2022-11-10T11:28:16-06:00 2021-12-31 721396621 CARR RIGGS & INGRAM LLC 400 W PKWY PL SUITE 300 RIDGELAND MS 39157 990 2021-01-01 201835779 LAIRD HOSPITAL INC LAIR 6017039992 25117 HWY 15 UNION MS 39365 DAVID BUTLER CFO CFO 6017039992 2022-11-08 1 DAVID BUTLER CFO 999009999 DAWN STEED P01279118 6018537050 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DAVID BUTLER 25117 HWY 15 UNION MS 39365 38978099 0 X WWW.OCHSNERRUSH.ORG X 2004 MS HOSPITAL AND CLINIC PATIENT SERVICE 5 5 383 6 0 0 4666434 4729920 29865653 33398452 5811 4807 864872 844920 35402770 38978099 0 0 0 0 17343837 17642781 0 0 0 15660789 18400499 33004626 36043280 2398144 2934819 59962410 76510652 58759520 74935483 1202890 1575169 X HOSPITAL AND CLINIC PATIENT SERVICE 0 0 31740141 33528542 LAIRD HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN UNION, MISSISSIPPI, THAT PROVIDES A WIDE RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. PATIENTS CAN BE ADMITTED TO THE HOSPITAL IF THEIR MEDICAL NEEDS MAKE THAT THE BEST OPTION. A VARIETY OF OTHER SERVICES ARE AVAILABLE ON AN INPATIENT AND OUTPATIENT BASIS THROUGH THE HOSPITAL'S IMAGING, LABORATORY AND REHABILITATIVE SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY.PATIENTS ARE CARED FOR UNDER THE DIRECTION OF THEIR PHYSICIAN BY A LICENSED HEALTH CARE TEAM INCLUDING REGISTERED NURSES, PHYSICAL THERAPISTS, SOCIAL WORKERS, DIETITIANS, PHARMACISTS AND OTHER ANCILLARY STAFF, DEPENDING ON THE PATIENT'S MEDICAL NEEDS.AN EMERGENCY DEPARTMENT IS STAFFED WITH QUALIFIED EMERGENCY ROOM HOSPITALISTS AND FAMILY NURSE PRACTITIONERS AND IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK. THE HOSPITALISTS ALSO ACT AS HOSPITAL PHYSICIANS, WHICH MEANS THEY CAN ADMIT AND CARE FOR PATIENTS WHO DO NOT HAVE A PHYSICIAN WHO REGULARLY ADMITS PATIENTS AT THE HOSPITAL.SKILLED NURSING AND REHABILITATIVE CARE ARE AVAILABLE AT LAIRD HOSPITAL THROUGH THE SWING BED PROGRAM. THOSE RECOVERING FROM SURGERY, A STROKE, A FRACTURE OR AN EXTENDED MEDICAL ILLNESS AND HOSPITALIZATION CAN CHOOSE TO REHABILITATE AT LAIRD HOSPITAL, WHETHER OR NOT THEY WERE HOSPITALIZED IN ANOTHER LOCATION.IN ADDITION, LAIRD HOSPITAL HAS SPECIALIZED PROGRAMS FOR SENIOR ADULTS EXPERIENCING PROBLEMS COPING WITH EVERYDAY LIVING DUE TO ANXIETY, GRIEF AND/OR DEPRESSION. SENIOR CARE IS AN INTENSIVE OUTPATIENT PROGRAM THAT HAS HELPED MANY INDIVIDUALS. SENIOR CARE OFFERS FREE ASSESSMENTS BY A NURSE IN THE HOME, AND TRANSPORTATION CAN BE PROVIDED.LAIRD HOSPITAL HAS A RICH HERITAGE AS A HOSPITAL BUILT BY THE COMMUNITY FOR THE COMMUNITY. FOUNDED ON THE VISION OF DR. EARL LAIRD, SR., THE HOSPITAL BELIEVES IN PROVIDING COMPASSIONATE HEALTH CARE SERVICES THAT REACH OUT TO THOSE LIVING IN UNION AND THE SURROUNDING AREA.SINCE THE HOSPITAL OPENED ITS DOORS, GROWTH HAS BEEN A MAJOR FOCUS FOR THE LAIRD'S COMMITMENT TO YOU AND YOUR FAMILY. TODAY, WE SHARE THE SAME VISION THAT DR. EARL LAIRD, SR., INSTITUTED TO PROVIDE A TRADITION OF CARING THROUGHOUT THE COMMUNITY FOR YEARS TO COME.AS PRESENTED IN THE ATTACHED SCHEDULE H, LAIRD HOSPITAL PROVIDED FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS DURING 2021 AT A NET COST OF $1,219,297. ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, LAIRD HOSPITAL RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, LAIRD HOSPITAL PROVIDES FREE CARE AND SUBSIDIZED CARE WITHIN EXISTING RESOURCES WHERE THE NEED FOR SUCH CARE EXISTS.ALONG WITH BEING THE ONE OF THE COUNTY'S LARGEST EMPLOYERS AND A MAJOR ECONOMIC STIMULUS BY VIRTUE OF ITS PAYROLL, LAIRD HOSPITAL ALSO PROVIDES MANY BENEFITS TO THE BROADER COMMUNITY IN THE AREAS OF CIVIC INVOLVEMENT AND GIVING INCLUDING ACTIVELY SUPPORTING THE AMERICANCANCER SOCIETY, SUPPORTING THE COMMUNITY WITH ITS ANNUAL COUNTRY DAY PROGRAM, CONDUCTING AND ATTENDING COMMUNITY HEALTH FAIRS AND PROVIDING FREE MEDICAL SCREENING TESTS AND DISSEMINATION OF HEALTH INFORMATION AT CIVIC CLUB MEETINGS AND OTHER COMMUNITY FUNCTIONS. 31740141 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 31 0 1 383 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MS X DAVID BUTLER 6017033082 1314 19TH AVENUE MERIDIAN MS 39301 RITA G JACKSON BOARD MEMBER 1.00 X 0 0 0 PJ HENRY BOARD MEMBER 1.00 X 0 0 0 DR PHIL SUTPHIN BOARD MEMBER 1.00 X 0 0 0 JON MARTIN BOARD MEMBER 1.00 X 0 0 0 LARRY W DRISKELL BOARD MEMBER 1.00 X 0 0 0 LARKIN KENNEDY PRESIDENT/CEO 1.00 60.00 X 0 547233 27599 ALLEN TYRA VP/COO 1.00 60.00 X 0 292677 18282 DAVID BUTLER CFO 1.00 48.00 X 0 266532 26200 DARRELL WILDMAN TREASURER/VP COMPLIANCE 1.00 54.00 X 0 372881 34134 FRED DUGGAN MD CMO 1.00 60.00 X 0 763245 34249 TOMMY BARTLETT ADMINISTRATOR 40.00 X 0 114409 1611 RICK BARRY SECRETARY 1.00 9.00 X 0 18000 0 DAWN REYNOLDS COMPLIANCE OFFICER 1.00 9.00 X 0 113521 21666 AIMEE MCWILLIAMS COMPLIANCE DIRECTOR 1.00 9.00 X 0 68019 22365 CHRISTOPHER WEBB PHYSICIAN 40.00 X 301103 0 19710 MATTHEW WARD PHYSICIAN 40.00 X 265216 0 11914 JAMES BRADSHAW PHYSICIAN 40.00 X 235828 0 6049 PATRICK EAKES PHYSICIAN 40.00 X 265220 0 23971 KRISTA BOYETTE PHYSICIAN 40.00 X 249590 0 12672 1316957 2556517 260422 10 0 1 0 CURA HOSPITALITY LLC 300 S TYRON STREET SUITE 400 CHARLOTTE NC 28202 DIETARY SERVICES 462746 WOUND CARE SPECIALISTS 445 HAMILTON AVE STE 800 WHITE PLAINS NY 10601 WOUND CARE SERVICES 174040 JEFFREY L MCGILBRA MD PLLC PO BOX 518 MARION MS 39342 PHYSICIAN SERVICES 152000 UMMC FOR TELEHEALTH 2500 NORTH STATE STREET JACKSON MS 39216 TELEHEALTH PATIENT CARE 112170 4 1429434 3289942 10544 4729920 PATIENT FEES, NET 621990 33398452 33398452 33398452 4807 4807 158715 0 158715 158715 158715 CAFETERIA 722210 556115 556115 MISCELLANEOUS 900099 130090 130090 686205 38978099 33528542 0 719637 14557141 14400073 157068 141659 141659 1968120 1966955 1165 975861 926912 48949 3367131 3367131 286552 286552 117 117 4858667 4858667 70293 68345 1948 3883 3883 385345 385345 1693315 1693315 218709 218709 CONTRACT AND PURCHASED 3066240 2909878 156362 BAD DEBTS 1269918 1269918 RX AND PHARMACY 802231 802231 SUPPLIES 606376 557953 48423 1771722 1249629 522093 36043280 31740141 4303139 0 -1328 196287 2724440 4820416 356713 352647 123456 108173 13546561 7465737 3361227 6080824 53397902 64952305 59962410 76510652 2291440 1986155 727402 1916131 5997936 5780347 49742742 65252850 58759520 74935483 X 0 0 0 0 1202890 1575169 1202890 1575169 59962410 76510652 2934819 -2562540 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3065 3065 0 PART II-B, LINE 1: LAIRD PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $21,034, OF WHICH 14.57% IS ATTRIBUTABLE TO LOBBYING. 90000 90000 7698061 5034868 2663193 610126 507257 102869 1694020 1578177 115843 3454354 345435 3108919 6080824 RELATED PARTY RECEIVABLES 63398709 OTHER NONCURRENT ASSETS 129353 GOODWILL, NET 1018025 OTHER RECEIVABLES 406218 64952305 RELATED PARTY PAYABLES 60956029 THIRD-PARTY PAYOR SETTLEMENTS 4296821 65252850 X PART X, LINE 2: RUSH HEALTH SYSTEMS, INC., SUBSIDIARIES, AND AFFILIATES, WITH THE EXCEPTION OF PHYSICIAN MANAGEMENT SERVICES, INC., MERIDIAN ANESTHESIA GROUP, INC., MANAGED HEALTHCARE, INC., AND THE MEDICAL STORE, ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR INCOME UNDER SECTION 501(A) OF THE CODE. PHYSICIAN MANAGEMENT SERVICES, INC., MERIDIAN ANESTHESIA GROUP, INC., MANAGED HEALTHCARE, INC., AND THE MEDICAL STORE, HOWEVER ARE TAXABLE CORPORATIONS AND FILE CORPORATE INCOME TAX RETURNS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HEALTH SYSTEM TO EVALUATE TAX POSITIONS TAKEN BY THE HEALTH SYSTEM AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE HEALTH SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE HEALTH SYSTEM HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED DECEMBER 31, 2018, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. DEFERRED TAXES ARE PROVIDED ON A LIABILITY METHOD WHEREBY DEFERRED TAX ASSETS ARE RECOGNIZED FOR DEDUCTIBLE TEMPORARY DIFFERENCES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS AND DEFERRED TAX LIABILITIES ARE RECOGNIZED FOR TAXABLE TEMPORARY DIFFERENCES. TEMPORARY DIFFERENCES ARE THE DIFFERENCES BETWEEN THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND THEIR TAX BASES. THE SUBSIDIARIES' TEMPORARY DIFFERENCES RELATE PRIMARILY TO PROPERTY AND EQUIPMENT AND NET OPERATING LOSS CARRYFORWARDS. DEFERRED TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE WHEN, IN THE OPINION OF MANAGEMENT, IT IS MORE-LIKELY-THAN-NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. DEFERRED TAX ASSETS AND LIABILITIES ARE ADJUSTED FOR THE EFFECTS OF CHANGES IN TAX LAWS AND RATES ON THE DATE OF ENACTMENT. 1 1 1 X 1 X 1 1 1 0 0 1245782 1031401 214381 0.00590 1742206 900867 841339 0.02330 74743 29853 44890 0.00120 3062731 1962121 1100610 0.03040 28951 28951 0.00080 52215 52215 0.00140 1352768 1315742 37026 0.00100 495 495 0.00000 1434429 1315742 118687 0.00320 4497160 3277863 1219297 0.03360 523 523 0.00000 523 523 0.00000 1 1269918 12626783 12540292 86491 X 1 1 1 1 LAIRD HOSPITAL 25117 HWY 15 UNION MS 39365 X X X LAIRD HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE SCHEDULE C X 1 19 1 HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/LAIRD-HOSPITAL/ 0 1 X 150.000000000000 200.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ X HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ X HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ X X X X X X X 1 X 0 X X X 1 X 0 0 LAIRD HOSPITAL PART V, SECTION B, LINE 5: PLEASE SEE THE COMMUNITY INPUT SECTION OF THE CHNA, FOUND AT:HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/LAIRD-HOSPITAL/ SCROLL DOWN TO COMMUNITY HEALTH NEEDS ASSESSMENT LINK. LAIRD HOSPITAL PART V, SECTION B, LINE 11: THE ORIGINS OF HEALTH DISPARITIES IN RURAL AMERICA ARE NUMEROUS AND VARY BY REGION. SOME FREQUENTLY CITED FACTORS UNDERLYING RURAL HEALTH DISPARITIES INCLUDE HEALTHCARE ACCESS, SOCIOECONOMIC STATUS, HEALTH-RELATED BEHAVIORS, AND CHRONIC CONDITIONS.IN ORDER TO CARRY OUT THE HEALTH AND WELLNESS INITIATIVES IDENTIFIED BY LAIRD HOSPITAL, THE COMMUNITY NEEDS STEERING COMMITTEE WILL MEET QUARTERLY TO ASSESS THE PROGRESS AND CONTINUING PLAN OF IMPLEMENTATION AND WILL WORK WITH COMMUNITY PARTNERS IN THE FOLLOWING AREAS: (1) LIFESTYLE IMPROVEMENT; (2) CANCER AWARENESS; (3) FOCUS ON ACCIDENT PREVENTION.SEE IMPLEMENTATION STRATEGY FOR FURTHER DETAILS AND STRATEGIES TO ADDRESS THESE PRIORITIES:HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/LAIRD-HOSPITAL/ LAIRD HOSPITAL PART V, SECTION B, LINE 16J: SEE PLAIN TEXT SUMMARY (ESPANOL): HTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/RUSH-PLAIN-LANGUAGE-SUMMARY-ESPANOL/ PART V, SECTION B, LINE 7A THE CNHA CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/LAIRD-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LINK 6 1 - DECATUR MEDICAL CLINIC 14884 HWY 15 DECATUR MS 39327 MEDICAL CLINIC 2 - FAMILY MEDICAL GROUP OF UNION 14345 HWY 15 UNION MS 39365 MEDICAL CLINIC 3 - RUSH MEDICAL CLINIC OF PHILADELPHIA 1106 CENTRAL DRIVE PHILADELPHIA MS 39350 MEDICAL CLINIC 4 - RUSH MEDICAL GROUP COLLINSVILLE 9097 COLLINSVILLE ROAD COLLINSVILLE MS 39325 MEDICAL CLINIC 5 - RUSH CENTRAL CLINIC 1221 24TH AVENUE MERIDIAN MS 39301 MEDICAL CLINIC 6 - FAMILY MEDICAL CLINIC HWY 19 1500 HWY 19 NORTH MERIDIAN MS 39301 MEDICAL CLINIC PART I, LINE 7: COSTING METHODOLOGY USED IN THE TABLE ON LINE 7 IS THE RATIO OF PATIENTCARE COST TO CHARGES DERIVED FROM WORKSHEET 2. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A),BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE INTHIS COLUMN IS $1,269,918. PART II, COMMUNITY BUILDING ACTIVITIES: ALL ACTIVITIES ENGAGED IN BY LAIRD HOSPITAL ARE GEARED TOWARD PROMOTIONAND IMPROVEMENT OF THE WELLBEING OF THE CITIZENS OF OUR PRIMARY SERVICEAREA. LAIRD PROMOTES HEALTH EDUCATION THROUGH SUPPORT OF ITS COMMUNITYBASED NURSING AND ALLIED HEALTH PROGRAMS AS WELL AS COMMUNITY HEALTHEDUCATION AND TRAINING SESSIONS. LAIRD ALSO SUPPORTS THE COMMUNITY BYENSURING THE PROVISION OF MUCH NEEDED EMERGENCY MEDICINE. PART III, LINE 4: BAD DEBT EXPENSE IS AS AMOUNT OF CHARGES PER TRIAL BALANCE, THIS AMOUNT ISNETTED WITH REVENUE ON AUDITED FINANCIALS AS AN IMPLICIT PRICE CONCESSION.FOR TAX PURPOSES, BAD DEBT EXPENSE IS MOVED DOWN TO THE EXPENSE SECTION.PER NOTE 1 OF THE FINANCIAL STATEMENTS, PATIENT ACCOUNTS RECEIVABLE AREREPORTED AT ESTIMATED NET REALIZABLE VALUE TAKING INTO ACCOUNT ESTIMATEDIMPLICIT AND EXPLICIT PRICE CONCESSIONS. THE ESTIMATED IMPLICIT PRICECONCESSIONS ARE BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OFHISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERALECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE,AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICESPROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDESPATIENTS WITH DEDUCTIBLE AND PAYMENT BALANCES FOR WHICH THIRD-PARTYCOVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM ANALYZESCONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR EXPLICIT PRICECONCESSIONS, IF NECESSARY. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THEADEQUACY OF THE PRICE CONCESSIONS BASED UPON ITS REVIEW OF ACCOUNTSRECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENTEXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHERFACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONSTO PATIENT SERVICE REVENUE AND TO ESTABLISH AN APPROPRIATE ESTIMATE FOR PRICE CONCESSIONS. THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTIONAGENCIES. PART III, LINE 8: THE COST OF PROVIDING SERVICES TO MEDICARE PATIENTS HISTORICALLY HASSIGNIFICANTLY EXCEEDED REVENUE. THIS COST PROVIDES A NECESSARY HEALTHBENEFIT TO THE ELDERLY POPULATION IN THE HOSPITAL'S SERVICE AREA AND SHOULD BE CONSIDERED COMMUNITY BENEFIT. PART III, LINE 9B: THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITSCHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAT ITS ESTABLISHEDRATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTSDETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE.ADDITIONALLY, THE HOSPITAL MAY UTILIZE OUTSIDE AGENCIES AS APPROPRIATE TOASSIST IN DETERMINING ACCOUNTS THAT QUALIFY AS CHARITY CARE. ANY ACCOUNTSDETERMINED TO BE CHARITY BASED ON AN AGENCY'S RECOMMENDATION ARE REPORTEDAS CHARITY CARE AND REVENUE REDUCED BY THIS AMOUNT AS OPPOSED TO BEINGREPORTED AS BAD DEBT EXPENSE. PART VI, LINE 2: OUTSIDE CONSULTANTS ARE HIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENTPERIODICALLY.THE CHNA CAN BE ACCESSED ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/LAIRD-HOSPITAL/ PART VI, LINE 3: PATIENTS ARE PROVIDED AN APPLICATION FOR CHARITY CARE AND A CRITERIA FORCHARITY CARE CHECKLIST AS CLOSE TO POINT OF SERVICE AS POSSIBLE.ADDITIONALLY, THE HOSPITAL UTILIZES AN OUTSIDE ELIGIBILITY COMPANY THATREVIEWS ALL NO INSURANCE PATIENTS FOR POTENTIAL QUALIFICATION FOR OTHERGOVERNMENTAL PROGRAMS SUCH AS MEDICAID. PART VI, LINE 4: LAIRD HOSPITAL IS A CRITICAL ACCESS ACUTE-CARE MEDICAL CENTER THAT SERVESINPATIENTS AND OUTPATIENTS, PRIMARILY IN THE UNION, MISSISSIPPI AREA. ASA CRITICAL ACCESS HOSPITAL, LAIRD TRANSFERS THE EMERGENT AND MORECOMPLICATED CASES THAT REQUIRE SPECIALISTS PRIMARILY TO THE LARGER ACUTECARE HOSPITALS IN THE MERIDIAN, MS AREA. OF THE COUNTIES SERVED, THEFOLLOWING ARE COUNTIES IDENTIFIED BY HEALTH RESOURCES AND SERVICESADMINISTRATION OF THE US DEPT OF HEALTH AND HUMAN SERVICES AS HEALTHPROFESSIONAL SHORTAGE AREAS: CHOCTAW AND SUMTER COUNTIES IN ALABAMA;CLARKE, KEMPER, LAUDERDALE, NESHOBA, NEWTON AND SCOTT COUNTIES INMISSISSIPPI.ADDITIONAL INFORMATION ON THE COMMUNITY SERVED CAN BE FOUND IN THE CHNA.THE CHNA CAN BE ACCESSED ON THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/LAIRD-HOSPITAL/ PART VI, LINE 5: ALL MEMBERS OF LAIRD HOSPITAL'S BOARD RESIDE IN LAIRD'S PRIMARY SERVICEAREA. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF EXTENDING PRIVILEGES TO ALL QUALIFIED PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS THAT APPLY FORPRIVILEGES AND MEET ALL REQUIREMENTS OF CREDENTIALING AND THE MEDICALSTAFF RULES AND REGS AND BY-LAWS. THE FACILITY UTILIZES SURPLUS FUNDS FORADDITIONAL MEDICAL TECHNOLOGY, RECRUITMENT OF MEDICAL STAFF THAT ISOTHERWISE UNAVAILABLE (I.E. NEUROSURGERY, MIDWIFERY, ETC.), FUNDING OFLOCAL AREA HEALTHCARE WORKFORCE TRAINING AND ECONOMIC DEVELOPMENT. PART VI, LINE 6: LAIRD HOSPITAL IS WHOLLY OWNED BY RUSH HEALTH SYSTEMS, A NON-PROFITORGANIZATION. WITHIN RUSH HEALTH SYSTEMS ARE THE SPECIALTY HOSPITAL OFMERIDIAN (A LONG TERM ACUTE CARE FACILITY), LAIRD HOSPITAL (A CRITICALACCESS HOSPITAL, HC WATKINS HOSPITAL (A CRITICAL ACCESS HOSPITAL), SCOTTHOSPITAL (A CRITICAL ACCESS HOSPITAL), MEDICAL FOUNDATION INC. (A CLINICORGANIZATION), AND RUSH MEDICAL GROUP (A CLINIC ORGANIZATION). EACH OFTHESE ENTITES COORDINATE TO IMPROVE THE HEALTHCARE OF EAST MISSISSIPPI ANDWEST ALABAMA. CLINICAL INTEGRATION BETWEEN OUTLYING CRITICAL ACCESSHOSPITALS, SPECIALIST PHYSICIANS AND THE GENERAL ACUTE CARE HOSPITALPROVIDE FOR IMPROVED ACCESS AND IMPROVED OUTCOMES FOR THE POPULATION WESERVE. X X X X X X 0 1 0 0 0 0 0 0 0 FRED DUGGAN MD CMO 0 763245 0 0 0 0 0 8550 0 25699 0 797494 0 0 LARKIN KENNEDY PRESIDENT/CEO 0 547233 0 0 0 0 0 8550 0 19049 0 574832 0 0 DARRELL WILDMAN TREASURER/VP COMPLIANCE 0 372881 0 0 0 0 0 8850 0 25284 0 407015 0 0 CHRISTOPHER WEBB PHYSICIAN 301103 0 0 0 0 0 7036 0 12674 0 320813 0 0 0 ALLEN TYRA VP/COO 0 292677 0 0 0 0 0 0 0 18282 0 310959 0 0 DAVID BUTLER CFO 0 266532 0 0 0 0 0 7704 0 18496 0 292732 0 0 PATRICK EAKES PHYSICIAN 265220 0 0 0 0 0 0 0 23971 0 289191 0 0 0 MATTHEW WARD PHYSICIAN 265216 0 0 0 0 0 0 0 11914 0 277130 0 0 0 KRISTA BOYETTE PHYSICIAN 249590 0 0 0 0 0 813 0 11859 0 262262 0 0 0 JAMES BRADSHAW PHYSICIAN 235828 0 0 0 0 0 0 0 6049 0 241877 0 0 0 PART I, LINE 4B RUSH HEALTH SYSTEMS (SOLE MEMBER OF THE ORGANIZATION) PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). FOR 2021,THERE WERE NO CONTRIBUTIONS OR DISTRIBUTIONS FOR THOSE LISTED ON SCHEDULE J. FORM 990, PART VI, SECTION A, LINE 6 RUSH HEALTH SYSTEMS, INC. IS THE PARENT ORGANIZATION AND SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF RUSH HEALTH SYSTEMS, INC. (SOLE MEMBER OF ORGANIZATION) APPOINTS BOARD MEMBERS FOR THE ORGANIZATION ANNUALLY FOR A ONE YEAR TERM. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF RUSH HEALTH SYSTEMS, INC. (SOLE MEMBER OF ORGANIZATION) APPROVES AND RATIFIES THE ACTIONS OF THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF RUSH HEALTH SYSTEMS, INC. (SOLE MEMBER OF THE ORGANIZATION) REVIEWED AND APPROVED THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. THE OFFICERS AND DIRECTORS OF THE ORGANIZATION REVIEW THE POLICY ANNUALLY AND SIGN A CONFLICT OF INTEREST STATEMENT STATING THEY HAVE READ AND UNDERSTAND THE POLICY AND ARE IN COMPLIANCE. EDUCATION IS GIVEN TO THE STAFF ON THE CONFLICT OF INTEREST POLICY WHICH INCLUDES DIRECTION TO VOICE ANY QUESTIONS OR CONCERNS THEY HAVE AND TO BRING FORTH ANY POTENTIAL CONFLICT OR CONCERN TO THE ATTENTION OF THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION FOR THE AFFILIATED GROUP OF RUSH HEALTH SYSTEMS (SOLE MEMBER OF THE ORGANIZATION) IS REVIEWED ANNUALLY BY INDEPENDENT CONSULTANTS. CONSULTANTS COMPARE COMPENSATION ORDINARILY PROVIDED BY SIMILAR ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES, AND ADJUSTED TO REFLECT CURRENT MARKET RATES. CONSULTANTS MEET WITH THE COMPENSATION COMMITTEE AND MAKE RECOMMENDATIONS WHICH ARE APPROVED AND RATIFIED BY THE BOARD. THE INDEPENDENT CONSULTANTS REGULARLY CONTRACTED TO PERFORM SUCH REVIEWS ARE SULLIVAN, COTTER & ASSOCIATES, INC. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C: THE AUDIT/COMPENSATION COMMITTEE OF RUSH HEALTH SYSTEMS OVERSEES RESPONSIBILITY FOR THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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