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Nonprofiteer
← TISHOMINGO HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by TISHOMINGO HEALTH SERVICES INC.

Totals

Total revenue
$16,989,929
Total expenses
$18,550,662
Contributions and grants received
$19,000
Grants paid
$0
Program service revenue
$15,920,999
Investment income
$48,208
Other revenue
$1,001,722
Total assets, end of year
$11,091,651
Total liabilities, end of year
$21,410,800
Net assets or fund balances, end of year
-$10,319,149
Program services expenses (Part IX)
$17,305,372
Management and general expenses
$1,245,290
Fundraising expenses
$0
Program service expenses (Part III)
$17,305,372

Program services were 93.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $19,000

  • 2a · Program service revenue: Net Patient Service Revenue

    total $15,848,178 · related or exempt $15,848,178

  • 2b · Program service revenue: Wellness Center Revenue

    total $69,671 · related or exempt $69,671

  • 2c · Program service revenue: Related Rental Revenue

    total $3,150 · related or exempt $3,150

  • 3 · Investment income

    total $14,910 · excluded $14,910

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7a · Gross sales of assets other than inventory

    securities $19,352 · other assets $13,946

  • 7c · Gain or loss

    securities $19,352 · other assets $13,946

  • 7d · Net gain or loss

    total $33,298 · excluded $33,298

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: Employee Drugs

    total $926,160 · excluded $926,160

  • 11b · Other revenue: Rebate Income

    total $75,562 · excluded $75,562

  • 11e · Other revenue, total

    $1,001,722

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $8,813,771 · program services $7,914,032 · management and general $899,739

  • 8 · Pension plan contributions

    total $695,388 · program services $695,388

  • 9 · Other employee benefits

    total $1,284,535 · program services $1,284,535

  • 10 · Payroll taxes

    total $603,724 · program services $561,375 · management and general $42,349

  • 11a · Fees: management

    total $146,055 · management and general $146,055

  • 11b · Fees: legal

    total $45,285 · management and general $45,285

  • 11c · Fees: accounting

    total $30,856 · management and general $30,856

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $1,851,036 · program services $1,851,036 · management and general $0 · fundraising $0

  • 12 · Advertising and promotion

    total $20,198 · program services $20,198

  • 13 · Office expenses

    total $162,902 · program services $162,902

  • 14 · Information technology

    total $366,627 · program services $366,627

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $480,409 · program services $480,409

  • 17 · Travel

    total $53,014 · program services $53,014

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $28,160 · program services $28,160

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $795,163 · program services $795,163

  • 23 · Insurance

    total $81,006 · management and general $81,006

  • 24a · Other expenses: Medical Supplies

    total $2,821,447 · program services $2,821,447 · management and general $0 · fundraising $0

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $128,131 · program services $128,131 · management and general $0 · fundraising $0

  • 24c · Other expenses: COLLECTION FEES

    total $62,694 · program services $62,694 · management and general $0 · fundraising $0

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $46,677 · program services $46,677 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $33,584 · program services $33,584

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,410 · end of year $1,410

  • 2 · Savings and temporary cash investments

    beginning of year $639,373 · end of year $526,394

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $760,175 · end of year $772,825

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $403,558 · end of year $422,627

  • 9 · Prepaid expenses and deferred charges

    beginning of year $21,714 · end of year $15,741

  • 10a · Land, buildings and equipment: cost or other basis

    $24,600,998

  • 10b · Land, buildings and equipment: accumulated depreciation

    $15,984,581

  • 10c · Land, buildings and equipment, net

    beginning of year $8,451,542 · end of year $8,616,417

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $552,659 · end of year $736,237

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,985,715 · end of year $6,012,180

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $13,594,167 · end of year $15,398,620

  • 27 · Net assets without donor restrictions

    beginning of year -$8,774,212 · end of year -$10,389,276

  • 28 · Net assets with donor restrictions

    beginning of year $24,761 · end of year $70,127

Mission and programs · 2022

Mission

TISHOMINGO HEALTH SERVICES, INC. OPERATES A 48 BED ACUTE CARE HOSPITAL LOCATED IN IUKA, MISSISSIPPI CALLED NORTH MISSISSIPPI MEDICAL CENTER-IUKA (NMMC-IUKA). NMMC-IUKA 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-IUKA 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.

Activities or mission (Part I)

Tishomingo Health Services, Inc. operates a 48 bed acute care hospital located in Iuka, Mississippi.

  • NMMC-Iuka serves Tishomingo County and the surrounding area. In fiscal year 2023, there were 732 inpatient admissions, 7,652 emergency department visits, 42,766 outpatient visits and 15,642 rural health clinic visits. NMMC-Iuka 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. Inpatient care includes 24 hour direct patient care with multi-disciplinary services, including: nursing, radiology, laboratory, ultrasonography, nuclear medicine, CT, magnetic resonance imaging (MRI), physical therapy, occupational therapy, respiratory therapy, food and nutritional services, and social services. The hospital also has 10 certified swing beds for patients who need extended care based on availability and resources. NMMC-Iuka offers 24-hour emergency services and paramedic-level ambulance services. Outpatient services include physical therapy, occupational therapy, laboratory, radiology, respiratory care, infusion, wound care and cardiac monitoring. NMMC-Iuka is the recipient of two VHA Leadership Awards, 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-Iuka was one of only 38 VHA member organizations to receive a 2009 Leadership Award for Clinical Excellence. One of the primary ways NMMC-Iuka 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 the NMMC-Iuka has established a policy under which the hospital provides care, without charge, to needy members of its community. THE FINANCIAL ASSISTANCE POLICY STATES THAT NMMC WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS FREE OF CHARGE WITH HOUSEHOLD INCOME LEVELS AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. THE POLICY FURTHER PROVIDES, PATIENTS WITH HOUSEHOLD INCOME LEVELS BETWEEN 101% AND 150% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE TO RECEIVE SERVICES AT A DISCOUNTED RATE. THE DISCOUNT WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL. The policy applies to individuals who reside in Tishomingo County. Patients from outside the county may also be granted charity care based on the judgment of NMMC-Iuka management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC-Iuka'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 $1,691,017 in fiscal year 2023. Based on the gross charges provided to charity patients compared to total hospital gross charges, 5.55% of all services in fiscal year 2023 were provided on a charity basis. The net cost of charity care provided by NMMC-Iuka was approximately $952,518 in fiscal year 2023. The total cost estimate is based on the ratio of costs to charges for NMMC-Iuka. 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 of Form 990 in order to be consistent with financial statement reporting and are not reported as functional expenses on the tax return.

    Expenses $17,305,372 · Revenue $15,920,999

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Michael S Spees

    President

    Total calculated
    $2,208,894
    From this org
    $0
    From related orgs
    $2,183,476
    Other
    $25,418
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,045,694 related
    Bonus
    $0 + $933,172 related
    Other
    $0 + $204,610 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $7,118 related
    Filer's total
    $0 + $2,208,894 related

  • Sharon Nobles

    Treasurer

    Total calculated
    $987,053
    From this org
    $0
    From related orgs
    $969,655
    Other
    $17,398
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $556,741 related
    Bonus
    $0 + $339,512 related
    Other
    $0 + $73,402 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $8,248 related
    Filer's total
    $0 + $987,053 related

  • Bruce Toppin

    Secretary

    Total calculated
    $637,860
    From this org
    $0
    From related orgs
    $622,632
    Other
    $15,228
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $361,480 related
    Bonus
    $0 + $190,269 related
    Other
    $0 + $70,883 related
    Deferred
    $0 + $6,100 related
    Nontaxable benefits
    $0 + $9,128 related
    Filer's total
    $0 + $637,860 related

  • Barry Keel

    Administrator

    Total calculated
    $385,137
    From this org
    $0
    From related orgs
    $372,424
    Other
    $12,713
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $233,999 related
    Bonus
    $0 + $109,468 related
    Other
    $0 + $28,957 related
    Deferred
    $0 + $11,039 related
    Nontaxable benefits
    $0 + $1,674 related
    Filer's total
    $0 + $385,137 related

  • Bradley A Murray

    Physician

    Total calculated
    $353,245
    From this org
    $343,789
    From related orgs
    $0
    Other
    $9,456
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $278,858
    Bonus
    $64,691
    Other
    $240
    Deferred
    $8,106
    Nontaxable benefits
    $1,350
    Filer's total
    $353,245

  • Walter G Mayfield

    Physician

    Total calculated
    $269,166
    From this org
    $247,292
    From related orgs
    $0
    Other
    $21,874
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $246,697
    Bonus
    $43
    Other
    $552
    Deferred
    $15,202
    Nontaxable benefits
    $6,672
    Filer's total
    $269,166

  • Thomas Draper

    Physician

    Total calculated
    $266,061
    From this org
    $244,684
    From related orgs
    $0
    Other
    $21,377
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $243,847
    Bonus
    $212
    Other
    $625
    Deferred
    $16,469
    Nontaxable benefits
    $4,908
    Filer's total
    $266,061

  • Julie McIntosh

    RN

    Total calculated
    $172,847
    From this org
    $172,251
    From related orgs
    $0
    Other
    $596
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,203
    Bonus
    $48
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $596
    Filer's total
    $172,847

  • Layne Harris

    Pharmacist

    Total calculated
    $152,553
    From this org
    $142,064
    From related orgs
    $0
    Other
    $10,489
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $138,033
    Bonus
    $543
    Other
    $3,488
    Deferred
    $2,881
    Nontaxable benefits
    $7,608
    Filer's total
    $152,553

  • Art Gaines

    Director

    Total calculated
    $0
    Hours/week
    1

  • James Tennyson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Steve McAnally

    Director

    Total calculated
    $0
    Hours/week
    1

  • Jena McNatt

    Director

    Total calculated
    $0
    Hours/week
    1

  • Heath Castile

    Director

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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: SHARON NOBLES - $50,491 MICHAEL SHANE SPEES - $136,690 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Medical Imaging

    Medical Imaging · MS

    Directly controlled by NA

  • Cntr for Digestive

    Digestive Care · MS

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • North MS Health Link Inc

    C Corp · Medical Services · DE · controlled entity

    Directly controlled by NMHS

  • North MS Enterprises Inc

    C Corp · Medical Services · DE · controlled entity

    Directly controlled by NMHS

  • Professional Practice Management Inc

    C Corp · Med Serv Mgmt · DE · controlled entity

    Directly controlled by NMMCL

  • Acclaim Inc

    C Corp · Hlth Care Claims · DE · controlled entity

    Directly controlled by HEALTHLINK

  • North MS Support Services Inc

    C Corp · Support Services · DE · controlled entity

    Directly controlled by NMHS

Provenance

Return type
form_990
Tax year
2022
Filed
15 July 2024
IRS schema version
2022v5.0
Source object
202402289349302410

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