Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Mississippi · Alabama · Not ranked: see note below.

Clay County Medical

Michael S Spees, President. Fiscal year ending 2025-09.

$2.8M
CEO total compensation
Form 990 Part VII, columns D+E+F
3.35%
of expenses spent on charity care
Schedule H Part I line 7a
37.3%
CEO pay as a share of all charity care
Michael S Spees’s pay of $2,837,607 equals 37.3 percent of the $7,613,737 the system spent on charity care in the same year.

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

Most of the reported compensation ($2,680,440 of $2,837,607) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$243,070,718
Total expenses
$226,995,159
Net assets
$73,466,336
Employees
1,895
Hospitals covered
7 facilities across 7 filings
Charity care, net
$7,613,737
Bad debt
$0
Medicare surplus (shortfall), as filed
($2,932,158)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$2,680,440
Other compensation, including deferred pay and nontaxable benefits (col. F)
$157,167
CEO total compensation (D+E+F)
$2,837,607 to Michael S Spees

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Clay County Medical, EIN 64-0668465, fiscal year ending 2025-09, as published by the IRS. CEO identification: president title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$8.2M Of which charity care to patients who could not pay (line 7a)$7.6M (93%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($0) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Clay County Medical Corporation64-06684652025-09$70.9M$1.3M2.24%990
Monroe Health Services Inc32-05832362025-09$66.5M$2.0M3.85%990
Pontotoc Health Services Inc64-07514102025-09$34.3M$1.4M4.71%990
Webster Health Services Inc64-08191932025-09$24.3M$899,1253.49%990
Marion Regional Medical Center Inc64-09267532025-09$20.4M$879,6483.48%990
Tishomingo Health Services64-07410472025-09$17.9M$723,2013.45%990
Marion Regional Health - Winfield Inc33-40533202025-09$8.6M$312,6272.64%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Clay County Medical: CEO pay $2.8M, charity care 3.35% of expenses