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NORTH MISSISSIPPI HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTH MISSISSIPPI HEALTH SERVICES INC (EIN 64-0653269)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201442269349300049
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T09:49:41-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 E Capitol Street Ste 500AddressLine1
CityJacksonCity
StateMSState
ZIP Code392012190ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN640653269EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1North Mississippi Health Services IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOE REPPERTInCareOfName
Name ControlNORTNameControl
Phone6623773977Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1
Address Line2SuiteAddressLine2
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOE REPPERTName
TitleExecutive Vice President/CFOTitle
Phone6623773977Phone
Date Signed2014-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePenny Wood CPAName
Phone6019486700Phone
Date Prepared2014-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoe ReppertNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28459668GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nmhs.netWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionNorth Mississippi Health Services is the parent company of a diversified regional health care organization.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees373TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34074042ProgramServiceRevenuePriorYear
Program Service Revenue CY28457240ProgramServiceRevenueCY
Investment Income Prior Year591InvestmentIncomePriorYear
Investment Income Current Year708InvestmentIncomeCurrentYear
Other Revenue Prior Year56993OtherRevenuePriorYear
Other Revenue Current Year1720OtherRevenueCurrentYear
Total Revenue Prior Year34131626TotalRevenuePriorYear
Total Revenue Current Year28459668TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year382391GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY248800GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19747749SalariesEtcPriorYear
Salaries Etc Current Year18937247SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5104866OtherExpensePriorYear
Other Expenses Current Year6002818OtherExpensesCurrentYear
Total Expenses Prior Year25235006TotalExpensesPriorYear
Total Expenses Current Year25188865TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8896620RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3270803RevenuesLessExpensesCY
Total Assets BOY70992832TotalAssetsBOY
Total Assets EOY76502886TotalAssetsEOY
Total Liabilities BOY63449365TotalLiabilitiesBOY
Total Liabilities EOY50942705TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7543467NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25560181NetAssetsOrFundBalancesEOY
Mission DescriptionNORTH MISSISSIPPI HEALTH SERVICES (NMHS) IS THE PARENT COMPANY OF A DIVERSIFIED REGIONAL HEALTH CARE ORGANIZATION, WHICH SERVES 24 COUNTIES IN NORTH MISSISSIPPI AND NORTHWEST ALABAMA FROM HEADQUARTERS IN TUPELO, MS. NMHS OFFERS MANAGEMENT SERVICES TO ITS AFFILIATED COMPANIES. THE NMHS ORGANIZATION COVERS A BROAD RANGE OF ACUTE DIAGNOSTIC AND THERAPEUTIC SERVICES, WHICH ARE OFFERED THROUGH NORTH MISSISSIPPI MEDICAL CENTER IN TUPELO; A COMMUNITY HOSPITAL SYSTEM WITH LOCATIONS IN EUPORA, IUKA, PONTOTOC, WEST POINT, MS, AND HAMILTON, AL; NORTH MISSISSIPPI MEDICAL CLINICS, WHICH IS A REGIONAL NETWORK OF MORE THAN 30 PRIMARY AND SPECIALTY CLINICS AND NURSING HOMES. THE MISSION OF NMHS IS TO CONTINUOUSLY IMPROVE THE HEALTH OF THE PEOPLE OF OUR REGION. NMHS WORKS TO ACHIEVE ITS CORPORATE MISSION TO IMPROVE THE HEALTH OF THE PEOPLE OF THIS REGION BY PROVIDING CONVENIENTLY ACCESSIBLE, COST-EFFECTIVE HEALTH CARE OF THE HIGHEST QUALITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense19311683Expense
Revenue23869534Revenue
DescriptionNorth Mississippi Health Services provides management services to its affiliated companies. The cost of providing these services was $19,311,683.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense863000Expense
DescriptionNurse Link is a free community telephone service that assists callers with health information, offers triage for symptom-based calls, and makes recommendations for care by utilizing a physician approved, computerized protocol system and reference materials. Nurse Link is staffed by registered nurses. The service also includes the appointment desk, which is a free community health information and physician referral service, and physician consult line, which is a free service that provides regional physicians and their staff access to all departments, specialists and clinics. It offers after-hours coverage for physician clinics throughout northeast Mississippi and for the branch offices of NMMC Home Health Agency and Hospice. It also provides a call-back service to discharged patients. The cost of providing these services was approximately $863,000 in fiscal year 2013. NMHS makes cash donations to a wide variety of community charitable organizations involved in local schools, the arts, public health, and community development activities.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense247852Expense
Revenue4389274Revenue
DescriptionNorth Mississippi Health Services, Inc. is the sole member of North Mississippi Joint Ventures, LLC (NMJV) which serves as a holding company for their 51% controlling interests in North Mississippi Ambulatory Surgery Center, LLC (ASC), North Mississippi Pain Management Center, LLC (PMC), Medical Imaging, LLC (MI) and Center for Digestive Health, LLC (CDH). North Mississippi Ambulatory Surgery Center opened in 1986. The facility now includes seven operating suites and 24 treatment rooms, and is a joint venture between North Mississippi Joint Ventures, LLC and physician owners. The most frequent surgical procedures performed at North Mississippi Ambulatory Surgery Center are ear tubes, tonsils and adenoids, knee arthroscopy, cataracts, dental restorations and carpal tunnel release. North Mississippi Pain Management is a joint venture between North Mississippi Joint Ventures, LLC and physician owners. The Pain Management Center is a comprehensive pain management group that includes board certified anesthesiologists with pain management training in association with other specialists. The Pain Management Center treats patients from a wide variety of illnesses and disease states including chronic pain, acute pain and cancer pain. Medical Imaging is a joint venture between North Mississippi Joint Ventures and physician owners. Medical Imaging has two locations in Tupelo, Mississippi. Medical Imaging at Barnes Crossing offers leading edge MRI, CT, Ultrasound, Flouroscopy and Radiography Examinations. Medical Imaging on Crossover offers its patients access to a Volume (64-SLICE) CT that can freeze frame the heart pumping, the blood moving and the lungs breathing. Because it captures images so quickly and with such detail, it allows physicians to diagnose diseases, such as heart and lung disorders, without the need for invasive procedures. This facility also houses the strongest open MRI in the area. This MRI is designed especially for larger or claustrophobic patients who are unable to use the standard, closed MRI. X-ray or Radiography is also available at this facility. The Center for Digestive Health is a joint venture between North Mississippi Joint Ventures and physician owners. The Center for Digestive Health offers all diagnostic and therapeutic gastrointestinal procedures performed by fellowship trained board certified gastroenterologists, experts in endoscopy. The Center provides care for a broad range of gastrointestinal disorders such as heartburn/GERD, inflammatory bowel disease, IBS, pancreatitis, hepatitis and liver disease, and peptic ulcer disease. In addition, the Center provides care for all related gastrointestinal cancers.Description
FieldValueIRS element (for citing)
Total Program Service Expense20422535TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees373NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOE REPPERTNamePerson
Telephone Number6623773977TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1830 SOUTH GLOSTER STREETAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Bobby Martin
Director1.00.0X000
Grace Clark
Director1.00.0X000
Aubrey Patterson
Director1.00.0X000
Robin McGraw
Chairman1.00.0X000
Lewis Whitfield
Director1.00.0X000
Mickey Holliman
Director1.00.0X000
Jim Kelley
Vice Chairman1.0X000
Hassell Franklin
Director1.00.0X000
L E Gibens
Director1.00.0X000
Guy Mitchell III
Director1.00.0X000
Zell Long
Director1.00.0X000
C K White
Director1.00.0X000
John R Heer
President & CEO37.03.01289958010040X
Bruce Toppin
Secretary/V.P./General Counsel30.010.034226108840X
Joseph A Reppert
Treasurer/Executive VP/CFO30.010.063094308840X
Gerald D Wages
Executive Vice President35.05.021404303846X
Rodger Brown
Vice President40.00.042395708456X
Lynn Holland
Vice President of Finance40.00.027474708840X
Michael A Switzer
Vice President40.00.024578603624X
Dean Hancock
Vice President1.039.021433208806X
Wallace T Davis Jr
Vice President40.00.019624807726X
Timothy H Moore
Exec VP, Pres of Comm Hospital40.00.020510406742X
Karen Koch
Patient Focused Impr. Director40.00.016736107239X
Nicholas R Barron
CRNA40.00.013368802673X
Michael S Edwards
NMASC, CDH, PM Director40.00.015908307092X
James Franklin
Administrator/Calhoun Hlth Svc40.00.015384706540X
Ormella Cummings
Chief Stragegy Officer40.00.014740302937X
Thomas Bozeman
Former Vice President0.040.03272068456X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4798761TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs327206TotalReportableCompFrmRltdOrgs
Total Other Compensation110697TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Premier Inc
5882 Collections Center DriveCHICAGOIL60693Software Support1007964
Medmanagement LLC
1500 Urban Center Drive Ste 325BIRMINGHAMAL35242Consulting Services496129
McMurry Publishing
1010 E Missouri AvePHOENIXAZ85014Marketing Services302671
KPMG LLP
188 E Capitol St Ste 1100JACKSONMS39201Accounting & Audit191491
Springboard Brand Creative Strate
111 W Campbell St Ste 401ARLINGTON HEIGHTSIL60005Marketing Services178100
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Management Fees9000992386953423869534
Income from Joint Ventures90009943892744389274
HEALTH LINK REVENUE900099198432198432
FieldValueIRS element (for citing)
Total Program Service Revenue28457240TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column708TotalRevenueColumn
Exclusion$708ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDues IncomeDescription
Business Code900099BusinessCode
Total Revenue Column1720TotalRevenueColumn
Exclusion$1,720ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1720TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28459668TotalRevenueColumn
Related Or Exempt Function Income28457240RelatedOrExemptFunctionIncome
Exclusion$2,428ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total248800Total
Program Services248800ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4064802Total
Management And General4064802ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8572136Total
Program Services8572136ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3674206Total
Program Services3674206ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1913537Total
Program Services1913537ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total712566Total
Program Services712566ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total331459Total
Management And General331459ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total170503Total
Management And General170503ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total181548Total
Management And General181548ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1167207Total
Program Services1167207ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1213729Total
Program Services1213729ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total324723Total
Program Services324723ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total25448Total
Program Services25448ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total89580Total
Program Services89580ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total104961Total
Program Services104961ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total215189Total
Program Services215189ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total188720Total
Program Services188720ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total18018Total
Management And General18018ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Taxes and Licenses12000251200025
Recruitment Expense176191176191
DUES AND SUBSCRIPTIONS163146163146
SPECIAL FUNCTION9905499054

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total333317Total
Program Services333317ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25188865Total
Program Services20422535ProgramServices
Management And General4766330ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6615442BOY
EOY2711680EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1130961BOY
EOY1181162EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4014833LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec738732LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3289833BOY
EOY3276101EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY16013504BOY
EOY17526085EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43943092BOY
EOY51807858EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY70992832BOY
EOY76502886EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29029563BOY
EOY20400316EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY34419802BOY
EOY30542389EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY63449365BOY
EOY50942705EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7541616BOY
EOY25558330EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1851BOY
EOY1851EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7543467BOY
EOY25560181EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY70992832BOY
EOY76502886EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3270803ReconcilationRevenueExpenses
Reconcilation Other Changes14745911ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH MISSISSIPPI MEDICAL CLINICS INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN640787918EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DocfalseListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
General ExplanationNORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS) IS A SUPPORTING ORGANIZATION THAT IS SUPERVISED OR CONTROLLED IN CONNECTION WITH NORTH MISSISSIPPI MEDICAL CENTER, INC. (NMMC). THE REQUIREMENTS OF REG. SEC. 1.509(A)-4(D)(2) ARE MET IF AN ORGANIZATION SPECIFIES THE CLASS OR PURPOSE OF THE SUPPORTED ORGANIZATIONS INSTEAD OF IDENTIFYING THEM BY NAME. THIS MAY INCLUDE ORGANIZATIONS CLOSELY RELATED IN PURPOSE OR FUNCTION TO SUCH ORGANIZATIONS. NMHS' CERTIFICATE OF INCORPORATION IDENTIFIES THE CLASS OF ORGANIZATIONS THAT IT SUPPORTS AS NOT-FOR-PROFIT EXEMPT ORGANIZATIONS OF WHICH IT IS A MEMBER. BOTH NORTH MISSISSIPPI MEDICAL CLINICS, INC. (CLINICS) AND NMMC ARE NOT-FOR-PROFIT EXEMPT ORGANIZATIONS FOR WHICH NMHS IS SOLE MEMBER. IN ADDITION, BOTH CLINICS AND NMMC ARE CLOSELY RELATED IN PURPOSE OR FUNCTION TO SUCH ORGANIZATIONS. THEREFORE, NMHS SATISFIES THE REQUIREMENTS OF REG. SEC. 1.509(A)-4(D)(2)(I).GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$181,548DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB181548TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchedule C, Part II-B, Line 1g:Identifier
ExplanationLobbying expenses were incurred through the use of lobbying consultants who had direct contact with legislators to discuss various public policy issues and legislative matters.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis406563OtherCostOrOtherBasis
Book Value406563BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3032719OtherCostOrOtherBasis
Depreciation593995Depreciation
Book Value2438724BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis575551OtherCostOrOtherBasis
Depreciation144737Depreciation
Book Value430814BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings3276101TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN SUBSIDIARIES13851F
INVESTMENT IN HPIC15419944F
INVESTMENT IN JOINT VENTURE2027415F
INVESTMENT IN VHA64875F
FieldValueIRS element (for citing)
Total Of Book Value Securities17526085TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Malpractice Trust Fund22034410
Due from Affiliates20133327
LIABILITY INSURANCE RECOVERIES9640121
FieldValueIRS element (for citing)
Total Book Value Other Assets51807858TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$34,389
Estimated Malpractice Costs$30,508,000
FieldValueIRS element (for citing)
Total Of Amounts30542389TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchedule D, Part X, Line 2:Identifier
ExplanationThe 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 consolidated financial statements as a result of Topic 740.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Boys & Girls Club of North Mississippi
PO Box 1098TupeloMS38802640880602501(c)(3)8000See Part IV
Create Foundation Inc
PO Box 1053TupeloMS38802237248582501(c)(3)78000See Part IV
Fourth of July Celebration Association
PO Box 1356TupeloMS38802721374309501(c)(3)15000See Part IV
Main Street Association
PO Box 468TupeloMS388020468640911377501(c)(3)15000See Part IV
Yocona Area Council
505 Air Park RoadTupeloMS38801640315213501(c)(3)8500See Part IV
American Red Cross of NE MS
4127 Westside DriveTupeloMS38801530196605501(c)(3)15000See Part IV
Good Samaritan Free Clinic
420 Magazine StreetTupeloMS38804581986683501(c)(3)32500See Part IV
Komen North MS Race for the Cure
PO Box 801TupeloMS38802751835298501(c)(3)10000See Part IV
University of MS Foundation
PO Box 249UniversityMS386770249237310293501(c)(3)61750See Part IV
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part I, Line 2:North Mississippi Health Services, Inc. makes cash donations to a wide varietY of community charitable organizations involved in local schools, the arts, public health, and community development activities. These contributions are given based on the needs of the organization.
Part II, Line 1, Column (h):North Mississippi Health Services, Inc. makes cash donations to a wide variety of community charitable organizations involved in local schools, the arts, public health, and community development activities. The donations made to each of the organizations reported in Schedule I, Part II were given to fund and help further each organization's work in the community.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
John R Heer
President & CEO72852604785250829070500005040012999980
Bruce Toppin
Secretary/V.P./General Counsel23811509723706909050000384003511010
Joseph A Reppert
Treasurer/Executive VP/CFO4068660206154017923050000384006397830
Gerald D Wages
Executive Vice President77207010993402690203558028802178890
Rodger Brown
Vice President2468660107501069590050000345604324130
Lynn Holland
Vice President of Finance19099007833205425050000384002835870
Michael A Switzer
Vice President18001806416801600036240002494100
Dean Hancock
Vice President14829506206203975043660444002231380
Wallace T Davis Jr
Vice President13610605650403638038860384002039740
Karen Koch
Patient Focused Impr. Director13941002370004251033990384001746000
Michael S Edwards
NMASC, CDH, PM Director14106101439203630032520384001661750
James Franklin
Administrator/Calhoun Hlth Svc12279602504606005030840345601603870
Ormella Cummings
Chief Stragegy Officer12367702032703399029370001503400
Timothy H Moore
Exec VP, Pres of Comm Hospital147989039642017473034620328002118460
Thomas Bozeman
Former Vice President207244915232843950003456335662

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPart I, Line 4b:Identifier
ExplanationParticipants: John Heer $81,527 Rodger Brown $42,861 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Page 6, Part VI, Section A, Line 6:North Mississippi Health Services, Inc. has members that are entitled to renew their membership annually if they are approved for continued membership by the Board of Directors and upon payment of an annual membership due. Vacancies in the membership may be filled by the Board of Directors. The membership may not exceed two hundred persons. In all meetings of the members, each member present is entitled to one vote.
Form 990, Page 6, Part VI, Section A, Line 7a:Members are entitled to elect members of the Board of Directors from the list of persons nominated for election by the nominating and governance committees.
Form 990, Page 6, Part VI, Section B, Line 11b:The Form 990 goes through a review process in the Accounting Department. The accountant 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 return is then sent to the Executive VP/Treasurer to be reviewed and presented to the Board. 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 the organization'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. (NMHS). 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 salaries of NMHS' CEO and senior leadership 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:Book/Tax Difference in Income 385,123 Transfer of Capital to Subsidiaries 1,300,000 Pension-related changes other than net periodic pension costs 13,060,788 Total other changes in Net Assets or Fund Balance = 14,745,911

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1North MS Joint Ventures LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1830 S Gloster StreetAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode
FieldValueIRS element (for citing)
EIN680561912EIN
Primary ActivitiesMgmt ServicesPrimaryActivities
Legal Domicile StateDELegalDomicileState
Total Income4757083TotalIncome
EOY Assets5099682EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
North MS Management Services Inc
830 S Gloster StreetTupeloMS38801640762694Mgmt & AdminDE501(c)(3)11-INMHStrue
North MS Medical Center Inc
830 S Gloster StreetTupeloMS38801640662976HospitalDE501(c)(3)3NMHStrue
Clay County Medical Corporation
830 S Gloster StreetTupeloMS38801640668465HospitalDE501(c)(3)3NMHStrue
Tishomingo Health Services Inc
830 S Gloster StreetTupeloMS38801640741047HospitalDE501(c)(3)3NMHStrue
Pontotoc Health Services Inc
830 S Gloster StreetTupeloMS38801640751410HospitalDE501(c)(3)3NMHStrue
North MS Medical Clinics Inc
830 S Gloster StreetTupeloMS38801640787918Med ClinicsDE501(c)(3)3NMHStrue
Tupelo Service Finance Inc
844 Cliff Gookin BlvdTupeloMS38801640508308CollectionsDE501(c)(3)3NMHStrue
Webster Health Services Inc
830 S Gloster StreetTupeloMS38801640819193HospitalDE501(c)(3)3NMHStrue
Marion Regional Medical Center Inc
830 S Gloster StreetTupeloMS38801640926753HospitalDE501(c)(3)3NMHStrue
North MS Emergency Services Inc
830 S Gloster StreetTupeloMS38801640780130ER PhysiciansDE501(c)(3)9NMHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
North MS Ambulatory
Surgery Center LLCTupeloMS38801200145190Ambulatory SurgMSNMJVRelated24091341296405falsetrue0.51000
North MS Pain Mgmt
CenterTupeloMS38801200626863Pain Mgmt CenterMSNMJVRelated-40725546644falsetrue0.51000
Medical Imaging
LLCTupeloMS38801770647210Medical ImagingMSNMJVRelated2405311758178falsetrue0.51000
Cntr for Digestive
Health LLCTupeloMS38801201606438Digestive CareMSNMJVRelated1601366426148falsetrue0.51000

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
North MS Healthlink Inc
830 S Gloster StreetTupeloMS38801640715886Medical ServicesDENAC Corp001.00000
North MS Enterprises Inc
830 S Gloster StreetTupeloMS38801640658059Medical ServicesDENAC Corp1007197214109091.00000
Professional Practice Management Inc
830 S Gloster StreetTupeloMS38801721390014Med Serv MgmtDEClinicsC Corp
Acclaim Inc
830 S Gloster StreetTupeloMS38801721356116Hlth Care ClaimsDEHealthlinkC Corp
North MS Support Services Inc
830 S Gloster StreetTupeloMS38801260718275Support ServicesDENAC Corp001.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (43 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Medical Imaging Inc
a178968See Part VII
Acclaim Inc
c1300000See Part VII
North Mississippi Joint Ventures Inc
c6700000See Part VII
North Mississippi Medical Center Inc
e11750000See Part VII
Clay County Medical Corporation
L463970See Part VII
North Mississippi Medical Clinics Inc
L707802See Part VII
Marion Regional Medical Center Inc
L344238See Part VII
North Mississippi Enterprises Inc
L100653See Part VII
North Mississippi Medical Center Inc
l23339632See Part VII
Pontotoc Health Services Inc
l212732See Part VII
Tishomingo Health Services Inc
l269859See Part VII
Webster Health Services Inc
l311296See Part VII
Acclaim Inc
o1778476See Part VII
North Mississippi Medical Clinics Inc
o264137See Part VII
North Mississippi Enterprises Inc
o7429755See Part VII
North Mississippi Medical Center Inc
o116879See Part VII
North Mississippi Management Services Inc
o264918See Part VII
Webster Health Services Inc
o51476See Part VII
North Mississippi Medical Center Inc
p1643870See Part VII
Acclaim Inc
q684510See Part VII
Clay County Medical Corporation
q368225See Part VII
North Mississippi Medical Clinics Inc
q1549363See Part VII
Marion Regional Medical Center Inc
q189686See Part VII
North Mississippi Enterprises Inc
q79474See Part VII
Pontotoc Health Services Inc
q584362See Part VII
Tishomingo Health Services Inc
q243450See Part VII
Tupelo Service Finance Inc
q74917See Part VII
Webster Health Services Inc
q134298See Part VII
Clay County Medical Corporation
r162426See Part VII
North Mississippi Medical Clinics Inc
r1383737See Part VII
North Mississippi Medical Center Inc
r4589739See Part VII
Pontotoc Health Services Inc
r101166See Part VII
Tishomingo Health Services Inc
r111654See Part VII
Webster Health Services Inc
r81021See Part VII
Clay County Medical Corporation
s873533See Part VII
HealthWorks of North Mississippi LLC
s65714See Part VII
Marion Regional Medical Center Inc
s442601See Part VII
North Mississippi Medical Center Inc
s274900See Part VII
Pontotoc Health Services Inc
s355111See Part VII
Tishomingo Health Services Inc
s578200See Part VII
Tupelo Service Finance Inc
s174806See Part VII
Webster Health Services Inc
s313363See Part VII
North Mississippi Medical Clinics Inc
s3629171See Part VII

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierPart V, Line 2, Column (d):Identifier
ExplanationMethod of determining amounts for transactions described in lines 1c, 1e, 1r, and 1s: North Mississippi Health Services, Inc. (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. Amounts reported in Line 2, Column (c) for these transaction types are stated at cash value. Method of determining amounts for transactions described in lines 1a, 1k, 1l, 1m, 1o, 1p, and 1q: Certain routine management, financial, and accounting services are provided by North Mississippi Health Services, Inc. (NMHS) to its related affiliates. Additionally, third-party services are provided by related affiliates for the NMHS system. Amounts reported on Line 2, Column (c) for these transactions are at fair market value and are comparable to transactions between two or more unrelated parties dealing at arm's length.Explanation