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NORTH MISSISSIPPI MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
NORTH MISSISSIPPI MEDICAL CENTER INC (EIN 64-0662976)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-12
IRS object ID
202222249349300542
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-12T12:20:45-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640662976EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1North Mississippi Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KRISTY DUKEInCareOfNm
Business Name ControlNORTBusinessNameControlTxt
Phone6623773978PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1Txt
CityTupeloCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHARON NOBLESPersonNm
Person TitleCHIEF FINANCIAL OFF.PersonTitleTxt
Phone6623773978PhoneNum
Signature2022-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSHARONPersonFirstNm
Person LastNOBLESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmber Sherrill CPAPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHARON NOBLESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1Txt
CityTupeloCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,132,211,157GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nmhs.net/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionNorth MS Medical Center is a 650-bed regional referral center in Tupelo, MS that serves more than 700,000 people in 24 counties in north MS, northwest AL and portions of TN.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee5281TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$24,120,465PYContributionsGrantsAmt
CY Contributions Grants$27,803,357CYContributionsGrantsAmt
PY Program Service Revenue$771,627,058PYProgramServiceRevenueAmt
CY Program Service Revenue$754,738,821CYProgramServiceRevenueAmt
PY Investment Income$30,227,475PYInvestmentIncomeAmt
CY Investment Income$17,991,124CYInvestmentIncomeAmt
PY Other Revenue$9,995,095PYOtherRevenueAmt
CY Other Revenue$8,925,898CYOtherRevenueAmt
PY Total Revenue$835,970,093PYTotalRevenueAmt
CY Total Revenue$809,459,200CYTotalRevenueAmt
PY Grants And Similar Paid$28,100PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$28,850CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$332,115,799PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$378,829,567CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$447,344,498PYOtherExpensesAmt
CY Other Expenses$390,655,094CYOtherExpensesAmt
PY Total Expenses$779,488,397PYTotalExpensesAmt
CY Total Expenses$769,513,511CYTotalExpensesAmt
PY Revenues Less Expenses$56,481,696PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,945,689CYRevenuesLessExpensesAmt
Total Assets BOY$1,374,177,526TotalAssetsBOYAmt
Total Assets EOY$1,589,620,172TotalAssetsEOYAmt
Total Liabilities BOY$521,148,429TotalLiabilitiesBOYAmt
Total Liabilities EOY$640,344,031TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$853,029,097NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$949,276,141NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNORTH MISSISSIPPI MEDICAL CENTER (NMMC) IS A 650-BED REGIONAL REFERRAL CENTER IN TUPELO, MS. NMMC SERVES MORE THAN 700,000 PEOPLE IN 24 COUNTIES IN NORTH MISSISSIPPI, NORTHWEST ALABAMA AND PORTIONS OF TENNESSEE. NMMC IS THE LARGEST HOSPITAL THAT 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 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$665,036,058ExpenseAmt
Grant$28,850GrantAmt
Revenue$752,028,000RevenueAmt
DescNorth Mississippi Medical Center (NMMC) serves more than 700,000 people in 24 counties in north Mississippi, northwest Alabama and portions of Tennessee. In fiscal year 2021, there were 20,995 inpatient admissions, 69,088 emergency department visits, 567,777 outpatient visits, 30,488 rural health clinic visits, and 407,081 hospital based clinic visits. NMMC 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 NMHS inpatient, outpatient, ER, home health and long term care services. Area residents have access to a medical staff representing more than 40 medical specialties, as well as centers of excellence in cancer treatment and research, neurology, neurosurgery, cardiac surgery, cardiology, pulmonology, rehabilitation, chemical dependency and neonatal programs. In addition, the NMMC Home Health Agency serves patients in 17 counties in north Mississippi and offers many complex and extremely high-tech procedures that can be performed in the home setting. NMMC is designated as a Level II trauma center by the Mississippi State Department of Health. To receive this designation, facilities must offer a full range of trauma capabilities, including an Emergency Department, a full service surgical suite, intensive care unit and diagnostic imaging, as well as make a commitment to consistently meet national guidelines or standards in caring for trauma patients. In 2006, NMMC-Tupelo received the Malcolm Baldrige National Quality Award for innovative practices, a commitment to excellence and outstanding results. This award is a symbol of world-class performance and is the nation's highest Presidential honor for organizational performance excellence. NMMC is a participant in QUEST (Quality, Efficiency, Safety, with Transparency), a national initiative sponsored by fellow 2006 Baldrige recipient Premier. NMMC benchmarks its quality measures against the very best hospitals and health systems in the United States. This collaborative effort enables NMMC's physicians, nurses and analysts to learn from those with the best results in patient satisfaction, cost of care and appropriateness of care. QUEST is one way that NMMC is continually working to improve patient safety and quality while safely reducing health care costs.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescOne of the primary ways North Mississippi Medical Center (NMMC) 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 has established a policy under which NMMC provides care, without charge, to needy members of its community. THE FINANCIAL ASSISTANCE POLICY STATES THAT NMMC WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS FREE OF CHARGE WITH HOUSEHOLD INCOME LEVELS AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL. The policy applies to individuals who reside in NMMC's 24-county service area, as defined by the policy. Patients from outside the service area may also be granted charity care based on the judgment of NMMC management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC's request for information with which to verify the patient's eligibility. Following that policy, NMMC maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Charges foregone, based on established rates, totaled approximately $103,905,067 in fiscal year 2021. Based on the gross charges provided to charity patients compared to total hospital gross charges, 5.15% of all services in fiscal year 2021 were provided on a charity basis. The net cost of charity care provided by NMMC was approximately $37,642,375 in fiscal year 2021. The total cost estimate is based on the ratio of costs to charges for NMMC. All of the foregone charges mentioned above are netted against patient service revenue to arrive at net patient service revenue as reflected as program service revenue on Part VIII of Form 990 in order to be consistent with financial statement reporting and are not reported as functional expenses on the tax return.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$776,492ExpenseAmt
DescNorth Mississippi Medical Center employs certified athletic trainers who provide services to high schools in the service area at no cost. The trainers work with the sports teams at these schools on a daily basis during practice and training, as well as at in-season competitions. The cost of providing these services was approximately $776,492 in fiscal year 2021.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$665,812,550TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document172IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5281EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKRISTY DUKEPersonNm
Phone6623773977PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 SOUTH GLOSTER STREETAddressLine1Txt
CityTupeloCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38801ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Joseph M Stinson
Physician40.00.0Yes (X)$2,012,280$0$6,707
Charles M King
Physician40.00.0Yes (X)$360,050$1,008,692$18,566
Vishal Sachdev
Physician40.00.0Yes (X)$1,360,244$0$22,666
George Van Osten MD
Physician40.00.0Yes (X)$1,316,541$0$30,586
Heather Hancock
Physician40.00.0Yes (X)$1,187,676$0$15,526
David Pizzementi
Associate Chief Medical Office40.00.0$707,172$0$7,905Yes (X)
David Wilson
President40.00.0$597,454$0$11,433Yes (X)
Sharon Nobles
TREASURER & CFO10.030.0$0$540,231$12,156Yes (X)
Bruce Toppin
Secretary10.030.0$0$383,500$12,233Yes (X)
Benton E Kilman
Interim Chief Information Off40.00.0$334,099$0$19,133Yes (X)
Tommy R Adams
VP - Cardiovascular & Surgical40.00.0$255,875$0$18,881Yes (X)
Donna Pritchard
Vice President, CNE40.00.0$239,591$0$9,897Yes (X)
Lynn Holland
Vice President30.010.0$0$223,763$7,712Yes (X)
Patsy Hawkins
Interim Admin. - Oncology Serv40.00.0$203,866$0$7,513Yes (X)
Todd Davis
VP - Facilities Management40.00.0$195,135$0$8,865Yes (X)
Ellen Friloux
VP - Womens & Pediatric Svc40.00.0$194,408$0$5,165Yes (X)
Angie Everett
VP - Post Acute & Rehab Svc40.00.0$186,702$0$8,063Yes (X)
Domingo Valpuesta
VP - Oncology & Diagnostic Svc40.00.0$184,860$0$3,192Yes (X)
Phillip Alexander
Chief Information Security Off40.00.0$168,936$0$6,170Yes (X)
Robert J Smith
VP - Behavioral Health40.00.0$154,933$0$7,827Yes (X)
Skipper Holliman
Director1.00.0$0$0$0Yes (X)
Hughes Milam MD
Director1.00.0$0$0$0Yes (X)
John Wheeler
Director1.00.0$0$0$0Yes (X)
Barney Guyton MD
Director1.00.0$0$0$0Yes (X)
Mark Ray MD
Director1.00.0$0$0$0Yes (X)
Scott Reed
Director1.00.0$0$0$0Yes (X)
Lewis Whitfield
Director1.00.0$0$0$0Yes (X)
Mitch Waycaster
Director1.00.0$0$0$0Yes (X)
David Copenhaver
Director1.00.0$0$0$0Yes (X)
Tom Foy
Chairman1.00.0$0$0$0Yes (X)
Sam Pace MD
Director1.00.0$0$0$0Yes (X)
Chris Rogers
Director1.00.0$0$0$0Yes (X)
Sam Sliman
Director1.00.0$0$0$0Yes (X)
C K White MD
Director1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,659,822TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,156,186TotReportableCompRltdOrgAmt
Total Other Compensation$240,196TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K391IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLSCRIPTS LLC
24630 NETWORK PLACECHICAGOIL606731246ONLINE PROCESSING$11,270,019
MAINLINE INFORMATION
PO BOX 11407BIRMINGHAMAL352461659SOFTWARE MAINTENANCE$3,769,695
MORRISON HEALTHCARE
PO BOX 102289ATLANTAGA30368FOOD/NUTRITION MGMT$3,691,227
RELIAS EMERGENCY MED
PO BOX 7058TUPELOMS38802ER/HOSPITALIST PROV$3,481,419
CARDIOLOGY ASSOCIATES
499 GLOSTER CREEK VILLAGE SUITE A-TUPELOMS38801PHYSICIAN COVERAGE$2,923,692
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
Related Organizations$563,373RelatedOrganizationsAmt
Government Grants$27,229,246GovernmentGrantsAmt
All Other Contributions$10,738AllOtherContributionsAmt
Total Contributions$27,803,357TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue622110$750,242,779$750,242,779
Related Rental Income531120$1,602,561$1,602,561
WELLNESS CENTER REVENUE621111$1,917,298$1,917,298
CHILD DEVELOPMENT CENTER REVENUE624110$848,885$848,885
MEDICAID PART D REVENUES622110$127,298$127,298
FieldValueIRS element (for citing)
Total Program Service Revenue$754,738,821TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,062,684TotalRevenueColumnAmt
Exclusion$12,062,684ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,328,666,173SecuritiesAmt
Other$14,224OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,322,751,957SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,914,216SecuritiesAmt
Other$14,224OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,928,440TotalRevenueColumnAmt
Exclusion$5,928,440ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Employee Drug Sales446110$7,065,705$7,065,705
VENDOR REBATES900099$1,788,562$1,788,562
VENDING REVENUES900099$71,631$71,631
FieldValueIRS element (for citing)
Other Revenue Total$8,925,898OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$809,459,200TotalRevenueColumnAmt
Related Or Exempt Func Income$754,738,821RelatedOrExemptFuncIncomeAmt
Exclusion$26,917,022ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$28,850TotalAmt
Program Services$28,850ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,747,269TotalAmt
Management And General$3,747,269ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$303,051,385TotalAmt
Program Services$244,598,838ProgramServicesAmt
Management And General$58,452,547ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,033,941TotalAmt
Program Services$14,033,941ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$39,277,151TotalAmt
Program Services$39,277,151ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,719,821TotalAmt
Program Services$13,989,555ProgramServicesAmt
Management And General$4,730,266ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$32,885,163TotalAmt
Management And General$32,885,163ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$276,750TotalAmt
Management And General$276,750ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$317,692TotalAmt
Management And General$317,692ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,170,722TotalAmt
Management And General$1,170,722ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$57,066,866TotalAmt
Program Services$57,066,866ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$952,833TotalAmt
Program Services$952,833ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,550,725TotalAmt
Program Services$9,550,725ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,948,393TotalAmt
Program Services$17,948,393ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,511,188TotalAmt
Program Services$11,511,188ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,115,625TotalAmt
Program Services$1,115,625ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,165,264TotalAmt
Program Services$1,165,264ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,169,607TotalAmt
Program Services$5,169,607ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$34,668,864TotalAmt
Program Services$34,668,864ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,120,552TotalAmt
Management And General$2,120,552ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$200,914,220$200,914,220
COLLECTION FEES$5,247,929$5,247,929
REPAIRS AND MAINTENANCE$3,809,432$3,809,432
RECRUITMENT$2,288,860$2,288,860

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,474,409TotalAmt
Program Services$2,474,409ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$769,513,511TotalAmt
Program Services$665,812,550ProgramServicesAmt
Management And General$103,700,961ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$2,824,333BOYAmt
EOY-$1,796,863EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$33,267,017BOYAmt
EOY$45,061,393EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$58,134,573BOYAmt
EOY$56,761,880EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,022,421BOYAmt
EOY$19,789,630EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,198,504BOYAmt
EOY$7,469,864EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$884,281,794LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$713,978,846LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$179,532,771BOYAmt
EOY$170,302,948EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$933,212,479BOYAmt
EOY$1,127,249,729EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$144,634,094BOYAmt
EOY$164,781,591EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,374,177,526BOYAmt
EOY$1,589,620,172EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$357,401,458BOYAmt
EOY$282,719,987EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$148,922,572BOYAmt
EOY$342,536,357EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$367,989BOYAmt
EOY$202,944EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,456,410BOYAmt
EOY$14,884,743EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$521,148,429BOYAmt
EOY$640,344,031EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$850,460,639BOYAmt
EOY$946,609,626EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,568,458BOYAmt
EOY$2,666,515EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$853,029,097BOYAmt
EOY$949,276,141EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,374,177,526BOYAmt
EOY$1,589,620,172EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,945,689ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,433,057NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$39,868,298OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,156,061OtherCostOrOtherBasisAmt
Book Value$6,156,061BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$313,935,385OtherCostOrOtherBasisAmt
Depreciation$247,689,686DepreciationAmt
Book Value$66,245,699BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$536,902,371OtherCostOrOtherBasisAmt
Depreciation$453,352,501DepreciationAmt
Book Value$83,549,870BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,287,977OtherCostOrOtherBasisAmt
Depreciation$12,936,659DepreciationAmt
Book Value$14,351,318BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$170,302,948TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
Trusted Acquisition Fund$82,990,710
Due from Affiliates$50,036,202
Other Receivables$1,934,396
Int in Net Assets of Affil.Fdn$2,666,514
Other Asset$14,929,760
Due from Third Party Payor$3,232,938
Right of Use Leases$8,991,071
FieldValueIRS element (for citing)
Total Book Value Other Assets$164,781,591TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Fair Value of Int Rate Swaps$5,871,006
LEASE LIABILITY$9,013,737
FieldValueIRS element (for citing)
Total Liability$14,884,743TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$831,762,241TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$16,433,057NetUnrealizedGainsInvstAmt
Other Revenue$5,869,984OtherRevenueAmt
Revenue Not Reported$22,303,041RevenueNotReportedAmt
Revenue Subtotal$809,459,200RevenueSubtotalAmt
Total Revenue Per Form990$809,459,200TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$773,436,575TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$773,436,575ExpensesSubtotalAmt
Other Expenses Not Included-$3,923,064OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$3,923,064ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$769,513,511TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2: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.
Part XI, Line 2d:Loss on Redemption of Bonds included in revenue on the financial statements not included in expenses on the return - 1,946,920 Pension cost being included in revenue on the financial statements but included in expenses on the return - 3,923,064 Total on Line 2d - 5,869,984
Part XII, Line 4b:Pension cost being included in revenue on the financial statements but included in expenses on the return - (3,923,064) Total on Line 4b - (3,923,064)

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,520,085TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,520,085NetCommunityBenefitExpnsAmt
Total Expense0.04880TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,103,005TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,421,229DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,681,776NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$122,623,090TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,421,229DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,201,861NetCommunityBenefitExpnsAmt
Total Expense0.06140TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$776,492TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$776,492NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,672,413TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,838,173DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,834,240NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,448,905TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,838,173DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,610,732NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$131,071,995TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,259,402DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,812,593NetCommunityBenefitExpnsAmt
Total Expense0.07000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Reimbursed By Medicare$281,584,400ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$266,767,572CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$14,816,828MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1North Mississippi Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 S Gloster StreetAddressLine1Txt
CityTupeloCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38801ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.nmhs.net/WebsiteAddressTxt
State License13-063StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1North Mississippi Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5:Information for the CHNA report was gathered by conducting interviews with individuals representing community health and public service organizations, medical professionals, hospital administration, and other hospital staff members. CONSULTATION OR INPUT WAS ALSO REQUESTED FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED, WHICH INCLUDED THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; HEALTHCARE COMMUNITY ADVOCATES; NONPROFIT ORGANIZATIONS; COMMUNITY-BASED ORGANIZATIONS, INCLUDING ORGANIZATIONS FOCUSED ON ONE OR MORE HEALTH ISSUES; AND ORGANIZATIONS WITH KNOWLEDGE OF THE SERVICES NEEDED FOR CHILDREN WITH AUTISM.
PART V, SECTION B, LINE 6A:North Mississippi Medical Center's community benefit information is included in the community benefit report of its parent company, North Mississippi Health Services, Inc. North Mississippi Health Services (NMHS) is a diversified regional health care organization, which serves 24 counties in north Mississippi and northwest Alabama from headquarters in Tupelo, MS. The NMHS organization covers a broad range of acute diagnostic and therapeutic services, offered through North Mississippi Medical Center in Tupelo; a community hospital system with locations in Eupora, Iuka, Pontotoc, West Point, Amory, MS, and Hamilton, AL; North Mississippi Medical Clinics, a regional network of more than 30 primary and specialty clinics; and nursing homes. NMHS offers a comprehensive portfolio of managed care plans.
PART V, SECTION B, LINE 7B:https://www.nmhs.net/about-us/community-benefit/ PART V, SECTION B, LINE 10A: https://www.nmhs.net/about-us/community-benefit/
PART V, SECTION B, LINE 11:THE NEEDS OF THE COMMUNITY GO BEYOND THE RESOURCES OF THE ORGANIZATION WITH THE NON-EXPANSION OF MEDICAID IN THE STATE AND THE REDUCTION IN MEDICAID PAYMENTS AS WELL AS A SIGNIFICANT INCREASE IN UNINSURED. THE ORGANIZATION FOCUSES ON PROVIDING ACCESS TO BASIC HEALTHCARE NEEDS INCLUDING: - BLOOD PRESSURE SCREENING AND TREATMENT, - OBESITY TREATMENT, - DIABETES SCREENING AND TREATMENT, - IMMUNIZATIONS, AND - CHILDREN'S HEALTH BY PLACEMENT OF NURSES IN LOCAL SCHOOLS.
PART V, SECTION B, LINE 13h:https://www.nmhs.net/patient-family-information/financial-assistance/ - Service type provided to patient, - Patient's relationship to physicians, - Patient's eligibility for financial assistance under another city, county, state, federal or other assistance program that supersedes the FAP, - Whether or not the patient's charges resulted from a work-related incident, - Whether or not the patient's charges resulted from an auto accident, and - Whether the patient is in the custody of a correctional facility
PART V, SECTION B, LINE 16A, 16B, and 16C:https://www.nmhs.net/patient-family-information/financial-assistance/
FieldValueIRS element (for citing)
Facility29FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NMMC Women's Hospital
4566 South EasonTupeloMS38801Pediatric & OB/GYN facility
NMMC Home Care & Hospice
422A E President StreetTupeloMS38801Home Care & Hospice Services
NMMC Radiation Oncology
990 South MadisonTupeloMS38801Outpatient Oncology Services
NMMC Behavioral Health
4579 South EasonTupeloMS38801Mental Health Facility
Behavioral Health Clinic-Psychiatric Cli
4557 South Eason BlvdTupeloMS38801Mental Health Facility
NMMC Baldwyn Nursing Facility
739 4th StreetBaldwynMS38824Skilled Nursing Facility
NMMC Longtown Imaging & Rehabilitation
4381 South Eason BlvdTupeloMS38801Outpatient Rehabilitation Services
NMMC Breast Care Center
4376 South EasonTupeloMS38801Outpatient Breast Care Center
NMMC Family Practice Residency Center
1665 South Green StreetTupeloMS38801Outpatient Teaching Facility
NMMC Wellness Center
1030 South MadisonTupeloMS38801Wellness Center
Pontotoc Wellness Center
38 West Reynolds StreetPontotocMS38863Wellness Center
Baldwyn Wellness Center
920 North Fourth Street Suite ABaldwynMS38824Wellness Center
North MS Hematology & Oncology
961 South GlosterTupeloMS38801Cancer Center
Retina Center
606 Brunson DriveTupeloMS38801Eye Center
Vein Center
607 Garfield StreetTupeloMS38801Vein Center
NMMC Orthopaedic Trauma Program
4250 South Eason BlvdTupeloMS38801Ortho Trauma Center
Maternal Fetal Medicine
4566 South Eason BoulevardTupeloMS38801Women's Clinic
Cardiothoracic Surgery Clinic
830 South Gloster Street 3rd Fl ToTupeloMS38801Cardiothoracic Clinic
North Mississippi Neurosurgical Services
4381 South Eason Blvd Suite 302TupeloMS38801Neurosurgery Clinic
Pulmonary Consultants
860 S MadisonTupeloMS38801Pulmonary Consultants
North Mississippi Pain Mgmt Center Inc
4381 South Eason BlvdTupeloMS38801Outpatient Pain Mgmt
Children's Clinic - Tupelo
1573 Medical Park CircleTupeloMS38801Pediatric Clinic
Children's Clinic - Saltillo
104 Desert CoveSaltilloMS38866Pediatric Clinic
Bariatric Clinic
408 Council Circle Suite CTupeloMS38801Bariatric Surgery
Sleep Disorders Center
1845 S Green StreetTupeloMS38801Sleep Disorders Center
Garfield Clinic
806 Garfield StreetTupeloMS38801Infectious Diseases
Pain Management Clinic
3302 West Linden StreetCorinthMS38834Pain Management Center
Cardiovascular Clinic
3302 West Linden StreetCorinthMS38834Cardiovascular Center
Cardiovascular Clinic
801 Stark RoadStarkvilleMS39759Cardiovascular Center

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:NORTH MISSISSIPPI MEDICAL CENTER, INC. USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. IF THE PATIENT'S INCOME LEVEL IS 0-150% OF THE FEDERAL POVERTY LEVEL (FPL), AN ADJUSTMENT OF 100% OF THE HOSPITAL'S STATED CHARGES WILL BE MADE. FOR PATIENTS WHOSE FAMILY GROSS INCOME IS EQUAL TO OR GREATER THAN 200% OF THE FPL, THE HOSPITAL MAY OFFER DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. Part I, Line 6a: North Mississippi Medical Center, Inc. community benefit information is included in the community benefit report of its parent company, North Mississippi Health Services, Inc. North Mississippi Health Services (NMHS) is a diversified regional health care organization, which serves 24 counties in north Mississippi and northwest Alabama from headquarters in Tupelo, MS. The NMHS organization covers a broad range of acute diagnostic and therapeutic services, offered through North Mississippi Medical Center in Tupelo; a community hospital system with locations in Eupora, Iuka, Pontotoc, West Point, Amory, MS, and Hamilton AL; North Mississippi Medical Clinics, a regional network of 27 primary and specialty clinics; and nursing homes. NMHS offers a comprehensive portfolio of managed care plans.
Part I, Line 7:A cost to charge ratio was used for the amounts reported in the table for Line 7. The cost to charge ratio for Line 7 was calculated using Worksheet 2.
Part III, Line 2-4:North Mississippi Medical Center's (NMMC) financial statements do not include a footnote specifically concerning bad debt. Bad debt is shown as a separate line item on the face of the income statement. The amount of bad debt booked each year is based on a review of outstanding receivables and their age from date of service. The older the account, the higher the reserve percentage used to estimate bad debt. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluations and specific circumstances of the account. North Mississippi Medical Center (NMMC) follows the Catholic Health Association guidelines and does not include bad debt in any community benefit amounts. NMMC believes that some portion of bad debt results from patients who could qualify for charity care but has no way of making an estimate of the amount and therefore has answered "zero" for Part III Line 3. THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2021.
Part III, Line 8:The ratio of cost to charges used in the calculation of costs for Medicare was taken from the Medicare Cost Report. Lines 5, 6, & 7 do not include certain Medicare programs and costs and thus do not reflect all of the organization's revenues and costs associated with its participation in Medicare programs. Additional revenues and costs not reported on Lines 5, 6, & 7 include those associated with the organization's Medicare outpatient lab, ambulance and therapy services. Total revenues from these activities were $3,404,034 and total costs were $3,703,650 for a net shortfall of -$299,616. When combined with the shortfall reported on Line 7, the net surplus from all Medicare programs is $14,517,211.
Part III, Line 9b:North Mississippi Medical Center does not pursue collection of amounts determined to qualify as charity care. For patients who qualify for charity care or financial assistance and who are cooperating in good faith to resolve their discounted hospital bills, the hospitals may offer extended payment plans, will not send unpaid bills to outside collection agencies, and will cease all collection efforts.
Part VI, Line 2:Needs Assessment North Mississippi Medical Center utilizes varied but complimentary methods to assess the health care needs of the communities it serves. The North Mississippi Medical Center Community Health Needs Assessment is performed every three years and provides information on health status, utilization of health services, healthy beliefs and satisfaction with health care services. In addition, the North Mississippi Medical Center Community Relations Facilitator conducts routine visits with internal and external stakeholders. The information gathered through several qualitative survey questions is used to determine community needs.
Part VI, Line 3:Patient education of eligibility for assistance Explanations of the North Mississippi Medical Center charity care policy are communicated in a variety of forms including signage at all admission and registration areas, on the web site, on bills and statements, and in admission packets. Financial counselors assist the patient and responsible parties with determining eligibility for government programs, primarily Medicaid, and charity care status. The patient can apply for charity care at any time from the date of service through the collection process and once qualified and approved all collection efforts are stopped.
Part VI, Line 4:Community Information North Mississippi Medical Center serves more than 700,000 people in 24 counties in north Mississippi, northwest Alabama and portions of Tennessee. The most populous counties are Lee and Lowndes in MS and Colbert County in AL. The population for the service area is projected to remain essentially flat over the next five years. The patient population for North Mississippi Medical Center is covered by insurance or is uninsured as follows: 42.79% Medicare, 8.69% Medicare Advantage, 4.11% Medicaid, 7.52% MS CAN, 30.09% private insurance with 6.80% uninsured.
Part VI, Line 5:Promotion of community health North Mississippi Medical Center (NMMC) has a commitment to a wide variety of community health outreach activities, which are coordinated by the Community Health department and are staffed by employees of that department as well as by NMMC employees who volunteer their time to help with these events and activities. The Community Health department assists in educating the community on health-related issues by organizing and presenting various health fairs and seminars. These events are held at local businesses, schools and community organizations and address such issues as cancer care, heart health, bone and joint care, sinus and allergy issues, newborn and child care, and other health-related topics. In addition, the Community Health department sponsors cholesterol, blood pressure, vision, memory, and heart-risk screening events, through which tests are made available to the public for a nominal fee or at no charge with the majority of the costs incurred absorbed by NMMC. NMMC also employs registered nurses and certified health educators and provides their services to schools in its service area at no cost to the school systems. These nurses and educators provide basic healthcare and instructional services to the students in the schools they serve.
Part VI, Line 6:Affiliated Health Care System As noted above, North Mississippi Medical Center (NMMC) is part of North Mississippi Health Services (NMHS). NMHS operates five community hospitals in addition to NMMC, as well as, North Mississippi Medical Clinics, which operates more than 36 medical clinics. Some of these facilities operate at an ongoing financial loss and NMHS provides operating funds in the form of working capital loans that have no set repayment date. These working capital loans have historically been converted to capital transfers in many cases, and therefore, the loans are forgiven such that the facility never makes repayment. NMHS does this in order to provide access to a variety of services across the service area and is an intentional part of its business model. The community health department that is part of NMMC coordinates a variety of community health activities across the service area as well.
Part VI, Line 7:State filing of community benefit report North Mississippi Medical Center does not file a community benefit report with the state of Mississippi as there is no requirement to do so.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarships & Academic ReimbursementsGrantTypeTxt
Recipient36RecipientCnt
Cash Grant$28,850CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Hospital grants scholarships and academic reimbursements to employees based on an application process. Employees that are selected for this program must maintain a 2.5 GPA for an Associate and Bachelors Degree and a 3.0 GPA for a Masters degree and above. The Hospital reimburses the employee the cost of the tuition at the in-state rate for courses that are defined in the curriculum provided by the College attended.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmt
Bruce Toppin
Secretary$335,135$15$48,350$0$3,567$0$8,666$0$395,733$0$0
Ellen Friloux
VP - Womens & Pediatric Svc$2,593$0$2,572$0$199,573$0$0$0$189,051$15$5,342
George Van Osten MD
Physician$17,100$0$13,486$0$1,347,127$0$0$0$1,123,390$192,902$249
Donna Pritchard
Vice President, CNE$2,878$0$7,019$0$249,488$0$0$0$216,656$15$22,920
David Wilson
President$5,736$0$5,697$0$608,887$0$0$0$529,953$15$67,486
Lynn Holland
Vice President$216,463$15$7,285$0$2,993$0$4,719$0$231,475$0$0
Tommy R Adams
VP - Cardiovascular & Surgical$10,815$0$8,066$0$274,756$0$0$0$221,169$10,015$24,691
Angie Everett
VP - Post Acute & Rehab Svc$2,014$0$6,049$0$194,765$0$0$0$182,223$15$4,464
Sharon Nobles
TREASURER & CFO$538,926$15$1,290$0$5,700$0$6,456$0$552,387$0$0
Todd Davis
VP - Facilities Management$2,661$0$6,204$0$204,000$0$0$0$190,451$15$4,669
Robert J Smith
VP - Behavioral Health$3,108$0$4,719$0$162,760$0$0$0$152,832$15$2,086
Phillip Alexander
Chief Information Security Off$3,410$0$2,760$0$175,106$0$0$0$168,122$35$779
Patsy Hawkins
Interim Admin. - Oncology Serv$2,794$0$4,719$0$211,379$0$0$0$197,829$385$5,652
Vishal Sachdev
Physician$17,100$0$5,566$0$1,382,910$0$0$0$1,317,117$31,454$11,673
Domingo Valpuesta
VP - Oncology & Diagnostic Svc$0$0$3,192$0$188,052$0$0$0$127,118$40,000$17,742
David Pizzementi
Associate Chief Medical Office$3,231$0$4,674$0$715,077$0$0$0$686,816$15$20,341
Benton E Kilman
Interim Chief Information Off$13,567$0$5,566$0$353,232$0$0$0$321,219$1,277$11,603
Joseph M Stinson
Physician$5,634$0$1,073$0$2,018,987$0$0$0$1,510,507$501,524$249
Charles M King
Physician$418,004$574,725$15,963$0$14,435$751$3,380$360,801$1,026,507$0$0$104,427$255,214$409
Heather Hancock
Physician$8,550$0$6,976$0$1,203,202$0$0$0$680,418$507,009$249

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3:NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ESTABLISHES THE PAY OF THE CEO AND COMPENSATES HIM. NMHS USES THE FOLLOWING METHODS FOR ESTABLISHING THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Part I, Line 4b:The following people participated in or received payment from a supplemental nonqualified retirement plan: David Wilson - $45,574 Bruce Toppin - $37,995
Part I, Line 7PHYSICIAN BONUSES ARE ALL CONTINGENT INCOME DEPENDING UPON EITHER THE NUMBER OF SERVICES PROVIDED OR THE QUALITY OF PERFORMANCE PERFORMED. ALL ARE SPECIFIED IN THEIR CONTRACTS. ANY OTHER INCENTIVES ARE PAID OUT AS CONTINGENT INCOME ALSO BASED ON QUALITY AND FINANCIAL PERFORMANCE METRICS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Mississippi Hospital Equip & Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN640732320BondIssuerEIN
CUSIP605360TS5CUSIPNum
Bond Issued2020-02-12BondIssuedDt
Issue Price$159,675,684IssuePriceAmt
PurposeSee Part VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$159,675,684TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$1,638,802IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$158,036,881OtherSpentProceedsAmt
Unspent$0UnspentAmt
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00100PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00100TotalPrivateBusinessUsePct
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
.Schedule K, Part I: North Mississippi Medical Center, along with certain North Mississippi Health Services affiliates (collectively known as the Obligated Group), periodically issue tax-exempt revenue bonds under the terms of a related master indenture.
SCHEDULE K, PART I, COLUMN (D)The bonds were sold on two dates wtihin 15 days of each other -- February 5, 2020 and February 11, 2020, a portion pursuant to a forward delivery agreement, and therefore are a single issue for tax purposes. The currently delivered portion were issued on February 12, 2020 and the forward delivery portion were issued on July 9, 2020. Two 8038s were filed with respect to the bonds reflecting this bifurcated issue date.
SCHEDULE K, PART 1, COLUMN (F)Schedule K, Part I, column (f): The bonds were issued to (i) current refund all of the outstanding Mississippi Hospital Equipment and Facilities Authority Revenue Bonds (North Mississippi Health Services) 1997 Series 1, 2001 Series 1, 2003 Series 2, 2010 Series 1, 2017 Series 1 and to pay costs of issuance.
Schedule K, Part II, Line 3The difference Between Part I (e) and Part II, Line 3 is due to interest earnings on invested proceeds.
Schedule K, Part III, Line 7:As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of use and/or unrelated trade or business reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code.
Schedule K, Part III, Line 9, and Part V:The organization implemented revised written procedures to ensure remediation in accordance with Regulations sections 1.141-12 and 1.145-2 and to undertake corrective action shortly after the completion of the reporting period applicable to this form.
Schedule K, Part IV, Line 2(b):The Bonds have met the 6-month expenditure exception to rebate.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Page 6, Part VI, Section A, Line 6:North Mississippi Medical Center, Inc. is a not-for-profit, nonstock, membership corporation of which North Mississippi Health Services, Inc. is the sole member and has sole voting control.
Form 990, Page 6, Part VI, Section A, Line 7a:The Governance Committee of North Mississippi Health Services, Inc. (NMHS), which is made up of past Chairmen, nominates candidates for the Board. These candidates are then approved by the Board of NMHS.
Form 990, Page 6, Part VI, Section A, Line 7b:The Board of North Mississippi Health Services, Inc. approves all transactions that exceed $1 million.
Form 990, Page 6, Part VI, Section b, Line 11b: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 return is then sent to the Executive VP/Treasurer to be reviewed and presented to the Board. The Chief Financial Officer signs the return and it is then sent to the IRS.
Form 990, Page 6, Part VI, Section B, Line 12c: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's 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.
Form 990, Page 6, Part VI, Section B, Line 15a&b: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.
Form 990, Page 6, Part VI, Section C, Line 19: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.
Form 990, Page 12, Part XI, Line 9:Pension related changes other than net periodic pension cost: 36,742,076 Transfers of Capital to affiliates of North MS Health Services: 103,295 Decrease in interest in net assets of Affiliated Foundation: 98,057 Loss on Redemption of Bonds: 1,946,920 Contributed Capital: 1,002,393 Other Changes: (24,443) Total other changes in net assets or fund balance = 39,868,298

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
North MS Management Services Inc
830 S Gloster StreetTupeloMS38801640762694Mgmt & AdminDE501(c)(3)12-INMHSYes (true)
North MS Health Services Inc
830 S Gloster StreetTupeloMS38801640653269Mgmt ServicesDE501(c)(3)12-IINAfalse
Clay County Medical Corporation
830 S Gloster StreetTupeloMS38801640668465HospitalDE501(c)(3)3NMHSYes (true)
Tishomingo Health Services Inc
830 S Gloster StreetTupeloMS38801640741047HospitalDE501(c)(3)3NMHSYes (true)
PONOTOC HEALTH SERVICES INC
830 S Gloster StreetTupeloMS38801640751410HospitalDE501(c)(3)3NMHSYes (true)
North MS Medical Clinics Inc
830 S Gloster StreetTupeloMS38801640787918Med ClinicsDE501(c)(3)3NMHSYes (true)
Tupelo Service Finance Inc
830 S Gloster StreetTupeloMS38801640508308CollectionsDE501(c)(3)3NMHSYes (true)
Webster Health Services Inc
830 S Gloster StreetTupeloMS38801640819193HospitalDE501(c)(3)3NMHSYes (true)
MARION REGIONAL MEDICAL CENTER INC
830 S Gloster StreetTupeloMS38801640926753HospitalDE501(c)(3)3NMHSYes (true)
North MS Emergency Services Inc
830 S Gloster StreetTupeloMS38801640780130ER PhysiciansDE501(c)(3)10NMHSYes (true)
Monroe Health Services
830 South Gloster StreetTupeloMS38801320583236HospitalDE501(c)(3)3NMHSYes (true)
HEALTH CARE FOUNDATION OF NORTH MS
830 SOUTH GLOSTER STREETTUPELOMS38801640914704FUNDRAISINGDE501(c)(3)7NMHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
North MS Ambulatory
Surgery Center LLCTupeloMS38801200145190Ambulatory SurgMSNANONE$0$0false$0false0.00000
Medical Imaging
LLCTupeloMS38801770647210Medical ImagingMSNANONE$0$0false$0false0.00000
Cntr for Digestive
Health LLCTupeloMS38801201606438Digestive CareMSNANONE$0$0false$0false0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
North MS Health Link Inc
830 S Gloster StreetTupeloMS38801640715886Medical ServicesDENAC Corp$0$00.00000Yes (true)
North MS Enterprises Inc
830 S Gloster StreetTupeloMS38801640658059Medical ServicesDENAC Corp$0$00.00000Yes (true)
Professional Practice Management Inc
830 S Gloster StreetTupeloMS38801721390014Med Serv MgmtDENAC Corp$0$00.00000Yes (true)
Acclaim Inc
830 S Gloster StreetTupeloMS38801721356116Hlth Care ClaimsDENAC Corp$0$00.00000Yes (true)
North MS Support Services Inc
830 S Gloster StreetTupeloMS38801260718275Support ServicesDENAC Corp$0$00.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TUPELO SERVICE FINANCE
S$346,705FMV
HEALTH CARE FOUNDATION OF NORTH MS
S$563,373FMV