NORTH MISSISSIPPI HEALTH SERVICES INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
NORTH MISSISSIPPI HEALTH SERVICES INC (EIN 64-0653269)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-15
IRS object ID
202502279349303360
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-15T14:45:50+00:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 3667AddressLine1Txt
CityLittle RockCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640653269EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1North Mississippi Health Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone6623773978PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 SOUTH GLOSTER STREETAddressLine1Txt
CityTUPELOCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHARON NOBLESPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6623773978PhoneNum
Signature2025-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmber SherrillPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum
Preparation2025-06-20PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1SHARON NOBLESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 SOUTH GLOSTER STREETAddressLine1Txt
CityTUPELOCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$60,986,793GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NMHS.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionNORTH MISSISSIPPI HEALTH SERVICES IS THE PARENT COMPANY OF A DIVERSIFIED REGIONAL HEALTH CARE ORGANIZATION.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee701TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$150,100PYContributionsGrantsAmt
CY Contributions Grants$50,000CYContributionsGrantsAmt
PY Program Service Revenue$51,818,555PYProgramServiceRevenueAmt
CY Program Service Revenue$58,788,392CYProgramServiceRevenueAmt
PY Investment Income$24,334PYInvestmentIncomeAmt
CY Investment Income$244,056CYInvestmentIncomeAmt
PY Other Revenue$1,366,382PYOtherRevenueAmt
CY Other Revenue$1,036,266CYOtherRevenueAmt
PY Total Revenue$53,359,371PYTotalRevenueAmt
CY Total Revenue$60,118,714CYTotalRevenueAmt
PY Grants And Similar Paid$110,125PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$139,175CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$43,070,017PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$47,289,570CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,060,240PYOtherExpensesAmt
CY Other Expenses$20,441,028CYOtherExpensesAmt
PY Total Expenses$60,240,382PYTotalExpensesAmt
CY Total Expenses$67,869,773CYTotalExpensesAmt
PY Revenues Less Expenses-$6,881,011PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,751,059CYRevenuesLessExpensesAmt
Total Assets BOY$112,056,771TotalAssetsBOYAmt
Total Assets EOY$129,760,632TotalAssetsEOYAmt
Total Liabilities BOY$98,299,716TotalLiabilitiesBOYAmt
Total Liabilities EOY$121,693,530TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,757,055NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,067,102NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNORTH 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$36,334,268ExpenseAmt
Grant$0GrantAmt
Revenue$36,592,358RevenueAmt
DescNORTH MISSISSIPPI HEALTH SERVICES PROVIDES MANAGEMENT SERVICES TO ITS AFFILIATED COMPANIES. THE COST OF PROVIDING THESE SERVICES WAS $36,334,268.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$15,413,248ExpenseAmt
Grant$0GrantAmt
Revenue$15,098,629RevenueAmt
DescNorth 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$909,720ExpenseAmt
Grant$139,175GrantAmt
Revenue$0RevenueAmt
DescNurse 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 $770,545, in fiscal year 2024. 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
FieldValueIRS element (for citing)
Total Program Service Expenses$53,252,234TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document80IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee701EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTY DUKEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6623773977PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 S GLOSTER STREETAddressLine1Txt
CityTUPELOCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID RUMBARGER
CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
BARNEY GUYTON MD
DIRECTOR1.00.0Yes (X)$0$0$0
DAVID FERNANDES
DIRECTOR1.00.0Yes (X)$0$0$0
GEORGE PURNELL
DIRECTOR1.00.0Yes (X)$0$0$0
JAMES ROLLINS III
DIRECTOR1.00.0Yes (X)$0$0$0
JEFF JAGGERS
DIRECTOR1.00.0Yes (X)$0$0$0
JOHN CREEKMORE
DIRECTOR1.00.0Yes (X)$0$0$0
JOHN WHEELER
DIRECTOR1.00.0Yes (X)$0$0$0
MARY WERNER
DIRECTOR1.00.0Yes (X)$0$0$0
MICHAEL CLAYBORNE
DIRECTOR1.00.0Yes (X)$0$0$0
MITCH WAYCASTER
DIRECTOR1.00.0Yes (X)$0$0$0
SAM SLIMAN
DIRECTOR1.00.0Yes (X)$0$0$0
SKIPPER HOLLIMAN
DIRECTOR1.00.0Yes (X)$0$0$0
BRUCE TOPPIN
SECRETARY & CLO21.019.0Yes (X)$667,572$0$14,992
MICHAEL S SPEES
PRESIDENT & CEO36.53.5Yes (X)$2,319,522$0$27,228
SHARON NOBLES
TREASURER & CFO21.019.0Yes (X)$1,007,522$0$29,248
CAROL PLATO
VP - REVENUE CYCLE20.020.0$379,103$0$8,312Yes (X)
DAVID BARBER
CHIEF NETWORK DEV OFFICER20.020.0$595,049$0$31,738Yes (X)
DAVID WILSON
SYSTEM COO & NMMC PRESIDENT4.036.0$1,240,421$0$26,700Yes (X)
JEREMY BLANCHARD
CHIEF MEDICAL OFFICER15.025.0$811,229$0$15,648Yes (X)
JOHN DAVIS
CHIEF IS OFFICER20.020.0$598,022$0$13,170Yes (X)
LYNN HOLLAND
VP - FINANCE & NMMC CFO10.030.0$350,432$0$10,611Yes (X)
MELODY POOLE
VP - ORG PERFORMANCE20.020.0$327,467$0$28,980Yes (X)
SONDRA DAVIS
CHIEF HR OFFICER20.020.0$614,687$0$16,828Yes (X)
WALLACE DAVIS
VP - MANAGED CARE10.030.0$238,031$0$6,148Yes (X)
BETHANY UNGO
VP - BUSINESS DEVELOPMENT40.00.0$393,105$0$9,366Yes (X)
JAMES STANZELL
CHIEF COMPLIANCE OFFICER40.00.0$204,844$0$21,103Yes (X)
KELVIN MONROE
CFO - COMMUNITY HOSPITALS40.00.0$253,564$0$12,212Yes (X)
KIM MARLATT
VP - MARKETING40.00.0$322,183$0$6,228Yes (X)
KIM WARNER
VP - HUMAN RESOURCES40.00.0$225,289$0$9,678Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,548,042TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$288,190TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K49IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COMPLETE BILLING SOLUTIONS
PO BOX 713362CINCINATTIOH452713362BILLING SERVICES$769,831
LAUDIO INC
PO BOX 23914NEW YORKNY100873914CONSULTING SERVICES$764,004
PREMIER HEALTHCARE SOLUTIONS
5882 COLLECTIONS CENTER DRIVECHICAGOIL60693SOFTWARE SUPPORT$710,076
HEALTHSTREAM
PO BOX 102817ATLANTAGA303682817CLINICAL DEVELOPMENT$558,365
MERGE
PO BOX 7043CAROL STREAMIL601977043MARKETING SERVICES$475,729
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$50,000GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$50,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MANAGEMENT FEES561000$36,446,992$36,446,992$0$0
NET PATIENT SERVICE REVENUE622110$15,243,995$15,243,995$0$0
HEALTH LINK REVENUE622110$131,957$131,957$0$0
INCOME FROM JOINT VENTURE622110$6,965,448$6,965,448

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$58,788,392TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,656TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$94,656ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,435,861RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$868,079RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$567,782RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$567,782TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$567,782ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$108,780SecuritiesAmt
Other$40,620OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$108,780SecuritiesAmt
Other$40,620OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,400TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$149,400ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
REBATE INCOME900099$394,368$0$0$394,368
DUES INCOME900099$1,050$0$0$1,050
$0$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,066TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$73,066ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$468,484OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,118,714TotalRevenueColumnAmt
Related Or Exempt Func Income$58,788,392RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,280,322ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$139,175TotalAmt
Program Services$139,175ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,396,165TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,396,165ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,493,280TotalAmt
Program Services$29,493,280ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,767,933TotalAmt
Program Services$2,767,933ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,196,079TotalAmt
Program Services$4,196,079ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,436,113TotalAmt
Program Services$2,436,113ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$118,842TotalAmt
Program Services$0ProgramServicesAmt
Management And General$118,842ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$472,068TotalAmt
Program Services$0ProgramServicesAmt
Management And General$472,068ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$340,267TotalAmt
Program Services$0ProgramServicesAmt
Management And General$340,267ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$63,290TotalAmt
Program Services$63,290ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,759,281TotalAmt
Program Services$3,716,779ProgramServicesAmt
Management And General$5,042,502ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,747,299TotalAmt
Program Services$2,747,299ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$967,602TotalAmt
Program Services$967,602ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$147,630TotalAmt
Program Services$147,630ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$517,387TotalAmt
Program Services$517,387ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$613,526TotalAmt
Program Services$613,526ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$923,618TotalAmt
Program Services$923,618ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,204,637TotalAmt
Program Services$1,204,637ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$247,695TotalAmt
Program Services$0ProgramServicesAmt
Management And General$247,695ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
TAXES AND LICENSES$1,379,804$1,379,804$0$0
DUES & SUBSCRIPTIONS$723,396$723,396$0$0
RECRUITMENT EXPENSE$522,325$522,325$0$0
MEDICAL SUPPLIES$429,175$429,175$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$263,186TotalAmt
Program Services$263,186ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$67,869,773TotalAmt
Program Services$53,252,234ProgramServicesAmt
Management And General$14,617,539ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,867,962BOYAmt
EOY$3,480,812EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$869,256BOYAmt
EOY$70,165EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$64,922BOYAmt
EOY$67,534EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,795,740BOYAmt
EOY$4,104,735EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$31,032,298LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,196,815LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,577,766BOYAmt
EOY$18,835,483EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$44,846,998BOYAmt
EOY$44,486,864EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$46,034,127BOYAmt
EOY$58,715,039EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$112,056,771BOYAmt
EOY$129,760,632EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,788,645BOYAmt
EOY$24,038,767EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,511,071BOYAmt
EOY$97,654,763EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,299,716BOYAmt
EOY$121,693,530EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,742,596BOYAmt
EOY$8,052,643EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,459BOYAmt
EOY$14,459EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,757,055BOYAmt
EOY$8,067,102EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$112,056,771BOYAmt
EOY$129,760,632EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$7,751,059ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,061,106OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTH MISSISSIPPI MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN640662976EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (true)SupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By NameNORTH 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).
Schedule A, Part IV, Section A, Line 6 Support to other supported orgsNORTH MISSISSIPPI HEALTH SERVICES PROVIDED GRANTS TO THREE ORGANIZATIONS: $83,125 TO UNIVERSITY OF MS FOUNDATION, $18,000 TO COMMUNITY DEVELOPMENT FOUNDATION, AND $10,000 TO NORTH MS SYMPHONY ORCHESTRA. 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 UNIVERSITY OF MS FOUNDATION, CREATE FOUNDATION, AND NORTH MS SYMPHONY ORCHESTRA ALL MEET THIS DEFINITION. THE DONATIONS TO THESE THREE ORGANIZATIONS WERE GIVEN TO FUND AND HELP FURTHER EACH ORGANIZATION'S WORK IN THE COMMUNITY.
Schedule A, Part IV, Section C, Line 1 Majority director detailTHE 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.

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$63,290DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$63,290TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLobbying 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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,431,419OtherCostOrOtherBasisAmt
Book Value$6,431,419BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$12,478,420OtherCostOrOtherBasisAmt
Depreciation$2,781,467DepreciationAmt
Book Value$9,696,953BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$11,861,786OtherCostOrOtherBasisAmt
Depreciation$9,404,107DepreciationAmt
Book Value$2,457,679BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$260,673OtherCostOrOtherBasisAmt
Depreciation$11,241DepreciationAmt
Book Value$249,432BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,835,483TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN SUBSIDIARIES$26,459F
INVESTMENT IN HPIC$29,049,572F
INVESTMENT IN JOINT VENTURE$14,309,833F
INVESTMENT IN VHA$1,101,000F
FieldValueIRS element (for citing)
Total Book Value Securities$44,486,864TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
MALPRACTICE TRUST FUND$23,371,173
DUE FROM AFFILIATES$31,292,672
LIAB INSURANCE RECOVERY$3,377,015
RIGHT OF USE LEASES$674,179
FieldValueIRS element (for citing)
Total Book Value Other Assets$58,715,039TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$72,405,412
ESTIMATED MALPRACTICE COSTS$25,249,351
FieldValueIRS element (for citing)
Total Liability$97,654,763TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$60,780,475TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$868,079OtherRevenueAmt
Revenue Not Reported$868,079RevenueNotReportedAmt
Revenue Subtotal$59,912,396RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$206,318OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$206,318RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$60,118,714TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$68,531,534TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$868,079OtherExpensesIncludedAmt
Expenses Not Reported$868,079ExpensesNotReportedAmt
Expenses Subtotal$67,663,455ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$206,318OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$206,318ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$67,869,773TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2MANAGEMENT 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.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990REAL RENTAL EXPENSES - 868079
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsPENSION COSTS - 67143 NONALLOWABLE DONATION - 139175
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990REAL RENTAL EXPENSES - 868079
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsPENSION COSTS - 67143 NONALLOWABLE DONATION - 139175

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF MS FOUNDATION
406 UNIVERSITY AVEOXFORDMS38655237310293501(C)(3)$83,125$0N/AN/ASEE PART IV
COMMUNITY DEVELOPMENT FOUNDATION
PO BOX ATUPELOMS38802640256085501(C)(6)$18,000$0N/AN/ASEE PART IV
NORTH MS SYMPHONY ORCHESTRA
1800 WEST MAIN STREETTUPELOMS38801237228350501(C)(3)$10,000$0N/AN/ASEE PART IV
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part II, Line 1(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 I, Part I, Line 2 Procedures for monitoring use of grant funds.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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL S SPEES
PRESIDENT & CEO$1,110,231$0$1,032,676$0$176,615$0$19,800$0$7,428$0$2,346,750$0$0$0
SHARON NOBLES
TREASURER & CFO$568,363$0$359,729$0$79,430$0$19,800$0$9,448$0$1,036,770$0$0$0
BRUCE TOPPIN
SECRETARY & CLO$399,862$0$208,113$0$59,597$0$6,600$0$8,392$0$682,564$0$0$0
DAVID WILSON
SYSTEM COO & NMMC PRESIDENT$655,917$0$481,240$0$103,264$0$19,800$0$6,900$0$1,267,121$0$0$0
JEREMY BLANCHARD
CHIEF MEDICAL OFFICER$480,806$0$305,512$0$24,911$0$9,900$0$5,748$0$826,877$0$0$0
DAVID BARBER
CHIEF NETWORK DEV OFFICER$339,966$0$185,329$0$69,754$0$24,750$0$6,988$0$626,787$0$0$0
SONDRA DAVIS
CHIEF HR OFFICER$377,574$0$204,913$0$32,200$0$9,900$0$6,928$0$631,515$0$0$0
JOHN DAVIS
CHIEF IS OFFICER$396,301$0$200,431$0$1,290$0$9,900$0$3,270$0$611,192$0$0$0
CAROL PLATO
VP - REVENUE CYCLE$265,428$0$106,553$0$7,122$0$6,038$0$2,274$0$387,415$0$0$0
LYNN HOLLAND
VP - FINANCE & NMMC CFO$244,632$0$99,700$0$6,100$0$4,863$0$5,748$0$361,043$0$0$0
MELODY POOLE
VP - ORG PERFORMANCE$239,097$0$63,282$0$25,088$0$23,874$0$5,106$0$356,447$0$0$0
WALLACE DAVIS
VP - MANAGED CARE$169,001$0$41,414$0$27,616$0$3,778$0$2,370$0$244,179$0$0$0
BETHANY UNGO
VP - BUSINESS DEVELOPMENT$293,463$0$76,301$0$23,341$0$9,366$0$0$0$402,471$0$0$0
KIM MARLATT
VP - MARKETING$269,372$0$49,110$0$3,701$0$0$0$6,228$0$328,411$0$0$0
KELVIN MONROE
CFO - COMMUNITY HOSPITALS$198,543$0$40,503$0$14,518$0$10,442$0$1,770$0$265,776$0$0$0
KIM WARNER
VP - HUMAN RESOURCES$164,127$0$36,885$0$24,277$0$5,504$0$4,174$0$234,967$0$0$0
JAMES STANZELL
CHIEF COMPLIANCE OFFICER$144,398$0$33,242$0$27,204$0$15,235$0$5,868$0$225,947$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING PEOPLE PARTICIPATED IN OR RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MICHAEL SHANE SPEES - $111,507 SHARON NOBLES - $54,519 DAVID BARBER - $37,366 SONDRA DAVIS - $7,289 DAVID WILSON - $62,405 BRUCE TOPPIN - $40,061
Schedule J, Part I, Line 7 Non-fixed paymentsPHYSICIAN 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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a-4c Description of program services(Expenses $ 594,998 including grants of $ 0)(Revenue $ 4,371,253) North Mississippi Health Services, Inc. is the sole member of North Mississippi Joint Ventures, LLC (NMJV) which serves as a holding company for their 49% interests in North Mississippi Ambulatory Surgery Center, LLC (ASC), 72.09% 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 commitment 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. 3. Become the preferred partner for providers in our communities through a culture of collaboration.
Form 990, Part V, Line 2aTHE AMOUNT ON PART V, LINE 2A INCLUDES BOTH NORTH MISSISSIPPI HEALTH SERVICES AND ITS DISREGARDED ENTITIES. THE BREAKOUT IS AS FOLLOWS: NORTH MISSISSIPPI HEALTH SERVICES....................493 NORTH MISSISSIPPI JOINT VENTURES..........................0 CONNECTED CARE, LLC...................................................0 NORTH MISSISSIPPI GROUND AMBULANCE..............208 ------------------------------------------------------------------------------------------------- TOTAL..............................................................................701
Form 990, Part VI, Line 15 A&BAN 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, Part VI, Line 6 Classes of members or stockholdersNORTH 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, Part VI, Line 7a Members or stockholders electing members of governing bodyMEMBERS 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, Part VI, Line 11b Review of form 990 by governing bodyTHE 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, Part VI, Line 12c Conflict of interest policyAN 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, Part VI, Line 19 Required documents available to the publicTHE 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, Part VIII, Line 11d Other Miscellaneous RevenueOTHER OPERATING REVENUE - Total Revenue: 73066, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 73066;
Form 990, Part IX, Line 11g Other FeesPURCHASED SERVICES - Total Expense: 8759281, Program Service Expense: 3716779, Management and General Expenses: 5042502, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPENSION-RELATED CHANGES - 2061106;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTH MS JOINT VENTURES LLC
830 S GLOSTER STREETTUPELOMS38801680561912MGMT SERVICESDE$7,205,108$16,710,456NMHS
NORTH MISSISSIPPI GROUND AMBULANCE LLC
830 S GLOSTER STREETTUPELOMS38801811818334AMBULANCE SVCDE$15,399,819$2,224,286NMHS
CONNECTED CARE LLC
830 S GLOSTER STREETTUPELOMS38801384011228CINDE$0$0NMHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NORTH MS MANAGEMENT SERVICES INC
830 S GLOSTER STREETTUPELOMS38801640762694MGMT & ADMINDE501(c)(3)Type INMHSYes (true)
NORTH MS MEDICAL CENTER INC
830 S GLOSTER STREETTUPELOMS38801640662976HOSPITALDE501(c)(3)3NMHSYes (true)
CLAY COUNTY MEDICAL CORPORATION
830 S GLOSTER STREETTUPELOMS38801640668465HOSPITALDE501(c)(3)3NMHSYes (true)
TISHOMINGO HEALTH SERVICES INC
830 S GLOSTER STREETTUPELOMS38801640741047HOSPITALDE501(c)(3)3NMHSYes (true)
PONTOTOC HEALTH SERVICES INC
830 S GLOSTER STREETTUPELOMS38801640751410HOSPITALDE501(c)(3)3NMHSYes (true)
NORTH MS MEDICAL CLINICS INC
830 S GLOSTER STREETTUPELOMS38801640787918MED CLINICSDE501(c)(3)3NMHSYes (true)
TUPELO SERVICE FINANCE INC
830 S GLOSTER STREETTUPELOMS38801640508308COLLECTIONSDE501(c)(3)3NMHSYes (true)
WEBSTER HEALTH SERVICES INC
830 S GLOSTER STREETTUPELOMS38801640819193HOSPITALDE501(c)(3)3NMHSYes (true)
MARION REGIONAL MEDICAL CENTER INC
830 S GLOSTER STREETTUPELOMS38801640926753HOSPITALDE501(c)(3)3NMHSYes (true)
NORTH MS EMERGENCY SERVICES INC
830 S GLOSTER STREETTUPELOMS38801640780130ER PHYSICIANSDE501(c)(3)10NMHSYes (true)
MONROE HEALTH SERVICES
830 SOUTH GLOSTER STREETTUPELOMS38801320583236HOSPITALDE501(c)(3)3NMHSYes (true)
HEALTH CARE FOUNDATION OF NORTH MS
830 SOUTH GLOSTER STREETTUPELOMS38801640914704FUNDRAISINGDE501(c)(3)7NMHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MEDICAL IMAGING LLC
830 SOUTH GLOSTER STTUPELOMS38801770647210MEDICAL IMAGINGMSNMJVRelated$72,034$2,671,262falsefalse0.7209
CNTR FOR DIGESTIVE HEALTH LLC
589 GARFIELD STTUPELOMS38801201606438DIGESTIVE CAREMSNMJVRelated$1,947,679$778,995falsefalse0.5100

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
NORTH MS HEALTHLINK INC
830 S GLOSTER STREETTUPELOMS38801640715886MEDICAL SERVICESDENMHSC Corporation$0$01.0000Yes (true)
NORTH MS ENTERPRISES INC
830 S GLOSTER STREETTUPELOMS38801640658059MEDICAL SERVICESDENMHSC Corporation$12,500,042$2,913,5591.0000Yes (true)
PROFESSIONAL PRACTICE MANAGEMENT INC
830 S GLOSTER STREETTUPELOMS38801721390014MED SERV MGMTDECLINICSC Corporation0.00Yes (true)
ACCLAIM INC
830 S GLOSTER STREETTUPELOMS38801721356116HLTH CARE CLAIMSDEHEALTHLINKC CorporationYes (true)
NORTH MS SUPPORT SERVICES INC
830 S GLOSTER STREETTUPELOMS38801260718275SUPPORT SERVICESDENMHSC Corporation$0$01.0000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (34 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL IMAGING LLC
A$242,365SEE PART VII
NORTH MISSISSIPPI MEDICAL CENTER INC
E$29,950,000SEE PART VII
CLAY COUNTY MEDICAL CORPORATION
J$291,594SEE PART VII
NORTH MISSISSIPPI MEDICAL CLINICS INC
J$77,409SEE PART VII
NORTH MISSISSIPPI MEDICAL CENTER INC
K$565,068SEE PART VII
NORTH MISSISSIPPI MEDICAL CENTER INC
L$3,900,730SEE PART VII
CLAY COUNTY MEDICAL CORPORATION
L$476,026SEE PART VII
TISHOMINGO HEALTH SERVICES INC
L$152,091SEE PART VII
WEBSTER HEALTH SERVICES INC
L$151,861SEE PART VII
MARION REGIONAL MEDICAL CENTER INC
L$138,550SEE PART VII
MONROE HEALTH SERVICES INC
L$490,132SEE PART VII
NORTH MISSISSIPPI MEDICAL CLINICS INC
L$183,002SEE PART VII
NORTH MISSISSIPPI MEDICAL CENTER INC
O$5,753,379SEE PART VII
MONROE HEALTH SERVICES INC
O$99,500SEE PART VII
NORTH MISSISSIPPI ENTERPRISES INC
O$10,152,877SEE PART VII
NORTH MISSISSIPPI MEDICAL CENTER INC
P$7,088,234SEE PART VII
NORTH MISSISSIPPI MEDICAL CENTER INC
Q$3,266,738SEE PART VII
CLAY COUNTY MEDICAL CORPORATION
Q$359,613SEE PART VII
TISHOMINGO HEALTH SERVICES INC
Q$312,638SEE PART VII
PONTOTOC HEALTH SERVICES INC
Q$511,962SEE PART VII
WEBSTER HEALTH SERVICES INC
Q$389,415SEE PART VII
MARION REGIONAL MEDICAL CENTER INC
Q$350,795SEE PART VII
MONROE HEALTH SERVICES INC
Q$444,852SEE PART VII
NORTH MISSISSIPPI MEDICAL CLINICS INC
Q$1,330,738SEE PART VII
NORTH MISSISSIPPI MEDICAL CENTER INC
R$22,527,098SEE PART VII
NORTH MISSISSIPPI MEDICAL CENTER INC
S$730,880SEE PART VII
CLAY COUNTY MEDICAL CORPORATION
S$1,025,936SEE PART VII
TISHOMINGO HEALTH SERVICES INC
S$740,894SEE PART VII
PONTOTOC HEALTH SERVICES INC
S$1,192,833SEE PART VII
WEBSTER HEALTH SERVICES INC
S$935,200SEE PART VII
MARION REGIONAL MEDICAL CENTER INC
S$837,658SEE PART VII
MONROE HEALTH SERVICES INC
S$1,123,713SEE PART VII
NORTH MISSISSIPPI MEDICAL CLINICS INC
S$2,859,337SEE PART VII
NORTH MISSISSIPPI ENTERPRISES INC
S$84,111SEE PART VII

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2(d)FormAndLineReferenceDesc
ExplanationMethod 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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