2024-11-14T16:50:20-06:00 2023-12-31 640809101 HARPER RAINS KNIGHT & COMPANY PA 1052 HIGHLAND COLONY PKWY STE 100 RIDGELAND MS 39157 990 2023-01-01 640770155 INDEPENDENT HEALTHCARE MANAGEMENT INDE 6018496440 PO BOX 1460 MAGEE MS 39111 SYDNEY SAWYER CHIEF EXEC OFFICER 6018496440 2024-11-12 1 0 BILL FELDER CPA P00745144 6016050722 2024-11-11 2023 2024-10-15 13:58:12Z LACKEY MEMORIAL HOSPITAL SYDNEY SAWYER 5476 BLOSSOM HILL MORTON MS 39117 52942836 0 X WWW.LACKEYMEMORIALHOSPITAL.COM X 1989 MS INDEPENDENT HEALTHCARE MANAGEMENT OPERATES A HOSPITAL AND SEVERAL AFFILIATED MEDICAL CLINICS IN FOREST, MISSISSIPPI AND SCOTT COUNTY, MISSISSIPPI. 5 5 397 0 0 0 3392585 10360553 37355051 37181172 13443 143847 8534101 5257264 49295180 52942836 0 0 0 0 17426200 19644425 0 0 0 28009225 29411136 45435425 49055561 3859755 3887275 38587171 35628730 27455917 20610201 11131254 15018529 X INDEPENDENT HEALTHCARE MANAGEMENT OPERATES A HOSPITAL AND SEVERAL AFFILIATED MEDICAL CLINICS IN FOREST, MISSISSIPPI AND SCOTT COUNTY, MISSISSIPPI. 0 0 39469103 52798989 COMMUNITY HOSPITAL PROVIDING MEDICAL CARE. COMMUNITY HOSPITAL PROVIDING MEDICAL CARE 39469103 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 82 0 1 397 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BUFORD YATES 6018496440 301 8TH AVENUE MAGEE MS 39111 DR JOHN PAUL LEE CHAIRMAN 40.00 X 9000 0 0 JOSEPH S JOSH MCNULTY IV SECRETARY 1.00 1.00 X X 9000 0 0 JAMES JOHNSTON DIRECTOR 1.00 X 9000 0 0 DR GREG ODEN DIRECTOR 1.00 X 9000 0 0 SCOTT PALMER DIRECTOR 1.00 X 9000 0 0 SYDNEY SAWYER DIRECTOR 1.00 X 9000 0 0 DANIEL WALKER PHYSICIAN 40.00 X 324132 0 17092 JOHN COLEMAN PHYSICIAN 40.00 X 299097 0 16431 FRANK WADE PHYSICIAN 40.00 X 285833 0 5976 DON GIBSON PHYSICIAN 40.00 X 276065 0 8402 MANDY MUNN PHYSICIAN 40.00 X 258143 0 20737 1497270 0 68638 5 0 1 0 BENTLEY MEDICAL PLC 124 GARRISON WAY FLOWOOD MS 39232 PHYSICIAN 627325 ALLIANCE HEALTHCARE SERVICES PO BOX 735714 DALLAS TX 75373 PHYSICIAN 443700 NORTEK MEDICAL STAFFING INC 2313 TIMBER SHADOWS KINGWOOD TX 77339 PHYSICIAN 317642 DARSEY SERVICES GROUP OF MS 112 MEADOWLARK LANE RIDGELAND MS 39157 PHYSICIAN 285068 MISSISSIPPI ANESTHESIA GROUP 145 SANCTUARY LANE CANTON MS 39046 ANESTHESIA 155496 5 10360553 10360553 PATIENT SERVICES 621300 37181172 37181172 37181172 143847 143847 OTHER MISC REVENUE 900099 4960181 4960181 EARNINGS IN SUBSIDIARIES 900099 297083 297083 5257264 52942836 42438436 0 143847 X 19644425 17688539 1955886 10379489 8196910 2182579 245566 191206 54360 72693 53078 19615 1304715 1304715 415292 311469 103823 626937 30446 596491 BAD DEBT EXPENSE 7800251 7800251 SUPPLIES 5232969 3499269 1733700 UTILITIES AND MAINTENAN 1138158 893753 244405 DONATIONS IN SUB 919199 919199 1275867 804182 471685 49055561 39469103 9586458 0 8300431 6763725 4768998 4992204 14613990 14484721 165133 189659 118367 89020 10239803 4944125 2671948 5295678 2129403 2426441 1165870 560312 4653031 826970 38587171 35628730 1872719 2471547 15617188 11905105 9966010 6233549 27455917 20610201 X 0 0 0 0 11131254 15018529 11131254 15018529 38587171 35628730 3887275 0 X 0 1 X 0 0 X 70000 70000 4832266 1104907 3727359 5228418 3730099 1498319 109110 109110 0 5295678 INVESTMENTS 2426441 C 2426441 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3642001 UNEARNED GRANT RECEIPTS - COVID RELIEF FUNDS 2328417 CURRENT FINANCING LEASE LIABILITIES 25359 CURRENT OPERATING LEASE LIABILITIES 237772 6233549 X 52942836 0 52942836 0 52942836 49055561 0 49055561 0 49055561 PART X, LINE 2: THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED RELATED TO THE CURRENT YEAR AND THE HOSPITAL AND THE SUBSIDIARY HAVE NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2023 AND 2022 FOR WHICH LIABILITIES HAVE BEEN ESTABLISHED. THE HOSPITAL RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS AS A COMPONENT OF INCOME TAX EXPENSE. PART XI, LINE 4B - OTHER ADJUSTMENTS: PPP LOAN FORGIVENESS 1 1 1 X 1 X 1 1 0 0 237000 237000 0.00570 237000 237000 0.00570 237000 237000 0.00570 1 7800251 1560050 29974479 15521144 14453335 0 2 INDEPENDENT HEALTHCARE MANAGEMENT II LLC MANAGEMENT COMPANY 1.00000 0.00000 0.00000 1 1 INDEPENDENT HEALTHCARE MANAGEMENT DBA LACKEY MEMORIAL HOSPIT 330 BROAD STREET FOREST MS 39074 X X X INDEPENDENT HEALTHCARE MANAGEMENT 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X HTTP://WWW.LACKEYMEMORIALHOSPITAL.COM X 1 17 1 HTTP://WWW.LACKEYMEMORIALHOSPITAL.COM 0 1 X 200.000000000000 200.000000000000 X X X X X X 1 1 X X X 1 X HTTP://WWW.LACKEYMEMORIALHOSPITAL.COM X HTTP://WWW.LACKEYMEMORIALHOSPITAL.COM X HTTP://WWW.LACKEYMEMORIALHOSPITAL.COM X X X X X X X 1 X 0 X X X 1 X 0 0 INDEPENDENT HEALTHCARE MANAGEMENT PART V, SECTION B, LINE 3J: LACKEY MEMORIAL HOSPITAL IS LOCATED IN THE TOWN OF FOREST IN SCOTT COUNTY, MS. THE TOWN OF MORTON IN WEST SCOTT COUNTY IS ALSO HOME TO A HOSPITAL (SCOTT REGIONAL). ALTHOUGH THE SERVICE AREAS OF EACH HOSPITAL OVERLAP, THE PRIMARY PATIENT MIX FOR EACH FACILITY IS TYPICALLY DRAWN FROM SCOTT COUNTY. PER THE MOST RECENT CHNA CONDUCTED IN 2020, THE SIGNIFICANT HEALTH NEEDS OF THIS COMMUNITY ARE OBESITY, DIABETES AND HYPERTENSION, DRUG USE AND ABUSE, TEEN PREGNANCY, POOR HEALTH EDUCATION, POOR CHRONIC DISEASE MANAGEMENT, LACK OF SUPPORT FOR SOME SENIOR CITIZENS, AND MENTAL HEALTH NEEDS OF CHILDREN AND ELDERLY. INDEPENDENT HEALTHCARE MANAGEMENT PART V, SECTION B, LINE 5: A CHNA IS CONDUCTED EVERY THREE CALENDAR YEARS. THE MOST RECENT ASSESSMENT, CONDUCTED IN 2020, EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING POPULATION HEALTH DATA PAIRED WITH INTERVIEW AND SURVEY DATA FROM THE COMMUNITY. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS REPRESENTING VARIOUS ORGANIZATIONS - EACH PLAYING AN IMPORTANT ROLE IN THE COMMUNITY. THESE INFORMANTS ARE WELL AWARE OF HEALTHCARE ISSUES FACING THOSE THEY SERVE. A FOCUS GROUP WAS CONDUCTED. FOCUS GROUP PARTICIPANTS WERE RECRUITED BY DIRECT INVITATION BASED ON THEIR INDIVIDUAL WORK WITH THE UNDERSERVED POPULATION,INCLUDED THE ELDERLY, LOW INCOME, MINORITY, AND THE VERY YOUNG.KEY INFORMANTS, POSITION AND AFFILIATIONMATT ALFORD, REAL ESTATE BROKER/APPRAISER - CITY ALDERMAN, VOLUNTEER - CITY OF FOREST, CHAMBER OF COMMERCEMOHAMMAD SOHAIB ARAIN, M.D., PEDIATRICIAN - LACKEY PEDIATRIC CLINICNANCY CHAMBERS, MAYOR - CITY OF FORREST, MSROBERT H. CURRY, M.D. REGIONAL HEALTH OFFICER, CENTRAL REGION - MISSISSIPPI DEPT. OF HEALTHLORRIE CLARK, NURSE MANAGER - CENTER OF HOPE: A PREGNANCY RESOURCE CENTERMARK GADDIS, PRESIDENT, KING LUMBER CO. - KING LUMBER COMPANY, LIONS CLUB, CHAMBER OF COMMERCEGAYLE HARREL, D.O., PHYSICIAN, CHIEF OF STAFF - COMMUNITY HEALTH CLINICMIKE LEE, SHERIFF - SCOTT COUNTY SHERIFF'S DEPT.DIANNE MCLAURIN, LIBRARIAN - FOREST PUBLIC LIBRARY, HEALTHY HOMETOWN COMMITTEE, CHAMBER OF COMMERCE, FOREST COMMUNITY ARTSSTACEY MITCHELL, OUTREACH - CENTER OF HOPE: A PREGNANCY RESOURCE CENTERANDREA HARRISON, R.N., NURSING HOME ADMISSIONS COORDINATOR, CLINIC NURSE - LACKEY CONVALESCENT HOMEKIM SHOEMAKER, PRINCIPAL - FOREST HIGH SCHOOLDAWN SIBLEY, COMMUNITY RELATIONS DIRECTOR - SOUTHERN CARE HOSPICEFOCUS GROUP PARTICIPANTS, POSITION AND AREA OF SPECIAL KNOWLEDGECASEY QUICKS, LACKEY MEMORIAL HOSPITAL - DIRECTOR OF PHARMACY; MEDICATION MANAGEMENT, COMPLIANCE, ETC.JOANNE R. JONES, BANKER - KNOWLEDGE OF COMMUNITY, CULTURAL DIVERSITY (FAMILY EMIGRATED FROM THE PHILIPPINES)KATIE PHILLIPS, APEX PHYSICAL THERAPY - PHYSICAL THERAPY DIRECTORSHELDON THOMAS, LITTLE ROCK MISSIONARY BAPTIST CHURCH, CITY OF FOREST - PASTOR OF PRIMARILY AFRICAN AMERICAN CHURCH, SUPERVISOR FOR THE CITYHUGO VILLEGAS, EL BUEN BAPTIST CHURCH - PASTOR, CONGREGATION PRIMARILY HISPANICTERE GOMEZ-VILLEGAS, EL BUEN BAPTIST CHURCH AND VARIOUS ORGANIZATIONS - MOTHER OF TWO, COMMUNITY VOLUNTEER, FREQUENT TRANSLATOR FOR HISPANIC POPULATIONGINBER WIMBERLY, RN, LACKEY MEMORIAL HOSPITAL - DIRECTOR OF CARE COORDINATION, CHRONIC DISEASE MANAGEMENT, ESPECIALLY SENIOR CARE. INDEPENDENT HEALTHCARE MANAGEMENT PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY DEVELOPED BY LACKEY MEMORIAL HOSPITAL WILL REFLECT THE HOSPITAL'S CAPACITY AND RESOURCES AVAILABLE TO ADDRESS COMMUNITY HEALTH PROBLEMS. PARTNERSHIPS WITH OTHER ORGANIZATIONS WILL BE NECESSARY TO EFFECT THE GREATEST CHANGE DUE TO THE SUBSTANTIAL TIME AND RESOURCES NECESSARY TO FULLY ADDRESS THOSE NEEDS. INDEPENDENT HEALTHCARE MANAGEMENT PART V, SECTION B, LINE 13H: CONSUMER CREDIT REPORT INDEPENDENT HEALTHCARE MANAGEMENT PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON THE HOSPITAL FACILITY'S WEBSITE AT HTTPS://WWW.LACKEYMEMORIALHOSPITAL.COM/BILLING-INFORMATION/THE FAP APPLICAITON FORM IS LOCATED AT THE FOLLOWING URL:HTTPS://WWW.LACKEYMEMORIALHOSPITAL.COM/WP-CONTENT/UPLOADS/2018/07/LACKEY-FINANCIAL-ASSISTANCE-POLICY.PDFA CHNA AUDIT WAS CONDUCTED BY THE INTERNAL REVENUE SERVICE AND DISCOVERED THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION, A PLAIN LANGUAGE SUMMARY AND SPANISH VERSION OF THE FORMS WERE NOT INCLUDED ON THE HOSPITAL FACILITY'S WEBSITE. AS OF NOVEMBER 14, 2018, THE HOSPITAL FACILITY'S WEBSITE INCLUDES THE REQUIRED POLICY AND APPLICATION AS WELL AS A PLAIN LANGUAGE SUMMARY. ALL ARE AVAILABLE IN SPANISH AS WELL. 11 1 - COMMUNITY HEALTH CLINIC 505 AIRPORT ROAD FOREST MS 39074 MEDICAL CLINIC 2 - MAIN STREET MEDICAL CLINIC MORTON 347 SOUTH FOURTH STREET MORTON MS 39117 MEDICAL CLINIC 3 - NEWTON FAMILY AND PEDIATRIC CLINIC 9427 EASTSIDE DRIVE EXT STE A NEWTON MS 39345 MEDICAL CLINIC 4 - FOREST FAMILY PRACTICE 1 MEDICAL LANE STE B FOREST MS 39074 MEDICAL CLINIC 5 - LACKEY PEDIATRIC CLINIC 1129 HIGHWAY 35 SOUTH STE 1 FOREST MS 39074 SPECIALTY CLINIC 6 - FOREST SLEEP CLINIC 526 DEERFIELD DRIVE STE A FOREST MS 39074 SPECIALTY CLINIC 7 - OUTPATIENT BEHAVIORAL HEALTH OF FOREST 1084-A HIGHWAY 35 SOUTH FOREST MS 39074 SPECIALTY CLINIC 8 - OUTPATIENT BEHAVIORAL HEALTH OF CARTHAGE 105 NORTH VAN BUREN ST CARTHAGE MS 39051 SPECIALTY CLINIC 9 - OUTPATIENT BEHAVIORAL HEALTH OF PHILADEL 220 EAST HOSPITAL ROAD PHILADELPHIA MS 39350 SPECIALTY CLINIC 10 - 149 PEDIATRIC AND FAMILY 376 SIMPSON HWY 149 SUITE 600 MAGEE MS 39111 MEDICAL CLINIC 11 - FOREST ORTHOPEDICS & PAIN MANAGEMENT 516 AIRPORT ROAD FOREST MS 39074 MEDICAL CLINIC PART I, LINE 3C: OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUTNS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE HOSPITAL IMPLEMENTED A POLICY EFFECTIVE NOVEMBER 2008 TO MAINTAIN RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,800,251. PART III, LINE 2: MANAGEMENT PROVIDES FOR AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BY USING HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND CONSIDERING SPECIFIC OLD OUTSTANDING BALANCES. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERY OF PATIENT ACCOUNTS RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED WHEN RECEIVED. PART III, LINE 3: THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. PART II - COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING ACTIVITIES - INDEPENDENT HEALTHCARE MANAGEMENT OPERATES LACKEY MEMORIAL HOSPITAL, MISSISSIPPI'S FIRST CRITICAL ACCESS HOSPITAL IN FOREST, MISSISSIPPI. THE ORGANIZATION OPERATES THE HOSPITAL, HEALTH CLINICS, INPATIENT GERIOPSYCH UNIT, AND A SLEEP LAB. PART III, LINE 9B: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE UNPAID AMOUNT OF PATIENT SERVICE REVENUE CHARGED TO THE PATIENTS NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS RELATED TO AGREEMENTS WITH THIRD PARTY PAYORS AND ALLOWANCES FOR DOUBTFUL ACCOUNTS. PART VI, LINE 2 - NEEDS ASSESSMENT NEEDS ASSESSMENT - THE ORGANIZATION ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH DEMOGRAPHIC AND SOCIOECONOMIC STATISTICS, GENERAL HEALTH TRENDS, RESOURCE AVAILABILITY AND ACCESS, AND COMMUNITY INPUT ALL WITHIN THE PARAMETERS OF THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENT EDUCATION - A FINANCIAL ASSISTANCE DOCUMENT IS PROVIDED TO PATIENTS UPON CHECK IN AND IS AVAILABLE ON THE HOSPITAL WEBSITE. IT EXPLAINS THE FINANCIAL ASSISTANCE PROCESS, THE FINANCIAL ASSISTANCE APPLICATION FORM, AND PROVIDES A LIST OF DOCUMENTS REQUIRED TO BE SUBMITTED IN CONJUNCTION WITH THE APPLICATION FORM. PART VI, LINE 4 - COMMUNITY INFORMATION COMMUNITY INFORMATION - FOREST IS A CITY IN SCOTT COUNTY, MISSISSIPPI, UNITED STATES. IT IS THE COUNTY SEAT OF SCOTT COUNTY. PER THE UNITED STATES CENSUS BUREAU, THE ESTIMATED POPULATION AS OF JULY 1, 2017 WAS 5,655 IN FOREST AND 28,420 IN SCOTT COUNTY. IN THE CITY OF FOREST, THERE WERE AN ESTIMATED 2,105 HOUSEHOLDS AND 9,848 HOUSEHOLDS IN SCOTT COUNTY. THE ESTIMATED RACIAL MAKEUP OF THE CITY WAS 43.0% WHITE, 44.5% AFRICAN AMERICAN, 4.8% ASIAN, AND 21.6% HISPANIC OR LATINO OF ANY RACE. THE RACIAL MAKEUP OF SCOTT COUNTY WAS 58.3% WHITE, 38.6% AFRICAN AMERICAN, 0.7% NATIVE AMERICAN, 0.5% ASIAN, 0.5% PACIFIC ISLANDER, 1.4% TWO OR MORE RACES AND 11.0% HISPANIC OR LATINO OF ANY RACE. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH OTHER COMMUNITY - THE ORGANIZATION IS COMMITTED TO PROVIDING CRITICAL SERVICES TO RURAL COMMUNITIES. 0 0 0 0 0 0 0 0 0 DANIEL WALKER PHYSICIAN 113074 0 211058 0 0 0 7341 0 9751 0 341224 0 0 0 JOHN COLEMAN PHYSICIAN 201386 0 97711 0 0 0 0 0 16431 0 315528 0 0 0 FRANK WADE PHYSICIAN 217621 0 68212 0 0 0 0 0 5976 0 291809 0 0 0 DON GIBSON PHYSICIAN 207309 0 68756 0 0 0 2375 0 6027 0 284467 0 0 0 MANDY MUNN PHYSICIAN 103005 0 155138 0 0 0 5650 0 15087 0 278880 0 0 0 INDEPENDENT HEALTHCARE MANAGEMENT II LLC WHOLLY OWNED SUBSIDIARY MANAGEMENT SERVICES 0 FORM 990, PART VI, SECTION A, LINE 3 INDEPENDENT HEALTHCARE MANAGEMENT II, A "FOR PROFIT" CORPORATION OWNED 100% BY INDEPENDENT HEALTHCARE MANAGEMENT, PERFORMED MANAGEMENT DUTIES. MANAGEMENT FEES ARE CHARGED BY INDEPENDENT HEALTHCARE MANAGEMENT II AND PAID BY INDEPENDENT HEALTHCARE MANAGEMENT AT REASONABLE AND FAIR RATES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND SCHEDULES ARE REVIEWED BY THE ORGANIZATION'S CURRENT CHIEF FINANCIAL OFFICER, BUFORD YATES, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CHAIRMAN OF THE BOARD AND OUTSIDE CONSEL MONITOR AND ENFORCE COMPLIANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER (CEO) IS A POSITION PROVIDED FROM INDEPENDENT HEALTHCARE MANAGEMENT II THE CEO COMPENSATION IS PAID BY INDEPENDENT HEALTHCARE MANAGEMENT II COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION ARE REVIEWED AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 4,642,060. MANAGEMENT AND GENERAL EXPENSES 1,117,219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,759,279. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,308,517. MANAGEMENT AND GENERAL EXPENSES 1,065,360. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,373,877. INTERCOMPANY CONTRACT ALLOCATION: PROGRAM SERVICE EXPENSES 1,246,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,246,333. INDEPEDENDENT HEALTHCARE MANAGEMENT II LLC 301 8TH AVENUE MAGEE MS 39111 882901493 MANAGEMENT SERVICES MS C 1.00000 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INDEPENDENT HEALTHCARE MANAGEMENT II LLC D 995676 CASH TRANSFERS FOR EXPENDITURES