Critical access hospital · MS
INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL
From this hospital’s Medicare cost report for the year ended 31 December 2024. Every figure on this page names the cell it came from.
- 14Registered locations
- 3Associated locations
- 67Contract pharmacies
- 49With no end date
- 1 January 2011In 340B since
Finances, as filed
From this hospital’s Medicare cost report for the year ended 31 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $46,068,575 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $40,344,701 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $5,723,874 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $241,593 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $196,333 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $8,452,674 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $4,446,563 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.5051 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 251300 for 1 January 2024 to 31 December 2024, as submitted. The public file it was read from.
Where this hospital sits among its peers
Each figure’s position among critical access hospitals in Mississippi that file a Medicare cost report. A position, not a score: the hospitals are counted, not ranked.
- 18thpercentile of 28 critical access hospitals in MississippiCharity care
- 63rdpercentile of 30 critical access hospitals in MississippiUncompensated care
- 100thpercentile of 31 critical access hospitals in MississippiLeft after the cost of care
- 97thpercentile of 31 critical access hospitals in MississippiContract pharmacies
Among hospitals of the same type in Mississippi
Every critical access hospital in Mississippi that files a Medicare cost report carrying both figures — 28 hospitals, each at its own reporting year. Across the bottom: how much of what the hospital took in from patients went to charity care. Up the side: what it had left after the cost of serving them. Both come straight from the filings.
Identity never rests on color: this hospital is labelled on the plot and marked in the table. Hover a dot for the hospital’s name.
| Hospital | Where | Charity care, share of patient revenue | Left after the cost of care | Year ended |
|---|---|---|---|---|
| Baptist Medical Center - Leake, Inc. | CARTHAGE, MS | 5.4% | -9.9% | 2024-09-30 |
| Baptist Medical Center Attala | Kosciusko, MS | 5.8% | -1.8% | 2024-09-30 |
| Baptist Medical Center Yazoo | Yazoo City, MS | 6.9% | -0.1% | 2024-09-30 |
| Baptist Memorial Hospital-Calhoun | CALHOUN CITY, MS | 3.1% | -4.9% | 2024-09-30 |
| BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC, D/B/A MONROE REGIONAL HOSPITAL | ABERDEEN, MS | 2.5% | -35.5% | 2024-12-31 |
| CHOCTAW REGIONAL MEDICAL CENTER | ACKERMAN, MS | 0.2% | -5.0% | 2024-09-30 |
| Copiah County Medical Center | HAZLEHURST, MS | 0.5% | -24.4% | 2024-12-31 |
| COVINGTON COUNTY HOSPITAL | Collins, MS | 0.0% | -26.6% | 2024-09-30 |
| FIELD MEMORIAL COMMUNITY HOSPITAL | CENTREVILLE, MS | 1.1% | -32.5% | 2024-09-30 |
| FRANKLIN COUNTY MEMORIAL HOSPITAL | MEADVILLE, MS | 1.1% | -17.0% | 2025-04-30 |
| GREENE COUNTY HOSPITAL | LEAKESVILLE, MS | 27.0% | -23.4% | 2024-03-19 |
| H.C. WATKINS MEMORIAL HOSPITAL | QUITMAN, MS | 2.6% | -8.9% | 2024-12-31 |
| HOLMES COUNTY HOSPITAL AND CLINICS | LEXINGTON, MS | 7.9% | 4.2% | 2025-06-30 |
| INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL — this hospital | FOREST, MS | 0.4% | 12.4% | 2024-12-31 |
| Jefferson Davis Community Hospital | Prentiss, MS | 6.6% | -11.0% | 2024-09-30 |
| Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital | DeKalb, MS | 2.1% | -12.1% | 2024-12-31 |
| LAIRD HOSPITAL, INC. | UNION, MS | 2.4% | -19.2% | 2024-12-31 |
| LAWRENCE COUNTY HOSPITAL | MONTICELLO, MS | 1.9% | 12.3% | 2024-09-30 |
| NORTH SUNFLOWER MEDICAL CENTER | RULEVILLE, MS | 1.0% | -12.8% | 2024-09-30 |
| NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL | MACON, MS | 0.3% | -30.9% | 2024-09-30 |
| PEARL RIVER COUNTY HOSPITAL | POPLARVILLE, MS | 6.3% | -27.8% | 2024-09-30 |
| PERRY COUNTY GENERAL HOSPITAL | RICHTON, MS | 6.5% | -22.7% | 2024-03-31 |
| PONTOTOC HEALTH SERVICES | PONTOTOC, MS | 5.9% | 10.6% | 2024-09-30 |
| SCOTT REGIONAL HOSPITAL | MORTON, MS | 5.7% | -20.3% | 2024-12-31 |
| SIMPSON GENERAL HOSPITAL | MENDENHALL, MS | 0.6% | -2.3% | 2024-12-31 |
| TIPPAH COUNTY HOSPITAL | RIPLEY, MS | 1.2% | -12.8% | 2024-09-30 |
| TYLER HOLMES MEMORIAL HOSPITAL | WINONA, MS | 0.1% | -11.4% | 2024-09-30 |
| WALTHALL GENERAL HOSPITAL | TYLERTOWN, MS | 6.8% | -3.6% | 2024-09-30 |
Earlier years
One cost report is on file for this hospital, for the year ended 31 December 2024. There is no earlier year to set beside it.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL” (340B ID CAH251300-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CAH251300-00
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 January 2011
- Certification date
- 5 September 2025
- Record last edited
- 1 July 2026
Identifiers
- 340B ID
- CAH251300-00
- Entity type as filed
- CAH
- CMS certification number
- 251300
- NPI
- 1174211320 (MS), 1285956334 (MS), 1306909734 (MS), 1891735692 (MS), 1952326241 (MS)
- Rural
- Yes
330 N. BROAD ST., FOREST MS 39074
Locations registered under this record
Browse all of them as a list →
| 340B ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| CAH251300-01 | Main Street Medical Clinic of Sebastopol | CAH | Sebastapol, MS | FALSE |
| CAH251300-02 | Main Street Medical Clinic of Morton | CAH | Morton, MS | TRUE |
| CAH251300-03 | Community Health Clinic | CAH | Forest, MS | TRUE |
| CAH251300-04 | Lackey Outpatient Behavioral Health of Forest | CAH | Forest, MS | TRUE |
| CAH251300-05 | Lackey Outpatient Behavioral Health of Carthage | CAH | Carthage, MS | TRUE |
| CAH251300-06 | Lackey Outpatient Behavioral Health of Pelahatchie | CAH | Pelathatchie, MS | FALSE |
| CAH251300-07 | Lackey Outpatient Behavioral Health of Philadelphia | CAH | Philadelphia, MS | TRUE |
| CAH251300-09 | MAIN STREET MEDICAL CLINIC OF MORTON | CAH | MORTON, MS | FALSE |
| CAH251300-10 | LACKEY PEDIATRIC CLINIC | CAH | FOREST, MS | TRUE |
| CAH251300-11 | INDEPENDENT HEALTHCARE MANAGEMENT I - Newton Family and Pediatric Clinic | CAH | NEWTON, MS | TRUE |
| CAH251300-12 | INDEPENDENT HEALTHCARE MANAGEMENT I - Forest Family Medical Clinic | CAH | FOREST, MS | FALSE |
| CAH251300-13 | INDEPENDENT HEALTHCARE MANAGEMENT, INC - 149 Pediatric and Family | CAH | Magee, MS | TRUE |
| CAH251300-14 | Specialty Clinic - Multispecialty clinic services | CAH | Forest, MS | TRUE |
| CAH251300-15 | INDEPENDENT HEALTHCARE MANAGEMENT I - 35 South Family Medical | CAH | RALEIGH, MS | TRUE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL | 330 N. BROAD ST. | FOREST MS 39074 |
| Independent Healthcare Management, Inc, dba SE Lackey Memorial Hospital | 505 Airport Road | Forest MS 39074 |
| Independent Healthcare Management, Inc dba Forest Family Pharmacy | 505 Airport Rd, Suite A | Forest MS 39074 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 4 August 2021 | no end date filed |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 4 August 2021 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 4 August 2021 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 4 August 2021 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 4 August 2021 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 4 August 2021 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 4 August 2021 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 4 August 2021 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | 4 August 2021 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | 4 August 2021 | no end date filed |
| CVS CAREMARK | WILKES BARRE, PA | 1 October 2021 | no end date filed |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | 1 October 2021 | no end date filed |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | 4 August 2021 | no end date filed |
| MCGUFFEE DRUGS, INC. | RALEIGH, MS | 1 January 2025 | no end date filed |
| MCGUFFEE'S DRUG INC | MENDENHALL, MS | 1 January 2025 | no end date filed |
| MISSISSIPPI CVS PHARMACY, L.L.C. | MERIDIAN, MS | 27 January 2022 | no end date filed |
| MISSISSIPPI CVS PHARMACY, L.L.C. | GULFPORT, MS | 27 January 2022 | no end date filed |
| MISSISSIPPI CVS PHARMACY, L.L.C. | CARTHAGE, MS | 1 October 2021 | no end date filed |
| MISSISSIPPI CVS PHARMACY, L.L.C. | BRANDON, MS | 1 October 2020 | no end date filed |
| MISSISSIPPI CVS PHARMACY, L.L.C. | JACKSON, MS | 27 January 2022 | no end date filed |
| MISSISSIPPI CVS PHARMACY, L.L.C. | LAUREL, MS | 27 January 2022 | no end date filed |
| MISSISSIPPI CVS PHARMACY, L.L.C. | FOREST, MS | 1 July 2014 | no end date filed |
| NOBLE HEALTH SERVICES INC. | SYRACUSE, NY | 11 March 2022 | no end date filed |
| NOBLE HEALTH SERVICES, INC. | FLOWOOD, MS | 11 March 2022 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 4 August 2021 | no end date filed |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | 4 August 2021 | no end date filed |
| PROCARE PHARMACY, L.L.C. | SAN ANTONIO, TX | 1 October 2021 | no end date filed |
| PROCARE PHARMACY, L.L.C. | FORT WORTH, TX | 1 October 2021 | no end date filed |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | 4 August 2021 | no end date filed |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | 4 August 2021 | no end date filed |
| SMITH PHARMACY, INC. | NEWTON, MS | 1 January 2025 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 April 2017 | no end date filed |
| WAL-MART PHARMACY 10-0205 | PHILADELPHIA, MS | 29 March 2022 | no end date filed |
| WAL-MART PHARMACY 10-0305 | CARTHAGE, MS | 29 March 2022 | no end date filed |
| WAL-MART PHARMACY 10-0875 | RIDGELAND, MS | 29 March 2022 | no end date filed |
| WAL-MART PHARMACY 10-0916 | HATTIESBURG, MS | 29 March 2022 | no end date filed |
| WAL-MART PHARMACY 10-0981 | MERIDIAN, MS | 29 March 2022 | no end date filed |
| WAL-MART PHARMACY 10-1059 | FOREST, MS | 1 July 2014 | no end date filed |
| WAL-MART PHARMACY 10-1069 | NEWTON, MS | 1 April 2016 | no end date filed |
| WAL-MART PHARMACY 10-1192 | MAGEE, MS | 29 March 2022 | no end date filed |
| WAL-MART PHARMACY 10-3059 | CANTON, MS | 29 March 2022 | no end date filed |
| WAL-MART PHARMACY 10-3990 | MERIDIAN, MS | 29 March 2022 | no end date filed |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | 1 October 2020 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 April 2017 | no end date filed |
| WALGREEN CO | MAGEE, MS | 28 February 2023 | no end date filed |
| WALGREEN CO. | CARTHAGE, MS | 1 April 2019 | no end date filed |
| WALGREEN CO. | FOREST, MS | 1 July 2016 | no end date filed |
| Walgreens #21389 | Memphis, TN | 1 July 2025 | no end date filed |
| Walmart Pharmacy 10-7611 | Plainfield, IN | 1 January 2024 | no end date filed |
| FRENCH'S PHARMACY OF FOREST | FOREST, MS | 1 October 2014 | 30 June 2024 |
| FRENCH'S PHARMACY | MORTON, MS | 30 January 2019 | 31 December 2023 |
| LITTLE'S PHARMACY | RALEIGH, MS | 1 April 2019 | 6 December 2023 |
| MCGUFFEE'S DRUG INC | MENDENHALL, MS | 4 March 2022 | 6 December 2023 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | 28 February 2023 | 1 October 2023 |
| D & B DISCOUNT DRUGS, INC | MORTON, MS | 1 July 2019 | 30 June 2022 |
| MCGUFFEE DRUGS, INC. | RALEIGH, MS | 1 April 2022 | 4 March 2022 |
| PREMIER PHARMACY SERVICES | BALDWIN PARK, CA | 1 January 2019 | 13 July 2021 |
| FREDS PHARMACY #2431 | NEWTON, MS | 1 April 2018 | 2 January 2020 |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCA | APOPKA, FL | 1 July 2016 | 1 January 2019 |
| AVELLA OF DEER VALLEY | PHOENIX, AZ | 1 July 2016 | 1 January 2019 |
| AVELLA OF ORLANDO | LAKE MARY, FL | 1 July 2016 | 1 January 2019 |
| D & B DISCOUNT DRUGS | MORTON, MS | 1 October 2014 | 1 January 2019 |
| DIXON'S DISCOUNT PHARMACY | GLOSTER, MS | 1 October 2015 | 1 January 2019 |
| FRED'S PHARMACY | FOREST, MS | 1 January 2015 | 1 January 2019 |
| FRED'S PHARMACY #2406 | MORTON, MS | 1 January 2015 | 1 January 2019 |
| FRENCH'S PHARMACY | MORTON, MS | 1 October 2014 | 1 January 2019 |
| ADVANCED PHARMACY, LLC | GREENVILLE, SC | 1 July 2016 | 5 April 2017 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.