Civic Intelligence

Marion Regional Medical Center Inc

EIN 64-0926753 • 501(c)3 • Tupelo, MS

Profile

Marion regional medical center, inc. Owns and operates a 36 bed acute care hospital and a 79 bed nursing home located in hamilton, alabama called north mississippi medical center-hamilton (nmmc-hamilton). Nmmc-hamilton 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-hamilton 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.

830 South Gloster StreetTupelo, MS 38801

www.nmhs.net/hamilton

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

5.13x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

89th percentile

2.07x

Higher debt load relative to revenue than 89% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

12th percentile

-19%

Higher net margin than 12% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$2,346,750

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 12.5% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

9th percentile

-12%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

30th percentile

-1.8%

Faster revenue growth than 30% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$7,578,949

Down $1,054,985 (-12%) from 2023

Liabilities

Up

$38,860,432

Up $2,218,726 (+6.1%) from 2023

Net Assets

Down

-$31,281,483

Down $3,273,711 (-12%) from 2023

Revenue

Down

$18,745,610

Down $351,590 (-1.8%) from 2023

Expenses

Down

$22,237,799

Down $1,064,502 (-4.6%) from 2023

Net Income

Up

-$3,492,189

Up $712,912 (+17%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$20M$0-$20M-$40MAssets 2010: $12,247,550Liabilities 2010: $6,272,551Net Assets 2010: $5,974,9992010Assets 2011: $12,419,189Liabilities 2011: $9,761,597Net Assets 2011: $2,657,5922011Assets 2012: $14,956,702Liabilities 2012: $15,758,003Net Assets 2012: -$801,3012012Assets 2013: $12,956,202Liabilities 2013: $16,427,779Net Assets 2013: -$3,471,5772013Assets 2014: $11,359,481Liabilities 2014: $19,662,061Net Assets 2014: -$8,302,5802014Assets 2015: $13,649,388Liabilities 2015: $25,449,574Net Assets 2015: -$11,800,1862015Assets 2016: $12,956,374Liabilities 2016: $27,978,933Net Assets 2016: -$15,022,5592016Assets 2017: $10,834,293Liabilities 2017: $24,232,110Net Assets 2017: -$13,397,8172017Assets 2018: $8,743,999Liabilities 2018: $22,980,132Net Assets 2018: -$14,236,1332018Assets 2019: $7,284,456Liabilities 2019: $26,372,442Net Assets 2019: -$19,087,9862019Assets 2020: $7,146,945Liabilities 2020: $30,639,715Net Assets 2020: -$23,492,7702020Assets 2021: $7,422,591Liabilities 2021: $31,468,343Net Assets 2021: -$24,045,7522021Assets 2022: $8,215,075Liabilities 2022: $32,291,226Net Assets 2022: -$24,076,1512022Assets 2023: $8,633,934Liabilities 2023: $36,641,706Net Assets 2023: -$28,007,7722023Assets 2024: $7,578,949Liabilities 2024: $38,860,432Net Assets 2024: -$31,281,4832024

Highlighted filing

2024

Assets$7,578,949
Liabilities$38,860,432
Net Assets-$31,281,483

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $22,468,9042010Expenses 2011: $23,508,9372011Revenue 2012: $22,414,787Expenses 2012: $24,682,085Net Income 2012: -$2,267,2982012Expenses 2013: $25,969,2132013Revenue 2014: $19,016,031Expenses 2014: $22,325,498Net Income 2014: -$3,309,4672014Revenue 2015: $21,996,934Expenses 2015: $25,077,244Net Income 2015: -$3,080,3102015Revenue 2016: $23,278,293Expenses 2016: $25,081,110Net Income 2016: -$1,802,8172016Revenue 2017: $23,144,450Expenses 2017: $25,822,494Net Income 2017: -$2,678,0442017Revenue 2018: $21,184,022Expenses 2018: $24,078,153Net Income 2018: -$2,894,1312018Revenue 2019: $21,421,847Expenses 2019: $23,928,161Net Income 2019: -$2,506,3142019Revenue 2020: $23,326,062Expenses 2020: $28,031,556Net Income 2020: -$4,705,4942020Revenue 2021: $19,996,025Expenses 2021: $22,289,310Net Income 2021: -$2,293,2852021Revenue 2022: $21,178,998Expenses 2022: $21,431,645Net Income 2022: -$252,6472022Revenue 2023: $19,097,200Expenses 2023: $23,302,301Net Income 2023: -$4,205,1012023Revenue 2024: $18,745,610Expenses 2024: $22,237,799Net Income 2024: -$3,492,1892024

Highlighted filing

2024

Revenue$18,745,610
Expenses$22,237,799
Net Income-$3,492,189

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.58$38.9$31.3$18.7$22.2$3.49
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.63$36.6$28.0$19.1$23.3$4.21
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.22$32.3$24.1$21.2$21.4$0.25
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.42$31.5$24.0$20.0$22.3$2.29
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.15$30.6$23.5$23.3$28.0$4.71
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.28$26.4$19.1$21.4$23.9$2.51
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.74$23.0$14.2$21.2$24.1$2.89
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.8$24.2$13.4$23.1$25.8$2.68
2016Detailed filing. Detailed filing data is available for this year.$13.0$28.0$15.0$23.3$25.1$1.80
2015Detailed filing. Detailed filing data is available for this year.$13.6$25.4$11.8$22.0$25.1$3.08
2014Detailed filing. Detailed filing data is available for this year.$11.4$19.7$8.30$19.0$22.3$3.31
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.0$16.4$3.47$26.0
2012Summary only. Only limited summary data is available for this year.$15.0$15.8$0.80$22.4$24.7$2.27
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.4$9.76$2.66$23.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.2$6.27$5.97$22.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 16, 2025
Return Version
2023v6.0
Gross Receipts
$18,745,610
Mission and Program Overview

Mission

Marion regional medical center, inc. Owns and operates a 36 bed acute care hospital and a 79 bed nursing home located in hamilton, alabama called north mississippi medical center-hamilton (nmmc-hamilton). Nmmc-hamilton 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-hamilton 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.

Marion regional medical center, inc. Operates a 49 bed acute care hospital and a 79 bed nursing home located in hamilton, alabama.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,621,565$3,315,711▲ $694,146
Accounts Receivable$1,468,544$978,590▼ $489,954
Inventories for Sale or Use$306,923$343,538▲ $36,615
Cash and Non-Interest-Bearing Accounts$593,155$146,877▼ $446,278
Savings and Temporary Cash Investments$1,133,336$57,828▼ $1,075,508
Prepaid Expenses and Deferred Charges$90,776$16,892▼ $73,884
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$8,633,934$7,578,949▼ $1,054,985
Other Assets Total$2,419,635$2,719,513▲ $299,878
Liabilities
Other Liabilities$31,113,101$34,259,400▲ $3,146,299
Accounts Payable and Accrued Expenses$5,528,605$4,601,032▼ $927,573
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$36,641,706$38,860,432▲ $2,218,726
Net Assets / Fund Balance
Net Assets With Donor Restrictions$97,583$101,076▲ $3,493
Net Assets Without Donor Restrictions$-28,105,355$-31,382,559▼ $3,277,204
Total Net Assets Fund Balance$-28,007,772$-31,281,483▼ $3,273,711
Total Liabilities and Net Assets / Fund Balance$8,633,934$7,578,949▼ $1,054,985

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,253,749$13,574,489$14,828,238
Buildings$457,687$6,450,177$6,907,864
Other Land Buildings$1,387,718$305,228$1,692,946
Land$216,557-$216,557
Leasehold Improvements$0$0$0
Other Assets Org$497--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cesar RomeroPhysicianFT$267,675$243,729$511,404
Keri MerschmanPhysicianFT$288,401$175,860$464,261
Diego F Hidalgo EspinelPhysicianFT$256,771$120,562$377,333
Mary SantiagoPhysicianFT$160,719$66,967$227,686
Eric TillotsonPhysicianFT$150,418$46,778$197,196
Robert TrimmAdministratorFT$90,600$85,714$176,314

Board Members and Trustees

NameTitle
Sonny NixChairman
Michael S SpeesPresident
Belinda McraeDirector
Bobby WallaceDirector
Wade NixonDirector
Wymon Jerone FrederickDirector
Robin MixonAdministrator
Bruce ToppinSecretary
Sharon NoblesTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Relias Emergency MedEr Physician ServicesPO BOX 7058, Tupelo, MS 38802$886,603
Relias HospitalistContract Therapy ServicesPO BOX 7058, Tupelo, MS 38802$669,370
Cross Country StaffingTravel Nursing ServicesPO BOX 404674, Atlanta, GA 30384-4674$134,684
Revenue and Support

Revenue Composition

Contributions and Grants
$40,000
Program Service Revenue
$18,597,040
Investment Income
$43,093
Other Revenue
$65,477
All Other Contributions
$0
Change in Net Assets
$-3,492,189

Audited Revenue Reconciliation

Revenue per Audited Statements
$18,682,622
Revenue Not Reported on Financial Statements
$62,988
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$62,988
Total Revenue per Audited Statements
$18,682,622
Total Revenue per Form 990
$18,745,610
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$14,883,945
Other Expenses$7,353,854
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,820,881$654,182$0$12,475,063
Fees for Services Other$2,057,368$0$0$2,057,368
Other Employee Benefits$883,179$0$0$883,179
Payroll Taxes$803,300$52,959$0$856,259
Occupancy$828,554$0$0$828,554
Pension Plan Contributions$669,444$0$0$669,444
Depreciation Depletion$563,237$0$0$563,237
Information Technology$413,478$0$0$413,478
Office Expenses$412,169$0$0$412,169
All Other Expenses$128,708$0$0$128,708
Fees for Services Management$0$123,605$0$123,605
Insurance$0$95,572$0$95,572
Other Expenses$79,951$0$0$79,951
Conferences and Meetings$35,388$0$0$35,388
Fees for Services Accounting$0$33,075$0$33,075
Travel$14,936$0$0$14,936
Fees for Services Legal$0$4,979$0$4,979
Advertising$2,535$0$0$2,535
Total Functional Expenses$21,273,427$964,372$0$22,237,799

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$22,237,799
Expenses per Audited Statements$22,208,693
Total Expenses per Audited Statements$22,208,693
Expenses Not Reported on Financial Statements$29,106
Other Expense Adjustments$29,106
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$31,880,073
Due to Third Party$2,165,916
Asset Retirement Obligation$212,914
Capital Lease Liability$497
Investment in Marion Lhc-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15 A&B

An independent compensation consulting firm, korn ferry, is used to help establish the compensation of the senior executives. The firm presents their independent analysis, which contains comparability data, to the compensation committee of north mississippi health services, inc. (nmhs). The compensation of the individuals are then approved by the compensation committee. The salaries of nmhs' senior executives 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, Part VI, Line 6 Classes of members or stockholders

Marion regional 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, Part VI, Line 7A Members or stockholders electing members of governing body

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, Part VI, Line 7B Decisions requiring approval by members or stockholders

The board of north mississippi health services, inc. Approves all transactions that exceed $1 million.

Form 990, Part VI, Line 11B Review of form 990 by governing body

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 returns are then sent to the executive vp/treasurer to be reviewed. The chief financial officer signs the return and it is then sent to the irs.

Form 990, Part VI, Line 12C Conflict of interest policy

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 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, Part VI, Line 19 Required documents available to the public

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.

Filing and Contact Details

Filer

Filer Name
Marion Regional Medical Center Inc
EIN
64-0926753
Phone
6623773978
Address
830 SOUTH GLOSTER STREET, TUPELO, MS 38801

Signing Officer

Name
Sharon Nobles
Title
CFO
Phone
6623373978
Signed
2025-08-16
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
De
Voting Board Members
5
Independent Board Members
5
Employees
291
Volunteers
7

Preparer

Firm
Forvis Mazars LLP
Address
PO Box 3667, Little Rock, AR 72203-3667
Preparer
Amber Sherrill
Phone
5013721040
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Pension-related changes - 248867; increase in interest in net assets of affiliated foundation - 3493; book tax difference in marion regional lhc - -33882;

Financial Statement Notes

Schedule D, Part X, Line 2

Management has evaluated its income tax positions under guidance included in asc 740. Based on its review, management has not identified any material tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

Book tax difference in marion regional lhc - 33882 pension cost - 29106

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

PENSION COST - 29106

Raw XML AppendixShowing 400 of 1,419 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/AccountsReceivableGrp/EOYAmt0978590
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IRS990/ActivityOrMissionDesc0MARION REGIONAL MEDICAL CENTER, INC. OPERATES A 49 BED ACUTE CARE HOSPITAL AND A 79 BED NURSING HOME LOCATED IN HAMILTON, ALABAMA.
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IRS990/Desc0NMMC-HAMILTON SERVES MARION COUNTY ALABAMA AND THE SURROUNDING AREA. IN FISCAL YEAR 2024, THERE WERE 493 INPATIENT ADMISSIONS, 6,832 EMERGENCY DEPARTMENT VISITS, 36,363 OUTPATIENT VISITS, 21,411 RURAL HEALTH CLINIC VISITS AND 639 HOSPITAL BASED CLINIC VISITS. NMMC-HAMILTON 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 INPATIENT, OUTPATIENT, ER, AND LONG-TERM CARE SERVICES. THE FOUR-BED INTENSIVE CARE UNIT OFFERS INVASIVE AND NON-INVASIVE MONITORING FOR MEDICAL AND SURGICAL PATIENTS. THE HOSPITAL ALSO HAS 10 CERTIFIED SWING BEDS FOR PATIENTS WHO NEED EXTENDED CARE. NMMC-HAMILTON OFFERS 24-HOUR EMERGENCY SERVICES. THE EMERGENCY ROOM IS STAFFED BY WELL-EQUIPPED, HIGHLY QUALIFIED NURSES AND PHYSICIANS. EMERGENCY AIR AMBULANCE SERVICES ARE READILY AVAILABLE FOR CRITICAL CARE TRANSPORT WHEN NEEDED. OUTPATIENT SERVICES INCLUDE SAME-DAY SURGERY, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, LABORATORY AND CARDIAC MONITORING. CARDIAC STRESS TESTS AND HOLTER MONITORING ARE ALSO OFFERED. NMMC-HAMILTON IS THE RECIPIENT OF THE VHA LEADERSHIP AWARD, HONORING THE HOSPITAL FOR MEETING OR EXCEEDING NATIONAL PERFORMANCE STANDARDS FOR CLINICAL CARE AND QUALITY. VHA SERVES MORE THAN 1,400 NOT-FOR-PROFIT HOSPITALS AND MORE THAN 24,000 NON-ACUTE HEALTH CARE ORGANIZATIONS NATIONWIDE. NMMC-HAMILTON WAS ONE OF ONLY 38 VHA MEMBER ORGANIZATIONS TO RECEIVE A 2009 LEADERSHIP AWARD FOR CLINICAL EXCELLENCE.
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