2014-08-14T09:49:41-05:00 2013-09-30 BKD LLP 190 E Capitol Street Ste 500 Jackson MS 392012190 990 2012-10-01 640787918 North Mississippi Medical Clinics Inc % JOE REPPERT NORT 6623773977 830 South Gloster Street Suite Tupelo MS 38801 JOE REPPERT 6623773977 2014-08-15 true Penny Wood CPA 6019486700 2014-08-15 2012 2015-11-30 17:44:51Z Joe Reppert 830 South Gloster Street Tupelo MS 38801 79751939 false X www.nmhs.net/clinics.php X 1990 DE North Mississippi Medical Clinics, Inc. operates 37 medical clinics located in north Mississippi. 7 5 814 0 0 0 1819999 70475246 76139242 -13980 1122 2436224 1789613 72897490 79749976 0 0 0 0 63297486 70636861 0 0 0 23232932 26866041 86530418 97502902 -13632928 -17752926 39229078 40662000 11430950 30614618 27798128 10047382 NORTH MISSISSIPPI MEDICAL CLINICS, INC. (CLINICS) OWNS AND OPERATES 37 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 92391209 77487489 Clinics serves the 24 counties in north Mississippi and northwest Alabama that make up the NMHS service area. In fiscal year 2013, Clinics served the population of the area with 654,099 visits to its physicians. The organization operates 37 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 74% 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 $2,406,944 in fiscal year 2013. Based on the gross charges provided to charity patients compared to total Clinics gross charges, 1.99% of all services in fiscal year 2013 were provided on a charity basis. The net cost of charity care provided by Clinics was approximately $1,796,000 in fiscal year 2013. The total cost estimate is based on the ratio of costs to charges for Clinics. 92391209 true true 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 true false false false true true true true false false true 52 0 814 true false false false false false false false false false false X 7 5 false false false false true true true true true false false false true true true true true true true false X JOE REPPERT 6623773977 830 SOUTH GLOSTER STREET Tupelo MS 38801 James K Harvey 40.0 0.0 X 346117 0 3680 Stephen Shirley 40.0 0.0 X 223146 3456 John Robinson 1.0 0.0 X 0 0 0 Mark Burleson 1.0 0.0 X 0 0 0 Paul Mize 1.0 0.0 X 0 0 Wayne Slocum 1.0 0.0 X 0 0 0 George Purnell 1.0 0.0 X 0 0 0 David Barber 40.0 0.0 X 253049 0 3840 Bruce Toppin 1.0 39.0 X 0 342261 8840 Joe Reppert 1.0 39.0 X 0 630943 8840 Elbert A White IV 40.0 0.0 X 820558 3840 Charles M King 40.0 0.0 X 864995 0 3840 David S Talton 40.0 0.0 X 703129 0 3840 Vishal Sachdev 40.0 0.0 X 703240 0 3840 James R Ungo 40.0 0.0 X 714537 0 3840 Gerald Wages 0.0 40.0 X 214043 3846 4628771 1187247 51702 141 true true false Navicure Inc 2055 Sugarloaf Circle DULUTH GA 30097 Maintenance Fee 333164 Inhealth Transcript 5076 Winters Chapel Road ATLANTA GA 30360 Transcription Svcs 291656 Emdeon Business Services PO Box 572490 MURRAY UT 841572490 Outsource Billers 273189 Comphealth PO Box 972651 DALLAS TX 753972651 Physician Svcs 207414 Interim Physicians PO Box 678004 DALLAS TX 752678004 Physician Svcs. 143131 12 1348247 471752 471752 1819999 Net Patient Service Revenue 900099 76005693 76005693 Related Rental Income 900099 133549 133549 76139242 585 585 0 0 0 0 0 2500 1963 537 537 537 0 0 0 REBATE INCOME 900099 1386412 1386412 Clinical Trial Revenue 900099 123159 123159 WORKLINK REVENUE 900099 103476 103476 176566 176566 1789613 79749976 76139242 1790735 0 0 0 0 860473 860473 0 53892033 50791221 3100812 8050845 8050845 4910577 4910577 2922933 2642468 280465 682193 682193 17355 17355 96313 96313 0 0 0 7667418 7667418 88308 88308 1106379 1106379 513222 513222 0 2310011 2310011 185780 185780 0 304041 304041 0 0 2185562 2185562 74082 74082 Bad Debt Expense 5121506 5121506 MEDICAL SUPPLIES 4599218 4599218 REPAIRS & MAINTENANCE 537345 537345 TAXES AND LICENSES 476805 476805 900503 900503 97502902 92391209 5111693 0 14113 -19948 1021473 1030613 0 0 9622787 9438943 0 0 0 0 0 0 993223 947455 130370 49217 48557308 25131438 22889595 23425870 0 0 0 0 0 0 0 275189 4557517 5514661 39229078 40662000 11430950 13613731 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17000887 11430950 30614618 X 27737968 9985043 60160 62339 0 0 27798128 10047382 39229078 40662000 X -17752926 2180 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3395153 3395153 30741051 14891546 15849505 835437 706912 128525 12364454 8855835 3508619 1221213 677145 544068 23425870 Deferred Comp Trust Fund 5442322 Int in Net Assets of Aff. Fnd 62339 Other Receivable 10000 5514661 0 Due to Affiliates 17000887 17000887 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 Hospital'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 192024 0 51572 0 9453 0 0 0 3840 0 256889 0 Bruce Toppin 0 238115 0 97237 0 6909 0 5000 0 3840 0 351101 Joe Reppert 0 406866 0 206154 0 17923 0 5000 0 3840 0 639783 James K Harvey 283961 0 60572 0 1584 0 0 0 3680 0 349797 0 Stephen Shirley 209844 18 13284 0 3456 226602 Elbert A White IV 580444 222754 17360 0 3840 824398 Charles M King 462818 0 384817 0 17360 0 0 0 3840 0 868835 0 David S Talton 530160 0 155609 0 17360 0 0 0 3840 0 706969 0 Vishal Sachdev 538248 0 147632 0 17360 0 0 0 3840 0 707080 0 James R Ungo 285002 0 412175 0 17360 0 0 0 3840 0 718377 0 Gerald Wages 77207 109934 26902 3558 288 217889 Part I, Line 4b: Participant: Joe Reppert $17,023 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. X SOFTWARE 1 471752 FAIR MARKET VALUE 0 false false false 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 5: Increase in interest in net assets of affiliated foundation $2,180 Total other changes in Net Assets or Fund Balances = $2,180 North Mississippi Clinics LLC 830 S Gloster Street Tupelo MS 38801 273276087 Med Clinics DE 988884 267337 NA North MS Management Services Inc 830 S Gloster Street Tupelo MS 38801 640762694 Mgmt & Admin DE 501(c)(3) 11-I NA false North MS Health Services Inc 830 S Gloster Street Tupelo MS 38801 640653269 Mgmt Services DE 501(c)(3) 11-II NA false Clay County Medical Corporation 830 S Gloster Street Tupelo MS 38801 640668465 Hospital DE 501(c)(3) 3 NA false Tishomingo Health Services Inc 830 S Gloster Street Tupelo MS 38801 640741047 Hospital DE 501(c)(3) 3 NA false Pontotoc Health Services Inc 830 S Gloster Street Tupelo MS 38801 640751410 Hospital DE 501(c)(3) 3 NA false North MS Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640662976 Hospital DE 501(c)(3) 3 NA false Tupelo Service Finance Inc 844 Cliff Gookin Blvd Tupelo MS 38801 640508308 Collections DE 501(c)(3) 3 NA false Webster Health Services Inc 830 S Gloster Street Tupelo MS 38801 640819193 Hospital DE 501(c)(3) 3 NA false Marion Regional Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640926753 Hospital DE 501(c)(3) 3 NA false North MS Emergency Services Inc 830 S Gloster Street Tupelo MS 38801 640780130 ER Physicians DE 501(c)(3) 9 NA false North MS Health Link Inc 830 S Gloster Street Tupelo MS 38801 640715886 Medical Services DE NA C Corp North MS Enterprises Inc 830 S Gloster Street Tupelo MS 38801 640658059 Medical Services DE NA C Corp Professional Practice Management Inc 830 S Gloster Street Tupelo MS 38801 721390014 Med Serv Mgmt DE NA C Corp 1337699 225172 1.00000 true Acclaim Inc 830 S Gloster Street Tupelo MS 38801 721356116 Hlth Care Claims DE NA C Corp North MS Support Services Inc 830 S Gloster Street Tupelo MS 38801 260718275 Support Services DE NA C Corp true false false false true false false false false false true false true false true true true true true Professional Practice Management Inc p 122734 See Part VII Professional Practice Management Inc r 1240977 See Part VII Part V, Line 2, Column (d): Method of determining amounts for transactions described in line 1r: North Mississippi Medical Clinics, Inc. (Clinics) is provided operating funds in the form of working capital loans that have no set repayment date. The working capital loans are normally converted to capital transfers in many cases, and therefore, the loans are forgiven such that the facility never makes repayment. Amounts reported in Line 2, Column (c) for this type of transaction are stated at cash value. Method of determining amounts for transactions described in line 1p: 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.