2025-11-14T16:33:57-06:00 2024-12-31 640809101 HARPER RAINS KNIGHT & COMPANY PA 1052 HIGHLAND COLONY PKWY STE 100 RIDGELAND MS 39157 990 2024-01-01 640629295 MISSISSIPPI PHYSICIAN HEALTH PROGRAM MISS 6018536733 PO BOX 2548 RIDGELAND MS 39158 J ANTHONY CLOY MD MEDICAL DIRECTOR 6018536733 2025-11-14 1 0 KIM STRONG CPA P03038112 6016050722 2025-11-13 2024 2025-03-06 01:10:19Z J ANTHONY CLOY MD PO BOX 2548 RIDGELAND MS 39158 777536 0 X WWW.MSPHP.COM X 1979 MS THE MISSISSIPPI PHYSICIAN HEALTH PROGRAM IS MISSISSIPPI'S IMPAIRED HEALTHCARE PROFESSIONALS PROGRAM AND WILL BECOME ONE OF THE NATION'S PREMIER ORGANIZATIONS THAT PROMOTE RESEARCH, EDUCATION, PREVENTION, EARLY IDENTIFICATION, INTERVENTION, TREATMENT AND REHABILITATION OF DOCTORS WHO MAY BE IMPAIRED OR AT RISK OF IMPAIRMENT BECAUSE OF CHEMICAL DEPENDENCY, PSYCHIATRIC ILLNESS OR OTHER POTENTIALLY IMPAIRING CONDITIONS. WE WILL IDENTIFY, INTERVENE UPON, TREAT AND REHABILITATE CHEMICALLY DEPENDENT HEALTHCARE PROFESSIONALS WITH COMPASSION, DIGNITY, AND RESPECT. WE WILL EDUCATE THE PUBLIC AND THE HEALTHCARE PROFESSION OF OUR STATE ABOUT CHEMICAL DEPENDENCY. WE WILL EXPAND THE BODY OF BASIC KNOWLEDGE ABOUT CHEMICAL DEPENDENCY THROUGH RESEARCH. WE WILL ACTIVELY SEEK METHODS TO PREVENT CHEMICAL DEPENDENCY. WE WILL PURSUE ADEQUATE FUNDING AND RESOURCES TO ENABLE US TO COMPLETE THIS MISSION. 15 15 0 0 0 0 533982 599453 236862 171634 42 5949 735 500 771621 777536 0 0 0 0 545519 572623 0 0 28652 280494 285371 826013 857994 -54392 -80458 713383 667917 63193 98185 650190 569732 X THE MISSISSIPPI PHYSICIAN HEALTH PROGRAM IS MISSISSIPPI'S IMPAIRED HEALTHCARE PROFESSIONALS PROGRAM AND WILL BECOME ONE OF THE NATION'S PREMIER ORGANIZATIONS THAT PROMOTE RESEARCH, EDUCATION, PREVENTION, EARLY IDENTIFICATION, INTERVENTION, TREATMENT AND REHABILITATION OF DOCTORS WHO MAY BE IMPAIRED OR AT RISK OF IMPAIRMENT BECAUSE OF CHEMICAL DEPENDENCY, PSYCHIATRIC ILLNESS OR OTHER POTENTIALLY IMPAIRING CONDITIONS. WE WILL IDENTIFY, INTERVENE UPON, TREAT AND REHABILITATE CHEMICALLY DEPENDENT HEALTHCARE PROFESSIONALS WITH COMPASSION, DIGNITY, AND RESPECT. WE WILL EDUCATE THE PUBLIC AND THE HEALTHCARE PROFESSION OF OUR STATE ABOUT CHEMICAL DEPENDENCY. WE WILL EXPAND THE BODY OF BASIC KNOWLEDGE ABOUT CHEMICAL DEPENDENCY THROUGH RESEARCH. WE WILL ACTIVELY SEEK METHODS TO PREVENT CHEMICAL DEPENDENCY. WE WILL PURSUE ADEQUATE FUNDING AND RESOURCES TO ENABLE US TO COMPLETE THIS MISSION. 0 0 339300 136134 THE MISSISSIPPI PHYSICIAN HEALTH PROGRAM IS MISSISSIPPI'S IMPAIRED PHYSICIANS PROGRAM AND IS ONE OF THE NATION'S PREMIER ORGANIZATIONS THAT PROMOTE RESEARCH, EDUCATION, PREVENTION, EARLY IDENTIFICATION, INTERVENTION, TREATMENT AND REHABILITATION OF DOCTORS WHO MAY BE IMPAIRED OR AT RISK OF IMPAIRMENT BECAUSE OF SUBSTANCE USE, PSYCHIATRIC ILLNESS OR OTHER POTENTIALLY IMPAIRING CONDITIONS. WE WILL IDENTIFY, INTERVENE UPON, TREAT AND REHABILITATE PHYSICIANS WITH COMPASSION, DIGNITY, AND RESPECT. WE WILL EDUCATE THE PUBLIC AND THE HEALTHCARE PROFESSION OF OUR STATE ABOUT SUBSTANCE USE DISORDERS. WE WILL EXPAND THE BODY OF BASIC KNOWLEDGE ABOUT SUBSTANCE USE DISORDERS THROUGH RESEARCH. WE WILL ACTIVELY SEEK METHODS TO PREVENT SUBSTANCE USE DISORDERS. WE WILL PURSUE ADEQUATE FUNDING AND RESOURCES TO ENABLE US TO COMPLETE THIS MISSION. 80255 32100 EACH YEAR, THE MPHP HOLDS AN ANNUAL CADUCEUS CLUB RETREAT FOR MPHP PARTICIPANTS. THE PURPOSE OF THE RETREAT IS TO SUPPORT THOSE IN RECOVERY THROUGH SUPPORT BY THEIR PEERS FROM AROUND THE STATE AND TO PROVIDE CONTINUING MEDICAL EDUCATION IN TOPICS RELEVANT TO PHYSICIANS WITH POTENTIALLY IMPAIRING CONDITIONS. 104868 3900 MPHP ASSISTED MSMA IN PROVIDING EDUCATION TO HEALTHCARE PROVIDERS ACROSS THE STATE THROUGH A SERIES OF PRESCRIBER'S SUMMITS IN NORTH, CENTRAL AND SOUTH MS. THE PRESCRIBER'S SUMMITS PROVIDE 5 HOURS OF CONTINUING MEDICAL EDUCATION ON PRESCRIBING AS REQUIRED BY THE MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE. 524423 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 0 0 MS X KRISTIN A POWELL 6018536733 PO BOX 2548 RIDGELAND MS 39158 X C KENNETH LIPPINCOTT MD BRD OF MED LIC REP 2.00 2.00 X 0 0 0 DAN EDNEY MD BOARD MEMBER 2.00 2.00 X 0 0 0 EILEENE MCRAE BOARD MEMBER 2.00 2.00 X 0 0 0 GERRY ANN HOUSTON MD BOARD MEMBER 2.00 2.00 X 0 0 0 JENNIFER BRYAN MD BOARD MEMBER 2.00 2.00 X 0 0 0 KATHERINE PANNEL DO BOARD MEMBER 2.00 6.00 X 0 0 0 LORETTA JACKSON-WILLIAMS MD PHD BOARD MEMBER 2.00 2.00 X 0 0 0 MARY TAYLOR MD BOARD MEMBER 2.00 2.00 X 0 0 0 PAUL BYERS MD BOARD MEMBER 2.00 2.00 X 0 0 0 ROD GIVENS MD BOARD MEMBER 2.00 3.00 X 0 0 0 SCOTT HAMBLETON MD PRESIDENT 2.00 2.00 X 0 0 0 JAMES ANTHONY CLOY MD MPHP MEDICAL DIRECTOR 40.00 X X 0 230000 32519 CLAUDE BRUNSON MD EXECUTIVE DIRECTOR, MSMA 2.00 38.00 X X 0 327005 55896 R DAVID ROBERTS III DIRECTOR OF GOV. ACT, MSMA 1.00 39.00 X 0 154802 40228 SCOTT DENNIS CEO, MPCN 1.00 40.00 X 0 315450 43567 0 1027257 172210 0 0 1 0 0 550000 49453 36624 599453 PARTICIPANT FEES 621300 135634 135634 RETREAT REVENUE 621300 32100 32100 RX SUMMIT 621300 3900 3900 171634 532 532 5417 0 5417 5417 5417 HONORARIUM FEES 621300 300 300 OTHER INCOME 621300 200 200 500 777536 172134 0 5949 230001 140581 81739 7681 220910 132038 79174 9698 45116 27277 16100 1739 45473 27493 16228 1752 31123 18817 11107 1199 56628 34236 20209 2183 26390 26390 5608 5608 13942 2171 11771 43123 26072 15389 1662 9575 9575 44958 44958 2157 1304 770 83 TECHNOLOGY 68887 41650 24582 2655 DUES & SUBSCRIPTIONS 7429 5969 1460 OFFICE SUPPLIES 5668 5668 RETREAT EXPENSE 1006 1006 857994 524423 304919 28652 698603 617398 7645 3120 69061 64083 7135 4978 0 42421 713383 667917 25180 29313 4800 33213 68872 63193 98185 X 635417 569732 14773 0 650190 569732 713383 667917 -80458 0 X X 0 1 X 0 0 X 636941 704962 696414 670093 698963 3407373 636941 704962 696414 670093 698963 3407373 3407373 315 42 42 5949 6348 69175 56751 105053 101482 36000 368461 3782182 107700 0.90090 0.87980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 64561 59583 4978 4500 4500 0 4978 RIGHT OF USE ASSET 42421 42421 DUE TO MSMA 26451 LEASE LIABILITIES 42421 68872 X 777536 0 777536 0 777536 857994 0 857994 0 857994 PART X, LINE 2: THE PROGRAM IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE LAW. THE PROGRAM HAS NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AT DECEMBER 31, 2024 AND 2023. THE PROGRAM WOULD RECOGNIZE INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS AS A COMPONENT OF INCOME TAX EXPENSE. THE TAX YEARS THAT REMAIN OPEN FOR FEDERAL AND MAJOR STATE INCOME TAX JURISDICTIONS ARE 2020 AND FORWARD. 0 0 0 0 0 0 0 0 0 CLAUDE BRUNSON MD EXECUTIVE DIRECTOR, MSMA 0 327005 0 0 0 0 0 33487 0 22409 0 382901 0 0 SCOTT DENNIS CEO, MPCN 0 315450 0 0 0 0 0 31983 0 11584 0 359017 0 0 JAMES ANTHONY CLOY MD MPHP MEDICAL DIRECTOR 0 230000 0 0 0 0 0 23000 0 9519 0 262519 0 0 R DAVID ROBERTS III DIRECTOR OF GOV. ACT, MSMA 0 154802 0 0 0 0 0 17031 0 23197 0 195030 0 0 PART I, LINE 3 THE EXECUTIVE DIRECTOR OF THE MISSISSIPPI STATE MEDICAL ASSOCIATION HAS A WRITTEN CONTRACT. RAISES AND BONUSES ARE APPROVED BY THE BOARD OF TRUSTEES. X EMPLOYEE SALARY AND BENEFITS PAID FOR BY ANOTHER ORGANIZATION 0 36624 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEWED BY CFO OF ORGANIZATION WITH PREPARING CPA. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, A QUESTIONNAIRE IS CIRCULATED TO THE BOARD IN ORDER TO ACCUMULATE INFORMATION ON INTERESTS THAT COULD GIVE RISE TO CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15A BOARD APPROVES MEDICAL DIRECTOR PAY FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST PART VII - ADDITIONAL INFORMATION ALL SALARIES ARE PAID BY THE MISSISSIPPI STATE MEDICAL ASSOCIATION (EIN 64-0317537) AND THEN ALLOCATED TO MPHP. MPHP REIMBURSES THE ASSOCIATION. ALL W-2S FOR MPHP EMPLOYEES ARE ISSUED UNDER THE MISSISSIPPI STATE MEDICAL ASSOCIATION'S EIN. PART VII LINE 2C - ADDITIONAL INFORMATION THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE HIRING OF AN INDEPENDENT AUDITOR AND OVERSIGHT OF THE AUDIT PROCESS. MISSISSIPPI STATE MEDICAL ASSOCIATION PO BOX 2548 RIDGELAND MS 39158 640317537 TRADE ASSOCIATION MS 501(C)(6) 0 MSMA FOUNDATION INC PO BOX 2548 RIDGELAND MS 39158 570906060 CHARITY MS 501(C)(3) LINE 7 1 MS MEDICAL POLITICAL ACTION COMMITTEE PO BOX 2548 RIDGELAND MS 39158 646159044 SECTION 527 ORGANIZATION MS 527 0 MISSISSIPPI PHYSICIANS CARE NETWORK PO BOX 2548 RIDGELAND MS 39158 610844670 HEALTHCARE SERVICES MS C 0 MSMA INSURANCE SERVICES (DISSOLVED 9142018) PO BOX 2548 RIDGELAND MS 39158 640923861 INSURANCE MS C 0 MSMA DIVERSIFIED SERVICES (DISSOLVED 9142018) PO BOX 2548 RIDGELAND MS 39158 640781771 SERVICES MS C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 MISSISSIPPI STATE MEDICAL ASSN K 42421 FMV MISSISSIPPI STATE MEDICAL ASSN O 572623 COST