2020-08-14T16:53:04-05:00 2019-09-30 BKD LLP 190 E Capitol Street Ste 500 Jackson MS 392012190 990 2018-10-10 320583236 Monroe Health Services Inc % KRISTY DUKE MONR 6623773978 830 South Gloster Street Tupelo MS 38801 SHARON NOBLES CHIEF FINANCIAL OFF. 6623773978 2020-08-15 true Mary F Overstreet CPA P01270094 6019486700 167.68.126.162 64248120202275000017 2020-08-14 P 5A0E8D6C4B5950E52DE464BEBEDA7C30598AEA7B 823702202746770B51A67577CD28BFC4F54EFBFB 2018 2020-09-23 17:36:50Z X SHARON NOBLES 830 South Gloster Street Tupelo MS 38801 41940210 false X www.nmhs.net/gilmore-amory X 2018 DE Monroe Health Services operates a 95 bed hospital and related outpatient care facilities in Amory, Mississippi. 0 0 0 1 0 0 0 0 41407326 0 62145 0 470739 0 41940210 0 0 0 0 0 15743838 0 0 0 0 30217629 0 45961467 0 -4021257 0 23890871 0 15527800 0 8363071 MONROE HEALTH SERVICES OWNS AND OPERATES A 95 BED HOSPITAL AND RELATED OUTPATIENT CARE FACILITIES IN AMORY, MISSISSIPPI CALLED NORTH MISSISSIPPI MEDICAL CENTER GILMORE-AMORY (NMMC GILMORE-AMORY). NMMC GILMORE-AMORY 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 GILMORE-AMORY 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 44198478 41592212 NMMC Gilmore-Amory serves Monroe County and the surrounding area. In fiscal year 2019, there were 1,887 inpatient admissions, 15,394 emergency department visits, 47,033 outpatient visits, and 23,620 visits to other hospital clinics. NMMC Gilmore-Amory 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. One of the primary ways NMMC Gilmore-Amory 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 NMMC Gilmore-Amory 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 GILMORE-AMORY 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 Monroe County. Patients from outside the county may also be granted charity care based on the judgment of NMMC Gilmore-Amory management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC Gilmore-Amory 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 $697,473 in fiscal year 2019. Based on the gross charges provided to charity patients compared to total hospital gross charges, 4.63% of all services in fiscal year 2019 were provided on a charity basis. The net cost of charity care provided by NMMC Gilmore-Amory was approximately $1,587,099 in fiscal year 2019. The total cost estimate is based on the ratio of costs to charges for NMMC Gilmore-Amory. All the foregone 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. 44198478 true false false false false false false false false false true false false false true true 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 false false false true 0 0 0 true false false false false false false false false false false false false X 0 0 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 Michael S Spees President 0.0 40.0 X 0 1791663 14954 Bruce Toppin Secretary 0.0 40.0 X 0 497334 14160 Sharon Nobles Treasurer 0.0 40.0 X 0 631824 14416 0 2920821 43530 0 false true false CORRECT CARE 17438 HARD HAT DRIVE COVINGTON LA 70435 ER PHYSICIAN FEES 1175183 NORTH MS MEDICAL CLINICS INC 830 S GLOSTER ST TUPELO MS 38801 PHYSICIAN FEES 503641 SUNFLOWER IOP MANAGEMENT 143 LILY LANE RULEVILLE MS 38771 IOP MANAGEMENT FEES 477462 NOVITAS SOLUTIONS 2020 TECHNOLOGY PKWY MECHANICSBURG PA 17050 CONSULTING SERVICES 380776 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 303682289 FOOD MGMT SERVICES 330749 5 0 Net Patient Service Revenue 900099 41407326 41407326 41407326 16165 16165 0 0 184886 184886 0 184886 184886 45980 45980 0 0 0 0 0 0 0 0 0 WELLNESS CENTER REVENUE 900099 138433 138433 MISCELLANEOUS REVENUE 900099 147420 147420 285853 41940210 41592212 347998 0 0 0 0 0 0 12734643 12734643 234799 234799 1897093 1897093 877303 877303 929665 929665 673589 673589 62564 62564 0 0 0 8062387 8062387 35625 35625 505996 505996 243108 243108 0 1324754 1324754 7823 7823 0 39305 39305 962 962 0 1495801 1495801 97171 97171 Bad Debt Expense 11367044 11367044 MEDICAL SUPPLIES 4941750 4941750 Repairs and Maintenance 259065 259065 OTHER EXPENSE 107462 107462 63558 63558 45961467 44198478 1762989 0 0 1439182 0 0 0 0 0 7919721 0 0 0 0 0 0 0 1232060 0 1308662 13332356 1495801 0 11836555 0 0 0 0 0 0 0 120000 0 34691 0 23890871 0 3338212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12189588 0 15527800 X 0 8362948 0 123 0 0 0 8363071 0 23890871 X -4021257 12384328 X false true X true false X 974302 974302 7449499 372475 7077024 4199141 1097782 3101359 709414 25544 683870 11836555 0 DUE TO RELATED PARTIES 11364111 DUE TO THIRD PARTY PAYORS 825477 12189588 30573166 -11367044 -11367044 41940210 41940210 34594423 34594423 11367044 11367044 45961467 Part X, Line 2: The System applies FASB 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 system's financial statements as a result of Topic 740. Part XI, Line 2d: Bad Debt expense is netted with patient revenue on the financial statements but included in expense on the return. Part XII, Line 4b: Bad Debt expense is netted with patient revenue on the financial statements but included in expense on the return. true true X true X true X 150. true false true true 1587099 1587099 0.04590 5758640 5825835 -67195 7345739 5825835 1519904 0.04590 7345739 5825835 1519904 0.04590 false 11367044 9174151 8696190 477961 X true true 1 1 Monroe Health Services Inc 1105 Earl Frye Blvd Amory MS 38821 http://www.nmhs.net/gilmore-amory 12-074 X Monroe Health Services Inc 1 false true true X X X X X X X X X 18 true false false true X SEE SECTION C X true 18 true SEE SECTION C false true X 100 150. X X X X X X true true X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X true X false false PART V, SECTION B, LINE 2: The hospital was acquired and placed in service by Monroe Health Services, Inc. on January 1, 2019. PART V, SECTION B, LINE 5: THE MAIN INPUT WAS PROVIDED BY PREVIOUS PATIENTS, EMPLOYEES AND COMMUNITY REPRESENTATIVES. AN OPPORTUNITY TO OFFER INPUT WAS MADE AVAILABLE TO THE ENTIRE COMMUNITY THROUGH WORD OF MOUTH, PLUS A PUBLISHED AND PUBLICLY AVAILABLE SURVEY. ADDITIONAL INFORMATION CAME FROM PUBLIC DATABASES, REPORTS, AND PUBLICATIONS BY STATE AND NATIONAL AGENCIES. PART V, SECTION B, LINE 7B: https://www.nmhs.net/app/files/public/1393/chna---gilmore.pdf PART V, SECTION B, LINE 10A: https://www.nmhs.net/app/files/public/1393/chna---gilmore.pdf PART V, SECTION B, LINE 11: 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: - BLOOD PRESSURE SCREENING AND TREATMENT, - OBESITY TREATMENT, - DIABETES SCREENING AND TREATMENT, - IMMUNIZATIONS, AND - CHILDREN'S HEALTH BY PLACEMENT OF NURSES IN LOCAL SCHOOLS. PART V, SECTION B, LINE 13H: The Hospital's eligibility criteria also included the following: - Service type provided to patient, - Patient's relationship to physicians, - Patient's eligibility for financial assistance under another city, county, state, federal or other assistance program that supercedes the FAP, - Whether or not the patient's charges resulted from a work-related incident, - Whether or not the patient's charges resulted from an auto accident, and - Whether the patient is in the custody of a correctional facility PART V, SECTION B, LINE 16A-C: HTTP://NMHS.NET/FINANCIAL_ASSISTANCE.PHP 4 Amory Medical Clinic 404 Gilmore Drive Amory MS 38821 Primary Care Amory Specialty Clinic 1107 Earl Frye Blvd Suite 6 Amory MS 38821 Gastroenterology and Primary Care Amory Pediatric Clinic 1107 Early Frye Blvd Suite 5 Amory MS 38821 Childrens Clinic Physicians & Surgeons Clinic OBGYN 900 Earl Frye Blvd Amory MS 38821 OB/GYN & Pediatrics Part I, Line 3c: MONROE HEALTH SERVICES USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. IF THE PATIENT'S INCOME LEVEL IS 0-100% OF THE FEDERAL POVERTY LEVEL (FPL), AN ADJUSTMENT OF 100% OF THE HOSPITAL'S STATED CHARGES WILL BE MADE. IF THE PATIENT'S INCOME LEVEL IS 101-150% OF THE FPL, A DISCOUNT OF THE HOSPITAL'S STATED CHARGES WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE OF THE FPL. FOR PATIENTS WHOSE FAMILY GROSS INCOME IS EQUAL TO OR GREATER THAN 150% 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. Part I, Line 6a: Monroe Health Service's 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. Part I, Line 7, column (f): Bad Debt Expense of $11,367,044 was included in total expense on Form 990, Part IX, Line 25, Column (A), but was subtracted from total expense for purposes of calculating the percentage of total expense in column (F). Part I, Line 7: A 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. Part III, Line 2-4: Monroe Health Services's 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. Bad debt expense reported in part III line 2 matches the amount of bad debt expense reported on Monroe Health Services's audited financial statements. Monroe Health Services (MHS) follows the Catholic Health Association guidelines and does not include bad debt in any community benefit amounts. MHS, however, 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, 2019. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. 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 $438,544 and total costs were $643,100 for a net shortfall of $204,556. When combined with the surplus reported on Line 7, the net surplus from all Medicare programs is $273,405. Part III, Line 9b: Monroe 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. Part VI, Line 2: Needs Assessment Monroe Health Services utilizes varied but complimentary methods to assess the health care needs of the community it serves. Monroe Health Services and Monroe 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 Monroe County and provides information by county. In addition, the North Mississippi Health Services Community Relations Facilitator conducts routine visits with our internal and external stakeholders across the entire service area including Monroe County. The information gathered through several qualitative survey questions is used to determine our community's needs for the entire service area as well as the local service area for each hospital such as Monroe Health Services. Part VI, Line 3: Patient Education of Eligibility for Assistance Explanations of the Monroe 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. Part VI, Line 4: Community Information Monroe Health Services serves more than 35,000 people in Monroe 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 2019 census, age demographics for the service area show that approximately 23% of the population is under 18 years of age, approximately 58% is between 18 and 64 years of age and that 19% is 65 or older. Caucasians make up 68% of the service area's population while African Americans make up 31% and Hispanics and other make up 1%. Median household income for 2014-2018 was $40,940 for the service area, which is below the overall average for Mississippi and significantly less than the nationwide average. The patient population for Monroe Health Services is covered by insurance or is uninsured as follows: 40.09% Medicare, 0% Medicare Advantage, 16.74% Medicaid, 0.04% MS CAN, and 32.36% private insurance with 10.77% being uninsured. Part VI, Line 5 Promotion of Community Health Monroe 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 Monroe 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. hospital. Part VI, Line 6: Affiliated Health Care System As noted above, Monroe Health Services (MHS) is part of North Mississippi Health Services (NMHS). NMHS operates North Mississippi Medical Center, five other community hospitals in addition to MHS, as well as, North Mississippi Medical Clinics, which operates more than 36 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. Part VI, Line 7: State Filing of Community Benefit Report Monroe Health Services does not file a community benefit report with the state of Mississippi as there is no requirement to do so. X X X X X false false false false false false false false false Michael S Spees President 930931 826691 34041 8250 6704 1806617 Bruce Toppin Secretary 301281 186494 9559 5500 8660 511494 Sharon Nobles Treasurer 461315 169219 1290 8250 6166 646240 Form 990, Page 6, Part VI, Section A, Line 6: Monroe Health 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. (NMHS), which is made up of past Chairmen, nominate candidates for the Board. These candidates are then approved by the Board of NMHS. Form 990, Page 6, Part VI, Section A, Line 7b: The Board of North Mississippi Health Services, Inc. approves all transactions that exceed $1 million. Form 990, Page 6, Part VI, Section B, Line 11b: The Form 990 goes through a review process in the Accounting Department. The accountant for each facility reviews the return for reasonableness and accuracy. All totals are tied to the audit reports, and all amounts are cross-referenced to schedules or other parts of the actual return. Once the accountant reviews, the Accounting Supervisor and the Director of Accounting reviews. The Supervisor does a detailed review by checking the return for the same items that the accountant checked for. Then the Director does a more high level review, reading the return for reasonableness and comparing prior year amounts to current year amounts. Finally, the VP of Finance reviews the return for reasonableness. The returns are then sent to the Executive VP/Treasurer to be reviewed. The Chief Financial Officer 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, KORN FERRY, IS USED TO HELP ESTABLISH THE COMPENSATION OF THE SENIOR EXECUTIVES. THE FIRM PRESENTS THEIR INDEPENDENT ANALYSIS, WHICH CONTAINS COMPARABILITY DATA, TO THE COMPENSATION COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS). THE COMPENSATION OF THE INDIVIDUALS ARE THEN APPROVED BY THE COMPENSATION COMMITTEE. THE SALARIES OF NMHS' SENIOR EXECUTIVES ARE THEN REVIEWED BY THE NMHS BOARD OF DIRECTORS. THE INDIVIDUAL WHOSE COMPENSATION IS BEING DISCUSSED IS NOT PRESENT DURING THE DISCUSSION OR APPROVAL OF THEIR COMPENSATION. THE DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN THE MINUTES OF THE MEETINGS. COMPENSATION OF THESE INDIVIDUALS IS APPROVED ANNUALLY. Form 990, Page 6, Part VI, Section C, Line 19: The governing documents, conflict of interest policy, and financial statements are available to the public upon request. A consolidated statement of operations is available on the organization's website. Form 990, Page 12, Part XI, Line 9: Contributed Capital: 12,384,205 Decrease in interest in net assets of affiliated foundation: 123 Total other changes in net assets or fund balance = 12,384,328 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:8062387 North MS Management Services Inc 830 S Gloster Street Tupelo MS 38801 640762694 Mgmt & Admin DE 501(c)(3) 12-I NMHS false North MS Health Services Inc 830 S Gloster Street Tupelo MS 38801 640653269 Mgmt Services DE 501(c)(3) 12-II NMHS false North MS Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640662976 Hospital DE 501(c)(3) 3 NMHS false Tishomingo Health Services Inc 830 S Gloster Street Tupelo MS 38801 640741047 Hospital DE 501(c)(3) 3 NMHS false Pontotoc Health Services Inc 830 S Gloster Street Tupelo MS 38801 640751410 Hospital DE 501(c)(3) 3 NMHS false North MS Medical Clinics Inc 830 S Gloster Street Tupelo MS 38801 640787918 Med Clinics DE 501(c)(3) 3 NMHS false Tupelo Service Finance Inc 830 S Gloster Street Tupelo MS 38801 640508308 Collections DE 501(c)(3) 3 NMHS false Webster Health Services Inc 830 S Gloster Street Tupelo MS 38801 640819193 Hospital DE 501(c)(3) 3 NMHS false Marion Regional Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640926753 Hospital DE 501(c)(3) 3 NMHS false North MS Emergency Services Inc 830 S Gloster Street Tupelo MS 38801 640780130 ER Physicians DE 501(c)(3) 10 NMHS false Clay County Medical Corporation 830 S Gloster Street Tupelo MS 38801 640668465 Hospital DE 501(c)(3) 3 NMHS false North MS Health Link Inc 830 S Gloster Street Tupelo MS 38801 640715886 Medical Services DE NMHS C Corp false North MS Enterprises Inc 830 S Gloster Street Tupelo MS 38801 640658059 Medical Services DE NMHS C Corp false Professional Practice Management Inc 830 S Gloster Street Tupelo MS 38801 721390014 Med Ser Mgmt DE NMMCI C Corp false Acclaim Inc 830 S Gloster Street Tupelo MS 38801 721356116 Hlth Care Claims DE Healthlink C Corp false North MS Support Services Inc 830 S Gloster Street Tupelo MS 38801 260718275 Support Services DE NMHS C Corp false false false true false false false false false false true true false true false true true true false false