloster Street Tupelo MS 38801 SHARON NOBLES CFO 6623773978 2022-08-15 true SHARON NOBLES 999009999 Amber Sherrill CPA P00748683 5013721040 2 2020 2022-09-23 18:48:47Z SHARON NOBLES 830 South Gloster Street Tupelo MS 38801 56248552 false X www.nmhs.net/clinics.php X 1990 DE North Mississippi Medical Clinics, Inc. operates 34 medical clinics located in north Mississippi. 7 5 699 5 0 1255455 0 50143789 55367841 49299 83513 571852 797198 52020395 56248552 0 0 0 0 52171234 57387356 0 0 0 20818960 18764798 72990194 76152154 -20969799 -19903602 75994641 113464903 108931052 166305600 -32936411 -52840697 X NORTH MISSISSIPPI MEDICAL CLINICS, INC. (CLINICS) OWNS AND OPERATES 34 PRIMARY CARE AND INTERNAL MEDICINE CLINICS, ALL PRIMARILY WITHIN NORTH MISSISSIPPI AND NORTHWEST ALABAMA. CLINICS IS PART OF THE NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ORGANIZATION. THE MISSION OF NMHS IS TO CONTINUOUSLY IMPROVE THE HEALTH OF THE PEOPLE OF OUR REGION. CLINICS WORKS TO ACHIEVE THIS CORPORATE MISSION TO IMPROVE THE HEALTH OF THE PEOPLE OF THIS REGION BY PROVIDING CONVENIENTLY ACCESSIBLE, COST-EFFECTIVE HEALTH CARE OF THE HIGHEST QUALITY. false false 70683208 55367841 Clinics serves the 24 counties in north Mississippi and northwest Alabama that make up the NMHS service area. In fiscal year 2021, Clinics served the population of the area with 415,063 visits to its physicians. The organization operates 25 regional primary care and internal medicine clinics. One of the primary ways Clinics serves the community is by providing care to various populations for which it receives no compensation or receives compensation at rates significantly less than established rates. The board of directors of Clinics has established a policy under which the organization provides care, without charge, to needy members of its community. The charity care policy states that Clinics will provide necessary services to patients free of charge with household income levels based on the median income for Mississippi compared to the median income nationally. The Mississippi Adjusted Poverty Guidelines is approximately 75% of the federal poverty rate. The policy further provides patients with household income levels above the Mississippi Adjusted Poverty Guidelines will be liable for no more than the amount that their household income exceeds the applicable federal poverty guidelines. The policy applies to individuals who reside in the county where the applicable clinic is located. Patients from outside the county may also be granted charity care based on the judgment of Clinics management depending on their individual circumstances. The policy also requires the patient to cooperate fully with Clinics' request for information with which to verify the patient's eligibility. Following that policy, Clinics maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. Charges forgone, based on established rates, totaled approximately $1,827,041 in fiscal year 2021. Based on the gross charges provided to charity patients compared to total Clinics gross charges, 2.01% of all services in fiscal year 2021 were provided on a charity basis. The net cost of charity care provided by Clinics was approximately $1,465,377 in fiscal year 2021. The total cost estimate is based on the ratio of costs to charges for Clinics. 70683208 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 29 0 true 699 true false false false false false false false false false false false false X 7 5 false false false false true true true true true false false false true true true true true true true false X KRISTY DUKE 6623773977 830 SOUTH GLOSTER STREET Tupelo MS 38801 X Charles M King Physician 40.0 0.0 X 1008692 360050 18565 Don Smith MD Director 40.0 0.0 X 570539 0 18969 Charles K Abavare Physician 40.0 0.0 X 537692 0 16966 Sharon Nobles Treasurer & CFO 1.0 39.0 X 0 540231 12156 Raymond R Arriola Physician 40.0 0.0 X 532939 0 16454 William T Jennings Physician 40.0 0.0 X 515340 0 16666 Kevin R Johnson Physician 40.0 0.0 X 495562 0 15245 Erik Dukes MD Director 40.0 0.0 X 464285 0 18199 Bruce Toppin Secretary 1.0 39.0 X 0 383500 12233 David Barber President 20.0 20.0 X 0 362292 22036 James K Harvey MD Director 40.0 0.0 X 294085 0 18969 Molly L Weldon Chief Operating Officer 40.0 0.0 X 237821 0 5794 George Purnell Chairman 1.0 0.0 X 0 0 0 Jeff Jaggers Director 1.0 0.0 X 0 0 0 Jim Goodwin Director 1.0 0.0 X 0 0 0 Mary Werner Director 1.0 0.0 X 0 0 0 John Creekmore Director 1.0 0.0 X 0 0 0 4656955 1646073 192252 103 false true false Caravan Health PO Box 219285 KANSAS CITY MO 641219285 Health Care Mgmt 816314 MediRevv 2600 University Pkwy CORALVILLE IA 52241 Revenue Cycle Mgmt 521139 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SERVICE 447856 CADUCEUS HEALTH INC 30 MONTGOMERY STREET SUITE 720 JERSEY CITY NJ 073023841 FINANCIAL ADVICE 163433 EXPRESS SERVICES INC 9701 BOARDWALK BLVD OKLAHOMA CITY OK 73162 STAFF MGMT SERVICES 110224 5 0 Net Patient Service Revenue 622110 52487250 52487250 ACO RESERVE INCOME 622110 2066861 2066861 Related Rental Income 531120 717445 717445 WORKLINK REVENUE 622110 94014 94014 CLINICAL TRIAL REVENUE 541715 2271 2271 55367841 6624 6624 0 0 0 0 0 51751 25138 51751 25138 76889 76889 0 0 0 0 0 0 0 0 0 REBATE INCOME 900099 794908 794908 ALL OTHER MISC REVENUE 900099 2290 2290 797198 56248552 55367841 880711 0 0 0 0 1513269 1513269 0 47225046 43998807 3226239 2036569 2036569 3919576 3919576 2692896 2479160 213736 182875 182875 0 38974 38974 0 0 0 2303908 2303908 96666 96666 1507303 1507303 2190348 2190348 0 2218420 2218420 108212 108212 0 159865 159865 0 0 1759311 1759311 293853 293853 MEDICAL SUPPLIES 6477468 6477468 COLLECTION FEES 535140 535140 DUES AND SUBSCRIPTIONS 380107 380107 TAXES AND LICENSES 346070 346070 166278 166278 76152154 70683208 5468946 0 868702 14901 959075 849305 0 0 2574451 2181100 0 0 0 0 0 0 1423978 1807867 142899 142568 49952152 35696441 14010315 14255711 0 0 0 0 0 0 0 0 56015221 94213451 75994641 113464903 24487980 21458117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84443072 144847483 108931052 166305600 X -33147190 -53050792 210779 210095 -32936411 -52840697 75994641 113464903 X -19903602 -684 X false true X true false X 3117753 3117753 31989347 23753664 8235683 365055 350161 14894 13146790 10451393 2695397 1333207 1141223 191984 14255711 Deferred Comp Trust Fund 8721589 Int in Net Assets of Aff. Fnd 210095 RIGHT OF USE LEASES 755159 DUE FROM AFFILIATES 84526608 94213451 0 Due to Affiliates 144847483 144847483 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. false true false false false false false true false David Barber President 301901 15 60376 0 14250 0 7786 0 384328 0 0 Bruce Toppin Secretary 335135 15 48350 0 3567 0 8666 0 395733 0 0 Charles M King Physician 418004 104427 574725 255214 15963 409 14435 0 3379 751 1026506 360801 0 0 James K Harvey MD Director 257601 33583 2901 14250 0 4719 0 313054 0 0 0 Erik Dukes MD Director 268994 179418 15873 14250 0 3949 0 482484 0 0 0 Sharon Nobles Treasurer & CFO 538926 15 1290 0 5700 0 6456 0 552387 0 0 Don Smith MD Director 253236 300938 16365 14250 0 4719 0 589508 0 0 0 Molly L Weldon Chief Operating Officer 236625 15 1181 2400 0 3394 0 243615 0 0 0 Raymond R Arriola Physician 300097 217293 15549 11005 0 5449 0 549393 0 0 0 Charles K Abavare Physician 259088 278031 573 11400 0 5566 0 554658 0 0 0 William T Jennings Physician 256145 258946 249 11100 0 5566 0 532006 0 0 0 Kevin R Johnson Physician 255043 240145 374 11296 0 3949 0 510807 0 0 0 Part I, Line 3: NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ESTABLISHES THE PAY OF THE CEO AND COMPENSATES HIM. NMHS USES THE FOLLOWING METHODS FOR ESTABLISHING THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Part I, Line 4b: The following people participated in or received payment from a supplemental nonqualified retirement plan: 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. Form 990, Page 6, Part VI, Section A, Line 6: North Mississippi Medical Clinics, Inc. is a not-for-profit, nonstock, membership corporation of which North Mississippi Health Services, Inc. is the sole member and has sole voting control. Form 990, Page 6, Part VI, Section A, Line 7a: The Governance Committee of North Mississippi Health Services, Inc. (NMHS), which is made up of past Chairmen, nominate candidates for the Board. These candidates are then approved by the Board of NMHS. Form 990, Page 6, Part VI, Section A, Line 7b: The Board of North Mississippi Health Services, Inc. approves all transactions that exceed $1 million. Form 990, Page 6, Part VI, Section B, Line 11b: The Form 990 goes through a review process in the Accounting Department. The accountant for each facility 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 returns are then sent to the Executive VP/Treasurer to be reviewed. The Treasurer 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 NORTH MISSISSIPPI HEALTH SERVICES, INC.'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: Increase in interest in net assets of affiliated foundation: (684) Total other changes in Net Assets or Fund Balance = (684) North Mississippi Gilmore Clinics LLC 830 South Gloster Street Tupelo ME 38801 364914599 Healthcare MS 5089923 122324 NMMCl North MS Management Services Inc 830 S Gloster Street Tupelo MS 38801 640762694 Mgmt & Admin DE 501(c)(3) 12-I NMHS true North MS Health Services Inc 830 S Gloster Street Tupelo MS 38801 640653269 Mgmt Services DE 501(c)(3) 12-II NA false Clay County Medical Corporation 830 S Gloster Street Tupelo MS 38801 640668465 Hospital DE 501(c)(3) 3 NMHS true Tishomingo Health Services Inc 830 S Gloster Street Tupelo MS 38801 640741047 Hospital DE 501(c)(3) 3 NMHS true Pontotoc Health Services Inc 830 S Gloster Street Tupelo MS 38801 640751410 Hospital DE 501(c)(3) 3 NMHS true North MS Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640662976 Hospital DE 501(c)(3) 3 NMHS true Tupelo Service Finance Inc 830 South Gloster Street Tupelo MS 38801 640508308 Collections DE 501(c)(3) 3 NMHS true Webster Health Services Inc 830 S Gloster Street Tupelo MS 38801 640819193 Hospital DE 501(c)(3) 3 NMHS true Marion Regional Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640926753 Hospital DE 501(c)(3) 3 NMHS true North MS Emergency Services Inc 830 S Gloster Street Tupelo MS 38801 640780130 ER Physicians DE 501(c)(3) 10 NMHS true Monroe Health Services 830 South Gloster Street Tupelo MS 38801 320583236 Hospital DE 501(c)(3) 3 NMHS true Health Care Foundation of North MS 830 SOUTH GLOSTER STREET TUPELO MS 38801 640914704 FUNDRAISING DE 501(C)(3) 7 NMHS true North MS Ambulatory Surgery Center LLC Tupelo MS 38801 200145190 Ambulatory Surg MS NA NONE 0 0 false 0 false 0.00000 Medical Imaging LLC Tupelo MS 38801 770647210 Medical Imaging MS NA NONE 0 0 false 0 false 0.00000 Cntr for Digestive Health LLC Tupelo MS 38801 201606438 Digestive Care MS NA NONE 0 0 false 0 false 0.00000 North MS Health Link Inc 830 S Gloster Street Tupelo MS 38801 640715886 Medical Services DE NA C Corp 0 0 0.00000 true North MS Enterprises Inc 830 S Gloster Street Tupelo MS 38801 640658059 Medical Services DE NA C Corp 0 0 0.00000 true Professional Practice Management Inc 830 S Gloster Street Tupelo MS 38801 721390014 Med Serv Mgmt DE NMMCl C Corp 5740182 4782236 1.00000 true Acclaim Inc 830 S Gloster Street Tupelo MS 38801 721356116 Hlth Care Claims DE NA C Corp 0 0 0.00000 true North MS Support Services Inc 830 S Gloster Street Tupelo MS 38801 260718275 Support Services DE NA C Corp 0 0 0.00000 true false false true false true false false false false true true false true false true true true true true Professional Practice Management Inc s 2829411 See Part VII Part V, Line 2, Column (d): Method of determining amounts for transactions described in line 1s: Certain routine management, financial, and accounting services are provided by North Mississippi Medical Clinics, Inc. (Clinics) to its related affiliates. Additionally, third-party services are provided by related affiliates for Clinics. Amounts reported on Line 2, column (c) for this transaction type are at fair market value and are comparable to transactions between two or more unrelated parties dealing at arm's length.