2011-11-15T14:22:46-06:00 2010-12-31 HORNE LLP 1020 HIGHLAND COLONY PKWY STE 400 RIDGELAND MS 39157 990 2010-01-01 640345119 RUSH MEDICAL FOUNDATION RUSH 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 DARRELL WILDMAN 6017039992 2011-11-15 1 MARSHA H DIECKMAN CPA 6013261000 2011-11-15 2010 2016-03-07 17:11:31Z DARRELL WILDMAN 1314 19TH AVENUE MERIDIAN MS 39301 186093200 0 X RUSHHEALTHSYSTEMS.ORG X 1947 MS PROVIDE HEALTH CARE 8 5 1244 0 17454 0 3507513 0 173165710 172873691 375648 439150 12368618 12726793 189417489 186039634 31962878 19500552 0 0 60072279 51025682 0 0 0 98893868 103149832 190929025 173676066 -1511536 12363568 178904091 194508372 135468329 140742901 43435762 53765471 X TO PROVIDE ACUTE, EMERGENCY AND OUTPATIENT HEALTH CARE TO PERSONS IN LAUDERDALE COUNTY, MISSISSIPPI AND THE SURROUNDING AREA. 0 0 158835594 19485552 176842488 RUSH FOUNDATION HOSPITAL IS A 215-BED TERTIARY CARE FACILITY LOCATED IN MERIDIAN, MS IN LAUDERDALE COUNTY AND IS THE FLAGSHIP HOSPITAL OF RUSH HEALTH SYSTEMS WHICH ALSO INCLUDES THE SPECIALTY HOSPITAL OF MERIDIAN, MEDICAL FOUNDATION, INC., RUSH MEDICAL GROUP, LAIRD HOSPITAL, UNION, MISSISSIPPI, H.C. WATKINS HOSPITAL IN QUITMAN, MISSISSIPPI, SCOTT REGIONAL HOSPITAL IN MORTON, MISSISSIPPI, AND JOHN C. STENNIS MEMORIAL HOSPITAL, DEKALB, MS.WHILE THE CITY OF MERIDIAN'S POPULATION IS APPROXIMATELY 38,000 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 2010, RUSH FOUNDATION HOSPITAL SERVED 6,572 INPATIENTS, 81,000 OUTPATIENTS AND 22,524 EMERGENCY ROOM PATIENTS. RUSH FOUNDATION HOSPITAL PROVIDES THE MAJOR SERVICES OF CARDIOVASCULAR SURGERY, CARDIOLOGY, VASCULAR AND THORACIC SURGERY, ORTHOPAEDICS AND ORTHOPAEDIC SURGERY, NEUROSURGERY, GENERAL SURGERY, OBSTETRICS AND GYNECOLOGY, A GASTROENTEROLOGY LABORATORY, PAIN TREATMENT CENTER, AND CRITICAL CARE IN ADDITION TO A FULL COMPLEMENT DIAGNOSTICS AND TREATMENT SERVICES AND ACCESS TO MORE THAN 100 PHYSICIAN SPECIALISTS AND PRIMARY CARE PHYSICIANS. ADDITIONALLY, THE HEALTH SYSTEM HAS MORE THAN THIRTY NURSE PRACTITIONERS AND NURSE MIDWIVES WHO EXTEND CARE TO THE PATIENT POPULATION.SPECIALIZED SERVICES PROVIDED THROUGH RUSH FOUNDATION HOSPITAL INCLUDE: A LEVEL 3 TRAUMA CENTER IN THE 24-HOUR A DAY PHYSICIAN-STAFFED EMERGENCY DEPARTMENT; THE NEWBORN INTENSIVE CARE UNIT, A 12-BED UNIT THAT OFFERS A SPECIAL QUALITY OF CARE FOR PREMATURE AND HIGH-RISK INFANTS; RUSH REHABILITATION SERVICES, HOUSED IN A 17,632-SQUARE-FOOT FACILITY, WHICH EARNED RECOGNITION FROM THE NATIONAL STUDIED ENTITLED FOCUS ON THERAPEUTIC OUTCOMES (FOTO) AND OFFERS SERVICES INCLUDING 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 AND TREATMENT, CARDIOVASCULAR AND VASCULAR SURGERY AND AN ARRAY OF NON-INVASIVE TESTING INCLUDING: TREADMILLS, NUCLEAR MEDICINE, ECHOCARDIOGRAPHY, ARRHYTHMIA DETECTION AND PACEMAKER EVALUATION. INTERVENTIONAL CARDIOLOGY INCLUDES BALLOON ANGIOPLASTY AND STENTS, AS WELL AS ROBOTIC CARDIAC PROCEDURES.IN 2010, RUSH FOUNDATION HOSPITAL EARNED NATIONAL RECOGNITION FOR QUALITY CARE FROM THE CMS-SPONSORED HOSPITAL QUALITY INCENTIVE DEMONSTRATION. RUSH FOUNDATION HOSPITAL RECEIVED TEN AWARDS IN THE CATEGORIES OF TREATMENT OF PATIENTS WITH HEART ATTACKS, TREATMENT OF PATIENTS WITH HEART FAILURE, THE SURGICAL CARE PROGRAM AND TREATMENT OF PATIENTS WITH PNEUMONIA.IN 2010, RUSH FOUNDATION HOSPITAL WAS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND THE DNV. RUSH FOUNDATION HOSPITAL PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE.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. DURING THE YEAR ENDED DECEMBER 31, 2010, RUSH FOUNDATION HOSPITAL PROVIDED $15,400,000 IN CHARITY CARE TO UNINSURED INDIVIDUALS. ALL OF THE FOREGONE CHARGES MENTIONED ABOVE ARE NETTED AGAINST PATIENT SERVICE REVENUE TO ARRIVE AT NET PATIENT SERVICE REVENUE AS REFLECTED AS PROGRAM SERVICE REVENUE ON PART VIII OF FORM 990 IN ORDER TO BE CONSISTENT WITH FINANCIAL STATEMENT REPORTING AND ARE NOT REPORTED AS FUNCTIONAL EXPENSES ON THE TAX RETURN.ALONG WITH BEING THE REGION'S SECOND 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. SEVERAL OF THE LARGER-SCALE EXAMPLES OF THESE PROGRAMS WHICH OCCURRED DURING 2010 INCLUDE THE SPONSORSHIP OF A CARDIAC SCREENING EVENT AT WHICH MORE THAN 200 COMMUNITY RESIDENTS RECEIVED FREE CARDIAC WELLNESS CHECKS AND WERE PROVIDED VALUABLE CARDIAC HEALTH INFORMATION BY RUSH-AFFILIATED PHYSICIANS. RUSH IS ALSO A FOUNDING SPONSOR OF THE STATE GAMES OF MISSISSIPPI, WHICH IN 2010 BROUGHT MORE THAN 5,000 AMATEUR ATHLETES FROM AROUND THE STATE TO MERIDIAN EACH YEAR FOR COMPETITION IN TWENTY-NINE SPORTING EVENTS. THE HOSPITAL EMPLOYS CERTIFIED ATHLETIC TRAINERS 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. 158835594 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 121 0 1 1244 1 1 1 0 0 0 0 0 0 0 X 8 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X DARRELL WILDMAN 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 ANN ALEXANDER 1.00 X 0 0 0 CHARLES SHEPHERD 1.00 X 0 0 0 HARRY G CAUSEY MD 1.00 X 0 0 0 H LOWRY RUSH III 1.00 X 0 230194 54808 BILLY PIERCE 1.00 X 0 0 0 L VAUGHAN RUSH JR MD 1.00 X 0 277178 16550 JAMES K PURVIS 1.00 X 0 0 0 CHUCK REECE 5.00 X X 0 388583 234091 CATHY ROBINSON 5.00 X X 0 194561 41672 FAYE MARTIN 40.00 X 49939 0 2318 RICK BARRY 1.00 X 0 0 0 TIMOTHY MOORE 1.00 X 0 266935 53826 DARRELL WILDMAN 5.00 X 0 328250 60228 FRED ROGERS 5.00 X 0 178802 59803 DONNIE SMITH 5.00 X 0 236626 51171 NINA DUSANG 1.00 X 0 238375 56246 IVAN V ZAMORA 40.00 X 200117 0 19552 RICHARD E HOLMES 40.00 X 184120 0 20293 LYNN M HOLIFIED 40.00 X 129974 0 12398 SAMUEL M ALLEN 40.00 X 128318 0 21259 MICHAEL S MATHESON 40.00 X 127385 0 12272 819853 2339504 716487 15 0 1 0 BRASFIELD & GORRIE LLC 3021 7TH AVENUE SOUTH BIRMINGHAM AL 35234 CONSTRUCTION CONTRACTOR 5534850 PHILIPS MEDICAL SYSTEMS P O BOX 100355 ATLANTA GA 30384 BIO MED SERVICES 1789838 HHS LTD PO BOX 826 SAN ANTONIO TX 78293 HOUSEKEEPING SERVICES 1557866 HEALTHCARE SECURITY SERVICES 1395 S PLATTE RIVER DRIVE DENVER CO 80223 SECURITY SERVICES 609746 LAUDERDALE EMERGENCY GROUP LLC PO BOX 82368 LAFAYETTE LA 70598 PROFESSIONAL PHYSICIAN SERVICES 537326 17 PATIENT CARE SERVICES 621990 171731723 171731723 MANAGEMENT FEES 561000 1124514 1124514 PARTNERSHIP INCOME 541900 17454 17454 172873691 398706 398706 8740542 8740542 8740542 8740542 94010 53566 40444 40444 40444 OTHER REVENUE 900099 3489116 3489116 OTHER INVESTMENT INCOM 900099 497135 497135 3986251 186039634 176842488 17454 9179692 19500552 19500552 49939 49939 42859210 42700380 158830 5230336 5211976 18360 2886197 2876016 10181 12500 12500 84000 84000 6852 6852 2831803 2831803 244219 235226 8993 376788 375424 1364 6624603 6624603 7430448 7430448 851160 851160 SUPPLIES 28007521 27997527 9994 PROFESSIONAL FEES 20194963 20103231 91732 MANAGEMENT FEE 14335360 14335360 PROVISION FOR BAD DEBTS 12011988 12011988 TAXES & LICENSES 5146797 5146797 4990830 4931611 59219 173676066 158835594 14840472 0 2522521 7169511 27901168 30294117 38292640 50649935 3505893 3596408 179773665 104426096 62290499 75347569 27894665 12036678 16496705 15414154 178904091 194508372 17282534 20750127 103934072 101604293 14251723 18388481 135468329 140742901 X 43435762 53765471 43435762 53765471 178904091 194508372 X 12363568 -2033859 X X 0 1 1 X 0 X 1 30238 30238 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THIS REPRESENTS THE PERCENTAGE OF DUES PAID TO MHA AND AHA THAT IS IN TURN USED FOR LOBBYING PURPOSES. 179773665 104426096 75347569 75347569 INVESTMENTS 6230932 F INVESTMENTS IN CORPORATE JOINT VENTURES 1730912 F RESTRICTED INVESTMENTS 286515 F INDENTURE AGMTS HELD BY TRUSTEES 3788319 F 12036678 OTHER CURRENT ASSETS 2133062 DEFERRED FINANCING COSTS 736500 OTHER NONCURRENT ASSETS 1835374 NOTES RECEIVABLE - AFFILIATE 10167917 OTHER ACCOUNTS RECEIVABLE 541301 15414154 FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 10430466 DUE TO AFFILIATE 7958015 18388481 186039634 173676066 12363568 -2033859 -2033859 10329709 182356365 0 182356365 3683269 3683269 186039634 169992797 0 169992797 3683269 3683269 173676066 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL IS A NON-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON THEIR INCOME UNDER SECTION 501(A) OF THE CODE. THE HOSPITAL FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE HOSPITAL'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 HOSPITAL'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, 2007, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN NET UNREAL. GAINS/LOSSES ON INVEST. OTHER THAN TRADING SECURITIES 237,632. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -2,271,491. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUES CLASSIFIED AS EXPENSES ON FINANCIAL STATEMENTS 3,683,269. PART XIII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES CLASSIFIED AS REVENUES ON FINANCIAL STATEMENTS 3,683,269. 1 1 X 1 X 1 X 1 1 1 0 0 4949240 899277 4049963 0.02510 19684921 24285766 -4600845 0.00000 474902 696411 -221509 0.00000 25109063 25881454 -772391 0.02510 864473 864473 0.00530 566749 566749 0.00350 12411063 2448930 9962133 0.06160 19909 19909 0.00010 13862194 2448930 11413264 0.07050 38971257 28330384 10640873 0.09560 9604 9604 0.00010 3985 3985 0.00000 117399 117399 0.00070 130988 130988 0.00080 1 3158996 42037670 43957998 -1920328 X 1 1 1 REGIONAL MEDICAL SUPPORT INC 0.50000 0.00000 2 MERIDIAN SURGERY CENTER AMBULATORY SURGERY CENTER 0.42500 0.00000 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 NOT REQUIRED 1 PART I, LINE 6A: RUSH HEALTH SYSTEMS (RHS), THE CONSOLIDATING PARENT, PREPARES COMMUNITY BENEFIT INFORMATION ANNUALLY WHICH IS THEN MADE AVAILABLE TO THE RHS BOARD. THIS REPORT, THOUGH COMPILED AS RUSH HEALTH SYSTEMS, IS CATEGORIZED BY EACH ENTITY THAT FALLS UNDER RHS. 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 $ 12011988. PART II: 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: COSTING METHODOLOGY UTILIZED IS COST TO CHARGE RATIO. 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. THIS ACCOUNT IS GENERALLY INCREASED BY CHARGES TO A PROVISION FOR BAD DEBTS AND DECREASED BY WRITE OFFS OF ACCOUNTS DETERMINED BY MANAGEMENT TO BE UNCOLLECTIBLE. THE HEALTH SYSTEM ENGAGED A FIRM TO ANALYZE PATIENT ACCOUNTS RECEIVABLE TO DETERMINE WHICH ACCOUNTS QUALIFIED AS CHARITY CARE IN ORDER THAT THEY WERE PROPERLY CLASSIFIED. 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. 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,RUSH 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. PART VI, LINE 6: 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 7: 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 CARE INC 1314 19TH AVENUE MERIDIAN MS 39301 640833381 501(C)(3) 10600414 AFFILIATE SUPPORT RUSH HEALTH SYSTEMS INC PO BOX 5187 MERIDIAN MS 39301 640664988 501(C)(3) 6991846 AFFILIATE SUPPORT MANAGED HEALTHCARE INC 1314 19TH AVENUE MERIDIAN MS 39301 640862241 65508 AFFILIATE SUPPORT LAIRD HOSPITAL INC 25117 HWY 15 UNION MS 39365 201835779 501(C)(3) 1710795 AFFILIATE SUPPORT RUSH HOME CARE 1314 19TH AVENUE MERIDIAN MS 39301 640670314 501(C)(3) 116989 AFFILIATE SUPPORT STATE GAMES OF MISSISSIPPI PO BOX 5866 MERIDIAN MS 39302 640811475 501(C)(3) 15000 FINANCIAL SUPPORT 5 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 H LOWRY RUSH III 0 127497 0 96271 0 6426 0 28545 0 26263 0 285002 0 0 L VAUGHAN RUSH JR MD 0 195978 0 76400 0 4800 0 5444 0 11106 0 293728 0 0 CHUCK REECE 0 242760 0 135370 0 10453 0 221113 0 12978 0 622674 0 0 CATHY ROBINSON 0 132759 0 52800 0 9002 0 27827 0 13845 0 236233 0 0 TIMOTHY MOORE 0 181489 0 74200 0 11246 0 36000 0 17826 0 320761 0 0 DARRELL WILDMAN 0 209560 0 113500 0 5190 0 43998 0 16230 0 388478 0 0 FRED ROGERS 0 128689 0 43800 0 6313 0 44265 0 15538 0 238605 0 0 DONNIE SMITH 0 158695 0 70000 0 7931 0 35717 0 15454 0 287797 0 0 NINA DUSANG 0 161399 0 67600 0 9376 0 33159 0 23087 0 294621 0 0 IVAN V ZAMORA 200117 0 0 0 0 0 5964 0 13588 0 219669 0 0 0 RICHARD E HOLMES 184120 0 0 0 0 0 4823 0 15470 0 204413 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). CONTRIBUTIONS TOTALED $686,328 FOR 2010. MISSISSIPPI BUSINESS FINANCE CORPORATION 640679132 60527UAA9 2006-12-28 77820000 REFUNDING/HOSPITAL EQUIPMENT/CONSTRUCTION 1 0 0 2010 0 0 0 0 0 0 0 0 0 0 1 1 REGIONS 20.000000000000 0 0 0 0 0 MORGAN STRICKLAND DAUGHTER IN LAW OF WALLACE STRICKLAND, PRESIDENT 11589 MORGAN STRICKLAND IS AN EMPLOYEE OF RUSH MEDICAL FOUNDATION. 0 AIMEE J MERCER DAUGHTER OF CATHY ROBINSON, CORP COMPLIANCE OFFICER 26692 AIMEE J. MERCER IS AN EMPLOYEE OF RUSH MEDICAL FOUNDATION. 0 IRVIN MARTIN MD SON OF FAYE MARTIN, BOARD MEMBER 94222 IRVIN MARTIN, MD IS A CONTRACTOR WITH RUSH MEDICAL FOUNDATION FOR ORTHO CALL PAY. 0 LAUREN REECE HILL DAUGHTER OF CHUCK REECE, VICE PRESIDENT 28484 LAUREN REECE HILL 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN NET UNREAL. GAINS/LOSSES ON INVEST. OTHER THAN TRADING SECURITIES 237,632. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -2,271,491. TOTAL TO FORM 990, PART XI, LINE 5: -2,033,859. AUDIT COMMITTEE 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. AVERAGE HOURS PER WEEK ON RELATED ORGS. FORM 990, PART VII, LINE 1A, COLUMN B DR. L VAUGHN RUSH, JR., BOARD VICE CHAIR SPENDS AN ADDITIONAL 32 HRS/WEEK ON RELATED ORGS. CHUCK REECE, EVP/COO SPENDS AN ADDITIONAL 55 HRS/WEEK ON RELATED ORGS. CATHY ROBINSON, CORP COMP OFC SPENDS AN ADDITIONAL 38 HRS/WEEK ON RELATED ORGS. DARRELL WILDMAN, TREASURER SPENDS AN ADDITIONAL 50 HRS/WEEK ON RELATED ORGS. RICK BARRY, SECRETARY SPENDS AN ADDITIONAL 9 HRS/WEEK ON RELATED ORGS. DONNIE SMITH, DIR. HR SPENDS AN ADDITIONAL 48 HRS/WEEK ON RELATED ORGS. FRED ROGERS, CHIEF RESOURCE OFFICER SPENDS AN ADDITIONAL 41 HRS/WEEK ON RELATED ORGS. DR. H LOWRY RUSH, III, ADMINISTRATOR SPENDS AN ADDITIONAL 42 HRS/WEEK ON RELATED ORGS. FAYE MARTIN, BOARD MEMBER SPENDS AN ADDITIONAL 1 HR/WEEK ON RELATED ORGS. ANN ALEXANDER, BOARD MEMBER SPENDS AN ADDITIONAL 1 HR/WEEK ON RELATED ORGS. CHARLES SHEPHARD, BOARD MEMBER SPENDS AN ADDITIONAL 1 HR/WEEK ON RELATED ORGS. DR. HARRY CAUSEY, BOARD MEMBER SPENDS AN ADDITIONAL 1 HR/WEEK ON RELATED ORGS. BILLY PIERCE, BOARD MEMBER SPENDS AN ADDITIONAL 1 HR/WEEK ON RELATED ORGS. TIMOTHY MOORE, BOARD MEMBER SPENDS AN ADDITIONAL 5 HRS/WEEK ON RELATED ORGS. JAMES PURVIS, BOARD MEMBER SPENDS AN ADDITIONAL 1 HR/WEEK ON RELATED ORGS. NINA DUSANG, CFO SPENDS AN ADDITIONAL 50 HR/WEEK ON RELATED ORGS. 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