2025-08-15T16:41:30+00:00 2024-09-30 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2023-10-01 640662976 NORTH MISSISSIPPI MEDICAL CENTER INC NORT 6623773978 830 SOUTH GLOSTER STREET TUPELO MS 38801 SHARON NOBLES CFO 6623773978 2025-08-15 true true Amber Sherrill P00748683 5013721040 2025-08-15 2023 2025-03-06 01:10:19Z SHARON NOBLES 830 SOUTH GLOSTER STREET TUPELO MS 38801 2036414313 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. 13 13 5404 88 0 0 1276080 1483519 824616712 929245532 35558657 52399366 1867948 1928915 863319397 985057332 173650 269150 0 0 384685702 408397731 0 0 0 439650360 492986027 824509712 901652908 38809685 83404424 1502622270 1625938304 524171952 506656558 978450318 1119281746 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 829823600 269150 929245532 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 2024, THERE WERE 23,128 INPATIENT ADMISSIONS, 66,910 EMERGENCY DEPARTMENT VISITS, 639,933 OUTPATIENT VISITS, 36,674 RURAL HEALTH CLINIC VISITS, AND 524,978 HOSPITAL BASED CLINIC VISITS. NMMC USES PRESS GANEY, THE LARGEST PATIENT SATISFACTION SURVEY COMPANY IN THE NATION, THAT WORKS WITH MORE THAN 7,000 HEALTHCARE FACILITIES. RANDOMLY SELECTED PATIENTS ARE ASKED ABOUT THEIR EXPERIENCE WITH NMHS INPATIENT, OUTPATIENT, ER, HOME HEALTH AND LONG-TERM CARE SERVICES. AREA RESIDENTS HAVE ACCESS TO A MEDICAL STAFF REPRESENTING MORE THAN 40 MEDICAL SPECIALTIES, AS WELL AS CENTERS OF EXCELLENCE IN CANCER TREATMENT AND RESEARCH, NEUROLOGY, NEUROSURGERY, CARDIAC SURGERY, CARDIOLOGY, PULMONOLOGY, REHABILITATION, CHEMICAL DEPENDENCY AND NEONATAL PROGRAMS. IN ADDITION, THE NMMC HOME HEALTH AGENCY SERVES PATIENTS IN 17 COUNTIES IN NORTH MISSISSIPPI AND OFFERS MANY COMPLEX AND EXTREMELY HIGH-TECH PROCEDURES THAT CAN BE PERFORMED IN THE HOME SETTING. NMMC IS DESIGNATED AS A LEVEL II TRAUMA CENTER BY THE MISSISSIPPI STATE DEPARTMENT OF HEALTH. TO RECEIVE THIS DESIGNATION, FACILITIES MUST OFFER A FULL RANGE OF TRAUMA CAPABILITIES, INCLUDING AN EMERGENCY DEPARTMENT, A FULL-SERVICE SURGICAL SUITE, INTENSIVE CARE UNIT AND DIAGNOSTIC IMAGING, AS WELL AS MAKE A COMMITMENT TO CONSISTENTLY MEET NATIONAL GUIDELINES OR STANDARDS IN CARING FOR TRAUMA PATIENTS. IN 2006, NMMC-TUPELO RECEIVED THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD FOR INNOVATIVE PRACTICES, A COMMITMENT TO EXCELLENCE AND OUTSTANDING RESULTS. THIS AWARD IS A SYMBOL OF WORLD-CLASS PERFORMANCE AND IS THE NATION'S HIGHEST PRESIDENTIAL HONOR FOR ORGANIZATIONAL PERFORMANCE EXCELLENCE. NMMC IS A PARTICIPANT IN QUEST (QUALITY, EFFICIENCY, SAFETY, WITH TRANSPARENCY), A NATIONAL INITIATIVE SPONSORED BY FELLOW 2006 BALDRIGE RECIPIENT PREMIER. NMMC BENCHMARKS ITS QUALITY MEASURES AGAINST THE VERY BEST HOSPITALS AND HEALTH SYSTEMS IN THE UNITED STATES. THIS COLLABORATIVE EFFORT ENABLES NMMC'S PHYSICIANS, NURSES AND ANALYSTS TO LEARN FROM THOSE WITH THE BEST RESULTS IN PATIENT SATISFACTION, COST OF CARE AND APPROPRIATENESS OF CARE. QUEST IS ONE WAY THAT NMMC IS CONTINUALLY WORKING TO IMPROVE PATIENT SAFETY AND QUALITY WHILE SAFELY REDUCING HEALTH CARE COSTS. 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 150% OF THE FEDERAL POVERTY LEVEL. THE POLICY APPLIES TO INDIVIDUALS WHO RESIDE IN NMMC'S 24-COUNTY SERVICE AREA, AS DEFINED BY THE POLICY. PATIENTS FROM OUTSIDE THE SERVICE AREA MAY ALSO BE GRANTED CHARITY CARE BASED ON THE JUDGMENT OF NMMC MANAGEMENT DEPENDING ON THEIR INDIVIDUAL CIRCUMSTANCES. THE POLICY ALSO REQUIRES THE PATIENT TO COOPERATE FULLY WITH NMMC'S REQUEST FOR INFORMATION WITH WHICH TO VERIFY THE PATIENT'S ELIGIBILITY. FOLLOWING THAT POLICY, NMMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CHARGES FOREGONE, BASED ON ESTABLISHED RATES, TOTALED APPROXIMATELY $58,586,421 IN FISCAL YEAR 2024. BASED ON THE GROSS CHARGES PROVIDED TO CHARITY PATIENTS COMPARED TO TOTAL HOSPITAL GROSS CHARGES, 3.21% OF ALL SERVICES IN FISCAL YEAR 2024 WERE PROVIDED ON A CHARITY BASIS. THE NET COST OF CHARITY CARE PROVIDED BY NMMC WAS APPROXIMATELY $27,300,134 IN FISCAL YEAR 2024. 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. 719385 0 0 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 $719,385 IN FISCAL YEAR 2024. 830542985 true true 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 false false false false false false false false true false false false false false false true true true false false true 234 0 true 5404 true false false false false false false false false false false false false X 13 13 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 SAM SLIMAN CHAIRMAN 1.0 0.0 X X 0 0 0 BARRY BERTOLET MD DIRECTOR 1.0 0 X 0 0 0 CK WHITE MD DIRECTOR 1.0 0 X 0 0 0 GARY SPARKMAN DIRECTOR 1.0 0 X 0 0 0 JIM GOODWIN DIRECTOR 1.0 0.0 X 0 0 0 KEVIN BURGESS DIRECTOR 1.0 0 X 0 0 0 KEVIN CHAPMAN DIRECTOR 1.0 0 X 0 0 0 MILAM HUGHES MD DIRECTOR 1.0 0 X 0 0 0 MONT BERRY MD DIRECTOR 1.0 0 X 0 0 0 RONALD A YOUNG MD DIRECTOR 1.0 0 X 0 0 0 SAM PACE MD DIRECTOR 1.0 0 X 0 0 0 SCOTT HENDRIX DIRECTOR 1.0 0 X 0 0 0 SKIPPER HOLLIMAN DIRECTOR 1.0 0.0 X 0 0 0 BRUCE TOPPIN SECRETARY 10.0 30.0 X 0 667572 14992 DAVID WILSON PRESIDENT 10.0 30.0 X 0 1240421 26700 SHARON NOBLES TREASURER 10.0 30.0 X 0 1007522 29248 ANGELA LAMBERT VP - CHIEF NURSING EXECUTIVE 40.0 0 X 339910 0 10108 ANGIE F EVERETT VP - POST ACUTE & REHAB SVC 40.0 0 X 327127 0 14187 DAVID PIZZIMENTI ASSOC CHIEF MEDICAL OFFICER 40.0 0 X 891272 0 11250 DOMINGO VALPUESTA VP - PHARMACY & MED IMAGING 40.0 0 X 253643 0 13455 ELLEN H FRILOUX VP - WOMENS & PEDIATRIC SVC 40.0 0 X 243316 0 7152 LYNN HOLLAND CFO 30.0 10.0 X 0 350432 10611 ROBERT SMITH VP - BEHAVIORAL HEALTH 40.0 0 X 205294 0 17613 TODD DAVIS VP - FACILITIES MGMT 40.0 0 X 322365 0 7329 TOMMY R ADAMS ADMINISTRATOR 40.0 0 X 427176 0 31877 BENJAMIN HINTON PHYSICIAN 40.0 0 X 1663217 0 26184 CARL BEVERING PHYSICIAN 40.0 0 X 1429953 0 32622 CHARLES KING PHYSICIAN 40.0 0 X 1494389 0 30759 DAVID TALTON PHYSICIAN 40.0 0 X 1740604 0 33422 JIAHUAI TAN PHYSICIAN 40.0 0 X 1964008 0 22170 11302274 3265947 339679 513 false true false CROSS COUNTRY STAFFING PO BOX 200 BRENTWOOD TN 37024 NURSING/MED-TECHS 11998194 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 CLINICAL LAB 3763494 CROWN HEALTHCARE LAUNDRY SERVICES 25 W CEDAR ST STE 405 PENSACOLA FL 32502 LAUNDRY SERVICES 3668374 RELIAS EMERGENCY MED PO BOX 7058 TUPELO MS 38802 ER/HOSPITALIST PROV 3447316 OBHG MISSISSIPPI 777 LOWNDES HILL RD BUILDING 1 GREENVILLE SC 29607 OB ER PROV 1831059 40 0 0 0 433160 1041359 9000 0 1483519 NET PATIENT SERVICE REVENUE 622110 923898093 923898093 0 0 RELATED RENTAL INCOME 621111 2291862 2291862 0 0 WELLNESS CENTER REVENUE 531120 2140017 2140017 0 0 CHILD DEVELOPMENT CENTER REVENUE 622110 915560 915560 0 0 0 0 0 0 929245532 53065438 0 0 53065438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1050690909 0 1047684494 3672487 3006415 -3672487 -666072 0 0 -666072 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 VENDOR REBATES 900099 1853719 0 0 1853719 VENDING REVENUE 900099 75196 0 0 75196 0 0 0 0 1928915 985057332 929245532 0 54328281 0 0 269150 269150 0 0 0 0 4876569 0 4876569 0 290680 290680 0 0 328208797 306988023 21220774 0 16653176 16653176 0 0 36992486 36992486 0 0 21376023 19391439 1984584 0 36833255 0 36833255 0 498716 0 498716 0 332718 0 332718 0 0 0 0 0 0 0 1746153 0 1746153 0 84512645 84512645 0 0 186883 186883 0 0 11302458 11302458 0 0 18294800 18294800 0 0 0 0 0 0 13686538 13686538 0 0 1234693 1234693 0 0 0 0 0 0 1282592 1282592 0 0 10509490 10509490 0 0 0 0 0 0 38674515 38674515 0 0 3617154 0 3617154 0 MEDICAL EXPENSES 259662753 259662753 0 0 REPAIRS & MAINTENANCE 4427618 4427618 0 0 COLLECTION FEES 3373442 3373442 0 0 RECRUITMENT 1748473 1748473 0 0 1061131 1061131 0 0 901652908 830542985 71109923 0 43787809 107912629 38580202 48564294 0 0 64178197 43294038 0 0 0 0 0 0 18412234 20166119 6298274 11487521 1009919067 804760207 195168554 205158860 874781579 928252717 0 0 1272690 1272690 260142731 259829436 1502622270 1625938304 163727468 158816487 0 0 0 0 333621310 328901284 0 0 0 0 0 0 0 0 26823174 18938787 524171952 506656558 X 975015321 1115329406 3434997 3952340 0 0 0 0 0 0 978450318 1119281746 1502622270 1625938304 X 83404424 51536691 0 0 0 5890313 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 6156061 6156061 0 326195238 270655936 55539302 0 0 0 0 0 651463064 520188510 131274554 0 26104704 13915761 12188943 205158860 TRUSTEED ACQUISITION FUND 91999492 DUE FROM AFFILIATES 130511001 OTHER RECEIVABLES 1239881 INTEREST IN NA OF AFFILIATED FDN 3952340 OTHER ASSET 21114775 DUE FROM THIRD PARTY PAYOR RIGHT OF USE LEASES 11011947 259829436 OTHER LONG-TERM LIABILITY FV OF INTEREST RATE SWAPS 1895652 LEASE LIABILITY 10975372 DEFERRED LICENSE FEE 6067763 18938787 1034936626 51536691 0 0 0 51536691 983399935 0 1657397 1657397 985057332 901010673 0 0 0 0 0 901010673 0 642235 642235 901652908 Schedule D, 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. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements LOSS ON REDEMPTION OF BONDS - 1015162 PENSION COSTS - 642235 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PENSION COSTS - 642235 true true X true X true X true true true false true true 0 0 27300134 0 27300134 0.0303 0 0 83078705 119064907 0 0.0 0 0 0 0 0 0.0 0 0 110378839 119064907 27300134 0.0303 0 0 719385 0 719385 0.0008 0 0 11523086 4358535 7164551 0.0079 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 12242471 4358535 7883936 0.0087 0 0 122621310 123423442 35184070 0.0390 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 250110017 232423581 17686436 X true true 1 1 NORTH MISSISSIPPI MEDICAL CENTER 830 SOUTH GLOSTER STREET TUPELO MS 38801 WWW.NMHS.NET 13-063 X X X NORTH MISSISSIPPI MEDICAL CENTER 1 false false true X X X X X X X X X 21 true true false true X WWW.NMHS.NET/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSSESSMENTS X true 21 true www.nmhs.net/About-Us/Community-Health-Needs-Asssessments false true X 150.0 200.0 X X X X X X true true X X X true X www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance X www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance X www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORTH MISSISSIPPI MEDICAL CENTER. INPUT FROM THE COMMUNITY WAS RECEIVED VIA INFORMANT INTERVIEWS, STANDARDIZED ELECTRONIC SURVEYS FROM KEY ORGANIZATIONS/STAKEHOLDERS, HEALTHCARE ADVOCATES/LEADERS, AND INTERESTED COMMUNITY PARTNERS RESIDING IN THE SERVICE AREAS SERVED BY NORTH MISSISSIPPI MEDICAL CENTER-PONTOTOC AND THE HEALTH SYSTEM. ADDITIONAL INPUT WAS SOLICITED FROM COMMUNITY RESIDENTS WHO REPRESENT BROADLY DIVERSE INTERESTS OF THE SERVICE AREA RANGING FROM NONPROFIT COMMUNITY VOLUNTEERS TO RETIRED EDUCATORS, BANKERS, AND PRIVATE BUSINESS LEADERS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - NORTH MISSISSIPPI MEDICAL CENTER. 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. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTH MISSISSIPPI MEDICAL CENTER. 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: A. INCREASE ACCESS TO PREVENTIVE SERVICE - EXPAND VIRTUAL/TELEHALTH OFFERINGS - COLLABORATE TO EXPLORE TRANSPORTATION NEEDS - INITIATE INNOVATIVE LISTEN-TO-LEARN COMMUNITY SESSIONS - UTILIZE PARTNERS TO ASSIST THOSE WITH LIMITED OR NO INSURANCE - INCREASE AFFORDABLE AFTER-HOURS CARE - IMPROVE ACCESS TO SPECIALTY CARE B. INCREASE PHYSICAL ACTIVITY AND PROMOTE EXERCISE AS MEDICINE - PARTNER WITH LOCAL WELLNESS CENTERS & GYMS - DEVELOP PARTNERSHIPS WITH LOCAL PARKS/RECREATION FACILITIES - UTILIZE EXERCISE "PRESCRIPTIONS" - ORGANIZE WALKING CLUBS - PROMOTE CORPORATE WELLNESS PROGRAMS - IDENTIFY COMMUNITY RESOURCES, E.G. TRAILS, WALKINGS TRACKS, ETC. C. DEVELOP A NUTRITIONALLY AWARE COMMUNITY CULTURE - SCREEN FOR AND CREATE ACCESS TO NUTRITIOUS FOODS - DEVELOP CULTURALLY APPROPRIATE EDUCATIONAL PROGRAMS - DEVELOP COMMUNITY COALITIONS TO PROVIDE FRESH FOOD/PROMOTE COMMUNITY GARDENS - TEACH FOOD PRESERVATION SKILLS - UTILIZE ESTABLISHED NETWORKS TO PROMOTE NUTRITION D. DEVELOP PARTNERSHIPS WITH PUBLIC ENTITIES - PUBLIC HEALTH -- STATE AND REGIONAL OFFICES - EDUCATIONAL INSTITUTIONS -- EARLY CHILDHOOD, PRIMARY, SECONDARY, AND POST-SECONDARY - GOVERNMENT -- STATE, REGIONAL, AND LOCAL Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTH MISSISSIPPI MEDICAL CENTER. THE FAP DOES NOT COVER CHARGES FOR PATIENTS OR TREATMENTS WITH THE FOLLOWING CONDTIONS: I. THE PATIENT HAS ANY THIRD-PARTY INSURANCE COVERAGE. A DISCRETIONARY EXCEPTION MAY BE MADE FOR INSURED PATIENTS IS THE PROVISOIN FOR THE MEDICALLY UNDER-INSURED. II. THE PATIENTS PRIMARY RESIDENCE IS OUTSIDE THE SERVICE AREA III. THE PATIENT IS CURRENTLY IN CUSTODY OF A CORRECTIONAL FACILITY IV. THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ANOTHER CITY, COUNTY, STATE, FEDERAL OR OTHER ASSISTANCE PROGRAM WHICH SUPERSEDES THE FAP. V. IF PATIENT'S CHARGES RESULTED FROM A WORK-RELATED ACCIDENT, PATIENTS ARE NOT ELIGIBLE TO APPLY UNLESS THEY CAN PROVIDE PROOF OF NO THIRD-PARTY COVERAGE. VI. IF PATIENT CHARGES RESULTED FROM AN AUTO ACCIDENT, PATIENTS ARE NOT ELIGIBLE TO APPLY UNLESS THEY CAN PROVIDE PROOF OF NO THIRD-PARTY COVERAGE THE FINANCIAL ASSISTANCE POLICY IS NOT APPLICABLE TO PHYSICIANS OR THEIR IMMEDIATE FAMILY MEMBERS. 37 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 office 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 1665 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 St PONTOTOC MS 38863 WELLNESS CENTER Baldwyn Wellness Center 920 North Fourth Street Suite A BALDWYN MS 38824 WELLNESS CENTER NMMC 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 & Vascular Surgery Clinic 830 South Gloster Street 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 Regional Pain Consultants 4381 South Eason Blvd SUITE 101 TUPELO MS 38801 OUTPATIENT PAIN MGMT Children's Clinic - Tupelo 199 Grandstand Place SUITE 101 TUPELO MS 38801 PEDIATRIC CLINIC Bariatric Clinic 499 Gloster Creek Village SUITE S-2 TUPELO MS 38801 BARIATRIC CLINIC Sleep Disorders Center 1845 S Green Street TUPELO MS 38801 SLEEP DISORDERS CENTER Garfield Clinic 806 Garfield Street TUPELO MS 38801 INFECTIOUS DISEASES Cardiovascular Clinic 3302 West Linden Street CORINTH MS 38834 CARDIOVASCULAR CENTER Cardiovascular Clinic 801 Stark Road STARKVILLE MS 39759 CARDIOVASCULAR CENTER NMMC Acute Care Trauma 499 Gloster Creek Village SUITE S-4 TUPELO MS 38801 TRAUMA CARE North Mississippi Plastic Surgery 205 East Troy Street SUITE 302 TUPELO MS 38804 PLASTIC SURGERY North Mississippi Regional Pain Consultants - Starkville 1205 Hwy 182 SUITE B STARKVILLE MS 39759 PAIN CENTER North MS Regional Pain Consultants 3302 West Linden Street SUITE B CORINTH MS 38834 PAIN CENTER Diabetes Treatment Center 410 Council Circle TUPELO MS 38801 DIABETES CENTER Dermatology Consultants 408 Council Circle SUITE C TUPELO MS 38801 DERMATOLOGY CENTER Internal Medicine Residency 845 South Madison Street TUPELO MS 38801 OUTPATIENT TEACHING FACILITY North Mississippi Urogynecology 205 E Troy Street SUITE 301 TUPELO MS 38804 UROGYNECOLOGY CENTER Rheumatology Consultants 408 Council Circle SUITE A TUPELO MS 38801 RHEUMATOLOGY CENTER Neurology Consultants of North Mississippi 4381 South Eason Blvd SUITE 301 TUPELO MS 38801 NEUROLOGY CENTER Schedule H, Part I, Line 3c NORTH MISSISSIPPI MEDICAL CENTER, INC. USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. IF THE PATIENT'S INCOME LEVEL IS 0-150% OF THE FEDERAL POVERTY LEVEL (FPL), AN ADJUSTMENT OF 100% OF THE HOSPITAL'S STATED CHARGES WILL BE MADE. FOR PATIENTS WHOSE FAMILY GROSS INCOME IS EQUAL TO OR GREATER THAN 200% OF THE FPL, THE HOSPITAL MAY OFFER DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. Schedule H, 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 H, Part I, Line 6a Community benefit report prepared by related organization 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. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology NORTH MISSISSIPPI MEDICAL CENTER (NMMC) FOLLOWS THE CATHOLIC HEALTH ASSOCIATION GUIDELINES AND DOES NOT INCLUDE BAD DEBT IN ANY COMMUNITY BENEFIT AMOUNTS. NMMC BELIEVES THAT SOME PORTION OF BAD DEBT RESULTS FROM PATIENTS WHO COULD QUALIFY FOR CHARITY CARE BUT HAS NO WAY OF MAKING AN ESTIMATE OF THE AMOUNT AND THEREFORE HAS ANSWERED "ZERO" FOR PART III LINE 3. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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, 2024. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 $2,485,128 AND TOTAL COSTS WERE $2,415,164 FOR A NET SURPLUS OF $69,964. WHEN COMBINED WITH THE SURPLUS REPORTED ON LINE 7, THE NET SURPLUS FROM ALL MEDICARE PROGRAMS IS $17,756,399. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - NORTH MISSISSIPPI MEDICAL CENTER: Line 16a URL: www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - NORTH MISSISSIPPI MEDICAL CENTER: Line 16b URL: www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - NORTH MISSISSIPPI MEDICAL CENTER: Line 16c URL: www.nmhs.net/Patients-and-Visitors/Billing-and-Insurance/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment NEEDS ASSESSMENT: NORTH MISSISSIPPI MEDICAL CENTER UTILIZES VARIED BUT COMPLIMENTARY METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY'S 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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. Schedule H, Part VI, Line 4 Community information COMMUNITY INFORMATION: NORTH MISSISSIPPI MEDICAL CENTER SERVES MORE THAN 730,000 PEOPLE IN 24 COUNTIES IN NORTH MISSISSIPPI, NORTHWEST ALABAMA AND PORTIONS OF TENNESSEE. THE POPULATION FOR THE SERVICE AREA IS PROJECTED TO REMAIN ESSENTIALLY FLAT OVER THE NEXT FIVE YEARS. THE LARGEST COUNTY IN THE SERVICE IS LEE COUNTY WITH A POPULATION OF 85,466. ACCORDING TO THE U.S. CENSUS BUREAU, AGE DEMOGRAPHICS FOR LEE COUNTY SHOW THAT APPROXIMATELY 22.4% OF THE POPULATION IS UNDER 18 YEARS OF AGE, APPROXIMATELY 60% IS BETWEEN 18 AND 64 YEARS OF AGE AND 17.6% IS 65 OR OLDER. CAUCASIANS MAKE UP 64% OF THE COUNTY'S POPULATION WHILE AFRICAN AMERICANS MAKE UP 30.6% AND HISPANICS AND OTHERS MAKE UP 5.4%. THE MEDIAN HOUSEHOLD INCOME FOR LEE COUNTY IS $57,936, WHICH IS ABOVE THE OVERALL AVERAGE FOR MISSISSIPPI AND BELOW THE NATIONWIDE AVERAGE. THE PATIENT POPULATION FOR PONTOTOC HEALTH SERVICES THAT IS UNINSURED IS 14%. Schedule H, Part VI, Line 5 Promotion of community health 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. Schedule H, Part VI, Line 6 Affiliated health care system 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. true SCHOLARSHIPS & ACADEMIC REIMBURSEMENTS 75 269150 0 N/A N/A Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE HOSPITAL GRANTS SCHOLARSHIPS AND ACADEMIC REIMBURSEMENTS TO NON-EMPLOYEES BASED ON AN APPLICATION PROCESS. RECIPIENTS THAT ARE SELECTED FOR THIS PROGRAM MUST MAINTAIN A 2.5 GPA FOR AN ASSOCIATE AND BACHELOR'S DEGREE AND A 3.0 GPA FOR A MASTER'S DEGREE AND ABOVE. false true false false false false false true false SHARON NOBLES TREASURER 0 568363 0 359729 0 79430 0 19800 0 9448 0 1036770 0 0 BRUCE TOPPIN SECRETARY 0 399862 0 208113 0 59597 0 6600 0 8392 0 682564 0 0 DAVID WILSON PRESIDENT 0 655917 0 481240 0 103264 0 19800 0 6900 0 1267121 0 0 LYNN HOLLAND CFO 0 244632 0 99700 0 6100 0 4863 0 5748 0 361043 0 0 TOMMY R ADAMS ADMINISTRATOR 317006 0 79529 0 30641 0 22155 0 9722 0 459053 0 0 0 ANGIE F EVERETT VP - POST ACUTE & REHAB SVC 255288 0 63453 0 8386 0 5315 0 8872 0 341314 0 0 0 TODD DAVIS VP - FACILITIES MGMT 243866 0 61742 0 16757 0 5139 0 2190 0 329694 0 0 0 DOMINGO VALPUESTA VP - PHARMACY & MED IMAGING 183630 0 47061 0 22952 0 6177 0 7278 0 267098 0 0 0 ELLEN H FRILOUX VP - WOMENS & PEDIATRIC SVC 201680 0 34063 0 7573 0 4182 0 2970 0 250468 0 0 0 ANGELA LAMBERT VP - CHIEF NURSING EXECUTIVE 284734 0 48318 0 6858 0 4360 0 5748 0 350018 0 0 0 ROBERT SMITH VP - BEHAVIORAL HEALTH 171004 0 29632 0 4658 0 10665 0 6948 0 222907 0 0 0 DAVID PIZZIMENTI ASSOC CHIEF MEDICAL OFFICER 732853 0 135109 0 23310 0 9900 0 1350 0 902522 0 0 0 JIAHUAI TAN PHYSICIAN 464365 0 1476591 0 23052 0 19800 0 2370 0 1986178 0 0 0 DAVID TALTON PHYSICIAN 1233996 0 491674 0 14934 0 24750 0 8672 0 1774026 0 0 0 BENJAMIN HINTON PHYSICIAN 522441 0 1118060 0 22716 0 19800 0 6384 0 1689401 0 0 0 CHARLES KING PHYSICIAN 358187 0 1117424 0 18778 0 24750 0 6009 0 1525148 0 0 0 CARL BEVERING PHYSICIAN 913788 0 497208 0 18957 0 24750 0 7872 0 1462575 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ESTABLISHES THE PAY OF THE CEO AND COMPENSATES HIM. NMHS USES THE FOLLOWING METHODS FOR ESTABLISHING THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING PEOPLE PARTICIPATED IN OR RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SHARON NOBLES - $54,519 DAVID WILSON - $62,405 BRUCE TOPPIN - $40,061 Schedule J, Part I, Line 7 Non-fixed payments PHYSICIAN BONUSES ARE ALL CONTINGENT INCOME DEPENDING UPON EITHER THE NUMBER OF SERVICES PROVIDED OR THE QUALITY OF PERFORMANCE PERFORMED. ALL ARE SPECIFIED IN THEIR CONTRACTS. ANY OTHER INCENTIVES ARE PAID OUT AS CONTINGENT INCOME ALSO BASED ON QUALITY AND FINANCIAL PERFORMANCE METRICS. A MISSISSIPPI HOSPITAL EQUIPMENT AND FACILITIES AUTHORITY 640732320 605360TZ9 2020-02-12 159675684 SEE PART VI false false false A 15780000 159751150 1638802 158112348 true false false true A false true true true true true 0.0 0.0 0.0 false false true A false true true false true false false false true A true Schedule K, Part I NORTH MISSISSIPPI MEDICAL CENTER, ALONG WITH CERTAIN NORTH MISSISSIPPI HEALTH SERVICES AFFILIATES (COLLECTIVELY KNOWN AS THE OBLIGATED GROUP), PERIODICALLY ISSUE TAX-EXEMPT REVENUE BONDS UNDER THE TERMS OF A RELATED MASTER INDENTURE. Schedule K, Part I, Column (d) THE BONDS WERE SOLD ON TWO DATES WITHIN 15 DAYS OF EACH OTHER -- FEBRUARY 5, 2020, AND FEBRUARY 11, 2020, A PORTION PURSUANT TO A FORWARD DELIVERY AGREEMENT, AND THEREFORE ARE A SINGLE ISSUE FOR TAX PURPOSES. THE CURRENTLY DELIVERED PORTION WERE ISSUED ON FEBRUARY 12, 2020, AND THE FORWARD DELIVERY PORTION WERE ISSUED ON JULY 9, 2020. TWO 8038S WERE FILED WITH RESPECT TO THE BONDS REFLECTING THIS BIFURCATED ISSUE DATE. Schedule K, Part 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 IV, Line 2b THE BONDS HAVE MET THE 6-MONTH EXPENDITURE EXCEPTION TO REBATE. MARISSA CRUZ SPOUSE OF ASSOCIATE CMO 290680 SALARY false Form 990, Part VI, Line 15 A&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, Part VI, Line 6 Classes of members or stockholders 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, Part VI, Line 7a Members or stockholders electing members of governing body 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, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF NORTH MISSISSIPPI HEALTH SERVICES, INC. APPROVES ALL TRANSACTIONS THAT EXCEED $1 MILLION. Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Part VI, Line 12c Conflict of interest policy 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, Part VI, Line 19 Required documents available to the public 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, Part XI, Line 9 Other changes in net assets or fund balances PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST - 6401671; INCREASE IN INTEREST IN NET ASSESTS OF AFFILIATED FOUNDATION - 517342; CONTRIBUTED CAPITAL - -13538; LOSS ON REDEMPTION OF BONDS - -1015162; NORTH MS MANAGEMENT SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640762694 MGMT & ADMIN DE 501(c)(3) Type I NMHS true NORTH MS HEALTH SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640653269 MGMT SERVICES DE 501(c)(3) Type II NA false CLAY COUNTY MEDICAL CORPORATION 830 SOUTH GLOSTER STREET TUPELO MS 38801 640668465 HOSPITAL DE 501(c)(3) 3 NMHS true TISHOMINGO HEALTH SERVICES 830 SOUTH GLOSTER STREET TUPELO MS 38801 640741047 HOSPITAL DE 501(c)(3) 3 NMHS true WEBSTER HEALTH SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640819193 HOSPITAL DE 501(c)(3) 3 NMHS true NORTH MS MEDICAL CLINICS INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640787918 MED CLINICS DE 501(c)(3) 3 NMHS true TUPELO SERVICE FINANCE INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640508308 COLLECTIONS DE 501(c)(3) 3 NMHS true MONROE HEALTH SERVICES 830 SOUTH GLOSTER STREET TUPELO MS 38801 320583236 HOSPITAL DE 501(c)(3) 3 NMHS true MARION REGIONAL MEDICAL CENTER INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640926753 HOSPITAL DE 501(c)(3) 3 NMHS true PONTOTOC HEALTH SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640751410 HOSPITAL DE 501(c)(3) 3 NMHS true NORTH MS EMERGENCY SERVICES INC 830 SOUTH GLOSTER STREET TUPELO MS 38801 640780130 ER PHYSICIANS DE 501(c)(3) 10 NMHS true HEALTH CARE FOUNDATION OF NORTH MS 830 SOUTH GLOSTER STREET TUPELO MS 38801 640914704 FUNDRAISING DE 501(c)(3) 7 NMHS true MEDICAL IMAGING LLC 830 SOUTH GLOSTER STREET TUPELO MS 38801 770647210 MEDICAL IMAGING MS NA 0 0 false false CENTER FOR DIGESTIVE HEALTH LLC 589 GARFIELD ST TUPELO MS 38801 201606438 DIGESTIVE CARE MS NA 0 0 false false NORTH MS HEALTH LINK INC 830 S GLOSTER STREET TUPELO MS 38801 640715886 MEDICAL SERVICES DE NMHS C Corporation 0 0 true NORTH MS ENTERPRISES INC 830 S GLOSTER STREET TUPELO MS 38801 640658059 MEDICAL SERVICES DE NMHS C Corporation 0 0 true PROFESSIONAL PRACTICE MANAGEMENT INC 830 S GLOSTER STREET TUPELO MS 38801 721390014 MED SERV MGMT DE NMMCL C Corporation 0 0 true ACCLAIM INC 830 S GLOSTER STREET TUPELO MS 38801 721356116 HEALTH CARE CLAIMS DE HEALTHLINK C Corporation 0 0 true NORTH MS SUPPORT SERVICES INC 830 S GLOSTER STREET TUPELO MS 38801 260718275 SUPPORT SERVICES DE NMHS C Corporation 0 0 true false false true true false false false false false true true true true false true true true true true HEALTH CARE FOUNDATION OF NORTH MS C 433160 FMV