2025-08-19T12:33:09+00:00 2024-09-30 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2023-10-01 640741047 Tishomingo Health Services TISH 6623773978 830 SOUTH GLOSTER STREET TUPELO MS 38801 SHARON NOBLES CHIEF FINANCIAL OFFICER 6623773978 2025-08-19 true true Amber Sherrill P00748683 5013721040 2025-08-19 2023 2025-03-06 01:10:19Z SHARON NOBLES 830 SOUTH GLOSTER STREET TUPELO MS 38801 18949893 false X WWW.NMHS.NET/IUKA/ X 1986 DE TISHOMINGO HEALTH SERVICES, INC. OPERATES A 48 BED ACUTE CARE HOSPITAL LOCATED IN IUKA, MISSISSIPPI. 5 5 182 5 0 0 19000 885000 15920999 17305467 48208 44536 1001722 714890 16989929 18949893 0 0 0 0 11397418 11710359 0 0 0 7153244 7314106 18550662 19024465 -1560733 -74572 11091651 9685213 21410800 19584602 -10319149 -9899389 TISHOMINGO HEALTH SERVICES, INC. OPERATES A 48 BED ACUTE CARE HOSPITAL LOCATED IN IUKA, MISSISSIPPI CALLED NORTH MISSISSIPPI MEDICAL CENTER-IUKA (NMMC-IUKA). NMMC-IUKA 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. NMMC-IUKA WORKS TO ACHIEVE THIS CORPORATE MISSION TO IMPROVE THE HEALTH OF THE PEOPLE OF THIS REGION BY PROVIDING CONVENIENTLY ACCESSIBLE, COST-EFFECTIVE HEALTH CARE OF THE HIGHEST QUALITY. false false 17799074 0 17305467 SEE SCHEDULE O 17799074 true false false false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 22 0 true 182 true false false false false false false false false false false false false X 5 5 false false false false true true true true true false false false true true true true true true true false X KRISTY DUKE 6623773977 830 SOUTH GLOSTER STREET TUPELO MS 38801 JAMES TENNYSON CHAIRMAN 1.0 0.0 X X 0 0 0 ART GAINES DIRECTOR 1.0 0.0 X 0 0 0 HEATH CASTILE DIRECTOR 1.0 0.0 X 0 0 0 JENA MCNATT DIRECTOR 1.0 0.0 X 0 0 0 STEVE MCANALLY DIRECTOR 1.0 0.0 X 0 0 0 BRUCE TOPPIN SECRETARY 1.0 38.0 X 0 667572 14992 MICHAEL S SPEES PRESIDENT 0.5 39.5 X 0 2319522 27228 SHARON NOBLES TREASURER 1.0 38.0 X 0 1007522 29248 BARRY KEEL ADMINISTRATOR 40.0 20.0 X 0 372428 13834 BRADLEY MURRAY PHYSICIAN 40.0 0.0 X 285517 0 10323 LACY ESTES NURSE PRACTITIONER 40.0 0.0 X 151457 0 15338 NATHANIEL SPARKS PHYSICIAN 40.0 0.0 X 161196 63506 8458 THOMAS DRAPER PHYSICIAN 40.0 0.0 X 235903 0 26394 WALTER MAYFIELD PHYSICIAN 40.0 0.0 X 253381 0 22147 1087454 4430550 167962 9 false true false CORRECT CARE INC 229 SAINT JOHN LANE COVINGTON LA 70433 ER PROVIDER COVERAGE 888353 ORTHO-CLINICAL DIAGNOSTICS 1001 US-202 RARITAN NJ 08869 NURSING SERVICES 247724 ALLIANCE HEALTHCARE SERVICES PO BOX 96485 CHICAGO IL 606936485 NURSING SERVICES 233498 MORRISON HEALTHCARE 400 NORTHRIDGE ROAD SUITE 600 ATLANTA GA 30350 CAFETERIA PROVIDER 143167 4 885000 885000 NET PATIENT SERVICE REVENUE 622110 17192928 17192928 WELLNESS CENTER REVENUE 621111 107919 107919 RELATED RENTAL REVENUE 531120 4620 4620 0 0 0 0 17305467 5030 5030 0 0 39506 39506 0 39506 39506 EMPLOYEE DRUGS 446110 658417 658417 REBATE INCOME 900099 54444 54444 2029 0 0 2029 714890 18949893 17305467 0 759426 X 0 0 0 0 0 0 0 0 0 0 0 0 9024561 8107983 916578 587577 587577 1476035 1476035 622186 583278 38908 149956 149956 7176 7176 31040 31040 1936315 1936315 0 0 11212 11212 210952 210952 402603 402603 493471 493471 49159 49159 21686 21686 832724 832724 81733 81733 MEDICAL SUPPLIES 2699967 2699967 REPAIRS AND MAINTENANCE 120045 120045 COLLECTION FEES 107358 107358 TAXES AND LICENSES 59086 59086 99623 99623 0 0 19024465 17799074 1225391 0 1410 1310 526394 191394 772825 733121 0 0 422627 392739 15741 260 24802337 16817305 8616417 7985032 0 0 736237 381357 11091651 9685213 6012180 5526251 0 15398620 14058351 21410800 19584602 X -10389276 -9972319 70127 72930 -10319149 -9899389 11091651 9685213 X -74572 494332 X false true X true false X 588004 588004 12922661 7408560 5514101 171769 171769 10882229 9251724 1630505 237674 157021 80653 7985032 DUE TO RELATED PARTIES 14030412 LEASE LIABILITY 27939 14058351 18924564 0 0 18924564 25329 25329 18949893 18999136 0 0 18999136 25329 25329 19024465 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED ITS INCOME TAX POSITIONS UNDER GUIDANCE INCLUDED IN ASC 740. BASED ON ITS REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements PENSION COSTS - 25329 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PENSION COSTS - 25329 true true X true X true X true true true false true true 599696 599696 0.0315 1882748 2476168 0 0.0 0 0.0 0 0 2482444 2476168 599696 0.0315 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 2482444 2476168 599696 0.0315 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 5222022 7554038 -2332016 X true true 1 1 TISHOMINGO HEALTH SERVICES 1777 CURTIS DRIVE IUKA MS 38852 HTTP:/WWW.NMHS.NET/IUKA/ 13-221 X X X TISHOMINGO HEALTH SERVICES 1 false false true X X X X X X X X X 21 true true false true X https://www.nmhs.net/about-us/community-health-needs-asssessments X true 21 true https://www.nmhs.net/about-us/community-health-needs-asssessments false true X 150.0 200.0 X X X X X X true true X X X true X https://www.nmhs.net/patients-and-visitors/billing-and-insurance/financial-assistance X https://www.nmhs.net/patients-and-visitors/billing-and-insurance/financial-assistance X https://www.nmhs.net/patients-and-visitors/billing-and-insurance/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - TISHOMINGO HEALTH SERVICES, INC.. INPUT FROM THE COMMUNITY WAS RECEIVED VIA INFORMANT INTERVIEWS, STANDARDIZED ELECTRONIC SURVEYS FROM KEY ORGANIZATIONS/STAKEHOLDERS, HEALTHCARE ADVOCATES/LEADERS, AND INTERESTED COMMUNITY PARTNERS RESIDING IN THE SERVICE AREAS SERVED BY NORTH MISSISSIPPI MEDICAL CENTER-PONTOTOC AND THE HEALTH SYSTEM. ADDITIONAL INPUT WAS SOLICITED FROM COMMUNITY RESIDENTS WHO REPRESENT BROADLY DIVERSE INTERESTS OF THE SERVICE AREA RANGING FROM NONPROFIT COMMUNITY VOLUNTEERS TO RETIRED EDUCATORS, BANKERS, AND PRIVATE BUSINESS LEADERS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - TISHOMINGO HEALTH SERVICES, INC.. TISHOMINGO HEALTH SERVICES IS PART OF THE NORTH MISSISSIPPI HEALTH SERVICES' DIVERSIFIED REGIONAL HEALTHCARE SYSTEM. NORTH MISSISSIPPI HEALTH SERVICES OPERATES SIX COMMUNITY HOSPITALS IN ADDITION TO TISHOMINGO HEALTH SERVICES. THE CHNA INCLUDED TISHOMINGO HEALTH SERVICES, CLAY COUNTY MEDICAL CORPORATION, PONTOTOC HEALTH SERVICES, WEBSTER HEALTH SERVICES, NORTH MISSISSIPPI MEDICAL CENTER, MARION REGIONAL MEDICAL CENTER, AND MONROE HEALTH SERVICES. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - TISHOMINGO HEALTH SERVICES, INC.. THE NEEDS OF THE COMMUNITY GO BEYOND THE RESOURCES OF THE ORGANIZATION WITH THE NON-EXPANSION OF MEDICAID IN THE STATE AND THE REDUCTION IN MEDICAID PAYMENTS AS WELL AS A SIGNIFICANT INCREASE IN UNINSURED. THE ORGANIZATION FOCUSES ON PROVIDING ACCESS TO BASIC HEALTHCARE NEEDS INCLUDING: A. INCREASE ACCESS TO PREVENTIVE SERVICE - EXPAND VIRTUAL/TELEHALTH OFFERINGS - COLLABORATE TO EXPLORE TRANSPORTATION NEEDS - INITIATE INNOVATIVE LISTEN-TO-LEARN COMMUNITY SESSIONS - UTILIZE PARTNERS TO ASSIST THOSE WITH LIMITED OR NO INSURANCE - INCREASE AFFORDABLE AFTER-HOURS CARE - IMPROVE ACCESS TO SPECIALTY CARE B. INCREASE PHYSICAL ACTIVITY AND PROMOTE EXERCISE AS MEDICINE - PARTNER WITH LOCAL WELLNESS CENTERS & GYMS - DEVELOP PARTNERSHIPS WITH LOCAL PARKS/RECREATION FACILITIES - UTILIZE EXERCISE "PRESCRIPTIONS" - ORGANIZE WALKING CLUBS - PROMOTE CORPORATE WELLNESS PROGRAMS - IDENTIFY COMMUNITY RESOURCES, E.G. TRAILS, WALKINGS TRACKS, ETC. C. DEVELOP A NUTRITIONALLY AWARE COMMUNITY CULTURE - SCREEN FOR AND CREATE ACCESS TO NUTRITIOUS FOODS - DEVELOP CULTURALLY-APPROPRIATE EDUCATIONAL PROGRAMS - DEVELOP COMMUNITY COALITIONS TO PROVIDE FRESH FOOD/PROMOTE COMMUNITY GARDENS - TEACH FOOD PRESERVATION SKILLS - UTILIZE ESTABLISHED NETWORKS TO PROMOTE NUTRITION D. DEVELOP PARTNERSHIPS WITH PUBLIC ENTITIES - PUBLIC HEALTH -- STATE AND REGIONAL OFFICES - EDUCATIONAL INSTITUTIONS -- EARLY CHILDHOOD, PRIMARY, SECONDARY, AND POST-SECONDARY - GOVERNMENT -- STATE, REGIONAL, AND LOCAL Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - TISHOMINGO HEALTH SERVICES, INC.. THE FAP DOES NOT COVER CHARGES FOR PATIENTS OR TREATMENTS WITH THE FOLLOWING CONDTIONS: I. THE PATIENT HAS ANY THIRD-PARTY INSURANCE COVERAGE. A DISCRETIONARY EXCEPTION MAY BE MADE FOR INSURED PATIENTS IS THE PROVISOIN FOR THE MEDICALLY UNDER-INSURED II. THE PATIENTS PRIMARY RESIDENCE IS OUTSIDE THE SERVICE AREA III. THE PATIENT IS CURRENTLY IN CUSTODY OF A CORRECTIONAL FACILITY IV. THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ANOTHER CITY, COUNTY, STATE, FEDERAL OR OTHER ASSISTANCE PROGRAM WHICH SUPERSEDES THE FAP. V. IF PATIENTS CHARGES RESULTED FROM A WORK-RELATED ACCIDENT, PATIENTS ARE NOT ELIGIBLE TO APPLY UNLESS THEY CAN PROVIDE PROOF OF NO THIRD-PARTY COVERAGE. VI. IF PATIENT CHARGES RESULTED FROM AN AUTO ACCIDENT, PATIENTS ARE NOT ELIGIBLE TO APPLY UNLESS THEY CAN PROVIDE PROOF OF NO THIRD-PARTY COVERAGE THE FINANCIAL ASSISTANCE POLICY IS NOT APPLICABLE TO PHYSICIANS OR THEIR IMMEDIATE FAMILY MEMBERS. 3 TISHOMINGOIUKA WELLNESS CENTER 619 BATTLE GROUND DRIVE IUKA MS 38852 WELLNESS CENTER BELMONT FAMILY MEDICAL CLINIC 26 3RD STREET BELMONT MS 38827 PRIMARY CARE BURNSVILLE MEDICAL CLINIC 296 HIGHWAY 72 BURNSVILLE MS 38833 PRIMARY CARE Schedule H, Part I, Line 3c TISHOMINGO HEALTH SERVICES, INC. USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. IF THE PATIENT'S INCOME LEVEL IS 0-150% OF THE FEDERAL POVERTY LEVEL (FPL), AN ADJUSTMENT OF 100% OF THE HOSPITAL'S STATED CHARGES WILL BE MADE. FOR PATIENTS WHOSE FAMILY GROSS INCOME IS EQUAL TO OR GREATER THAN 200% OF THE FPL, THE HOSPITAL MAY OFFER DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. Schedule H, Part I, Line 6a TISHOMINGO HEALTH SERVICES INC. COMMUNITY BENEFIT INFORMATION IS INCLUDED IN THE COMMUNITY BENEFIT REPORT OF ITS PARENT COMPANY, NORTH MISSISSIPPI HEALTH SERVICES, INC. NORTH MISSISSIPPI HEALTH SERVICES (NMHS) IS A DIVERSIFIED REGIONAL HEALTH CARE ORGANIZATION, WHICH SERVES 24 COUNTIES IN NORTH MISSISSIPPI AND NORTHWEST ALABAMA FROM HEADQUARTERS IN TUPELO, MS. THE NMHS ORGANIZATION COVERS A BROAD RANGE OF ACUTE DIAGNOSTIC AND THERAPEUTIC SERVICES, 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, A REGIONAL NETWORK OF 27 PRIMARY AND SPECIALTY CLINICS; AND NURSING HOMES. NMHS OFFERS A COMPREHENSIVE PORTFOLIO OF MANAGED CARE PLANS. Schedule H, Part I, Line 7a COST TO CHARGE RATIO WAS USED FOR THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7. THE COST TO CHARGE RATIO FOR LINE 7 WAS CALCULATED USING WORKSHEET 2. Schedule H, Part III, Line 2 LINES 2-4 TISHOMINGO HEALTH SERVICES' FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE SPECIFICALLY CONCERNING BAD DEBT. BAD DEBT IS SHOWN AS A SEPARATE LINE ITEM ON THE FACE OF THE INCOME STATEMENT. THE AMOUNT OF BAD DEBT BOOKED EACH YEAR IS BASED ON A REVIEW OF OUTSTANDING RECEIVABLES AND THEIR AGE FROM DATE OF SERVICE. THE OLDER THE ACCOUNT, THE HIGHER THE RESERVE PERCENTAGE USED TO ESTIMATE BAD DEBT. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATIONS AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. TISHOMINGO HEALTH SERVICES (THS) FOLLOWS THE CATHOLIC HEALTH ASSOCIATION GUIDELINES AND DOES NOT INCLUDE BAD DEBT IN ANY COMMUNITY BENEFIT AMOUNTS. THS BELIEVES THAT SOME PORTION OF BAD DEBT RESULTS FROM PATIENTS WHO COULD QUALIFY FOR CHARITY CARE BUT HAS NO WAY OF MAKING AN ESTIMATE OF THE AMOUNT AND THEREFORE HAS ANSWERED "ZERO" FOR PART III LINE 3. THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2024. Schedule H, Part III, Line 8 THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT. LINES 5, 6, & 7 DO NOT INCLUDE CERTAIN MEDICARE PROGRAMS AND COSTS AND THUS DO NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN MEDICARE PROGRAMS. ADDITIONAL REVENUES AND COSTS NOT REPORTED ON LINES 5, 6, & 7 INCLUDE THOSE ASSOCIATED WITH THE ORGANIZATION'S MEDICARE OUTPATIENT LAB, AMBULANCE AND THERAPY SERVICES. TOTAL REVENUES FROM THESE ACTIVITIES WERE $457,016 AND TOTAL COSTS WERE $899,710 FOR A NET SHORTFALL OF $442,694. WHEN COMBINED WITH THE SHORTFALL REPORTED ON LINE 7, THE NET SHORTFALL FROM ALL MEDICARE PROGRAMS IS $2,774,710. Schedule H, Part III, Line 9b TISHOMINGO HEALTH SERVICES DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. FOR PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, THE HOSPITALS MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. Schedule H, Part VI, Line 2 NEEDS ASSESSMENT TISHOMINGO HEALTH SERVICES UTILIZES VARIED BUT COMPLIMENTARY METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. TISHOMINGO HEALTH SERVICES AND TISHOMINGO COUNTY ARE INCLUDED IN THE NORTH MISSISSIPPI HEALTH SERVICES COMMUNITY HEALTH ASSESSMENT WHICH IS PERFORMED EVERY THREE YEARS AND PROVIDES INFORMATION ON HEALTH STATUS, UTILIZATION OF HEALTH SERVICES, HEALTHY BELIEFS AND SATISFACTION WITH HEALTH CARE SERVICES. THE NORTH MISSISSIPPI HEALTH SERVICES COMMUNITY HEALTH ASSESSMENT COVERS THE 24 COUNTY SERVICE AREA INCLUDING TISHOMINGO COUNTY AND PROVIDES INFORMATION BY COUNTY. IN ADDITION, THE NORTH MISSISSIPPI HEALTH SERVICES COMMUNITY RELATIONS FACILITATOR CONDUCTS ROUTINE VISITS WITH ITS INTERNAL AND EXTERNAL STAKEHOLDERS ACROSS THE ENTIRE SERVICE AREA INCLUDING TISHOMINGO COUNTY. THE INFORMATION GATHERED THROUGH SEVERAL QUALITATIVE SURVEY QUESTIONS IS USED TO DETERMINE ITS COMMUNITY'S NEEDS FOR THE ENTIRE SERVICE AREA AS WELL AS THE LOCAL SERVICE AREA FOR EACH HOSPITAL SUCH AS TISHOMINGO HEALTH SERVICES. Schedule H, Part VI, Line 3 PATIENT EDUCATION ELIGIBILITY FOR ASSISTANCE EXPLANATIONS OF THE TISHOMINGO HEALTH SERVICES CHARITY CARE POLICY ARE COMMUNICATED IN A VARIETY OF FORMS INCLUDING SIGNAGE AT ALL ADMISSION AND REGISTRATION AREAS, ON THE WEB SITE, ON BILLS AND STATEMENTS, AND IN ADMISSION PACKETS. FINANCIAL COUNSELORS ASSIST THE PATIENT AND RESPONSIBLE PARTIES WITH DETERMINING ELIGIBILITY FOR GOVERNMENT PROGRAMS, PRIMARILY MEDICAID, AND CHARITY CARE STATUS. THE PATIENT CAN APPLY FOR CHARITY CARE AT ANY TIME FROM THE DATE OF SERVICE THROUGH THE COLLECTION PROCESS AND ONCE QUALIFIED AND APPROVED ALL COLLECTION EFFORTS ARE STOPPED. Schedule H, Part VI, Line 4 COMMUNITY INFORMATION TISHOMINGO HEALTH SERVICES SERVES MORE THAN 19,000 PEOPLE IN TISHOMINGO COUNTY, MS AND THE SURROUNDING AREA. THE POPULATION FOR THE SERVICE AREA IS PROJECTED TO REMAIN ESSENTIALLY FLAT OVER THE NEXT FIVE YEARS. ACCORDING TO THE U.S. CENSUS BUREAU, AGE DEMOGRAPHICS FOR THE SERVICE AREA SHOW THAT APPROXIMATELY 22% OF THE POPULATION IS UNDER 18 YEARS OF AGE, APPROXIMATELY 60% IS BETWEEN 18 AND 64 YEARS OF AGE AND THAT 18% IS 65 OR OLDER. CAUCASIANS MAKE UP 93% OF THE SERVICE AREA'S POPULATION WHILE AFRICAN AMERICANS MAKE UP 3% AND HISPANICS AND OTHERS MAKE UP 4%. MEDIAN HOUSEHOLD INCOME WAS $48,897 FOR THE SERVICE AREA, WHICH IS ABOVE THE OVERALL AVERAGE FOR MISSISSIPPI. THE PATIENT POPULATION FOR TISHOMINGO HEALTH SERVICES IS 16.2% UNINSURED. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH TISHOMINGO HEALTH SERVICES HAS A COMMITMENT TO A WIDE VARIETY OF COMMUNITY HEALTH OUTREACH ACTIVITIES, WHICH ARE COORDINATED BY THE COMMUNITY HEALTH COORDINATOR AND ARE STAFFED BY TISHOMINGO HEALTH SERVICES EMPLOYEES WHO VOLUNTEER THEIR TIME TO HELP WITH THESE EVENTS AND ACTIVITIES. THE COMMUNITY HEALTH COORDINATOR ASSISTS IN EDUCATING THE COMMUNITY ON HEALTH-RELATED ISSUES BY ORGANIZING AND PRESENTING VARIOUS HEALTH FAIRS AND SEMINARS. THESE EVENTS ARE HELD AT LOCAL BUSINESSES, SCHOOLS AND COMMUNITY ORGANIZATIONS AND ADDRESS A VARIETY OF HEALTH-RELATED TOPICS. IN ADDITION, THE HOSPITAL SPONSORS CHOLESTEROL, BLOOD PRESSURE, VISION, MEMORY, AND HEART-RISK SCREENING EVENTS, THROUGH WHICH TESTS ARE MADE AVAILABLE TO THE PUBLIC FOR A NOMINAL FEE OR AT NO CHARGE WITH THE MAJORITY OF THE COSTS INCURRED ABSORBED BY THE HOSPITAL. BLOOD PRESSURE, VISION, MEMORY, AND HEART-RISK SCREENING EVENTS, THROUGH WHICH TESTS ARE MADE AVAILABLE TO THE PUBLIC FOR A NOMINAL FEE OR AT NO CHARGE WITH THE MAJORITY OF THE COSTS INCURRED ABSORBED BY THE HOSPITAL. Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM AS NOTED ABOVE, TISHOMINGO HEALTH SERVICES (THS) IS PART OF NORTH MISSISSIPPI HEALTH SERVICES (NMHS). NMHS OPERATES NORTH MISSISSIPPI MEDICAL CENTER, FIVE OTHER COMMUNITY HOSPITALS IN ADDITION TO THS, AS WELL AS, NORTH MISSISSIPPI MEDICAL CLINICS, WHICH OPERATES MORE THAN 30 MEDICAL CLINICS. SOME OF THESE FACILITIES OPERATE AT AN ONGOING FINANCIAL LOSS AND 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. THE COMMUNITY HEALTH DEPARTMENT THAT IS PART OF NMMC COORDINATES A VARIETY OF COMMUNITY HEALTH ACTIVITIES ACROSS THE SERVICE AREA AS WELL. Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT TISHOMINGO HEALTH SERVICES DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF MISSISSIPPI AS THERE IS NO REQUIREMENT TO DO SO. Schedule H, Part V, Section B, Line 16a FAP website - TISHOMINGO HEALTH SERVICES: Line 16a URL: https://www.nmhs.net/patients-and-visitors/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - TISHOMINGO HEALTH SERVICES: Line 16b URL: https://www.nmhs.net/patients-and-visitors/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - TISHOMINGO HEALTH SERVICES: Line 16c URL: https://www.nmhs.net/patients-and-visitors/billing-and-insurance/financial-assistance; false true false false false false false true false MICHAEL S SPEES PRESIDENT 0 1110231 0 1032676 0 176615 0 19800 0 7428 0 2346750 0 0 SHARON NOBLES TREASURER 0 568363 0 359729 0 79430 0 19800 0 9448 0 1036770 0 0 BRUCE TOPPIN SECRETARY 0 399862 0 208113 0 59597 0 6600 0 8392 0 682564 0 0 BARRY KEEL ADMINISTRATOR 0 239379 0 102142 0 30907 0 12160 0 1674 0 386262 0 0 BRADLEY MURRAY PHYSICIAN 162995 0 81712 0 40810 0 7218 0 3105 0 295840 0 0 0 WALTER MAYFIELD PHYSICIAN 252808 0 21 0 552 0 15475 0 6672 0 275528 0 0 0 THOMAS DRAPER PHYSICIAN 235168 0 21 0 714 0 21726 0 4668 0 262297 0 0 0 NATHANIEL SPARKS PHYSICIAN 101400 38500 59722 25006 74 0 554 0 3520 4384 165270 67890 0 0 LACY ESTES NURSE PRACTITIONER 88108 0 63349 0 0 0 7970 0 7368 0 166795 0 0 0 Schedule J, Part I, Line 3 NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ESTABLISHES THE PAY OF THE CEO AND COMPENSATES HIM. NMHS USES THE FOLLOWING METHODS FOR ESTABLISHING THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b THE FOLLOWING PEOPLE PARTICIPATED IN OR RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SHARON NOBLES - $54,519 MICHAEL SHANE SPEES - $111,507 BRUCE TOPPIN - $40,061 Schedule J, Part I, Line 7 PHYSICIAN BONUSES ARE ALL CONTINGENT INCOME DEPENDING UPON EITHER THE NUMBER OF SERVICES PROVIDED OR THE QUALITY OF PERFORMANCE PERFORMED. ALL ARE SPECIFIED IN THEIR CONTRACTS. ANY OTHER INCENTIVES ARE PAID OUT AS CONTINGENT INCOME ALSO BASED ON QUALITY AND FINANCIAL PERFORMANCE METRICS. Form 990, Part III, Line 4a PROGRAM SERVICE NMMC-IUKA SERVES TISHOMINGO COUNTY AND THE SURROUNDING AREA. IN FISCAL YEAR 2024, THERE WERE 785 INPATIENT ADMISSIONS, 7,877 EMERGENCY DEPARTMENT VISITS, 45,875 OUTPATIENT VISITS AND 17,222 RURAL HEALTH CLINIC VISITS. NMMC-IUKA USES PRESS GANEY, THE LARGEST PATIENT SATISFACTION SURVEY COMPANY IN THE NATION, THAT WORKS WITH MORE THAN 7,000 HEALTHCARE FACILITIES. RANDOMLY SELECTED PATIENTS ARE ASKED ABOUT THEIR EXPERIENCE WITH INPATIENT, OUTPATIENT, ER, AND LONG TERM CARE SERVICES. INPATIENT CARE INCLUDES 24 HOUR DIRECT PATIENT CARE WITH MULTI-DISCIPLINARY SERVICES, INCLUDING: NURSING, RADIOLOGY, LABORATORY, ULTRASONOGRAPHY, NUCLEAR MEDICINE, CT, MAGNETIC RESONANCE IMAGING (MRI), PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY, FOOD AND NUTRITIONAL SERVICES, AND SOCIAL SERVICES. THE HOSPITAL ALSO HAS 10 CERTIFIED SWING BEDS FOR PATIENTS WHO NEED EXTENDED CARE BASED ON AVAILABILITY AND RESOURCES. NMMC-IUKA OFFERS 24-HOUR EMERGENCY SERVICES AND PARAMEDIC-LEVEL AMBULANCE SERVICES. OUTPATIENT SERVICES INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, LABORATORY, RADIOLOGY, RESPIRATORY CARE, INFUSION, WOUND CARE AND CARDIAC MONITORING. NMMC-IUKA IS THE RECIPIENT OF TWO VHA LEADERSHIP AWARDS, HONORING THE HOSPITAL FOR MEETING OR EXCEEDING NATIONAL PERFORMANCE STANDARDS FOR CLINICAL CARE AND QUALITY. VHA SERVES MORE THAN 1,400 NOT-FOR-PROFIT HOSPITALS AND MORE THAN 24,000 NON-ACUTE HEALTH CARE ORGANIZATIONS NATIONWIDE. NMMC-IUKA WAS ONE OF ONLY 38 VHA MEMBER ORGANIZATIONS TO RECEIVE A 2009 LEADERSHIP AWARD FOR CLINICAL EXCELLENCE. ONE OF THE PRIMARY WAYS NMMC-IUKA SERVES THE COMMUNITY IS BY PROVIDING CARE TO VARIOUS POPULATIONS FOR WHICH IT RECEIVES NO COMPENSATION OR RECEIVES COMPENSATION AT RATES SIGNIFICANTLY LESS THAN ESTABLISHED RATES. THE BOARD OF DIRECTORS OF THE NMMC-IUKA HAS ESTABLISHED A POLICY UNDER WHICH THE HOSPITAL PROVIDES CARE, WITHOUT CHARGE, TO NEEDY MEMBERS OF ITS COMMUNITY. THE FINANCIAL ASSISTANCE POLICY STATES THAT NMMC WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS FREE OF CHARGE WITH HOUSEHOLD INCOME LEVELS AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. THE POLICY FURTHER PROVIDES, PATIENTS WITH HOUSEHOLD INCOME LEVELS BETWEEN 101% AND 150% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE TO RECEIVE SERVICES AT A DISCOUNTED RATE. THE DISCOUNT WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL. THE POLICY APPLIES TO INDIVIDUALS WHO RESIDE IN TISHOMINGO COUNTY. PATIENTS FROM OUTSIDE THE COUNTY MAY ALSO BE GRANTED CHARITY CARE BASED ON THE JUDGMENT OF NMMC-IUKA MANAGEMENT DEPENDING ON THEIR INDIVIDUAL CIRCUMSTANCES. THE POLICY ALSO REQUIRES THE PATIENT TO COOPERATE FULLY WITH NMMC-IUKA'S REQUEST FOR INFORMATION WITH WHICH TO VERIFY THE PATIENT'S ELIGIBILITY. FOLLOWING THAT POLICY, THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CHARGES FORGONE, BASED ON ESTABLISHED RATES, TOTALED APPROXIMATELY $577,278 IN FISCAL YEAR 2024. BASED ON THE GROSS CHARGES PROVIDED TO CHARITY PATIENTS COMPARED TO TOTAL HOSPITAL GROSS CHARGES, 3.47% OF ALL SERVICES IN FISCAL YEAR 2024 WERE PROVIDED ON A CHARITY BASIS. THE NET COST OF CHARITY CARE PROVIDED BY NMMC-IUKA WAS APPROXIMATELY $599,696 IN FISCAL YEAR 2024. THE TOTAL COST ESTIMATE IS BASED ON THE RATIO OF COSTS TO CHARGES FOR NMMC-IUKA. ALL OF THE FORGONE CHARGES MENTIONED ABOVE ARE NETTED AGAINST PATIENT SERVICE REVENUE TO ARRIVE AT NET PATIENT SERVICE REVENUE AS REFLECTED AS PROGRAM SERVICE REVENUE ON PART VIII OF FORM 990 IN ORDER TO BE CONSISTENT WITH FINANCIAL STATEMENT REPORTING AND ARE NOT REPORTED AS FUNCTIONAL EXPENSES ON THE TAX RETURN. Form 990, Part VI, Line 6 Classes of members or stockholders TISHOMINGO HEALTH SERVICES, INC. IS A NOT-FOR-PROFIT, NONSTOCK, MEMBERSHIP CORPORATION OF WHICH NORTH MISSISSIPPI HEALTH SERVICES, INC. IS THE SOLE MEMBER AND HAS SOLE VOTING CONTROL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE GOVERNANCE COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS), WHICH IS MADE UP OF PAST CHAIRMEN, NOMINATE CANDIDATES FOR THE BOARD. THESE CANDIDATES ARE THEN APPROVED BY THE BOARD OF NMHS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF NORTH MISSISSIPPI HEALTH SERVICES, INC. APPROVES ALL TRANSACTIONS THAT EXCEED $1 MILLION. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 ACCOUNTING SUPERVISOR AND THE DIRECTOR OF ACCOUNTING REVIEWS. THE SUPERVISOR DOES A DETAILED REVIEW BY CHECKING THE RETURN FOR THE SAME ITEMS THAT THE ACCOUNTANT CHECKED FOR. THEN THE DIRECTOR DOES A MORE HIGH LEVEL REVIEW, READING THE RETURN FOR REASONABLENESS AND COMPARING PRIOR YEAR AMOUNTS TO CURRENT YEAR AMOUNTS. FINALLY, THE VP OF FINANCE REVIEWS THE RETURN FOR REASONABLENESS. THE RETURNS ARE THEN SENT TO THE EXECUTIVE VP/TREASURER TO BE REVIEWED. THE CHIEF FINANCIAL OFFICER SIGNS THE RETURN AND IT IS THEN SENT TO THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy 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, Part VI, Line 15a Process to establish compensation of top management official AN INDEPENDENT COMPENSATION CONSULTING FIRM, KORN FERRY, IS USED TO HELP ESTABLISH THE COMPENSATION OF THE SENIOR EXECUTIVES. THE FIRM PRESENTS THEIR INDEPENDENT ANALYSIS, WHICH CONTAINS COMPARABILITY DATA, TO THE COMPENSATION COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS). THE COMPENSATION OF THE INDIVIDUALS ARE THEN APPROVED BY THE COMPENSATION COMMITTEE. THE SALARIES OF NMHS' SENIOR EXECUTIVES ARE THEN REVIEWED BY THE NMHS BOARD OF DIRECTORS. THE INDIVIDUAL WHOSE COMPENSATION IS BEING DISCUSSED IS NOT PRESENT DURING THE DISCUSSION OR APPROVAL OF THEIR COMPENSATION. THE DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN THE MINUTES OF THE MEETINGS. COMPENSATION OF THESE INDIVIDUALS IS APPROVED ANNUALLY. Form 990, Part VI, Line 15b Process to establish compensation of other employees AN INDEPENDENT COMPENSATION CONSULTING FIRM, KORN FERRY, IS USED TO HELP ESTABLISH THE COMPENSATION OF THE SENIOR EXECUTIVES. THE FIRM PRESENTS THEIR INDEPENDENT ANALYSIS, WHICH CONTAINS COMPARABILITY DATA, TO THE COMPENSATION COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS). THE COMPENSATION OF THE INDIVIDUALS ARE THEN APPROVED BY THE COMPENSATION COMMITTEE. THE SALARIES OF NMHS' SENIOR EXECUTIVES ARE THEN REVIEWED BY THE NMHS BOARD OF DIRECTORS. THE INDIVIDUAL WHOSE COMPENSATION IS BEING DISCUSSED IS NOT PRESENT DURING THE DISCUSSION OR APPROVAL OF THEIR COMPENSATION. THE DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN THE MINUTES OF THE MEETINGS. COMPENSATION OF THESE INDIVIDUALS IS APPROVED ANNUALLY. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. A CONSOLIDATED STATEMENT OF OPERATIONS IS AVAILABLE ON THE ORGANIZATION'S WEBSITE. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 2029, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2029; Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: 886846, Program Service Expense: 886846, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 1049469, Program Service Expense: 1049469, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CONTRIBUTED CAPITAL - 249068; PENSION RELATED CHANGES - 242461; INTEREST IN NET ASSETS OF AFFILITED FOUNDATION - 2803; NORTH MS MANAGEMENT SERVICES INC 830 S GLOSTER STREET TUPELO MS 38801 640762694 MGMT & ADMIN DE 501(c)(3) Type I NMHS true NORTH MS HEALTH SERVICES INC 830 S GLOSTER STREET TUPELO MS 38801 640653269 MGMT SERVICES DE 501(c)(3) Type II NA false CLAY COUNTY MEDICAL CORPORATION 830 S GLOSTER STREET TUPELO MS 38801 640668465 HOSPITAL DE 501(c)(3) 3 NMHS true NORTH MS MEDICAL CENTER INC 830 S GLOSTER STREET TUPELO MS 38801 640662976 HOSPITAL DE 501(c)(3) 3 NMHS true PONTOTOC HEALTH SERVICES INC 830 S GLOSTER STREET TUPELO MS 38801 640751410 HOSPITAL DE 501(c)(3) 3 NMHS true NORTH MS MEDICAL CLINICS INC 830 S GLOSTER STREET TUPELO MS 38801 640787918 MED CLINICS DE 501(c)(3) 3 NMHS true TUPELO SERVICE FINANCE INC 830 S GLOSTER STREET TUPELO MS 38801 640508308 COLLECTIONS DE 501(c)(3) 3 NMHS true WEBSTER HEALTH SERVICES INC 830 S GLOSTER STREET TUPELO MS 38801 640819193 HOSPITAL DE 501(c)(3) 3 NMHS true MARION REGIONAL MEDICAL CENTER INC 830 S GLOSTER STREET TUPELO MS 38801 640926753 HOSPITAL DE 501(c)(3) 3 NMHS true NORTH MS EMERGENCY SERVICES INC 830 S GLOSTER STREET TUPELO MS 38801 640780130 ER PHYSICIANS DE 501(c)(3) 10 NMHS true MONROE HEALTH SERVICES 830 S GLOSTER STREET TUPELO MS 38801 320583236 HOSPITAL DE 501(c)(3) 3 NMHS true HEALTH CARE FOUNDATION OF NORTH MS 830 S GLOSTER STREET TUPELO MS 38801 640914704 FUNDRAISING DE 501(c)(3) 7 NMHS true MEDICAL IMAGING LLC 830 S GLOSTER STREET TUPELO MS 38801 770647210 MEDICAL IMAGING MS NA false false CENTER FOR DIGESTIVE HEALTH LLC 589 GARFIELD ST TUPELO MS 38801 201606438 DIGESTIVE CARE MS NA false false NORTH MISSISSIPPI HEALTH LINK INC 830 S GLOSTER STREET TUPELO MS 38801 640715886 MEDICAL SERVICES DE NMHS C Corporation true NORTH MS ENTERPRISES INC 830 S GLOSTER STREET TUPELO MS 38801 640658059 MEDICAL SERVICES DE NMHS C Corporation true PROFESSIONAL PRACTICE MANAGEMENT INC 830 S GLOSTER STREET TUPELO MS 38801 721390014 MED SERV MGMT DE NMMCL C Corporation true ACCLAIM INC 830 S GLOSTER STREET TUPELO MS 38801 721356116 HLTH CARE CLAIMS DE HEALTHLINK C Corporation true NORTH MS SUPPORT SERVICES INC 830 S GLOSTER STREET TUPELO MS 38801 260718275 SUPPORT SERVICES DE NMHS C Corporation true false false false false false false false false false true false false true false true true true true true