2015-11-13T12:51:37-06:00 2014-12-31 201941244 HORNE LLP 1020 HIGHLAND COLONY PKWY STE 400 RIDGELAND MS 39157 990 2014-01-01 260792328 SCOTT REGIONAL MEDICAL CENTER INC SCOT 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 DARRELL WILDMAN TREASURER 6017039992 2015-11-09 1 MARSHA H DIECKMAN CPA P00246741 6013261000 2015-11-09 2014 2016-04-25 22:37:26Z DARRELL WILDMAN 1314 19TH AVENUE MERIDIAN MS 39301 15443972 0 X RUSHHEALTHSYSTEMS.ORG X 2007 MS HOSPITAL AND CLINIC PATIENT SERVICE 5 5 198 0 0 0 3766219 1160298 13180738 14124942 77 979 105782 157753 17052816 15443972 1389 250 0 0 7418223 6965386 0 0 0 7596566 8639514 15016178 15605150 2036638 -161178 14654083 18223125 11753052 15483272 2901031 2739853 X THE HOSPITAL PROVIDES EMERGENCY, OUTPATIENT, AND CLINICAL HEALTH CARE TO PERSONS IN SCOTT COUNTY, MISSISSIPPI AND THE SURROUNDING AREAS. 0 0 12544208 250 14222763 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 $1,141,379. 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. 12544208 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 22 0 1 198 1 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 AM LOVETT BOARD MEMBER 1.00 0.00 X 0 0 0 GARRY PACE BOARD MEMBER 1.00 0.00 X 0 0 0 GEORGE NUTT 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 CHUCK REECE PRESIDENT 1.00 56.00 X 0 321821 227166 RICK BARRY SECRETARY 1.00 11.00 X 0 18000 0 DARRELL WILDMAN TREASURER 1.00 56.00 X 0 231999 83460 CATHY ROBINSON CORPORATE COMPLIANCE OFFIC 1.00 49.00 X 0 149508 46548 DALE ARMOUR CFO 1.00 56.00 X 0 205539 47957 MIKE EDWARDS ADMINISTRATOR 40.00 0.00 X 0 137467 806 KIMBERLY J MCKAY MD PHYSICIAN 40.00 0.00 X 132290 0 3175 HOWARD D CLARK PHYSICIAN 40.00 0.00 X 266723 0 0 NAHID ISLAM PHYSICIAN 40.00 0.00 X 219785 0 12831 RUBY K LUCROY NURSE PRACTITIONER 40.00 0.00 X 151974 0 8517 LEPERCIVAL D GRIFFIN PHYSICIAN 40.00 0.00 X 192083 0 17180 962855 1064334 447640 8 0 1 0 EMCARE INC 7032 COLLECTIONS CENTER DR CHICAGO IL 60693 ER PHYSICIAN COVERAGE 711151 SERVICEMASTER PROFESSIONAL SERVICES PO BOX 745 MARION MS 39342 HOUSEKEEPING 192425 2 1138091 22207 1160298 PATIENT FEES 621990 14124942 14124942 14124942 979 979 MISCELLANEOUS REVENUE 900099 97821 97821 CAFETERIA MEALS 722210 59932 59932 157753 15443972 14222763 0 60911 250 250 5952543 5402747 549796 103195 93660 9535 522284 474025 48259 387364 347522 39842 1617368 1617368 54000 54000 5451 3295 2156 1924214 1728352 195862 16777 15666 1111 250 250 101310 101310 134936 134936 PURCHASED SERVICES 1755573 1459230 296343 BAD DEBT EXPENSES 1363751 1363751 SUPPLIES 1025534 950117 75417 TAXES & LICENSES 311762 311089 673 328588 104008 224580 15605150 12544208 3060942 0 59097 79176 3743819 3270517 186670 210832 109823 83574 3070345 729610 2436716 2340735 8117958 12238291 14654083 18223125 1328377 1493764 490414 434828 9934261 13554680 11753052 15483272 X 2901031 2739853 2901031 2739853 14654083 18223125 -161178 0 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 1772 1772 0 PART II-B, LINE 1: SCOTT REGIONAL PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $7,193, OF WHICH 24.63% ($1,772) IS ATTRIBUTABLE TO LOBBYING. 73189 73189 2515804 425666 2090138 6944 1984 4960 422028 287227 134801 52380 14733 37647 2340735 GOODWILL, NET OF ACCUMULATED AMORTIZATION 373256 OTHER ASSETS 32093 DUE FROM AFFILIATES 11832942 12238291 DUE TO AFFILIATES 13554680 13554680 X PART X, LINE 2: RUSH HEALTH SYSTEMS, INC. AND THE AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE SUBSIDIARIES, HOWEVER, ARE TAXABLE CORPORATIONS AND FILE CORPORATE INCOME TAX RETURNS. THE HEALTH SYSTEM FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE HAD NO MATERIAL EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE HEALTH SYSTEM'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN GENERAL AND ADMINISTRATIVE EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR YEARS ENDED DECEMBER 31, 2011, 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 1231617 837590 394027 0.02770 2044138 1342639 701499 0.04930 83437 69594 13843 0.00100 3359192 2249823 1109369 0.07800 2850 2850 0.00020 1178068 1150790 27278 0.00190 1882 1882 0.00010 1182800 1150790 32010 0.00220 4541992 3400613 1141379 0.08020 6759 6759 0.00050 6759 6759 0.00050 1 1363751 0 5504458 5467641 36817 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 13 1 0 0 1 X HTTP://WWW.SCOTTREGIONAL.ORG X 1 13 0 1 0 1 X 150.000000000000 200.000000000000 X X X X 1 1 X X X 1 X X X X X X 1 0 X 1 X 0 0 SCOTT REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE ASSESSMENT EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING FEDERAL AND STATE DATA (SECONDARY DATA ANALYSIS) PAIRED WITH NEWLY GATHERED DATA FROMTHE COMMUNITY (PRIMARY DATA ANALYSIS). THE INITIAL STEP IN THIS PROCESS WAS TO CONDUCT "KEY INFORMANT" INTERVIEWS. KEY INFORMANTS ARE INDIVIDUALS WHO ARE HEAVILY INVOLVED WITH AND KNOWLEDGEABLE ABOUT THE COMMUNITY OF FOCUS. THIS INCLUDES COMMUNITY LEADERS IN THE PUBLIC AND PRIVATE SECTOR, AS WELL AS INDIVIDUALS WITH SPECIAL EXPERTISE IN HEALTHCARE. INFORMATION GATHERED THROUGH THESE INTERVIEWS, PAIRED WITH PUBLIC HEALTH INFORMATION, VITAL STATISTICS, AND ECONOMIC DATA PROVIDE A VERY GOOD SNAPSHOT OF THE COMMUNITY'S NEEDS. TO FURTHER AUGMENT OUR UNDERSTANDING OF THE NEEDS OF THE UNDERSERVED, A FOCUS GROUP WAS HELD FOR THE SPECIFIC PURPOSE OF GATHERING IDEAS ABOUT HOW TO BETTER SERVE THOSE WITH THE GREATEST HEALTH RISK: LOW-INCOME, ELDERLY, MINORITY, DISABLED, AND CHILDREN/YOUTH POPULATIONS.KEY INFORMANT INTERVIEWS:EACH INTERVIEW WAS STRUCTURED SIMILARLY, AND AVERAGED 90 MINUTES. QUESTIONS WERE OPEN-ENDED, AND DESIGNED TO CAPTURE THE INFORMANT'S PERCEPTION AND RANKING OF THE MOST CRITICAL HEALTH CHALLENGES FACING THE COMMUNITY. TO FURTHER BENEFIT FROM THE KNOWLEDGE AND EXPERTISE OF THE INTERVIEWEES (SEVERAL OF WHOM HAVE EXPERTISE IN PUBLIC HEALTH), WE ASKED FOR THEIR THOUGHTS AND OPINIONS ABOUT THE ROOT CAUSES OF HEALTH PROBLEMS, POTENTIAL SOLUTIONS TO THESE PROBLEMS, AND BARRIERS TO ACHIEVING SUCCESS IN IMPLEMENTING PROGRAMS TO ADDRESS AREAS OF NEED. CAREFUL NOTES WERE TAKEN DURING THE INTERVIEWS AND SUBSEQUENTLY, THESE NOTES WERE TRANSCRIBED, THEMATICALLY CATEGORIZED, AND SUMMARIZED.FOCUS GROUP:TO EXTEND THE BASE OF KNOWLEDGE GLEANED FROM KEY INFORMANT INTERVIEWS, A COMMUNITY FOCUSGROUP WAS HELD ON THE CAMPUS OF SCOTT REGIONAL HOSPITAL ON JUNE 27, 2013. PARTICIPANTS WERE RECRUITED BY AN OPEN ANNOUNCEMENT OF A "COMMUNITY MEETING" ADVERTISEMENT PLACED IN THE SPIRIT OF MORTON NEWSPAPER.THE FOCUS GROUP WAS INTRODUCED TO THE FACILITATOR, WHO EXPLAINED THAT THE GOAL OF THE PROJECT WAS TO IDENTIFY AND PRIORITIZE LOCAL COMMUNITY HEALTHCARE NEEDS AND THAT THE FOCUS GROUP WAS STRUCTURED TO PROVIDE KEY INFORMATION TO AUGMENT THE SURVEY AND ARCHIVAL DATA PERTAINING TO THE HEALTH STATUS OF THE COMMUNITY.SPECIFICALLY, THE FOCUS GROUP WAS ASKED TO CONSIDER:1. STRENGTHS AND WEAKNESSES OF THE COMMUNITY AND ITS HEALTHCARE SYSTEM;2. MAJOR HEALTH ISSUES OF THE COMMUNITY, WITH SPECIAL ATTENTION TO CHILDREN, ELDERLY, LOWINCOME, AND MINORITY GROUPS3. RECOMMENDATIONS AND/OR PRIORITIES SCOTT REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: SEE ATTACHED IMPLEMENTATION STRATEGY SCOTT REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16I: HTTP://WWW.RUSHHEALTHSYSTEMS.ORG/RUSHHEALTHSYSTEMS/ASSETS/FILE/POLICIES/PATIENT%20FINANCIAL%20ASSISTANCE.PDF PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY SCOTT REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: SEE PART V, 16I SCOTT REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: SEE PART V, 16I 3 RUSH FAMILY PRACTICE LAKE 24489 HWY 80 LAKE MS 39092 FAMILY PRACTICE CLINIC CLARK MEDICAL CLINIC 321 HWY 13 SOUTH MORTON MS 39117 MEDICAL CLINIC 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 $ 1,363,751. 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 AFTER DEDUCTION OF ALLOWANCES FOR DOUBTFUL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON HISTORICAL LOSSES AND AN ANALYSIS OF CURRENTLY OUTSTANDING AMOUNTS FOR ITS MAJOR PAYOR SOURCES. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFULACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTABLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIALDIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BADDEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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 0 1 0 0 0 0 0 0 0 CHUCK REECE PRESIDENT 0 293398 0 0 0 28423 0 162000 0 65166 0 548987 0 0 DARRELL WILDMAN TREASURER 0 212826 0 0 0 19173 0 45855 0 37605 0 315459 0 0 CATHY ROBINSON CORPORATE COMPLIANCE OFFIC 0 136189 0 0 0 13319 0 29396 0 17152 0 196056 0 0 DALE ARMOUR CFO 0 175521 0 15000 0 15018 0 33889 0 14068 0 253496 0 0 HOWARD D CLARK PHYSICIAN 266723 0 0 0 0 0 0 0 0 0 266723 0 0 0 NAHID ISLAM PHYSICIAN 219785 0 0 0 0 0 4800 0 8031 0 232616 0 0 0 RUBY K LUCROY NURSE PRACTITIONER 151974 0 0 0 0 0 3527 0 4990 0 160491 0 0 0 LEPERCIVAL D GRIFFIN PHYSICIAN 192083 0 0 0 0 0 0 0 17180 0 209263 0 0 0 PART I, LINE 4B RUSH HEALTH SYSTEMS (SOLE MEMBER OF THE ORGANIZATION) PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). THERE WERE NO DISTRIBUTIONS DURING 2014 FOR THOSE LISTED ON SCHEDULE J. THERE WERE CONTRIBUTIONS TOTALING $200,631 FOR THOSE LISTED ON SCHEDULE J. 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 11 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 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 RUSH HEALTH SYSTEMS INC C 0 RUSH SERVICE COMPANY INC PO BOX 5188 MERIDIAN MS 39302 640670493 PROPERTY RENTAL MS RUSH HEALTH SYSTEMS INC C 0 PHYSICIAN MANAGEMENT SERVICES INC 1314 19TH AVENUE MERIDIAN MS 39301 710927411 HEALTHCARE MANAGEMENT MS RUSH HEALTH SYSTEMS INC C 0 RUSH MEDICAL GROUP INC 1314 19TH AVENUE MERIDIAN MS 39301 640524545 PHYSICIAN SERVICES MS RUSH HEALTH SYSTEMS INC C 0 CLINIC EQUIPMENT INC 1314 19TH AVENUE MERIDIAN MS 39301 640479520 EQUIPMENT LEASING MS RUSH HEALTH SYSTEMS INC C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0