Simpson Community Healthcare, Inc.

Three-digit plan number (PN)	001
Effective date of plan	2007-07-01
Business code	622000
Sponsor’s telephone number	6018472221
Plan sponsor’s address	1842 SIMPSON HIGHWAY 149, MENDENHALL, MS, 39114

Plan administrator’s name and address

Administrator’s EIN	870741588
Plan administrator’s name	SIMPSON COMMUNITY HEALTHCARE
Plan administrator’s address	1842 SIMPSON HIGHWAY 149, MENDENHALL, MS, 39114
Administrator’s telephone number	6018472221

Signature of

Role	Plan administrator
Date	2010-10-14
Name of individual signing	JUDY GOBER
Valid signature	Filed with incorrect/unrecognized electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-07-01
Business code	622000
Sponsor’s telephone number	6018472221
Plan sponsor’s address	1842 SIMPSON HIGHWAY 149, MENDENHALL, MS, 39114

Plan administrator’s name and address

Administrator’s EIN	870741588
Plan administrator’s name	SIMPSON COMMUNITY HEALTHCARE
Plan administrator’s address	1842 SIMPSON HIGHWAY 149, MENDENHALL, MS, 39114
Administrator’s telephone number	6018472221

Signature of

Role	Plan administrator
Date	2010-10-14
Name of individual signing	JUDY GOBER
Valid signature	Filed with incorrect/unrecognized electronic signature
Role	Employer/plan sponsor
Date	2010-10-14
Name of individual signing	JUDY GOBER
Valid signature	Filed with incorrect/unrecognized electronic signature

In Care of Name	% SHELLY RILEY
Group Exemption Number	0000
Subsection	Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation	Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification	Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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)
Deductibility	Contributions are deductible.
Foundation	Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period	2023-12
Asset	5,000,000 to 9,999,999
Income	10,000,000 to 49,999,999
Filing Requirement	990 (all other) or 990EZ return
PF Filing Requirement	No 990-PF return
Accounting Period	Dec
Asset Amount	9109692
Income Amount	19349290
Form 990 Revenue Amount	19349290
National Taxonomy of Exempt Entities	Health Care: Hospital, General
Sort Name	SIMPSON GENERAL HOSPITAL

Publication 78 Data

Description	Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List	Yes
Deductibility	Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name	SIMPSON COMMUNITY HEALTHCARE INC
EIN	87-0741588
Tax Period	202212
Filing Type	E
Return Type	990
File	View File
Organization Name	SIMPSON COMMUNITY HEALTHCARE INC
EIN	87-0741588
Tax Period	202112
Filing Type	E
Return Type	990
File	View File
Organization Name	SIMPSON COMMUNITY HEALTHCARE INC
EIN	87-0741588
Tax Period	202012
Filing Type	E
Return Type	990
File	View File
Organization Name	SIMPSON COMMUNITY HEALTHCARE INC
EIN	87-0741588
Tax Period	201912
Filing Type	E
Return Type	990
File	View File
Organization Name	SIMPSON COMMUNITY HEALTHCARE INC
EIN	87-0741588
Tax Period	201812
Filing Type	E
Return Type	990
File	View File
Organization Name	SIMPSON COMMUNITY HEALTHCARE INC
EIN	87-0741588
Tax Period	201712
Filing Type	E
Return Type	990
File	View File
Organization Name	SIMPSON COMMUNITY HEALTHCARE INC
EIN	87-0741588
Tax Period	201612
Filing Type	E
Return Type	990
File	View File
Organization Name	SIMPSON COMMUNITY HEALTHCARE INC
EIN	87-0741588
Tax Period	201512
Filing Type	E
Return Type	990
File	View File

Loan Status Date	2021-10-07
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	1407989
Loan Approval Amount (current)	1407989
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	39596
Servicing Lender Name	Peoples Bank
Servicing Lender Address	160 E Maud Ave, MENDENHALL, MS, 39114-3575
Rural or Urban Indicator	R
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	MENDENHALL, SIMPSON, MS, 39114
Project Congressional District	MS-03
Number of Employees	132
NAICS code	622110
Borrower Race	White
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	39596
Originating Lender Name	Peoples Bank
Originating Lender Address	MENDENHALL, MS
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	1416321.21
Forgiveness Paid Date	2021-09-29

Loan Status Date	2021-03-06
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	1357800
Loan Approval Amount (current)	1357800
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	39596
Servicing Lender Name	Peoples Bank
Servicing Lender Address	160 E Maud Ave, MENDENHALL, MS, 39114-3575
Rural or Urban Indicator	R
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	MENDENHALL, SIMPSON, MS, 39114-0001
Project Congressional District	MS-03
Number of Employees	132
NAICS code	622110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	39596
Originating Lender Name	Peoples Bank
Originating Lender Address	MENDENHALL, MS
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	1368885.6
Forgiveness Paid Date	2021-02-09