NORTH MISSISSIPPI MEDICAL CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: NORTH MISSISSIPPI MEDICAL CENTER INC (EIN 64-0662976)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-16
IRS object ID: 202142289349302629
Schema version: 2019v5.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-16T12:41:30-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3667	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	722033667	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	640662976	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	North Mississippi Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KRISTY DUKE	InCareOfNm
Business Name Control	NORT	BusinessNameControlTxt
Phone	6623773978	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 South Gloster Street	AddressLine1Txt
City	Tupelo	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	38801	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SHARON NOBLES	PersonNm
Person Title	CHIEF FINANCIAL OFF.	PersonTitleTxt
Phone	6623773978	PhoneNum
Signature	2021-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amber Sherrill CPA	PreparerPersonNm
PTIN	P00748683	PTIN
Phone	5013721040	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SHARON NOBLES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 South Gloster Street	AddressLine1Txt
City	Tupelo	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	38801	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,822,139,508	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nmhs.net/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	North 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 Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5242	TotalEmployeeCnt
Total Volunteers	164	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$781,836	PYContributionsGrantsAmt
CY Contributions Grants	$24,120,465	CYContributionsGrantsAmt
PY Program Service Revenue	$814,906,645	PYProgramServiceRevenueAmt
CY Program Service Revenue	$771,627,058	CYProgramServiceRevenueAmt
PY Investment Income	$26,373,024	PYInvestmentIncomeAmt
CY Investment Income	$30,227,475	CYInvestmentIncomeAmt
PY Other Revenue	$14,565,363	PYOtherRevenueAmt
CY Other Revenue	$9,995,095	CYOtherRevenueAmt
PY Total Revenue	$856,626,868	PYTotalRevenueAmt
CY Total Revenue	$835,970,093	CYTotalRevenueAmt
PY Grants And Similar Paid	$35,282	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$28,100	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$342,484,219	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$332,115,799	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$457,046,454	PYOtherExpensesAmt
CY Other Expenses	$447,344,498	CYOtherExpensesAmt
PY Total Expenses	$799,565,955	PYTotalExpensesAmt
CY Total Expenses	$779,488,397	CYTotalExpensesAmt
PY Revenues Less Expenses	$57,060,913	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$56,481,696	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,122,115,923	TotalAssetsBOYAmt
Total Assets EOY	$1,374,177,526	TotalAssetsEOYAmt
Total Liabilities BOY	$324,310,174	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$521,148,429	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$797,805,749	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$853,029,097	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NORTH 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$693,071,839	ExpenseAmt
Grant	$28,100	GrantAmt
Revenue	$771,628,697	RevenueAmt
Desc	North 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 2020, there were 23,994 inpatient admissions, 73,011 emergency department visits, and 528,909 outpatient 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

Field	Value	IRS element (for citing)
Desc	One 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 100% OF THE FEDERAL POVERTY LEVEL. THE POLICY FURTHER PROVIDES, PATIENTS WITH HOUSEHOLD INCOME LEVELS BETWEEN 101% AND 150% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE TO RECEIVE SERVICES AT A DISCOUNTED RATE. THE DISCOUNT WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE 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 $89,563,974 in fiscal year 2020. Based on the gross charges provided to charity patients compared to total hospital gross charges, 5.15% of all services in fiscal year 2020 were provided on a charity basis. The net cost of charity care provided by NMMC was approximately $34,706,410 in fiscal year 2020. 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

Field	Value	IRS element (for citing)
Expense	$479,733	ExpenseAmt
Desc	North 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 $479,733 in fiscal year 2020.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$693,551,572	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	235	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5242	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KRISTY DUKE	PersonNm
Phone	6623773977	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 SOUTH GLOSTER STREET	AddressLine1Txt
City	Tupelo	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	38801	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Michael S Spees
FORMER PRESIDENT	0.0	40.0	Yes (X)	$0	$1,672,809	$15,358
David S Talton
Physician	40.0	0.0		$1,370,011	$0	$22,320	Yes (X)
Lynn M Miller
Physician	40.0	0.0		$1,293,618	$0	$14,085	Yes (X)
William R Reed MD
Physician	40.0	0.0		$1,125,137	$0	$14,208	Yes (X)
Vishal Sachdev
Physician	40.0	0.0		$1,107,268	$0	$24,247	Yes (X)
Robert J Derveloy
Physician	40.0	0.0		$1,061,789	$0	$22,608	Yes (X)
David Wilson
President	40.0	0.0		$873,536	$0	$14,208		Yes (X)
Sharon Nobles
TREASURER & CFO	10.0	30.0		$0	$806,871	$15,128		Yes (X)
Bruce Toppin
Secretary	10.0	30.0		$0	$500,374	$14,268		Yes (X)
Lynn Holland
Vice President	30.0	10.0		$0	$310,889	$11,619			Yes (X)
Tommy R Adams
VP - Cardiovascular & Surgical	40.0	0.0		$274,678	$0	$27,948			Yes (X)
Donna Pritchard
Vice President, CNE	40.0	0.0		$265,705	$0	$11,630			Yes (X)
Patsy Hawkins
Interim Admin. - Oncology Serv	40.0	0.0		$223,905	$0	$10,195			Yes (X)
Todd Davis
VP - Facilities Management	40.0	0.0		$215,768	$0	$11,266			Yes (X)
Ellen Friloux
VP - Womens & Pediatric Svc	40.0	0.0		$216,555	$0	$6,890			Yes (X)
Angie Everett
VP - Post Acute & Rehab Svc	40.0	0.0		$206,925	$0	$8,452			Yes (X)
Phillip Alexander
Chief Information Security Off	40.0	0.0		$204,597	$0	$9,028			Yes (X)
Robert J Smith
VP - Behavioral Health	40.0	0.0		$171,100	$0	$11,206			Yes (X)
Skipper Holliman
Director	1.0	0.0		$0	$0	$0				Yes (X)
Hughes Milam MD
Director	1.0	0.0		$0	$0	$0				Yes (X)
John Wheeler
Director	1.0	0.0		$0	$0	$0				Yes (X)
Barney Guyton MD
Director	1.0	0.0		$0	$0	$0				Yes (X)
Mark Ray MD
Director	1.0	0.0		$0	$0	$0				Yes (X)
Scott Reed
Director	1.0	0.0		$0	$0	$0				Yes (X)
Lewis Whitfield
Director	1.0	0.0		$0	$0	$0				Yes (X)
Mitch Waycaster
Director	1.0	0.0		$0	$0	$0				Yes (X)
David Copenhaver
Director	1.0	0.0		$0	$0	$0				Yes (X)
Tom Foy
Chairman	1.0	0.0		$0	$0	$0				Yes (X)
Sam Pace MD
Director	1.0	0.0		$0	$0	$0				Yes (X)
Chris Rogers
Director	1.0	0.0		$0	$0	$0				Yes (X)
Sam Sliman
Director	1.0	0.0		$0	$0	$0				Yes (X)
C K White MD
Director	1.0	0.0		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,610,592	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,290,943	TotReportableCompRltdOrgAmt
Total Other Compensation	$264,664	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	360	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NTHRIVE INC
PO BOX 733492	DALLAS	TX	75373	COLLECTION AGENCY	$5,567,174
Allscripts LLC
24630 Network Place	CHICAGO	IL	606731246	Online Processing	$4,850,124
Relias Emergency Medicine of Tupelo
PO Box 7058	TUPELO	MS	38802	Physician Coverage	$4,721,036
MORRISION HEALTHCARE
PO BOX 102289	ATLANTA	GA	303682289	FOOD/NUTRITION MGMT	$4,420,875
COMPHEALTH
PO BOX 972651	DALLAS	TX	753972651	PHYSICIAN COVERAGE	$4,052,463

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	277	CntrctRcvdGreaterThan100KCnt
Related Organizations	$462,074	RelatedOrganizationsAmt
Government Grants	$23,584,963	GovernmentGrantsAmt
All Other Contributions	$73,428	AllOtherContributionsAmt
Total Contributions	$24,120,465	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	622110	$767,524,650	$767,524,650
Related Rental Income	531120	$1,626,818	$1,626,818
WELLNESS CENTER REVENUE	621111	$1,646,129	$1,646,129
CHILD DEVELOPMENT CENTER REVENUE	624110	$750,813	$750,813
MEDICAID PART D REVENUES	622110	$78,648	$78,648

Field	Value	IRS element (for citing)
Total Program Service Revenue	$771,627,058	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,240,546	TotalRevenueColumnAmt
Exclusion	$17,240,546	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,675	TotalRevenueColumnAmt
Exclusion	$2,675	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,999,146,861	SecuritiesAmt
Other	$6,809	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,986,057,216	SecuritiesAmt
Other	$112,199	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,089,645	SecuritiesAmt
Other	-$105,390	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,984,254	TotalRevenueColumnAmt
Exclusion	$12,984,254	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Employee Drug Sales	446110	$6,648,769	$6,648,769
VENDOR REBATES	900099	$1,577,212	$1,577,212
VENDING REVENUES	900099	$74,893	$74,893

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,694,221	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,639	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,692,582	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,995,095	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$835,970,093	TotalRevenueColumnAmt
Related Or Exempt Func Income	$771,628,697	RelatedOrExemptFuncIncomeAmt
Exclusion	$40,220,931	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$28,100	TotalAmt
Program Services	$28,100	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,699,482	TotalAmt
Management And General	$2,699,482	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$264,571,134	TotalAmt
Program Services	$219,057,703	ProgramServicesAmt
Management And General	$45,513,431	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,891,063	TotalAmt
Program Services	$9,891,063	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,411,457	TotalAmt
Program Services	$36,411,457	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,542,663	TotalAmt
Program Services	$14,900,763	ProgramServicesAmt
Management And General	$3,641,900	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$31,078,629	TotalAmt
Management And General	$31,078,629	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$406,251	TotalAmt
Management And General	$406,251	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$281,990	TotalAmt
Management And General	$281,990	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,059,307	TotalAmt
Management And General	$1,059,307	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$50,975,504	TotalAmt
Program Services	$50,975,504	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$975,263	TotalAmt
Program Services	$975,263	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,379,139	TotalAmt
Program Services	$9,379,139	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,614,265	TotalAmt
Program Services	$16,614,265	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,455,779	TotalAmt
Program Services	$10,455,779	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,833,610	TotalAmt
Program Services	$1,833,610	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,337,667	TotalAmt
Program Services	$1,337,667	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,540,112	TotalAmt
Program Services	$4,540,112	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,381,684	TotalAmt
Program Services	$36,381,684	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,255,835	TotalAmt
Management And General	$1,255,835	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$179,483,941	$179,483,941
Bad Debt Expense	$88,424,035	$88,424,035
Collection Fees	$5,287,843	$5,287,843
Repairs and Maintenance	$3,548,839	$3,548,839

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,024,805	TotalAmt
Program Services	$4,024,805	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$779,488,397	TotalAmt
Program Services	$693,551,572	ProgramServicesAmt
Management And General	$85,936,825	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$705,179	BOYAmt
EOY	-$2,824,333	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,586,367	BOYAmt
EOY	$33,267,017	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,712,791	BOYAmt
EOY	$58,134,573	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$21,406,745	BOYAmt
EOY	$21,022,421	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,282,437	BOYAmt
EOY	$7,198,504	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$861,166,841	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$681,634,070	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$199,678,294	BOYAmt
EOY	$179,532,771	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$631,489,859	BOYAmt
EOY	$933,212,479	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$168,254,251	BOYAmt
EOY	$144,634,094	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,122,115,923	BOYAmt
EOY	$1,374,177,526	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$168,025,578	BOYAmt
EOY	$357,401,458	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$148,263,312	BOYAmt
EOY	$148,922,572	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$367,781	BOYAmt
EOY	$367,989	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,653,503	BOYAmt
EOY	$14,456,410	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$324,310,174	BOYAmt
EOY	$521,148,429	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$795,194,590	BOYAmt
EOY	$850,460,639	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,611,159	BOYAmt
EOY	$2,568,458	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$797,805,749	BOYAmt
EOY	$853,029,097	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,122,115,923	BOYAmt
EOY	$1,374,177,526	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$56,481,696	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,106,751	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,365,099	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$309,387,723	OtherCostOrOtherBasisAmt
Depreciation	$238,181,209	DepreciationAmt
Book Value	$71,206,514	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$524,526,115	OtherCostOrOtherBasisAmt
Depreciation	$430,860,128	DepreciationAmt
Book Value	$93,665,987	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,096,942	OtherCostOrOtherBasisAmt
Depreciation	$12,592,733	DepreciationAmt
Book Value	$8,504,209	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$179,532,771	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Trusted Acquisition Fund	$84,264,586
Due from Affiliates	$37,523,728
Other Receivables	$1,287,139
Int in Net Assets of Affil.Fdn	$2,592,900
Other Asset	$12,106,917
DUE FROM MEDICARE	$582,486
Right of Use Leases	$6,276,338

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$144,634,094	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Other Long-Term Liability	$359,945
Fair Value of Int Rate Swaps	$7,817,926
LEASE LIABILITY	$6,278,539

Field	Value	IRS element (for citing)
Total Liability	$14,456,410	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$751,308,640	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,106,751	NetUnrealizedGainsInvstAmt
Other Revenue	-$86,768,204	OtherRevenueAmt
Revenue Not Reported	-$84,661,453	RevenueNotReportedAmt
Revenue Subtotal	$835,970,093	RevenueSubtotalAmt
Total Revenue Per Form990	$835,970,093	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$695,128,404	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$695,128,404	ExpensesSubtotalAmt
Other Expenses Not Included	$84,359,993	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$84,359,993	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$779,488,397	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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:	Bad debt expense is netted with revenue on the financial statements but included in expenses on the return - (88,424,035) Loss on Redemption of Bonds included in revenue on the financial statements not included in expenses on the return - (2,408,210) Pension cost being included in revenue on the financial statements but included in expenses on the return - 4,064,041 Total on Line 2d - (86,768,204)
Part XII, Line 4b:	Bad debt expense is netted with revenue on the financial statements but included in expenses on the return - 88,424,035 Pension cost being included in revenue on the financial statements but included in expenses on the return - (4,064,042) Total on Line 4b - 84,359,993

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	150.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,706,410	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,706,410	NetCommunityBenefitExpnsAmt
Total Expense	0.05020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,378,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,642,669	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,736,066	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,085,145	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,642,669	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,442,476	NetCommunityBenefitExpnsAmt
Total Expense	0.05420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$479,733	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$479,733	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,266,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,527,611	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,739,386	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,746,730	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,527,611	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,219,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,831,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,170,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,661,595	NetCommunityBenefitExpnsAmt
Total Expense	0.06030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$88,424,035	BadDebtExpenseAmt
Reimbursed By Medicare	$299,924,790	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$284,574,300	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$15,350,490	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	North Mississippi Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 S Gloster Street	AddressLine1Txt
City	Tupelo	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	38801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.nmhs.net/	WebsiteAddressTxt
State License	13-063	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	North Mississippi Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	150.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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/app/files/public/1398/tupelo.pdf PART V, SECTION B, LINE 10A: https://www.nmhs.net/app/files/public/1398/tupelo.pdf
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:	The Hospital's eligibility criteria also included the following: - 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:	http://nmhs.net/financial_assistance.php

Field	Value	IRS element (for citing)
Facility	28	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NMMC Women's Hospital
4566 South Eason	Tupelo	MS	38801	Pediatric & OB/GYN facility
NMMC Home Care & Hospice
422A E President Street	Tupelo	MS	38801	Home Care & Hospice Services
NMMC Radiation Oncology
990 South Madison	Tupelo	MS	38801	Outpatient Oncology Services
NMMC Behavioral Health
4579 South Eason	Tupelo	MS	38801	Mental Health Facility
Behavioral Health Clinic-Psychiatric Cli
4557 South Eason Blvd	Tupelo	MS	38801	Mental Health Facility
NMMC Baldwyn Nursing Facility
739 4th Street	Baldwyn	MS	38824	Skilled Nursing Facility
NMMC Longtown Imaging & Rehabilitation
4381 South Eason Blvd	Tupelo	MS	38801	Outpatient Rehabilitation Services
NMMC Breast Care Center
4376 South Eason	Tupelo	MS	38801	Outpatient Breast Care Center
NMMC Family Practice Residency Center
1680 South Green Street	Tupelo	MS	38801	Outpatient Teaching Facility
NMMC Wellness Center
1030 South Madison	Tupelo	MS	38801	Wellness Center
Pontotoc Wellness Center
38 West Reynolds Street	Pontotoc	MS	38863	Wellness Center
Baldwyn Wellness Center
920 North Fourth Street Suite A	Baldwyn	MS	38824	Wellness Center
North MS Hematology & Oncology
961 South Gloster	Tupelo	MS	38801	Cancer Center
Retina Center
606 Brunson Drive	Tupelo	MS	38801	Eye Center
Vein Center
607 Garfield Street	Tupelo	MS	38801	Vein Center
NMMC Orthopaedic Trauma Program
4250 South Eason Blvd	Tupelo	MS	38801	Ortho Trauma Center
Maternal Fetal Medicine
4566 South Eason Boulevard	Tupelo	MS	38801	Women's Clinic
Cardiothoracic Surgery Clinic
830 South Gloster Street 3rd Fl To	Tupelo	MS	38801	Cardiothoracic Clinic
North Mississippi Neurosurgical Services
4381 South Eason Blvd Suite 302	Tupelo	MS	38801	Neurosurgery Clinic
Pulmonary Consultants
860 S Madison	Tupelo	MS	38801	Pulmonary Consultants
North Mississippi Pain Mgmt Center Inc
4381 South Eason Blvd	Tupelo	MS	38801	Outpatient Pain Mgmt
Children's Clinic - Tupelo
1573 Medical Park Circle	Tupelo	MS	38801	Pediatric Clinic
Children's Clinic - Saltillo
104 Desert Cove	Saltillo	MS	38866	Pediatric Clinic
Bariatric Clinic
408 Council Circle Suite C	Tupelo	MS	38801	Bariatric Surgery
NMMC Cancer Care-Starkville
1205 Highway 182 West	Starkville	MS	39759	Cancer Center
NMMC Radiation Oncology-Starkville
1205 Highway 182 West	Starkville	MS	39759	Oncology Services
Sleep Disorders Center
1845 S Green Street	Tupelo	MS	38801	Sleep Disorders Center
Garfield Clinic
806 Garfield Street	Tupelo	MS	38801	Infectious Diseases

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 0-100% OF THE FEDERAL POVERTY LEVEL (FPL), AN ADJUSTMENT OF 100% OF THE HOSPITAL'S STATED CHARGES WILL BE MADE. IF THE PATIENT'S INCOME LEVEL IS 101-150% OF THE FPL, A DISCOUNT OF THE HOSPITAL'S STATED CHARGES WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE OF THE FPL. FOR PATIENTS WHOSE FAMILY GROSS INCOME IS EQUAL TO OR GREATER THAN 150% 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, column (f):	Bad Debt Expense of $88,424,035 was included in total expense on Form 990, Part IX, Line 25, Column (A), but was subtracted from total expense for purposes of calculating the percentage of total expense in column (F).
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. The amount reported in Part III, line 2 as bad debt expense matches the amount of bad debt expense reported on NMMC's audited financial statements. North Mississippi Medical Center (NMMC) follows the Catholic Health Association guidelines and does not include bad debt in any community benefit amounts. NMMC, however, 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, 2020. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
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 $3,367,299 and total costs were $3,917,514 for a net shortfall of -$550,215. When combined with the shortfall reported on Line 7, the net surplus from all Medicare programs is $14,800,276.
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: 49.00% Medicare, 3.12% Medicare Advantage, 3.80% Medicaid, 8.51% MS CAN, 28.50% private insurance with 7.07% 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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships & Academic Reimbursements	GrantTypeTxt
Recipient	33	RecipientCnt
Cash Grant	$28,100	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	The 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
Bruce Toppin
Secretary	$324,527	$164,166	$11,681	$0	$5,600	$0	$8,668	$0	$514,642	$0	$0
Ellen Friloux
VP - Womens & Pediatric Svc				$5,000	$0	$1,890	$0	$223,445	$0	$0	$0	$189,078	$21,584	$5,893
Donna Pritchard
Vice President, CNE				$4,210	$0	$7,420	$0	$277,335	$0	$0	$0	$215,525	$27,445	$22,735
David Wilson
President				$8,400	$0	$5,808	$0	$887,744	$0	$0	$0	$526,350	$325,864	$21,322
Lynn Holland
Vice President	$216,288	$87,203	$7,398	$0	$6,699	$0	$4,920	$0	$322,508	$0	$0
Tommy R Adams
VP - Cardiovascular & Surgical				$20,640	$0	$7,308	$0	$302,626	$0	$0	$0	$226,653	$28,079	$19,946
Angie Everett
VP - Post Acute & Rehab Svc				$2,448	$0	$6,004	$0	$215,377	$0	$0	$0	$181,363	$21,259	$4,303
Sharon Nobles
TREASURER & CFO	$516,850	$288,731	$1,290	$0	$8,400	$0	$6,728	$0	$821,999	$0	$0
Todd Davis
VP - Facilities Management				$5,098	$0	$6,168	$0	$227,034	$0	$0	$0	$188,125	$22,054	$5,589
William R Reed MD
Physician				$8,400	$0	$5,808	$0	$1,139,345	$0	$0	$0	$575,189	$529,916	$20,032
Michael S Spees
FORMER PRESIDENT	$958,860	$677,592	$36,357	$0	$8,400	$0	$6,958	$0	$1,688,167	$0	$0
Robert J Smith
VP - Behavioral Health				$6,046	$0	$5,160	$0	$182,306	$0	$0	$0	$151,256	$17,761	$2,083
Phillip Alexander
Chief Information Security Off				$5,548	$0	$3,480	$0	$213,625	$0	$0	$0	$169,485	$34,590	$522
David S Talton
Physician				$16,800	$0	$5,520	$0	$1,392,331	$0	$0	$0	$1,039,329	$318,900	$11,782
Patsy Hawkins
Interim Admin. - Oncology Serv				$4,703	$0	$5,492	$0	$234,100	$0	$0	$0	$201,039	$16,868	$5,998
Lynn M Miller
Physician				$4,713	$0	$9,372	$0	$1,307,703	$0	$0	$0	$837,602	$436,776	$19,240
Vishal Sachdev
Physician				$18,139	$0	$6,108	$0	$1,131,515	$0	$0	$0	$827,881	$268,085	$11,302
Robert J Derveloy
Physician				$16,800	$0	$5,808	$0	$1,084,397	$0	$0	$0	$785,361	$262,630	$13,798

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Mississippi Hospital Equip & Facilities Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	640732320	BondIssuerEIN
CUSIP	605360TS5	CUSIPNum
Bond Issued	2020-02-12	BondIssuedDt
Issue Price	$159,675,684	IssuePriceAmt
Purpose	See Part VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$159,751,150	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$34,972,348	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,638,802	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$123,140,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00100	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00100	TotalPrivateBusinessUsePct
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
.	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 (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 3	The 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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: (1,776,237) Transfers of Capital to affiliates of North MS Health Services: 500,000 Decrease in interest in net assets of Affiliated Foundation: (42,702) Loss on Redemption of Bonds: (2,408,210) Contributed Capital: 396,296 Other Changes: (34,246) Total other changes in net assets or fund balance = (3,365,099)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
North MS Management Services Inc
830 S Gloster Street	Tupelo	MS	38801	640762694	Mgmt & Admin	DE	501(c)(3)	12-I	NMHS	Yes (true)
North MS Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640653269	Mgmt Services	DE	501(c)(3)	12-II	NA	false
Clay County Medical Corporation
830 S Gloster Street	Tupelo	MS	38801	640668465	Hospital	DE	501(c)(3)	3	NMHS	Yes (true)
Tishomingo Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640741047	Hospital	DE	501(c)(3)	3	NMHS	Yes (true)
PONOTOC HEALTH SERVICES INC
830 S Gloster Street	Tupelo	MS	38801	640751410	Hospital	DE	501(c)(3)	3	NMHS	Yes (true)
North MS Medical Clinics Inc
830 S Gloster Street	Tupelo	MS	38801	640787918	Med Clinics	DE	501(c)(3)	3	NMHS	Yes (true)
Tupelo Service Finance Inc
830 S Gloster Street	Tupelo	MS	38801	640508308	Collections	DE	501(c)(3)	3	NMHS	Yes (true)
Webster Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640819193	Hospital	DE	501(c)(3)	3	NMHS	Yes (true)
MARION REGIONAL MEDICAL CENTER INC
830 S Gloster Street	Tupelo	MS	38801	640926753	Hospital	DE	501(c)(3)	3	NMHS	Yes (true)
North MS Emergency Services Inc
830 S Gloster Street	Tupelo	MS	38801	640780130	ER Physicians	DE	501(c)(3)	10	NMHS	Yes (true)
Monroe Health Services
830 South Gloster Street	Tupelo	MS	38801	320583236	Hospital	DE	501(c)(3)	3	NMHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
North MS Ambulatory
Surgery Center LLC	Tupelo	MS	38801	200145190	Ambulatory Surg	MS	NA	NONE	$0	$0	false	$0	false	0.00000
Medical Imaging
LLC	Tupelo	MS	38801	770647210	Medical Imaging	MS	NA	NONE	$0	$0	false	$0	false	0.00000
Cntr for Digestive
Health LLC	Tupelo	MS	38801	201606438	Digestive Care	MS	NA	NONE	$0	$0	false	$0	false	0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
North MS Health Link Inc
830 S Gloster Street	Tupelo	MS	38801	640715886	Medical Services	DE	NA	C Corp	$0	$0	0.00000	Yes (true)
North MS Enterprises Inc
830 S Gloster Street	Tupelo	MS	38801	640658059	Medical Services	DE	NA	C Corp	$0	$0	0.00000	Yes (true)
Professional Practice Management Inc
830 S Gloster Street	Tupelo	MS	38801	721390014	Med Serv Mgmt	DE	NA	C Corp	$0	$0	0.00000	Yes (true)
Acclaim Inc
830 S Gloster Street	Tupelo	MS	38801	721356116	Hlth Care Claims	DE	NA	C Corp	$0	$0	0.00000	Yes (true)
North MS Support Services Inc
830 S Gloster Street	Tupelo	MS	38801	260718275	Support Services	DE	NA	C Corp	$0	$0	0.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd