NORTH MISSISSIPPI EMERGENCY SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTH MISSISSIPPI EMERGENCY SERVICES INC (EIN 64-0780130)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201332269349303778
Schema version
2011v1.5
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)
Timestamp2013-08-14T16:32:34-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 E Capitol Street Ste 500AddressLine1
CityJacksonCity
StateMSState
ZIP Code392012190ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN640780130EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1North Mississippi Emergency ServicesBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOE REPPERTInCareOfName
Name ControlNORTNameControl
Phone6623773977Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOE REPPERTName
TitleTreasurerTitle
Date Signed2013-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePenny Wood CPAName
Phone6019486700Phone
Date Prepared2013-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoe ReppertNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4119582GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionNorth Mississippi Emergency Services provides contract emergency room physician services to hospitals and operates an air ambulance service.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3923672ProgramServiceRevenuePriorYear
Program Service Revenue CY4109410ProgramServiceRevenueCY
Investment Income Prior Year354InvestmentIncomePriorYear
Investment Income Current Year10172InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3924026TotalRevenuePriorYear
Total Revenue Current Year4119582TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year727427SalariesEtcPriorYear
Salaries Etc Current Year731450SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3154085OtherExpensePriorYear
Other Expenses Current Year3167674OtherExpensesCurrentYear
Total Expenses Prior Year3881512TotalExpensesPriorYear
Total Expenses Current Year3899124TotalExpensesCurrentYear
Revenues Less Expenses Prior Year42514RevenuesLessExpensesPriorYear
Revenues Less Expenses CY220458RevenuesLessExpensesCY
Total Assets BOY626069TotalAssetsBOY
Total Assets EOY852768TotalAssetsEOY
Total Liabilities BOY195603TotalLiabilitiesBOY
Total Liabilities EOY201844TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY430466NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY650924NetAssetsOrFundBalancesEOY
Mission DescriptionNORTH MISSISSIPPI EMERGENCY SERVICES (NMES) PROVIDES CONTRACT EMERGENCY ROOM PHYSICIAN SERVICES TO HOSPITALS IN NORTH MISSISSIPPI AND OPERATES AN AIR AMBULANCE SERVICE THAT SERVES NORTH MISSISSIPPI. NMES 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. NMES 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1230907Expense
Revenue3956372Revenue
DescriptionNorth Mississippi Emergency Services (NMES) operates an air ambulance service that serves north Mississippi. The helicopter service operates under the name CareFlight with the helicopter leased from Air Methods, the largest medical aviation provider in America. Air Methods also provides NMMC with pilots who have many years of flight experience and thousands of hours of flight time, and an experienced, full time aircraft mechanic who is responsible for the maintenance and upkeep of the aircraft. Based at Tupelo Regional Airport, Careflight has logged thousands of flights to various destinations in Mississippi, Alabama, Tennessee, Louisiana, and Arkansas. CareFlight, regulated by the Mississippi State Department of Health's Emergency Medical Services Division, is licensed as a critical care transport service, the highest level of care obtainable in the United States for EMS. When requested, the flight crew provides critical care treatment to patients at any scene or referring facility within a 150-mile radius at their time of need. The helicopter cruises at 120 miles per hour.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2558617Expense
Revenue153038Revenue
DescriptionEmergency room physician coverage expensesDescription
FieldValueIRS element (for citing)
Total Program Service Expense3789524TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOE REPPERTNamePerson
Telephone Number6623773977TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1830 SOUTH GLOSTER STREETAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
John Heer
President1.0X09910979719
Bruce Toppin
Secretary1.0X02751358519
Joe Reppert
Treasurer1.0X04842678524
Gerald Wages
Former Treasurer0.004006338284X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2151132TotalReportableCompFrmRltdOrgs
Total Other Compensation35046TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonComplete Billing SolutionsNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 676592AddressLine1
CityDALLASCity
StateTXState
ZIP Code752676592ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesBilling ServicesDescriptionOfServices
Compensation100367Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Flight Revenue90009939563723956372
ER Physician Fees900099153038153038
FieldValueIRS element (for citing)
Total Program Service Revenue4109410TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column172TotalRevenueColumn
Exclusion$172ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other10000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other10000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10000TotalRevenueColumn
Exclusion$10,000ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4119582TotalRevenueColumn
Related Or Exempt Function Income4109410RelatedOrExemptFunctionIncome
Exclusion$10,172ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total562654Total
Program Services562654ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total125814Total
Program Services125814ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total42982Total
Program Services42982ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total50525Total
Management And General50525ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5575Total
Management And General5575ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total224905Total
Program Services224905ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total109024Total
Program Services109024ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18929Total
Program Services18929ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1262Total
Program Services1262ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1130Total
Program Services1130ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17445Total
Program Services17445ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total53500Total
Management And General53500ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Bad Debt Expense13916181391618
HELICOPTER EXPENSE12309071230907
MEDICAL SUPPLIES2425324253
COLLECTION FEES2072320723

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total17878Total
Program Services17878ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3899124Total
Program Services3789524ProgramServices
Management And General109600ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY272269BOY
EOY491186EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY308622BOY
EOY328409EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5044BOY
EOY10484EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis166763LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec144074LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40134BOY
EOY22689EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY626069BOY
EOY852768EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY133902BOY
EOY144267EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY61701BOY
EOY57577EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY195603BOY
EOY201844EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY430466BOY
EOY650924EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY430466BOY
EOY650924EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY626069BOY
EOY852768EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses220458ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3682707CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4055291CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4344253CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3923672CurrentTaxYearMinus1Year
Current Tax Year4109410CurrentTaxYear
Total20115333Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3682707CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4055291CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4344253CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3923672CurrentTaxYearMinus1Year
Current Tax Year4109410CurrentTaxYear
Total20115333Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years212504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years230517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years149553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year170879CurrentTaxYearMinus1Year
Current Tax Year70646CurrentTaxYear
Total834099Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years212504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years230517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years149553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year170879CurrentTaxYearMinus1Year
Current Tax Year70646CurrentTaxYear
Total834099Total
FieldValueIRS element (for citing)
Public Support Total50919281234PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1217CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years985CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1222CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year354CurrentTaxYearMinus1Year
Current Tax Year172CurrentTaxYear
Total3950Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1217CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years985CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1222CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year354CurrentTaxYearMinus1Year
Current Tax Year172CurrentTaxYear
Total3950Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year10000CurrentTaxYear
Total10000Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3683924CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4056276CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4345475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3924026CurrentTaxYearMinus1Year
Current Tax Year4119582CurrentTaxYear
Total20129283Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95787PublicSupportPercentage509
Prior Year Support Percentage0.94222PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00022PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis166763OtherCostOrOtherBasis
Depreciation144074Depreciation
Book Value22689BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings22689TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to AffiliatesDescription
Amount$57,577Amount
FieldValueIRS element (for citing)
Total Of Amounts57577TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X, Line 2:Identifier
ExplanationThe System applies Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 740 for Income Taxes ("Topic 740"), which clarifies the accounting for uncertainty in income tax positions and provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There has been no impact on the entity's financial statements as a result of topic 740.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
John Heer
07039410192401094755049000481901000816
Bruce Toppin
02301630382980667404900036190283654
Joe Reppert
039319407389501717804900036240492791
Gerald Wages
026434406610507018404900033840408917

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPart I, Line 4b:Identifier
ExplanationParticipants: Gerald Wages $57,158 John Heer $78,392 Joe Reppert $16,368 Terms & Conditions: North Mississippi Health Services, Inc. (NMHS) Adopted the management deferred annuity plan (the Plan) on October 1, 1998. Participants in the plan are designated by the compensation committee of the board of directors of NMHS. At the beginning of each plan year, NMHS shall pay a contribution, less witholding for taxes, to the participant's annuity contract, which is a deferred annuity contract selected, owned, and controlled by the participant. The contribution is determined by multiplying the participant's compensation in the preceding plan year by a percentage set forth in appendix b of the plan. A participant is terminated from the plan on the earliest of: (1) the date the board determines the employee is no longer a participant; (2) the date the participant retires; (3) the date that the participant dies; or (4) the date the participant no longer is employed by NMHS for reasons other than retirement or death.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Page 6, Part VI, Section A, Line 6:North Mississippi Emergency Services 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., which is made up of past Chairmen, nominate candidates for the Board. These candidates are then approved by the Board of North Mississippi Health Services, Inc.
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 returns 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 return, the Accounting Supervisor and the Director of Accounting review the return. The Supervisor does a detailed review by checking the return for the same items that the accountant checked for. The Director then does a higher level review, reading the return for reasonableness and comparing prior year amounts to current year amounts. Finally, the Vice President of Finance reviews the return for reasonableness. The returns are then sent to the Executive Vice President/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 15 a&b:An independent compensation consulting firm, The Hay Group, is used to help establish the compensation of the CEO, Executive Director, other officers, and key employees. The firm presents their independent analysis, which contains comparability data, to the Compensation Committee of North Mississippi Health Services, Inc. In addition to this, the VP of Human Resources obtains another independent analysis from another compensation consulting firm in order to verify the information provided by The Hay Group. The compensation of the individuals are then approved by the Compensation Committee. 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.
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:John Heer TITLE:President HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Bruce Toppin TITLE:Secretary HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Joe Reppert TITLE:Treasurer HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Gerald Wages TITLE:Former Treasurer HOURS:40FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
North MS Management Services Inc
830 S Gloster StreetTupeloMS38801640762694Mgmt & AdminDE501(c)(3)11-INAfalse
North MS Health Services Inc
830 S Gloster StreetTupeloMS38801640653269Mgmt ServicesDE501(c)(3)11-IINAfalse
Clay County Medical Corporation
830 S Gloster StreetTupeloMS38801640668465HospitalDE501(c)(3)3NAfalse
Tishomingo Health Services Inc
830 S Gloster StreetTupeloMS38801640741047HospitalDE501(c)(3)3NAfalse
Pontotoc Health Services Inc
830 S Gloster StreetTupeloMS38801640751410HospitalDE501(c)(3)3NAfalse
North MS Medical Clinics Inc
830 S Gloster StreetTupeloMS38801640787918Med ClinicsDE501(c)(3)3NAfalse
Tupelo Service Finance Inc
844 Cliff Gookin BlvdTupeloMS38801640508308CollectionsDE501(c)(3)3NAfalse
Webster Health Services Inc
830 S Gloster StreetTupeloMS38801640819193HospitalDE501(c)(3)3NAfalse
Marion Regional Medical Center Inc
830 S Gloster StreetTupeloMS38801640926753HospitalDE501(c)(3)3NAfalse
North MS Medical Center Inc
830 S Gloster StreetTupeloMS38801640662976HospitalDE501(c)(3)3NAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
North MS Health Link Inc
830 S Gloster StreetTupeloMS38801640715886Medical ServicesDENAC Corp
North MS Enterprises Inc
830 S Gloster StreetTupeloMS38801640658059Medical ServicesDENAC Corp
Professional Practice Management Inc
830 S Gloster StreetTupeloMS38801721390014Med Serv MgmtDENAC Corp
Acclaim Inc
830 S Gloster StreetTupeloMS38801721356116Hlth Care ClaimsDENAC Corp
North MS Support Services Inc
830 S Gloster StreetTupeloMS38801260718275Support ServicesDENAC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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