2021-11-01T18:50:41-05:00 2020-12-31 721396621 CARR RIGGS & INGRAM LLC 400 W PKWY PL SUITE 300 RIDGELAND MS 39157 990 2020-01-01 271757642 KEMPER CAH INC KEMP 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 DAVID BUTLER CFO 6017033082 2021-10-21 1 DAVID BUTLER 999009999 DAWN STEED P01279118 6018537050 2021-10-21 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVID BUTLER 1314 19TH AVENUE MERIDIAN MS 39301 23084907 0 X RUSHHEALTHSYSTEMS.ORG X 2008 MS HOSPITAL AND CLINIC PATIENT SERVICE 5 3 251 6 0 0 10227650 5911205 18342341 16913918 -8873710 498 9304 259286 19705585 23084907 500 0 0 0 10114432 10197152 0 0 0 10152054 9937363 20266986 20134515 -561401 2950392 29741286 34876515 28404364 30589197 1336922 4287318 X ACUTE-CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICESSERVICES TO THE KEMPER COUNTY AREA AND SURROUNDING COMMUNITIES. 0 0 17113680 17136937 JOHN C. STENNIS MEMORIAL HOSPITAL, A DIVISION OF RUSH HEALTH SYSTEMS, IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN DEKALB, MS, 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. DEKALB, MS IS LOCATED IN KEMPER COUNTY, MS. DEKALB HAS A POPULATION OF 1,164 AND KEMPER COUNTY HAS A POPULATION OF 9,742. 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 JOHN C. STENNIS MEMORIAL 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 STENNIS, WHETHER OR NOT THEY WERE HOSPITALIZED IN ANOTHER LOCATION. ADDITIONALLY, JOHN C. STENNIS MEMORIAL 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.AS PRESENTED IN THE ATTACHED SCHEDULE H, JOHN C. STENNIS MEMORIAL HOSPITAL PROVIDED FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS DURING 2020 AT A NET COST OF $942,437. ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, JOHN C. STENNIS MEMORIAL HOSPITAL RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, JOHN C. STENNIS MEMORIAL 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, JOHN C. STENNIS MEMORIAL HOSPITAL ALSO PROVIDES MANY BENEFITS TO THE BROADER COMMUNITY IN THE AREAS OF CIVIC INVOLVEMENT AND GIVING INCLUDING ACTIVELY SUPPORTING THE AMERICAN CANCER SOCIETY, SUPPORTING THE COMMUNITY WITH IT'S ANNUAL KEMPER 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. 17113680 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 23 0 1 251 1 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAVID BUTLER 6017033082 1314 19TH AVENUE MERIDIAN MS 39301 ART NESTER BOARD CHAIRMAN 1.00 0.00 X 2000 0 0 CINDY CUMBERLAND BOARD MEMBER 1.00 0.00 X 0 0 0 FRED ROGERS BOARD MEMBER 1.00 40.00 X 0 0 0 JAMES GRANGER BOARD MEMBER 1.00 1.00 X 0 0 0 MARGARET WOMBLE BOARD MEMBER - EMERITUS 1.00 0.00 X X 0 0 0 KIM LOVETTE BOARD MEMBER 1.00 0.00 X 0 0 0 DARRELL WILDMAN TREASURER 1.00 56.00 X 0 357120 23444 DAVID BUTLER CFO 1.00 48.00 X 0 256800 21828 FRED DUGGAN MD CMA 1.00 45.00 X 0 735872 33079 LARKIN KENNEDY PRESIDENT 1.00 65.00 X 0 475270 25780 RICK BARRY SECRETARY 1.00 9.00 X 0 18000 0 SCOTT VINCENT ADMINISTRATOR 40.00 0.00 X 0 0 0 DAWN REYNOLDS COMPLIANCE 1.00 46.00 X 0 118479 21486 AIMEE MCWILLIAMS COMPLIANCE DIRECTOR 1.00 46.00 X 0 71133 21820 ALLEN TYRA COO 1.00 48.00 X 0 274830 24557 ED ULMER PHYSICIAN 40.00 0.00 X 0 255281 16610 RICHARD A NANCE PHYSICIAN 40.00 0.00 X 0 373056 12607 RICHARD A NANCE II PHYSICIAN 40.00 0.00 X 0 349088 12968 WILLIAM BRACKEN PHYSICIAN 40.00 0.00 X 0 436281 24376 MIYAKO MCCLOUD PHYSICIAN 40.00 0.00 X 0 199194 11482 2000 3920404 250037 10 0 1 0 CURA HOSPITALITY LLC 300 S TYRON STREET SUITE 400 CHARLOTTE NC 28202 DIETARY SERVICES 322116 EMCARE INC 13737 NOEL ROAD SUITE 1600 DALLAS TX 75240 ER PHYSICIAN COVERAGE 311296 UNIVERSITY OF MISSISSIPPI MEDICAL CENTER 2500 NORTH STATE STREET JACKSON MS 39216 TELEHEALTH PATIENT CARE 102450 3 4089205 1822000 5911205 PATIENT FEES 621990 16913918 16913918 16913918 498 498 MISCELLANEOUS 900099 223019 223019 CAFETERIA REVENUE 722210 36267 36267 259286 23084907 17136937 0 36765 2000 2000 8367594 8118304 249290 101347 101347 1180896 1180555 341 545315 530086 15229 2044486 2044486 142849 142849 2607486 2607486 6342 2547 3795 458 458 400291 400291 475871 475871 148232 148232 PURCHASED SERVICES 2046948 1814577 232371 SUPPLIES 646639 634511 12128 PROVISION FOR BAD DEBT 584279 584279 MISCELLANEOUS 300866 32923 267943 532616 339364 193252 20134515 17113680 3020835 0 16965 58644 2867079 1602269 157566 142955 74930 93024 17791471 5435745 10998096 12355726 21885 21885 15604765 20602012 29741286 34876515 1404183 4584555 1228697 9712459 9386300 17287722 15389645 28404364 30589197 X 1336922 4287318 1336922 4287318 29741286 34876515 X 2950392 4 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 1730 1730 0 PART II-B, LINE 1: KEMPER CAH, INC. PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $11,874, OF WHICH 14.57% IS ATTRIBUTABLE TO LOBBYING. 431498 431498 15662993 4097761 11565232 539751 272437 267314 1157229 1065547 91682 12355726 DUE FROM AFFILIATES 20602012 20602012 DUE TO AFFILIATES 15359100 OTHER LIABILITIES 30545 15389645 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, 2020 AND 2019, 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, 2016, 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 961146 539593 421553 0.02090 737468 329437 408031 0.02030 22224 17601 4623 0.00020 1720838 886631 834207 0.04140 4604 4604 0.00020 654032 550406 103626 0.00510 658636 550406 108230 0.00530 2379474 1437037 942437 0.04670 108 108 0.00000 108 108 0.00000 1 584279 7384553 7354239 30314 X 1 1 1 1 KEMPER CAH INC 14365 HIGHWAY 16 WEST DEKALB MS 39328 X X JOHN C STENNIS HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X HTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/HOSPITALS/JOHN-C-STENNIS-MEMORIAL-HOSPITA 1 19 1 HTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/INDEX.CFM/_API/REN 0 1 X 150.000000000000 200.000000000000 X X X X 1 1 X X X 1 X SEE PART V, 16I/J X SEE PART V, 16I/J X SEE PART V, 16I/J X X X X X X X 1 X 0 X X X 1 X 0 0 JOHN C. STENNIS HOSPITAL PART V, SECTION B, LINE 16J: JOHN C. STENNIS HOSPITALPART V, SECTION B, LINE 5: PLEASE SEE THE COMMUNITY INPUT SECTION OF THE CHNA, FOUND AT: HTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=39784FEA-00EB-45EA-B8F9D845CB39602BJOHN C. STENNIS HOSPITAL:PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY:HTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=585BC8D4-F5AD-4025-9EAAD00A400F4B8FHTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM-APPLICATIONHTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/FINANCIAL-ASSISTANCE-POLICY/HTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/RUSH-PLAIN-LANGUAGE-SUMMARY/ 5 1 - IMMEDIATE CARE FAMILY CLINIC 1710 14TH STREET MERIDIAN MS 39301 MEDICAL CLINIC 2 - NORTH HILLS FAMILY MEDICAL CLINIC 4331 HWY 39 NORTH MERIDIAN MS 39305 MEDICAL CLINIC 3 - RUSH MEDICAL GROUP LIVINGSTON 1221 WASHINGTON STREET LIVINGSTON AL 35470 MEDICAL CLINIC 4 - MARION PRIMARY CARE CENTER 5334 DALE DRIVE MARION MS 39342 MEDICAL CLINIC 5 - RUSH MEDICAL CLINIC DEKALB 14365 HWY 16 WEST DEKALB MS 39328 MEDICAL CLINIC PART I, LINE 7 COSTING METHODOLOGY USED IN THE TABLE ON LINE 7 IS THE RATIO OF PATIENT CARE COST TO CHARGES DERIVED FROM WORKSHEET 2. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $584,279 . PART II, COMMUNITY BUILDING ACTIVITIES: ALL ACTIVITIES ENGAGED IN BY KEMPER CAH, INC. ARE GEARED TOWARD PROMOTION AND IMPROVEMENT OF THE WELLBEING OF THE CITIZENS OF OUR PRIMARY SERVICE AREA. KEMPER PROMOTES HEALTH EDUCATION THROUGH SUPPORT OF ITS COMMUNITY BASED NURSING AND ALLIED HEALTH PROGRAMS AS WELL AS COMMUNITY HEALTH EDUCATION AND TRAINING SESSIONS. KEMPER ALSO SUPPORTS THE COMMUNITY BY ENSURING THE PROVISION OF MUCH NEEDED EMERGENCY MEDICINE. PART III, LINE 4: BAD DEBT EXPENSE IS AS AMOUNT OF CHARGES PER TRIAL BALANCE, THIS AMOUNT IS NETTED 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 ARE REPORTED AT ESTIMATED NET REALIZABLE VALUE TAKING INTO ACCOUNT ESTIMATED IMPLICIT AND EXPLICIT PRICE CONCESSIONS. THE ESTIMATED IMPLICIT PRICE CONCESSIONS ARE BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDES PATIENTS WITH DEDUCTIBLE AND PAYMENT BALANCES FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR EXPLICIT PRICE CONCESSIONS, IF NECESSARY. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE PRICE CONCESSIONS BASED UPON ITS REVIEW OF ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENT EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHER FACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONS TO PATIENT SERVICE REVENUE AND TO ESTABLISH AN APPROPRIATE ESTIMATE FOR PRICE CONCESSIONS. THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. PART III, LINE 8: ALTHOUGH NOT THE CASE THIS YEAR, THE COST OF PROVIDING SERVICES TO MEDICARE PATIENTS HISTORICALLY HAS SIGNIFICANTLY EXCEEDED REVENUE. THIS COST PROVIDES A NECESSARY HEALTH BENEFIT 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 ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAT ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. ADDITIONALLY, THE HOSPITAL MAY UTILIZE OUTSIDE AGENCIES AS APPROPRIATE TO ASSIST IN DETERMINING ACCOUNTS THAT QUALIFY AS CHARITY CARE. ANY ACCOUNTS DETERMINED TO BE CHARITY BASED ON AN AGENCY'S RECOMMENDATION ARE REPORTED AS CHARITY CARE AND REVENUE REDUCED BY THIS AMOUNT AS OPPOSED TO BEING REPORTED AS BAD DEBT EXPENSE. PART VI, LINE 2: OUTSIDE CONSULTANTS ARE HIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENT PERIODICALLY.THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=39784FEA-00EB-45EA-B8F9D845CB39602B PART VI, LINE 3: PATIENTS ARE PROVIDED AN APPLICATION FOR CHARITY CARE AND A CRITERIA FOR CHARITY CARE CHECKLIST AS CLOSE TO POINT OF SERVICE AS POSSIBLE. ADDITIONALLY, THE HOSPITAL UTILIZES AN OUTSIDE ELIGIBILITY COMPANY THAT REVIEWS ALL NO INSURANCE PATIENTS FOR POTENTIAL QUALIFICATION FOR OTHER GOVERNMENTAL PROGRAMS SUCH AS MEDICAID. PART VI, LINE 4: KEMPER CAH, INC. IS A CRITICAL ACCESS ACUTE-CARE MEDICAL CENTER THAT SERVES INPATIENTS AND OUTPATIENTS, PRIMARILY IN THE MORTON, MISSISSIPPI AREA. AS A CRITICAL ACCESS HOSPITAL, KEMPER TRANSFERS THE EMERGENT AND MORE COMPLICATED CASES THAT REQUIRE SPECIALISTS PRIMARILY TO THE LARGER ACUTE CARE HOSPITALS IN THE MERIDIAN, MS AREA. OF THE COUNTIES SERVED, THE FOLLOWING ARE COUNTIES IDENTIFIED BY HEALTH RESOURCES AND SERVICES ADMINISTRATION OF THE US DEPT OF HEALTH AND HUMAN SERVICES AS HEALTH PROFESSIONAL SHORTAGE AREAS: CHOCTAW AND SUMTER COUNTIES IN ALABAMA; CLARKE, KEMPER, LAUDERDALE, NESHOBA, NEWTON AND SCOTT COUNTIES IN MISSISSIPPI.ADDITIONAL INFORMATION ON THE COMMUNITY SERVED CAN BE FOUND IN THE CHNA. THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.RUSHHEALTHSYSTEMS.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=39784FEA-00EB-45EA-B8F9D845CB39602B PART VI, LINE 5: ALL MEMBERS OF KEMPER CAH, INC.'S BOARD RESIDE IN KEMBER'S PRIMARY SERVICE AREA. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF EXTENDING PRIVILEGES TO ALL QUALIFIED PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS THAT APPLY FOR PRIVILEGES AND MEET ALL REQUIREMENTS OF CREDENTIALING AND THE MEDICAL STAFF RULES AND REGS AND BY-LAWS. THE FACILITY UTILIZES SURPLUS FUNDS FOR ADDITIONAL MEDICAL TECHNOLOGY, RECRUITMENT OF MEDICAL STAFF THAT IS OTHERWISE UNAVAILABLE (I.E. NEUROSURGERY, MIDWIFERY, ETC.), FUNDING OF LOCAL AREA HEALTHCARE WORKFORCE TRAINING AND ECONOMIC DEVELOPMENT. PART VI, LINE 6: KEMPER CAH, INC IS WHOLLY OWNED BY RUSH HEALTH SYSTEMS, A NON-PROFIT ORGANIZATION. WITHIN RUSH HEALTH SYSTEMS ARE THE SPECIALTY HOSPITAL OF MERIDIAN (A LONG TERM ACUTE CARE FACILITY), SCOTT HOSPITAL (A CRITICAL ACCESS HOSPITAL, HC WATKINS HOSPITAL (A CRITICAL ACCESS HOSPITAL), SCOTT HOSPITAL (A CRITICAL ACCESS HOSPITAL), MEDICAL FOUNDATION INC. (A CLINIC ORGANIZATION), AND RUSH MEDICAL GROUP (A CLINIC ORGANIZATION). EACH OF THESE ENTITES COORDINATE TO IMPROVE THE HEALTHCARE OF EAST MISSISSIPPI AND WEST ALABAMA. CLINICAL INTEGRATION BETWEEN OUTLYING CRITICAL ACCESS HOSPITALS, SPECIALIST PHYSICIANS AND THE GENERAL ACUTE CARE HOSPITAL PROVIDE FOR IMPROVED ACCESS AND IMPROVED OUTCOMES FOR THE POPULATION WE SERVE. X X X X X X 0 1 0 0 0 0 0 0 0 FRED DUGGAN MD CMA 0 727072 0 0 0 8800 0 8400 0 24679 0 768951 0 0 LARKIN KENNEDY PRESIDENT 0 475270 0 0 0 0 0 3500 0 22280 0 501050 0 0 WILLIAM BRACKEN PHYSICIAN 0 436281 0 0 0 0 0 0 0 24376 0 460657 0 0 RICHARD A NANCE PHYSICIAN 0 373056 0 0 0 0 0 0 0 12607 0 385663 0 0 DARRELL WILDMAN TREASURER 0 357120 0 0 0 0 0 8400 0 15044 0 380564 0 0 RICHARD A NANCE II PHYSICIAN 0 349088 0 0 0 0 0 0 0 12968 0 362056 0 0 ALLEN TYRA COO 0 274830 0 0 0 0 0 0 0 24557 0 299387 0 0 DAVID BUTLER CFO 0 256800 0 0 0 0 0 0 0 21828 0 278628 0 0 ED ULMER PHYSICIAN 0 255281 0 0 0 0 0 0 0 16610 0 271891 0 0 MIYAKO MCCLOUD PHYSICIAN 0 199194 0 0 0 0 0 0 0 11482 0 210676 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 2020 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 XI, LINE 9: ROUNDING 4. 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