2011-08-11T10:34:04-05:00 2010-09-30 BKD LLP 190 E Capitol Street Suite 500 Jackson MS 392012190 990 2009-10-01 640662976 North Mississippi Medical Center Inc NORT 6623773977 830 South Gloster Street Tupelo MS 38801 Joe Reppert 2011-08-15 Penny Wood CPA 6019486700 2009 2016-02-24 21:20:13Z Joe Reppert 830 South Gloster Street Tupelo MS 38801 1006656678 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 8 4409 464 0 0 1573839 588492 548169826 574733141 18695131 13484213 12953646 13430301 581392442 602236147 143387 116264 0 0 235709920 258175928 0 0 0 291053684 299664311 526906991 557956503 54485451 44279644 778530707 933774912 203545693 329409432 574985014 604365480 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 489051003 116264 576728680 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. 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. 1717000 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. 336000 See Schedule O for Description 336000 491104003 true true false false false false false false false true true false false false false false false false false false true false true true true true false false false false false false true false true false false false false false true false false false true 140 0 true 4409 true false false false false false false false false false 13 8 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 Max Taylor MD 1.0 X 0 357243 3120 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 PHD 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 Wilson Long 1.0 X 0 0 0 Mark Ray MD 1.0 X 0 0 0 Bruce Toppin 1.0 X 0 298009 8020 Joseph A Reppert 1.0 X 0 452988 2860 Steve P Altmiller 40.0 X 258694 0 1240 John R Heer 1.0 X 0 1043070 8370 Laura E Brower 40.0 X 289700 7396 Bruce Ridgway 40.0 X 251663 0 6666 Mark S Williams 40.0 X 482504 0 2860 Johnny M Denham 40.0 X 179866 0 0 Wanda Della Calce 40.0 X 158564 0 3611 Ellen Friloux 40.0 X 153928 0 3071 Michael L O'Dell 40.0 X 364660 0 8020 Brian E Condit 40.0 X 313919 0 8020 Terry R Perrine 40.0 X 286063 0 6500 David Brooks 40.0 X 302943 0 6220 Casey L Humphries 40.0 X 262689 0 7844 Gerald D Wages X 0 848369 8020 3305193 2999679 91838 136 true true false 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 52 320792 237700 30000 588492 Net Patient Service Revenue 900099 571955015 571955015 Related Rental Income 900099 2778126 2778126 574733141 10047916 10047916 9863 9863 0 407747415 99550 404420531 0 3326884 99550 3426434 3426434 0 0 0 Employee Drug Sales 900099 8465857 8465857 Cafeteria Revenue 900099 2003171 2003171 Child Development Center Revenue 900099 929719 929719 2031554 2031554 13430301 602236147 576736312 0 24911343 0 116264 116264 0 0 1827127 1827127 0 178663647 143796674 34866973 8554535 8554535 56285623 56285623 12844996 10059366 2785630 21948678 21948678 301222 301222 243344 243344 0 0 887927 887927 25888242 25170067 718175 1866135 1866135 124680395 124680395 5498343 5498343 0 7817927 7817927 3068686 3068686 0 1931177 1931177 3141283 3141283 0 33792596 33792596 3273424 3273424 Bad Debt Expense 55995942 55995942 Collection Fees 2687690 2687690 Repairs and Maintenance 2026027 2026027 Recruitment 1904726 1904726 Taxes and Licenses 1006330 1006330 1704217 1704217 557956503 491104003 66852500 0 62078733 68033235 5722530 9049986 92119202 91770031 10123497 10939708 483114 2245090 710095574 465558248 219061368 244537326 379937070 403244770 9005193 103954766 778530707 933774912 80110178 106934703 118583485 188817195 4852030 33657534 203545693 329409432 X 572704399 601976008 2280615 2389472 574985014 604365480 778530707 933774912 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4625632 4625632 232086496 136327170 95759326 415917140 320622767 95294373 57466306 8608311 48857995 244537326 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 103954766 0 IT CONTRACT 26678448 Fair Value of Int Rate Swaps 6979086 33657534 602236147 557956503 44279644 9227994 -24127172 -14899178 29380466 609337085 9227994 -2127056 7100938 602236147 602236147 557956503 557956503 557956503 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. true true X true X 75. false false true true false true true 26772456 26772456 0.05330 54652133 60765881 -6113749 0.01220 81424589 60765881 20658707 0.04110 2052586 2052586 0.00410 4418583 1574064 2844519 0.00570 6471169 1574064 4897105 0.00980 87895758 62339945 25555812 0.05090 false 20914652 0 208743096 207712506 1030590 X true true Urology PA Medical Services 0.20000 TAG Billing Svs LLC Medical Services 0.12500 0.12500 TAG PA Medical Services 0.11110 0.11110 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 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). 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. 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. Not Applicable 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). 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. 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. North Mississippi Medical Center does not pursue collection of amounts determined to qualify as charity care. 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. 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. 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%. Not Applicable 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. 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. true Scholarships & Academic Reimbursements 64 116264 Part I, Line 2: The Hospital grants scholarships and academic reimbursements to employees based on an application process. Employees that are selected for this program must maintain a 2.5 GPA for an Associate and Bachelors Degree and a 3.0 GPA for a Masters degree and above. The Hospital reimburses the employee the cost of the tuition at the in-state rate for courses that are defined in the curriculum provided by the College attended. X true true X X X X X false true false false false false false false false 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 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. 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 93769047 904266 32205313 2009 true false true true 76303728 73644365 1018662 1640701 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 true false false false false false false false 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 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): Estimate of average hours worked per week devoted to related organization: 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. 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 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 true false false true false false false false true true true false true false true true true