NORTH MISSISSIPPI MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NORTH MISSISSIPPI MEDICAL CENTER INC (EIN 64-0662976)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-14
IRS object ID: 202002279349302390
Schema version: 2018v3.3
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	2020-08-14T16:37:26-05:00	ReturnTs
Tax Period End	2019-09-30	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	190 E Capitol Street Ste 500	AddressLine1Txt
City	Jackson	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	392012190	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	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	2020-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Mary F Overstreet CPA	PreparerPersonNm
PTIN	P01270094	PTIN
Phone	6019486700	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	64248120202275000010	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6A1D99355E63E1E2B951C629597D7F40CF219E97	AtSubmissionCreationDeviceId
At Submission Filing Device Id	823702202746770B51A67577CD28BFC4F54EFBFB	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	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	$2,199,865,909	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	5242	TotalEmployeeCnt
Total Volunteers	155	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$622,924	PYContributionsGrantsAmt
CY Contributions Grants	$781,836	CYContributionsGrantsAmt
PY Program Service Revenue	$790,104,824	PYProgramServiceRevenueAmt
CY Program Service Revenue	$814,906,645	CYProgramServiceRevenueAmt
PY Investment Income	$26,918,478	PYInvestmentIncomeAmt
CY Investment Income	$26,373,024	CYInvestmentIncomeAmt
PY Other Revenue	$16,053,089	PYOtherRevenueAmt
CY Other Revenue	$14,565,363	CYOtherRevenueAmt
PY Total Revenue	$833,699,315	PYTotalRevenueAmt
CY Total Revenue	$856,626,868	CYTotalRevenueAmt
PY Grants And Similar Paid	$36,760	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$35,282	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$344,528,478	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$342,484,219	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$437,006,492	PYOtherExpensesAmt
CY Other Expenses	$457,046,454	CYOtherExpensesAmt
PY Total Expenses	$781,571,730	PYTotalExpensesAmt
CY Total Expenses	$799,565,955	CYTotalExpensesAmt
PY Revenues Less Expenses	$52,127,585	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$57,060,913	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,087,406,024	TotalAssetsBOYAmt
Total Assets EOY	$1,122,115,923	TotalAssetsEOYAmt
Total Liabilities BOY	$295,711,631	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$324,310,174	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$791,694,393	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$797,805,749	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	$717,025,806	ExpenseAmt
Grant	$35,282	GrantAmt
Revenue	$814,906,645	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 2019, there were 25,319 inpatient admissions, 86,876 emergency department visits, and 559,287 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 $57,704,621 in fiscal year 2019. Based on the gross charges provided to charity patients compared to total hospital gross charges, 4.55% of all services in fiscal year 2019 were provided on a charity basis. The net cost of charity care provided by NMMC was approximately $31,047,593 in fiscal year 2019. 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	$734,460	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 $734,460 in fiscal year 2019.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$717,760,266	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	Yes (true)	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	161	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5242	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Skipper Holliman
Director	1.0	0.0	Yes (X)	$0	$0	$0
Hughes Milam MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
John Wheeler
Director	1.0	0.0	Yes (X)	$0	$0	$0
Barney Guyton MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Mark Ray MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Mark Craig MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Shane Hooper
Director	1.0	0.0	Yes (X)	$0	$0	$0
Scott Reed
Director	1.0	0.0	Yes (X)	$0	$0	$0
Lewis Whitfield
Director	1.0	0.0	Yes (X)	$0	$0	$0
Mitch Waycaster
Director	1.0	0.0	Yes (X)	$0	$0	$0
David Copenhaver
Director	1.0	0.0	Yes (X)	$0	$0	$0
Tom Foy
Chairman	1.0	0.0	Yes (X)	$0	$0	$0
Sam Pace MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Chris Rogers
Director	1.0	0.0	Yes (X)	$0	$0	$0
Sam Sliman
Director	1.0	0.0	Yes (X)	$0	$0	$0
Bruce Toppin
Secretary	11.0	29.0		$0	$497,334	$14,160	Yes (X)
David Wilson
President	40.0	0.0		$890,523	$0	$13,708	Yes (X)
Sharon Nobles
Treasurer	11.0	29.0		$0	$631,824	$14,416	Yes (X)
Ellen Friloux
VP - Womens & Pediatric Svc	40.0	0.0		$215,125	$0	$5,416		Yes (X)
Donna Pritchard
Vice President, CNE	40.0	0.0		$268,350	$0	$10,922		Yes (X)
Lynn Holland
Vice President	30.0	10.0		$0	$329,583	$9,484		Yes (X)
Tommy R Adams
VP - Cardiovascular & Surgical	40.0	0.0		$235,631	$0	$21,345		Yes (X)
Bethany Bryant
Service Line Administrator	40.0	0.0		$261,559	$0	$8,990		Yes (X)
Angie Everett
VP - Post Acute & Rehab Svc	40.0	0.0		$207,137	$0	$7,485		Yes (X)
Todd Davis
VP - Facilities Management	40.0	0.0		$213,225	$0	$9,999		Yes (X)
Robert J Smith
VP - Behavioral Health	40.0	0.0		$169,957	$0	$9,951		Yes (X)
Phillip Alexander
Chief Information Security Off	40.0	0.0		$160,638	$0	$963		Yes (X)
George Van Osten MD
Physician	40.0	0.0		$1,157,997	$0	$29,861			Yes (X)
William R Reed MD
Physician	40.0	0.0		$1,098,882	$0	$16,790			Yes (X)
David S Talton
Physician	40.0	0.0		$1,034,596	$88,072	$21,688			Yes (X)
Carl G Bevering
Physician	40.0	0.0		$1,010,717	$28,253	$26,433			Yes (X)
Jason Stacy
Physician	40.0	0.0		$996,906	$33,214	$13,170			Yes (X)
Michael S Spees
FORMER PRESIDENT	10.0	30.0		$1,791,663	$0	$14,954				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,712,906	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,608,280	TotReportableCompRltdOrgAmt
Total Other Compensation	$249,735	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	333	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
Mainline Information System
PO Box 11407	BIRMINGHAM	AL	352461659	Purchased Services	$15,148,743
Allscripts LLC
24630 Network Place	CHICAGO	IL	606731246	Online Processing	$6,542,459
Relias Emergency Medicine of Tupelo
PO Box 7058	TUPELO	MS	38802	Physician Coverage	$4,209,099
Comphealth
PO Box 972651	DALLAS	TX	753972651	Physician Coverage	$3,968,925
Mayo Collaborative Services
PO Box 9146	MINNEAPOLIS	MN	554809146	Lab Testing	$3,565,493

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
Related Organizations	$528,553	RelatedOrganizationsAmt
Government Grants	$248,083	GovernmentGrantsAmt
All Other Contributions	$5,200	AllOtherContributionsAmt
Total Contributions	$781,836	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	900099	$813,205,220	$813,205,220
Related Rental Income	900099	$1,701,425	$1,701,425

Field	Value	IRS element (for citing)
Total Program Service Revenue	$814,906,645	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,651,309	TotalRevenueColumnAmt
Exclusion	$15,651,309	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$377	TotalRevenueColumnAmt
Exclusion	$377	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	$1,353,583,678	SecuritiesAmt
Other	$376,701	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,342,860,783	SecuritiesAmt
Other	$378,258	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,722,895	SecuritiesAmt
Other	-$1,557	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,721,338	TotalRevenueColumnAmt
Exclusion	$10,721,338	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	900099	$7,385,276	$7,385,276
Wellness Center Revenue	900099	$2,360,284	$2,360,284
Child Development Center Revenue	900099	$874,246	$874,246

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,945,557	TotalRevenueColumnAmt
Exclusion	$3,945,557	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,565,363	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$856,626,868	TotalRevenueColumnAmt
Related Or Exempt Func Income	$814,906,645	RelatedOrExemptFuncIncomeAmt
Exclusion	$40,938,387	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	$35,282	TotalAmt
Program Services	$35,282	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	$2,612,552	TotalAmt
Management And General	$2,612,552	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	$270,726,111	TotalAmt
Program Services	$230,691,080	ProgramServicesAmt
Management And General	$40,035,031	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,895,540	TotalAmt
Program Services	$11,895,540	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,535,581	TotalAmt
Program Services	$39,535,581	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,714,435	TotalAmt
Program Services	$14,500,599	ProgramServicesAmt
Management And General	$3,213,836	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$34,595,172	TotalAmt
Management And General	$34,595,172	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$254,546	TotalAmt
Management And General	$254,546	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$275,474	TotalAmt
Management And General	$275,474	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	$1,276,137	TotalAmt
Management And General	$1,276,137	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$49,061,508	TotalAmt
Program Services	$49,061,508	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,109,507	TotalAmt
Program Services	$1,109,507	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,379,553	TotalAmt
Program Services	$9,379,553	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,133,785	TotalAmt
Program Services	$15,133,785	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,705,666	TotalAmt
Program Services	$10,705,666	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,018,621	TotalAmt
Program Services	$2,018,621	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	$1,624,045	TotalAmt
Program Services	$1,624,045	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,436,781	TotalAmt
Program Services	$4,436,781	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,425,892	TotalAmt
Program Services	$38,425,892	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$457,059	TotalAmt
Management And General	-$457,059	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$179,314,241	$179,314,241
BAD DEBT EXPENSE	$95,663,157	$95,663,157
COLLECTION FEES	$5,958,291	$5,958,291
REPAIRS AND MAINTENANCE	$3,429,111	$3,429,111

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,842,026	TotalAmt
Program Services	$4,842,026	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$799,565,955	TotalAmt
Program Services	$717,760,266	ProgramServicesAmt
Management And General	$81,805,689	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,473,100	BOYAmt
EOY	$705,179	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,856,056	BOYAmt
EOY	$23,586,367	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	$90,579,190	BOYAmt
EOY	$69,712,791	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	$23,305,979	BOYAmt
EOY	$21,406,745	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,330,995	BOYAmt
EOY	$7,282,437	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$852,024,258	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$652,345,964	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$211,138,236	BOYAmt
EOY	$199,678,294	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$607,987,735	BOYAmt
EOY	$631,489,859	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	$127,734,733	BOYAmt
EOY	$168,254,251	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,087,406,024	BOYAmt
EOY	$1,122,115,923	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$139,781,776	BOYAmt
EOY	$168,025,578	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	$145,209,049	BOYAmt
EOY	$148,263,312	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	$517,775	BOYAmt
EOY	$367,781	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	$10,203,031	BOYAmt
EOY	$7,653,503	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$295,711,631	BOYAmt
EOY	$324,310,174	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$789,111,040	BOYAmt
EOY	$795,194,590	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,583,353	BOYAmt
EOY	$2,611,159	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$791,694,393	BOYAmt
EOY	$797,805,749	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,087,406,024	BOYAmt
EOY	$1,122,115,923	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$57,060,913	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$463,422	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$50,486,135	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	$5,670,370	OtherCostOrOtherBasisAmt
Book Value	$5,670,370	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$307,160,131	OtherCostOrOtherBasisAmt
Depreciation	$227,817,927	DepreciationAmt
Book Value	$79,342,204	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$517,916,589	OtherCostOrOtherBasisAmt
Depreciation	$412,294,288	DepreciationAmt
Book Value	$105,622,301	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,277,168	OtherCostOrOtherBasisAmt
Depreciation	$12,233,749	DepreciationAmt
Book Value	$9,043,419	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$199,678,294	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Trusted Acquisition Fund	$75,558,737
Due from Affiliates	$76,079,037
Other Receivables	$2,886,943
Int in Net Assets of Affil.Fdn	$2,598,551
Other Asset	$10,502,983
DUE FROM MEDICARE	$628,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$168,254,251	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Other Long-Term Liability	$1,248,543
Fair Value of Int Rate Swaps	$6,404,960

Field	Value	IRS element (for citing)
Total Liability	$7,653,503	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$757,805,760	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$463,422	NetUnrealizedGainsInvstAmt
Other Revenue	-$98,357,686	OtherRevenueAmt
Revenue Not Reported	-$98,821,108	RevenueNotReportedAmt
Revenue Subtotal	$856,626,868	RevenueSubtotalAmt
Total Revenue Per Form990	$856,626,868	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$703,902,798	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$703,902,798	ExpensesSubtotalAmt
Other Expenses Not Included	$95,663,157	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$95,663,157	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$799,565,955	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part X, Line 2:	The Medical Center applies FASB ASC Topic 740 for Income Taxes ("Topic 740"), which clarifies the accounting for uncertainty in income tax positions and provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There has been no impact on the Medical Center's financial statements as a result of Topic 740.
Part XI, Line 2d:	Loss on Redemption of Bonds of (2,694,529) was included in revenue on the financial statements but not on Form 990. Bad debt expense of (95,663,157) was included in patient revenue on the financial statements but is included in expense on the return.
Part XII, Line 4b:	Bad debt expense of 95,663,157 was included in patient revenue on the financial statements but is included in expense on the return.

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	false	ExpensesExceedBudgetInd
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	$31,047,593	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,047,593	NetCommunityBenefitExpnsAmt
Total Expense	0.04410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,852,689	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,864,513	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,988,175	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,900,282	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,864,513	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,035,768	NetCommunityBenefitExpnsAmt
Total Expense	0.04830	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$734,460	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$734,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,266,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,598,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,668,162	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,001,457	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,598,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,402,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,901,739	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,463,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,438,390	NetCommunityBenefitExpnsAmt
Total Expense	0.05450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$95,663,157	BadDebtExpenseAmt
Reimbursed By Medicare	$299,545,163	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$296,339,830	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,205,333	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
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
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
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
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
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&C:	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 $95,663,157 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, 2019. 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 $3,683,833 and total costs were $3,755,788 for a net shortfall of -$71,955. When combined with the shortfall reported on Line 7, the net surplus from all Medicare programs is $3,133,378.
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: 48.56% Medicare, 2.69% Medicare Advantage, 4.10% Medicaid, 9.16% MS CAN, 28.47% private insurance with 7.02% 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	41	RecipientCnt
Cash Grant	$35,282	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 Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Bruce Toppin
Secretary	$301,281	$186,494	$9,559	$5,500	$8,660	$511,494
Ellen Friloux
VP - Womens & Pediatric Svc							$183,064	$26,219	$5,842	$3,776	$1,640	$220,541
George Van Osten MD
Physician							$880,389	$277,377	$231	$16,500	$13,361	$1,187,858
Donna Pritchard
Vice President, CNE							$210,702	$33,492	$24,156	$4,085	$6,837	$279,272
David Wilson
President							$511,143	$359,686	$19,694	$8,250	$5,458	$904,231
Lynn Holland
Vice President	$211,941	$112,251	$5,391	$4,564	$4,920	$339,067
Tommy R Adams
VP - Cardiovascular & Surgical							$202,427	$28,251	$4,953	$14,195	$7,150	$256,976
Bethany Bryant
Service Line Administrator							$209,211	$50,438	$1,910	$3,712	$5,278	$270,549
Angie Everett
VP - Post Acute & Rehab Svc							$176,290	$25,818	$5,029	$1,859	$5,626	$214,622
Sharon Nobles
Treasurer	$461,315	$169,219	$1,290	$8,250	$6,166	$646,240
Todd Davis
VP - Facilities Management							$182,010	$26,734	$4,481	$3,831	$6,168	$223,224
William R Reed MD
Physician							$572,957	$506,433	$19,492	$8,250	$8,540	$1,115,672
Michael S Spees
FORMER PRESIDENT							$930,931	$826,691	$34,041	$8,250	$6,704	$1,806,617	$0
Robert J Smith
VP - Behavioral Health							$146,461	$21,562	$1,934	$4,551	$5,400	$179,908
Phillip Alexander
Chief Information Security Off							$146,151	$14,105	$382	$0	$963	$161,601
David S Talton
Physician	$37,873	$49,487	$712	$0	$252	$88,324	$745,588	$278,328	$10,680	$16,500	$4,936	$1,056,032
Carl G Bevering
Physician	$27,541	$0	$712	$0	$242	$28,495	$707,290	$289,158	$14,269	$20,625	$5,566	$1,036,908
Jason Stacy
Physician	$33,214	$0	$0	$0	$205	$33,419	$766,468	$230,230	$208	$8,250	$4,715	$1,009,871

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Mississippi Hospital Equip & Facilities Authority
A	640732320	605360MV5	2003-07-02	$91,564,031	See Part VI	false	false	false
Mississippi Hospital Equip & Facilities Authority
B	640732320	605360RS7	2010-08-18	$76,018,658	See Part VI	false	false	false
Mississippi Hospital Equip & Facilities Authority
C	640732320	000000000	2017-09-27	$50,000,000	See Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$93,769,870	$0	$0	$0	$904,266	$0	$0	$32,205,313	$60,660,291	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$76,430,224	$0	$0	$0	$1,018,662	$0	$0	$75,411,562	$0	$0	2014	false	false	Yes (true)	Yes (true)
C	$0	$0	$50,000,000	$0	$0	$37,500,000	$206,451	$0	$0	$12,293,549	$0	$0	2019	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.02500	0.02500	false	false	false	Yes (true)
B	false	false	false	false	0		false	false	false	Yes (true)
C	false	false	false	false	0		false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
GSMMDP
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	12.7	false	false	false	0	Yes (true)	Yes (true)
0
B	false	false	false	Yes (true)	false	false				false	0	Yes (true)	Yes (true)
0
C	false	Yes (true)			Yes (true)	false				false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (6 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. Only North Mississippi Medical Center's related share is reported in this schedule.
Schedule K, Part I, Column (f):	Bond A: To refund a prior issue, fund new construction, and purchase equipment Bond B: To fund new construction and purchase equipment and MIS systems Bond C: To pay 2010 bullet ($37.5M) equipment
Schedule K, Part IV, Line 2c:	Date of rebate computation:
Schedule K, Part IV, Line 4c:	Term of Hedge: Bond A: Series 1: 12.7 years Series 2: 29.7 years
Schedule K, Part IV, Line 6:	Although funds were invested beyond the temporary period, the yield did not exceed the allowable amount.
Schedule K, Part III line 4, column A:	North Mississippi Medical Center is in the process of calculating private business of a portion of the bond proceeds. The 2.5% shown on the Schedule is an estimate.

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: (35,967,812) Transfers of Capital to affiliates of North MS Health Services: 19,376,561 Increase in interest in net assets of Affiliated Foundation: 27,806 Loss on Redemption of Bonds: (2,694,529) ASU 606 Transition Adjustment: (31,228,162) Total other changes in net assets or fund balance = (50,486,136)

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	false
North MS Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640653269	Mgmt Services	DE	501(c)(3)	12-II	NMHS	false
Clay County Medical Corporation
830 S Gloster Street	Tupelo	MS	38801	640668465	Hospital	DE	501(c)(3)	3	NMHS	false
Tishomingo Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640741047	Hospital	DE	501(c)(3)	3	NMHS	false
PONOTOC HEALTH SERVICES INC
830 S Gloster Street	Tupelo	MS	38801	640751410	Hospital	DE	501(c)(3)	3	NMHS	false
North MS Medical Clinics Inc
830 S Gloster Street	Tupelo	MS	38801	640787918	Med Clinics	DE	501(c)(3)	3	NMHS	false
Tupelo Service Finance Inc
830 S Gloster Street	Tupelo	MS	38801	640508308	Collections	DE	501(c)(3)	3	NMHS	false
Webster Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640819193	Hospital	DE	501(c)(3)	3	NMHS	false
MARION REGIONAL MEDICAL CENTER INC
830 S Gloster Street	Tupelo	MS	38801	640926753	Hospital	DE	501(c)(3)	3	NMHS	false
North MS Emergency Services Inc
830 S Gloster Street	Tupelo	MS	38801	640780130	ER Physicians	DE	501(c)(3)	10	NMHS	false
Monroe Health Services
830 South Gloster Street	Tupelo	MS	38801	320583236	Hospital	DE	501(c)(3)	3	NMHS	false

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	Controlled OrganizationControlledOrganizationInd
North MS Health Link Inc
830 S Gloster Street	Tupelo	MS	38801	640715886	Medical Servi	DE	NMHS	C Corp	false
North MS Enterprises Inc
830 S Gloster Street	Tupelo	MS	38801	640658059	Medical Servi	DE	NMHS	C Corp	false
Professional Practice Management Inc
830 S Gloster Street	Tupelo	MS	38801	721390014	Med Serv Mgmt	DE	NMMCI	C Corp	false
Acclaim Inc
830 S Gloster Street	Tupelo	MS	38801	721356116	Hlth Care Cla	DE	Healthlink	C Corp	false
North MS Support Services Inc
830 S Gloster Street	Tupelo	MS	38801	260718275	Support Servi	DE	NMHS	C Corp	false

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