2016-08-12T16:51:54-05:00 2015-09-30 BKD LLP 190 E Capitol Street Ste 500 Jackson MS 392012190 990 2014-10-01 640662976 North Mississippi Medical Center Inc % KRISTY DUKE NORT 6623773977 830 South Gloster Street Tupelo MS 38801 JOE REPPERT EXECUTIVE VP/CFO 6623773977 2016-08-15 true Megan H Mills CPA P01250504 6019486700 2016-08-15 2014 2016-09-27 15:27:22Z Joe Reppert 830 South Gloster Street Tupelo MS 38801 1268450437 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. 12 11 4298 233 0 1049575 3868493 636593545 716808940 17691106 20657481 14006876 15113345 669341102 756448259 78400 30157 0 0 273803395 283372936 0 0 0 345286754 406997676 619168549 690400769 50172553 66047490 997567767 1022729845 308863812 309604095 688703955 713125750 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 615364895 30157 719008061 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 2015, there were 24,115 inpatient admissions, 83,280 emergency department visits, and 288,533 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 charity care policy states that NMMC will provide necessary hospital services to patients free of charge with household income levels based on the federal poverty guidelines adjusted based on the median income for Mississippi compared to the median income nationally. The Mississippi adjusted poverty guidelines is approximately 75% of the Federal Poverty Rate. The policy further provides patients with household income levels above the Mississippi adjusted poverty guidelines will be liable for no more than the amount that their household income exceeds the applicable federal poverty guidelines. 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 $64,393,105 in fiscal year 2015. Based on the gross charges provided to charity patients compared to total hospital gross charges, 3.1% of all services in fiscal year 2015 were provided on a charity basis. The net cost of charity care provided by NMMC was approximately $18,100,156 in fiscal year 2015. 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. 1252649 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 $654,472 in fiscal year 2015. 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 $598,177 in fiscal year 2015. 285738 616903282 true true false false false false false false false false true false false false 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 true false false false false false false false true false false false true 165 0 4298 true false false false false false false false false false false X 12 11 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 Chairman 1.0 0.0 X 0 800 0 Mabel Murphree PhD Director 1.0 0.0 X 0 0 0 Chris Rogers Director 1.0 0.0 X 0 0 0 Tom Foy Vice Chairman 1.0 0.0 X 0 0 0 Mary Werner 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 Ronald Young MD Director 1.0 0.0 X 12000 0 0 Scott Reed Director 1.0 0.0 X 0 0 0 Bruce Toppin Secretary/V.P./General Counsel 11.0 29.0 X 0 342625 9304 Joseph A Reppert Treasurer/Executive VP/CFO 11.0 29.0 X 0 619075 9328 Michael S Spees President & CEO 11.0 29.0 X 0 1235484 5328 Bruce Ridgway Vice President 40.0 0.0 X 268742 0 7916 Mark S Williams MD VP/Chief Medical Officer 40.0 0.0 X 501011 0 9530 Johnny M Denham Service Line Administrator 40.0 0.0 X 252593 0 0 Wanda Della Calce Service Line Administrator 40.0 0.0 X 195898 0 3468 Ellen Friloux Service Line Administrator 40.0 0.0 X 190679 0 3795 Leslia Carter Service Line Administrator 40.0 0.0 X 152997 18569 3397 Octavius Ivy Service Line Administrator 40.0 0.0 X 164232 0 5738 Donna Pritchard Service Line Administrator 40.0 0.0 X 255517 0 7221 George Van Osten MD Physician 40.0 0.0 X 615203 0 13128 Justin Brewer MD Physician 40.0 0.0 X 446090 0 6755 Joseph Johnsey MD Physician 40.0 0.0 X 408137 0 4312 Arthur Chambers MD Physician 40.0 0.0 X 358922 0 550 Ryan Pond MD Physician 40.0 0.0 X 345363 0 3996 John Heer Former President & CEO 0.0 40.0 X 0 741503 4276 Thomas Bozeman Former Vice President 40.0 0.0 X 117071 0 2651 George Hand Former Svc Line Administrator 40.0 0.0 X 132915 0 5548 4417370 2958056 106241 154 true true false Tupelo Emergency Care Associates PO Box 15883 DURHAM NC 27704 ER Physician Fees 2884659 Mayo Collaborative Services DBA Mayo Med Laboratories PO Box MINNEAPOLIS MN 554809146 Lab Testing 2763901 GE Healthcare PO Box 96483 CHICAGO IL 60693 Maintenance 1845456 Delphi Healthcare Partners Inc PO Box 634850 CINCINNATI OH 452634850 Physician Fees 1822729 Cardiology Associate PO Box 2519 TUPELO MS 388032519 Support & Maint 1177462 30 205955 3662538 3868493 Net Patient Service Revenue 900099 714067145 714067145 Related Rental Income 900099 2741795 2741795 716808940 8899567 8899567 -168 -168 0 0 0 0 523719469 40791 511983409 18769 11736060 22022 11758082 11758082 0 0 0 Employee Drug Sales 900099 9163515 9163515 Cafeteria Revenue 900099 2199121 2199121 Child Development Center Revenue 900099 794313 794313 2956396 2956396 15113345 756448259 719008061 33571705 0 30157 30157 0 0 2158512 2158512 0 197600010 161251550 36348460 14102878 14102878 55205006 55205006 14306530 11391028 2915502 28899980 28899980 226894 226894 292201 292201 0 0 999916 999916 49341992 48447139 894853 2092843 2092843 11283616 11283616 9565797 9565797 0 11082168 11082168 2847794 2847794 0 1969673 1969673 4766957 4766957 0 37298189 37298189 761169 761169 MEDICAL SUPPLIES 148110027 148110027 Bad Debt Expense 86603180 86603180 REPAIRS AND MAINTENANCE 3054503 3054503 COLLECTION FEES 2754223 2754223 5046554 5046554 690400769 616903282 73497487 0 58398451 41009984 12054314 17965825 0 0 112726670 132033240 0 0 0 0 0 0 15964545 17712763 3368829 4534013 764693271 519995560 251087868 244697711 493135983 520792121 0 0 0 0 0 0 50831107 43984188 997567767 1022729845 132143908 142818231 0 0 0 0 161204737 152576484 0 0 0 0 0 0 0 0 15515167 14209380 308863812 309604095 X 686680790 711032332 2023165 2093418 0 0 688703955 713125750 997567767 1022729845 X 66047490 -19065465 -22560230 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4703370 4703370 293313169 184627067 108686102 444885365 324760508 120124857 21791367 10607985 11183382 244697711 0 Other Long-Term Liability 7847843 Fair Value of Int Rate Swaps 6361537 14209380 X 649790034 -19065465 -87592760 -106658225 756448259 756448259 603797589 603797589 86603180 86603180 690400769 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: Change in fair value of interest rate swaps of 989,580 was included in revenue on the financial statements but not on Form 990. Bad debt expense of 86,603,180 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 86,603,180 was included in patient revenue on the financial statements but is included in expense on the return. true true X true X 75. false false true false false 18100156 18100156 0.03000 52752858 62181334 -9428476 70853014 62181334 8671680 0.03000 1538387 1538387 0.00250 5121877 1528616 3593261 0.00010 6660264 1528616 5131648 0.00260 77513278 63709950 13803328 0.03260 false 86603180 248504837 254582724 -6077887 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 12 true true false true X SEE SECTION C X true 15 false true false true X 75. 0. X X X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X true 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: TELEPHONE AND MAIL SURVEYS INVOLVING VARIOUS PEOPLE IN THE COMMUNITY WERE CONDUCTED AND THE FINDINGS WERE SUMMARIZED IN THE CHNA REPORT. NORTH MISSISSIPPI MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT ALSO WORKS CLOSELY WITH THE LOCAL AND STATE DEPARTMENTS OF HEALTH, WHICH HAS RESULTED IN SEVERAL PROJECTS CONCERNING OBESITY AND SMOKING CESSATION. 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: http://www.nmhs.net/documents/NMMC2013Report-Catchmentwithcounties.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: SERVICE TYPE AND PATIENT RELATIONSHIP TO PHYSICIANS PART V, SECTION B, LINE 16A&C: HTTP://WWW.NMHS.NET/CHARITY_CARE_POLICY.PHP PART V, SECTION B, LINE 22D: THE ORGANIZATION USES THE LOOK-BACK METHOD TO DETERMINE AMOUNTS GENERALLY BILLED. FAP-ELIGIBLE INDIVIDUALS ARE CHARGED NO MORE THAN THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE. 13 NMMC Behavioral Health 4579 South Eason Tupelo MS 38801 Mental Health Facility Baldwyn Nursing Facility 739 4th Street Baldwyn MS 38824 Skilled Nursing Facility NMMC Women's Hospital 4566 South Eason Tupelo MS 38801 Pediatric and OB/GYN Center 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 Home Care and Hospice 422A E President Street Tupelo MS 38801 Home Care and Hospice Facility NMMC Longtown Rehab 4381 South Eason Blvd Tupelo MS 38801 Outpatient Rehabilitation Services NMMC Cancer Center 990 South Madison Tupelo MS 38801 Outpatient Oncology Services 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 Clinic 606 Brunson Drive Tupelo MS 38801 Eye Center Part I, Line 3C: North Mississippi Medical Center, Inc. does not use the Federal Poverty Guidelines to determine eligibility for discounted care. The Federal Poverty Guidelines are used only for free care. Discounted care is given to anyone regardless of income level if they do not have insurance. North Mississippi Medical Center will provide its prevalent managed care discount to any patient that meets North Mississippi Medical Center's definition of uninsured (an individual having no third party coverage by commercial third party insurer, an ERISA plan, Medicare, Medicaid, SCHIP, Champus or other coverage for all or part of their bill). Part I, Line 7G: Not applicable Part I, Line 7, column (f): Bad Debt Expense of $86,603,180 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 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 $7,927,293 and total costs were $7,214,408 for a net surplus of $713,515. When combined with the surplus reported on Line 7, the net shortfall from all Medicare programs is $5,364,372. Part III, Line 9b: North Mississippi Medical Center does not pursue collection of amounts determined to qualify as charity care. Part VI, Line 2: Needs Assessment North Mississippi Medical Center utilizes varied but complimentary methods to assess the health care needs of the communities it serves. The North Mississippi Medical Center Community Health Needs Assessment is performed every three years and provides information on health status, utilization of health services, healthy beliefs and satisfaction with health care services. In addition, the North Mississippi Medical Center Community Relations Facilitator conducts routine visits with internal and external stakeholders. The information gathered through several qualitative survey questions is used to determine community needs. Part VI, Line 3: Patient education of eligibility for assistance Explanations of the North Mississippi Medical Center charity care policy are communicated in a variety of forms including signage at all admission and registration areas, on the web site, on bills and statements, and in admission packets. Financial counselors assist the patient and responsible parties with determining eligibility for government programs, primarily Medicaid, and charity care status. The patient can apply for charity care at any time from the date of service through the collection process and once qualified and approved all collection efforts are stopped. Part VI, Line 4: Community Information North Mississippi Medical Center serves more than 700,000 people in 24 counties in north Mississippi, northwest Alabama and portions of Tennessee. The most populous counties are Lee and Lowndes in MS and Colbert County in AL. The population for the service area is projected to remain essentially flat over the next five years. The patient population for North Mississippi Medical Center is covered by insurance or is uninsured as follows: 49.44% Medicare, 9.01% Medicaid, 33.69% private insurance with 7.86% is 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 32 30157 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 true false false false false false false false Bruce Toppin Secretary/V.P./General Counsel 0 246286 0 88204 0 8135 0 5176 0 4128 0 351929 0 0 Bruce Ridgway Vice President 187492 0 53348 0 27902 0 4388 0 3528 0 276658 0 0 0 Joseph A Reppert Treasurer/Executive VP/CFO 0 419530 0 160356 0 39189 0 5200 0 4128 0 628403 0 0 Mark S Williams MD VP/Chief Medical Officer 368107 0 114923 0 17981 0 5534 0 3996 0 510541 0 0 0 Johnny M Denham Service Line Administrator 217821 0 28031 0 6741 0 0 0 0 0 252593 0 0 0 Wanda Della Calce Service Line Administrator 168754 0 21924 0 5220 0 3468 0 0 0 199366 0 0 0 Ellen Friloux Service Line Administrator 164133 0 21993 0 4553 0 3795 0 0 0 194474 0 0 0 Leslia Carter Service Line Administrator 131934 18462 19931 0 1132 107 2474 923 0 0 155471 19492 0 0 Octavius Ivy Service Line Administrator 142701 0 19839 0 1692 0 0 0 5738 0 169970 0 0 0 George Van Osten MD Physician 594952 0 20035 0 216 0 7800 0 5328 0 628331 0 0 0 John Heer Former President & CEO 0 580924 0 20 0 160559 0 1168 0 3108 0 745779 0 0 Michael S Spees President & CEO 0 807607 0 255015 0 172862 0 0 0 5328 0 1240812 0 0 Donna Pritchard Service Line Administrator 221475 0 28539 0 5503 0 3693 0 3528 0 262738 0 0 0 Justin Brewer MD Physician 445809 0 65 0 216 0 2577 0 4178 0 452845 0 0 0 Joseph Johnsey MD Physician 326905 0 65748 0 15484 0 0 0 4312 0 412449 0 0 0 Arthur Chambers MD Physician 330739 0 26904 0 1279 0 0 0 550 0 359472 0 0 0 Ryan Pond MD Physician 285252 0 59986 0 125 0 0 0 3996 0 349359 0 0 0 Thomas Bozeman Former Vice President 68092 0 43475 0 5504 0 1916 0 735 0 119722 0 0 0 George Hand Former Svc Line Administrator 128650 0 75 0 4190 0 2796 0 2752 0 138463 0 0 0 Part I, Line 4b: Participants: Joseph A. Reppert $36,823 Michael S. Spees $18,632 Terms & Conditions: North Mississippi Health Services, Inc. (NMHS) adopted the Management Deferred Annuity Plan (the Plan) on October 1, 1998. Participants in the Plan are designated by the Compensation Committee of the Board of Directors of NMHS. At the beginning of each Plan Year, NMHS shall pay a contribution, less withholding for taxes, to the Participant's annuity contract, which is a deferred annuity contract selected, owned, and controlled by the Participant. The contribution is determined by multiplying the participant's compensation in the preceding plan year by a percentage set forth in Appendix B of the Plan. A participant is terminated from the Plan on the earliest of: (1) the date the Board determines the employee is no longer a participant; (2) the date the Participant retires; (3) the date that the Participant dies; or (4) the date the Participant no longer is employed by NMHS for reasons other than retirement or death. 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 A 0 0 93769870 0 0 0 904266 0 0 32205313 0 0 2009 true false true true B 0 0 76430224 0 0 0 1018662 0 0 75411562 0 0 2014 false false true true A false false false false 0 false false false true B 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 A true B 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 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. Center for Digestive Health See Part V 356941 Rental of office space false Center for Digestive Health See Part V 8854 Other Miscellaneous Expenses false Center for Digestive Health See Part V 41225 Nursing Home & Pt Care Svs false Urology PA See Part V 298230 Rental of Office Space false Schedule L, Part IV, Column (b): Center for Digestive Health - Entity less than 35% owned by Barney Guyton, MD, director Urology, PA - Entity less than 35% owned by Hughes Milam, MD, director 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 $285,738 in fiscal year 2015. 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 Treasurer 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, The Hay Group, is used to help establish the compensation of the CEO, Executive Director, other officers, and key employees. The firm presents their independent analysis, which contains comparability data, to the Compensation Committee of North Mississippi Health Services, Inc. In addition to this, the VP of Human Resources obtains another independent analysis from another compensation consulting firm in order to verify the information provided by The Hay Group. The compensation of the individuals are then approved by the Compensation Committee. The salaries of NMHS' CEO and senior leadership 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: (9,095,569) Transfers of Capital to affiliates of North MS Health Services: (12,652,476) Net Assets Released from Restrictions: 107,142 Increase in interest in net assets of Affiliated Foundation: 70,253 Change in fair value of interest rate swaps: (989,580) Total other changes in net assets or fund balance = (22,560,230) North MS Management Services Inc 830 S Gloster Street Tupelo MS 38801 640762694 Mgmt & Admin DE 501(c)(3) 11-I NMHS false North MS Health Services Inc 830 S Gloster Street Tupelo MS 38801 640653269 Mgmt Services DE 501(c)(3) 11-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 Pontotoc 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 844 Cliff Gookin Blvd 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) 9 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 false true false true false false false false true true false true false true true true true true