2017-08-14T15:22:36-05:00 2016-09-30 BKD LLP 190 E Capitol Street Ste 500 Jackson MS 392012190 990 2015-10-01 640787918 North Mississippi Medical Clinics Inc % KRISTY DUKE NORT 6623773978 830 South Gloster Street Tupelo MS 38801 SHARON NOBLES CFO 6623773978 2017-08-15 true Mary F Overstreet CPA P01270094 6019486700 2017-08-15 2015 2021-01-29 14:40:06Z SHARON NOBLES 830 South Gloster Street Tupelo MS 38801 58555507 false X www.nmhs.net/clinics.php X 1990 DE North Mississippi Medical Clinics, Inc. operates 30 medical clinics located in north Mississippi. 6 4 804 4 0 1391455 93500 75091519 56209412 3957 8553 1559866 2233828 78046797 58545293 0 0 0 0 66787909 52102547 0 0 0 30849757 19179283 97637666 71281830 -19590869 -12736537 40786838 32330185 32871577 15670265 7915261 16659920 NORTH MISSISSIPPI MEDICAL CLINICS, INC. (CLINICS) OWNS AND OPERATES 30 PRIMARY CARE AND INTERNAL MEDICINE CLINICS, ALL PRIMARILY WITHIN NORTH MISSISSIPPI AND NORTHWEST ALABAMA. CLINICS 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. CLINICS 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 65530316 56209412 Clinics serves the 24 counties in north Mississippi and northwest Alabama that make up the NMHS service area. In fiscal year 2016, Clinics served the population of the area with 435,177 visits to its physicians. The organization operates 27 regional primary care and internal medicine clinics. One of the primary ways Clinics 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 Clinics has established a policy under which the organization provides care, without charge, to needy members of its community. The charity care policy states that Clinics will provide necessary services to patients free of charge with household income levels based on the median income for Mississippi compared to the median income nationally. The Mississippi Adjusted Poverty Guidelines is approximately 75% of the federal poverty rate. The policy further provides patients with household income levels above the Mississippi Adjusted Poverty Guidelines will be liable for no more than the amount that their household income exceeds the applicable federal poverty guidelines. The policy applies to individuals who reside in the county where the applicable clinic is located. Patients from outside the county may also be granted charity care based on the judgment of Clinics management depending on their individual circumstances. The policy also requires the patient to cooperate fully with Clinics' request for information with which to verify the patient's eligibility. Following that policy, Clinics 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 $541,000 in fiscal year 2016. Based on the gross charges provided to charity patients compared to total Clinics gross charges, .66% of all services in fiscal year 2016 were provided on a charity basis. The net cost of charity care provided by Clinics was approximately $451,000 in fiscal year 2016. The total cost estimate is based on the ratio of costs to charges for Clinics. 65530316 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 43 0 804 true false false false false false false false false false false X 6 4 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 John Robinson Chairman 1.0 0.0 X 0 0 0 Ronny Young MD Director 1.0 0.0 X 0 7000 0 Paul Mize Director 1.0 0.0 X 0 0 0 George Purnell Director 1.0 0.0 X 0 0 0 James K Harvey MD Director 1.0 0.0 X 274177 0 3720 Erik Dukes MD Director 1.0 0.0 X 335256 0 4440 David Barber President 40.0 0.0 X 301872 0 4440 Bruce Toppin Secretary 1.0 39.0 X 0 346410 9709 Joseph A Reppert Treasurer 1.0 39.0 X 0 624322 9740 Charles M King Physician 40.0 0.0 X 985452 0 5880 Vishal Sachdev Physician 40.0 0.0 X 837862 0 4440 Robert J Derveloy Physician 40.0 0.0 X 832612 0 5880 Carl G Bevering Physician 40.0 0.0 X 856553 0 4440 Edward Ferguson Physician 40.0 0.0 X 831835 0 4440 5255619 977732 57129 160 false true false Athena Health Inc PO Box 415615 BOSTON MA 022415615 Billing 3101552 ECG Management Consultants 1111 Third Avenue SEATTLE WA 981013208 Consulting 1052181 Comphealth PO Box 972651 DALLAS TX 753972651 Physician Services 662880 Navicure Inc 2055 Sugarloaf Circle DULUTH GA 30097 Maintenance Fee 450436 Inhealth Transcript 5076 Winters Chapel Road ATLANTA GA 30360 Transcription Svcs 323235 16 93500 93500 Net Patient Service Revenue 900099 55414880 55414880 Related Rental Income 900099 794532 794532 56209412 3767 3767 0 0 0 0 0 15000 10214 4786 4786 4786 0 0 0 REBATE INCOME 900099 1584287 1584287 Other Miscellaneous Revenue 900099 371983 371983 Clinical Trial Revenue 900099 144798 144798 132760 132760 2233828 58545293 56209412 2242381 0 0 0 0 985497 985497 0 38126014 34237180 3888834 4859747 4859747 5837438 5837438 2293851 1979840 314011 173807 173807 20201 20201 79891 79891 0 0 0 5492225 5492225 52526 52526 940555 940555 427605 427605 0 1959742 1959742 171570 171570 0 162610 162610 97 97 0 1946359 1946359 289273 289273 MEDICAL SUPPLIES 5498410 5498410 Bad Debt Expense 896952 896952 DUES & SUBSCRIPTIONS 268025 268025 TAXES & LICENSES 230105 230105 569330 569330 71281830 65530316 5751514 0 248671 -448943 1728917 1254080 0 0 11016240 6979710 0 0 0 0 0 0 865845 741586 103015 97097 48846687 28941830 20909246 19904857 0 0 0 0 0 0 0 0 5914904 3801798 40786838 32330185 14502503 10546861 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18369074 5123404 32871577 15670265 X 7730943 16473485 184318 186435 0 0 7915261 16659920 40786838 32330185 X -12736537 21481196 X false true X true false X 3395153 3395153 31684676 18916226 12768450 572645 548695 23950 11831728 8599060 3232668 1362485 877849 484636 19904857 Deferred Comp Trust Fund 3615362 Int in Net Assets of Aff. Fnd 186436 3801798 0 Due to Affiliates 5123404 5123404 X Part X, Line 2: The Company 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 provisions 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 Company's financial statements as a result of Topic 740. X X X X X false true false false false false false false false David Barber President 228854 0 62183 0 10835 0 0 0 4440 0 306312 0 0 0 Bruce Toppin Secretary 0 266951 0 70885 0 8574 0 5269 0 4440 0 356119 0 0 Joseph A Reppert Treasurer 0 408417 0 155797 0 60108 0 5300 0 4440 0 634062 0 0 Charles M King Physician 478087 0 488813 0 18552 0 0 0 5880 0 991332 0 0 0 Vishal Sachdev Physician 634449 0 185053 0 18360 0 0 0 4440 0 842302 0 0 0 Robert J Derveloy Physician 627985 0 185043 0 19584 0 0 0 5880 0 838492 0 0 0 James K Harvey MD Director 184718 0 86411 0 3048 0 0 0 3720 0 277897 0 0 0 Erik Dukes MD Director 185295 0 131601 0 18360 0 0 0 4440 0 339696 0 0 0 Carl G Bevering Physician 627843 0 210350 0 18360 0 0 0 4440 0 860993 0 0 0 Edward Ferguson Physician 578226 0 235057 0 18552 0 0 0 4440 0 836275 0 0 0 Part I, Line 4b: Participant: Joseph A. Reppert $37,890 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. Form 990, Page 6, Part VI, Section A, Line 6: North Mississippi Medical Clinics, 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, 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 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 15a&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. Form 990, Page 12, Part XI, Line 9: Transfer of capital from subsidiaries of NMHS: $6,618,639 Transfer of Capital from NMMC to NMMCI: $14,860,440 Increase in interest in net assets of affiliated foundation: $2,117 Total other changes in Net Assets or Fund Balance = $21,481,196 North Mississippi Clinics LLC 830 S Gloster Street Tupelo MS 38801 273276087 Med Clinics DE 869772 239266 NMMCI North MS Management Services Inc 830 S Gloster Street Tupelo MS 38801 640762694 Mgmt & Admin DE 501(c)(3) 11-I NMHS false North MS Health Services Inc 830 S Gloster Street Tupelo MS 38801 640653269 Mgmt Services DE 501(c)(3) 11-II NMHS false Clay County Medical Corporation 830 S Gloster Street Tupelo MS 38801 640668465 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 Center Inc 830 S Gloster Street Tupelo MS 38801 640662976 Hospital DE 501(c)(3) 3 NMHS false Tupelo Service Finance Inc 830 South 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) 9 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 Serv Mgmt DE NMMCI C Corp 3851944 717172 1.00000 true 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 true false false false false true true false true false true true true true true Professional Practice Management Inc q 100468 See Part VII Professional Practice Management Inc s 3519160 See Part VII Part V, Line 2, Column (d): Method of determining amounts for transactions described in line 1q and 1s: Certain routine management, financial, and accounting services are provided by North Mississippi Medical Clinics, Inc. (Clinics) to its related affiliates. Additionally, third-party services are provided by related affiliates for Clinics. Amounts reported on Line 2, column (c) for this transaction type are at fair market value and are comparable to transactions between two or more unrelated parties dealing at arm's length.