2021-05-05T14:53:54-05:00 2020-06-30 201941244 HORNE LLP 661 SUNNYBROOK ROAD STE 100 RIDGELAND MS 39157 990 2019-07-01 237067206 MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER MISS 6013643367 1350 EAST WOODROW WILSON JACKSON MS 39216 MARK ADAMS PRESIDENT & CEO 6013643367 2021-05-04 1 AMIE T WHITTINGTON CPA P01082167 6013261000 2021-05-04 2019 2022-09-23 18:48:47Z METHODIST REHABILITATION CENTER MARK ADAMS 1350 EAST WOODROW WILSON JACKSON MS 39216 70920860 0 X WWW.MMRCREHAB.ORG X 1969 MS MISSISSIPPI METHODIST REHABILITATION CENTER PROVIDES COMPREHENSIVE MEDICAL REHABILITATION SERVICES TO HELP PEOPLE RECOVER ABILITIES AND QUALITY OF LIFE AFTER A STROKE, SPINAL CORD INJURY, TRAUMATIC BRAIN INJURY, NEUROLOGICAL DISEASE OR ORTHOPEDIC DISORDER. SINCE 1975, METHODIST REHAB HAS TREATED MORE THAN 1,000 PERSONS PER YEAR IN ITS STATE-OF-THE-ART INPATIENT REHABILITATION HOSPITAL, AND TENS OF THOUSANDS PER YEAR IN OUTPATIENT CARE FACILITIES. THE CENTER ALSO PROVIDES HOUSING FOR SEVERELY DISABLED PERSONS, AND A HOST OF SUPPORT SERVICES TO ADDRESS THE LIFELONG NEEDS OF DISABLED CITIZENS. IT IS THE ONLY REHABILITATION CENTER IN THE STATE AND REGION THAT PROVIDES THIS COMPREHENSIVE LEVEL OF REHABILITATION CARE. 17 16 881 45 82500 81500 1255996 1871763 56114132 57345038 419659 806461 1350579 1339666 59140366 61362928 18950 4577 0 0 38900411 41656478 0 0 0 20199868 20772206 59119229 62433261 21137 -1070333 93189423 89266975 15471302 13257348 77718121 76009627 X IN RESPONSE TO THE LOVE OF GOD, THE METHODIST REHABILITATION CENTER, IS DEDICATED TO THE RESTORATION AND ENHANCEMENT OF THE LIVES OF THOSE WE SERVE. WE ARE COMMITTED TO EXCELLENCE AND LEADERSHIP IN THE DELIVERY OF COMPREHENSIVE REHABILITATION SERVICES.WITH THE PATIENT ALWAYS AS THE FOCAL POINT AND IN AN ATMOSPHERE OF COMPASSIONATE CARE, WE WILL:* PROVIDE OPPORTUNITIES FOR GROWTH IN KNOWLEDGE, SKILLS AND CAPABILITIES TO BETTER SERVE OUR PATIENTS AND THEIR FAMILIES AND TO ENHANCE THE REHABILITATIVE HEALTH CARE OF OUR STAFF;* DEVELOP CREATIVE AND INNOVATIVE METHODS OF PATIENT CARE, SKILLS AND TECHNIQUES;* FOSTER A CLIMATE OF SCIENTIFIC INQUIRY THAT PROMOTES RESEARCH IN ALL ASPECTS OF REHABILITATION;* OFFER EDUCATIONAL AND PROFESSIONAL PROGRAMS AND SHARE REHABILITATION INFORMATION WITH THE COMMUNITY;* RENDER SERVICES THAT ARE EFFECTIVE AND COST EFFICIENT, IN A MANNER THAT RESPECTS THE PERSONAL WORTH AND DIGNITY OF EACH PERSON WE SERVE; AND* PROVIDE COMPREHENSIVE REHAB SERV 0 0 20480250 16247806 ROUTINE SERVICES - HEALTH CARE - REVENUE RELATED TO INPATIENT BED COST INCLUDING NURSING AND CARE RELATED COST TO PROPERLY ADHERE TO OUR PATIENT HOUSING NEEDS. 19973539 38962922 ANCILLARY SERVICES - REVENUE RELATED TO SUPPORT THE MEDICAL STAFF TO DIAGNOSE AND PROVIDE PROCEDURES ORDERED BY MEDICAL STAFF, SUCH AS RADIOLOGY SERVICES, PHARMACY SERVICES AND OUTPATIENT SERVICES JUST TO NAME A FEW. 1481139 4577 3074686 ADMINISTRATIVE EXPENSES RELATING TO (A) AND (B) 5097877 INTEREST, DEPRECIATION, AMORTIZATION, AND BAD DEBTS RELATING (A) AND (B) 5097877 47032805 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 67 0 1 881 1 1 1 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X GARY ARMSTRONG EVPCFO 6013643360 1350 EAST WOODROW WILSON DRIVE JACKSON MS 39216 DAVID L MCMILLIN VICE CHAIRMAN 0.60 X 0 0 0 DOBRVIJOE STOKIC MD RESEARCH DIRECTOR - NONVOT 40.00 X 261928 0 29493 DR HYUNG KIM PRESIDENT - MED STAFF 0.30 X 0 0 0 DR JENNIFER VILLACORTA EX-OFFICIO-NONVOTING 0.30 X 0 0 0 E B ROBINSON EXECUTIVE COMITTEE 0.60 X 0 0 0 JASMIN CHAPMAN TRUSTEE 0.30 X 0 0 0 MATTHEW L HOLLEMAN III EXECUTIVE COMITTEE 0.60 0.30 X 0 0 0 MICHAEL REDDIX MD SECRETARY 0.60 X 0 0 0 MIKE P STURDIVANT JR TREASURER 0.60 X 0 0 0 PHILLIP BOWMAN TRUSTEE 0.30 X 0 0 0 REV BERT FELDER TRUSTEE - LIFE MEMBER - NONVOTING 0.00 X 0 0 0 REV DR BOB RAMBO TRUSTEE 0.30 X 0 0 0 SAM LANE TRUSTEE 0.30 1.00 X 0 0 0 THOMAS A TURNER III TRUSTEE 0.30 X 0 0 0 TISH HUGHES EXECUTIVE COMITTEE 0.60 0.30 X 0 0 0 VIRGINIA MOUNGER TRUSTEE 0.30 1.00 X 0 0 0 WALTER S WEEMS CHAIRMAN 1.00 X 0 0 0 WILLIAM A RAY TRUSTEE 0.30 X 0 0 0 WILLIAM R JAMES TRUSTEE 0.60 X 0 0 0 WIRT A YERGER III TRUSTEE 0.30 X 0 0 0 GARY ARMSTRONG EVP & CFO 40.00 X 372747 0 29496 MARK A ADAMS PRESIDENT & CEO 40.00 X 533214 0 77450 ANGEL LEIS PHYSICIAN 40.00 X 261472 0 35176 PHILIP BLOUNT PHYSICIAN 40.00 X 376379 0 29946 RAECHEL PERCY PHYSICIAN 40.00 X 240776 0 20809 STEVE HOPE VICE PRESIDENT HUMAN RESOU 40.00 X 241544 0 36588 TAMMY VOYNIK VICE PRESIDENT 40.00 X 231386 0 29836 2519446 0 288794 29 0 1 0 CORNERSTONE ADVISORS GROUP LLC PO BOX 419695 BOSTON MA 02241 COMPUTER CONSULTING SERVICES 1026465 MEDICAL INFORMATION TECHNOLOGY INC MEDITECH CIRCLE WESWOOD MA 02090 EHR IMPLEMENTATION SOFTWARE 950912 BIRDSONG CONSTRUCTION CO INC 1010 INDUSTRIAL PARK DRIVE CLINTON MS 39056 CONSTRUCTION SERVICES 388510 TRILOGY REVENUE CYCLE SOLUTIONS INC 404 LEGACY PARK SUITE A RIDGELAND MS 39157 BILLING COLLECTION SERVICE 296452 TERRY SERVICE INC PO BOX 1557 RIDGELAND MS 39158 AC SERVICE 231926 12 570408 1223163 78192 1871763 PATIENT REVENUE 621990 55210728 55210728 PROFESSIONAL FEES 621990 2134310 2134310 57345038 301350 301350 316790 0 316790 316790 316790 10063043 9556977 955 506066 -955 505111 505111 OTHER INCOME 621990 940376 940376 PARTNERSHIP INCOME 900099 82500 82500 1022876 61362928 58285414 82500 1123251 4577 4577 1213269 246349 966920 32640373 24627178 8013195 5604434 4117578 1486856 2198402 1615166 583236 153715 57775 95940 2177924 1716081 461843 839369 186940 652429 29050 9091 19959 390441 390441 3675883 3675883 873663 848417 25246 COST OF GOODS SOLD 4876524 4876524 CONTRACT SERVICES 2486745 1673610 813135 EQUIPMENT RENTAL & MAIN 2281677 882174 1399503 BAD DEBT 1031553 1031553 1955662 1073468 882194 62433261 47032805 15400456 0 294325 2602058 12227822 11789491 360000 380000 923736 856844 889509 837867 79963667 43144656 36378335 36819011 39587938 34094622 2527758 1887082 93189423 89266975 4246590 4794121 2400001 1930000 8824711 6533227 15471302 13257348 X 77496421 75868844 221700 140783 77718121 76009627 93189423 89266975 X -1070333 -557244 -80917 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 58423 58423 46949701 47008124 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 13535 38541 38148 58423 148647 250000 250000 250000 250000 1000000 1500000 SCHEDULE C, PART II-A, LINE 1B METHODIST REHABILITIATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA), THE MISSISSIPPI HOSPITAL ASSOCIATION (MHA), THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA), THE MISSISSIPPI HEALTH CARE ASSOCATION (MHCA), AND THE AMERICAN HEALTH CARE ASSOCIATION (AHCA). A PORTION OF THE DUES PAID TO EACH OF THESE ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING. FOR AHA, DUES OF $7,247 WERE PAID, OF WHICH 23.32% ($1,690) ARE ATTRIBUTABLE TO LOBBYING. FOR MHA, DUES OF $41,157 WERE PAID, OF WHICH 14.57% ($5,996.58) ARE ATTRIBUTABLE TO LOBBYING. FOR AMRPA, DUES OF $14,379 WERE PAID, OF WHICH 31% ($4,457.49) ARE ATTRIBUTABLE TO LOBBYING. FOR MHCA, DUES OF $2,643 WERE PAID, OF WHICH 20% ($528.60) ARE ATTRIBUTABLE TO LOBBYING. FOR AHCA, DUES OF $1,236 WERE PAID, OF WHICH 28% ($346.08) ARE ATTRIBUTABLE TO LOBBYING. MMRC ALSO PAID FAIR FUND $25,000 AND THE CLAY FIRM $20,404 FOR LOBBYING EXPENDITURES. 5658141 5658141 56267490 30832267 25435223 15863585 10879451 4984134 2174451 1432938 741513 36819011 SECURITIES 34094622 F 34094622 LINE OF CREDIT 2123127 NOTES PAYABLE 4258491 THIRD PARTY SETTLEMENTS 151609 6533227 1 1 1 X 250.000000000000 0 1 1 1 0 1 1 834233 834233 0.01360 16222042 19537817 0 0.00000 17056275 19537817 834233 0.01360 598312 598312 0.00970 69279 69279 0.00110 1629760 646730 983030 0.01600 21489 21489 0.00030 2318840 646730 1672110 0.02710 19375115 20184547 2506343 0.04070 1 1031553 0 12274329 12336600 -62271 X 1 1 1 1 MISSISSIPPI METHODIST REHAB CENTER INC 1350 EAST WOODROW WILSON JACKSON MS 39216 X ACUTE REHAB MISSISSIPPI METHODIST HOSPITAL AND REHAB 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/MRC_CHNA_2020_FINAL_APP X 1 18 1 HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/MRC_CHNA_2020_FINAL_APP 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/FINAL20FA20POLICY200304 X HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/FINANCIAL20ASSISTANCE20 X HTTPS://WWW.METHODISTONLINE.ORG/FINANCIAL-ASSISTANCE-POLICY X X X X X X X 1 0 X 0 X X 0 0 MISSISSIPPI METHODIST HOSPITAL AND REHAB PART V, SECTION B, LINE 5: YES. REPRESENTATIVES OF THE COMMUNITY FOR INTERVIEWS WERE IDENTIFIED THROUGH INTERNAL AND EXTERNAL SOURCES; INTERVIEWS WERE CONDUCTED AND THEMATIC CONTENT ANALYSIS ANALYSIS WAS USED TO IDENTIFY AND CLUSTER COMMON THEMES. THE HOSPITAL CONSULTED WITH INDIVIDUALS REPRESENTING THE FOLLOWING ORGANIZATIONS: MISSISSIPPI STATE DEPT. OF HEALTH, MISSISSIPPI PARALYSIS ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION, COMMUNITY HEALTH CENTERS ASSOCIATION OF MISSISSIPPI, AND THE MISSISSIPPI SOCIETY FOR DISABILITIES. THE HOSPITAL ALSO CONSULTED INTERNAL SOURCES INCLUDING PHYSICAL AND OCCUPATIONAL THERAPISTS, A PHYSICAL MEDICINE AND REHABILITATION SPECIALIST PHYSICIAN, A SOCIAL WORKER, A FINANCIAL COUNSELOR, RESEARCH DIRECTOR, AND A ORTHOTIST/PROSTHETIST. MISSISSIPPI METHODIST HOSPITAL AND REHAB PART V, SECTION B, LINE 11: NO. SOME NEEDS IDENTIFIED IN OUR FIRST AND SECOND NEEDS ASSESSMENTS, INCLUDING LACK OF TRANSPORTATION AND OTHER BARRIERS TO POST-DISCHARGE REHABILITATION CARE, ARE IDENTIFIED IN OUR MOST RECENT ASSESSMENT, AS WELL. THESE ARE SOCIETAL ISSUES THAT REFLECT THE MOSTLY RURAL, FINANCIALLY DISADVANTAGED DEMOGRAPHICS OF MISSISSIPPI. BASED ON THE ADOPTED GUIDING PRINCIPLES AND THE CRITERIA FOR PRIORITIZING IDENTIFIED HEALTH CARE NEEDS, WE CHOSE NOT TO ADDRESS THESE NEEDS GIVEN THE SCOPE OF THE PROBLEM AND THE UNLIKELIHOOD OUR SOLUTIONS WOULD HAVE A TRUE AND LASTING IMPACT. IN ADDITION, SOME OF THE NEEDS NOT ADDRESSED FALL UNDER THE SCOPE OF ACTIVITIES OF OTHER STATE AND NON-GOVERNMENTAL AGENCIES, SUCH AS INDEPENDENT LIVING AND VOCATIONAL REHABILITATION UNDER THE MISSISSIPPI DEPARTMENT OF REHABILITATION SERVICES, LIFE OF MS, AND THE MISSISSIPPI PARALYSIS ASSOCIATION.THE HOSPITAL HAS ADOPTED A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE NEEDS ASSESSMENT. THE HOSPITAL HAS PRIORITIZED THE HEALTH NEEDS OF THE COMMUNITY AND OF THE SERVICES THAT WILL ADDRESSED THESE NEEDS. NEEDS WERE BEING ADDRESSED THROUGH THE ADOPTION AND EXECUTION OF THE IMPLEMENTATION STATEGY. HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/MRC_CHNA_2020_FINAL_APPROVED_BY_THE_BOARD_052319_0.PDF MISSISSIPPI METHODIST HOSPITAL AND REHAB PART V, SECTION B, LINE 13B: SELF PAY DISCOUNTS APPLIED TO ANY UNINSURED PATIENT, REGARDLESS OF INCOME. DISCOUNTS BASED ON AGB (AMOUNTS GENERALLY BILLED) AS OUTLINED IN FINANCIAL ASSISTANCE POLICY. MISSISSIPPI METHODIST HOSPITAL AND REHAB PART V, SECTION B, LINE 16J: FULL WEBSITE LINKS FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY:QUESTION 16A. WEBSITE LINK: HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/FINAL20FA20POLICY2003042021.PDFQUESTION 16B. WEBSITE LINK: HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/FINANCIAL20ASSISTANCE20APPLICATION202019.PDF QUESTION 16C. HTTPS://WWW.METHODISTONLINE.ORG/FINANCIAL-ASSISTANCE-POLICY MISSISSIPPI METHODIST HOSPITAL AND REHAB PART V, SECTION B, LINE 20E: HOSPITAL DOES NOT EMPLOYE ANY EXTRAORDINARY COLLECTION ACTIONS. A FINANCIAL COUNSELOR MEETS WITH ALL FINANCIAL ASSISTANCE PATIENTS, FAMILIES OR CAREGIVERS EDUCATING THEM ON THE FAP AND ANY POSSIBLE COLLECTIONS. PART VI, LINE 1 CHNA CAN BE ACCESSED AT:HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/MRC_CHNA_2020_FINAL_APPROVED_BY_THE_BOARD_052319_0.PDFIMPLEMENTATION PLAN CAN BE ACCESSED AT: HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/MRC_CHNA_2020_FINAL_APPROVED_BY_THE_BOARD_052319_0.PDF 12 1 - METHODIST SPECIALITY CARE CENTER ONE LAYFAIR DRIVE SUITE 500 FLOWOOD MS 39232 SKILLED NURSING FACILITY FOR SEVERELY DISABLED 2 - METHODIST OUTPATIENT REHAB - FLOWOOD ONE LAYFAIR DRIVE SUITE 110 FLOWOOD MS 39232 HOSPITAL BASED OUTPATIENT CLINICS 3 - METHODIST OUTPATIENT REHAB -RIDGELAND 102 S PERKINS ST RIDGELAND MS 39157 HOSPITAL BASED OUTPATIENT CLINICS 4 - METHODIST ORTHOTICS & PROSTHETICS-FLO ONE LAYFAIR DRIVE SUITE 300 FLOWOOD MS 39232 HOSPITAL BASED OUTPATIENT CLINICS 5 - METHODIST ORTHOTICS & PROSTHETICS-MER 1600 14TH STREET MERIDIAN MS 39301 HOSPITAL BASED OUTPATIENT CLINICS 6 - METHODIST ORTHOTICS & PROSTHETICS-HAT 107 FAIRFIELD DRIVE STE 10 HATTIESBURG MS 39042 HOSPITAL BASED OUTPATIENT CLINICS 7 - METHODIST PAIN AND SPINE ONE LAYFAIR DRIVE SUITE 400 FLOWOOD MS 39232 SINGLE SPECIALITY AMBULATORY SURGERY CENTER 8 - METHODIST ORTHOTICS & PROSTHETICS-LOU 1607 LOUISVILLE AVE MONROE LA 71201 HOSPITAL BASED OUTPATIENT CLINICS 9 - METHODIST ORTHOTICS & PROSTHETICS-CLE 804 FIRST STREET CLEVELAND MS 38732 HOSPITAL BASED OUTPATIENT CLINICS 10 - METHODIST ORTHOTICS & PROSTHETICS-OXFORD 1207 OFFICE PARK DRIVE SUITE A OXFORD MS 38655 HOSPITAL BASED OUTPATIENT CLINICS 11 - METHODIST ORTHOTICS & PROSTHETICS-STARK 101 GT THAMES DRIVE SUITE A STARKVILLE MS 39759 HOSPITAL BASED OUTPATIENT CLINICS 12 - DR LEIS ELECTRO DIAGNOSTICS 1350 EAST WOODROW WILSON SUITE 2 JACKSON MS 39216 HOSPITAL BASED OUTPATIENT CLINICS PART I, LINE 3C: MRC FA POLICY USES INCOME BASED CRITERIA. THRESHOLD IS INCOME <= 250% OF FEDERAL POVERTY LEVEL FOR FULL FINANCIAL ASSISTANCE. PATIENT GETS FULL WAIVER FOR CHARITY OR GETS SELF PAY DISCOUNT (FIXED DISCOUNT PER SERVICE BASED ON AGB, AMOUNTS GENERALLY BILLED). PART I, LINE 7: THE COSTING METHODOLOGY UTILIZED WAS THE COST-TO-CHARGE RATIO AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. 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 $ 1,031,553. PART II, COMMUNITY BUILDING ACTIVITIES: "OUR PRIORITY AREAS ARE AS FOLLOWS: IMPROVE ACCESS TO COMPREHENSIVE REHABILITATION BY IDENTIFYING AND REDUCE BARRIERS TO ADMISSION TO INPATIENT REHAB, BROADENING RESOURCES TO HELP DISABLED PERSONS AND CAREGIVERS ACCESS SELF-CARE EDUCATION AND SUPPORTINCREASE USE OF ADVANCED REHABILITATION TECHNOLOGIES BY EDUCATE & TRAINING REHABILITATION PRACTITIONERS IN THE COMMUNITY, DEFINING TARGET AREAS FOR CONTINUING EDUCATION AND PROVIDING CLINICIANS WITH OPPORTUNITIES TO WORK IN DUAL RESEARCH/CLINICAL ROLES AND DELIVERING IN-SERVICES AND EXPANDED OUTREACH EFFORTS TO REFERRING HOSPITALSMONITOR OUTCOMES & BUILD RELATIONSHIPS ALONG THE CONTINUUM OF CARE BY EXAMINING OUTCOMES AT 3 MONTHS AFTER INPATIENT DISCHARGE STRENGTHENING COMMUNITY RELATIONSHIPS AND COORDINATION OF POST-DISCHARGE SERVICES AND INCREASING ADVOCACY EFFORTS RELATED TO DIFFERENT LEVELS OF POST-ACUTE CARE. PART III, LINE 4: THE AMOUNT REPORTED AS BAD DEBT EXPENSE IS THE BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. PER AUDIT FOOTNOTE 1, PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE, AFTER DEDUCTION OF ALLOWANCES FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS. THE ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON HISTORICAL LOSSES AND AN ANALYSIS OF CURRENTLY OUTSTANDING AMOUNTS. THIS ACCOUNT IS GENERALLY INCREASED BY CHARGES TO A PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND DECREASED BY WRITE-OFFS OF ACCOUNTS DETERMINED BY MANAGEMENT TO BE UNCOLLECTIBLE. PART III, LINE 8: COSTING METHODOLOGY WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, WAS USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6 OF PART III. WE CONSIDER OUR SHORTFALL A COMMUNITY BENEFIT BECAUSE WE ARE THE ONLY FREE STANDING PHYSICAL MEDICINE AND REHABILITATION PROVIDER IN THE STATE AND WE SERVE THE MOST SEVERE BRAIN, SPINAL AND STROKE PATIENTS THROUGHOUT OUR SERVICE DATE. PART III, LINE 9B: WHEN A PATIENT QUALIFIES FOR CHARITY CARE (FINANCIAL ASSISTANCE), NO COLLECTIONS ARE ATTEMPTED ON THESE PATIENTS. CHARGES ARE WRITTEN OFF. PART VI, LINE 2: THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED ARE ASSESSED BY RESEARCHING VITAL STATISTICS FOUND THROUGH THE CDC AND MISSISSIPPI DEPARTMENT OF HEALTH. ALSO, METHODIST HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING CALENDAR YEAR 2019. THE CHNA CAN BE ACCESSED AT: HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/MRC_CHNA_2020_FINAL_APPROVED_BY_THE_BOARD_052319_0.PDF PART VI, LINE 3: ELIGIBLITY IS DETERMINED PRIOR TO SERVICE AND ADMISSION FOR INPATIENT REHABILITATION. QUALIFIED PATIENTS ARE NOT BILLED FOR THESE SERVICES AT ANY TIME. PART VI, LINE 4: OUR ORGANIZATION PRIMARY SERVICE AREA IS THE STATE OF MISSISSIPPI, WITH A POPULATION OF 3 MILLION PERSONS. IN 2018, 35.5 PERCENT OF ADULTS IN MISSISSIPPI REPORTED HAVING A DISABILITY, COMPARED TO 26 PERCENT NATIONALLY (CDC DISABILITY AND HEALTH DATA SYSTEM, 2018) MS ALSO HAS THE HIGHEST PERCENT OF PERSONS LIVING IN POVERTY (36.5% HAVE AN ANNUAL HOUSEHOLD INCOME OF LESS THAN $25,000)AND OBESITY (40.8%), POPULATIONS THAT ARE DISPROPORTIONATELY AFFECTED BY DISABLING ILLNESSES AND INJURIES. (CDC BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, 2019)THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING GEOGRAPHIC AND DEMOGRAPHIC AREAS, IS ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED DURING CALENDAR YEAR 2019. THE CHNA CAN BE ACCESSED AT:HTTPS://WWW.METHODISTONLINE.ORG/SITES/DEFAULT/FILES/MRC_CHNA_2020_FINAL_APPROVED_BY_THE_BOARD_052319_0.PDF PART VI, LINE 5: METHODIST REHABILITATION CENTER'S COMMUNITY BENEFITS GO WELL BEYOND CLINICAL INPATIENT AND OUTPATIENT REHABILITATION CARE. THE CENTER SUPPORTS LIFELONG HEALTH AND LIFESTYLE NEEDS OF DISABLED PERSONS THROUGH RESEARCH, EDUCATION, OUTREACH PROGRAMS, PARTNERSHIPS, ADVOCACY, VOLUNTEERISM AND FINANCIAL SUPPORT. OUR FULL COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. PART VI, LINE 7, REPORTS FILED WITH STATES MS 1 PART I, LINE 2: METHODIST REHABILITATION ONLY DONATES TO NON-PROFIT COMMUNITY MINDED ORGANIZATIONS THAT PROVIDE SUPPORT TO THE COMMUNITY SERVED BY METHODIST REHABILITATION. X X X X X 0 1 0 0 0 0 0 0 0 DOBRVIJOE STOKIC MD RESEARCH DIRECTOR - NONVOT 235961 0 24961 0 1006 0 13149 0 16344 0 291421 0 0 0 GARY ARMSTRONG EVP & CFO 315767 0 55000 0 1980 0 16800 0 12696 0 402243 0 0 0 MARK A ADAMS PRESIDENT & CEO 466234 0 65000 0 1980 0 48908 0 28542 0 610664 0 0 0 ANGEL LEIS PHYSICIAN 259888 0 0 0 1584 0 15000 0 20176 0 296648 0 0 0 PHILIP BLOUNT PHYSICIAN 252547 0 123472 0 360 0 15000 0 14946 0 406325 0 0 0 RAECHEL PERCY PHYSICIAN 227108 0 13500 0 168 0 13604 0 7205 0 261585 0 0 0 STEVE HOPE VICE PRESIDENT HUMAN RESOU 215158 0 25000 0 1386 0 13384 0 23204 0 278132 0 0 0 TAMMY VOYNIK VICE PRESIDENT 201035 0 30000 0 351 0 12179 0 17657 0 261222 0 0 0 PART I, LINE 4B MARK ADAMS PARTICIPATED IN THE 457F SUPPLEMENTAL RETIREMENT PLAN FOR CHIEF EXECUTIVE OFFICER. THIS IS A NONQUALIFIED PLAN. $49,500 WAS CONTRIBUTED INTO TRUST BY THE HOSPITAL IN MARCH OF 2020. AND NO MONEY WAS DISTRIBUTED DURING THE YEAR. A MISSISSIPPI HOSPITAL EQUIPMENT AND FACILITIES AUTHORITY 640732320 605360NL6 2003-08-27 7500000 CAPITAL EXPENDITURES 0 1 0 A 7500000 285259 7214741 2004 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 MARK ADAMS PRESIDENT AND CEO EXECUTIVE LEVEL LIFE INSURANCE BENEFIT - SEE BELOW FOR ADDITIONAL INFO X 200000 380000 0 1 1 380000 WILLIAM A RAY BOARD TRUSTEE RAY IS PRES/CEO OF BANKPLUS. BANKPLUS PROVIDES FINANCIAL ADVICE ON THE RETIREMENT ACCOUNT FOR MMRC IN ITS ORDINARY COURSE OF BUSINESS. 0 SAM LANE BOARD TRUSTEE SAME LANE IS SR VP AT FIRST COMMERICAL BANK. COMMERICAL BANK PROVIDES LOAN FINANCING TO METHODIST REHAB. 0 MIKE STURDIVANT BOARD TREASURER 202644 MIKE'S BROTHER IS THE CEO OF MMI DINING SERVICES. MMI PROVIDES CAFETERIA MANAGEMENT SERVICES TO MMRC IN IT'S NORMAL COURSE OF BUSINESS. 0 SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS THE LOAN TO MARK ADAMS IS AN EXECUTIVE LEVEL LIFE INSURANCE BENEFIT WITH REPAYMENT FROM DEATH BENEFIT PROCEEDS OR THE CASH VALUE OF THE INSURANCE POLICY. FORM 990, PART VI, SECTION B, LINE 11B THE CONTROLLER AND CFO ARE RESPONSIBLE FOR PREPARATION OF THE 990. THEY UTILIZE A CPA FIRM TO COMPLETE THE FORM. THE PRESIDENT AND CEO REVIEW, SCRUTINIZE, AND ULTIMATELY APPROVE THE FORM 990 FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C AS THE BOARD CONSIDERS ITS BUSINESS RELATIONSHIPS, CONTRACT APPROVALS AND OTHER TRANSACTIONS, THE PRESENCE OF OR ANY POTENTIAL CONFLICT OF INTEREST (AS DEFINED BY THE BYLAWS) IS DISCLOSED AND DISCUSSED. A CONFLICT OF INTEREST TRANSACTION MAY BE APPROVED OR AUTHORIZED ONLY BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE BOARD OF TRUSTEES WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION. IN MATTERS WHERE A BOARD MEMBER HAS A CONFLICT OF INTEREST, THE BOARD MEMBER IS RECUSED FROM DISCUSSION AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION FOR METHODIST REHABILITATION CENTER (MRC) IS: -OVERSEEN BY THE PERSONNEL COMMITTEE, A COMMITTEE OF THE BOARD OF TRUSTEES THAT IS DESIGNATED FOR THIS PURPOSE, THAT IS INDEPENDENT OF CONFLICTS OF INTERESTS, AND THAT FOLLOWS THE HIGHEST ETHICAL STANDARDS AND BUSINESS PRACTICES -ALIGNED TO ORGANIZATIONAL PERFORMANCE -GUIDED BY INDEPENDENT COUNSEL WITH EXPERTISE IN EXECUTIVE COMPENSATION TO ENSURE THAT MRC IS COMPARABLE TO TRENDS AND PRACTICES OF SIMILAR SIZED NOT-FOR-PROFIT HOSPITALS EXECUTIVE COMPENSATION IS A GOVERNANCE RESPONSIBILITY OF THE BOARD OF TRUSTEES THAT IS FREE FROM MANAGEMENT INFLUENCE. IT SETS THE TONE FOR THE ENTIRE ORGANIZATION AND REFLECTS ITS VALUES. EMPLOYMENT OF AN INDEPENDENT CONSULTANCY WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION, IS AN IMPORTANT CONTROL TO ENSURE A WELL DESIGNED, FAIRLY IMPLEMENTED AND TRANSPARENT PROGRAM. THE EXECUTIVE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS / EXECUTIVES OF METHODIST REHABILITATION CENTER IS DETERMINED USING THE FOLLOWING PROCESS: 1. GRANT THORNTON LLP, COMPENSATION AND BENEFITS CONSULTING PRACTICE (ATLANTA OFFICE) PROVIDES THE PERSONNEL COMMITTEE OF MRC WITH COMPARABILITY DATA AND ANALYSIS TO HELP ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR THE COMPENSATION PAID TO MRC'S EXECUTIVE TEAM. 2. GRANT THORNTON PROVIDES TO THE PERSONNEL COMMITTEE MARKET PRICING METHODOLOGY. MARKET DATA AND APPROPRIATE MATCHES ARE KEY TO ANSWERING IRS QUESTIONS ABOUT SIMILAR JOBS IN SIMILAR ORGANIZATIONS. 3. THE COMPLEXITY OF BOTH THE ORGANIZATION AND THE INDIVIDUAL EXECUTIVE ROLES ARE CONSIDERED. 4. GRANT THORNTON FOCUSES ON THE CONTENT OF THE JOBS AND NOT JUST ON MATCHING TITLES AND REFLECTS A COMPOSITE FROM A VARIETY OF MARKET DATA SOURCES INCLUDING: SULLIVAN COTTER: SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS ECONOMIC RESEARCH INSTITUTE (ERI): EXECUTIVE COMPENSATION ASSESSOR PEER GROUP OF EIGHT SIMILARLY-SIZED REHABILITATION ORGANIZATIONS USING SCHEDULE J COMPENSATION DATA FROM THE MOST RECENTLY AVAILABLE 990 FILINGS FOR CEO, EVP AND FINANCE OFFICER, VP HUMAN RESOURCES AND CNO / CHIEF PATIENT CARE SERVICES EXECUTIVE 5. THE PERSONNEL COMMITTEE, COMPRISED OF MRC BOARD MEMBERS, IS PRESENTED THE INFORMATION BY A CONSULTANT FROM GRANT THORNTON INDEPENDENT OF MRC. THE COMMITTEE REVIEWS THE INFORMATION AND RECOMMENDATIONS OF THE INDEPENDENT CONSULTANT AND APPROVES APPROPRIATE INCREASES FOR EXECUTIVES IN CONSULTATION WITH THE CHIEF EXECUTIVE OFFICER. THE COMMITTEE ALSO MAKES APPROPRIATE ADJUSTMENTS TO THE CEO'S COMPENSATION IN CONSULTATION WITH THE GRANT THORNTON CONSULTANT. 6. THE DECISIONS OF THE PERSONNEL COMMITTEE ARE DOCUMENTED IN PERSONNEL COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 METHODIST REHABILITATION DOES NOT MAKE AVAILABLE ANY OF THESE DOCUMENTS TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -80,917. FORM 990, PART XII, LINE 2C AUDIT COMMITEE'S PROCESS FOR AUDIT OVERSIGHT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. 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