2019-11-15T15:35:29-06:00 2018-12-31 640809101 HARPER RAINS KNIGHT & COMPANY PA 1052 HIGHLAND COLONY PKWY STE 100 RIDGELAND MS 39157 990 2018-01-01 640324402 MAGEE BENEVOLENT ASSOCIATION MAGE 6018495070 300 THIRD AVENUE SE MAGEE MS 39111 GREGG GIBBES CEO 6018495070 2019-11-15 1 BILL FELDER CPA P00745144 6016050722 2019-11-15 76.8.246.36 2019-11-15 15:20:26 CS P 3EF1C62A1D32EADBA4C9DEC6FF4EFC0E7164EE98 C08881D6EA5F169FE43D41C1DFD4A0FE3A72148C 2018 2020-04-17 16:48:07Z MAGEE GENERAL HOSPITAL GREGG GIBBES 300 THIRD AVENUE SE MAGEE MS 39111 14004300 0 X WWW.MGHOSP.ORG X 1942 MS MAGEE GENERAL HOSPITAL SHALL CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THOSE THAT PRESENT THEMSELVES FOR OUR SERVICES. WE ARE DEDICATED TO MEET THE CHALLENGES OF THE FUTURE TO ASSURE THAT PEOPLE OF THIS COMMUNITY RECEIVE QUALITY HEALTHCARE AT A REASONABLE COST. WE ARE COMMITTED TO MAINTAIN PATIENT CONFIDENTIALITY AND TO COMFORT AND RESPECT PATIENTS, FAMILIES AND FRIENDS. 9 2 265 30 0 0 140052 5277 17212510 13528023 53064 -4537 -489496 470625 16916130 13999388 0 0 0 0 7690816 6276300 0 0 0 12256545 10298039 19947361 16574339 -3031231 -2574951 10684753 9875497 8327003 9870554 2357750 4943 X MAGEE GENERAL HOSPITAL SHALL CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THOSE THAT PRESENT THEMSELVES FOR OUR SERVICES. WE ARE DEDICATED TO MEET THE CHALLENGES OF THE FUTURE TO ASSURE THAT PEOPLE OF THIS COMMUNITY RECEIVE QUALITY HEALTHCARE AT A REASONABLE COST. WE ARE COMMITTED TO MAINTAIN PATIENT CONFIDENTIALITY AND TO COMFORT AND RESPECT PATIENTS, FAMILIES AND FRIENDS. 0 0 10863552 13993736 MAGEE GENERAL HOSPITAL OFFERS A VARIETY OF MEDICAL SERVICES THAT ARE DESIGNED TO MEET HEALTHCARE NEEDS OF THE SURROUNDING COMMUNITY. THIS SERVICE IS ACCOMPLISHED THROUGH THE OPERATION OF A FULL SERVICE INPATIENT, OUTPATIENT, AND EMERGENCY CARE FACILITY. 10863552 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 59 0 1 265 1 0 0 0 0 0 0 0 0 0 0 X 9 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 0 X GREGG GIBBES 6016980199 300 3RD AVENUE SE MAGEE MS 39111 CHARLES PRUITT III MD BOARD CHAIRMAN/PRESIDENT 1.00 1.00 X 0 0 0 JOE STEPHENS DIRECTOR 1.00 X 0 0 0 ALTHEA H CRUMPTON DIRECTOR 10.00 1.00 X 0 0 0 LYN PRUITT LANPHERE DIRECTOR 1.00 X 0 0 0 RS RUNNELS SR MD BOARD VICE-PRESIDENT 1.00 1.00 X 0 0 0 JOHN MILLER II MD DIRECTOR 1.00 X 0 0 0 BENNY HUBBARD DIRECTOR 1.00 X 0 0 0 SEAN JOHNSON CEO/BOARD TRES. AND SEC. 40.00 1.00 X X 166538 0 4921 FRANK WADE JR MD DIRECTOR 1.00 X 10500 0 0 DAVID JOHNSON PHYSICIAN ASSISTANT 40.00 X 165115 0 10220 JUANITA TURNER PHARMACIST 40.00 X 114620 0 5367 456773 0 20508 3 0 1 0 ERX LLC 9724 KINGSTON PIKE SUITE 1300 KNOXVILLE TN 37922 PHYSICIAN COVERAGE 584045 MID SOUTH REHAB 711 AVIGNON DRIVE RIDGELAND MS 39157 PHYSICAL, OCCUPATIONAL, AND SP 518370 TRILOGY HEALTHCARE SOLUTIONS 137 EXECUTIVE DRIVE SUITE F MADISON MS 39110 HEALTHCARE CONSULTING 150000 CPP WOUND CARE #10 LLC PO BOX 71849 CHICAGO IL 60694 PHYSICIAN COVERAGE 138657 TRILOGY REV CYCLE SOLUTIONS 404 LEGACY PARK SUITE A RIDGELAND MS 39157 HEALTHCARE CONSULTING 116954 6 5277 5277 OUTPATIENT REVENUE 900099 27257149 27257149 INPATIENT REVENUE 900099 5753237 5753237 SWINGBED REVENUE 900099 2849345 2849345 GERIATRIC UNIT 900099 6469 6469 CONTRACTUAL ADJUSTMENTS 900099 -22338177 -22338177 13528023 375 375 61155 0 61155 61155 61155 4912 -4912 -4912 -4912 OTHER HOSPITAL SERVICES 900099 409470 409470 409470 13999388 13993736 0 375 624386 266784 357602 4789033 3579836 1209197 459478 2352 457126 403403 294905 108498 135265 135265 775320 356725 418595 15491 7508 7983 511648 11498 500150 18907 2356 16551 191375 191375 908006 908006 305811 1646 304165 PROVIDER FEES AND SERVI 2720599 1251748 1468851 BAD DEBTS 2671078 2671078 SUPPLIES 912781 728181 184600 REPAIRS AND MAINTENANCE 648910 355565 293345 482848 233989 248859 16574339 10863552 5710787 0 1749 580488 309480 1718688 1298850 167145 183343 74487 31847554 24533683 8266513 7313871 2880 379383 143811 119562 10684753 9875497 3483724 4282294 4327400 5530155 515879 58105 8327003 9870554 X 2357750 4943 2357750 4943 10684753 9875497 -2574951 222144 0 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1417341 1417341 11568907 7453298 4115609 243265 161556 81709 18618041 16918829 1699212 7313871 PAYROLL LIABILITIES 58105 58105 1 1 1 X 125.000000000000 0 1 0 0 724810 189238 535572 0.03850 5536584 4414721 1121863 0.08070 75856 81031 0 0.00000 6337250 4684990 1657435 0.11920 52523 0 52523 0.00380 2310143 1285654 1024489 0.07370 2362666 1285654 1077012 0.07750 8699916 5970644 2734447 0.19670 1 2671078 854093 3867743 3867743 X 1 1 1 1 MEDICAL TOWERS AT TUSCAN COURT MEDICAL OFFICE RENTAL PROPERTY 0.50000 0.50000 1 1 MAGEE GENERAL HOSPITAL 300 THIRD AVENUE SE MAGEE MS 39111 X X X SKILLED NURSING; OUTPATIENT CLINIC MAGEE GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://WWW.MGHOSP.ORG/DOCS/2018_SIMPSON_AND_SMITH_COUNTIES_CHNA.PDF X 1 18 1 WWW.MGHOSP.ORG/DOCS/2015_IMPLEMENTATION_SURVEY.PDF 0 1 X 125.000000000000 X X X X 1 1 X X X 1 X HTTP://WWW.MGHOSP.ORG/DOCS/CHARITY_POLICY_2015.PDF X HTTP://WWW.MGHOSP.ORG/DOCS/CHARITY_APPLICATION.PDF X X X X X X 1 0 1 X 0 0 MAGEE GENERAL HOSPITAL PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, MAGEE BENEVOLENT ASSOCIATION ASKED VARIOUS LEADERS OF THE COMMUNITY TO ATTEND AND PARTICIPATE IN COMMUNITY MEETINGS TO OBTAIN THEIR INPUT REGARDING HEALTHCARE IN THE AREA. INVITEES INCLUDED CHIEF OF POLICE, SUPERVISORS, MINISTERS, HEALTHCARE CLINIC PROFESSIONALS, PHYSICIANS, AND MAYORS.SEE COMMUNITY HEALTH NEEDS ASSESSMENT FOR ADDITIONAL INFORMATION:HTTPS://WWW.MGHOSP.ORG/DOCS/2018_SIMPSON_AND_SMITH_COUNTIES_CHNA.PDF MAGEE GENERAL HOSPITAL PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY:WWW.MGHOSP.ORG/DOCS/2015_IMPLEMENTATION_SURVEY.PDF MAGEE GENERAL HOSPITAL PART V, SECTION B, LINE 16J: FREE CARE IS DETERMINED BY THE CRITERIA OUTLINED IN THE FINANCIAL ASSISTANCE POLICY. DETERMINATIONS ARE THEN MADE BY A COMMITTEE. THE POLICY IS OFFERED TO PRIVATE PAY PATIENTS AND IS ALSO AVAILABLE ON REQUEST. EACH PATIENT SEEKING CHARITY/FREE CARE MUST APPLY, PROVIDE DOCUMENTATION AND UNDERGO REVIEW ON A CASE BY CASE BASIS BY THE HOSPITAL'S CHARITY COMMITTEE. 5 1 - HARPER CLINIC 105 EATON ST TAYLORSVILLE MS 39168 PHYSICIAN CLINIC 2 - MEDICAL PAVILION 234 MAGNOLIA DR RALEIGH MS 39153 PHYSICIAN CLINIC 3 - PEDIATRIC CLINIC OF MAGEE 360 SIMPSON HWY 149 MAGEE MS 39111 PHYSICIAN CLINIC 4 - DAVE JOHNSON CLINIC 360 SIMPSON HWY 149 MAGEE MS 39111 PHYSICIAN ASST CLINIC 5 - MGH CLINIC 360 SIMPSON HWY 149 MAGEE MS 39111 PHYSICIAN CLINIC PART I, LINE 3C: IN ORDER FOR PATIENTS TO QUALIFY FOR CHARITY CARE, THEY MUST MEET THE FOLLOWING CRITERIA: PATIENT HAS NO INSURANCE; PATIENT SUBMITS DOCUMENTATION SHOWING THEY EARN LESS THAN 125% OF FEDERAL POVERTY LEVEL; PATIENT MAY QUALIFY IF THEY HAVE EXHAUSTED THEIR MEDICAID DAYS. PART I, LINE 7: COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART I, LINE 7G: COSTS ASSOCIATED WITH PHYSICIAN CLINICS ARE INCLUDED IN THE SUBSIDIZED HEALTH COST. 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 IN THIS COLUMN IS $2,671,078. PART III, LINE 4: BAD DEBT EXPENSE IS REFLECTED AS THE AMOUNT OF BAD DEBT EXPENSE ON THE AUDITED INCOME STATEMENT. THE FOOTNOTE IN THE FINANCIAL STATEMENTS REFLECTS - PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THRID-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTIONS EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS $2,163,138 AS OF DECEMBER 31, 2018. PART III, LINE 9B: MAGEE GENERAL HOSPITAL DOES NOT SEEK COLLECTIONS FROM PATIENTS WHO QUALIFY FOR CHARITY CARE. PART VI, LINE 2: MAGEE GENERAL HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2018. THE CNHA CAN BE ACCESSED AT:HTTPS://WWW.MGHOSP.ORG/DOCS/2018_SIMPSON_AND_SMITH_COUNTIES_CHNA.PDF PART VI, LINE 3: PATIENTS WHO MAY QUALIFY FOR CHARITY CARE ASSISTANCE ARE INFORMED BY AN ON-SITE FINANCIAL COUNSELOR OR ANOTHER STAFF MEMBER OF THE AVAILABILITY OF THE PROGRAM. PART VI, LINE 4: THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING GEOGRAPHIC AND DEMOGRAPHIC AREAS, IS ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED DURING 2018. THE CHNA CAN BE ACCESSED AT:HTTPS://WWW.MGHOSP.ORG/DOCS/2018_SIMPSON_AND_SMITH_COUNTIES_CHNA.PDFPART VI, LINE 5:A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY AND DIRECTORS ARE CITIZENS OF SIMPSON OR SURROUNDING COUNTIES. MAGEE GENERAL HOSPITAL IS COMMITTED TO PROVIDE EXCELLENT HEALTHCARE FOR THE AREA BY ENSURING THE BEST QUALITY SERVICES AND CONTINUING TO EXPAND THE PROFESSIONAL SERVICES OF NUMEROUS GENERAL PRACTITIONERS AND SPECIALTY PHYSICIANS. MAGEE GENERAL HOSPITAL HAS RECENTLY EXPANDED TO INCLUDE AN UPDATED LAB, NEW LABOR AND DELIVERY SECTION, AND ADDITIONAL PHYSICIANS AND STAFF. THE NEW MEDICAL TOWERS OR TUSCAN COURT IS NEXT DOOR TO THE HOSPITAL AND INCLUDES MULTIPLE MEDICAL CLINICS AND PROVIDERS. NUMEROUS SERVICES HAVE BEEN ADDED TO SERVE THE COMMUNITY AND SURROUNDING AREAS. X 0 0 0 0 0 0 0 0 0 SEAN JOHNSON CEO/BOARD TRES. AND SEC. 166538 0 0 0 0 0 0 0 4921 0 171459 0 0 0 DAVID JOHNSON PHYSICIAN ASSISTANT 165115 0 0 0 0 0 0 0 10220 0 175335 0 0 0 A CITY OF MAGEE HOSPITAL REVENUE BOND SERIES 2007A 646000664 2007-05-29 5500000 HOSPITAL CONSTRUCTION AND RENOVATION 0 1 0 B CITY OF MAGEE HOSPITAL REVENUE BOND SERIES 2007B 646000664 2007-05-29 2000000 REFINANCING EXISTING HOSPITAL DEBT 0 1 0 A 5500000 169149 5330851 2009 0 0 1 1 B 2000000 61509 1938491 2007 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 MED PROPERTIES OF MAGEE LLC MED PROPERTIES OF MAGEE, LLC IS WHOLLY OWNED BY 3 BOARD MEMBERS 89498 RENTAL PAYMENTS PAID BY THE ORGANIZATION TO MED PROPERTIES OF MAGEE, LLC. MED PROPERTIES OF MAGEE, LLC IS WHOLLY OWNED BY 2 BOARD MEMBERS: CHARLES PRUITT AND R.S. RUNNELS. 0 MAGEE AFTER HOURS CLINIC MAGEE AFTER HOURS CLINIC IS WHOLLY OWNED BY 3 BOARD MEMBERS 33715 PAYMENTS RECEIVED OR ACCRUED BY THE ORGANIZATION TO MAGEE AFTER HOURS CLINIC FOR ADMINISTRATIVE ASSISTANCE PROVIDED BY THE ORGANIZATION. MAGEE AFTER HOURS CLINIC IS WHOLLY OWNED BY 2 BOARD MEMBERS: CHARLES PRUITT AND R.S. RUNNELS. 0 MEDICAL TOWERS AT TUSCAN COURT CHARLES PRUITT IS A 50% OWNERS OF MEDICAL TOWERS AT TUSCAN COURT 150888 RENTAL PAYMENTS PAID OR ACCRUED BY THE ORGANIZATION TO MEDICAL TOWERS AT TUSCAN COURT. CHARLES PRUITT, BOARD CHAIRMAN, IS A 50% OWNER OF MEDICAL TOWERS AT TUSCAN COURT. 0 MEDICAL SURGICAL PLLC MEDICAL SURGICAL, PLLC. IS WHOLLY OWNED BY 2 BOARD MEMBERS 36532 PAYMENTS PAID BY THE ORGANIZATION TO MEDICAL SURGICAL, PLLC. CHARLES PRUITT, BOARD CHAIRMAN, IS PART OWNER OF THIS ORGANIZATION. 0 FORM 990, PART VI, SECTION A, LINE 2 R.S. RUNNELS, SR., M.D. (BOARD MEMBER) AND DR. CHARLES PRUITT (BOARD CHAIRMAN) ARE BUSINESS PARTNERS IN MAGEE AFTER HOURS CLINIC, PLLC, MED PROPERTIES OF MAGEE, LLC, MEDICAL SURGICAL, INC., AND MED CAMPUS. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN WILL BE REVIEWED BY THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C PRIOR TO ANY GOVERNING BOARD ASSEMBLY DURING WHICH DECIDED VOTES WILL BE CAST REGARDING NEW FINANCIAL RELATIONSHIPS OR ARRANGEMENTS, THE CEO OF THE ORGANIZATION WILL REVIEW AND CONSIDER EACH MEMBER OF THE VOTING ASSEMBLY FOR ANY POTENTIAL CONFLICT OF INTEREST IN RELATION TO THE TRANSACTION OR ARRAGEMENT IN QUESTION. THE CEO WILL ASK ANY INDIVIDUAL WHOSE RELATIONSHIP MAY PRESENT A CONFLICT OF INTEREST TO ABSTAIN FROM CASTING A VOTE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS OR THE COMPENSATION COMMITTEE APPROVES THE COMPENSATION OF THE ORGANIZATION'S CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS AT THE ADMINISTRATION OFFICES OF THE ORGANIZATION. PREPARER FILING STATEMENT: FORM 990-EZ AND THE ACCOMPANYING SCHEDULES HAVE BEEN PREPARED USING UNAUDITED, UNADJUSTED FINANCIAL INFORMATION PROVIDED BY THE ORGANIZATION. IT MAY BE NECESSARY TO AMEND THIS RETURN DUE TO FINDINGS OR OTHER DISCLOSURE CORRECTIONS IN THE FUTURE. THE ORGANIZATION'S BOARD, OFFICERS AND INDEPENDENT ACCOUNTANT WILL WORK TOGETHER TO ENSURE THE CONTINUED ACCURACY OF THE INFORMATION PROVIDED. MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST 300 THIRD AVENUE SE MAGEE MS 39111 270031018 SUPPORT MAGEE GENERAL HOSPITAL MS 501(C)(3) 509(A)(2) MAGEE BENEVOLENT ASSOCIATION DBA MAGEE GENERAL HOSPITAL 1 THE MEDICAL TOWERS AT TUSCAN COURT LLC 300 THIRD AVENUE MAGEE MS 39111 203352577 MEDICAL OFFICE RENTAL MS MAGEE BENEVOLENT ASSOCIATION DBA MAGEE GENERAL HOSPITAL RELATED 67504 2684010 0 0 0.50000 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 THE MEDICAL TOWERS AT TUSCAN COURT LLC K 150888 ACCRUAL MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST C 5277 CASH