2012-08-10T09:05:38-05:00 2011-09-30 BKD LLP 190 E Capitol Street Ste 500 Jackson MS 392012190 990 2010-10-01 640662976 North Mississippi Medical Center Inc NORT 6623773977 830 South Gloster Street Tupelo MS 38801 Joe Reppert 2012-08-15 Penny Wood CPA 6019486700 2010 2016-02-24 21:20:13Z Joe Reppert 830 South Gloster Street Tupelo MS 38801 1696151271 false X www.nmhs.net/ X 1982 DE North Mississippi Medical Center is a 650-bed regional referral center in Tupelo, MS, which serves more than 700,000 people in 24 counties in north MS, northwest AL and portions of TN. 13 9 4448 187 0 0 588492 2133276 574733141 600341503 13484213 15804461 13430301 14571965 602236147 632851205 116264 181558 0 0 258175928 270413401 0 0 0 299664311 313980692 557956503 584575651 44279644 48275554 933774912 957425872 329409432 348174399 604365480 609251473 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 514642087 181558 602558088 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 2011, there were over 24,600 inpatient admissions, over 79,200 emergency department visits, and over 271,000 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 71% 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 $72,500,000 in fiscal year 2011. Based on the gross charges provided to charity patients compared to total hospital gross charges, 5% of all services in fiscal year 2011 were provided on a charity basis. The net cost of charity care provided by NMMC was approximately $26,638,000 in fiscal year 2011. 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. 1814000 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 $1,244,000 in fiscal year 2011. 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 $570,000 in fiscal year 2011. 387000 516843087 true true false false false false false false false true false false true true true true true false false false false false false false false true true true true true true true false false false false false false true false true false false false false false true false false false false true 154 0 true 4448 true false false false false false false false false false false X 13 9 false false false false true true true true true false false false true true true true true true true false X JOE REPPERT 6623773977 830 SOUTH GLOSTER STREET Tupelo MS 38801 X Richard Heyer MD 1.0 X 0 0 0 Skipper Holliman 1.0 X 0 0 0 Jim Kelley 1.0 X 0 0 0 Zell Long 1.0 X 0 0 0 Hughes Milam MD 1.0 X 0 0 0 Mabel Murphree 1.0 X 0 0 0 Scott Reed 1.0 X 0 0 0 Chris Rogers 1.0 X 0 0 0 Al Tidwell 1.0 X 0 0 0 Mary Werner 1.0 X 0 0 0 Barney Guyton 1.0 X 0 0 0 Mark Ray 1.0 X 0 0 0 Wilson Long 1.0 X 0 0 0 Bruce Toppin 1.0 X 0 294160 8380 Joseph A Reppert 1.0 X 0 502301 9005 Steve Altmiller 40.0 X 610709 0 7680 Bruce Ridgway 40.0 X 247504 0 8212 Mark S Williams 40.0 X 491263 0 9580 Johnny M Denham 40.0 X 185055 0 0 Wanda Della Calce 40.0 X 167146 0 2781 Ellen Friloux 40.0 X 168056 0 3351 George Hand 40.0 X 157645 0 6694 Donna Lewis 40.0 X 168752 0 3368 Thomas E Bozeman 40.0 X 272128 9115 8338 Brian Condit 40.0 X 305849 0 8380 David Brooks 40.0 X 231859 0 8165 Casey L Humphries 40.0 X 241875 0 8797 Michael Benge 40.0 X 231773 0 8654 Robert K Rogers 40.0 X 221034 0 8622 John Heer 0.0 X 0 1093005 9580 Gerald Wages 0.0 X 0 632782 8862 3700648 2531363 128449 135 true true false Mayo Collaborative DBA Mayo Med Laboratories MINNEAPOLIS MN 554809146 Lab Testing 2275671 Tupelo Emergency Group PO Box 82368 LAFAYETTE LA 705982368 Physician Fees 2069445 Advanced Perfusion 201 Poplar Springs Drive TUPELO MS 388040000 Perfusionist Fees 1680512 GE Healthcare PO Box 402076 ATLANTA GA 303842076 Maintenance 1381486 Eclipsys Solution Corporation PO Box 8538-0133 PHILADELPHIA PA 191710133 On-line Processing 983956 56 413050 1690226 30000 2133276 Net Patient Service Revenue 900099 597556552 597556552 Related Rental Income 900099 2784951 2784951 600341503 7774835 7774835 53328 53328 0 1071259339 17025 1063090584 209482 8168755 -192457 7976298 7976298 0 0 0 Employee Drug Sales 900099 8902058 8902058 Cafeteria Revenue 900099 2216585 2216585 Child Development Center Revenue 900099 987704 987704 2465618 2465618 14571965 632851205 602558088 0 28159841 139590 139590 41968 41968 0 0 2888732 2888732 0 183327459 149230063 34097396 11913601 11913601 59156900 59156900 13126709 10336097 2790612 23309605 23309605 446168 446168 293567 293567 0 0 752426 752426 29155146 28396746 758400 1806125 1806125 127881546 127881546 7594489 7594489 0 8181028 8181028 3034124 3034124 0 2044804 2044804 2868848 2868848 0 33639677 33639677 2395658 2395658 Bad Debt Expense 60997342 60997342 Collection Fees 2652394 2652394 Repairs and Maintenance 2395820 2395820 Recruitment 1905981 1905981 Taxes and Licenses 1029282 1029282 1596662 1596662 584575651 516843087 67732564 0 68033235 66412988 9049986 14990291 91770031 102676014 10939708 12246742 2245090 1523994 751258917 497730168 244537326 253528749 403244770 412083246 103954766 93963848 933774912 957425872 106934703 138064745 188817195 182168437 33657534 27941217 329409432 348174399 X 601976008 606776261 2389472 2475212 604365480 609251473 933774912 957425872 X 48275554 -43389561 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4625632 4625632 240736119 160358058 80378061 0 444182980 328391365 115791615 61714186 8980745 52733441 253528749 Trusteed Acquisition Fund 57950731 Ppd Software Maint./Training 14171563 Due from Affiliates 12490600 Other Receivables 1690318 Int in Net Assets of Affil.Fdn 2475212 Unamortized Bond Issue Cost 1700798 Other Asset 1699762 Accrued Interest Receivable 415864 Due from Third Party Payer 1369000 93963848 0 IT CONTRACT 20022382 Fair Value of Int Rate Swaps 7918835 27941217 632851205 584575651 48275554 -8554905 -34834656 -43389561 4885993 622957078 -8554905 -1339222 -9894127 632851205 632851205 584176178 584176178 399473 399473 584575651 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 8: Change in fair value of interest rate swaps (939,749) Pension-related changes other than net periodic pension cost (33,980,647) Increase in interest in net assets of affiliated foundation 85,740 Part XII, Line 2d: Change in fair value of interest rate swaps of <939,749> was included in revenue on the financial statements but not on Form 990. Expenses of $399,473 were netted with revenue on the financial statements but included in expense on Form 990. Part XIII, Line 4b: Expenses of $399,473 were netted with revenue on the financial statements but included in expense on Form 990. true true X true X 71. false false true true false true true 26618927 0 26618927 0.05090 56050263 63086564 -7036301 0.01340 0 0 0 0.00000 82669190 63086564 19582626 0.03750 2251133 0 2251133 0.00430 4721199 1822939 2898260 0.00550 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 6972332 1822939 5149393 0.00980 89641522 64909503 24732019 0.04730 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 false 22387344 0 210384079 214046113 -3662034 X true true Urology PA Medical Services 0.20000 TAG Billing Svc LLC Medical Services 0.12500 0.12500 TAG PA Medical Services 0.11110 0.11110 1 1 North Mississippi Medical Center

830 S Gloster Street Tupelo MS 38801

X North Mississippi Medical Center 1 11 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

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 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 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 I, Line 7G: Not applicable Part I, Line 7, column (f): Bad Debt Expense of $60,997,342 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 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 bad debt expense at cost in Part III Line 2 was calculated using the cost to charge ratio from Worksheet 2. 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 $8,339,916 and total costs were $9,969,104 for a net shortfall of $1,629,188. When combined with the surplus reported on Line 7, the net shortfall from all Medicare programs is $5,291,222. 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. According to the 2010 census, age demographics for the service area show that approximately 24% of the population is under 18 years of age, approximately 61% is between 18 and 64 years of age and that 15% is 65 or older. Caucasians make up 71% of the service area's population while African Americans make up 25%. Median household income of $34,211 for the service area is below the overall average for Mississippi and significantly less than the nationwide average. Insurance coverage is lacking for much of the population with 19% estimated to be uninsured. Medicare covers 19% of the population, Medicaid 19% and private insurance 43%. 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 30 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. The community benefit report is available online at nmhs.net. true Mississippi University for Women 1100 College Street Columbus MS 397015800 646000826 Public Univ 50000 See Part IV University of Mississippi 216 Lyceum University MS 386770249 646001159 Public Univ 61750 See Part IV 2 0 Scholarships & Academic Reimbursements 37 41968 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. The Hospital also provides direct financial support to local nursing schools to ensure an adequate supply of nursing professionals. This support is issued based on the needs of the school. Part II, Line 1, Column (h): Mississippi University for Women - to help fund the nursing program at the College University of Mississippi - to help fund the nursing program at the College X X X X X false true false false false false false false false Bruce Toppin 0 222406 0 65303 0 6451 0 4900 0 3480 0 302540 Bruce Ridgway 185675 0 54873 0 6956 0 4900 0 3312 0 255716 0 Brian Condit 277429 0 27868 0 552 0 4900 0 3480 0 314229 0 Joseph A Reppert 0 379320 0 106433 0 16548 0 4900 0 4105 0 511306 John Heer 0 680114 0 330722 0 82169 0 4900 0 4680 0 1102585 Mark S Williams 386720 0 81711 0 22832 0 4900 0 4680 0 500843 0 Johnny M Denham 159994 0 23668 0 1393 0 0 0 0 0 185055 0 Wanda Della Calce 145138 0 21343 0 665 0 2781 0 0 0 169927 0 Ellen Friloux 145138 0 21208 0 1710 0 3351 0 0 0 171407 0 George Hand 134020 0 20094 0 3531 0 3214 0 3480 0 164339 0 Donna Lewis 145422 0 20810 0 2520 0 3368 0 0 0 172120 0 David Brooks 203194 0 27633 0 1032 0 4685 0 3480 0 240024 0 Casey L Humphries 227661 0 9096 0 5118 0 4717 0 4080 0 250672 0 Thomas E Bozeman 209247 0 52249 9115 10632 0 4900 126 3312 0 280340 9241 Steve Altmiller 456097 0 124253 0 30359 0 3893 0 3787 0 618389 0 Michael Benge 220315 0 9170 0 2288 0 4574 0 4080 0 240427 0 Robert K Rogers 210909 0 7097 0 3028 0 4502 0 4120 0 229656 0 Gerald Wages 0 269225 0 139878 0 223679 0 4900 0 3962 0 641644 Part I, Line 4b: Participants: John Heer $75,376 Steve Altmiller $29,117 Joe Reppert $15,738 Mark Williams $20,510 Gerald Wages $213,346 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. Mississippi Hospital & Equip Facilities Authority 640732320 605360MV5 2003-07-02 91564031 See Part V false false false Mississippi Hospital Equip & Facilities Authority 640732320 605360RS7 2010-08-18 76018658 See Part V false false false 0 0 93769870 0 0 0 904266 0 0 32205313 0 0 2009 true false true true 0 0 77256879 0 0 0 1018662 0 0 22784914 0 53453302 false false false true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false true true Goldman Sachs 12.7 false false false true false false false false false false false Schedule K, Part I: North Mississippi Medical Center, along with certain North Mississippi Health Services affiliates (collectively known as the Obligated Group), periodically issue tax exempt revenue bonds under the terms of a related master indenture. 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 contruction and purchase equipment and MIS systems Schedule K, Part IV, Line 3c: Term of Hedge: Series 1: 12.7 years Series 2: 29.7 years Schedule K, Part IV, Line 5: Although funds were invested beyond the temporary period, the yield did not exceed the allowable amount. Urology PA See Part V 344689 Rental of office space false North Mississippi Pain Management See Part V 160352 Rental of office space false Tupelo Anesthesia Group See Part V 77936 Rental of office space false BancorpSouth See Part V 249124 Service Charges & Trust Fees false Tupelo Anesthesia Group See Part V 519412 Physician & Consulting Fees false Tupelo Anesthesia Group See Part V 260214 Collection Fees false Urology PA See Part V 1038600 Lithotripter Services false Center for Digestive Health See Part V 277441 Rental of office space false Center for Digestive Health See Part V 17808 Other Miscellaneous Expenses false Center for Digestive Health See Part V 28758 Nursing Home & Pt Care Svs false Schedule L, Part IV, Column (b): Urology, PA - Entity more than 5% owned by Hughes Milam, director Pain Management - Entity more than 5% owned by Richard Heyer, director Tupelo Anesthesia Group - Entity more than 5% owned by Richard Heyer, director BancorpSouth - Entity which Jim Kelley, Director, is an officer Center for Digestive Health - Entity more than 5% owned by Barney Guyton, 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 $387,000 in fiscal year 2011. 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 returns 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 returns are then sent to the Executive VP/Treasurer to be reviewed. 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 5: Pension related changes other than net periodic pension cost: <33,980,647> Increase in interest in net assets of Affiliated Foundation: 85,740 Unrealized Loss: <8,554,905> Change in fair value of interest rate swaps: <939,749> Total other changes in net assets or fund balance = <43,389,561> HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Bruce Toppin TITLE:Secretary/VP/General Counsel HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Joseph A. Reppert TITLE:Treasurer/Executive V.P./CFO HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Heer TITLE:Former President & CEO HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gerald Wages TITLE:Former Treasurer HOURS:40 North MS Management Services Inc 830 S Gloster Street Tupelo MS 38801 640762694 Mgmt & Admin DE 501(c)(3) 11-I NA North MS Health Services Inc 830 S Gloster Street Tupelo MS 38801 640653269 Mgmt Services DE 501(c)(3) 11-II NA Clay County Medical Corporation 830 S Gloster Street Tupelo MS 38801 640668465 Hospital DE 501(c)(3) 3 NA Tishomingo Health Services Inc 830 S Gloster Street Tupelo MS 38801 640741047 Hospital DE 501(c)(3) 3 NA Pontotoc Health Services Inc 830 S Gloster Street Tupelo MS 38801 640751410 Hospital DE 501(c)(3) 3 NA North MS Medical Clinics Inc 830 S Gloster Street Tupelo MS 38801 640787918 Med Clinics DE 501(c)(3) 3 NA Tupelo Service Finance Inc 844 Cliff Gookin Blvd Tupelo MS 38801 640508308 Collections DE 501(c)(3) 3 NA Webster Health Services Inc 830 S Gloster Street Tupelo MS 38801 640819193 Hospital DE 501(c)(3) 3 NA Marion Regional Medical Center Inc 830 S Gloster Street Tupelo MS 38801 640926753 Hospital DE 501(c)(3) 3 NA North MS Emergency Services Inc 830 S Gloster Street Tupelo MS 38801 640780130 ER Physicians DE 501(c)(3) 9 NA North MS Health Link Inc 830 S Gloster Street Tupelo MS 38801 640715886 Medical Services DE NA C Corp North MS Enterprises Inc 830 S Gloster Street Tupelo MS 38801 640658059 Medical Services DE NA C Corp Professional Practice Management Inc 830 S Gloster Street Tupelo MS 38801 721390014 Med Serv Mgmt DE NA C Corp Acclaim Inc 830 S Gloster Street Tupelo MS 38801 721356116 Hlth Care Claims DE NA C Corp North MS Support Services Inc 830 S Gloster Street Tupelo MS 38801 260718275 Support Services DE NA C Corp true false false true false false false false false true true true false true false true true true