2024-02-15T11:48:02-06:00 2022-12-31 721396621 CARR RIGGS & INGRAM LLC 400 W PKWY PL SUITE 300 RIDGELAND MS 39157 990 2022-01-01 640655993 RUSH HOSPITAL - BUTLER INC RUSH 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 DAVID BUTLER CFO - OCHSNER RUSH HEALTH 6017033082 2024-02-15 DAVID BUTLER 999009999 0 WILLIAM IUPE P00073954 6018537050 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z OCHSNER CHOCTAW GENERAL D LARKIN KENNEDY 1314 19TH AVENUE MERIDIAN MS 39301 19334027 0 X WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-CHOCTAW-GEN X 1983 AL HOSPITAL AND CLINIC PATIENT SERVICE 7 6 135 0 0 0 3895206 1366555 18195225 17964454 269 18 296739 3000 22387439 19334027 0 0 0 0 6940780 7283448 0 0 0 0 10873373 6940780 18156821 15446659 1177206 18065058 12754133 19564494 16092768 -1499436 -3338635 X ACUTE-CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES TO THE CHOCTAW COUNTY AREA AND SURROUNDING COMMUNITIES. 0 0 12800583 17963791 CHOCTAW GENERAL HOSPITAL'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. THE HOSPITAL, WHICH OPENED IN MARCH, 2012, ALSO HAS A HELIPAD AND MAINTAINS AFFILIATIONS WITH AIR AMBULANCE SERVICES IN ALABAMA FOR THE TRANSFER OF PATIENTS REQUIRING HIGHER ACUITY OR MORE SPECIALIZED CARE. SKILLED NURSING AND REHABILITATIVE CARE ARE AVAILABLE AT CHOCTAW GENERAL HOSPITAL THROUGH THE SWING BED PROGRAM. THOSE RECOVERING FROM SURGERY, A STROKE, A FRACTURE OR AN EXTENDED MEDICAL ILLNESS AND HOSPITALIZATION CAN RECEIVED REHABILITATIVE CARE AT CHOCKTAW GENERAL HOSPITAL, WHETHER OR NOT THEY WERE HOSPITALIZED IN ANOTHER LOCATION. ADDITIONALLY, THEY OFFER AN INTENSIVE OUTPATIENT PROGRAM DESIGNED TO PROVIDE CARE SENIOR ADULTS SUFFERING FROM CHRONIC ANXIETY, DEPRESSION AND GRIEF. 12800583 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 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 16 0 1 135 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MS X JIM MOLLOY CFOTREASURER OCHSNER CLINIC FOUNDATION 5048424097 1514 JEFFERSON HWY BH 546 NEW ORLEANS LA 70121 D LEE ARMISTEAD MD BOARD MEMBER 1.00 49.00 X 0 364735 48795 RUBY SINGLEY BOARD MEMBER 1.00 X 0 0 0 SEKETHA MITCHELL BOARD MEMBER 1.00 X 0 0 0 SHEILA SKELTON BOARD MEMBER 1.00 X 0 0 0 CLIFF BRYAN BOARD MEMBER 1.00 X 0 0 0 DUANE JOHNSON BOARD MEMBER 1.00 X 0 0 0 S TODD LOWERY BOARD MEMBER 1.00 X 0 0 0 FREDERICK DUGGAN MD PHYSICIAN 1.00 49.00 X 0 651615 53750 D LARKIN KENNEDY CEO - OCHSNER RUSH HEALTH 1.00 49.00 X 0 500466 22600 J ALLEN TYRA CEO - OCHSNER RUSH MEDICAL CENTER 1.00 49.00 X 0 294437 20873 DAVID BUTLER CFO - OCHSNER RUSH HEALTH 1.00 49.00 X 0 280801 17464 DARRELL WILDMAN TREASURER 1.00 49.00 X 0 254032 51378 J RICHARD BARRY SECRETARY 1.00 49.00 X 0 9000 10489 JAMES W COWAN ADMINISTRATOR 1.00 49.00 X 0 107592 838 KATHERINE HENSLEIGH MD FORMER HIGHEST COMP - PHYSICIAN 49.00 1.00 X 0 260354 28602 PERRY WALLACE MD FORMER HIGHEST COMP - PHYSICIAN 49.00 1.00 X 0 231969 24042 M CHUCK REECE MD FORMER HIGHEST COMP - PHYSICIAN 49.00 1.00 X 0 155248 17357 0 3110249 296188 0 1 1 0 CC & C INC 409 ZARA STREET BUTLER AL 36904 PHYSICIAN SERVICES (ER) 754624 PALMETTO GBA 17 TECHNOLOGY CIRCLE COLUMBIA SC 29203 CLAIMS PROCESSOR 261955 US FOODSERVICE BOX 840396 DALLAS TX 75284 DIETARY 150906 3 1366555 1366555 PATIENT FEES, NET 621999 17963791 17963791 RENTAL FROM AFFILIATE 531120 663 663 17964454 18 18 3000 0 3000 3000 3000 19334027 17963791 0 3681 X 6058588 5737745 320843 13648 13648 773357 421437 351920 437855 412914 24941 3103662 3012526 91136 263798 191688 72110 214 214 2401245 225596 2175649 19212 16972 2240 11775 4336 7439 633343 633343 673126 409025 264101 129608 129608 MANAGEMENT FEE 1801914 1801914 MED SUPPL, ORGANS, DRUG 794106 785878 8228 LICENSES AND TAXES 414053 411898 2155 FOOD 340803 338237 2566 286514 69380 217134 18156821 12800583 5356238 0 13738 45566 1451963 1420266 192960 96027 63955 14148 10681932 228487 13731130 10453445 2611312 724681 18065058 12754133 801158 325640 840187 663 15231403 167063 2691746 15599402 19564494 16092768 X 0 0 0 0 -1499436 -3338635 -1499436 -3338635 18065058 12754133 X 1177206 -3016405 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 110000 110000 9405937 106886 9299051 374750 92604 282146 791245 28997 762248 10453445 ROU OPER REAL ESTATE LEASES 717598 DEPOSITS 7083 724681 MEDICARE SETTLEMENT 180852 RURAL HEALTH CLINIC SETTLEMENT 203407 LT LEASE LIABILITY RE 550535 INTERCOMPANY PAYABLE 14664608 15599402 X PART X, LINE 2: THE TEXT OF THE FIN 48 (ASC 740) FOOTNOTE FROM OCHSNER CLINIC FOUNDATION'S CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE LIABILITY FOR UNCERTAIN TAX POSITIONS IS AS FOLLOWS: THE MAJORITY OF OCHSNER AND ITS SUBSIDIARIES QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(A) AND ARE DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ANY FEDERAL INCOME TAXES ASSOCIATED WITH THE FOR-PROFIT ENTITIES ARE NOT MATERIAL TO OCHSNER'S CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE STATUTE OF LIMITATIONS REMAINS OPEN FOR TAX YEARS 2019 THROUGH 2022 IN OCHSNER'S MAIN TAX JURISDICTIONS. 1 1 X 1 X 0 1 1 0 1 0 738251 738251 0.04070 738251 738251 0.04070 930 930 0.00010 3250 3250 0.00020 4180 4180 0.00030 742431 742431 0.04100 184 184 0.00000 184 184 0.00000 1 1459549 5828788 5734840 93948 X 1 1 1 1 RUSH HOSPITAL - BUTLER INC 410 VANITY FAIR AVENUE BUTLER AL 36904 HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/ H1201 X X X RUSH HOSPITAL - BUTLER INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V FACILITY INFORMATION X 1 22 1 SEE PART V FACILITY INFORMATION 0 1 X 200.000000000000 0.000000000000 X X X 1 1 X X X X 1 X HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ X HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ X HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ X X X X X X X 1 X 0 X X X X 1 X 0 0 RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT WAS A VITAL PART OF CONDUCTING THE CHNA. IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, OCHSNER CHOCTAW GENERAL SOLICITED AND RECEIVED INPUT FROM COMMUNITY LEADERS AND RESIDENTS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THESE OPEN AND TRANSPARENT COLLABORATIVE STUDIES HELP HEALTHCARE PROVIDERS BUILD STRONGER RELATIONSHIPS WITH THEIR COMMUNITIES, IDENTIFY NEEDS, AND DEDICATE FUNDING AND OTHER RESOURCES TOWARD PROGRAMS THAT CLEARLY BENEFIT RESIDENTS. THEY ALSO PROVIDE AN OPPORTUNITY FOR THE HOSPITAL TO IDENTIFY VALUABLE COLLABORATIVE PARTNERS AS WE TRY TO BETTER SERVE THE COMMUNITY AND IMPROVE THE HEALTH OF OUR CITIZENS IN CHOCTAW COUNTY. INPUT WAS COLLECTED BY THE ASSESSMENT TEAM DIRECTLY FROM THE COMMUNITY THROUGH CONVERSATIONS, INTERVIEWS, COMMUNITY FEEDBACK, I.E., THE MOST CURRENT INFORMATION AVAILABLE. A COMMUNITY FOCUS GROUP WAS HELD AT OCHSNER CHOCTAW GENERAL ON NOVEMBER 3, 2022. THE PARTICIPANTS IN THE GROUP WERE CAREFULLY SELECTED BECAUSE THEY EACH REPRESENTED A SPECIFIC SEGMENT OF THE POPULATIONS SERVED. IN ADDITION, THEY CAN ACT AS A CONTINUOUS CONDUIT BETWEEN THE COMMUNITY AND THE LEADERSHIP OF THE HOSPITAL. RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 11: RESPONSE TO HEALTH STRATEGIES FROM 2019 CHNA INITIATIVE 1: MENTAL HEALTH AWARENESS TO PROVIDE COMMUNITY EDUCATION TO THE GENERAL PUBLIC DURING THE NEXT THREE YEARS THROUGH LUNCH-AND-LEARNS AND OTHER EDUCATIONAL OFFERINGS. ALSO, TO PROVIDE INFORMATION TO THE PUBLIC REGARDING AVAILABLE MENTAL AND BEHAVIORAL HEALTH RESOURCES. CGH WILL PARTNER WITH ALABAMA STATE DEPARTMENT OF HEALTH, PENELOPE HOUSE AND OTHER REGIONAL ORGANIZATIONS TO ADDRESS THIS INITIATIVE. INITIATIVE 2: ACCIDENT PREVENTION IN AN EFFORT TO REDUCE THE TREMENDOUS AMOUNT OF SEVERE INJURIES AND DEATHS DUE TO MOTOR VEHICLE ACCIDENTS, WE WILL PARTNER WITH LOCAL LAW ENFORCEMENT AGENCIES TO IDENTIFY AND EDUCATE ON THE TOP THREE DRIVING DISTRACTIONS. THESE EFFORTS WILL INCLUDE EDUCATION AN AWARENESS ACTIVITIES FOCUSED BOTH ON AUTOMOBILE AND ATV SAFETY. THE TARGET AUDIENCE OF THESE EFFORTS WILL PRIMARILY BE SCHOOL STUDENTS OF DRIVING AGE AND THE GENERAL PUBLIC. INITIATIVE 3: CANCER SCREENINGS AND AWARENESS WE WILL PARTNER WITH UAB CANCER CENTER AND RUSH HEALTH SYSTEMS TO MAKE COMMUNITIES AWARE OF DIAGNOSTIC SCREENINGS AVAILABLE IN OUR AREA. WE WILL OFFER EDUCATIONAL OPPORTUNITIES TO THE APPROPRIATE AUDIENCES FOR THOSE AT GREATEST RISK FOR TRACHEA, BRONCHUS, LUNG CANCER, COLORECTAL CANCER, AND PROSTATE CANCER. INITIATIVE 4: STROKE AND HEART DISEASE AWARENESS AND PREVENTION WE WILL CONTINUE TO WORK WITH OCHSNER NEUROLOGY AND THE TELESTROKE PROGRAM TO PROMOTE STROKE PREVENTION AND AWARENESS. WE WILL ALSO CONDUCT LUNCH-AND-LEARNS ON THE PREVENTION OF HEART DISEASE AND STROKE. DUE THE HOSPITAL'S CHNA DUE DATE COINCIDING WITH THE ONSET OF THE PUBLIC HEALTH EMERGENCY (PHE) KNOWN AS COVID-19, MOST OF THE ACTIVITIES PLANNED FOR THESE INITIATIVES WERE PUT ON HOLD AS THE HOSPITAL BATTLED AGAINST THE COVID-19 VIRUS. INSTEAD, THE HOSPITAL SHIFTED THEIR FOCUS TO KEEPING THE COMMUNITY SAFE DURING TIMES OF UNCERTAINTY. RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 13H: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL, MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS ON THEIR SPECIFIC CIRCUMSTANCES, FOR EXAMPLE CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF OCHSNER MANAGEMENT. RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 16J: THE POLICY IS INCLUDED IN PATIENT BILLING STATEMENTS. PART V, SECTION B, LINE 7A THE CHNA CAN BE FOUND AT:HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-CHOCTAW-GENERAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LINK. PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-CHOCTAW-GENERAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN LINK. 2 1 - OCHSNER HEALTH CENTER - GILBERTOWN 12731 HIGHWAY 17 SOUTH SUITE 3 GILBERTOWN AL 36908 MEDICAL CLINIC 2 - OCHSNER HEALTH CENTER - BUTLER 1404 E PUSHMATAHA STREET BUTLER AL 36904 MEDICAL CLINIC PART I, LINE 3C: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS, AT THE DISCRETION OF OCHSNER, FOR CATASTROPHIC ILLNESS ORMEDICAL INDIGENCE, WITH EXCEPTIONS SUCH AS EXPENSIVE MEDICATIONS, TERMINAL ILLNESS, OR MULTIPLE HOSPITALIZATIONS. PART I, LINE 7: LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDES DIRECT EXPENSE INCLUDING EMPLOYEE PAYROLL FOR COMMUNITY INITIATIVES.LINE 7I INCLUDES DIRECT CONTRIBUTIONS TO CHARITIES THAT MEET IDENTIFIED COMMUNITY NEEDS. PART II, COMMUNITY BUILDING ACTIVITIES: OCHSNER CHOCTAW GENERAL IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN BUTLER, ALABAMA THAT PROVIDES A WIDE RANGE OF INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. THIS FACILITY IS A HOSPITAL BUILT BY THE COMMUNITY FOR THE COMMUNITY. OPENED IN MARCH 2012, OCHSNER CHOCTAW GENERAL IS PROUD TO BE THE COMMUNITY HOSPITAL FOR THE PEOPLE OF BUTLER AND THE SURROUNDING AREA. PATIENTS ARE CARED FOR UNDER THE DIRECTION OF THEIR PHYSICIAN BY A LICENSED HEALTH CARE TEAM. THIS TEAM INCLUDES REGISTERED NURSES, PHYSICAL THERAPISTS, SOCIAL WORKERS, DIETITIANS, PHARMACISTS, AND OTHER ANCILLARY STAFF DEPENDING ON THE PATIENT'S MEDICAL NEEDS. OCHSNER CHOCTAW GENERAL SUPPORTS EDUCATION OF HEALTH PROFESSIONALS BY OFFERING CLINICAL ROTATIONS AND STUDENT SHADOWING. ADDITIONALLY, LEADERS FROM THE HOSPITAL HAVE PARTICIPATED IN HEALTHCARE COALITIONS TO IMPROVE COMMUNITY HEALTH. HEALTH EDUCATION HAS BEEN OFFERED AT A VARIETY OF COMMUNITY LOCATIONS, INCLUDING FAITH BASED INSTITUTIONS. PART III, LINE 2: OCHSNER CLINIC FOUNDATION AND ITS SUBSIDIARIES (OCHSNER) RECOGNIZES NET PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT AND ARE SCREENED PRESUMPTIVELY FOR FINANCIAL ASSISTANCE. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF OCHSNER'S UNINSURED AND UNDERINSURED PATIENTS WILL BE INCAPABLE OR RELUCTANT TO PAY FOR THE SERVICES PROVIDED. REMAINING CHARGES IN THE PERIOD THE SERVICES ARE PROVIDED RELATED TO PATIENT RECEIVABLES AND DEDUCTIBLES, CO-PAYMENTS, OR OTHER AMOUNTS DUE FROM INDIVIDUAL PATIENTS WHO HAVE BEEN DEEMED UNWILLING TO PAY MAY BE CONSIDERED BAD DEBT, AND THUS REDUCE PATIENT SERVICE REVENUE. ANY CHARGES RELATED TO BANKRUPTCY ARE WRITTEN OFF AS BAD DEBT EXPENSE. MOST OF THE BAD DEBT REDUCES NET PATIENT REVENUE.NOTE THAT BAD DEBT IS USUALLY THE DIFFERENCE BETWEEN PATIENT CHARGES AND ANY INSURANCE PAYMENTS. THEREFORE, APPLYING THE COST TO CHARGE RATIO TO BAD DEBT WOULD NOT PROPERLY GET TO BAD DEBT AT COST, AS THERE IS NO RELATIONSHIP BETWEEN THE AMOUNT OF BAD DEBT AND THE COST TO PROVIDE CARE. THEREFORE, THE AMOUNT EXPRESSED HERE IS NOT EXPRESSED "AT COST." PART III, LINE 4: EFFECTIVE JAN. 1, 2018, OCHSNER ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH OUTLINES A SINGLE COMPREHENSIVE MODEL FOR ENTITIES TO USE IN ACCOUNTING FOR REVENUE ARISING FROM CONTRACTS WITH CUSTOMERS. ASU 2014-09 SUPERSEDED MOST CURRENT REVENUE RECOGNITION GUIDANCE, INCLUDING INDUSTRY-SPECIFIC GUIDANCE, AND REQUIRES EXPANDED DISCLOSURES ABOUT REVENUE RECOGNITION TO ENABLE FINANCIAL STATEMENT USERS TO UNDERSTAND THE NATURE, TIMING, ACCOUNT AND UNCERTAINTY OF REVENUE AND CASH FLOWS ARISING FROM CONTRACTS WITH CUSTOMERS. BAD DEBT IS NO LONGER DISCLOSED IN THE NOTES TO THE FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL, IF ANY, IS NOT CONSIDERED COMMUNITY BENEFIT. TOTAL REVENUE FROM MEDICARE AND MEDICARE ALLOWABLE COSTS WERE AGGREGATED FROM THE FISCAL YEAR COST REPORTS FILED WITH CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR ALL HOSPITALS. THEY DO NOT INCLUDE MEDICARE ADVANTAGE OR PAYMENTS RELATED TO EDUCATION OR RESEARCH, IN COMPLIANCE WITH THE INSTRUCTIONS. THE MEDICARE COST REPORT WAS USED TO PULL THE RELATED REVENUES AND ALLOWABLE COSTS. PART III, LINE 9B: UPON GRANTING APPROVAL FOR 100% ASSISTANCE, ALL COLLECTION EFFORTS FOR THAT ACCOUNT WILL CEASE, THE ACCOUNT WILL NOT BE TURNED OVER TO A COLLECTION AGENCY, AND OCHSNER WILL NOT IMPOSE EXTRAORDINARY COLLECTION EFFORTS SUCH AS WAGE GARNISHMENTS OR LIENS. PART V, SECTION B THIS LEGAL ENTITY IS RUSH HOSPITAL - BUTLER INC. D/B/A OCHSNER CHOCTAW GENERAL. PART VI, LINE 3: ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID. THE PROCESS TAKES PLACE AT THE TIME OF SERVICE, INPATIENT ADMISSIONS, AND IF THE PATIENT IS NOT SCREENED AT THE TIME, THE PATIENT IS CONTACTED AT HOME TO DETERMINE ELIGIBILITY. IF THE PATIENTS DO NOT QUALIFY FOR MEDICAID, THEN THEY WILL BE EVALUATED UNDER THE FINANCIAL ASSISTANCE POLICY. INTERNAL CUSTOMER SERVICE DEPARTMENTS AND EXTERNAL PARTNERS INCLUDING COLLECTION AGENCIES PROVIDE PATIENTS WITH FINANCIAL ASSISTANCE APPLICATIONS IF PATIENTS EXPRESS CONCERNS ABOUT THE INABILITY TO PAY OUTSTANDING BALANCES. OCHSNER ALSO OFFERS ZERO INTEREST PAYMENT PLAN OPTIONS WITH PAYMENT TERMS RANGING FROM SIX TO 60 MONTHS. PART VI, LINE 4: OCHSNER CHOCTAW GENERAL'S PRIMARY SERVICE AREA IS CHOCTAW COUNTY, ALABAMA. CHOCTAW COUNTY HAS 913.5 SQUARE MILES OF LAND AREA AND IS THE 13TH LARGEST COUNTY IN ALABAMA BY TOTAL AREA. CHOCTAW COUNTY IS BORDERED BY WAYNE COUNTY, MS; CLARKE COUNTY, AL; MARENGO COUNTY, AL; WASHINGTON COUNTY, AL; SUMTER COUNTY, AL; CLARKE COUNTY, MS; AND, LAUDERDALE COUNTY, MS. THESE SURROUNDING COUNTIES SERVE AS OCHSNER CHOCTAW GENERAL'S SECONDARY SERVICE AREA. CHOCTAW COUNTY HAS A TOTAL POPULATION OF 12,755 CITIZENS, WHILE THE STATE OF ALABAMA HAS A TOTAL POPULATION OF 4,893,186. THE OVERALL POPULATION FOR CHOCTAW COUNTY HAS SEEN A DECREASE IN THE POPULATION GROWTH RATE OVER A 5-YEAR TREND AT 4.78%; ALABAMA HAS SEEN A SLIGHT INCREASE IN THE POPULATION GROWTH RATE OVER A 5-YEAR TREND AT 1.30%. IN COMPARISON, THE UNITED STATES SAW AN INCREASE OF APPROXIMATELY 3.18%. FURTHER ANALYSIS OF CHOCTAW COUNTY'S CENSUS DATA SHOWS THAT THE COUNTY'S POPULATION IS 47.8% MALE AND 52.2% FEMALE. THIS HARDLY DIFFERS FROM THE STATE AVERAGE 48.4% MALE AND 51.6% FEMALE. CHOCTAW COUNTY HAS A MEDIAN AGE OF 46.6 YEARS WHICH IS SIMILAR TO THE STATE'S MEDIAN AGE OF 39.2 YEARS. IN CHOCTAW COUNTY, 56.7% OF THE POPULATION IS WHITE; THIS STAT IS 68.2% FOR THE STATE OF ALABAMA. WHILE CHOCTAW COUNTY AND THE STATE SHARE SIMILAR RACIAL MIXES, THE ETHNIC MIX IN CHOCTAW COUNTY SHOWS LESS DIVERSITY WHEN COMPARED TO THE STATE OF ALABAMA: 0.6% OF THE POPULATION IN CHOCTAW COUNTY IS HISPANIC OR LATINO COMPARED TO 4.2% OF THE POPULATION IN ALABAMA. WHEN EVALUATING RESIDENTS THAT ARE 25 YEARS OR OLDER, 81.4% OF CHOCTAW COUNTY RESIDENTS HAVE A HIGH SCHOOL DIPLOMA (INCLUDES GED) OR HIGHER COMPARED TO 85.7% OF THE RESIDENTS IN THE STATE OF ALABAMA. CHOCTAW COUNTY HAS A HIGHER PERCENTAGE OF EDUCATIONAL ATTAINMENT IN ALL CATEGORIES UP TO "SOME COLLEGE, NO DEGREE," WHILE THE ALABAMA HAS A HIGHER PERCENTAGE OF HIGHER EDUCATION ATTAINMENT. THIS PERCENTAGE IS 23.9% FOR CHOCTAW COUNTY COMPARED TO 33.2% FOR THE STATE OF ALABAMA. PART VI, LINE 5: RUSH HEALTH SYSTEMS OFFICIALLY MERGED WITH OCHSNER HEALTH TO BECOME OCHSNER RUSH HEALTH. THE MOVE EXPANDS PATIENT ACCESS TO HIGH-QUALITY CARE IN EAST MISSISSIPPI AND WEST ALABAMA AND ANCHORS OCHSNER'S SERVICES AT SEVEN REGIONAL HOSPITALS. ENHANCED PATIENT CARE INCLUDES INCREASED ACCESS TO OCHSNER'S SPECIALTY AND SUBSPECIALTY SERVICES, TECHNOLOGICAL AND DIGITAL CAPABILITIES AND ROBUST CLINICAL RESEARCH NETWORK.ALL MEMBERS OF RUSH HOSPITAL BUTLER, INC'S BOARD RESIDE IN BUTLER, INC'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. OCHSNER HEALTH EXPANDED THE COMMITMENT TO DIVERSITY, EQUITY, & INCLUSION (DEI) TO BETTER SUPPORT STAFF & THE COMMUNITIES THEY SERVE INTO OCHSNER RUSH HEALTH. THE DEI TEAM DEEPENED EMPLOYEE ENGAGEMENT AROUND DEI GOALS & OBJECTIVES, EXPANDED TRAINING PROGRAMS, & IMPLEMENTED NEW MEASURES TO ADVANCE OCF SUPPLIER DIVERSITY GOALS. TO HIGHLIGHT AND BUILD AN APPRECIATION FOR THE DIFFERENCES THAT MAKE EMPLOYEES STRONGER AND TO ADDRESS THE NEED OF EVERY INDIVIDUAL TO FEEL VALUED AND RESPECTED, TEN OCHSNER RESOURCE GROUPS (ORGS) CONTINUE TO BE SUPPORTED WITH RESOURCES ACROSS OCHSNER HEALTH INCLUDING OCHSNER RUSH HEALTH. OCHSNER ALSO PROVIDES EMPLOYEES AT OCHSNER RUSH HEALTH THE OPPORTUNITY TO WORK INSIDE OF THEIR COMMUNITIES THROUGH THE OCHSNERSERVES EMPLOYEE VOLUNTEERISM PROGRAM. OCHSNERSERVES EMPOWERS EMPLOYEES THROUGHOUT THE OCHSNER SYSTEM TO BE COMMUNITY-INVOLVED BY PROVIDING FULL-TIME EMPLOYEES WITH 8 HOURS OF PAID VOLUNTEER TIME EACH YEAR & MAKES IT EASY TO ACCESS VOLUNTEER EVENTS & OPPORTUNITIES THROUGH A CENTRALIZED PORTAL. WE RECOGNIZE THAT THE HEALTH OF OUR ENVIRONMENT IS ESSENTIAL TO THE HEALTH OF OUR PEOPLE AND COMMUNITIES. PART VI, LINE 6: THE ORGANIZATION IS PART OF OCHSNER HEALTH. OCHSNER HEALTH IS THE LARGEST NON-PROFIT, ACADEMIC, MULTI-SPECIALTY, INTEGRATED HEALTHCARE DELIVERY SYSTEM IN THE GULF COAST REGION. THE ORGANIZATION IS FOUNDED ON PROVIDING THE BEST PATIENT CARE, RESEARCH, AND EDUCATION. OCHSNER OPERATES 26 HOSPITALS AND IS AFFILIATED WITH 19 OTHER HOSPITALS ACROSS LOUISIANA, MISSISSIPPI, AND ALABAMA. OCHSNER EMPLOYS OVER 1,700 PHYSICIANS THAT HAVE OVER 1,500 BOARD CERTIFICATIONS IN APPROXIMATELY 90 SPECIALTIES, TRAINS OVER 1,000 MEDICAL RESIDENTS AND FELLOWS ANNUALLY. IN 2022, MORE THAN 1.3 MILLION PEOPLE FROM ALL 50 STATES AND 62 COUNTRIES VISITED OCHSNER. PART I, LINE 6A THE COMMUNITY BENEFIT REPORT IS PREPARED BY IT'S PARENT ORGANIZATION, OCHSNER CLINIC FOUNDATION (TIN #72-0502505). 0 1 0 0 0 0 0 0 0 FREDERICK DUGGAN MD PHYSICIAN 0 645589 0 1500 0 4526 0 28500 0 25250 0 705365 0 0 D LARKIN KENNEDY CEO - OCHSNER RUSH HEALTH 0 446426 0 39988 0 14052 0 0 0 22600 0 523066 0 0 D LEE ARMISTEAD MD BOARD MEMBER 0 362015 0 1500 0 1220 0 25573 0 23222 0 413530 0 0 J ALLEN TYRA CEO - OCHSNER RUSH MEDICAL CENTER 0 273488 0 18365 0 2584 0 0 0 20873 0 315310 0 0 DARRELL WILDMAN TREASURER 0 254032 0 0 0 0 0 43000 0 8378 0 305410 0 0 DAVID BUTLER CFO - OCHSNER RUSH HEALTH 0 261748 0 16875 0 2178 0 0 0 17464 0 298265 0 0 KATHERINE HENSLEIGH MD FORMER HIGHEST COMP - PHYSICIAN 0 249372 0 1500 0 9482 0 14000 0 14602 0 288956 0 0 PERRY WALLACE MD FORMER HIGHEST COMP - PHYSICIAN 0 229115 0 1500 0 1354 0 13000 0 11042 0 256011 0 0 M CHUCK REECE MD FORMER HIGHEST COMP - PHYSICIAN 0 155248 0 0 0 0 0 8979 0 8378 0 172605 0 0 SCHEDULE J PART 1 LINES 4A-B SELECT SENIOR EXECUTIVES AND FORMER EXECUTIVES ARE PROVIDED A LIFE INSURANCE POLICY, WITH PROCEEDS TO BE PAID TO THEIR DESIGNATED BENEFICIARIES. PREMIUMS ARE PAID BY THE ORGANIZATION, AND A LOAN WHOSE BALANCE INCLUDES PREMIUMS AND IMPUTED INTEREST IS MAINTAINED SUCH THAT THE ORGANIZATION WILL RECOVER THE PREMIUMS. TAXATION IS DETERMINED BY THE "LOAN REGIME" UNDER THE FINAL SPLIT DOLLAR REGULATIONS. FOLLOWING IS A LIST OF PARTICIPANTS AND ANY DISTRIBUTIONS MADE IN 2022: DARRELL WILDMAN - NO DISTRIBUTION 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 REVIEW OF FORM 990 BY GOVERNING BODY: ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEW THE RETURN. A COPY OF THE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS ELECTRONICALLY AND COMMENTS ARE SOLICITED FROM THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF OCHSNER CLINIC FOUNDATION AND ITS SUBSIDIARIES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, OR WITHIN 40 DAYS OF BECOMING AN EMPLOYEE, OR IF A CURRENT EMPLOYEE HAS A CHANGE IN BUSINESS CIRCUMSTANCES NOT PREVIOUSLY DISCLOSED. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR REVIEWS DISCLOSURES AND DETERMINES WHETHER ACTION IS NECESSARY OR IF THE DISCLOSURE NEEDS TO BE REVIEWED BY THE CONFLICT OF INTEREST STEERING COMMITTEE. OCHSNER CLINIC FOUNDATION REQUIRES ANNUAL CERTIFICATION THAT THE RELATIONSHIPS DISCLOSED DURING A PRECEDING CALENDAR YEAR ARE COMPLETE AND ACCURATE. IN ADDITION, EMPLOYEES THAT DO NOT FALL WITHIN THE SCOPE OF THE CONFLICT OF INTEREST DISCLOSURE POLICY COMPLETE NEW HIRE OR RISK-BASED CONFLICT OF INTEREST TRAINING IN ALIGNMENT WITH THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST STEERING COMMITTEE WILL MAKE MITIGATION RECOMMENDATIONS INCLUDING, BUT NOT LIMITED TO, DIVESTITURE AND TERMINATION OF EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS OF RUSH HOSPITAL - BUTLER INC. ARE NOT COMPENSATED BY RUSH HOSPITAL - BUTLER INC, BUT ARE COMPENSATED BY RELATED ORGANIZATIONS FOR THEIR ROLES AS OFFICERS AND EXECUTIVES OF THE OCHSNER CLINIC FOUNDATION. THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED ON THE FORM 990 OF OCHSNER CLINIC FOUNDATION (TIN# 72-0502505). FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND FORMS 990 AND 990-T ARE AVAILABLE UPON WRITTEN REQUEST TO THE CHIEF FINANCIAL OFFICER OF OCHSNER CLINIC FOUNDATION. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE AUDIT SERVICES DEPARTMENT OF OCHSNER CLINIC FOUNDATION. FORM 990, PART IX, LINE 11G OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,347,731. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,347,731. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 327,949. MANAGEMENT AND GENERAL EXPENSES 91,136. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 419,085. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,336,846. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,336,846. FORM 990, PART XI, LINE 9: FAS ASC 805 ADJUSTMENT -3,016,405. PART XII, LINE 2C THE RUSH HOSPITAL - BUTLER, INC., INC SUBSIDIARY OF OCHSNER CLINIC FOUNDATION (TIN# 72-0502505), AND IS THUS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF OCHSNER CLINIC FOUNDATION. OCHSNER CLINIC FOUNDATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. IN ADDITION, OCHSNER CLINIC FOUNDATION HAS A COMMITTEE FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. FEMA 3600-EM THE BOOKS ARE NOW IN THE CARE OF OCHSNER CLINIC FOUNDATION 72-0502505, WHICH IS LOCATED IN THE FEMA ZONE FOR TAXPAYERS AFFECTED BY SEAWATER INTRUSION WITH A FEBRUARY 15, 2024 DEADLINE FOR FILING THIS RETURN UNDER FEMA 3600-EM. ACADIA GENERAL HOSPITAL INC OCHSNER ACADIA GENERAL HOSPITAL 1305 CROWLEY RAYNE HWY CROWLEY LA 70526 464958152 HOSPITAL LA 501(C)(3) LINE 3 LAFAYETTE GENERAL HEALTH SYSTEM INC OCHSNER LAFAYETTE GENERAL 0 BRENT HOUSE CORPORATION 1512 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 720872457 RENTS HOTEL ROOMS TO PATIENTS/GUESTS OF OCHSNER FACILITIES. 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640675511 ANESTHESIOLOGY SERVICES MS MEDICAL FOUNDATION INC C 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 SCHEDULE R: PART II IN JULY 2022, OCHSNER CLINIC FOUNDATION, KNOWN AS OCHSNER HEALTH, BECAME THE SOLE CORPORATE MEMBER OF RUSH HEALTH SYSTEMS, INC. OCHSNER HEALTH IS A NONPROFIT, REGIONAL HEALTH SYSTEM. OCHSNER HEALTH AND ITS AFFILIATE OCHSNER LAFAYETTE GENERAL OPERATE 13 HOSPITALS IN SOUTHERN LOUISIANA AND MISSISSIPPI, AND HUNDREDS OF CLINICS. SCHEDULE R: CHARACTER LIMIT ISSUES PART II - RELATED TAX-EXEMPT ORGANIZATIONS: LAFAYETTE GENERAL FOUNDATION, INC. % OCHSNER LAFAYETTE GENERAL FOUNDATION: EIN: 37-1766778 LAFAYETTE GENERAL HEALTH SYSTEM, INC. % OCHSNER LAFAYETTE GENERAL: EIN: 38-3646817 LAFAYETTE GENERAL MEDICAL CENTER, INC. % OCHSNER LAFAYETTE GENERAL MEDICAL CENTER: EIN: 72-0535375 RUSH MEDICAL FOUNDATION % OCHSNER RUSH MEDICAL CENTER: EIN: 64-0345119 RUSH MEDICAL GROUP OF NEWTON, P.A., A MISSISSIPPI PROFESSIONAL CORP (BEG: 07/2022): EIN: 64-0783323 SCOTT REGIONAL MEDICAL CENTER, INC. % DBA OCHSNER SCOTT REGIONAL: EIN: 26-0792328 UNIVERSITY HOSPITAL AND CLINICS, INC. % OCHSNER UNIVERSITY HOSPITAL & CLINICS: EIN: 46-2605366