2022-11-10T11:51:57-06:00 2021-12-31 721396621 CARR RIGGS & INGRAM LLC 400 W PKWY PL SUITE 300 RIDGELAND MS 39157 990 2021-01-01 640833381 RUSH CARE INC DBA SPECIALTY HOSPITAL OF MERIDIAN RUSH 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 DAVID BUTLER CFO 6017039992 2022-11-09 1 DAVID BUTLER 999009999 DAWN STEED P01279118 6018537050 2022-11-09 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DAVID BUTLER 406 57TH CT MERIDIAN MS 39305 16929322 0 X WWW.OCHSNERRUSH.ORG X 1993 MS HOSPITAL AND CLINIC PATIENT SERVICE 12 7 125 8 0 0 4885029 2494940 12603483 12609137 130118 125160 1442143 1700085 19060773 16929322 0 0 0 0 5909014 5572379 0 0 0 13620431 14377728 19529445 19950107 -468672 -3020785 33268468 36015536 30389395 26966715 2879073 9048821 X HOSPITAL AND CLINIC PATIENT SERVICE 0 0 17251619 12720480 THE SPECIALTY HOSPITAL OF MERIDIAN IS A PRIVATELY OWNED, NOT-FOR-PROFIT HEALTHCARE FACILITY PROVIDING ACUTE MEDICAL CARE. AS A LONG-TERM CARE HOSPITAL (LTCH), THE SPECIALTY HOSPITAL OF MERIDIAN (SHM) PROVIDES CONTINUED ACUTE-LEVEL CARE FOR PATIENTS SUFFERING FROM MEDICALLY COMPLEX ILLNESSES. SPECIALTY'S HEALTHCARE PROFESSIONALS WORK HARD TO GENERATE THE HIGHEST POTENTIAL OF OUTCOMES AND MAXIMIZE EACH PATIENT'S FREEDOM AND INDEPENDENCE WHILE INVOLVING THE PATIENT AND FAMILY IN THE TREATMENT PROGRAM.THE SPECIALTY HOSPITAL OF MERIDIAN HAS BEEN PROVIDING SPECIALIZED MEDICAL CARE FOR PATIENTS SINCE 1994. IT OPERATES AS A 49-BED LONG-TERM ACUTE-CARE HOSPITAL AND STRIVES TO DELIVER SUPERIOR HEALTHCARE TO THE COMMUNITIES OF MISSISSIPPI AND SURROUNDING STATES. THE SPECIALTY HOSPITAL OF MERIDIAN IS A DIVISION OF RUSH HEALTH SYSTEMS, WHICH SERVES 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.THERE ARE ONLY EIGHT LONG TERM ACUTE CARE HOSPITALS LOCATED IN MISSISSIPPI, SO THE SPECIALTY HOSPITAL OF MERIDIAN FILLS A UNIQUE AND IMPORTANT NICHE IN THE SPECTRUM OF INPATIENT CARE. IN 2021, SHM SERVED 333 INPATIENTS IN THE LONG-TERM ACUTE CARE SETTING. AS PRESENTED IN THE ATTACHED SCHEDULE H, SHM PROVIDED FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS DURING 2021 AT A COST OF $215,936. ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, SHM RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, SHM PROVIDES FREE CARE AND SUBSIDIZED CARE WITHIN EXISTING RESOURCES WHERE THE NEED FOR SUCH CARE EXISTS.THE MISSION STATEMENT OF THE SPECIALTY HOSPITAL OF MERIDIAN AND ITS AFFILIATED RURAL PROVIDERS IS STATED AS FOLLOWS: AS A LONG-TERM ACUTE-CARE HOSPITAL WITH AFFILIATED RURAL HEALTH PROVIDERS, WE ARE COMMITTED TO THE DELIVERY OF EXCELLENCE IN HEALTHCARE. WE WILL MAINTAIN HIGH STANDARDS OF CARE AND AVAILABILITY OF RESOURCES, CONSISTENT WITH THE EXPECTATIONS OF OUR CUSTOMERS, IN A COST-EFFECTIVE MANNER. OUR MISSION IS TO CARE FOR OUR PATIENTS AS WELL AS OUR COMMUNITIES, CARRYING OUT OUR MOTTO: "RESTORING QUALITY TO LIFE."PROGRAMS DESIGNED TO MEET THE UNIQUE NEEDS OF LONG-TERM CARE PATIENTS PROVIDED BY SHM INCLUDE SPECIALIZED HOSPITALIST, PULMONARY CARE, WOUND CARE AND MEDICALLY COMPLEX PATIENT CARE PROGRAMS AND THE RELATED SERVICES OF THOSE PROGRAMS SUCH AS VENTILATOR MANAGEMENT AND WEANING, TRACHEOSTOMY CARE, LONG TERM IV ANTIBIOTIC THERAPY, TREATMENT FOR RENAL FAILURE, COMPLICATED FRACTURES, STAGE III OR STAGE IV PRESSURE ULCERS AND A HOST OF OTHER CONDITIONS REQUIRING LONG-TERM HOSPITAL CARE. THE SPECIALTY HOSPITAL OF MERIDIAN PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. 17251619 1 1 0 1 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 7 0 1 125 1 0 0 0 0 0 0 0 0 0 0 X 12 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAVID BUTLER 6017033082 1314 19TH AVENUE MERIDIAN MS 39301 BETTY VISE BOARD MEMBER 1.00 X 0 0 0 DARRELL WILDMAN BOARD MEMBER AND TREASURER 1.00 54.00 X X 0 372881 33834 FRANKIE STEWART BOARD MEMBER 1.00 X 0 0 0 JIMMY E ISBELL MD BOARD MEMBER 1.00 X 0 0 0 JOE ANNE RAMIA BOARD MEMBER 1.00 2.00 X 0 0 0 KATHLEEN PRICE BOARD MEMBER 1.00 X 0 0 0 PAUL Y VARELA MD BOARD MEMBER 1.00 X 0 0 0 RICHARD S ABNEY MD BOARD MEMBER 1.00 X 0 0 0 TIMOTHY SEYMOUR MD BOARD MEMBER 1.00 X 0 0 0 DAVID BUTLER CFO 1.00 48.00 X X 0 266532 26200 ALLEN TYRA VP/COO 15.00 46.00 X X 0 292677 18282 FRED DUGGAN MD CMA 1.00 60.00 X 0 763245 34249 KAWANDA JOHNSON ADMINISTRATOR 40.00 X 0 70938 20930 LARKIN KENNEDY PRESIDENT 15.00 46.00 X 0 547233 27599 RICK BARRY SECRETARY 1.00 9.00 X 0 18000 0 DAWN REYNOLDS COMPLIANCE 1.00 9.00 X 0 113521 21666 AIMEE MCWILLIAMS COMPLIANCE DIRECTOR 1.00 9.00 X 0 68019 22365 DEBRA SPINKS RN 40.00 X 102353 0 7480 TIFFANY D MCDOUGLE RN 40.00 X 133314 0 912 BRIANNA B BUCK RN 40.00 X 128260 0 7234 TAMARA D GLASPIE RN 40.00 X 118343 0 0 CORETTA ROBERTS RN 40.00 X 105108 0 8111 587378 2513046 228862 5 0 1 0 GIFTED NURSES 2748 METAIRIE LAWN STE B METAIRIE LA 70002 NURSE STAFFING AGENCY 596597 MERIDIAN INPATIENT SERVICES PO BOX 62760 NEW ORLEANS LA 70162 KIDNEY DIALYSIS 181110 2 2494940 2494940 PROGRAM SERVICES 621110 12609137 12609137 12609137 125160 125160 1588742 0 1588742 1588742 1588742 MISCELLANEOUS REVENUE 900099 111343 111343 111343 16929322 12720480 0 1713902 X 4744624 4438634 305990 37544 37544 462950 457887 5063 327261 296275 30986 2267649 2267649 7610489 7564782 45707 2876460 2876460 4259 4259 4916 4916 325487 325487 110989 110989 SUPPLIES 745476 741751 3725 EQUIPMENT RENTAL AND MA 135364 135364 PROVISION FOR BAD DEBTS 114759 114759 TAXES & LICENSES 66791 65495 1296 115089 114561 528 19950107 17251619 2698488 0 37484 42735 2751907 2252923 85877 92631 191895 140705 11998231 8977820 3170974 3020411 27030331 30466131 33268468 36015536 776571 892756 4024978 3525928 25587846 22548031 30389395 26966715 X 0 0 0 0 2879073 9048821 2879073 9048821 33268468 36015536 X -3020785 9190538 -5 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 2543 2543 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: RUSH CARE, INC. PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $17,454, OF WHICH 14.57% IS ATTRIBUTABLE TO LOBBYING. 32500 32500 3714782 1690345 2024437 1402321 1322760 79561 6626102 5941229 684873 222526 23486 199040 3020411 DUE FROM AFFILIATES 30448631 GOODWILL 17500 30466131 CURRENT PORTION OF CAPITAL LEASES 498878 DUE TO AFFILIATES 19853480 DEFERRED REVENUE 966948 THIRD PARTY PAYORS 1228725 22548031 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, 2021 AND 2020, 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, 2018, 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 128121 128121 0.00640 61958 61958 0.00310 190079 190079 0.00950 25857 25857 0.00130 25857 25857 0.00130 215936 215936 0.01080 1 114759 10457922 15826527 -5368605 X 1 1 1 1 SPECIALTY HOSPITAL 1314 19TH AVENUE MERIDIAN MS 39301 X LONG TERM ACUTE CARE SPECIALTY HOSPITAL MERIDIAN 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE ATTACHED SECTION C X 1 19 1 SEE ATTACHED SECTION C 0 1 X 150.000000000000 200.000000000000 X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X 1 X 0 X X X 1 X 0 0 SPECIALTY HOSPITAL MERIDIAN PART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5: PLEASE SEE THE COMMUNITY INPUT SECTION OF THE CHNA, FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=6F0F3732-994B-46FD-899C6B67FA5FF39C SPECIALTY HOSPITAL MERIDIAN PART V, SECTION B, LINE 11: PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY: HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=BE2AD782-589A-478A-96F28EC251BEE0A4 SPECIALTY HOSPITAL MERIDIAN PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16J: SEE PATIENT FINANCIAL ASSISTANCE POLICY: HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/FINANCIAL-ASSISTANCE-POLICY/SEE FINANCIAL ASSISTANCE APPLICATION: HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM-APPLICATION/SEE FINANCIAL ASSISTANCE POLICY-PLAIN LANGUAGE SUMMARY: HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/OCHSNER-RUSH-HEALTH-PLAIN-LANGUAGE-SUMMARY/ PART V, SECTION B, LINE 7A THE CHNA CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-SPECIALTY-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS ASSESSEMNT LINK PART V, SECTION B, LINE 10A THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-SPECIALTY-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN LINK 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 II, COMMUNITY BUILDING ACTIVITIES: ALL ACTIVITIES ENGAGED IN BY SPECIALTY ARE GEARED TOWARD PROMOTION AND IMPROVEMENT OF THE WELLBEING OF THE CITIZENS OF OUR PRIMARY SERVICE AREA. SPECIALTY PROMOTES 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 ACTIVITIESSUCH AS THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM, AND HEALTH FAIRS. RUSH ALSO SUPPORTS THE COMMUNITY BY ENSURING THE PROVISION OF NEEDED PRIMARY CARE IN MANY UNDERSERVED AREAS. PART III, LINE 4: BAD DEBT EXPENSE IS AS AMOUNT OF CHARGES PER TRIAL BALANCE, THIS AMOUNT IS NETTED WITH REVENUE ON AUDITED FINANCIALS AS AN IMPLICIT PRICE CONCESSION. FOR TAX PURPOSES, BAD DEBT EXPENSE IS MOVED DOWN TO THE EXPENSE SECTION. PER NOTE 1 OF THE FINANCIAL STATEMENTS, PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT ESTIMATED NET REALIZABLE VALUE TAKING INTO ACCOUNT ESTIMATED IMPLICIT AND EXPLICIT PRICE CONCESSIONS. THE ESTIMATED IMPLICIT PRICE CONCESSIONS ARE BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. 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 AN ALLOWANCE FOR EXPLICIT PRICE CONCESSIONS, IF NECESSARY. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE PRICE CONCESSIONS BASED UPON ITS REVIEW OF 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 PRICE CONCESSIONS. THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. PART III, LINE 8: THE COST OF PROVIDING SERVICES TO MEDICARE PATIENTS, AS EVIDENCED ON LINE 7, EXCEEDS REVENUE. THIS COST PROVIDES A NECESSARY HEALTH BENEFIT TO THE ELDERLY POPULATION IN THE HOSPITAL'S SERVICE AREA AND SHOULD BE CONSIDERED COMMUNITY BENEFIT. PART III, LINE 9B: THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAT ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. ADDITIONALLY, THE HOSPITAL MAY UTILIZE OUTSIDE AGENCIES AS APPROPRIATE TO ASSIST IN DETERMINING ACCOUNTS THAT QUALIFY AS CHARITY CARE. ANY ACCOUNTS DETERMINED TO BE CHARITY BASED ON AN AGENCY'S RECOMMENDATION ARE REPORTED AS CHARITY CARE AND REVENUE REDUCED BY THIS AMOUNT AS OPPOSED TO BEING REPORTED AS BAD DEBT EXPENSE. PART VI, LINE 2: OUTSIDE CONSULTANTS ARE HIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENT PERIODICALLY.THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=6F0F3732-994B-46FD-899C6B67FA5FF39C PART VI, LINE 3: PATIENTS ARE PROVIDED AN APPLICATION FOR CHARITY CARE AND A CRITERIA FORCHARITY CARE CHECKLIST AS CLOSE TO POINT OF SERVICE AS POSSIBLE.ADDITIONALLY,THE HOSPITAL UTILIZES AN OUTSIDE ELIGIBILITY COMPANY THATREVIEWS ALL NO INSURANCE PATIENTS FOR POTENTIAL QUALIFICATION FOR OTHERGOVERNMENTAL PROGRAMS SUCH AS MEDICAID. PART VI, LINE 4: SPECIALTY IS A COMMUNITY-BASED ENTITY WITH A LONG-TERM ACUTE-CARE HOSPITALAND RURAL BASED PROVIDER CLINICS IN THE EAST MISSISSIPPI AND WEST ALABAMAAREA. SPECIALTY'S PRIMARY SERVICE AREA EXTENDS TO COMMUNITES IN OVER A90-MILE RADIUS OF MERIDIAN, MS. THERE IS ONE OTHER LONG-TERM ACUTE CAREFACILITY LOCATED WITHIN THE MERIDIAN, MS SERVICE AREA. THESE FACILITESSERVE AS THE PRIMARY LONG-TERM PROVIDERS FOR THE VERY NEEDY AREAS OF EASTMISSISSIPPI AND WEST ALABAMA. OF THE COUNTIES SERVED, THE FOLLOWING ARECOUNTIES IDENTIFIED BY HEALTH RESOURCES AND SERVICES ADMINISTRATION OF THEUS DEPT OF HEALTH AND HUMAN SERVICES AS HEALTH PROFESSIONAL SHORTAGEAREAS: CHOCTAW AND SUMTER COUNTIES IN ALABAMA; CLARKE, KEMPER,LAUDERDALE, NESHOBA, NEWTON AND SCOTT COUNTIES IN MISSISSIPPI.ADDITIONAL INFORMATION ON THE COMMUNITY SERVED CAN BE FOUND IN THE CHNA.THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=6F0F3732-994B-46FD-899C6B67FA5FF39C PART VI, LINE 5: ALL MEMBERS OF SPECIALTY'S BOARD RESIDE IN SPECIALTY'S PRIMARY SERVICEAREA. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF EXTENDING PRIVILEGES TOALL QUALIFIED PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS THAT APPLY FORPRIVILEGES AND MEET ALL REQUIREMENTS OF CREDENTIALING AND THE MEDICALSTAFF RULES AND REGS AND BY-LAWS. THE FACILITY UTILIZES SURPLUS FUNDS FORADDITIONAL MEDICAL TECHNOLOGY, RECRUITMENT OF MEDICAL STAFF THAT ISOTHERWISE UNAVAILABLE (I.E. PRIMARY CARE PHYSICIANS, NURSE PRACTICTIONERS,ETC.), FUNDING OF LOCAL AREA HEALTHCARE WORKFORCE TRAINING AND ECONOMICDEVELOPMENT. PART VI, LINE 6: SPECIALTY IS WHOLLY OWNED BY RUSH HEALTH SYSTEMS, A NON-PROFIT ORGANIZATION. WITHIN RUSH HEALTH SYSTEMS ARE THE SPECIALTY HOSPITAL OFMERIDIAN (A LONG TERM ACUTE CARE FACILITY), LAIRD HOSPITAL (A CRITICALACCESS HOSPITAL, HC WATKINS HOSPITAL (A CRITICAL ACCESS HOSPITAL), SCOTTHOSPITAL (A CRITICAL ACCESS HOSPITAL), MEDICAL FOUNDATION INC. (A CLINICORGANIZATION), AND RUSH MEDICAL GROUP (A CLINIC ORGANIZATION). EACH OFTHESE ENTITES COORDINATE TO IMPROVE THE HEALTHCARE OF EAST MISSISSIPPI ANDWEST ALABAMA. CLINICAL INTEGRATION BETWEEN OUTLYING CRITICAL ACCESSHOSPITALS, SPECIALIST PHYSICIANS AND THE GENERAL ACUTE CARE HOSPITALPROVIDE FOR IMPROVED ACCESS AND IMPROVED OUTCOMES FOR THE POPULATION WESERVE. X X X X X X 0 1 0 0 0 0 0 0 0 FRED DUGGAN MD CMA 0 763245 0 0 0 0 0 8550 0 25699 0 797494 0 0 LARKIN KENNEDY PRESIDENT 0 547233 0 0 0 0 0 8550 0 19049 0 574832 0 0 DARRELL WILDMAN BOARD MEMBER AND TREASURER 0 372881 0 0 0 0 0 8550 0 25284 0 406715 0 0 ALLEN TYRA VP/COO 0 292677 0 0 0 0 0 0 0 18282 0 310959 0 0 DAVID BUTLER CFO 0 266532 0 0 0 0 0 7704 0 18496 0 292732 0 0 PART I, LINE 4B RUSH HEALTH SYSTEMS, SOLE MEMBER OF RUSH CARE, INC., PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). FOR 2021, THERE WERE NO CONTRIBUTIONS OR DISTRIBUTIONS FOR THOSE LISTED ON SCHEDULE J. 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 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 IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,564,782. MANAGEMENT AND GENERAL EXPENSES 45,707. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,610,489. FORM 990, PART XI, LINE 9: ROUNDING -5. 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 THE PRIOR YEAR. RUSH MEDICAL FOUNDATION 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 RUSH MEDICAL GROUP OF NEWTON 1314 19TH AVENUE MERIDIAN MS 39301 640783323 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 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 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 HEALTH SYSTEMS INC PO BOX 5187 MERIDIAN MS 39301 640664988 PROVIDING SUPPORT TO HEALTH CARE AFFILIATES MS 501(C)(3) 509(A)(3)(III) N/A 0 MERIDIAN SPEECH AND HEARING CENTER 1314 19TH AVENUE MERIDIAN MS 39301 640529831 PROVIDING AUDIOLOGY AND DYSLEXIA TESTING AND TREATMENT MS 501(C)(3) 509(A)(2) RUSH HEALTH SYSTEMS INC 0 SCOTT REGIONAL MEDICAL CENTER INC 1314 19TH AVENUE MERIDIAN MS 39301 260792328 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 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 NEWCA HEALTHCARE 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 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)(IV) RUSH HEALTH SYSTEMS INC 0 MERIDIAN SURGERY CENTER LLC 2100 13TH STREET MERIDIAN MS 39301 300160065 AMBULATORY SURGERY CENTER MS N/A N/A 0 0 RUSH SERVICE COMPANY INC PO BOX 5188 MERIDIAN MS 39302 640670493 PROPERTY RENTAL MS N/A C 0 MANAGED HEALTH CARE 1314 19TH AVENUE MERIDIAN MS 39301 640862241 MANAGE HEALTHCARE 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 ANESTHESIOLOGY 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 RURAL HEALTHCARE MANAGEMENT INC 1314 19TH AVENUE MERIDIAN MS 39301 811641843 HEALTHCARE MANAGEMENT MS N/A C 0 PEAVEY INVESTMENT COMPANY INC 1220 16TH AVENUE MERIDIAN MS 39301 640412267 SUBSIDIARY OF RUSH SERVICE COMPANY MS N/A C 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0