MARION REGIONAL MEDICAL CENTER INC
830 South Gloster Street, Tupelo, MS 38801 www.nmhs.net

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Organizations Filed Purposes: MARION REGIONAL MEDICAL CENTER, INC. OWNS AND OPERATES A 49 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.

NMMC-Hamilton serves Marion county Alabama and the surrounding area. In fiscal year 2019, there were 635 inpatient admissions, 7,269 emergency department visits, 36,806 outpatient visits, and 24,455 rural health 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.

One of the primary ways NMMC-Hamilton 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-Hamilton has established a policy under which the hospital provides care, without charge, to needy members of its community. THE FINANCIAL ASSISTANCE POLICY STATES THAT NMMC-HAMILTON WILL PROVIDE EMERGENCY AND MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO PATIENTS FREE OF CHARGE WITH HOUSEHOLD INCOME LEVELS AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. THE POLICY FURTHER PROVIDES, PATIENTS WITH HOUSEHOLD INCOME LEVELS BETWEEN 101% AND 150% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE TO RECEIVE SERVICES AT A DISCOUNTED RATE. THE DISCOUNT WILL BE PRO-RATED BASED ON THE PATIENT'S GROSS FAMILY INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY LEVEL. The policy applies to individuals who reside in Marion County. Patients from outside the county may also be granted charity care based on the judgment of NMMC-Hamilton management depending on their individual circumstances. The policy also requires the patient to cooperate fully with NMMC-Hamilton's request for information with which to verify the patient's eligibility. Following that policy, the hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy. Charges forgone, based on established rates, totaled approximately $621,483 in fiscal year 2019. Based on the gross charges provided to charity patients compared to total hospital gross charges, 4.55% of all services in fiscal year 2019 were provided on a charity basis. The net cost of charity care provided by NMMC-Hamilton was approximately $925,473 in fiscal year 2019. The total cost estimate is based on the ratio of costs to charges for NMMC-Hamilton. All of the forgone 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 on Form 990 in order to be consistent with financial statement reporting and are not reported as functional expenses on the tax return.

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