2024-08-15T12:55:26-05:00 2023-09-30 Forvis Mazars LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2022-10-01 640787918 North Mississippi Medical Clinics Inc % KRISTY DUKE NORT 6623773978 830 South Gloster Street Tupelo MS 38801 SHARON NOBLES CFO 6623773978 2024-07-15 true Amber Sherrill CPA P00748683 5013721040 2022 2024-08-08 14:25:15Z SHARON NOBLES 830 South Gloster Street Tupelo MS 38801 55414901 false X www.nmhs.net/clinics.php X 1990 DE North Mississippi Medical Clinics, Inc. operates 34 medical clinics located in north Mississippi. 8 6 721 6 0 0 917894 0 59799583 54959110 -62927 77089 355864 378702 61010414 55414901 0 0 0 0 60072604 59417518 0 0 0 17941622 16327553 78014226 75745071 -17003812 -20330170 157824227 207320466 227665902 297483231 -69841675 -90162765 X NORTH MISSISSIPPI MEDICAL CLINICS, INC. (CLINICS) OWNS AND OPERATES 34 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 73335282 0 54959110 Clinics serves the 24 counties in north Mississippi and northwest Alabama that make up the NMHS service area. In fiscal year 2023, Clinics served the population of the area with 389,854 visits to its physicians. The organization operates 25 regional primary care and internal medicine clinics. One of the primary ways Clinics serves the community is by providing care to various populations for which it receives no compensation or receives compensation at rates significantly less than established rates. The board of directors of Clinics has established a policy under which the organization provides care, without charge, to needy members of its community. The charity care policy states that Clinics will provide necessary services to patients free of charge with household income levels based on the median income for Mississippi compared to the median income nationally. The Mississippi Adjusted Poverty Guidelines is approximately 75% of the federal poverty rate. The policy further provides patients with household income levels above the Mississippi Adjusted Poverty Guidelines will be liable for no more than the amount that their household income exceeds the applicable federal poverty guidelines. The policy applies to individuals who reside in the county where the applicable clinic is located. Patients from outside the county may also be granted charity care based on the judgment of Clinics management depending on their individual circumstances. The policy also requires the patient to cooperate fully with Clinics' request for information with which to verify the patient's eligibility. Following that policy, Clinics maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. Charges forgone, based on established rates, totaled approximately $1,279,983 in fiscal year 2023. Based on the gross charges provided to charity patients compared to total Clinics gross charges, 1.39% of all services in fiscal year 2023 were provided on a charity basis. The net cost of charity care provided by Clinics was approximately $1,159,494 in fiscal year 2023. The total cost estimate is based on the ratio of costs to charges for Clinics. 73335282 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 136 0 true 721 true false false false false false false false false false false false false X 8 6 false false false false true true true true true false false false true true true true true true true false X KRISTY DUKE 6623773977 830 SOUTH GLOSTER STREET Tupelo MS 38801 X Sharon Nobles Treasurer 1.0 39.0 X 0 969655 17398 William Jennings Physician 40.0 0.0 X 733562 0 29547 Charles Abavare Physician 40.0 0.0 X 649118 0 29547 Don Smith DO PHYSICIAN 40.0 0.0 X 644752 0 28623 Raymond Arriola Physician 40.0 0.0 X 635882 0 32297 Edmund M Miller Physician 40.0 0.0 X 609074 0 33078 Bruce Toppin Secretary 1.0 39.0 X 0 622632 15228 Justin C Duke Physician 40.0 0.0 X 607242 0 18992 David Barber President 20.0 20.0 X 0 567334 30000 Erik Dukes MD PHYSICIAN 40.0 0.0 X 536544 0 29547 Molly L Weldon Chief Operating Officer 40.0 0.0 X 283282 0 5106 George Purnell Chairman 1.0 0.0 X X 0 0 0 Jeff Jaggers Director 1.0 0.0 X 0 0 0 Jim Goodwin Director 1.0 0.0 X 0 0 0 Mary Werner Director 1.0 0.0 X 0 0 0 John Creekmore Director 1.0 0.0 X 0 0 0 James K Harvey MD Director 1.0 0.0 X 0 0 0 4699456 2159621 269363 113 false true false CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 JANITORIAL SERVICE 537989 MEDIREVV 2600 University Pkwy CORALVILLE IA 52241 BILLING 452989 MYRIAD HEALTH ALLIANCE PO BOX 1909 MADISON MS 39130 MANAGEMENT SERVICES 376212 ORTHO-CLINICAL DIAGNOSTIC PO BOX 406663 ATLANTA GA 30384 LAB EQUIPMENT SVCS 124692 EXPRESS SERVICES PO BOX 203901 DALLAS TX 75320 CONTRACT STAFFING 113910 6 0 Patient Service Revenue 622110 53839950 53839950 RELATED RENTAL INCOME 531120 728919 728919 WORKLINK REVENUE 622110 390241 390241 54959110 32284 32284 0 0 0 0 0 27785 17020 27785 17020 44805 44805 0 0 0 0 0 0 0 0 0 REBATE INCOME 900099 378702 378702 378702 55414901 54959110 455791 0 0 0 0 1589746 1589746 0 47545393 47544356 1037 2156771 2156771 5461524 5461524 2664084 2398867 265217 177939 177939 659 659 45714 45714 0 0 0 1600293 1600293 0 0 18704 18704 1455242 1455242 2015550 2015550 0 2392947 2392947 135475 135475 0 301961 301961 0 0 1423013 1423013 329477 329477 Medical Supplies 5202435 5202435 COLLECTION FEES 711342 711342 TAXES & LICENSES 229513 229513 PATIENT SURVEY EXPENSE 93661 93661 193628 193628 75745071 73335282 2409789 0 12850 12000 39565 572973 0 0 2107754 1508154 0 0 0 0 0 0 1185951 879764 151665 96281 50662056 38592682 12899676 12069374 0 0 0 0 0 0 0 0 141426766 192181920 157824227 207320466 15878161 17870119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211787741 279613112 227665902 297483231 X -70002843 -90384381 161168 221616 -69841675 -90162765 157824227 207320466 X -20330170 392 8688 X false true X true false X 3117753 3117753 32395300 25736434 6658866 365055 353586 11469 13349952 11310562 2039390 1433996 1192100 241896 12069374 Deferred Compensation 9501783 Interest in NA of FDN 221616 RIGHT OF USE LEASES 1409455 DUE FROM AFFILIATES 181049066 192181920 0 Due to Affiliates 279613112 279613112 FORM 990, SCHEDULE D, Part X, Line 2 MANAGEMENT HAS EVALUATED ITS INCOME TAX POSITIONS UNDER GUIDANCE INCLUDED IN ASC 740. BASED ON ITS REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS false true false false false false false true false David Barber President 0 325792 0 170435 0 71107 0 22875 0 7125 0 597334 0 0 Bruce Toppin Secretary 0 361480 0 190269 0 70883 0 6100 0 9128 0 637860 0 0 Sharon Nobles Treasurer 0 556741 0 339512 0 73402 0 9150 0 8248 0 987053 0 0 Molly L Weldon Chief Operating Officer 231223 0 49876 0 2183 0 0 0 5106 0 288388 0 0 0 William Jennings Physician 238821 0 494381 0 360 0 22875 0 6672 0 763109 0 0 0 Charles Abavare Physician 238821 0 409745 0 552 0 22875 0 6672 0 678665 0 0 0 Raymond Arriola Physician 290169 0 329203 0 16510 0 22875 0 9422 0 668179 0 0 0 Edmund M Miller Physician 269917 0 318417 0 20740 0 27450 0 5628 0 642152 0 0 0 Justin C Duke Physician 238821 0 368205 0 216 0 12320 0 6672 0 626234 0 0 0 Don Smith DO PHYSICIAN 216648 0 408906 0 19198 0 22875 0 5748 0 673375 0 0 0 Erik Dukes MD PHYSICIAN 267111 0 252731 0 16702 0 22875 0 6672 0 566091 0 0 0 FORM 990, SCHEDULE J, Part I, Line 3 NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ESTABLISHES THE PAY OF THE CEO AND COMPENSATES HIM. NMHS USES THE FOLLOWING METHODS FOR ESTABLISHING THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, SCHEDULE J, Part I, Line 4b The following people participated in or received payment from a supplemental nonqualified retirement plan: David Barber - $40,806 Sharon Nobles - $50,491 Bruce Toppin - NONE FORM 990, SCHEDULE J, Part I, Line 7 PHYSICIAN BONUSES ARE ALL CONTINGENT INCOME DEPENDING UPON EITHER THE NUMBER OF SERVICES PROVIDED OR THE QUALITY OF PERFORMANCE PERFORMED. ALL ARE SPECIFIED IN THEIR CONTRACTS. ANY OTHER INCENTIVES ARE PAID OUT AS CONTINGENT INCOME ALSO BASED ON QUALITY AND FINANCIAL PERFORMANCE METRICS. Form 990, 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, 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, Part VI, Section A, Line 7b The Board of North Mississippi Health Services, Inc. approves all transactions that exceed $1 million. Form 990, 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, 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, Part VI, Section B, Line 15A & 15B AN INDEPENDENT COMPENSATION CONSULTING FIRM, KORN FERRY, IS USED TO HELP ESTABLISH THE COMPENSATION OF THE SENIOR EXECUTIVES. THE FIRM PRESENTS THEIR INDEPENDENT ANALYSIS, WHICH CONTAINS COMPARABILITY DATA, TO THE COMPENSATION COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. (NMHS). THE COMPENSATION OF THE INDIVIDUALS ARE THEN APPROVED BY THE COMPENSATION COMMITTEE. THE SALARIES OF NMHS' SENIOR EXECUTIVES ARE THEN REVIEWED BY THE NMHS BOARD OF DIRECTORS. THE INDIVIDUAL WHOSE COMPENSATION IS BEING DISCUSSED IS NOT PRESENT DURING THE DISCUSSION OR APPROVAL OF THEIR COMPENSATION. THE DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN THE MINUTES OF THE MEETINGS. COMPENSATION OF THESE INDIVIDUALS IS APPROVED ANNUALLY. Form 990, 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 operations is available on the organization's website. Form 990, Part XI, Line 9 INTEREST IN NET ASSETS OF AFFILIATED FOUNDATION: $8,688 North Mississippi Gilmore Clinics LLC 830 South Gloster Street Tupelo MS 38801 364914599 Healthcare MS 2036119 112431 NMMCl North MS Management Services Inc 830 S Gloster Street Tupelo MS 38801 640762694 Mgmt & Admin DE 501(c)(3) 12-I NMHS true North MS Health Services Inc 830 S Gloster Street Tupelo MS 38801 640653269 Mgmt Services DE 501(c)(3) 12-II NA false Clay County Medical Corporation 830 S Gloster Street Tupelo MS 38801 640668465 Hospital DE 501(c)(3) 3 NMHS true Tishomingo Health Services Inc 830 S Gloster Street Tupelo MS 38801 640741047 Hospital DE 501(c)(3) 3 NMHS true Pontotoc Health Services Inc 830 S Gloster Street Tupelo MS 38801 640751410 Hospital DE 501(c)(3) 3 NMHS true North MS Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640662976 Hospital DE 501(c)(3) 3 NMHS true Tupelo Service Finance Inc 830 South Gloster Street Tupelo MS 38801 640508308 Collections DE 501(c)(3) 3 NMHS true Webster Health Services Inc 830 S Gloster Street Tupelo MS 38801 640819193 Hospital DE 501(c)(3) 3 NMHS true Marion Regional Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640926753 Hospital DE 501(c)(3) 3 NMHS true North MS Emergency Services Inc 830 S Gloster Street Tupelo MS 38801 640780130 ER Physicians DE 501(c)(3) 10 NMHS true Monroe Health Services 830 South Gloster Street Tupelo MS 38801 320583236 Hospital DE 501(c)(3) 3 NMHS true Health Care Foundation of North MS 830 SOUTH GLOSTER STREET TUPELO MS 38801 640914704 FUNDRAISING DE 501(C)(3) 7 NMHS true Medical Imaging LLC Tupelo MS 38801 770647210 Medical Imaging MS NA false false Cntr for Digestive Health LLC Tupelo MS 38801 201606438 Digestive Care MS NA false false North MS Health Link Inc 830 S Gloster Street Tupelo MS 38801 640715886 Medical Services DE NMHS C Corp true North MS Enterprises Inc 830 S Gloster Street Tupelo MS 38801 640658059 Medical Services DE NMHS C Corp true Professional Practice Management Inc 830 S Gloster Street Tupelo MS 38801 721390014 Med Serv Mgmt DE NMMCL C Corp 533197 3548225 1.00000 true Acclaim Inc 830 S Gloster Street Tupelo MS 38801 721356116 Hlth Care Claims DE HEALTHLINK C Corp true North MS Support Services Inc 830 S Gloster Street Tupelo MS 38801 260718275 Support Services DE NMHS C Corp true false false false false true false false false false true true false true false true true true true true PROFESSIONAL PRACTICE MANAGEMENT INC S 444426 See Part VII Part V, Line 2, Column (d): Method of determining amounts for transactions described in line 1s: Certain routine management, financial, and accounting services are provided by North Mississippi Medical Clinics, Inc. (Clinics) to its related affiliates. Additionally, third-party services are provided by related affiliates for Clinics. Amounts reported on Line 2, column (c) for this transaction type are at fair market value and are comparable to transactions between two or more unrelated parties dealing at arm's length.