2021-08-16T12:41:30-05:00 2020-09-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2019-10-01 640662976 North Mississippi Medical Center Inc % KRISTY DUKE NORT 6623773978 830 South Gloster Street Tupelo MS 38801 SHARON NOBLES CHIEF FINANCIAL OFF. 6623773978 2021-08-15 true Amber Sherrill CPA P00748683 5013721040 2019 2022-09-23 18:48:47Z SHARON NOBLES 830 South Gloster Street Tupelo MS 38801 2822139508 false X www.nmhs.net/ X 1982 DE 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. 14 14 5242 164 0 0 781836 24120465 814906645 771627058 26373024 30227475 14565363 9995095 856626868 835970093 35282 28100 0 0 342484219 332115799 0 0 0 457046454 447344498 799565955 779488397 57060913 56481696 1122115923 1374177526 324310174 521148429 797805749 853029097 X 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. false false 693071839 28100 771628697 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. 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. 479733 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. 693551572 true true false false false false false false false false true false false true true false false true false false false false false false false false true true false true true true true false false false false false false false false false false false false false false true true false false false true 235 0 5242 true false false false false false false false false false false false false X 14 14 false false false false true true true true true false false true true true true true true true true false X KRISTY DUKE 6623773977 830 SOUTH GLOSTER STREET Tupelo MS 38801 X Michael S Spees FORMER PRESIDENT 0.0 40.0 X 0 1672809 15358 David S Talton Physician 40.0 0.0 X 1370011 0 22320 Lynn M Miller Physician 40.0 0.0 X 1293618 0 14085 William R Reed MD Physician 40.0 0.0 X 1125137 0 14208 Vishal Sachdev Physician 40.0 0.0 X 1107268 0 24247 Robert J Derveloy Physician 40.0 0.0 X 1061789 0 22608 David Wilson President 40.0 0.0 X 873536 0 14208 Sharon Nobles TREASURER & CFO 10.0 30.0 X 0 806871 15128 Bruce Toppin Secretary 10.0 30.0 X 0 500374 14268 Lynn Holland Vice President 30.0 10.0 X 0 310889 11619 Tommy R Adams VP - Cardiovascular & Surgical 40.0 0.0 X 274678 0 27948 Donna Pritchard Vice President, CNE 40.0 0.0 X 265705 0 11630 Patsy Hawkins Interim Admin. - Oncology Serv 40.0 0.0 X 223905 0 10195 Todd Davis VP - Facilities Management 40.0 0.0 X 215768 0 11266 Ellen Friloux VP - Womens & Pediatric Svc 40.0 0.0 X 216555 0 6890 Angie Everett VP - Post Acute & Rehab Svc 40.0 0.0 X 206925 0 8452 Phillip Alexander Chief Information Security Off 40.0 0.0 X 204597 0 9028 Robert J Smith VP - Behavioral Health 40.0 0.0 X 171100 0 11206 Skipper Holliman Director 1.0 0.0 X 0 0 0 Hughes Milam MD Director 1.0 0.0 X 0 0 0 John Wheeler Director 1.0 0.0 X 0 0 0 Barney Guyton MD Director 1.0 0.0 X 0 0 0 Mark Ray MD Director 1.0 0.0 X 0 0 0 Scott Reed Director 1.0 0.0 X 0 0 0 Lewis Whitfield Director 1.0 0.0 X 0 0 0 Mitch Waycaster Director 1.0 0.0 X 0 0 0 David Copenhaver Director 1.0 0.0 X 0 0 0 Tom Foy Chairman 1.0 0.0 X 0 0 0 Sam Pace MD Director 1.0 0.0 X 0 0 0 Chris Rogers Director 1.0 0.0 X 0 0 0 Sam Sliman Director 1.0 0.0 X 0 0 0 C K White MD Director 1.0 0.0 X 0 0 0 8610592 3290943 264664 360 true true false NTHRIVE INC PO BOX 733492 DALLAS TX 75373 COLLECTION AGENCY 5567174 Allscripts LLC 24630 Network Place CHICAGO IL 606731246 Online Processing 4850124 Relias Emergency Medicine of Tupelo PO Box 7058 TUPELO MS 38802 Physician Coverage 4721036 MORRISION HEALTHCARE PO BOX 102289 ATLANTA GA 303682289 FOOD/NUTRITION MGMT 4420875 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 PHYSICIAN COVERAGE 4052463 277 462074 23584963 73428 24120465 Net Patient Service Revenue 622110 767524650 767524650 Related Rental Income 531120 1626818 1626818 WELLNESS CENTER REVENUE 621111 1646129 1646129 CHILD DEVELOPMENT CENTER REVENUE 624110 750813 750813 MEDICAID PART D REVENUES 622110 78648 78648 771627058 17240546 17240546 2675 2675 0 0 0 0 1999146861 6809 1986057216 112199 13089645 -105390 12984254 12984254 0 0 0 0 0 0 0 0 0 Employee Drug Sales 446110 6648769 6648769 VENDOR REBATES 900099 1577212 1577212 VENDING REVENUES 900099 74893 74893 1694221 1639 1692582 9995095 835970093 771628697 40220931 0 28100 28100 0 0 2699482 2699482 0 264571134 219057703 45513431 9891063 9891063 36411457 36411457 18542663 14900763 3641900 31078629 31078629 406251 406251 281990 281990 0 0 1059307 1059307 50975504 50975504 975263 975263 9379139 9379139 16614265 16614265 0 10455779 10455779 1833610 1833610 0 1337667 1337667 4540112 4540112 0 36381684 36381684 1255835 1255835 MEDICAL SUPPLIES 179483941 179483941 Bad Debt Expense 88424035 88424035 Collection Fees 5287843 5287843 Repairs and Maintenance 3548839 3548839 4024805 4024805 779488397 693551572 85936825 0 705179 -2824333 23586367 33267017 0 0 69712791 58134573 0 0 0 0 0 0 21406745 21022421 7282437 7198504 861166841 681634070 199678294 179532771 631489859 933212479 0 0 0 0 0 0 168254251 144634094 1122115923 1374177526 168025578 357401458 0 0 0 0 148263312 148922572 0 0 0 0 367781 367989 0 0 7653503 14456410 324310174 521148429 X 795194590 850460639 2611159 2568458 797805749 853029097 1122115923 1374177526 X 56481696 2106751 -3365099 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6156061 6156061 309387723 238181209 71206514 524526115 430860128 93665987 21096942 12592733 8504209 179532771 Trusted Acquisition Fund 84264586 Due from Affiliates 37523728 Other Receivables 1287139 Int in Net Assets of Affil.Fdn 2592900 Other Asset 12106917 DUE FROM MEDICARE 582486 Right of Use Leases 6276338 144634094 0 Other Long-Term Liability 359945 Fair Value of Int Rate Swaps 7817926 LEASE LIABILITY 6278539 14456410 751308640 2106751 -86768204 -84661453 835970093 835970093 695128404 695128404 84359993 84359993 779488397 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 true true X true X true X 150. true true true false true true 34706410 34706410 0.05020 83378735 80642669 2736066 0.00400 118085145 80642669 37442476 0.05420 479733 479733 0.00070 5266997 1527611 3739386 0.00540 5746730 1527611 4219119 0.00610 123831875 82170280 41661595 0.06030 false 88424035 299924790 284574300 15350490 X true true 1 1 North Mississippi Medical Center 830 S Gloster Street Tupelo MS 38801 http://www.nmhs.net/ 13-063 X North Mississippi Medical Center 1 false false true X X X X X X X X X 18 true true false true X SEE SECTION C X true 18 true SEE SECTION C false true X 100 150. X X X X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false 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 28 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 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. true Scholarships & Academic Reimbursements 33 28100 Part I, Line 2: 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. X X X X X false false false false false false false false false Bruce Toppin Secretary 324527 164166 11681 0 5600 0 8668 0 514642 0 0 Ellen Friloux VP - Womens & Pediatric Svc 189078 21584 5893 5000 0 1890 0 223445 0 0 0 Donna Pritchard Vice President, CNE 215525 27445 22735 4210 0 7420 0 277335 0 0 0 David Wilson President 526350 325864 21322 8400 0 5808 0 887744 0 0 0 Lynn Holland Vice President 216288 87203 7398 0 6699 0 4920 0 322508 0 0 Tommy R Adams VP - Cardiovascular & Surgical 226653 28079 19946 20640 0 7308 0 302626 0 0 0 Angie Everett VP - Post Acute & Rehab Svc 181363 21259 4303 2448 0 6004 0 215377 0 0 0 Sharon Nobles TREASURER & CFO 516850 288731 1290 0 8400 0 6728 0 821999 0 0 Todd Davis VP - Facilities Management 188125 22054 5589 5098 0 6168 0 227034 0 0 0 William R Reed MD Physician 575189 529916 20032 8400 0 5808 0 1139345 0 0 0 Michael S Spees FORMER PRESIDENT 958860 677592 36357 0 8400 0 6958 0 1688167 0 0 Robert J Smith VP - Behavioral Health 151256 17761 2083 6046 0 5160 0 182306 0 0 0 Phillip Alexander Chief Information Security Off 169485 34590 522 5548 0 3480 0 213625 0 0 0 David S Talton Physician 1039329 318900 11782 16800 0 5520 0 1392331 0 0 0 Patsy Hawkins Interim Admin. - Oncology Serv 201039 16868 5998 4703 0 5492 0 234100 0 0 0 Lynn M Miller Physician 837602 436776 19240 4713 0 9372 0 1307703 0 0 0 Vishal Sachdev Physician 827881 268085 11302 18139 0 6108 0 1131515 0 0 0 Robert J Derveloy Physician 785361 262630 13798 16800 0 5808 0 1084397 0 0 0 A Mississippi Hospital Equip & Facilities Authority 640732320 605360TS5 2020-02-12 159675684 See Part VI false false false A 0 0 159751150 0 0 34972348 1638802 0 0 0 123140000 0 true false false true A false true true true false 0.00100 0.00000 0.00100 false false false A false true true false true false 0 false 0 false true A false . 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. 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) North MS Management Services Inc 830 S Gloster Street Tupelo MS 38801 640762694 Mgmt & Admin DE 501(c)(3) 12-I NMHS 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 true Tishomingo Health Services Inc 830 S Gloster Street Tupelo MS 38801 640741047 Hospital DE 501(c)(3) 3 NMHS true PONOTOC HEALTH SERVICES INC 830 S Gloster Street Tupelo MS 38801 640751410 Hospital DE 501(c)(3) 3 NMHS true North MS Medical Clinics Inc 830 S Gloster Street Tupelo MS 38801 640787918 Med Clinics DE 501(c)(3) 3 NMHS true Tupelo Service Finance Inc 830 S Gloster Street Tupelo MS 38801 640508308 Collections DE 501(c)(3) 3 NMHS true Webster Health Services Inc 830 S Gloster Street Tupelo MS 38801 640819193 Hospital DE 501(c)(3) 3 NMHS true MARION REGIONAL MEDICAL CENTER INC 830 S Gloster Street Tupelo MS 38801 640926753 Hospital DE 501(c)(3) 3 NMHS true North MS Emergency Services Inc 830 S Gloster Street Tupelo MS 38801 640780130 ER Physicians DE 501(c)(3) 10 NMHS true Monroe Health Services 830 South Gloster Street Tupelo MS 38801 320583236 Hospital DE 501(c)(3) 3 NMHS true 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 North MS Health Link Inc 830 S Gloster Street Tupelo MS 38801 640715886 Medical Services DE NA C Corp 0 0 0.00000 true North MS Enterprises Inc 830 S Gloster Street Tupelo MS 38801 640658059 Medical Services DE NA C Corp 0 0 0.00000 true Professional Practice Management Inc 830 S Gloster Street Tupelo MS 38801 721390014 Med Serv Mgmt DE NA C Corp 0 0 0.00000 true Acclaim Inc 830 S Gloster Street Tupelo MS 38801 721356116 Hlth Care Claims DE NA C Corp 0 0 0.00000 true North MS Support Services Inc 830 S Gloster Street Tupelo MS 38801 260718275 Support Services DE NA C Corp 0 0 0.00000 true false true false true false false false false false true true true true false true true true true true