NORTH MISSISSIPPI MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: NORTH MISSISSIPPI MEDICAL CENTER INC (EIN 64-0662976)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-11
IRS object ID: 201512239349301331
Schema version: 2013v4.0
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)
Return	2015-08-11T16:23:16-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	640662976	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% JOE REPPERT	InCareOfNm
Business Name Control	NORT	BusinessNameControlTxt
Phone	6623773977	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 South Gloster Street	AddressLine1
Address Line2	Suite	AddressLine2
City	Tupelo	City
State	MS	State
ZIP Code	38801	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOE REPPERT	PersonNm
Person Title	EXECUTIVE VP/CFO	PersonTitleTxt
Phone	6623773977	PhoneNum
Signature	2015-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Penny Wood CPA	PreparerPersonNm
PTIN	P00328157	PTIN
Phone	6623773977	PhoneNum
Preparation	2015-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Joe Reppert	PrincipalOfficerNm

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,131,100,721	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nmhs.net/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	North MS Medical Center is a 650-bed regional referral center in Tupelo, MS that serves more than 700,000 people in 24 counties in north MS, northwest AL and portions of TN.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	4212	TotalEmployeeCnt
Total Volunteers	194	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,554,509	PYContributionsGrantsAmt
CY Contributions Grants	$1,049,575	CYContributionsGrantsAmt
PY Program Service Revenue	$581,241,447	PYProgramServiceRevenueAmt
CY Program Service Revenue	$636,593,545	CYProgramServiceRevenueAmt
PY Investment Income	$15,998,166	PYInvestmentIncomeAmt
CY Investment Income	$17,691,106	CYInvestmentIncomeAmt
PY Other Revenue	$12,717,145	PYOtherRevenueAmt
CY Other Revenue	$14,006,876	CYOtherRevenueAmt
PY Total Revenue	$615,511,267	PYTotalRevenueAmt
CY Total Revenue	$669,341,102	CYTotalRevenueAmt
PY Grants And Similar Paid	$56,815	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$78,400	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$281,065,542	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$273,803,395	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$338,088,378	PYOtherExpensesAmt
CY Other Expenses	$345,286,754	CYOtherExpensesAmt
PY Total Expenses	$619,210,735	PYTotalExpensesAmt
CY Total Expenses	$619,168,549	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,699,468	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,172,553	CYRevenuesLessExpensesAmt
Total Assets BOY	$958,176,857	TotalAssetsBOYAmt
Total Assets EOY	$997,567,767	TotalAssetsEOYAmt
Total Liabilities BOY	$274,591,277	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$308,863,812	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$683,585,580	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$688,703,955	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$547,965,325	ExpenseAmt
Grant	$78,400	GrantAmt
Revenue	$638,548,416	RevenueAmt
Desc	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 2014, there were 23,788 inpatient admissions, 78,535 emergency department visits, and 279,051 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	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 77% of the Federal Poverty Rate. The policy further provides patients with household income levels above the Mississippi adjusted poverty guidelines will be liable for no more than the amount that their household income exceeds the applicable federal poverty guidelines. The policy applies to individuals who reside in NMMC's 24-county service area, as defined by the policy. Patients from outside the service area may also be granted charity care based on the judgment of NMMC management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC's request for information with which to verify the patient's eligibility. Following that policy, NMMC maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Charges foregone, based on established rates, totaled approximately $72,075,134 in fiscal year 2014. Based on the gross charges provided to charity patients compared to total hospital gross charges, 4.2% of all services in fiscal year 2014 were provided on a charity basis. The net cost of charity care provided by NMMC was approximately $21,923,856 in fiscal year 2014. 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,548,830	ExpenseAmt
Desc	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 $971,155 in fiscal year 2014. 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 $577,675 in fiscal year 2014.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$241,014	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$549,755,169	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	202	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4212	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOE REPPERT	PersonNm
Phone	6623773977	PhoneNum

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	OfficerOfficerInd	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Skipper Holliman
Director	1.0	0.0	Yes (X)
Jim Kelley
Chairman	1.0	0.0	Yes (X)
Mabel Murphree PhD
Director	1.0	0.0	Yes (X)
Chris Rogers
Director	1.0	0.0	Yes (X)
Tom Foy
Director	1.0	0.0	Yes (X)
Mary Werner
Director	1.0	0.0	Yes (X)
Barney Guyton MD
Director	1.0	0.0	Yes (X)
Mark Ray MD
Director	1.0	0.0	Yes (X)
Wilson Long
Director	1.0	0.0	Yes (X)
Mark Craig MD
Director	1.0	0.0	Yes (X)
Shane Hooper
Director	1.0	0.0	Yes (X)
Ronald Young MD
Director	1.0	0.0	Yes (X)	$11,600
Scott Reed
Director	1.0	0.0	Yes (X)
Bruce Toppin
Secretary/VP/General Counsel	11.0	29.0		$0	Yes (X)	$319,681	$8,961
Joseph A Reppert
Treasurer/Executive V.P./CFO	11.0	29.0		$0	Yes (X)	$584,935	$9,228
Michael S Spees
President	0.0	0.0		$0	Yes (X)	$397,150	$0
Bruce Ridgway
Vice President	40.0	0.0		$270,730		$0	$7,557	Yes (X)
Mark S Williams
VP/Chief Medical Officer	40.0	0.0		$563,867		$0	$10,428	Yes (X)
Johnny M Denham
Service Line Administrator	40.0	0.0		$186,805		$0	$0	Yes (X)
Wanda Della Calce
Service Line Administrator	40.0	0.0		$169,047		$0	$3,283	Yes (X)
Ellen Friloux
Service Line Administrator	40.0	0.0		$168,811		$0	$3,358	Yes (X)
George Hand
Service Line Administrator	40.0	0.0		$156,392		$0	$7,325	Yes (X)
Donna Lewis Pritchard
Service Line Administrator	40.0	0.0		$165,183		$0	$6,890	Yes (X)
Thomas E Bozeman
Vice President	40.0	0.0		$310,348		$0	$8,241	Yes (X)
Leslia Carter
Service Line Administrator	40.0	0.0		$149,917			$2,983	Yes (X)
Octavius Ivy
Service Line Administrator	40.0	0.0		$145,354		$0	$5,688	Yes (X)
Brian Condit
Physician	40.0	0.0		$276,186		$0	$9,228		Yes (X)
Karen Hughes
Physician	40.0	0.0		$65,470		$191,227	$1,278		Yes (X)
Mary Macy
Physician	40.0	0.0		$272,667		$0	$5,624		Yes (X)
J Edward Hill
Physician	40.0	0.0		$248,409		$0	$8,528		Yes (X)
George Van Osten
Physician	40.0	0.0		$605,196		$0	$10,428		Yes (X)
Steve Altmiller
Former President	40.0	0.0		$369,591		$0	$7,833			Yes (X)
Gerald Wages
Former Treasurer	0.0	8.0		$0		$123,958	$2,464			Yes (X)
Timothy H Moore
Former President		40.0		$65,972		$148,116	$7,040			Yes (X)
John Heer
Former President & CEO	0.0	40.0		$0		$1,178,581	$10,428			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,201,545	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,943,648	TotReportableCompRltdOrgAmt
Total Other Compensation	$136,793	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	156	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
AllscriptsEclipsys Solution Corp
Lockbox 077133 PO Box 8538-0133	PHILADELPHIA	PA	191710133	Support/Maint. Fees	$17,206,948
GE Healthcare
PO Box 402076	ATLANTA	GA	303842076	Maintenance	$3,990,010
Mayo Collaborative
DBA Mayo Med Laboratories	MINNEAPOLIS	MN	554809146	Lab Testing	$2,859,262
DHP Management Services
PO Box 634850	CINCINNATI	OH	452634850	Physician Fees	$2,234,363
Tupelo Emergency Group
PO Box 82368	LAFAYETTE	LA	705982368	Physician Fees	$1,841,284

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	60	CntrctRcvdGreaterThan100KCnt
Related Organizations	$353,832	RelatedOrganizationsAmt
Government Grants	$691,634	GovernmentGrantsAmt
All Other Contributions	$4,109	AllOtherContributionsAmt
Total Contributions	$1,049,575	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	900099	$633,852,448	$633,852,448
Related Rental Income	900099	$2,741,097	$2,741,097

Field	Value	IRS element (for citing)
Total Program Service Revenue	$636,593,545	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,110,666	TotalRevenueColumnAmt
Exclusion	$7,110,666	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,456	TotalRevenueColumnAmt
Exclusion	$2,456	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$472,261,901	SecuritiesAmt
Other	$75,702	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$461,734,922	SecuritiesAmt
Other	$24,697	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,526,979	SecuritiesAmt
Other	$51,005	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,577,984	TotalRevenueColumnAmt
Exclusion	$10,577,984	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Employee Drug Sales	900099	$8,228,701	$8,228,701
Cafeteria Revenue	900099	$1,954,871		$1,954,871
Child Development Center Revenue	900099	$902,562	$902,562

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,920,742	TotalRevenueColumnAmt
Exclusion	$2,920,742	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,006,876	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$669,341,102	TotalRevenueColumnAmt
Related Or Exempt Func Income	$638,548,416	RelatedOrExemptFuncIncomeAmt
Exclusion	$29,743,111	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$60,000	TotalAmt
Program Services	$60,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$18,400	TotalAmt
Program Services	$18,400	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,508,328	TotalAmt
Management And General	$2,508,328	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$188,616,935	TotalAmt
Program Services	$153,343,287	ProgramServicesAmt
Management And General	$35,273,648	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,488,929	TotalAmt
Program Services	$10,488,929	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$58,181,317	TotalAmt
Program Services	$58,181,317	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,007,886	TotalAmt
Program Services	$11,135,678	ProgramServicesAmt
Management And General	$2,872,208	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$24,459,384	TotalAmt
Management And General	$24,459,384	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$288,478	TotalAmt
Management And General	$288,478	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$273,571	TotalAmt
Management And General	$273,571	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$879,253	TotalAmt
Management And General	$879,253	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$38,560,153	TotalAmt
Program Services	$37,356,381	ProgramServicesAmt
Management And General	$1,203,772	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,761,228	TotalAmt
Program Services	$1,761,228	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,681,871	TotalAmt
Program Services	$9,681,871	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,726,689	TotalAmt
Program Services	$7,726,689	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,571,693	TotalAmt
Program Services	$9,571,693	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,071,490	TotalAmt
Program Services	$3,071,490	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,787,582	TotalAmt
Program Services	$1,787,582	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,644,101	TotalAmt
Program Services	$4,644,101	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,292,753	TotalAmt
Program Services	$38,292,753	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,654,738	TotalAmt
Management And General	$1,654,738	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$121,708,810	$121,708,810
Bad Debt Expense	$69,686,696	$69,686,696
Collection Fees	$2,788,597	$2,788,597
RECRUITMENT	$2,720,921	$2,720,921

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,728,746	TotalAmt
Program Services	$5,728,746	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$619,168,549	TotalAmt
Program Services	$549,755,169	ProgramServicesAmt
Management And General	$69,413,380	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$37,607,170	BOYAmt
EOY	$58,398,451	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,426,587	BOYAmt
EOY	$12,054,314	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$100,138,846	BOYAmt
EOY	$112,726,670	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,790,297	BOYAmt
EOY	$15,964,545	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,940,796	BOYAmt
EOY	$3,368,829	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$735,431,037	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$484,343,169	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$258,072,836	BOYAmt
EOY	$251,087,868	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$474,162,898	BOYAmt
EOY	$493,135,983	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$60,037,427	BOYAmt
EOY	$50,831,107	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$958,176,857	BOYAmt
EOY	$997,567,767	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$89,658,871	BOYAmt
EOY	$132,143,908	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$168,395,331	BOYAmt
EOY	$161,204,737	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,537,075	BOYAmt
EOY	$15,515,167	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$274,591,277	BOYAmt
EOY	$308,863,812	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$681,448,317	BOYAmt
EOY	$686,680,790	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,137,263	BOYAmt
EOY	$2,023,165	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$683,585,580	BOYAmt
EOY	$688,703,955	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$958,176,857	BOYAmt
EOY	$997,567,767	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,172,553	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,014,876	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$48,069,054	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,621,170	OtherCostOrOtherBasisAmt
Book Value	$4,621,170	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$273,666,735	OtherCostOrOtherBasisAmt
Depreciation	$174,142,460	DepreciationAmt
Book Value	$99,524,275	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$418,374,640	OtherCostOrOtherBasisAmt
Depreciation	$300,016,275	DepreciationAmt
Book Value	$118,358,365	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,768,492	OtherCostOrOtherBasisAmt
Depreciation	$10,184,434	DepreciationAmt
Book Value	$28,584,058	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$251,087,868	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
Trusteed Acquisition Fund	$3,856,882
Ppd Software Maint./Training	$8,741,730
Due from Affiliates	$28,238,172
Other Receivables	$3,740,193
Int in Net Assets of Affil.Fdn	$2,023,165
Unamortized Bond Issue Cost	$1,327,319
Other Asset	$2,862,589
Accrued Interest Receivable	$41,057

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$50,831,107	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Other Long-Term Liability	$10,143,210
Fair Value of Int Rate Swaps	$5,371,957

Field	Value	IRS element (for citing)
Total Liability	$15,515,167	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$601,892,688	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,014,876	NetUnrealizedGainsInvstAmt
Other Revenue	-$70,463,290	OtherRevenueAmt
Revenue Not Reported	-$67,448,414	RevenueNotReportedAmt
Revenue Subtotal	$669,341,102	RevenueSubtotalAmt
Total Revenue Per Form990	$669,341,102	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$549,421,853	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$549,421,853	ExpensesSubtotalAmt
Other Expenses Not Included	$69,746,696	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$69,746,696	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$619,168,549	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part X, Line 2:	The Medical Center applies FASB ASC Topic 740 for Income Taxes ("Topic 740"), which clarifies the accounting for uncertainty in income tax positions and provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There has been no impact on the Medical Center's financial statements as a result of Topic 740.
Part XI, Line 2d:	Change in fair value of interest rate swaps of (716,594) was included in revenue on the financial statements but not on Form 990. Bad debt expense of 69,686,696 was included in patient revenue on the financial statements but is included in expense on the return. Donations of 60,000 was included in revenue on the financial statements but is included in expense on the return.
Part XII, Line 4b:	Bad debt expense of 69,686,696 was included in patient revenue and grants of 60,000 were included in other revenue on the financial statements but is included in expense on the return.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	77.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,923,856	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,923,856	NetCommunityBenefitExpnsAmt
Total Expense	0.03990	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,891,706	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,239,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$12,347,331	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,815,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,239,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,576,525	NetCommunityBenefitExpnsAmt
Total Expense	0.03990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,789,844	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,789,844	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,510,465	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,816,495	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,693,970	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,360,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,816,495	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,543,814	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,175,871	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,055,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,120,339	NetCommunityBenefitExpnsAmt
Total Expense	0.04820	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$69,686,696	BadDebtExpenseAmt
Reimbursed By Medicare	$231,720,085	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$230,614,448	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,105,637	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	http://www.nmhs.net/	WebsiteAddressTxt
State License	13-063	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Other	Yes (X)	OtherInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	77.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	false	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
NMMC Behavioral Health
4579 South Eason	Tupelo	MS	38801	Mental Health Facility
Baldwyn Nursing Facility
739 4th Street	Baldwyn	MS	38824	Skilled Nursing Facility
NMMC Women's Hospital
4566 South Eason	Tupelo	MS	38801	Pediatric and OB/GYN Center
NMMC Breast Care Center
4376 South Eason	Tupelo	MS	38801	Outpatient Breast Care Center
NMMC Family Practice Residency Center
1680 South Green Street	Tupelo	MS	38801	Outpatient Teaching Facility
NMMC Home Care and Hospice
422A E President Street	Tupelo	MS	38801	Home Care and Hospice Facility
NMMC Longtown Rehab
4381 South Eason Blvd	Tupelo	MS	38801	Outpatient Rehabilitation Services
NMMC Cancer Center
990 South Madison	Tupelo	MS	38801	Outpatient Oncology Services
NMMC Wellness Center
1030 South Madison	Tupelo	MS	38801	Wellness Center
Pontotoc Wellness Center
38 West Reynolds Street	Pontotoc	MS	38863	Wellness Center
Baldwyn Wellness Center
920 North Fourth Street Suite A	Baldwyn	MS	38824	Wellness Center
North MS Hematology & Oncology
961 South Gloster	Tupelo	MS	38801	Cancer Center

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3C:	North Mississippi Medical Center, Inc. does not use the Federal Poverty Guidelines to determine eligibility for discounted care. The Federal Poverty Guidelines are used only for free care. Discounted care is given to anyone regardless of income level if they do not have insurance. North Mississippi Medical Center will provide its prevalent managed care discount to any patient that meets North Mississippi Medical Center's definition of uninsured (an individual having no third party coverage by commercial third party insurer, an ERISA plan, Medicare, Medicaid, SCHIP, Champus or other coverage for all or part of their bill).
Part I, Line 6A:	North Mississippi Medical Center's community benefit information is included in the community benefit report of its parent company, North Mississippi Health Services, Inc. North Mississippi Health Services (NMHS) is a diversified regional health care organization, which serves 24 counties in north Mississippi and northwest Alabama from headquarters in Tupelo, MS. The NMHS organization covers a broad range of acute diagnostic and therapeutic services, offered through North Mississippi Medical Center in Tupelo; a community hospital system with locations in Eupora, Iuka, Pontotoc, West Point, MS, and Hamilton AL; North Mississippi Medical Clinics, a regional network of more than 36 primary and specialty clinics; and nursing homes. NMHS offers a comprehensive portfolio of managed care plans.
Part I, Line 7G:	Not applicable
Part I, Line 7, column (f):	Bad Debt Expense of $69,686,696 was included in total expense on Form 990, Part IX, Line 25, Column (A), but was subtracted from total expense for purposes of calculating the percentage of total expense in column (F).
Part I, Line 7:	A cost to charge ratio was used for the amounts reported in the table for Line 7. The cost to charge ratio for Line 7 was calculated using Worksheet 2.
Part III, Line 4:	North Mississippi Medical Center's (NMMC) financial statements do not include a footnote specifically concerning bad debt. Bad debt is shown as a separate line item on the face of the income statement. The amount of bad debt booked each year is based on a review of outstanding receivables and their age from date of service. The older the account, the higher the reserve percentage used to estimate bad debt. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluations and specific circumstances of the account. The amount reported in Part III, line 2 as bad debt expense matches the amount of bad debt expense reported on NMMC's audited financial statements. North Mississippi Medical Center (NMMC) follows the Catholic Health Association guidelines and does not include bad debt in any community benefit amounts. NMMC, however, believes that some portion of bad debt results from patients who could qualify for charity care but has no way of making an estimate of the amount and therefore has answered "zero" for Part III Line 3.
Part III, Line 8:	The ratio of cost to charges used in the calculation of costs for Medicare was taken from the Medicare Cost Report. Lines 5, 6, & 7 do not include certain Medicare programs and costs and thus do not reflect all of the organization's revenues and costs associated with its participation in Medicare programs. Additional revenues and costs not reported on Lines 5, 6, & 7 include those associated with the organization's Medicare outpatient lab, ambulance and therapy services. Total revenues from these activities were $8,056,194 and total costs were $8,179,608 for a net shortfall of $123,415. When combined with the surplus reported on Line 7, the net surplus from all Medicare programs is $982,222.
Part III, Line 9b:	North Mississippi Medical Center does not pursue collection of amounts determined to qualify as charity care.
Part V, Line 1j:	A description of health indicators that affect the overall health of the community enabling access to health care.
Part V, Line 3:	Telephone and mail surveys involving various people in the community were conducted and the findings were summarized in the CHNA report. North Mississippi Medical Center's Community Health Department also works closely with the local and state departments of health, which has resulted in several projects concerning obesity and smoking cessation.
Part V, Line 4:	North Mississippi Medical Center is part of the North Mississippi Health Services' diversified regional healthcare system. North Mississippi Health Services operates five community hospitals in addition to North Mississippi Medical Center. The CHNA included North Mississippi Medical Center, Clay County Medical Corporation, Pontotoc Health Services, Webster Health Services, Tishomingo Health Services, and Marion Regional Medical Center.
Part V, Line 5c:	At http://www.nmhs.net/documents/NMMC2013Report-Catchmentwithcounties.pdf
Part V, Line 7:	There were numerous health needs identified in the CHNA report as the state of Mississippi ranks last in the U.S. regarding overall health. It is not financially feasible for North Mississippi Medical Center to address each of the needs identified. Instead, North Mississippi Medical Center has prioritized and addressed the needs that cause the biggest concern for the community. Currently, North Mississippi Medical Center is addressing the most pressing needs of obesity (including child hood obesity), smoking cessation, and diabetes.
Part V, Line 11:	North Mississippi Medical Center, Inc. does not use the Federal Poverty Guidelines to determine eligibility for discounted care. The Federal Poverty Guidelines are used only for free care. Discounted care is given to anyone regardless of income level if they do not have insurance. North Mississippi Medical Center will provide its prevalent managed care discount to any patient that meets North Mississippi Medical Center's definition of uninsured (an individual having no third party coverage by commercial third party insurer, an ERISA plan, Medicare, Medicaid, SCHIP, Champus or other coverage for all or part of their bill).
Part VI, Line 2:	Needs Assessment North Mississippi Medical Center utilizes varied but complimentary methods to assess the health care needs of the communities it serves. The North Mississippi Medical Center Community Health Needs Assessment is performed every three years and provides information on health status, utilization of health services, healthy beliefs and satisfaction with health care services. In addition, the North Mississippi Medical Center Community Relations Facilitator conducts routine visits with internal and external stakeholders. The information gathered through several qualitative survey questions is used to determine community needs.
Part VI, Line 3:	Patient education of eligibility for assistance Explanations of the North Mississippi Medical Center charity care policy are communicated in a variety of forms including signage at all admission and registration areas, on the web site, on bills and statements, and in admission packets. Financial counselors assist the patient and responsible parties with determining eligibility for government programs, primarily Medicaid, and charity care status. The patient can apply for charity care at any time from the date of service through the collection process and once qualified and approved all collection efforts are stopped.
Part VI, Line 4:	Community Information North Mississippi Medical Center serves more than 700,000 people in 24 counties in north Mississippi, northwest Alabama and portions of Tennessee. The most populous counties are Lee and Lowndes in MS and Colbert County in AL. The population for the service area is projected to remain essentially flat over the next five years. The patient population for North Mississippi Medical Center is covered by insurance or is uninsured as follows: 49.28% Medicare, 9.58% Medicaid, 32.26% private insurance with 8.88% is uninsured.
Part VI, Line 5:	Promotion of community health North Mississippi Medical Center (NMMC) has a commitment to a wide variety of community health outreach activities, which are coordinated by the Community Health department and are staffed by employees of that department as well as by NMMC employees who volunteer their time to help with these events and activities. The Community Health department assists in educating the community on health-related issues by organizing and presenting various health fairs and seminars. These events are held at local businesses, schools and community organizations and address such issues as cancer care, heart health, bone and joint care, sinus and allergy issues, newborn and child care, and other health-related topics. In addition, the Community Health department sponsors cholesterol, blood pressure, vision, memory, and heart-risk screening events, through which tests are made available to the public for a nominal fee or at no charge with the majority of the costs incurred absorbed by NMMC. NMMC also employs registered nurses and certified health educators and provides their services to schools in its service area at no cost to the school systems. These nurses and educators provide basic healthcare and instructional services to the students in the schools they serve.
Part VI, Line 6:	Affiliated Health Care System As noted above, North Mississippi Medical Center (NMMC) is part of North Mississippi Health Services (NMHS). NMHS operates five community hospitals in addition to NMMC, as well as, North Mississippi Medical Clinics, which operates more than 36 medical clinics. Some of these facilities operate at an ongoing financial loss and NMHS provides operating funds in the form of working capital loans that have no set repayment date. These working capital loans have historically been converted to capital transfers in many cases, and therefore, the loans are forgiven such that the facility never makes repayment. NMHS does this in order to provide access to a variety of services across the service area and is an intentional part of its business model. The community health department that is part of NMMC coordinates a variety of community health activities across the service area as well.
Part VI, Line 7:	State filing of community benefit report North Mississippi Medical Center does not file a community benefit report with the state of Mississippi as there is no requirement to do so. The community benefit report is available online at nmhs.net.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Mississippi University for Women
1100 College Street	Columbus	MS	397015800	646000826	MS	$50,000	See Part IV
Old Waverly Foundation
One Magnolia Drive	West Point	MS	39773	311511701	501(c)(3)	$10,000	See Part IV

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships & Academic Reimbursements	GrantTypeTxt
Recipient	45	RecipientCnt
Cash Grant	$18,400	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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.

Part II, Column (h):

Mississippi University for Women- To help fund part time Faculty Position for Nurse Practitioner Program. Old Waverly Foundation- Sponsor of ISPS Handa Cup golf tournament.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Bruce Toppin
Secretary/VP/General Counsel	$0	$246,286	$0	$66,246	$0	$7,149	$0	$4,833	$0	$4,128	$0	$328,642
Bruce Ridgway
Vice President	$187,492	$0	$55,321	$0	$27,917	$0	$4,029	$0	$3,528	$0	$278,287	$0
Brian Condit
Physician	$275,081	$0	$73	$0	$1,032	$0	$5,100	$0	$4,128	$0	$285,414	$0
Joseph A Reppert
Treasurer/Executive V.P./CFO	$0	$420,953	$0	$145,378	$0	$18,604	$0	$5,100	$0	$4,128	$0	$594,163
Mark S Williams
VP/Chief Medical Officer	$411,122	$0	$109,853	$0	$42,892	$0	$5,100	$0	$5,328	$0	$574,295	$0
Johnny M Denham
Service Line Administrator	$180,939	$0	$83	$0	$5,783	$0	$0	$0	$0	$0	$186,805	$0
Wanda Della Calce
Service Line Administrator	$164,141	$0	$88	$0	$4,818	$0	$3,283	$0	$0	$0	$172,330	$0
Ellen Friloux
Service Line Administrator	$164,133	$0	$123	$0	$4,555	$0	$3,358	$0	$0	$0	$172,169	$0
George Hand
Service Line Administrator	$152,138	$0	$98	$0	$4,156	$0	$3,197	$0	$4,128	$0	$163,717	$0
Donna Lewis Pritchard
Service Line Administrator	$162,710	$0	$103	$0	$2,370	$0	$3,362	$0	$3,528	$0	$172,073	$0
Thomas E Bozeman
Vice President	$214,640	$0	$62,341	$0	$33,367	$0	$4,713	$0	$3,528	$0	$318,589	$0
Steve Altmiller
Former President	$269,789	$0	$52,082	$0	$47,720	$0	$5,100	$0	$2,733	$0	$377,424	$0
Gerald Wages
Former Treasurer	$0	$64,272	$0	$59,686	$0	$0	$0	$2,464	$0	$0	$0	$126,422
Leslia Carter
Service Line Administrator	$149,142		$88		$687		$2,983		$0		$152,900
Octavius Ivy
Service Line Administrator	$142,708	$0	$98	$0	$2,548	$0	$0	$0	$5,688	$0	$151,042	$0
Karen Hughes
Physician	$58,264	$189,188	$5,622	$2,039	$1,584	$0	$1,278	$0	$0	$0	$66,748	$191,227
Mary Macy
Physician	$271,585	$0	$50	$0	$1,032	$0	$5,000	$0	$624	$0	$278,291	$0
J Edward Hill
Physician	$246,467	$0	$88	$0	$1,854	$0	$5,000	$0	$3,528	$0	$256,937	$0
Timothy H Moore
Former President	$39,269	$142,731	$0	$1,211	$26,703	$4,174	$1,326	$3,008	$332	$2,374	$67,630	$153,498
George Van Osten
Physician	$594,952	$0	$10,028	$0	$216	$0	$5,100	$0	$5,328	$0	$615,624	$0
John Heer
Former President & CEO	$0	$753,914	$0	$338,499	$0	$86,168	$0	$5,100	$0	$5,328	$0	$1,189,009
Michael S Spees
President	$0	$0	$0	$397,150	$0	$0	$0	$0	$0	$0	$0	$397,150

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 4b:	FormAndLineReferenceDesc
Explanation	Participants: Joe Reppert $17,704 Mark Williams $23,070 John Heer $84,788 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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Mississippi Hospital Equip & Facilities Authority
A	640732320	605360MV5	2003-07-02	$91,564,031	See Part VI	false	false	false
Mississippi Hospital Equip & Facilities Authority
B	640732320	605360RS7	2010-08-18	$76,018,658	See Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$93,769,870	$0	$0	$0	$904,266	$0	$0	$32,205,313	$0	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$76,430,224	$0	$0	$0	$1,018,662	$0	$0	$75,411,558	$0	$4	2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	false
B	false	false	false	false	0	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Goldman Sachs
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	12.7	false	false	false	0	Yes (true)	false
0
B	false	Yes (true)	false	false	false	false				false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
.	Schedule K, Part I: North Mississippi Medical Center, along with certain North Mississippi Health Services affiliates (collectively known as the Obligated Group), periodically issue tax-exempt revenue bonds under the terms of a related master indenture. Only North Mississippi Medical Center's related share is reported in this schedule.
Schedule K, Part I, Column (f):	Bond A: To refund a prior issue, fund new construction, and purchase equipment Bond B: To fund new construction and purchase equipment and MIS systems
Schedule K, Part III, Line 9:	Currently, North Mississippi Medical Center's procedures are not written. However, the organization is in the process of establishing written procedures.
Schedule K, Part IV, Line 2c:	Date of rebate computation: 9/9/2010
Schedule K, Part IV, Line 4c:	Term of Hedge: Series 1: 12.7 years Series 2: 29.7 years
Schedule K, Part IV, Line 6:	Although funds were invested beyond the temporary period, the yield did not exceed the allowable amount.
Schedule K, Part IV, Line 7:	Currently, North Mississippi Medical Center's procedures are not written. However, the organization is in the process of establishing written procedures.
Schedule K, Part V:	Currently, North Mississippi Medical Center's procedures are not written. However, the organization is in the process of establishing written procedures.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BancorpSouth
See Part V	$322,149	Service Charges & Trust Fees	false
Center for Digestive Health
See Part V	$326,164	Rental of office space	false
Center for Digestive Health
See Part V	$37,567	Other Miscellaneous Expenses	false
Center for Digestive Health
See Part V	$41,225	Nursing Home & Pt Care Svs	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column (b):	FormAndLineReferenceDesc
Explanation	BancorpSouth - Entity which Jim Kelley, Director, is an officer Center for Digestive Health - Entity more than 5% owned by Barney Guyton, director	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Page 2, Part III, Line 4d:	North Mississippi Medical Center's Community Health Department assists in educating the community on health-related issues by organizing and presenting various health fairs and seminars. The events are held at local businesses, schools, and community organizations and address various healthcare topics in addition to offering various screenings and tests at a nominal fee or at no charge. The costs associated with the outreach activities were approximately $241,014 in fiscal year 2014.
Form 990, Page 6, Part VI, Section A, Line 6:	North Mississippi Medical Center, Inc. is a not-for-profit, nonstock, membership corporation of which North Mississippi Health Services, Inc. is the sole member and has sole voting control.
Form 990, Page 6, Part VI, Section A, Line 7a:	The Governance Committee of North Mississippi Health Services, Inc. (NMHS), which is made up of past Chairmen, nominate candidates for the Board. These candidates are then approved by the Board of NMHS.
Form 990, Page 6, Part VI, Section A, Line 7b:	The Board of North Mississippi Health Services, Inc. approves all transactions that exceed $1 million.
Form 990, Page 6, Part VI, Section b, Line 11b:	The Form 990 goes through a review process in the Accounting Department. The accountant for each facility reviews the return for reasonableness and accuracy. All totals are tied to the audit reports, and all amounts are cross-referenced to schedules or other parts of the actual return. Once the accountant reviews, the Accounting Supervisor and the Director of Accounting reviews. The Supervisor does a detailed review by checking the return for the same items that the accountant checked for. Then the Director does a more high level review, reading the return for reasonableness and comparing prior year amounts to current year amounts. Finally, the VP of Finance reviews the return for reasonableness. The return is then sent to the Executive VP/Treasurer to be reviewed and presented to the Board. The Treasurer signs the return and it is then sent to the IRS.
Form 990, Page 6, Part VI, Section B, Line 12c:	An annual conflict of interest questionnaire is required to be completed by all officers and directors of the organization. The questionnaire is reviewed by North Mississippi's Health Services, Inc.'s compliance officer and Conflict Committee. The Conflict Committee reviews conflict transactions and makes recommendations to the board of directors regarding conflict transactions in accordance with the organization's conflict of interest policy. All members of the Conflict Committee are prohibited from engaging in transactions with the organization or its affiliates during their tenure on the Conflict Committee and one year after their service concludes.
Form 990, Page 6, Part VI, Section B, Line 15a&b:	An independent compensation consulting firm, The Hay Group, is used to help establish the compensation of the CEO, Executive Director, other officers, and key employees. The firm presents their independent analysis, which contains comparability data, to the Compensation Committee of North Mississippi Health Services, Inc. In addition to this, the VP of Human Resources obtains another independent analysis from another compensation consulting firm in order to verify the information provided by The Hay Group. The compensation of the individuals are then approved by the Compensation Committee. The salaries of NMHS' CEO and senior leadership are then reviewed by the NMHS Board of Directors. The individual whose compensation is being discussed is not present during the discussion or approval of their compensation. The discussions and decisions regarding the compensation are documented in the minutes of the meetings. Compensation of these individuals is approved annually.
Form 990, Page 6, Part VI, Section C, Line 19:	The governing documents, conflict of interest policy, and financial statements are available to the public upon request. A consolidated statement of operations is available on the organization's website.
Form 990, Page 12, Part XI, Line 9:	Pension related changes other than net periodic pension cost: (34,525,213) Transfers of Capital to affiliates of North MS Health Services: (12,847,554) Net Assets Released from Restrictions: 134,405 Decrease in interest in net assets of Affiliated Foundation: (114,098) Change in fair value of interest rate swaps: (716,594) Total other changes in net assets or fund balance = (48,069,054)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
North MS Management Services Inc
830 S Gloster Street	Tupelo	MS	38801	640762694	Mgmt & Admin	DE	501(c)(3)	11-I	NMHS	false
North MS Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640653269	Mgmt Services	DE	501(c)(3)	11-II	NMHS	false
Clay County Medical Corporation
830 S Gloster Street	Tupelo	MS	38801	640668465	Hospital	DE	501(c)(3)	3	NMHS	false
Tishomingo Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640741047	Hospital	DE	501(c)(3)	3	NMHS	false
Pontotoc Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640751410	Hospital	DE	501(c)(3)	3	NMHS	false
North MS Medical Clinics Inc
830 S Gloster Street	Tupelo	MS	38801	640787918	Med Clinics	DE	501(c)(3)	3	NMHS	false
Tupelo Service Finance Inc
844 Cliff Gookin Blvd	Tupelo	MS	38801	640508308	Collections	DE	501(c)(3)	3	NMHS	false
Webster Health Services Inc
830 S Gloster Street	Tupelo	MS	38801	640819193	Hospital	DE	501(c)(3)	3	NMHS	false
Marion Regional Medical Center Inc
830 S Gloster Street	Tupelo	MS	38801	640926753	Hospital	DE	501(c)(3)	3	NMHS	false
North MS Emergency Services Inc
830 S Gloster Street	Tupelo	MS	38801	640780130	ER Physicians	DE	501(c)(3)	9	NMHS	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
North MS Health Link Inc
830 S Gloster Street	Tupelo	MS	38801	640715886	Medical Services	DE	NMHS	C Corp	false
North MS Enterprises Inc
830 S Gloster Street	Tupelo	MS	38801	640658059	Medical Services	DE	NMHS	C Corp	false
Professional Practice Management Inc
830 S Gloster Street	Tupelo	MS	38801	721390014	Med Serv Mgmt	DE	NMMCI	C Corp	false
Acclaim Inc
830 S Gloster Street	Tupelo	MS	38801	721356116	Hlth Care Claims	DE	Healthlink	C Corp	false
North MS Support Services Inc
830 S Gloster Street	Tupelo	MS	38801	260718275	Support Services	DE	NMHS	C Corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd