2019-08-15T15:46:48-05:00 2018-09-30 BKD LLP 190 E Capitol Street Ste 500 Jackson MS 392012190 990 2017-10-01 640662976 North Mississippi Medical Center Inc % KRISTY DUKE NORT 6623773978 830 South Gloster Street Tupelo MS 38801 SHARON NOBLES CHIEF FINANCIAL OFF. 6623773978 2019-08-15 true Mary F Overstreet CPA P01270094 6019486700 2019-08-05 167.68.126.162 64248120192275000020 2019-08-15 P 468D4A6F67C914A138C9D1D024C98E150145FE59 468D4A6F67C914A138C9D1D024C98E150145FE59 2017 2019-02-21 02:37:17Z SHARON NOBLES 830 South Gloster Street Tupelo MS 38801 1621819017 false X www.nmhs.net/ X 1982 DE North MS Medical Center is a 650-bed regional referral center in Tupelo, MS that serves more than 700,000 people in 24 counties in north MS, northwest AL and portions of TN. 14 14 5192 157 0 78292 1941691 622924 794437309 790104824 14739699 26918478 13069226 16053089 824187925 833699315 23000 36760 0 0 351221251 344528478 0 0 0 464338758 437006492 815583009 781571730 8604916 52127585 1029988752 1087406024 304045858 295711631 725942894 791694393 X NORTH MISSISSIPPI MEDICAL CENTER (NMMC) IS A 650-BED REGIONAL REFERRAL CENTER IN TUPELO, MS. NMMC SERVES MORE THAN 700,000 PEOPLE IN 24 COUNTIES IN NORTH MISSISSIPPI, NORTHWEST ALABAMA AND PORTIONS OF TENNESSEE. NMMC IS THE LARGEST HOSPITAL THAT IS PART OF THE NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ORGANIZATION. THE MISSION OF NMHS IS TO CONTINUOUSLY IMPROVE THE HEALTH OF THE PEOPLE OF OUR REGION. NMMC WORKS TO ACHIEVE THIS CORPORATE MISSION TO IMPROVE THE HEALTH OF THE PEOPLE OF THIS REGION BY PROVIDING CONVENIENTLY ACCESSIBLE, COST-EFFECTIVE HEALTH CARE OF THE HIGHEST QUALITY. false false 704751747 36760 790104824 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 2018, there were 26,233 inpatient admissions, 88,616 emergency department visits, and 554,567 outpatient visits. NMMC uses Press Ganey, the largest patient satisfaction survey company in the nation, that works with more than 7,000 healthcare facilities. Randomly selected patients are asked about their experience with NMHS inpatient, outpatient, ER, home health and long term care services. Area residents have access to a medical staff representing more than 40 medical specialties, as well as centers of excellence in cancer treatment and research, neurology, neurosurgery, cardiac surgery, cardiology, pulmonology, rehabilitation, chemical dependency and neonatal programs. In addition, the NMMC Home Health Agency serves patients in 17 counties in north Mississippi and offers many complex and extremely high-tech procedures that can be performed in the home setting. NMMC is designated as a Level II trauma center by the Mississippi State Department of Health. To receive this designation, facilities must offer a full range of trauma capabilities, including an Emergency Department, a full service surgical suite, intensive care unit and diagnostic imaging, as well as make a commitment to consistently meet national guidelines or standards in caring for trauma patients. In 2006, NMMC-Tupelo received the Malcolm Baldrige National Quality Award for innovative practices, a commitment to excellence and outstanding results. This award is a symbol of world-class performance and is the nation's highest Presidential honor for organizational performance excellence. NMMC is a participant in QUEST (Quality, Efficiency, Safety, with Transparency), a national initiative sponsored by fellow 2006 Baldrige recipient Premier. NMMC benchmarks its quality measures against the very best hospitals and health systems in the United States. This collaborative effort enables NMMC's physicians, nurses and analysts to learn from those with the best results in patient satisfaction, cost of care and appropriateness of care. QUEST is one way that NMMC is continually working to improve patient safety and quality while safely reducing health care costs. One of the primary ways North Mississippi Medical Center (NMMC) serves the community is by providing care to various populations for which it receives no compensation or receives compensation at rates significantly less than established rates. The Board of Directors of NMMC has established a policy under which NMMC provides care, without charge, to needy members of its community. THE FINANCIAL ASSISTANCE POLICY STATES THAT NMMC WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS FREE OF CHARGE WITH HOUSEHOLD INCOME LEVELS AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. THE POLICY FURTHER PROVIDES, PATIENTS WITH HOUSEHOLD INCOME LEVELS BETWEEN 101% AND 150% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE TO RECEIVE SERVICES AT A DISCOUNTED RATE. THE DISCOUNT WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL. The policy applies to individuals who reside in NMMC's 24-county service area, as defined by the policy. Patients from outside the service area may also be granted charity care based on the judgment of NMMC management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC's request for information with which to verify the patient's eligibility. Following that policy, NMMC maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Charges foregone, based on established rates, totaled approximately $57,501,076 in fiscal year 2018. Based on the gross charges provided to charity patients compared to total hospital gross charges, 2.07% of all services in fiscal year 2018 were provided on a charity basis. The net cost of charity care provided by NMMC was approximately $13,910,494 in fiscal year 2018. 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. 1186572 North Mississippi Medical Center employs registered nurses and certified health educators that provide services to schools in the 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. The net cost of providing these services was approximately $473,262 in fiscal year 2018. NMMC also 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 $713,310 in fiscal year 2018. Form 990, Page 2, Part III, Line 4d -------------------------------------- North Mississippi Medical Center's Community Health Department assists in educating the community on health-related issues by organizing and presenting various health fairs and seminars. The events are held at local businesses, schools, and community organizations and address various healthcare topics in addition to offering various screenings and tests at a nominal fee or at no charge. The costs associated with the outreach activities were approximately $3,902 in fiscal year 2018. 3902 705942221 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false true true true true false false false false false false false false false false false false false false true false false false true 187 0 5192 true true true false false false false false false false false false X 14 14 false false false false true true true true true false false true true true true true true true true false X KRISTY DUKE 6623773977 830 SOUTH GLOSTER STREET Tupelo MS 38801 Skipper Holliman Director 1.0 0.0 X 0 0 0 Hughes Milam MD Director 1.0 0.0 X 0 0 0 John Wheeler Director 1.0 0.0 X 0 0 0 Barney Guyton MD Director 1.0 0.0 X 0 0 0 Mark Ray MD Director 1.0 0.0 X 0 0 0 Mark Craig MD Director 1.0 0.0 X 0 0 0 Shane Hooper Director 1.0 0.0 X 0 0 0 Scott Reed Director 1.0 0.0 X 0 0 0 Lewis Whitfield Director 1.0 0.0 X 0 0 0 Mitch Waycaster Director 1.0 0.0 X 0 0 0 David Copenhaver Director 1.0 0.0 X 0 0 0 Tom Foy Chairman 1.0 0.0 X 0 0 0 Sam Pace MD Director 1.0 0.0 X 0 0 0 Chris Rogers Director 1.0 0.0 X 0 0 0 Bruce Toppin Secretary 11.0 29.0 X 0 353684 11248 David Wilson President 40.0 0.0 X 554940 0 12948 Sharon Nobles Treasurer 11.0 29.0 X 0 363788 3945 Ellen Friloux Service Line Administrator 40.0 0.0 X 184963 0 4333 Donna Pritchard Vice President, CNE 40.0 0.0 X 229954 0 9590 Lynn Holland Vice President 30.0 10.0 X 0 248711 8971 Tommy R Adams Service Line Administrator 40.0 0.0 X 192364 0 19534 Bethany Bryant Service Line Administrator 40.0 0.0 X 224871 0 7953 Angie Everett Service Line Administrator 40.0 0.0 X 176773 0 6736 Todd Davis VP - Facilities Management 40.0 0.0 X 181837 0 8927 George Van Osten MD Physician 40.0 0.0 X 1039176 0 17388 Karl Crossen MD Physician 40.0 0.0 X 1021701 0 16038 William R Reed MD Physician 40.0 0.0 X 1010996 0 15388 James Stone MD Physician 40.0 0.0 X 986993 0 13442 Benjamin Hinton MD Physician 40.0 0.0 X 883360 0 12888 Michael S Spees FORMER PRESIDENT 10.0 30.0 X 1231306 0 13448 7919234 966183 182777 279 true true false Cross Country Staffing Inc PO Box 404674 ATLANTA GA 303844674 Contract Employees 6986709 Allscripts LLC 24630 Network Place CHICAGO IL 606731246 Online Processing 6191857 Relias Emergency Medicine of Tupelo PO Box 7058 TUPELO MS 38802 Physician Coverage 4317103 McKesson Technologies PO Box 98347 CHICAGO IL 606938347 Purch. Maintenance 4310585 Mayo Collaborative Services PO Box 9146 MINNEAPOLIS MN 554809146 Lab Testing 3780698 68 390985 226939 5000 622924 Net Patient Service Revenue 900099 788182940 788182940 Related Rental Income 900099 1921884 1921884 790104824 13945140 13945140 309 309 0 0 0 0 800573487 519244 788030264 89438 12543223 429806 12973029 12973029 0 0 0 0 0 0 0 0 0 Employee Drug Sales 900099 8214121 8214121 Wellness Center Revenue 900099 2421127 2421127 Child Development Center Revenue 900099 860698 860698 4557143 4557143 16053089 833699315 790104824 42971567 10260 10260 26500 26500 0 0 1864651 1864651 0 262795550 225589512 37206038 13921820 13921820 48731524 48731524 17214933 14237194 2977739 31840071 31840071 199637 199637 264357 264357 0 0 1172996 1172996 53250115 53250115 936743 936743 7176152 7176152 16131818 16131818 0 11041133 11041133 2196542 2196542 0 1761858 1761858 4444392 4444392 0 38506249 38506249 104020 104020 MEDICAL SUPPLIES 170453108 170453108 Bad Debt Expense 85341874 85341874 Collection Fees 3988169 3988169 Repairs and Maintenance 3515423 3515423 4681835 4681835 781571730 705942221 75629509 0 4500967 2473100 17355936 17856056 0 0 102605619 90579190 0 0 0 0 0 0 20631378 23305979 3383177 6330995 836571581 625433345 211645175 211138236 619396884 607987735 0 0 0 0 0 0 50469616 127734733 1029988752 1087406024 151877098 139781776 0 0 0 0 142138539 145209049 0 0 0 0 0 517775 0 0 10030221 10203031 304045858 295711631 X 723505444 789111040 2437450 2583353 0 0 725942894 791694393 1029988752 1087406024 X 52127585 -16203257 107248 29719923 X false true X true false X 5670370 5670370 305867658 217340060 88527598 488696046 396218162 92477884 36337507 11875123 24462384 211138236 TRUSTED ACQUISITION FUND 72131684 Ppd Software Maint./Training 1748346 Due from Affiliates 39429282 Other Receivables 1887309 Int in Net Assets of Affil.Fdn 2570745 Other Asset 9967367 127734733 0 Other Long-Term Liability 6492600 Fair Value of Int Rate Swaps 3710431 10203031 X 730201792 -16203257 -87294266 -103497523 833699315 833699315 696229856 696229856 85341874 85341874 781571730 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: Gain on Redemption of Bonds of 1,952,392 was included in revenue on the financial statements but not on Form 990. Bad debt expense of (85,341,874) 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 85,341,874 was included in patient revenue on the financial statements but is included in expense on the return. true true X true X true X 150. true true false true true 13910494 13910494 0.02000 84515675 89636289 -5120614 98426169 89636289 8789880 0.02000 1190474 1190474 0.00170 4940829 1582676 3358153 0.00480 6131303 1582676 4548627 0.00650 104557472 91218965 13338507 0.02650 false 85341874 281905091 277210504 4694587 X true true 1 1 North Mississippi Medical Center 830 S Gloster Street Tupelo MS 38801 http://www.nmhs.net/ 13-063 X North Mississippi Medical Center 1 false false true X X X X X X X X X 15 true true false true X SEE SECTION C X true 15 true SEE SECTION C false true X 100 150. X X X X X X true true X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X true X false false PART V, SECTION B, LINE 3J: A DESCRIPTION OF HEALTH INDICATORS THAT AFFECT THE OVERALL HEALTH OF THE COMMUNITY ENABLING ACCESS TO HEALTH CARE. 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; FEDERAL, REGIONAL, STATE, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES, WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED, LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED; HEALTHCARE COMMUNITY ADVOCATES; NONPROFIT ORGANIZATIONS; LOCAL GOVERNMENT OFFICIALS; COMMUNITY-BASED ORGANIZATIONS, INCLUDING ORGANIZATIONS FOCUSED ON ONE OR MORE HEALTH ISSUES; HEALTHCARE PROVIDERS, INCLUDING COMMUNITY HEALTH CENTERS AND OTHER PROVIDERS FOCUSING ON MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, OR THOSE WITH CHRONIC DISEASE NEEDS. 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, 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/813/NMMC-Tupelo-CHNA.pdf PART V, SECTION B, LINE 10A: https://www.nmhs.net/app/files/public/1194/2016-NMHS-Implementation-Strate gies.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 23 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 Cancer Center 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 Rehab 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 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, 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 $85,341,874 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. 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 $4,170,517 and total costs were $4,171,529 for a net shortfall of -$1,012. When combined with the shortfall reported on Line 7, the net surplus from all Medicare programs is $4,693,575. 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: 48.05% Medicare, 4.36% Medicare Advantage, 4.09% Medicaid, 8.41% MS CAN, 28.17% private insurance with 6.92% uninsured. Part VI, Line 5: Promotion of community health North Mississippi Medical Center (NMMC) has a commitment to a wide variety of community health outreach activities, which are coordinated by the Community Health department and are staffed by employees of that department as well as by NMMC employees who volunteer their time to help with these events and activities. The Community Health department assists in educating the community on health-related issues by organizing and presenting various health fairs and seminars. These events are held at local businesses, schools and community organizations and address such issues as cancer care, heart health, bone and joint care, sinus and allergy issues, newborn and child care, and other health-related topics. In addition, the Community Health department sponsors cholesterol, blood pressure, vision, memory, and heart-risk screening events, through which tests are made available to the public for a nominal fee or at no charge with the majority of the costs incurred absorbed by NMMC. NMMC also employs registered nurses and certified health educators and provides their services to schools in its service area at no cost to the school systems. These nurses and educators provide basic healthcare and instructional services to the students in the schools they serve. Part VI, Line 6: Affiliated Health Care System As noted above, North Mississippi Medical Center (NMMC) is part of North Mississippi Health Services (NMHS). NMHS operates five community hospitals in addition to NMMC, as well as, North Mississippi Medical Clinics, which operates more than 36 medical clinics. Some of these facilities operate at an ongoing financial loss and NMHS provides operating funds in the form of working capital loans that have no set repayment date. These working capital loans have historically been converted to capital transfers in many cases, and therefore, the loans are forgiven such that the facility never makes repayment. NMHS does this in order to provide access to a variety of services across the service area and is an intentional part of its business model. The community health department that is part of NMMC coordinates a variety of community health activities across the service area as well. Part VI, Line 7: State filing of community benefit report North Mississippi Medical Center does not file a community benefit report with the state of Mississippi as there is no requirement to do so. true Scholarships & Academic Reimbursements 44 26500 Part I, Line 2: The Hospital grants scholarships and academic reimbursements to employees based on an application process. Employees that are selected for this program must maintain a 2.5 GPA for an Associate and Bachelors Degree and a 3.0 GPA for a Masters degree and above. The Hospital reimburses the employee the cost of the tuition at the in-state rate for courses that are defined in the curriculum provided by the College attended. X X X X X false false false false false false false false false Bruce Toppin Secretary 292362 52033 9289 5400 5848 364932 0 Ellen Friloux Service Line Administrator 179530 24 5409 3673 660 189296 0 George Van Osten MD Physician 659462 379474 240 8100 9288 1056564 0 Donna Pritchard Vice President, CNE 206817 24 23113 4130 5460 239544 0 David Wilson President 486461 49237 19242 8100 4848 567888 0 Lynn Holland Vice President 208149 33667 6895 5011 3960 257682 0 Tommy R Adams Service Line Administrator 187522 21 4821 13782 5752 211898 0 Bethany Bryant Service Line Administrator 204409 20022 440 3613 4340 232824 0 Angie Everett Service Line Administrator 172121 21 4631 1808 4928 183509 0 Sharon Nobles Treasurer 322967 40009 812 0 3945 367733 0 Todd Davis VP - Facilities Management 177042 27 4768 3719 5208 190764 0 Karl Crossen MD Physician 590722 429395 1584 7150 8888 1037739 0 William R Reed MD Physician 575209 416755 19032 8100 7288 1026384 0 James Stone MD Physician 575709 392732 18552 7154 6288 1000435 0 Benjamin Hinton MD Physician 494549 388619 192 8100 4788 896248 0 Michael S Spees FORMER PRESIDENT 904935 292830 33541 8100 5348 1244754 0 A Mississippi Hospital Equip & Facilities Authority 640732320 605360MV5 2003-07-02 91564031 See Part VI false false false B Mississippi Hospital Equip & Facilities Authority 640732320 605360RS7 2010-08-18 76018658 See Part VI false false false C Mississippi Hospital Equip & Facilities Authority 640732320 000000000 2017-09-27 50000000 See Part VI false false false A 0 0 93769870 0 0 0 904266 0 0 32205313 60660291 0 2009 true false true true B 0 0 76430224 0 0 0 1018662 0 0 75411562 0 0 2014 false false true true C 0 0 50000000 0 0 37500000 206451 0 0 10029040 0 2264509 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true true true GSMMDP 12.7 false false false 0 true true B false false false true false false 0 false 0 true true C false true false false true false 0 false 0 false true A true B true C 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. 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: BOND A: 9/9/2010 BOND B: 9/1/2015 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.. 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, nominate 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: 27,292,690 Transfers of Capital to affiliates of North MS Health Services: 328,000 Increase in interest in net assets of Affiliated Foundation: 145,903 Gain on Redemption of Bonds: 1,952,392 Purchase of Interest in Pain Management: 938 Total other changes in net assets or fund balance = 29,719,923 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 North MS Health Link Inc 830 S Gloster Street Tupelo MS 38801 640715886 Medical Services DE NMHS C Corp false North MS Enterprises Inc 830 S Gloster Street Tupelo MS 38801 640658059 Medical Services 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 Claims DE Healthlink C Corp false North MS Support Services Inc 830 S Gloster Street Tupelo MS 38801 260718275 Support Services DE NMHS C Corp false false true false true false false false false false true true true true false true true true true true