RUSH MEDICAL FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: RUSH MEDICAL FOUNDATION (EIN 64-0345119)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-05
IRS object ID: 201943099349302564
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-05T15:41:43-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	201941244	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	HORNE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1020 HIGHLAND COLONY PKWY STE 400	AddressLine1Txt
City	RIDGELAND	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	39157	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	640345119	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RUSH MEDICAL FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RUSH	BusinessNameControlTxt
Phone	6017039992	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1314 19TH AVENUE	AddressLine1Txt
City	MERIDIAN	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	39301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DARRELL WILDMAN	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	6017039992	PhoneNum
Signature	2019-11-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMIE T WHITTINGTON CPA	PreparerPersonNm
PTIN	P01082167	PTIN
Phone	6013261000	PhoneNum
Preparation	2019-11-05	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	66.175.140.26	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-05	IPDt
IP Tm	15:13:34	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	BC619A55C3BD57EEB00F545ADEF2BCC560AB27BE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DARRELL WILDMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1314 19TH AVENUE	AddressLine1Txt
City	MERIDIAN	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	39301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$185,819,361	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	RUSHHEALTHSYSTEMS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1947	FormationYr
Legal Domicile State	MS	LegalDomicileStateCd
Activity Or Mission	PROVIDE HEALTH CARE	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	1270	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$19,701	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$18,701	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$604,947	PYContributionsGrantsAmt
CY Contributions Grants	$1,213,108	CYContributionsGrantsAmt
PY Program Service Revenue	$159,781,328	PYProgramServiceRevenueAmt
CY Program Service Revenue	$166,195,232	CYProgramServiceRevenueAmt
PY Investment Income	$861,265	PYInvestmentIncomeAmt
CY Investment Income	$1,351,115	CYInvestmentIncomeAmt
PY Other Revenue	$18,524,367	PYOtherRevenueAmt
CY Other Revenue	$17,059,906	CYOtherRevenueAmt
PY Total Revenue	$179,771,907	PYTotalRevenueAmt
CY Total Revenue	$185,819,361	CYTotalRevenueAmt
PY Grants And Similar Paid	$37,013,405	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$31,599,616	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$53,248,950	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$51,423,803	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$104,417,717	PYOtherExpensesAmt
CY Other Expenses	$106,342,164	CYOtherExpensesAmt
PY Total Expenses	$194,680,072	PYTotalExpensesAmt
CY Total Expenses	$189,365,583	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,908,165	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,546,222	CYRevenuesLessExpensesAmt
Total Assets BOY	$290,965,648	TotalAssetsBOYAmt
Total Assets EOY	$301,666,115	TotalAssetsEOYAmt
Total Liabilities BOY	$273,991,863	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$286,468,582	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$16,973,785	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$15,197,533	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE ACUTE, EMERGENCY AND OUTPATIENT HEALTH CARE TO PERSONS IN LAUDERDALE COUNTY, MISSISSIPPI AND THE SURROUNDING AREA.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$160,125,946	ExpenseAmt
Grant	$31,599,616	GrantAmt
Revenue	$167,586,169	RevenueAmt
Desc	RUSH FOUNDATION HOSPITAL IS A 215-BED TERTIARY CARE FACILITY LOCATED IN MERIDIAN, MS IN LAUDERDALE COUNTY AND IS THE FLAGSHIP HOSPITAL FOR RUSH HEALTH SYSTEMS. WITH A 104-YEAR LEGACY OF MEDICAL INNOVATION, QUALITY CARE AND SERVICE TO OTHERS, RUSH HEALTH SYSTEMS IS COMPRISED OF 7 HOSPITALS AND MORE THAN 30 CLINICS. WITH 250 STAFF AND CONTRACTED PHYSICIANS AND 95 ADVANCED-PRACTICE PROVIDERS, RUSH IS THE LARGEST NON-GOVERNMENTAL EMPLOYER IN THE REGION. IN ADDITION TO RUSH FOUNDATION HOSPITAL, RUSH HEALTH SYSTEMS ALSO INCLUDES THE SPECIALTY HOSPITAL OF MERIDIAN, A 49-BED LONG-TERM, ACUTE CARE HOSPITAL; MEDICAL FOUNDATION, INC., A PHYSICIAN MANAGEMENT COMPANY; RUSH MEDICAL GROUP, A MULTI-SPECIALTY PHYSICIAN PRACTICE; AND FIVE CRITICAL ACCESS HOSPITALS: LAIRD HOSPITAL, UNION, MS; H.C. WATKINS MEMORIAL HOSPITAL, QUITMAN, MS; SCOTT REGIONAL HOSPITAL, MORTON, MS; JOHN C. STENNIS MEMORIAL HOSPITAL, DEKALB, MS, AND CHOCTAW GENERAL HOSPITAL IN BUTLER, AL. WHILE THE CITY OF MERIDIAN'S POPULATION IS APPROXIMATELY 37,000 PEOPLE, RUSH FOUNDATION HOSPITAL AND ITS SISTER FACILITIES IN RUSH HEALTH SYSTEMS SERVE A POPULATION OF 232,900 PEOPLE IN A 45-MILE RADIUS AND 526,500 RESIDENTS IN A 65-MILE RADIUS. NINE COUNTIES IN EAST MISSISSIPPI AND THREE COUNTIES IN WEST ALABAMA, MOST OF WHICH ARE PRIMARILY RURAL COUNTIES, MAKE UP THE MAJORITY OF THE SERVICE REGION. IN 2018, RUSH FOUNDATION HOSPITAL SERVED 6,919 INPATIENTS, 128,291 OUTPATIENTS AND 21,945 EMERGENCY ROOM PATIENTS. RUSH-AFFILIATED PHYSICIANS SPECIALIZE IN DIVERSE AREAS SUCH AS ANESTHESIOLOGY, CARDIOLOGY, CRITICAL CARE, DERMATOLOGY, EAR, NOSE AND THROAT/OTOLARYNGOLOGY, EMERGENCY MEDICINE, ENDOVASCULAR SURGERY, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, HOSPITALISTS, HYPERBARIC, INTERNAL MEDICINE, NEONATOLOGY, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPAEDICS, ORTHOPAEDIC SPINE SURGERY, PAIN MANAGEMENT, PATHOLOGY, RADIOLOGY, SLEEP MEDICINE, SPORTS MEDICINE, UROLOGY, VASCULAR SURGERY, VENOUS AND LYMPHATIC MEDICINE AND WOUND CARE.RUSH FOUNDATION HOSPITAL PROVIDES SPECIALTY CARE AND SERVICES WHICH INCLUDE: A LEVEL III TRAUMA CENTER IN THE 24-HOUR A DAY PHYSICIAN-STAFFED EMERGENCY DEPARTMENT; THE NEONATAL INTENSIVE CARE UNIT, A 12-BED UNIT THAT OFFERS A SPECIAL QUALITY OF CARE FOR PREMATURE AND HIGH-RISK INFANTS; THE FAMILY BIRTH CENTER; DIABETES MANAGEMENT CENTER AT RUSH; GI LAB; JOINT REPLACEMENT CENTER; PAIN TREATMENT CENTER; SLEEP CENTERS; SURGICAL ROBOTICS; THE VEIN CENTER AT RUSH; SENIOR CARE INTENSIVE OUTPATIENT PROGRAM. IN ADDITION, RUSH REHABILITATION SERVICES, HOUSED IN A 17,632-SQUARE-FOOT FACILITY, EARNED RECOGNITION FROM FOCUS ON THERAPEUTIC OUTCOMES (FOTO), A NATIONALLY RECOGNIZED MANAGEMENT SYSTEM. RUSH REHABILITATION SERVICES OFFERS SERVICES WHICH INCLUDE: PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AQUATIC THERAPY AND A READING CLINIC; AND THE RUSH HEART INSTITUTE, LOCATED IN THE HOSPITAL, PROVIDES CARDIAC CARE INCLUDING PREVENTION, DETECTION, TREATMENT AND AN ARRAY OF NON-INVASIVE TESTING INCLUDING: TREADMILLS, NUCLEAR MEDICINE, ECHOCARDIOGRAPHY, ARRHYTHMIA DETECTION AND PACEMAKER EVALUATION. RUSH FOUNDATION HOSPITAL IS DESIGNATED AS A BLUE DISTINCTION+ CENTER OF EXCELLENCE FOR KNEE AND HIP REPLACEMENT BY BLUE CROSS & BLUE SHIELD OF MISSISSIPPI.IN 2014, RUSH FOUNDATION HOSPITAL WAS DUALLY ACCREDITED BY THE DNV. RUSH FOUNDATION HOSPITAL PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE.ADDITIONALLY, IN 2013 RUSH FOUNDATION HOSPITAL WAS CERTIFIED AS AN ISO 9001:2008 QUALITY MANAGEMENT SYSTEMS COMPLIANT ORGANIZATION. THIS CERTIFICATION IS ACCREDITED BY DNV CERTIFICATION INC. OF HOUSTON TX. RUSH FOUNDATION HOSPITAL IS ONE OF ONLY THREE HOSPITALS IN THE STATE AND ONE OF ONLY FIFTY IN THE NATION TO ACHIEVE THIS DISTINCTION.AS PRESENTED IN THE ATTACHED SCHEDULE H, RUSH FOUNDATION HOSPITAL PROVIDED FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS DURING 2018 AT A NET COST OF $8,744,264. ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, RUSH FOUNDATION HOSPITAL RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, RUSH FOUNDATION HOSPITAL PROVIDES FREE CARE AND SUBSIDIZED CARE WITHIN EXISTING RESOURCES WHERE THE NEED FOR SUCH CARE EXISTS. IN 2018, RUSH FOUNDATION HOSPITAL CONTINUED ITS PARTICIPATION IN A 340B DRUG PROGRAM DESIGNED TO HELP PATIENTS, PARTICULARLY THOSE WHO DO NOT HAVE PRESCRIPTION DRUG COVERAGE UNDER THEIR INSURANCE PROGRAMS OR WHO ARE UNINSURED RECEIVE SIGNIFICANT DISCOUNTS ON PRESCRIPTION MEDICATIONS.ALONG WITH BEING THE REGION'S LARGEST EMPLOYER AND A MAJOR ECONOMIC STIMULUS BY VIRTUE OF ITS PAYROLL, RUSH FOUNDATION HOSPITAL AND ITS SISTER FACILITIES PROVIDE MANY BENEFITS TO THE BROADER COMMUNITY IN THE AREAS OF CIVIC INVOLVEMENT AND GIVING; MENTORING AND PROGRAM SUPPORT TO NURSING AND ALLIED HEALTH PROGRAMS AT MERIDIAN COMMUNITY COLLEGE, EAST MISSISSIPPI COMMUNITY COLLEGE, MISSISSIPPI STATE UNIVERSITY/MERIDIAN BRANCH AND THE UNIVERSITY OF WEST ALABAMA; A STRONG AND GENEROUS PROGRAM OF COMMUNITY HEALTH EDUCATION, CHARITABLE DONATIONS, SCHOOL AND SPORTS PHYSICALS, INDUSTRIAL HEALTH SCREENINGS AND WELLNESS EVENTS, VOLUNTEER HOURS AND PASTORAL CARE. ADDITIONALLY IN 2018, RUSH FOUNDATION HOSPITAL USED ITS SOCIAL MEDIA PLATFORM TO PROMOTE HEALTH AWARENESS AND EDUCATION PROGRAMS, HOSTED CIVIC AND GOVERNMENTAL LEADERS AT THE HOSPITAL, PARTICIPATED IN COUNTY AND REGION-WIDE DISASTER TRAINING AND AWARENESS, AND DISSEMINATED PUBLIC HEALTH MESSAGES AND INFORMATION TO THE EMPLOYEE AND PROVIDER BASE AND TO THE PATIENTS OF THEIR FACILITIES THROUGH EDUCATIONAL OUTREACH. SEVERAL OF THE LARGER-SCALE EXAMPLES OF THESE PROGRAMS WHICH OCCURRED DURING 2018 INCLUDE THE SPONSORSHIP OF HEALTH EDUCATION SEMINARS, DIABETES EDUCATION, SKIN CANCER EDUCATION AND SCREENINGS, BREAST HEALTH AWARENESS, BLOOD DRIVES AND MEDIA PLACEMENTS OF HEALTH INFORMATION PROVIDED BY RUSH-AFFILIATED PHYSICIANS (BOTH PAID MEDIA AND BY USING THE HEALTH SYSTEMS' SOCIAL MEDIA PLATFORMS). ADDITIONALLY, RUSH FOUNDATION HOSPITAL PROVIDED ONGOING PRENATAL AND BREASTFEEDING CLASSES (RUSH BEGAN OFFERING COMPLIMENTARY ONLINE CHILDBIRTH EDUCATION TO ITS PATIENTS IN 2016, FURTHER EXTENDING THE REACH OF IMPORTANT PRENATAL AND POSTNATAL EDUCATION) AS WELL AS PROVIDING SPECIALIZED COMMUNITY EDUCATION PROGRAMS FOR WOMEN'S HEALTH, HEART HEALTH, BREAST HEALTH, GASTROENTEROLOGICAL HEALTH, SLEEP DISORDERS, GENERAL HEALTH FAIRS, BACK PAIN, WOUND AND OSTOMY CARE AND PROSTATE SCREENINGS.RUSH FOUNDATION HOSPITAL ALSO CONTINUES TO PROVIDE AND PROMOTE WEB-BASED ACCESS FOR PATIENTS TO OBTAIN CERTAIN HEALTH INFORMATION IN KEEPING WITH FULFILLMENT OF THE MEANINGFUL USE GUIDELINES.RUSH IS ALSO A FOUNDING SPONSOR OF THE STATE GAMES OF MISSISSIPPI, WHICH IN 2018 BROUGHT MORE THAN 6,000 AMATEUR ATHLETES FROM AROUND THE STATE TO MERIDIAN FOR COMPETITION IN FORTY SPORTING EVENTS. THE HOSPITAL EMPLOYS CERTIFIED ATHLETIC TRAINERS TO PROVIDE THE AREA HIGH SCHOOLS WITH BASIC HEALTHCARE AND INSTRUCTIONAL SERVICES AT NO COST ON A DAILY BASIS DURING PRACTICE AND TRAINING AS WELL AS AT IN-SEASON COMPETITIONS AND DURING SATURDAY MORNING CLINICS.	Desc
Total Program Service Expenses	$160,125,946	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	114	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1270	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DARRELL WILDMAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6017039992	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1314 19TH AVENUE	AddressLine1Txt
City	MERIDIAN	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	39301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES K PURVIS
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
FRED BLACKLEDGE
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
ANN ALEXANDER
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
HARRY G CAUSEY MD
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
L VAUGHAN RUSH JR MD
BOARD MEMBER	1.00	10.00	Yes (X)	$0	$221,805	$13,730
CHARLES SHEPHERD
BOARD MEMBER-NONVOTING	1.00	0.00	Yes (X)	$0	$0	$0
H LOWRY RUSH III
CHAIRMAN	1.00	0.00	Yes (X)	$0	$0	$10,103
BILLY PIERCE
VICE CHAIRMAN	1.00	0.00	Yes (X)	$0	$0	$0
JAMES M NESTER
ADMINISTRATOR - HC WATKINS	40.00	0.00		$0	$138,041	$20,155	Yes (X)
JASON STRICKLAND
CCO	5.00	42.00		$0	$129,822	$20,906	Yes (X)
FRED DUGGAN MD
CMA	1.00	45.00		$0	$689,587	$20,156	Yes (X)
JASON PAYNE
EVP/COO/ADMINSTRATOR	40.00	2.00		$0	$168,304	$22,268	Yes (X)
LARKIN KENNEDY
PRESIDENT	1.00	65.00		$0	$384,892	$21,385	Yes (X)
RICK BARRY
SECRETARY	1.00	13.00		$0	$17,500	$0	Yes (X)
DARRELL WILDMAN
TREASURER	5.00	56.00		$0	$310,286	$37,730	Yes (X)
SAMUEL ALLEN
PHYSICIAN	40.00	0.00		$0	$281,579	$13,719		Yes (X)
RITA REDD
PHYSICIAN	40.00	0.00		$0	$281,121	$20,156		Yes (X)
GARY GORDON
PHYSICIAN	40.00	0.00		$0	$234,180	$7,979		Yes (X)
ANDREW WATSON
PHYSICIAN	40.00	0.00		$0	$147,227	$20,156		Yes (X)
JAMES C MATTHEWS III
PHYSICIAN	40.00	0.00		$0	$662,723	$14,799		Yes (X)
CHRIS RUSH
FORMER CFO	0.00	40.00		$0	$133,346	$4,739			Yes (X)
FRED ROGERS
FORMER OFFICER/CRO	0.00	41.00		$0	$179,731	$6,430			Yes (X)
DONNIE SMITH
FORMER OFFICER/VP	0.00	41.00		$0	$132,317	$6,376			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,112,461	TotReportableCompRltdOrgAmt
Total Other Compensation	$260,787	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HHS LTD
PO BOX 826	SAN ANTONIO	TX	78293	HOUSEKEEPING	$2,500,900
VALLEY SERVICES
PO BOX 742992	ATLANTA	GA	30374	DIETARY SERVICES	$2,108,327
JACKSON NURSE PROFESSIONALS LLC
3452 LAKE LYNDA DRIVE STE 200	ORLANDO	FL	32817	NURSING STAFF SERVICES	$1,660,732
EMCARE INC
13737 NOEL ROAD STE 1600	DALLAX	TX	75240	ER PHYSICIAN SERVICES	$610,489
HEALTHCARE SECURITY SERVICES
1395 S PLATTE RIVER DRIVE	DENVER	CO	80223	SECURITY SERVICES	$537,573

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,161,604	RelatedOrganizationsAmt
All Other Contributions	$51,504	AllOtherContributionsAmt
Total Contributions	$1,213,108	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CARE SERVICES	621990	$164,345,482	$164,345,482
MANAGEMENT FEES	561000	$1,849,750	$1,849,750

Field	Value	IRS element (for citing)
Total Program Service Revenue	$166,195,232	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$894,065	TotalRevenueColumnAmt
Exclusion	$894,065	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$16,106,318	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$16,106,318	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,106,318	TotalRevenueColumnAmt
Exclusion	$16,106,318	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$457,050	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$457,050	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$457,050	TotalRevenueColumnAmt
Related Or Exempt Func Income	$457,050	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$953,588	TotalRevenueColumnAmt
Related Or Exempt Func Income	$933,887	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$19,701	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$953,588	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$185,819,361	TotalRevenueColumnAmt
Related Or Exempt Func Income	$167,586,169	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$19,701	UnrelatedBusinessRevenueAmt
Exclusion	$17,000,383	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$31,599,616	TotalAmt
Program Services	$31,599,616	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$42,685,753	TotalAmt
Program Services	$39,905,872	ProgramServicesAmt
Management And General	$2,779,881	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,891,902	TotalAmt
Program Services	$5,482,481	ProgramServicesAmt
Management And General	$409,421	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,846,148	TotalAmt
Program Services	$2,645,388	ProgramServicesAmt
Management And General	$200,760	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$13,607,791	TotalAmt
Management And General	$13,607,791	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$8,555	TotalAmt
Management And General	$8,555	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$45	TotalAmt
Management And General	$45	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,017,684	TotalAmt
Program Services	$4,017,684	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$67,911	TotalAmt
Program Services	$46,901	ProgramServicesAmt
Management And General	$21,010	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,494	TotalAmt
Program Services	$6,494	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,720,471	TotalAmt
Program Services	$5,720,471	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,023,271	TotalAmt
Program Services	$11,023,271	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,068,317	TotalAmt
Program Services	$1,068,317	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$24,534,760	$24,051,229	$483,531
PURCHASED SERVICES	$22,151,249	$15,023,772	$7,127,477
PROVISION FOR BAD DEBTS	$8,188,864	$8,188,864
EQUIPMENT RENTAL & MAIN	$7,256,655	$5,484,085	$1,772,570

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,690,097	TotalAmt
Program Services	$5,861,501	ProgramServicesAmt
Management And General	$2,828,596	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$189,365,583	TotalAmt
Program Services	$160,125,946	ProgramServicesAmt
Management And General	$29,239,637	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,891,195	BOYAmt
EOY	$29,009,983	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,707,554	BOYAmt
EOY	$14,543,613	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,251,602	BOYAmt
EOY	$9,216,072	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,953,755	BOYAmt
EOY	$3,619,509	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$286,584,075	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$203,865,283	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$90,635,881	BOYAmt
EOY	$82,718,792	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,674,479	BOYAmt
EOY	$7,023,339	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$141,851,182	BOYAmt
EOY	$155,534,807	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$290,965,648	BOYAmt
EOY	$301,666,115	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,069,455	BOYAmt
EOY	$17,720,766	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$158,380,240	BOYAmt
EOY	$150,322,876	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,542,168	BOYAmt
EOY	$118,424,940	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$273,991,863	BOYAmt
EOY	$286,468,582	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,973,785	BOYAmt
EOY	$15,197,533	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$16,973,785	BOYAmt
EOY	$15,197,533	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$290,965,648	BOYAmt
EOY	$301,666,115	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$3,546,222	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,590,450	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$179,520	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$21,128	OtherActivitiesAmt
Total Lobbying Expenditures	$21,128	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	RUSH MEDICAL FOUNDATION PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $121,772.50, OF WHICH 17.35% ($21,127.53) IS ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,331,177	OtherCostOrOtherBasisAmt
Book Value	$8,331,177	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$99,969,554	OtherCostOrOtherBasisAmt
Depreciation	$51,320,718	DepreciationAmt
Book Value	$48,648,836	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$443,676	OtherCostOrOtherBasisAmt
Depreciation	$399,893	DepreciationAmt
Book Value	$43,783	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$175,244,925	OtherCostOrOtherBasisAmt
Depreciation	$150,439,757	DepreciationAmt
Book Value	$24,805,168	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,594,743	OtherCostOrOtherBasisAmt
Depreciation	$1,704,915	DepreciationAmt
Book Value	$889,828	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$82,718,792	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER CURRENT ASSETS	$2,991,653
OTHER NONCURRENT ASSETS	$957,806
NOTES RECEIVABLE - AFFILIATE	$147,618,543
OTHER ACCOUNTS RECEIVABLE	$975,968
DEFERRED FINANCING COSTS	$258,668
FAIR VALUE OF INTEREST RATE SWAP AGREEMENT	$2,732,169

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$155,534,807	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATE	$98,671,175
LINE OF CREDIT	$19,753,765

Field	Value	IRS element (for citing)
Total Liability	$118,424,940	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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, 2018 AND 2017, 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, 2015, 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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,259,709	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,948,052	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,730,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,198,363	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$179,815	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$265,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,169,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,411,540	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,139,068	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,095,137	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,263,683	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,263,683	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,721,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,418,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,303,081	NetCommunityBenefitExpnsAmt
Total Expense	0.02930	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,364	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$82,364	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,206,639	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,462,374	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,744,265	NetCommunityBenefitExpnsAmt
Total Expense	0.04830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,376,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,873,914	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,744,265	NetCommunityBenefitExpnsAmt
Total Expense	0.04830	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,950	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,110	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,060	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,060	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,188,864	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$38,405,787	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,670,754	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,264,967	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 MERIDIAN SURGERY CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.70540	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.29460	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
RUSH FOUNDATION HOSPITAL
1	1314 19TH AVENUE	MERIDIAN	MS	39301	Yes (X)	Yes (X)	Yes (X)
HC WATKINS MEMORIAL HOSPITAL
2	605 S ARCHUSA AVE	QUITMAN	MS	39355	Yes (X)		Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back MedicareLookBackMedicareInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
RUSH FOUNDATION HOSPITAL
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RFH	Yes (X)	Yes (1)	16	Yes (1)	HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RFH/ASSETS/FILE/CHNA-IMPLEMENTATION-PLAN-R	0	Yes (1)	Yes (X)	150.000000000000	200.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, 16I/J	Yes (X)	SEE PART V, 16I/J	Yes (X)	SEE PART V, 16I/J	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
HC WATKINS MEMORIAL HOSPITAL
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	WWW.WATKINSMEMORIALHOSPITAL.COM	Yes (X)	Yes (1)	16	Yes (1)	HTTP://WWW.WATKINSMEMORIALHOSPITAL.COM/HCWMH/INDEX.CFM/LINKSERVID/6113BC61-	0	Yes (1)	Yes (X)	150.000000000000	200.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, 16I/J	Yes (X)	SEE PART V, 16I/J	Yes (X)	SEE PART V, 16I/J	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
RUSH FOUNDATION HOSPITAL	PART V, SECTION B, LINE 5: PLEASE SEE THE COMMUNITY INPUT SECTION OF THE CHNA, FOUND AT: HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RFH/ASSETS/FILE/RUSHCHNA.PDF
H.C. WATKINS MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: PLEASE SEE THE COMMUNITY INPUT SECTION OF THE CHNA, FOUND AT: HTTP://WWW.WATKINSMEMORIALHOSPITAL.COM/HCWMH/INDEX.CFM/LINKSERVID/11A3220F-155D-0204-93D5380114AD0331/SHOWMETA/0/
RUSH FOUNDATION HOSPITAL	PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY: HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RFH/ASSETS/FILE/CHNA-IMPLEMENTATION-PLAN-RFH.PDF
H.C. WATKINS MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY: HTTP://WWW.WATKINSMEMORIALHOSPITAL.COM/HCWMH/INDEX.CFM/LINKSERVID/6113BC61-155D-D235-07A82EA09DF7FDBC/SHOWMETA/0/
RUSH FOUNDATION HOSPITAL	PART V, SECTION B, LINE 16J: HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RUSHHEALTHSYSTEMS/ASSETS/FILE/FINANCIAL%20ASSISTANCE%20POLICY%207_20_17.PDFHTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RUSHHEALTHSYSTEMS/ASSETS/FILE/PATIENT%20FINANCIAL%20ASSISTANCE%20PROGRAM%20APPLICATION%205_9_17.PDFHTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RUSHHEALTHSYSTEMS/ASSETS/FILE/RUSH%20PLAIN%20LANGUAGE%20SUMMARY%207_20_17.PDF
H.C. WATKINS MEMORIAL HOSPITAL	PART V, SECTION B, LINE 16J: HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RUSHHEALTHSYSTEMS/ASSETS/FILE/FINANCIAL%20ASSISTANCE%20POLICY%207_20_17.PDFHTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RUSHHEALTHSYSTEMS/ASSETS/FILE/PATIENT%20FINANCIAL%20ASSISTANCE%20PROGRAM%20APPLICATION%205_9_17.PDFHTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RUSHHEALTHSYSTEMS/ASSETS/FILE/RUSH%20PLAIN%20LANGUAGE%20SUMMARY%207_20_17.PDF

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - QUITMAN MEDICAL GROUP
603 SOUTH ARCHUSE AVE	QUITMAN	MS	39355	MEDICAL CLINIC
2 - CENTRAL MS FAMILY CLINIC
905 C SOUTH FRONTAGE RD	MERIDIAN	MS	39301	MEDICAL CLINIC
3 - RUSH MEDICAL GROUP PRIMARY CARE
1800 12TH STREET STE 1	MERIDIAN	MS	39301	MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTING METHODOLOGY USED ON LINE 7 IS THE RATIO OF PATIENT CARE COST TO CHARGES DERIVED FROM WORKSHEET 2.
PART I, LINE 7G:	SUBSIDIES FOR NEUROSURGICAL SERVICES, EMERGENCY ROOM, AND DIABETIC EDUCATION ARE REPORTED AS PART OF THE SUBSIDIZED HEALTH SERVICES. THE GEOGRAPHIC AREA SERVICED BY RUSH FOUNDATION HOSPITAL HAS ONLY 2 NEUROSURGEONS TO HANDLE ALL TRAUMA AND OTHER NEURO ASSOCIATED CONDITIONS. THESE 2 NEUROSURGEONS WOULD NOT BE ABLE TO PROVIDE A PRACTICE AND SERVICES TO OUR COMMUNITY WITHOUT SUBSIDIES. SO IN ORDER TO BETTER THE HEALTH OF OUR SURROUNDING AREA RUSH PROVIDES SUBSIDY TO THEIR PRACTICE.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,188,864.
PART II, COMMUNITY BUILDING ACTIVITIES:	ALL ACTIVITIES ENGAGED IN BY RUSH FOUNDATION HOSPITAL ARE GEARED TOWARD PROMOTION AND IMPROVEMENT OF THE WELLBEING OF THE CITIZENS OF OUR PRIMARY SERVICE AREA. RUSH PROMOTES HEALTH EDUCATION THROUGH SUPPORT OF ITS COMMUNITY BASED NURSING AND ALLIED HEALTH PROGRAMS AS WELL AS COMMUNITY HEALTH EDUCATION AND TRAINING SESSIONS. NUMEROUS VOLUNTEER HOURS ARE SPENT WITH ACTIVITIES SUCH AS THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM, PHYSICALS FOR SCHOOL AGE CHILDREN AND HEALTH FAIRS. RUSH ALSO SUPPORTS THE COMMUNITY BY ENSURING THE PROVISION OF NEEDED SPECIALTY CARE SUCH AS NEURO SURGERY AND EMERGENCY MEDICINE.
PART III, LINE 4:	BAD DEBT EXPENSE IS REFLECTED AS AMOUNT OF CHARGES ACTUALLY WRITTEN OFF. PER NOTE 1 OF THE FINANCIAL STATEMENTS, PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT ESTIMATED NET REALIZABLE VALUE TAKING INTO ACCOUNT A DEDUCTION FOR CONTRACTUAL ALLOWANCES AND ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON ITS REVIEW OF PATIENT 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 ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES.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 A RESERVE FOR CONTRACTUAL ALLOWANCE, AS NECESSARY. THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO THE RECENT HISTORICAL COLLECTION RATE OF UNINSURED PATIENT BALANCES.THE HEALTH SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS RELATED TO SELF-PAY PATIENTS WAS APPROXIMATELY 81 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2018, FROM 77 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2017.
PART III, LINE 8:	THE COST OF PROVIDING SERVICES TO MEDICARE PATIENTS, AS EVIDENCED ON LINE 7, SIGNIFICANTLY EXCEEDS 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 FOR RUSH FOUNDATION HOSPITAL CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT: HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RFH/ASSETS/FILE/RUSHCHNA.PDFTHE CHNA FOR HC WATKINS MEMORIAL HOSPITAL CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT:HTTP://WWW.WATKINSMEMORIALHOSPITAL.COM/HCWMH/INDEX.CFM/LINKSERVID/11A3220F-155D-0204-93D5380114AD0331/SHOWMETA/0/
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:	RUSH FOUNDATION HOSPITAL IS A MAJOR COMMUNITY -BASED ACUTE-CARE MEDICAL CENTER THAT SERVES INPATIENTS AND OUTPATIENTS, IN THE EAST MISSISSIPPI AND WEST ALABAMA AREA. RFH'S PRIMARY SERVICE AREA EXTENDS TO COMMUNITES IN OVER A 70-MILE RADIUS OF MERIDIAN, MS. MERIDIAN SERVES AS A HEALTHCARE HUB FOR THE MANY SURROUNDING COUNTIES WITH THREE ACUTE-CARE HOSPITALS BASED IN ITS CITY LIMITS. THESE FACILITES SERVE AS THE PRIMARY HEALTHCARE OF THE VERY NEEDY AREAS OF EAST MISSISSIPPI AND WEST ALABAMA WITH ONLY A FEW SMALL, PRIMARILY CRITICAL ACCESS HOSPITALS IN THE OUTLYING VICINITIES. 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 BY CAN BE FOUND IN THE CHNA. THE CHNA FOR RUSH FOUNDATION HOSPITAL CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT: HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RFH/ASSETS/FILE/RUSHCHNA.PDFTHE CHNA FOR HC WATKINS MEMORIAL HOSPITAL CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT:HTTP://WWW.WATKINSMEMORIALHOSPITAL.COM/HCWMH/INDEX.CFM/LINKSERVID/11A3220F-155D-0204-93D5380114AD0331/SHOWMETA/0/
PART VI, LINE 5:	ALL MEMBERS OF RUSH FOUNDATION HOSPITAL'S BOARD RESIDE IN RFH'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:	RUSH FOUNDATION HOSPITAL IS WHOLLY OWNED BY RUSH HEALTH SYSTEMS, A NON-PROFIT ORGAINIZATION. WITHIN RUSH HEALTH SYSTEMS ARE THE SPECIALTY HOSPITAL OF MERIDIAN (A LONG TERM ACUTE CARE FACILITY), LAIRD 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
RUSH HEALTH SYSTEMS INC
PO BOX 5187	MERIDIAN	MS	39301	640664988	501(C)(3)	$4,405,827	AFFILIATE SUPPORT
MEDICAL FOUNDATION INC
PO BOX 5183	MERIDIAN	MS	39302	640834532	501(C)(3)	$16,368,813	AFFILIATE SUPPORT
RUSH CARE INC
1314 19TH AVENUE	MERIDIAN	MS	39301	640833381	501(C)(3)	$10,824,580	AFFILIATE SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL REQUESTS FOR DONATIONS, CONTRIBUTIONS, SPONSORSHIPS ARE FORWARDED TO A SPONSORSHIP COMMITTEE CONSISTING OF SEVERAL HEALTH SYSTEM EXECUTIVES. THE COMMITTEE DETERMINES WHETHER THERE IS A HEALTH NEED, ECONOMIC DEVELOPMENT NEED, ETC. FOR THE REQUEST AND THEN VOTE TO DETERMINE IF THE REQUEST WILL BE GRANTED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
L VAUGHAN RUSH JR MD
BOARD MEMBER	$0	$217,005	$0	$0	$0	$4,800	$0	$0	$0	$13,730	$0	$235,535	$0	$0
JAMES M NESTER
ADMINISTRATOR - HC WATKINS	$0	$138,041	$0	$0	$0	$0	$0	$0	$0	$20,155	$0	$158,196	$0	$0
JASON STRICKLAND
CCO	$0	$125,022	$0	$0	$0	$4,800	$0	$0	$0	$20,906	$0	$150,728	$0	$0
FRED DUGGAN MD
CMA	$0	$689,587	$0	$0	$0	$0	$0	$0	$0	$20,156	$0	$709,743	$0	$0
JASON PAYNE
EVP/COO/ADMINSTRATOR	$0	$161,934	$0	$0	$0	$6,370	$0	$0	$0	$22,268	$0	$190,572	$0	$0
LARKIN KENNEDY
PRESIDENT	$0	$367,747	$0	$0	$0	$17,145	$0	$0	$0	$21,385	$0	$406,277	$0	$0
DARRELL WILDMAN
TREASURER	$0	$300,231	$0	$0	$0	$10,055	$0	$0	$0	$37,730	$0	$348,016	$0	$0
SAMUEL ALLEN
PHYSICIAN	$0	$281,579	$0	$0	$0	$0	$0	$0	$0	$13,719	$0	$295,298	$0	$0
RITA REDD
PHYSICIAN	$0	$281,121	$0	$0	$0	$0	$0	$0	$0	$20,156	$0	$301,277	$0	$0
GARY GORDON
PHYSICIAN	$0	$234,180	$0	$0	$0	$0	$0	$0	$0	$7,979	$0	$242,159	$0	$0
ANDREW WATSON
PHYSICIAN	$0	$147,227	$0	$0	$0	$0	$0	$0	$0	$20,156	$0	$167,383	$0	$0
JAMES C MATTHEWS III
PHYSICIAN	$0	$662,723	$0	$0	$0	$0	$0	$0	$0	$14,799	$0	$677,522	$0	$0
CHRIS RUSH
FORMER CFO	$0	$126,745	$0	$0	$0	$6,601	$0	$0	$0	$4,739	$0	$138,085	$0	$0
FRED ROGERS
FORMER OFFICER/CRO	$0	$106,546	$0	$0	$0	$73,185	$0	$0	$0	$6,430	$0	$186,161	$0	$0
DONNIE SMITH
FORMER OFFICER/VP	$0	$95,585	$0	$0	$0	$36,732	$0	$0	$0	$6,376	$0	$138,693	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	RUSH HEALTH SYSTEMS (SOLE MEMBER OF THE ORGANIZATION) PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). FOR 2018, THERE WERE NO CONTRIBUTIONS FOR THOSE LISTED ON SCHEDULE J. FORMER OFFICERS FRED ROGERS AND DONNIE SMITH RECEIVED DISTRIBUTIONS TOTALLING $83,887.84. THEIR RESPECTIVE AMOUNTS WERE INCLUDED AS WAGES IN THEIR 2018 W-2, BOX 5.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MISSISSIPPI BUSINESS FINANCE CORPORATION
A	640679132	2016-05-26	$52,985,000	PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE 4/16/12	0	0	0
MS HOSPITAL EQUIP FACILITIES AUTHORITY
B	640732320	2016-12-06	$4,906,658	PROCEEDS USED TO ACQUIRE HOSPITAL EQUIPMENT	0	0	0
MS HOSPITAL EQUIP FACILITIES AUTHORITY
C	640732320	2017-12-04	$5,000,000	PROCEEDS USED TO ACQUIRE HOSPITAL EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$52,985,000	2016	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$4,906,658		0	0	Yes (1)	Yes (1)	$4,906,658
C	$5,000,000		0	0	Yes (1)	Yes (1)	$5,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
FIRST
A	0	0	0	0	Yes (1)	Yes (1)	TENNESSEE/FITH	5.000000000000	Yes (1)	0	0	0	0
(no name)
B	0	0	0	0	0	0					0	0	0
(no name)
C	0	0	0	0	0	0					0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JILLIAN ANNE RUSH	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	DAUGHTER OF H.L. RUSH, III, BOARD CHAIRMAN	RelationshipDescriptionTxt
Transaction	$10,765	TransactionAmt
Transaction	JILLIAN A. RUSH IS AN EMPLOYEE OF RUSH MEDICAL FOUNDATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BOARD MEMBERS H. LOWRY RUSH, III AND L. VAUGHAN RUSH JR., MD HAVE A FAMILY RELATIONSHIP; THEY ARE COUSINS. OFFICER CHRIS RUSH IS THE SON OF DR. L. VAUGHN RUSH, JR., BOARD MEMBER.
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 HORNE LLP AND 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:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 179,521. ROUNDING -1.
FORM 990, PART XII, LINE 2C	THE AUDIT/COMPENSATION COMMITTEE OVERSEES RESPONSIBILITY FOR THE AUDITED FINANCIAL STATEMENTS FOR THE ORGANIZATION. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
RUSH QUALITY SERVICES LLC
1314 19TH AVENUE	MERIDIAN	MS	39301	274433509	HOSPITAL SUPPORT SERVICES	MS	RUSH MEDICAL FOUNDATION INC
MS INDEPENDENT SURGICAL CENTER LLC
1314 19TH AVENUE	MERIDIAN	MS	39301	820541585	SURGICAL CENTER	MS	RUSH MEDICAL FOUNDATION INC
THE ORTHEOPEDIC SURGERY CENTER LLC
1314 19TH AVENUE	MERIDIAN	MS	39301	562319940	SURGICAL CENTER	MS	RUSH MEDICAL FOUNDATION INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
RUSH HEALTH SYSTEMS INC
PO BOX 5187	MERIDIAN	MS	39301	640664988	PROVIDING SUPPORT TO HEALTH CARE AFFILIATES	MS	501(C)(3)	509(A)(3)(III)	N/A	0
RUSH MEDICAL GROUP OF NEWTON
1314 19TH AVENUE	MERIDIAN	MS	39301	640783323	PROVIDING HEALTH CARE SERVICES	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
RUSH HOME CARE INC
1314 19TH AVENUE	MERIDIAN	MS	39301	640670314	PROVIDING HOME HEALTH CARE	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
LAIRD HOSPITAL INC
25117 HWY 15	UNION	MS	39365	201835779	PROVIDING HEALTH CARE SERVICES	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
RUSH CARE INC
1314 19TH AVENUE	MERIDIAN	MS	39301	640833381	PROVIDING HEALTH CARE SERVICES	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
MERIDIAN SPEECH AND HEARING CENTER
1314 19TH AVENUE	MERIDIAN	MS	39301	640529831	PROVIDING AUDIOLOGY SERVICES AND DYSLEXIA TESTING AND TREATMENT	MS	501(C)(3)	509(A)(2)		0	RUSH HEALTH SYSTEMS INC
SCOTT REGIONAL MEDICAL CENTER INC
1314 19TH AVENUE	MERIDIAN	MS	39301	260792328	PROVIDING HEALTH CARE SERVICES	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
MEDICAL FOUNDATION INC
PO BOX 5183	MERIDIAN	MS	39302	640834532	PROVIDING HEALTH CARE SERVICES	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
RUSH HOSPITAL - BUTLER INC
1314 19TH AVENUE	MERIDIAN	MS	39301	640655993	PROVIDING HEALTH CARE SERVICES	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
KEMPER CAH INC
1314 19TH AVENUE	MERIDIAN	MS	39301	271757642	PROVIDING HEALTH CARE SERVICES	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
NEWCA CAH INC
1314 19TH AVENUE	MERIDIAN	MS	39301	201254928	PROVIDING HEALTH CARE SERVICES	MS	501(C)(3)	170(B)(1)(A)(III)		0	RUSH HEALTH SYSTEMS INC
FOUNDATION FOR RUSH INC
1314 19TH AVENUE	MERIDIAN	MS	39301	473716882	FOUNDATION/FUNDRAISING	MS	501(C)(3)	170(B)(1)(A)(VI)		0	RUSH HEALTH SYSTEMS INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MERIDIAN SURGERY CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 13TH STREET	AddressLine1Txt
City	MERIDIAN	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	39301	ZIPCd

Field	Value	IRS element (for citing)
EIN	300160065	EIN
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Legal Domicile State	MS	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RUSH MEDICAL FOUNDATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$11,488	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,786,279	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.07450	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
RUSH SERVICE COMPANY INC
PO BOX 5188	MERIDIAN	MS	39302	640670493	PROPERTY RENTAL	MS	N/A	C	0
MANAGED HEALTH CARE
1314 19TH AVENUE	MERIDIAN	MS	39301	640862241	MANAGE HEALTHCARE	MS	N/A	C	0
PHYSICIAN MANAGEMENT SERVICES INC
1314 19TH AVENUE	MERIDIAN	MS	39301	710927411	HEALTHCARE MANAGEMENT	MS	N/A	C	0
MERIDIAN ANESTHESIOLOGY GROUP PA
4700 26TH AVENUE	MERIDIAN	MS	39305	640675511	ANESTHESIA SERVICES	MS	N/A	C	0
THE MEDICAL STORE #1
1314 19TH AVENUE	MERIDIAN	MS	39301	640756777	DURABLE MEDICAL EQUIPMENT SALES	MS	N/A	C	0
PEAVEY INVESTMENT COMPANY INC
1220 16TH AVENUE	MERIDIAN	MS	39301	640412267	SUBSIDIARY OF RUSH SERVICE COMPANY INC	MS	N/A	C	0
RURAL HEALTHCARE MANAGMENT INC
1314 19TH AVENUE	MERIDIAN	MS	39301	811641843	HEALTHCARE MANAGEMENT	MS	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd