North Mississippi Health Services Fixed and Variable Bonds
$44,565,000 2020 Series I Fixed Rate Bonds
$38,430,000 2020 Series II 7-Year Fixed Rate Put Bonds
$23,875,000 2020 Series III Flexible Rate Mode Bonds
$28,460,000 2020 Series IV Fixed Rate Bonds (7/9/2020 Delivery)
North Mississippi Health Services (“NMHS”) is the largest integrated health system consisting of a 634-bed flagship hospital in Tupelo (the largest non-metropolitan hospital in the country), six community hospitals (with 304 total licensed beds), forty outpatient clinics, six outpatient centers, four skilled nursing facilities (with 266 total licensed beds) and a 963-member clinically integrated network of providers. NMHS is the largest integrated health system in Northeast Mississippi and Northwest Alabama providing a full continuum of care to over 700,000 residents while maintaining a 77% market share in its primary service area. Both NMHS and its flagship hospital are Malcom Baldrige national Quality Award recipients.
Credit Ratings: (NR/A+/AA)
Focus on Value
Prior to the 2020 financing, NMHS’ debt portfolio consisted of $73.1M of self-liquidity weekly variable rate demand bonds, $50M of variable rate direct placement coming due in calendar year 2020, and $34.1M of fixed rate bonds with an October 1, 2020 optional redemption date. NMHS restructured their variable rate programs, refinancing $99.5M to tax-exempt fixed rate & 7-year fixed rate put bonds with a combined all-in total interest cost of 1.56%. $23.6M was converted to a form of tax-exempt commercial paper supported by self-liquidity to continue to serve as a hedge to NMHS’ fixed payer swap. Refinancing NMHS’s variable rate programs eliminated NMHS’ variable rate exposure while reducing self-liquidity exposure from $91.4M of weekly requirements to $11.9M of monthly requirements providing NMHS with significantly more asset allocation flexibility within their investment portfolio.
NHMS priced forward delivery tax-exempt fixed rate bonds to provide for a current refunding of their existing $34.1M fixed rate bond issue. Upon delivery of the bonds, the refunding will generate $10.5M of cash flows savings and $7.2M of present value savings (21% of the outstanding par amount).
NMHS’ last public issuance of debt took place in 2010. Ponder’s role included development of the rating agency presentation, investor presentation, and disclosure documents to reflect the significant growth of the system over the past ten years. Ponder worked closely with NMHS & the financing team to develop & execute the plan of finance including amending their 22 year old master trust indenture. Ponder has provided financial advisory services to NMHS since 2003.