2019-11-06T10:28:10-06:00 2018-12-31 201941244 HORNE LLP 1020 HIGHLAND COLONY PKWY STE 400 RIDGELAND MS 39157 990 2018-01-01 260792328 SCOTT REGIONAL MEDICAL CENTER INC SCOT 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 DARRELL WILDMAN TREASURER 6017039992 2019-11-05 1 AMIE T WHITTINGTON CPA P01082167 6013261000 2019-11-04 66.175.140.26 2019-11-05 12:39:54 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F5A93BD5C42AC6C5209EA7E4A5E5DD2DEBBFD90D 2018 2020-01-14 16:20:31Z DARRELL WILDMAN 1314 19TH AVENUE MERIDIAN MS 39301 14351263 0 X RUSHHEALTHSYSTEMS.ORG X 2007 MS HOSPITAL AND CLINIC PATIENT SERVICE 5 5 185 6 0 0 454775 343351 15847780 13935684 3249 2827 36879 69401 16342683 14351263 300 100 0 0 7404509 6519017 0 0 0 9119777 7944266 16524586 14463383 -181903 -112120 29838937 33258463 27269808 30801454 2569129 2457009 X THE HOSPITAL PROVIDES EMERGENCY, OUTPATIENT, AND CLINICAL HEALTH CARE TO PERSONS IN SCOTT COUNTY, MISSISSIPPI AND THE SURROUNDING AREAS. 0 0 11772886 100 13987764 SCOTT REGIONAL MEDICAL CENTER IS A 25-BED ACUTE-CARE, CRITICAL ACCESS HOSPITAL LOCATED IN MORTON MS. MORTON, MS IS LOCATED IN SCOTT COUNTY, MS. MORTON HAS A POPULATION OF 3,462 AND SCOTT COUNTY HAS A POPULATION OF 28,264. SCOTT REGIONAL MEDICAL CENTER'S SCOPE OF CARE INCLUDES A RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. A VARIETY OF OTHER SERVICES ARE AVAILABLE ON AN INPATIENT AND OUTPATIENT BASIS THROUGH THE HOSPITAL'S IMAGING, LABORATORY AND REHABILITATIVE SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. A 24-HOUR EMERGENCY DEPARTMENT IS STAFFED WITH QUALIFIED EMERGENCY ROOM HOSPITALISTS AND FAMILY NURSE PRACTITIONERS AND IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK. SKILLED NURSING AND REHABILITATIVE CARE ARE AVAILABLE AT SCOTT REGIONAL MEDICAL CENTER THROUGH THE SWING BED PROGRAM. THOSE RECOVERING FROM SURGERY, A STROKE, A FRACTURE OR AN EXTENDED MEDICAL ILLNESS AND HOSPITALIZATION CAN RECEIVE REHABILITATIVE CARE AT SCOTT REGIONAL MEDICAL CENTER, WHETHER OR NOT THEY WERE HOSPITALIZED IN ANOTHER LOCATION. SCOTT REGIONAL MEDICAL CENTER IS AFFILIATED WITH RUSH HEALTH SYSTEMS OF MERIDIAN, MS. ADDITIONALLY, THE SLEEP DISORDERS PROGRAM OPERATED SCOTT REGIONAL MEDICAL CENTER PROVIDES A VALUABLE SERVICE FOR DIAGNOSIS AND TREATMENT OF CHRONIC SLEEP-RELATED DISORDERS AND THE INTENSIVE OUTPATIENT PROGRAM DESIGNED TO PROVIDE CARE FOR SENIOR ADULTS SUFFERING FROM CHRONIC ANXIETY, DEPRESSION AND GRIEF.SCOTT REGIONAL MEDICAL CENTER PROVIDED FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AS SHOWN ON SCHEDULE H AT COST OF $1,487,974. ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, SCOTT REGIONAL MEDICAL CENTER RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, SCOTT REGIONAL MEDICAL CENTER PROVIDES FREE CARE AND SUBSIDIZED CARE WITHIN EXISTING RESOURCES WHERE THE NEED FOR SUCH CARE EXISTS. ALONG WITH BEING THE ONE OF THE COUNTY'S LARGEST EMPLOYERS AND A MAJOR ECONOMIC STIMULUS BY VIRTUE OF ITS PAYROLL, SCOTT REGIONAL MEDICAL CENTER ALSO PROVIDES MANY BENEFITS TO THE BROADER COMMUNITY IN THE AREAS OF CIVIC INVOLVEMENT AND GIVING INCLUDING ACTIVELY SUPPORTING THE AMERICAN CANCER SOCIETY, SUPPORTING THE COMMUNITY WITH IT'S ANNUAL FORESTRY DAY PROGRAM CONDUCTING AND ATTENDING COMMUNITY HEALTH FAIRS AND PROVIDING FREE MEDICAL SCREENING TESTS AND DISSEMINATION OF HEALTH INFORMATION AT CIVIC CLUB MEETINGS AND OTHER COMMUNITY FUNCTIONS. 11772886 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 185 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 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 GEORGE NUTT BOARD CHAIRMAN 1.00 0.00 X 0 0 0 GARY PACE BOARD MEMBER 1.00 0.00 X 0 0 0 GREG BUTLER BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN JOHNSON BOARD MEMBER 1.00 0.00 X 0 0 0 AM LOVETT EMERITUS BOARD MEMBER-NON VOTING 1.00 0.00 X 0 0 0 MIKE EDWARDS BOARD MEMBER 1.00 0.00 X 0 0 0 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 1.00 60.00 X 0 310286 37730 JASON STRICKLAND CCO 1.00 46.00 X 0 129822 20906 HEATHER DAVIS ADMINISTRATOR 40.00 0.00 X 0 111259 727 FRED DUGGAN CMA 1.00 45.00 X 0 689587 20156 NAHID ISLAM PHYSICIAN 40.00 0.00 X 0 281561 20156 MARION SORRELS PHYSICIAN 40.00 0.00 X 0 182131 20156 RUBY LUCROY NURSE PRACTITIONER 40.00 0.00 X 190415 0 7979 TINA MABRY NURSE PRACTITIONER 40.00 0.00 X 103372 0 13720 MAGGIE DAWSON NURSE PRACTICTIONER 40.00 0.00 X 103585 0 20155 CHRIS RUSH FORMER CFO 0.00 40.00 X 0 133346 4739 DALE ARMOUR FORMER CFO 0.00 0.00 X 0 289374 14108 397372 2529758 201917 5 1 1 0 EMCARE INC 7032 COLLECTIONS CENTER DR CHICAGO IL 60693 ER PHYSICIAN COVERAGE 995401 MID SOUTH REHAB SERVICECS INC 711 AVINGNON DRIVE RIDGELAND MS 39157 REHAB SERVICES 543143 VALLEY SERVICES INC PO BOX 742992 ATLANTA GA 30374 DIETARY SERVICES 332796 SERVICEMASTER PROFESSIONAL SERVICES PO BOX 745 MARION MS 39342 HOUSEKEEPING 227980 SCOTT MEDICAL IMAGING PO BOX 14093 JACKSON MS 39236 IMAGING SERVICES 109500 5 313351 30000 343351 PATIENT FEES 621990 13935684 13935684 13935684 2827 2827 17321 0 17321 17321 17321 MISCELLANEOUS REVENUE 900099 52080 52080 52080 14351263 13987764 0 20148 100 100 5285136 4924368 360768 42239 39282 2957 850467 790934 59533 341175 314498 26677 1533413 36190 1497223 1088388 1088388 751 751 1717297 1522403 194894 15875 14298 1577 325 325 103126 103126 109775 109775 PURCHASED SERVICES 1772930 1531947 240983 SUPPLIES 601777 575181 26596 BAD DEBT EXPENSES 375287 375287 EQUIPMENT RENTAL AND MA 242177 136926 105251 383145 209858 173287 14463383 11772886 2690497 0 1 282190 1405279 1450754 168101 160714 86419 68132 3184337 1151371 2121657 2032966 26057480 29263707 29838937 33258463 1390172 1326682 25879636 29474772 27269808 30801454 X 2569129 2457009 2569129 2457009 29838937 33258463 -112120 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1452 1452 0 PART II-B, LINE 1: SCOTT REGIONAL PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $8,371.26, OF WHICH 17.35% ($1,452.41) IS ATTRIBUTABLE TO LOBBYING. 73189 73189 2603415 725461 1877954 6944 5952 992 500789 419958 80831 2032966 GOODWILL, NET OF ACCUMULATED AMORTIZATION 373256 DUE FROM AFFILIATES 28862149 DEFERRED REVENUE 21445 MISC AR 6857 29263707 DUE TO AFFILIATES 29474772 29474772 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 1 X 1 X 1 1 1 0 0 1444194 996883 447311 0.03180 1583096 977207 605889 0.04300 43366 49753 0 0.00000 3070656 2023843 1053200 0.07480 5193 5193 0.00040 1054 1054 0.00010 1002425 573998 428427 0.03040 100 100 0.00000 1008772 573998 434774 0.03090 4079428 2597841 1487974 0.10570 5203 5203 0.00040 5203 5203 0.00040 1 375287 0 5999481 5890972 108509 X 1 1 1 1 SCOTT REGIONAL MEDICAL CENTER INC 317 OLD HIGHWAY 13 SOUTH MORTON MS 39117 X X X SCOTT REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X HTTP://WWW.SCOTTREGIONAL.ORG X 1 16 1 HTTP://WWW.SCOTTREGIONAL.ORG/SRH/INDEX.CFM/LINKSERVID/6425E7D5-155D-D235-07 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 VI, 16I/J X X X X X X X 1 X 0 X X X X 1 X 0 0 SCOTT REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: PLEASE SEE THE COMMUNITY INPUT SECTION OF THE CHNA, FOUND AT: HTTP://WWW.SCOTTREGIONAL.ORG/SRH/INDEX.CFM/LINKSERVID/11C8CC3D-155D-0204-9373DC228A7D7155/SHOWMETA/0/ SCOTT REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY: HTTP://WWW.SCOTTREGIONAL.ORG/SRH/INDEX.CFM/LINKSERVID/6425E7D5-155D-D235-0705DC678E835E73/SHOWMETA/0/ SCOTT REGIONAL MEDICAL CENTER 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 - RUSH FAMILY PRACTICE LAKE 24489 HWY 80 LAKE MS 39092 FAMILY PRACTICE CLINIC 2 - CLARK MEDICAL CLINIC 321 HWY 13 SOUTH MORTON MS 39117 MEDICAL CLINIC 3 - PRIMARY HEALTH CARE FOREST 1080 HWY 35 SOUTH FOREST MS 39074 MEDICAL CLINIC PART I, LINE 7: COSTING METHODOLOGY USED IN THE TABLE ON LINE 7 IS THE RATIO OF PATIENT CARE COST TO CHARGES DERIVED FROM WORKSHEET 2. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 375,287. PART II, COMMUNITY BUILDING ACTIVITIES: ALL ACTIVITIES ENGAGED IN BY SCOTT HOSPITAL ARE GEARED TOWARD PROMOTION AND IMPROVEMENT OF THE WELLBEING OF THE CITIZENS OF OUR PRIMARY SERVICE AREA. SCOTT PROMOTES HEALTH EDUCATION THROUGH SUPPORT OF ITS COMMUNITY BASED NURSING AND ALLIED HEALTH PROGRAMS AS WELL AS COMMUNITY HEALTH EDUCATION AND TRAINING SESSIONS. SCOTT ALSO SUPPORTS THE COMMUNITY BY ENSURING THE PROVISION OF MUCH NEEDED 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 9B: THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAT ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. ADDITIONALLY, THE HOSPITAL MAY UTILIZE OUTSIDE AGENCIES AS APPROPRIATE TO ASSIST IN DETERMINING ACCOUNTS THAT QUALIFY AS CHARITY CARE. ANY ACCOUNTS DETERMINED TO BE CHARITY BASED ON AN AGENCY'S RECOMMENDATION ARE REPORTED AS CHARITY CARE AND REVENUE REDUCED BY THIS AMOUNT AS OPPOSED TO BEING REPORTED AS BAD DEBT EXPENSE. PART VI, LINE 2: OUTSIDE CONSULTANTS ARE HIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENT PERIODICALLY.THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT: HTTP://WWW.SCOTTREGIONAL.ORG/SRH/INDEX.CFM/LINKSERVID/11C8CC3D-155D-0204-9373DC228A7D7155/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: SCOTT HOSPITAL IS A CRITICAL ACCESS ACUTE-CARE MEDICAL CENTER THAT SERVES INPATIENTS AND OUTPATIENTS, PRIMARILY IN THE MORTON, MISSISSIPPI AREA. AS A CRITICAL ACCESS HOSPITAL, SCOTT TRANSFERS THE EMERGENT AND MORE COMPLICATED CASES THAT REQUIRE SPECIALISTS PRIMARILY TO THE LARGER ACUTE CARE HOSPITALS IN THE MERIDIAN, MS AREA. OF THE COUNTIES SERVED, THE FOLLOWING ARE COUNTIES IDENTIFIED BY HEALTH RESOURCES AND SERVICES ADMINISTRATION OF THE US DEPT OF HEALTH AND HUMAN SERVICES AS HEALTH PROFESSIONAL SHORTAGE AREAS: CHOCTAW AND SUMTER COUNTIES IN ALABAMA; CLARKE, KEMPER, LAUDERDALE, NESHOBA, NEWTON AND SCOTT COUNTIES IN MISSISSIPPI.FURTHER INFORMATION ON THE COMMUNITY CAN BE FOUND IN THE CHNA. THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT: HTTP://WWW.SCOTTREGIONAL.ORG/SRH/INDEX.CFM/LINKSERVID/11C8CC3D-155D-0204-9373DC228A7D7155/SHOWMETA/0/ PART VI, LINE 5: ALL MEMBERS OF SCOTT HOSPITAL'S BOARD RESIDE IN SCOTT'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: SCOTT 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), SCOTT HOSPITAL (A CRITICAL ACCESS HOSPITAL, HC WATKINS HOSPITAL (A CRITICAL ACCESS HOSPITAL), SCOTT HOSPITAL (A CRITICAL ACCESS HOSPITAL), MEDICAL FOUNDATION INC. (A CLINIC ORGANIZATION), AND RUSH MEDICAL GROUP (A CLINIC ORGANIZATION). EACH OF THESE ENTITES COORDINATE TO IMPROVE THE HEALTHCARE OF EAST MISSISSIPPI AND WEST ALABAMA. CLINICAL INTEGRATION BETWEEN OUTLYING CRITICAL ACCESS HOSPITALS, SPECIALIST PHYSICIANS AND THE GENERAL ACUTE CARE HOSPITAL PROVIDE FOR IMPROVED ACCESS AND IMPROVED OUTCOMES FOR THE POPULATION WE SERVE. X X X X X X 1 1 0 0 0 0 0 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 JASON STRICKLAND CCO 0 125022 0 0 0 4800 0 0 0 20906 0 150728 0 0 FRED DUGGAN CMA 0 689587 0 0 0 0 0 0 0 20156 0 709743 0 0 NAHID ISLAM PHYSICIAN 0 281561 0 0 0 0 0 0 0 20156 0 301717 0 0 MARION SORRELS PHYSICIAN 0 182131 0 0 0 0 0 0 0 20156 0 202287 0 0 RUBY LUCROY NURSE PRACTITIONER 190415 0 0 0 0 0 0 0 7979 0 198394 0 0 0 CHRIS RUSH FORMER CFO 0 126745 0 0 0 6601 0 0 0 4739 0 138085 0 0 DALE ARMOUR FORMER CFO 0 284232 0 0 0 5142 0 0 0 14108 0 303482 0 0 PART I, LINES 4A-B RUSH HEALTH SYSTEMS, SOLE MEMBER OF SCOTT REGIONAL MEDICAL CENTER, PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). THERE WERE NO DISTRIBUTIONS OR CONTRIBUTIONS DURING 2018 FOR THOSE LISTED ON SCHEDULE J. FORMER OFFICER JAMES DALE ARMOUR DID RECEIVE A SEVERANCE PAYMENT DURING THE YEAR. HIS EMPLOYMENT CEASED AS OF 1/1/18 AND THE ENTIRE AMOUNT OF HIS W-2 WAGES, AS REPORTED ON PART VII AND SCHEDULE J ARE CONSIDERED PART OF HIS SEVERANCE PAYMENT. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION PAYS A MANAGEMENT FEE TO RUSH CARE, INC. (SISTER ORGANIZATION) FOR BOTH CEO & CFO MANAGEMENT ROLES. 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 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. RUSH MEDICAL FOUNDATION DBA RUSH FOUNDATION HOSPITAL 1314 19TH AVENUE MERIDIAN MS 39301 640345119 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 MEDICAL FOUNDATION INC PO BOX 5183 MERIDIAN MS 39302 640834532 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 RUSH CARE INC DBA SPECIALTY HOSPITAL OF MERIDIAN 1314 19TH AVENUE MERIDIAN MS 39301 640833381 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 LAIRD HOSPITAL INC 25117 HWY 15 UNION MS 39365 201835779 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 RUSH MEDICAL GROUP OF NEWTON PA PO BOX 5187 MERIDIAN MS 39302 640783323 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 MERIDIAN SPEECH AND HEARING CENTER 1314 19TH STREET MERIDIAN MS 39301 640529831 PROVIDING AUDIOLOGY SERVICES AND DYSLEXIA TESTING AND TREATMENT MS 501(C)(3) 509(A)(2) RUSH HEALTH SYSTEMS INC 0 RUSH HEALTH SYSTEMS INC PO BOX 5187 MERIDIAN MS 39301 640664988 PROVIDING SUPPORT TO HEALTH CARE AFFILIATES MS 501(C)(3) 509(A)(3) N/A 0 RUSH HOME CARE INC 1314 19TH AVENUE MERIDIAN MS 39301 640670314 PROVIDING HOME HEALTH CARE MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 NEWCA CAH INC 1314 19TH AVENUE MERIDIAN MS 39301 201254928 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 KEMPER CAH INC 1314 19TH AVENUE MERIDIAN MS 39301 271757642 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 RUSH HOSPITAL - BUTLER INC 1314 19TH AVENUE MERIDIAN MS 39301 640655993 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 0 FOUNDATION FOR RUSH INC 1314 19TH AVENUE MERIDIAN MS 39301 473716882 FOUNDATION/FUNDRAISING MS 501(C)(3) 170(B)(1)(A)(VI) RUSH HEALTH SYSTEMS INC 0 MERIDIAN SURGERY CENTER LLC 2100 13TH STREET MERIDIAN MS 39301 300160065 AMBULATORY SURGERY CENTER MS N/A MANAGED HEALTH CARE INC 1314 19TH AVENUE MERIDIAN MS 39301 640862241 MANAGEMENT OF HEALTHCARE MS N/A C 0 RUSH SERVICE COMPANY INC PO BOX 5188 MERIDIAN MS 39302 640670493 PROPERTY RENTAL 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 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0