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  5. INDEPENDENT HEALTHCARE MANAGEMENT, INC.

INDEPENDENT HEALTHCARE MANAGEMENT, INC.

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Company Details

Name: INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 10 Jan 1989 (36 years ago)
Business ID: 560395
ZIP code: 39111
County: Simpson
State of Incorporation: MISSISSIPPI
Principal Office Address: 119 1ST ST SEMAGEE, MS 39111-3673
Historical names: Lackey Memorial Hospital
S.E. Lackey Memorial Hospital

Agent

Name Role Address
Keely R McNulty Esq Agent 301 8th Ave SW, PO Box 376, Magee, MS 39111

Incorporator

Name Role Address
JOSEPH S MCNULTY III Incorporator 119 FIRST ST SE, MAGEE, MS 39111

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
RNF3EHJCHA38
CAGE Code:
8LZ67
UEI Expiration Date:
2026-04-08

Business Information

URL:
http://www.lackeymemorialhospital.com
Division Name:
INDEPENDENT HEALTHCARE MANAGEMENT INC DBA SE LACKEY MEMORIA
Activation Date:
2025-04-10
Initial Registration Date:
2020-04-21

National Provider Identifier

NPI Number:
1871272724
Certification Date:
2024-12-16
Link:
View on NPI website

Authorized Person:

Name:
JOHN P. LEE
Role:
CHAIRMAN OF THE BOARD
Phone:
6014694151

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 601-469-4151
Fax:
6014699927
Phone:
+1 601-200-6809

Filings

Type Status Filed Date Description
Registered Agent Change of Address Filed 2023-04-13 Agent Address Change For Keely R McNulty Esq
Amendment Form Filed 2019-01-07 Amendment For INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Amendment Form Filed 2017-10-05 Amendment For INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Fictitious Name Registration Filed 2016-09-26 Fictitious Name Registration For INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Fictitious Name Registration Filed 2015-11-16 Fictitious Name Registration For INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Amendment Form Filed 2014-01-15 Amendment
Amendment Form Filed 2013-02-08 Amendment
Amendment Form Filed 2010-11-12 Amendment
Amendment Form Filed 1991-08-05 Amendment
See File Filed 1989-10-16 See File

USAspending Awards / Financial Assistance

Date:
2022-08-19
Link:
View on USAspending
Awarding Agency Name:
Department of Agriculture
Transaction Description:
ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES
Obligated Amount:
1000000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-08-19
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - LACKEY MEMORIAL HOSPITAL 330 NORTH BROAD STREET FOREST, MS 39074-3508 PROJECT DIRECTOR: CAROL BARRIER DENTON PHONE NUMBER: 601-209-3483 FAX NUMBER: 769-240-0921 EMAIL: CAROLDENTON@LACKEYMEMORIALHOSPITAL.COM WEBSITE: HTTP://WWW.LACKEYMEMORIALHOSPITAL.COM FUNDING REQUEST: $3,675,672.52 INDEPENDENT HEALTHCARE MANAGEMENT, INC., D/B/A LACKEY MEMORIAL HOSPITAL (LMH), IS A NOT-FOR-PROFIT 501(C)3, LOCATED IN FOREST, MISSISSIPPI. ITS PRIMARY AND SECONDARY SERVICE AREAS INCLUDE SCOTT COUNTY AND PORTIONS OF JASPER, LEAKE, NESHOBA, NEWTON, AND SMITH COUNTIES. LMH IS A LEADER IN RURAL HEALTHCARE IN MISSISSIPPI WITH A LONG-STANDING DEVOTION TO CONSISTENT ENHANCEMENT OF QUALITY HEALTHCARE FOR RURAL MISSISSIPPI RESIDENTS, IN A CONVENIENT AND COST-EFFECTIVE FASHION. AMONG THE MANY ONGOING INNOVATIONS EMBRACED BY LMH ARE; INVESTING HEAVILY IN HEALTHCARE TECHNOLOGY, BUILDING SATELLITE FAMILY MEDICAL CLINICS, AND IMPLEMENTING COST-SAVING PROGRAMS FOR PATIENTS. THESE ARE ALL KEY COMPONENTS DEMONSTRATING THE HOSPITAL’S COMMITMENT TO RURAL EAST MISSISSIPPI. THE LEADERSHIP OF LMH BELIEVES THAT ACCESS TO CARE AND WELLNESS SERVICES ARE PARAMOUNT TO THE HEALTH OF THE REGION AND TO THE ENTIRE STATE, AND THEY ARE COMMITTED TO PROVIDING ALL-INCLUSIVE MEDICAL SERVICES. THE DEVELOPMENT OF A NEW MEDICAL ARTS COMPLEX (MAC) WILL GREATLY EXPAND HEALTHCARE SERVICES AND SPECIALTIES IN THE REGION AND PROVIDE RURAL RESIDENTS WITH COMPREHENSIVE CARE CAPABILITIES. THIS NEW PROJECT WILL ENABLE PATIENTS TO RECEIVE MUCH NEEDED SERVICES CLOSE TO HOME, ELIMINATING THE NEED TO SEEK SERVICES AT DISTANT URBAN AREAS. THE MAC WILL HOUSE NEW PEDIATRIC, FAMILY MEDICINE, AND SPECIALTY CLINICS. IT WILL HOUSE THREE (3) STATE OF THE ART OPERATING ROOMS, A RADIOLOGY SUITE, AN INFUSION CENTER, AND A RETAIL PHARMACY SUITE. THE MAC IS EXPECTED TO BE OPEN TO THE COMMUNITY SEVEN (7) DAYS PER WEEK. THIS WILL ALLOW PATIENTS TO RECEIVE CONSISTENT CARE IN THE MOST APPROPRIATE SETTING (OUTPATIENT VERSUS EMERGENCY ROOM VISITS). THE FACILITY WILL STRENGTHEN LMH’S ENTIRE APPROACH TO COMPREHENSIVE HEALTHCARE IN RURAL CENTRAL MISSISSIPPI.
Obligated Amount:
3598000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-07-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2097400.00
Total Face Value Of Loan:
2097400.00
Date:
2010-05-24
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ARC GUAR LOANS
Obligated Amount:
0.00
Face Value Of Loan:
-35000.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
64-0770155
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1992-06
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2097400
Current Approval Amount:
2097400
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
2122166.56

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Date of last update: 21 Apr 2025

Sources: Mississippi Secretary of State

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