2019-11-05T15:41:43-06:00 2018-12-31 201941244 HORNE LLP 1020 HIGHLAND COLONY PKWY STE 400 RIDGELAND MS 39157 990 2018-01-01 640345119 RUSH MEDICAL FOUNDATION RUSH 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 DARRELL WILDMAN TREASURER 6017039992 2019-11-05 1 AMIE T WHITTINGTON CPA P01082167 6013261000 2019-11-05 66.175.140.26 2019-11-05 15:13:34 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BC619A55C3BD57EEB00F545ADEF2BCC560AB27BE 2018 2020-03-31 21:24:44Z DARRELL WILDMAN 1314 19TH AVENUE MERIDIAN MS 39301 185819361 0 X RUSHHEALTHSYSTEMS.ORG X 1947 MS PROVIDE HEALTH CARE 7 5 1270 6 19701 18701 604947 1213108 159781328 166195232 861265 1351115 18524367 17059906 179771907 185819361 37013405 31599616 0 0 53248950 51423803 0 0 0 104417717 106342164 194680072 189365583 -14908165 -3546222 290965648 301666115 273991863 286468582 16973785 15197533 X TO PROVIDE ACUTE, EMERGENCY AND OUTPATIENT HEALTH CARE TO PERSONS IN LAUDERDALE COUNTY, MISSISSIPPI AND THE SURROUNDING AREA. 0 0 160125946 31599616 167586169 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. 160125946 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 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 114 0 1 1270 1 1 1 0 0 0 0 0 0 0 0 0 X 7 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DARRELL WILDMAN 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 JAMES K PURVIS BOARD MEMBER 1.00 0.00 X 0 0 0 FRED BLACKLEDGE BOARD MEMBER 1.00 0.00 X 0 0 0 ANN ALEXANDER BOARD MEMBER 1.00 0.00 X 0 0 0 HARRY G CAUSEY MD BOARD MEMBER 1.00 0.00 X 0 0 0 L VAUGHAN RUSH JR MD BOARD MEMBER 1.00 10.00 X 0 221805 13730 CHARLES SHEPHERD BOARD MEMBER-NONVOTING 1.00 0.00 X 0 0 0 H LOWRY RUSH III CHAIRMAN 1.00 0.00 X 0 0 10103 BILLY PIERCE VICE CHAIRMAN 1.00 0.00 X 0 0 0 JAMES M NESTER ADMINISTRATOR - HC WATKINS 40.00 0.00 X 0 138041 20155 JASON STRICKLAND CCO 5.00 42.00 X 0 129822 20906 FRED DUGGAN MD CMA 1.00 45.00 X 0 689587 20156 JASON PAYNE EVP/COO/ADMINSTRATOR 40.00 2.00 X 0 168304 22268 LARKIN KENNEDY PRESIDENT 1.00 65.00 X 0 384892 21385 RICK BARRY SECRETARY 1.00 13.00 X 0 17500 0 DARRELL WILDMAN TREASURER 5.00 56.00 X 0 310286 37730 SAMUEL ALLEN PHYSICIAN 40.00 0.00 X 0 281579 13719 RITA REDD PHYSICIAN 40.00 0.00 X 0 281121 20156 GARY GORDON PHYSICIAN 40.00 0.00 X 0 234180 7979 ANDREW WATSON PHYSICIAN 40.00 0.00 X 0 147227 20156 JAMES C MATTHEWS III PHYSICIAN 40.00 0.00 X 0 662723 14799 CHRIS RUSH FORMER CFO 0.00 40.00 X 0 133346 4739 FRED ROGERS FORMER OFFICER/CRO 0.00 41.00 X 0 179731 6430 DONNIE SMITH FORMER OFFICER/VP 0.00 41.00 X 0 132317 6376 0 4112461 260787 19 1 1 0 HHS LTD PO BOX 826 SAN ANTONIO TX 78293 HOUSEKEEPING 2500900 VALLEY SERVICES PO BOX 742992 ATLANTA GA 30374 DIETARY SERVICES 2108327 JACKSON NURSE PROFESSIONALS LLC 3452 LAKE LYNDA DRIVE STE 200 ORLANDO FL 32817 NURSING STAFF SERVICES 1660732 EMCARE INC 13737 NOEL ROAD STE 1600 DALLAX TX 75240 ER PHYSICIAN SERVICES 610489 HEALTHCARE SECURITY SERVICES 1395 S PLATTE RIVER DRIVE DENVER CO 80223 SECURITY SERVICES 537573 15 1161604 51504 1213108 PATIENT CARE SERVICES 621990 164345482 164345482 MANAGEMENT FEES 561000 1849750 1849750 166195232 894065 894065 16106318 0 16106318 16106318 16106318 457050 0 457050 457050 457050 OTHER REVENUE 900099 953588 933887 19701 953588 185819361 167586169 19701 17000383 31599616 31599616 42685753 39905872 2779881 5891902 5482481 409421 2846148 2645388 200760 13607791 13607791 8555 8555 45 45 4017684 4017684 67911 46901 21010 6494 6494 5720471 5720471 11023271 11023271 1068317 1068317 SUPPLIES 24534760 24051229 483531 PURCHASED SERVICES 22151249 15023772 7127477 PROVISION FOR BAD DEBTS 8188864 8188864 EQUIPMENT RENTAL & MAIN 7256655 5484085 1772570 8690097 5861501 2828596 189365583 160125946 29239637 0 21891195 29009983 13707554 14543613 9251602 9216072 3953755 3619509 286584075 203865283 90635881 82718792 9674479 7023339 141851182 155534807 290965648 301666115 19069455 17720766 158380240 150322876 96542168 118424940 273991863 286468582 X 16973785 15197533 16973785 15197533 290965648 301666115 X -3546222 1590450 179520 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 21128 21128 0 PART II-B, LINE 1: RUSH MEDICAL FOUNDATION PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $121,772.50, OF WHICH 17.35% ($21,127.53) IS ATTRIBUTABLE TO LOBBYING. 8331177 8331177 99969554 51320718 48648836 443676 399893 43783 175244925 150439757 24805168 2594743 1704915 889828 82718792 OTHER CURRENT ASSETS 2991653 OTHER NONCURRENT ASSETS 957806 NOTES RECEIVABLE - AFFILIATE 147618543 OTHER ACCOUNTS RECEIVABLE 975968 DEFERRED FINANCING COSTS 258668 FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 2732169 155534807 DUE TO AFFILIATE 98671175 LINE OF CREDIT 19753765 118424940 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, 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. 1 1 X 1 X 1 X 1 1 1 0 0 8259709 12948052 0 0.00000 18730227 24198363 0 0.00000 179815 265125 0 0.00000 27169751 37411540 0 0.00000 1139068 43931 1095137 0.00600 2263683 2263683 0.01250 8721524 3418443 5303081 0.02930 82364 82364 0.00050 12206639 3462374 8744265 0.04830 39376390 40873914 8744265 0.04830 2950 2950 0.00000 30110 30110 0.00020 33060 33060 0.00020 1 8188864 0 38405787 40670754 -2264967 X 1 1 1 MERIDIAN SURGERY CENTER LLC AMBULATORY SURGERY CENTER 0.70540 0.00000 0.29460 2 1 RUSH FOUNDATION HOSPITAL 1314 19TH AVENUE MERIDIAN MS 39301 X X X 2 HC WATKINS MEMORIAL HOSPITAL 605 S ARCHUSA AVE QUITMAN MS 39355 X X X RUSH FOUNDATION HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RFH X 1 16 1 HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RFH/ASSETS/FILE/CHNA-IMPLEMENTATION-PLAN-R 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 X 1 X 0 0 HC WATKINS MEMORIAL HOSPITAL 2 0 0 1 X X X X X X X X X 16 1 0 0 1 X WWW.WATKINSMEMORIALHOSPITAL.COM X 1 16 1 HTTP://WWW.WATKINSMEMORIALHOSPITAL.COM/HCWMH/INDEX.CFM/LINKSERVID/6113BC61- 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 X 1 X 0 0 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 3 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 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. 1 RUSH HEALTH SYSTEMS INC PO BOX 5187 MERIDIAN MS 39301 640664988 501(C)(3) 4405827 AFFILIATE SUPPORT MEDICAL FOUNDATION INC PO BOX 5183 MERIDIAN MS 39302 640834532 501(C)(3) 16368813 AFFILIATE SUPPORT RUSH CARE INC 1314 19TH AVENUE MERIDIAN MS 39301 640833381 501(C)(3) 10824580 AFFILIATE SUPPORT 3 0 PART I, LINE 2: 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. X X X X X X 0 1 0 0 0 0 0 0 0 L VAUGHAN RUSH JR MD BOARD MEMBER 0 217005 0 0 0 4800 0 0 0 13730 0 235535 0 0 JAMES M NESTER ADMINISTRATOR - HC WATKINS 0 138041 0 0 0 0 0 0 0 20155 0 158196 0 0 JASON STRICKLAND CCO 0 125022 0 0 0 4800 0 0 0 20906 0 150728 0 0 FRED DUGGAN MD CMA 0 689587 0 0 0 0 0 0 0 20156 0 709743 0 0 JASON PAYNE EVP/COO/ADMINSTRATOR 0 161934 0 0 0 6370 0 0 0 22268 0 190572 0 0 LARKIN KENNEDY PRESIDENT 0 367747 0 0 0 17145 0 0 0 21385 0 406277 0 0 DARRELL WILDMAN TREASURER 0 300231 0 0 0 10055 0 0 0 37730 0 348016 0 0 SAMUEL ALLEN PHYSICIAN 0 281579 0 0 0 0 0 0 0 13719 0 295298 0 0 RITA REDD PHYSICIAN 0 281121 0 0 0 0 0 0 0 20156 0 301277 0 0 GARY GORDON PHYSICIAN 0 234180 0 0 0 0 0 0 0 7979 0 242159 0 0 ANDREW WATSON PHYSICIAN 0 147227 0 0 0 0 0 0 0 20156 0 167383 0 0 JAMES C MATTHEWS III PHYSICIAN 0 662723 0 0 0 0 0 0 0 14799 0 677522 0 0 CHRIS RUSH FORMER CFO 0 126745 0 0 0 6601 0 0 0 4739 0 138085 0 0 FRED ROGERS FORMER OFFICER/CRO 0 106546 0 0 0 73185 0 0 0 6430 0 186161 0 0 DONNIE SMITH FORMER OFFICER/VP 0 95585 0 0 0 36732 0 0 0 6376 0 138693 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 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. A MISSISSIPPI BUSINESS FINANCE CORPORATION 640679132 2016-05-26 52985000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE 4/16/12 0 0 0 B MS HOSPITAL EQUIP FACILITIES AUTHORITY 640732320 2016-12-06 4906658 PROCEEDS USED TO ACQUIRE HOSPITAL EQUIPMENT 0 0 0 C MS HOSPITAL EQUIP FACILITIES AUTHORITY 640732320 2017-12-04 5000000 PROCEEDS USED TO ACQUIRE HOSPITAL EQUIPMENT 0 0 0 A 52985000 2016 1 1 1 1 B 4906658 4906658 0 0 1 1 C 5000000 5000000 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 0 0 1 1 FIRST TENNESSEE/FITH 5.000000000000 1 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 JILLIAN ANNE RUSH DAUGHTER OF H.L. RUSH, III, BOARD CHAIRMAN 10765 JILLIAN A. RUSH IS AN EMPLOYEE OF RUSH MEDICAL FOUNDATION 0 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. 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