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 640926753 Marion Regional Medical Center Inc % JOE REPPERT MARI 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 19898365 false X www.nmhs.net/hamilton/ X 2000 DE Marion Regional Medical Center, Inc. operates a 36 bed acute care hospital and a 79 bed nursing home located in Hamilton, Alabama. 5 5 253 24 -5984 -6984 1649109 20288 20309954 19546420 -19611 9038 475335 321977 22414787 19897723 0 0 0 0 11423786 12560058 0 0 0 13258299 13409155 24682085 25969213 -2267298 -6071490 14956702 12956202 15758003 16427779 -801301 -3471577 MARION REGIONAL MEDICAL CENTER, INC. OWNS AND OPERATES A 36 BED ACUTE CARE HOSPITAL AND A 79 BED NURSING HOME LOCATED IN HAMILTON, ALABAMA CALLED NORTH MISSISSIPPI MEDICAL CENTER-HAMILTON (NMMC-HAMILTON). NMMC-HAMILTON 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-HAMILTON 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 24816404 19613145 NMMC-Hamilton serves Marion county Alabama and the surrounding area. In fiscal year 2013, there were 803 inpatient admissions, 8,478 emergency department visits, and 12,373 outpatient visits. NMMC-Hamilton 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. The four-bed Intensive Care Unit offers invasive and non-invasive monitoring for medical and surgical patients. The hospital also has 10 certified swing beds for patients who need extended care. NMMC-Hamilton offers 24-hour emergency services. The Emergency Room is staffed by well-equipped, highly qualified nurses and physicians. Emergency air ambulance services are readily available for critical care transport when needed. Outpatient services include same-day surgery, physical therapy, speech therapy, occupational therapy, laboratory and cardiac monitoring. Cardiac stress tests and holter monitoring are also offered. NMMC-Hamilton is the recipient of the VHA Leadership Award, honoring the hospital for meeting or exceeding national performance standards for clinical care and quality. VHA serves more than 1,400 not-for-profit hospitals and more than 24,000 non-acute health care organizations nationwide. NMMC-Hamilton was one of only 38 VHA member organizations to receive a 2009 Leadership Award for Clinical Excellence. One of the primary ways NMMC-Hamilton 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-Hamilton has established a policy under which the hospital provides care, without charge, to needy members of its community. The charity care policy states that NMMC-Hamilton will provide necessary hospital services to patients free of charge with household income levels based on the median income for Mississippi compared to the median income nationally. NMMC-Hamilton believes this adjustment is also appropriate for the geographic area of Alabama, where its hospital facility is located. 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 Marion County. Patients from outside the county may also be granted charity care based on the judgment of NMMC-Hamilton management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC-Hamilton's request for information with which to verify the patient's eligibility. Following that policy, the hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. Charges forgone, based on established rates, totaled approximately $1,272,178 in fiscal year 2013. Based on the gross charges provided to charity patients compared to total hospital gross charges, 2.2% of all services in fiscal year 2013 were provided on a charity basis. The net cost of charity care provided by NMMC-Hamilton was approximately $454,000 in fiscal year 2013. The total cost estimate is based on the ratio of costs to charges for NMMC-Hamilton. All of the forgone charges mentioned above are netted against patient service revenue to arrive at net patient service revenue as reflected as program service revenue on Part VIII on Form 990 in order to be consistent with financial statement reporting and are not reported as functional expenses on the tax return. 24816404 true true false false false false false false false false true false false false true true true 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 29 0 253 true true true false false false false false false false false false X 5 5 false false false false true true true true true false false false true true true true true true true true true X JOE REPPERT 6623773977 830 SOUTH GLOSTER STREET Tupelo MS 38801 Ken Hammitte 1.0 0.0 X Dr Sonny Nix 1.0 0.0 X Al Tidwell 1.0 0.0 X Bobby Wallace 1.0 0.0 X Judy Wilson 1.0 0.0 X Bruce Toppin 1.0 39.0 X 0 342261 8840 Joe Reppert 1.0 39.0 X 0 630943 8840 Timothy H Moore 6.0 34.0 X 0 205104 6742 Rodger Brown 6.0 34.0 X 423957 8456 Donald Jones 40.0 0.0 X 150012 0 6501 Cynthia Otts 40.0 0.0 X 134181 0 2887 Michelle L Bradford 40.0 0.0 X 105023 0 2712 Robert Jones 0.0 40.0 X 195924 7659 Gerald Wages 0.0 40.0 X 214043 3846 389216 2012232 56483 3 true true false EMCARE INC 7032 Collection Center Drive CHICAGO IL 60693 Physician Services 529854 Kenneth J Hager MD 3353 Hermitage Road MOUNTAIN BROOK AL 35223 Physician Services 336000 Ronald Graham DO 2104 Pell Street SCOTTSBORO AL 35769 Physician Services 254903 Alliance Healthcare PO Box 96485 CHICAGO IL 606936485 MRI Service 222475 Joe Wilkes II 226 Brandy Dr WINFIELD AL 35594 Physician Services 148730 7 20288 20288 Net Patient service Revenue 900004 19495697 19495697 Related Rental Income 900099 50723 50723 19546420 714 714 0 0 0 0 0 8966 642 8324 8324 8324 0 0 0 Employee Drugs 900099 253096 253096 Cafeteria Revenue 900099 66725 66725 EQUITY IN MARION REGIONAL LLC 621610 -5984 -5984 8140 8140 321977 19897723 19613145 -5984 270274 0 0 0 0 0 0 8415964 7714569 701395 916333 916333 2627207 2627207 600554 532604 67950 323598 323598 21527 21527 34959 34959 0 0 0 2721980 2721980 26846 26846 1316831 1316831 200270 200270 0 514666 514666 27504 27504 0 20983 20983 5819 5819 0 1347629 1347629 3380 3380 Bad Debt Expense 4151190 4151190 MEDICAL SUPPLIES 1782690 1782690 Taxes and Licenses 466922 466922 Repairs and Maintenance 147393 147393 294968 294968 25969213 24816404 1152809 0 137757 52897 806620 507961 0 0 3590916 3179978 0 0 0 0 0 0 281979 341158 49800 11600 19421162 10605509 9749972 8815653 0 0 0 0 0 0 0 0 339658 46955 14956702 12956202 6416310 3391188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9341693 13036591 15758003 16427779 X -839101 -3518532 37800 46955 0 0 -801301 -3471577 14956702 12956202 X -6071490 3401214 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 216557 216557 5796493 3521332 2275161 12924515 6959827 5964688 483597 124350 359247 8815653 0 Due to Affiliates 12633076 Asset Retirement Obligation 212914 INVESTMENT IN MARION LHC 14791 CAPITAL LEASE LIABILITY 175810 13036591 X 15750212 -4151190 -4151190 19901402 -3679 -3679 19897723 21818023 21818023 4151190 4151190 25969213 Part X, Line 2: The Medical Center 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 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 Medical Center's financial statements as a result of Topic 740. Part XI, Line 2d: Bad debt expense included in patient revenue on the financial statements is included in expense on the return. Part XI, Line 4b: BOOK/TAX DIFFERENCE IN MARION REGIONAL, LLC Part XII, Line 4b: Bad debt expense included in patient revenue on the financial statements is included in expense on the return. true true X true X 74. false false true false true true 454086 454086 0.02080 4339690 4873959 -534270 4793776 4873959 -80184 0.02080 4793776 4873959 -80184 0.02080 false 4151190 5140963 6188334 -1047371 X true true 1 1 Marion Regional Medical Center

1256 Military Street Hamilton AL 35570

X Marion Regional Medical Center 1 true X X X X X X X 12 true true true X X X X X X X X false false true true 74. false true X X X X X true true X X X X X true false X X X true X false false 1 Marion Regional Medical Ctr Nursing Home

1256 Military Street Hamilton AL 35570

Long Term Acute Care Facility Part I, Line 3c: Marion Regional Medical Center, Inc. does not use the Federal Poverty Guidelines to determine eligibility for discounted care. The Federal Poverty Guidelines are used only for free care. Discounted care is given to anyone regardless of income level if they do not have insurance. Marion Regional Medical Center will provide its prevalent managed care discount to any patient that meets Marion Regional Medical Center's definition of uninsured (an individual having no third party coverage by commercial third party insurer, an ERISA plan, Medicare, Medicaid, SCHIP, Champus or other coverage for all or part of their bill). Part I, Line 6a: Marion Regional Medical Center'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, MS, and Hamilton AL; North Mississippi Medical Clinics, a regional network of more than 30 primary and specialty clinics; and nursing homes. NMHS offers a comprehensive portfolio of managed care plans. Part I, Line 7g: Not Applicable Part I, Line 7, Column (f): Bad Debt Expense of $4,151,190 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 4: Marion Regional Medical Center'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. The amount reported in Part III, line 2 as bad debt expense matches the amount of bad debt expense reported on MRMC's audited financial statements. Marion Regional Medical Center (MRMC) follows the Catholic Health Association guidelines and does not include bad debt in any community benefit amounts. MRMC, 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. 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 $358,076 and total costs were $664,822 for a net shortfall of $306,746. When combined with the shortfall reported on Line 7, the net shortfall from all Medicare programs is $1,354,117. Part III, Line 9b: Marion Regional Medical Center does not pursue collection of amounts determined to qualify as charity care. Part V, Line 1a: In the original CHNA report, there was an error in the definition of the community served. The report misstated the name of one of the counties being served. However, all conclusions otherwise stated in the report were accurate. This typo in the report has since been corrected. Part V, Line 1j: A description of health indicators that affect the overall health of the community enabling access to health care. Part V, Line 3: Telephone and mail surveys involving various people in the community were conducted and the findings were summarized in the CHNA report. Marion Regional Medical Center's Community Health Department also works closely with the local and state departments of health, which has resulted in several projects concerning obesity and smoking cessation. Part V, Line 4: Marion Regional Medical Center is part of the North Mississippi Health Services' diversified regional healthcare system. North Mississippi Health Services operates five community hospitals in addition to Marion Regional Medical Center. The CHNA included Marion Regional Medical Center, Clay County Medical Corporation, Pontotoc Health Services, Webster Health Services, Tishomingo Health Services, and North Mississippi Medical Center. Part V, Line 5c: The CHNA report was not posted on Marion Regional Medical Center's website by 9/30/2013. However, the report has since been posted to the website at http://www.nmhs.net/communityreport.php. Part V, Line 7: There were numerous health needs identified in the CHNA report as the state of Mississippi ranks last in the U.S. regarding overall health. It is not financially feasible for Marion Regional Medical Center to address each of the needs identified. Instead, Marion Regional Medical Center has prioritized and addressed the needs that cause the biggest concern for the community. Currently, Marion Regional Medical Center is addressing the most pressing needs of obesity (including child hood obesity), smoking cessation, and diabetes. Part V, Line 11: Marion Regional Medical Center, Inc. does not use the Federal Poverty Guidelines to determine eligibility for discounted care. The Federal Poverty Guidelines are used only for free care. Discounted care is given to anyone regardless of income level if they do not have insurance. Marion Regional Medical Center will provide its prevalent managed care discount to any patient that meets Marion Regional Medical Center's definition of uninsured (an individual having no third party coverage by commercial third party insurer, an ERISA plan, Medicare, Medicaid, SCHIP, Champus or other coverage for all or part of their bill). Part VI, Line 2: Needs Assessment Marion Regional Medical Center utilizes varied but complimentary methods to assess the health care needs of the community it serves. Marion Regional Medical Center and Marion 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 Marion 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 Marion 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 Marion Regional Medical Center. Part VI, Line 3: Patient Education of Eligibility for Assistance Explanations of the Marion Regional Medical Center 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 Marion Regional Medical Center serves more than 29,000 people in Marion County, Alabama and the surrounding area. The population for the service area is projected to remain essentially flat over the next five years. According to the 2010 census, age demographics for the service area show that approximately 22% of the population is under 18 years of age, approximately 59% is between 18 and 64 years of age and that 19% is 65 or older. Caucasians make up 94% of the service area's population while African Americans make up 4% and Hispanics and others make up approximately 2%. The median household income for 2007-2011 was $31,799 for the service area, which is below the overall average for Alabama and significantly less than the nationwide average. The patient population for Marion Regional Medical Center is covered by insurance or is uninsured as follows: 44.74% Medicare, 19.04% Medicaid, and 29.58% private insurance with 6.64% being uninsured. Part VI, Line 5: Promotion of Community Health Marion Regional Medical Center has a commitment to a wide variety of community health outreach activities, which are coordinated by the community health coordinator and are staffed by Marion Regional Medical Center 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. Part VI, Line 6: Affiliated Health Care System As noted above, Marion Regional Medical Center (MRMC) is part of North Mississippi Health Services (NMHS). NMHS operates North Mississippi Medical Center and four other community hospitals in addition to MRMC, as well as, North Mississippi Medical Clinics, which operates more than 30 medical clinics. Some of these facilities operate at an ongoing financial loss and NMHS provides operating funds in the form of working capital loans that have no set repayment date. These working capital loans have historically been converted to capital transfers in many cases, and therefore, the loans are forgiven such that the facility never makes repayment. NMHS does this in order to provide access to a variety of services across the service area and is an intentional part of its business model. The Community Health department that is part of NMMC coordinates a variety of community health activities across the service area as well. Part VI, Line 7: State Filing of Community Benefit Report Marion Regional Medical Center does not file a community benefit report with the state of Mississippi as there is no requirement to do so. The community benefit report is available online at nmhs.net. X X X X X false true false false false false false false false Bruce Toppin 0 238115 0 97237 0 6909 0 5000 0 3840 0 351101 Donald Jones 119343 0 9258 0 21411 0 3045 0 3456 0 156513 0 Joe Reppert 0 406866 0 206154 0 17923 0 5000 0 3840 0 639783 Robert Jones 184227 6216 5481 3819 3840 203583 Timothy H Moore 0 147989 0 39643 0 17472 0 3462 0 3280 0 211846 Gerald Wages 77207 109934 26902 3558 288 217889 Rodger Brown 246866 107501 69590 5000 3456 432413 Part I, Line 4b: Participant: Joe Reppert $17,023 Rodger Brown $42,861 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: Marion Regional Medical Center, 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 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, 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 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: Pension-related changes other than net periodic pension cost: 3,388,380 Increase in interest in net assets of affiliated foundation: 9,155 Book/Tax Difference in Marion Regional, LLC: 3,679 Total other changes in net assets or fund balance = 3,401,214 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 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 Clinics Inc 830 S Gloster Street Tupelo MS 38801 640787918 Med Clinics 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 North MS Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640662976 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 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 false false false false true false false false false false false false true false true true true true false