NORTH MISSISSIPPI MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: NORTH MISSISSIPPI MEDICAL CENTER INC (EIN 64-0662976)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-11
IRS object ID: 201102239349301465
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-11T10:34:04-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	190 E Capitol Street Suite 500	AddressLine1
City	Jackson	City
State	MS	State
ZIP Code	392012190	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	640662976	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	North Mississippi Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	6623773977	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 South Gloster Street	AddressLine1
City	Tupelo	City
State	MS	State
ZIP Code	38801	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Joe Reppert	Name
Title	Executive Vice President/CFO	Title
Date Signed	2011-08-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Penny Wood CPA	Name
Phone	6019486700	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Joe Reppert	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	830 South Gloster Street	AddressLine1
City	Tupelo	City
State	MS	State
ZIP Code	38801	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1006656678	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.nmhs.net/	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	DE	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	4409	TotalNbrEmployees
Total Nbr Volunteers	464	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1573839	ContributionsGrantsPriorYear
Contributions Grants Current Year	588492	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	548169826	ProgramServiceRevenuePriorYear
Program Service Revenue CY	574733141	ProgramServiceRevenueCY
Investment Income Prior Year	18695131	InvestmentIncomePriorYear
Investment Income Current Year	13484213	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12953646	OtherRevenuePriorYear
Other Revenue Current Year	13430301	OtherRevenueCurrentYear
Total Revenue Prior Year	581392442	TotalRevenuePriorYear
Total Revenue Current Year	602236147	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	143387	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	116264	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	235709920	SalariesEtcPriorYear
Salaries Etc Current Year	258175928	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	291053684	OtherExpensePriorYear
Other Expenses Current Year	299664311	OtherExpensesCurrentYear
Total Expenses Prior Year	526906991	TotalExpensesPriorYear
Total Expenses Current Year	557956503	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	54485451	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	44279644	RevenuesLessExpensesCY
Total Assets BOY	778530707	TotalAssetsBOY
Total Assets EOY	933774912	TotalAssetsEOY
Total Liabilities BOY	203545693	TotalLiabilitiesBOY
Total Liabilities EOY	329409432	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	574985014	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	604365480	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	489051003	Expense
Grants	116264	Grants
Revenue	576728680	Revenue
Description	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 2010, there were over 25,500 inpatient admissions, over 74,100 emergency department visits, and over 266,000 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	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 $71,700,000 in fiscal year 2010. Based on the gross charges provided to charity patients compared to total hospital gross charges, 6% of all services in fiscal year 2010 were provided on a charity basis. The net cost of charity care provided by NMMC was approximately $28,237,000 in fiscal year 2010. 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1717000	Expense
Description	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 $1,194,000 in fiscal year 2010. 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 $523,000 in fiscal year 2010.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	336000	Expense
Description	See Schedule O for Description	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	336000	TotalOfOtherProgramServiceExp
Total Program Service Expense	491104003	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	140	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4409	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JOE REPPERT	NamePerson
Telephone Number	6623773977	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	830 SOUTH GLOSTER STREET	AddressLine1
City	Tupelo	City
State	MS	State
ZIP Code	38801	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Max Taylor MD
Director	1.0	X	0	357243	3120
Richard Heyer MD
Vice-Chairman	1.0	X	0	0	0
Skipper Holliman
Director	1.0	X	0	0	0
Jim Kelley
Chairman	1.0	X	0	0	0
Zell Long
Director	1.0	X	0	0	0
Hughes Milam MD
Director	1.0	X	0	0	0
Mabel Murphree PHD
Director	1.0	X	0	0	0
Scott Reed
Director	1.0	X	0	0	0
Chris Rogers
Director	1.0	X	0	0	0
Al Tidwell
Director	1.0	X	0	0	0
Mary Werner
Director	1.0	X	0	0	0
Wilson Long
Director	1.0	X	0	0	0
Mark Ray MD
Director	1.0	X	0	0	0
Bruce Toppin
Secretary/V.P./General Counsel	1.0		0	298009	8020	X
Joseph A Reppert
Treasurer/Executive V.P./CFO	1.0		0	452988	2860	X
Steve P Altmiller
President	40.0		258694	0	1240	X
John R Heer
Interim President & CEO	1.0		0	1043070	8370	X
Laura E Brower
Vice President	40.0		289700		7396		X
Bruce Ridgway
Vice President	40.0		251663	0	6666		X
Mark S Williams
V.P./Chief Medical Director	40.0		482504	0	2860		X
Johnny M Denham
Service Line Administrator	40.0		179866	0	0		X
Wanda Della Calce
Service Line Administrator	40.0		158564	0	3611		X
Ellen Friloux
Service Line Administrator	40.0		153928	0	3071		X
Michael L O'Dell
Physician	40.0		364660	0	8020			X
Brian E Condit
Physician	40.0		313919	0	8020			X
Terry R Perrine
Physician	40.0		286063	0	6500			X
David Brooks
Physician	40.0		302943	0	6220			X
Casey L Humphries
CRNA	40.0		262689	0	7844			X
Gerald D Wages
Former Treasurer			0	848369	8020				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3305193	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2999679	TotalReportableCompFrmRltdOrgs
Total Other Compensation	91838	TotalOtherCompensation
Number Individuals GT100 K	136	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Eclipsys Solution Corp
PO Box 8538-0133	PHILADELPHIA	PA	191710133	On Line Processing	5923404
Mayo Collaborative
DBA Mayo Med Laboratories	MINNEAPOLIS	MN	554809146	Lab Testing	2017389
Tupelo Emergency Group
PO Box 82368	LAFAYETTE	LA	705982368	Physician Fees	1925215
GE Healthcare
PO Box 402076	ATLANTA	GA	303842076	Purch. Maintenance	1924245
Advanced Perfusion
201 Poplar Springs Drive	TUPELO	MS	388040000	Perfusionist Fees	1718819

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	52	NumberOfContractorsGT100K
Related Organizations	320792	RelatedOrganizations
Government Grants	237700	GovernmentGrants
All Other Contributions	30000	AllOtherContributions
Total Contributions	588492	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Revenue	900099	571955015	571955015
Related Rental Income	900099	2778126	2778126

Field	Value	IRS element (for citing)
Total Program Service Revenue	574733141	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10047916	TotalRevenueColumn
Exclusion	$10,047,916	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	9863	TotalRevenueColumn
Exclusion	$9,863	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	407747415	Securities
Other	99550	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	404420531	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3326884	Securities
Other	99550	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3426434	TotalRevenueColumn
Exclusion	$3,426,434	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Employee Drug Sales	900099	8465857	$8,465,857
Cafeteria Revenue	900099	2003171		2003171
Child Development Center Revenue	900099	929719	$929,719

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2031554	TotalRevenueColumn
Exclusion	$2,031,554	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	13430301	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	602236147	TotalRevenueColumn
Related Or Exempt Function Income	576736312	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$24,911,343	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	116264	Total
Program Services	116264	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1827127	Total
Management And General	1827127	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	178663647	Total
Program Services	143796674	ProgramServices
Management And General	34866973	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8554535	Total
Program Services	8554535	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	56285623	Total
Program Services	56285623	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12844996	Total
Program Services	10059366	ProgramServices
Management And General	2785630	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	21948678	Total
Management And General	21948678	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	301222	Total
Management And General	301222	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	243344	Total
Management And General	243344	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	887927	Total
Management And General	887927	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	25888242	Total
Program Services	25170067	ProgramServices
Management And General	718175	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1866135	Total
Program Services	1866135	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	124680395	Total
Program Services	124680395	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5498343	Total
Program Services	5498343	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7817927	Total
Program Services	7817927	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	3068686	Total
Program Services	3068686	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1931177	Total
Program Services	1931177	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	3141283	Total
Program Services	3141283	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33792596	Total
Program Services	33792596	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3273424	Total
Management And General	3273424	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Bad Debt Expense	55995942	55995942
Collection Fees	2687690	2687690
Repairs and Maintenance	2026027	2026027
Recruitment	1904726	1904726
Taxes and Licenses	1006330	1006330

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1704217	Total
Program Services	1704217	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	557956503	Total
Program Services	491104003	ProgramServices
Management And General	66852500	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	62078733	BOY
EOY	68033235	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	5722530	BOY
EOY	9049986	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	92119202	BOY
EOY	91770031	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10123497	BOY
EOY	10939708	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	483114	BOY
EOY	2245090	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	710095574	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	465558248	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	219061368	BOY
EOY	244537326	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	379937070	BOY
EOY	403244770	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9005193	BOY
EOY	103954766	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	778530707	BOY
EOY	933774912	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	80110178	BOY
EOY	106934703	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	118583485	BOY
EOY	188817195	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4852030	BOY
EOY	33657534	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	203545693	BOY
EOY	329409432	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	572704399	BOY
EOY	601976008	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2280615	BOY
EOY	2389472	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	574985014	BOY
EOY	604365480	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	778530707	BOY
EOY	933774912	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4625632	OtherCostOrOtherBasis
Book Value	4625632	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	232086496	OtherCostOrOtherBasis
Depreciation	136327170	Depreciation
Book Value	95759326	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	415917140	OtherCostOrOtherBasis
Depreciation	320622767	Depreciation
Book Value	95294373	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	57466306	OtherCostOrOtherBasis
Depreciation	8608311	Depreciation
Book Value	48857995	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	244537326	TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescription	Book ValueBookValue
Trusteed Acquisition Fund	74162657
Trusteed Bond Funds	299323
Ppd Software Maint./Training	16104704
Due from Affiliates	5200642
Other Receivables	2099361
Int in Net Assets of Affil.Fdn	2389472
Unamortized Bond Issue Cost	1834391
Other Asset	1253708
Accrued Interest Receivable	610508

Field	Value	IRS element (for citing)
Total Book Value Other Assets	103954766	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
IT CONTRACT	$26,678,448
Fair Value of Int Rate Swaps	$6,979,086

Field	Value	IRS element (for citing)
Total Of Amounts	33657534	TotalOfAmounts
Total Revenue	602236147	TotalRevenue
Total Expenses	557956503	TotalExpenses
Excess Or Deficit For Year	44279644	ExcessOrDeficitForYear
Net Unrealized GL On Investments	9227994	NetUnrealizedGLOnInvestments
Other	-$24,127,172	OtherAmount
Total Adjustments	-14899178	TotalAdjustments
Excess Or Deficit Per FS	29380466	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	609337085	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	9227994	NetUnrealizedGainsInvestments
Other Revenues	-2127056	OtherRevenues
Revenue Not Rptd F990	7100938	RevenueNotRptdF990
Revenue Subtotal	602236147	RevenueSubtotal
Total Revenue Per Form990	602236147	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	557956503	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	557956503	ExpensesSubtotal
Total Expenses Per Form990	557956503	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule D, Part X, Line 2:	Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
Schedule D, Part XI, Line 8:	Change in fair value of interest rate swaps of <$2,127,056> was included in revenue on the financial statements but not on the Form 990. Transfers of capital to affiliates of North Mississippi Health Services, Inc. <$11,521,350> Pension-related changes other than net periodic pension cost <$10,587,623> Increase in interest in net assets of affiliated foundation $108,857
Schedule D, Part XII, Line 2d:	Change in fair value of interest rate swaps of $2,127,056 was included in revenue on the financial statements but not on the Form 990.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	75.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	false	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26772456	TotalCommunityBenefitExpense
Net Community Benefit Expense	26772456	NetCommunityBenefitExpense
Percent Of Total Expense	0.05330	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54652133	TotalCommunityBenefitExpense
Direct Offsetting Revenue	60765881	DirectOffsettingRevenue
Net Community Benefit Expense	-6113749	NetCommunityBenefitExpense
Percent Of Total Expense	0.01220	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81424589	TotalCommunityBenefitExpense
Direct Offsetting Revenue	60765881	DirectOffsettingRevenue
Net Community Benefit Expense	20658707	NetCommunityBenefitExpense
Percent Of Total Expense	0.04110	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2052586	TotalCommunityBenefitExpense
Net Community Benefit Expense	2052586	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4418583	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1574064	DirectOffsettingRevenue
Net Community Benefit Expense	2844519	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6471169	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1574064	DirectOffsettingRevenue
Net Community Benefit Expense	4897105	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	87895758	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62339945	DirectOffsettingRevenue
Net Community Benefit Expense	25555812	NetCommunityBenefitExpense
Percent Of Total Expense	0.05090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$20,914,652	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	208743096	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	207712506	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	1030590	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Urology PA
Medical Services	0.20000
TAG Billing Svs LLC
Medical Services	0.12500	0.12500
TAG PA
Medical Services	0.11110	0.11110

Form990 Schedule H Part V Form990ScheduleHPartV (12 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	OtherOther
North Mississippi Medical Center
830 S Gloster Street	Tupelo	MS	38801	X
NMMC Behavioral Health
4579 South Eason	Tupelo	MS	38801		Behavioral Health Facility
Baldwyn Nursing Facility
739 4th Street	Baldwyn	MS	38824		Skilled Nursing Facility
NMMC Women's Hospital
4566 South Eason	Tupelo	MS	38801		Women's Care Facility
NMMC Breast Care Center
4376 South Eason	Tupelo	MS	38801		Breast Care Facility
NMMC Family Practice Residency Center
1680 South Green Street	Tupelo	MS	38801		Family Care 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		Rehabilitation Clinic
NMMC Cancer Center
990 South Madison	Tupelo	MS	38801		Cancer Center
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

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	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).	IncomeBasedCriteria
Annual Community Benefit Expln	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.	AnnualCommunityBenefitExpln
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Not Applicable	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Bad Debt Expense of $55,995,942 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).	PercentOfTotalExpenseExpln
Bad Debt Footnote	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.	BadDebtFootnote
Shortfall As Community Benefit	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 $7,866,678 and total costs were $9,454,062 for a net shortfall of $1,587,384. When combined with the surplus reported on Line 7, the net shortfall from all Medicare programs is $556,794.	ShortfallAsCommunityBenefit
Debt Collection Policy	North Mississippi Medical Center does not pursue collection of amounts determined to qualify as charity care.	DebtCollectionPolicy
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.	NeedsAssessment
Patient Education 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.	PatientEducationAssistance
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. 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%.	CommunityInformation
Community Building Activities	Not Applicable	CommunityBuildingActivities
Other Information	How the organization's hospitals further its exempt purpose by promoting the health of the community: 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.	OtherInformation
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. States Community Benefit Report Filed: 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.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Scholarships & Academic Reimbursements	TypeOfGrant
Number Of Recipients	64	NumberOfRecipients
Amount Of Cash Grant	116264	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Part I, Line 2:	Identifier
Explanation	The Hospital grants scholarships and academic reimbursements to employees based on an application process. Employees that are selected for this program must maintain a 2.5 GPA for an Associate and Bachelors Degree and a 3.0 GPA for a Masters degree and above. The Hospital reimburses the employee the cost of the tuition at the in-state rate for courses that are defined in the curriculum provided by the College attended.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs
Max Taylor MD
0	356211	0	0	0	1032	0	0	0	3120	0	360363
Bruce Toppin
0	224620	0	66958	0	6431	0	4900	0	3120	0	306029
Joseph A Reppert
0	336586	0	96866	0	19536	0	0	0	2860	0	455848
Steve P Altmiller
183470	0	68110	0	7114	0	0	0	1240	0	259934	0
John R Heer
0	681134	0	325740	0	36196	0	4900	0	3470	0	1051440
Laura E Brower
221094		67318		1288		4406		2990		297096
Bruce Ridgway
188349	0	56535	0	6779	0	3546	0	3120	0	258329	0
Mark S Williams
382986	0	82272	0	17246	0	0	0	2860	0	485364	0
Johnny M Denham
156732	0	22438	0	696	0	0	0	0	0	179866	0
Wanda Della Calce
138048	0	19914	0	602	0	2571	0	1040	0	162175	0
Ellen Friloux
134322	0	19230	0	376	0	3071	0	0	0	156999	0
Michael L O'Dell
317654	0	45974	0	1032	0	4900	0	3120	0	372680	0
Brian E Condit
285587	0	27780	0	552	0	4900	0	3120	0	321939	0
Terry R Perrine
182413	0	102066	0	1584	0	3380	0	3120	0	292563	0
David Brooks
243035	0	58876	0	1032	0	3100	0	3120	0	309163	0
Casey L Humphries
245679	0	10430	0	6580	0	4724	0	3120	0	270533	0
Gerald D Wages
0	444917	0	177119	0	226333	0	4900	0	3120	0	856389

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

Part I, Line 1a:

Officers Steve Altmiller and Mark Williams received a housing allowance which was included in their taxable compensation.

Part I, Line 4b:

Participants: John Heer $29,216 Joseph A. Reppert $8,461 Mark S. Williams $11,490 Gerald D. Wages $208,380 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
Mississippi Hospital Equip & Facilities Authority
640732320	605360MV5	2003-07-02	91564031	to refund a prior issue/new constr	false	false
Mississippi Hospital Equip & Facilities Authority
640732320	605360RS7	2010-08-18	76018658	Renovation of main hospital facili	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
93769047	904266	32205313	2009	true	false	true	true
76303728	1018662	1640701		false	false	false	true	73644365

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	0.00000	0.00000	0.00000	true
false	false	false	false	true	0.00000	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
Goldman Sachs
false	true	true	12.7	false	true	false
(no name)
false	false	false		false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Urology PA
See Schedule O	294618	Rental of office space	false
North Mississippi Pain Management
See Schedule O	160352	Rental of office space	false
Tupelo Anesthesia Group
See Schedule O	78304	Rental of office space	false
BancorpSouth
See Schedule O	208532	Service Charges & Trust Fees	false
Tupelo Anesthesia Group
See Schedule O	510704	Physician & Consulting Fees	false
Tupelo Anesthesia Group
See Schedule O	273027	Collection Fees	false
Uroloy PA
See Schedule O	1091456	Lithotripter Services	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 cost associated with the outreach activities were approximately $336,000 in fiscal year 2010.
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 11A:	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. (NMHS). 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 7, Part VII, Column(B):	Bruce Toppin 1 hr North Mississippi Medical Clinics, Inc. 1 hr Tupelo Service Finance 1 hr Tishomingo Health Services, Inc. 1 hr Clay County Medical Corporation 1 hr Webster Health Services, Inc. 1 hr Marion Regional Medical Center 1 hr Pontotoc Health Services, Inc. 1 hr North Mississippi Emergency Services, Inc. 1 hr North Mississippi Management Services, Inc. 30 hrs North Mississippi Health Services, Inc. Gerald Wages 1 hr Tishomingo Health Services, Inc. 1 hr Clay County Medical Corporation 1 hr Webster Health Services, Inc. 1 hr Marion Regional Medical Center 1 hr Pontotoc Health Services, Inc. 35 hrs North Mississippi Health Services, Inc. Joe Reppert 1 hr North Mississippi Medical Clinics, Inc. 1 hr Tupelo Service Finance 1 hr Tishomingo Health Services, Inc. 1 hr Clay County Medical Corporation 1 hr Webster Health Services, Inc. 1 hr Marion Regional Medical Center 1 hr Pontotoc Health Services, Inc. 1 hr North Mississippi Emergency Services, Inc. 1 hr North Mississippi Management Services, Inc. 30 hrs North Mississippi Health Services, Inc. John Heer 1 hr Tupelo Service Finance 1 hr North Mississippi Emergency Services, Inc. 1 hr North Mississippi Management Services, Inc. 36 hrs North Mississippi Health Services, Inc. Max Taylor 40 hrs North Mississippi Medical Clinics, Inc.	Estimate of average hours worked per week devoted to related organization:
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 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.
Schedule L, Part IV, Column (B):	Urology, PA - Entity more than 5% owned by Hughes Milam, director North Mississippi 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 & Wilson Long, Directors, are officers

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
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

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg