Liabilities / Assets
56th percentile
Higher debt load relative to assets than 56% of similar nonprofits.
EIN 64-0668465 • 501(c)3 • Tupelo, MS
Profile
Clay county medical corporation owns and operates a 60 bed acute-care hospital and related outpatient care facilities in west point, mississippi called north mississippi medical center-west point (nmmc-west point). Nmmc-west point 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-west point 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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
56th percentile
Higher debt load relative to assets than 56% of similar nonprofits.
Liabilities / Revenue
41st percentile
Higher debt load relative to revenue than 41% of similar nonprofits.
Net Margin
78th percentile
Higher net margin than 78% of similar nonprofits.
Top Officer Pay
97th percentile
Higher top officer pay than 97% of similar nonprofits.
Top officer pay equals 3.6% of source-year revenue.
Asset Growth
64th percentile
Faster asset growth than 64% of similar nonprofits.
Revenue Growth
81st percentile
Faster revenue growth than 81% of similar nonprofits.
Assets
Up$51,458,086
Up $4,465,376 (+9.5%) from 2023
Liabilities
Down$15,996,295
Down $11,615,093 (-42%) from 2023
Net Assets
Up$35,461,791
Up $16,080,469 (+83%) from 2023
Revenue
Up$66,055,190
Up $17,178,857 (+35%) from 2023
Expenses
Up$50,636,318
Up $3,730,141 (+8.0%) from 2023
Net Income
Up$15,418,872
Up $13,448,716 (+683%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Clay county medical corporation owns and operates a 60 bed acute-care hospital and related outpatient care facilities in west point, mississippi called north mississippi medical center-west point (nmmc-west point). Nmmc-west point 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-west point 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.
Clay County Medical Corporation operates a 60 bed acute-care hospital and related outpatient care facilities in West Point, Mississippi.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $9,188,612 | $9,352,074 | ▲ $163,462 |
| Accounts Receivable | $4,416,114 | $3,227,711 | ▼ $1,188,403 |
| Inventories for Sale or Use | $1,071,147 | $1,154,313 | ▲ $83,166 |
| Prepaid Expenses and Deferred Charges | $487,435 | $291,523 | ▼ $195,912 |
| Savings and Temporary Cash Investments | $665,231 | $196,975 | ▼ $468,256 |
| Cash and Non-Interest-Bearing Accounts | $2,590 | $2,590 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $46,992,710 | $51,458,086 | ▲ $4,465,376 |
| Other Assets Total | $31,161,581 | $37,232,900 | ▲ $6,071,319 |
| Liabilities | |||
| Other Liabilities | $19,083,376 | $8,449,132 | ▼ $10,634,244 |
| Accounts Payable and Accrued Expenses | $6,445,614 | $5,730,257 | ▼ $715,357 |
| Mortgage Notes Payable Secured by Investment Property | $2,082,398 | $1,816,906 | ▼ $265,492 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $27,611,388 | $15,996,295 | ▼ $11,615,093 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $19,327,403 | $35,390,774 | ▲ $16,063,371 |
| Net Assets With Donor Restrictions | $53,919 | $71,017 | ▲ $17,098 |
| Total Net Assets Fund Balance | $19,381,322 | $35,461,791 | ▲ $16,080,469 |
| Total Liabilities and Net Assets / Fund Balance | $46,992,710 | $51,458,086 | ▲ $4,465,376 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $2,759,549 | $22,488,308 | $25,247,857 |
| Buildings | $5,759,978 | $12,864,352 | $18,624,330 |
| Other Land Buildings | $361,511 | $2,518,072 | $2,879,583 |
| Land | $471,036 | - | $471,036 |
| Leasehold Improvements | $0 | $0 | $0 |
| Other Assets Org | $770,296 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kenneth Thomas | Physician | FT | $476,914 | $86,295 | $563,209 |
| Stephen Wilkerson | Physician | FT | $254,461 | $188,575 | $443,036 |
| Barry Keel | Administrator | PT | $239,379 | $146,883 | $386,262 |
| Woodrow Brand | Physician | FT | $317,632 | $37,709 | $355,341 |
| Byron K Watson | Physician | FT | $220,624 | $131,076 | $351,700 |
| Clifton Story | Physician | FT | $243,688 | $97,899 | $341,587 |
| Name | Title |
|---|---|
| William Sugg Jr | Chairman |
| Michael S Spees | President |
| Alice Pitts | Director |
| Bily Milican | Director |
| Bruff Sanders | Director |
| Dr Stacie Moore | Director |
| Edmund M Miller | Director |
| Fred Zepponi Iii | Director |
| George Purnell | Director |
| Karen Mooney | Director |
| Lisa Klutts | Director |
| Ronald Powell Do | Director |
| Sonny Jameson | Director |
| Bruce Toppin | Secretary |
| Sharon Nobles | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Relias Emergency Medicine Specialists | ER Physician, Hospitalist | PO Box 30695, Charlotte, NC 28230 | $1,424,147 |
| Pontchartrain Lithotripsy LLC | Lithotriptor Rental | PO Box 96024, Las Vegas, NV 89193 | $423,846 |
| Morrison Healthcare | Food & Nutrition Management | PO BOX 102289, Atlanta, GA 30368-2289 | $307,232 |
| Ortho-clinical Diagnostic | Diagnostic Testing | 1001 US-202, Raritan, NJ 08869 | $301,623 |
| Alliance Healthcare | Behavioral Health Nursing | PO BOX 96485, Chicago, IL 60693-6485 | $198,097 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $26,191,651 |
| Other Expenses | $24,444,667 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $20,751,057 | $404,213 | - | $21,155,270 |
| Fees for Services Other | $4,664,186 | $4,750 | $0 | $4,668,936 |
| Other Employee Benefits | $2,213,634 | - | - | $2,213,634 |
| Payroll Taxes | $1,338,782 | $136,573 | - | $1,475,355 |
| Depreciation Depletion | $1,458,008 | - | - | $1,458,008 |
| Occupancy | $1,345,963 | - | - | $1,345,963 |
| Pension Plan Contributions | $956,247 | - | - | $956,247 |
| Office Expenses | $702,893 | - | - | $702,893 |
| Insurance | - | $695,758 | - | $695,758 |
| Information Technology | $687,008 | - | - | $687,008 |
| Fees for Services Management | $0 | $456,810 | - | $456,810 |
| Current Officers, Directors, Trustees, and Key Employees | $0 | $391,145 | - | $391,145 |
| All Other Expenses | $113,062 | $0 | $0 | $113,062 |
| Other Expenses | $105,109 | - | - | $105,109 |
| Travel | $94,476 | - | - | $94,476 |
| Conferences and Meetings | $62,143 | - | - | $62,143 |
| Fees for Services Accounting | $0 | $48,640 | - | $48,640 |
| Advertising | $24,550 | - | - | $24,550 |
| Interest | $12,159 | - | - | $12,159 |
| Fees for Services Legal | $0 | $11,317 | - | $11,317 |
| Total Functional Expenses | $48,487,112 | $2,149,206 | $0 | $50,636,318 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $50,636,318 |
| Expenses per Audited Statements | $50,596,736 |
| Total Expenses per Audited Statements | $50,596,736 |
| Expenses Not Reported on Financial Statements | $39,582 |
| Other Expense Adjustments | $39,582 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Third Party Payors | $4,499,108 |
| Due to Affiliates | $3,179,728 |
| Lease Liability | $770,296 |
“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.”
“Clay County Medical Corporation is a not-for-profit, nonstock, membership corporation of which North Mississippi Health Services, Inc. is the sole member and has sole voting control.”
“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.”
“The board of north mississippi health services, inc. Approves all transactions that exceed $1 million.”
“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 chief financial officer signs the return, and it is then sent to the irs.”
“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.”
“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.”
“Miscellaneous - Total Revenue: 3286, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 3286;”
“Pension-related changes - 644499; interest in net assets of affiliated foundation - 17098;”
“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.”
“Pension cost included in revenue per audit - 39582”
“Pension cost included in revenue per audit - 39582”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Desc | 0 | NMMC-West Point serves Clay County and the surrounding area. In fiscal year 2024, there were 1,295 inpatient admissions, 17,024 emergency department visits, 96,153 outpatient visits, 29,349 rural health clinic visits, and 19,687 visits to other hospital clinics. NMMC-West Point 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. NMMC-West Point's remarkable design was inspired by the history and culture of this charming Southern community. Medical-surgical patient rooms are entered from a foyer area and open onto a private terrace. Rooms are "nested," which means four to six rooms are clustered around each nursing unit. This design reduces walking distance, allows nurses to view several patients from a central point, and provides closer access to medical equipment. Surgeons utilize four operating suites for a wide array of cases, including general, orthopedic and obstetrics-gynecology. The Same Day Surgery Unit features six rooms for outpatient surgery patients to rest before and after their procedure, as well as two endoscopy suites. The six-bed Intensive Care Unit offers invasive and non-invasive monitoring for medical and surgical patients. The hospital also has 10 licensed swing beds for patients who need extended care. The Women's Pavilion provides family-centered maternity services in a homelike environment. Mothers labor, deliver and recover in the same comfortable room. The nursery is equipped to care for healthy newborns as well as provide immediate stabilization of infants requiring intensive care. NMMC-West Point offers 24-hour emergency services at the Level III Trauma Center, as well as a paramedic-level ambulance service. Outpatient services include cardiac and pulmonary rehabilitation programs, as well as physical, occupational and speech-language therapy. Cardiac stress tests and holter monitoring are also offered. One of the primary ways NMMC-West Point 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-West Point 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-WEST POINT 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 Clay County. Patients from outside the county may also be granted charity care based on the judgment of NMMC-West Point management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC-West Point'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 $1,956,296 in fiscal year 2024. Based on the gross charges provided to charity patients compared to total hospital gross charges, 2.92% of all services in fiscal year 2024 were provided on a charity basis. The net cost of charity care provided by NMMC-West Point was approximately $1,407,354 in fiscal year 2024. The total cost es |
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| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 4668936 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 39.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 39.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 34128 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 14992 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 27228 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 29248 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 13834 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 27540 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 7272 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 6672 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 12262 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 7488 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | WILLIAM SUGG JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ALICE PITTS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BILY MILICAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BRUFF SANDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DR STACIE MOORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | EDMUND M MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | FRED ZEPPONI III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | GEORGE PURNELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KAREN MOONEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | LISA KLUTTS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RONALD POWELL DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SONNY JAMESON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BRUCE TOPPIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MICHAEL S SPEES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SHARON NOBLES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | BARRY KEEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | BYRON K WATSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CLIFTON STORY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KENNETH THOMAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | STEPHEN WILKERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | WOODROW BRAND |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 372428 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 324160 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 334315 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 556537 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 430774 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 347853 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 615746 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 667572 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 2319522 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 1007522 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1982 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 6000 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 78586 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 875000 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 6000 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 78586 |
| IRS990/GrossReceiptsAmt | 0 | 66055190 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 0 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 0 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 33 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 687008 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 687008 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 695758 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 695758 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 12159 |
| IRS990/InterestGrp/TotalAmt | 0 | 12159 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1071147 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1154313 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 69967 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 69967 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 36 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 37870732 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9188612 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 9352074 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 47222806 |
| IRS990/LegalDomicileStateCd | 0 | DE |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/PersonalAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembershipDuesAmt | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | true |
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