2016-11-08T15:26:35-06:00 2015-12-31 201941244 HORNE LLP 1020 HIGHLAND COLONY PKWY STE 400 RIDGELAND MS 39157 990 2015-01-01 640664988 RUSH HEALTH SYSTEMS INC RUSH 6017039992 PO BOX 5187 MERIDIAN MS 39301 DARRELL WILDMAN TREASURER 6017039992 2016-11-02 1 AMIE T WHITTINGTON CPA P01082167 6013261000 2016-11-02 2015 2017-02-10 21:41:12Z DARRELL WILDMAN 1314 19TH AVENUE MERIDIAN MS 39301 65685530 0 X RUSHHEALTHSYSTEMS.ORG X 1981 MS TO PROVIDE SUPPORT TO HEALTH CARE AFFILIATES 9 4 371 1 0 0 32380796 25383954 28116296 28972777 1270039 1573707 4860964 261118 66628095 56191556 23722583 25645897 0 0 18234147 17314490 0 0 0 20441563 13533456 62398293 56493843 4229802 -302287 141423467 134187922 110440184 105892451 30983283 28295471 PROVISION OF HEALTH CARE SERVICES THROUGH AFFILIATES- SEE SCHEDULE O FOR COMMUNITY BENEFIT STATEMENT 0 0 56493843 25645897 28958623 PROVISION OF MANAGEMENT & ADMIN. SERVICES TO AFFILIATED ORGANIZATIONS. THE AFFILIATES PROVIDED ACUTE/SWING BED, SKILLED PATIENT CARE, OUTPATIENT EMERGENCY AND TRANSPORTATION SERVICES. 56493843 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 1 0 0 0 0 1 1 1 0 0 0 1 54 0 1 371 1 0 0 0 0 0 0 0 0 X 9 4 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DARRELL WILDMAN 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 WALLACE STRICKLAND PRESIDENT/BOARD MEMBER 60.00 X X 770371 0 150951 MARTY DAVIDSON BOARD MEMBER 1.00 X 17000 0 0 JAMES E MCGINNIS BOARD MEMBER 1.00 X 0 0 0 JOE ANN RAMIA BOARD MEMBER 1.00 2.00 X 9300 0 0 JC MCELROY JR BOARD CHAIRMAN 7.00 X 25000 0 0 DR L VAUGHN RUSH JR VICE CHAIRMAN 26.00 4.00 X 298321 0 15976 RICK BARRY SECRETARY/BOARD MEMBER 3.00 10.00 X X 18000 0 0 RAY LONG BOARD MEMBER 1.00 0.00 X 17500 0 0 FAYE MARTIN BOARD MEMBER 1.00 24.00 X 9600 42559 1177 CHUCK REECE EVP/COO 46.00 11.00 X 535976 0 116371 CATHY ROBINSON CORP COMP OFFICER 37.00 9.00 X 209334 0 21119 DARRELL WILDMAN TREASURER 50.00 9.00 X 359114 0 44821 KACEY BAILEY ASSISTANT SECRETARY 1.00 0.00 X 0 0 0 FRED ROGERS CHIEF RESOURCE OFFICER 48.00 3.00 X 191774 0 32699 ELIZABETH MITCHELL SHM ADMINISTRATOR 0.00 40.00 X 198720 0 25041 JAMES M NESTER JCSH ADMINISTRATOR 0.00 40.00 X 161665 0 20156 MICHAEL J PAYNE VICE PRESIDENT 0.00 46.00 X 204032 0 15603 WALTER L WILLIS EMERGENCY SERVICES 0.00 40.00 X 0 423448 27806 MIKE EDWARDS SRH ADMINISTRATOR 0.00 40.00 X 180097 0 1395 CHRIS RUSH CFO 42.00 9.00 X 263752 0 23920 DONALD K SMITH DIRECTOR - HUMAN RESOURCES 50.00 1.00 X 254071 0 24752 JAMES D ARMOUR EVP/COO MFI 52.00 4.00 X 281624 0 20386 ANGELA S SHERRILL CIO 50.00 0.00 X 171612 0 115754 LARKIN KENNEDY EVP/COO 0.00 51.00 X 263322 0 24137 EDWARD CARRUTH PHYSICIAN LIASON 39.00 1.00 X 0 160000 0 SUSAN B STEGALL CLINIC ADMINSTRATOR 40.00 0.00 X 159233 0 13691 DUSTIN S ALLEN CMIO 40.00 0.00 X 0 508244 20156 TOMMY G BARTLETT LAIRD ADMINISTRATOR 0.00 40.00 X 144242 0 11495 JW COWAN CGH ADMINISTRATOR 0.00 40.00 X 125809 0 20884 MARYLOU REDD RISK MANAGER 40.00 0.00 X 130681 0 17320 ALEXANDRA FULLER CONTROLLER 40.00 0.00 X 117740 0 23433 TONY GORE DIRECTOR 40.00 0.00 X 115375 0 10198 5233265 1134251 799241 28 0 1 0 BARRY PALMER THAGGARD MAY & BAILEY L PO BOX 2009 MERIDIAN MS 39302 LEGAL 1695360 HORNE LLP PO BOX 22964 JACKSON MS 39225 ACCOUNTING 649084 OPTUM-INGRAM & ASSOCIATES 2771 MOMENTUM PLACE CHICAGO IL 606895327 COLLECTIONS 279028 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DIETARY MANAGEMENT 259013 LEADING EDGE ADVERTISING 2100 8TH STREET MERIDIAN MS 39301 ADVERTISING 177461 7 25383954 25383954 HEALTHCARE MGMT FEES 561000 28972777 28972777 28972777 1621155 1621155 300000 72176 227824 227824 227824 9364249 10101 9421798 0 -57549 10101 -47448 -47448 MISCELLANEOUS INCOME 900099 376127 376127 EQUITY IN EARNINGS OF SUBSIDIARY 900099 -342833 -342833 33294 56191556 28958623 0 1848979 25645897 25645897 4599418 4599418 9741945 9741945 226579 226579 1761454 1761454 985094 985094 1344488 1344488 820096 820096 70297 70297 719309 719309 135695 135695 256831 256831 15106 15106 1233 1233 1224342 1224342 59308 59308 CONTRACT SERVICES 3995028 3995028 COLLECTION FEES 1884575 1884575 TELEPHONE 1319021 1319021 SUPPLIES 594176 594176 1093951 1093951 56493843 56493843 0 0 9118680 5493355 613890 537040 226056 247400 3691983 4143478 215 215 330394 333699 13720693 6579029 6870096 7141664 80507128 83976820 40065025 32314251 141423467 134187922 14209127 13212779 96231057 92679672 110440184 105892451 X 0 0 0 0 30983283 28295471 30983283 28295471 141423467 134187922 -302287 -1802204 -583321 0 X X 0 1 X 1 0 X X 11 RUSH MEDICAL FOUNDATION 640345119 3 1 0 0 RUSH MEDICAL GROUP OF NEWTON PA 640783323 3 1 306645 0 LAIRD HOSPITAL INC 201835779 3 1 5068869 0 RUSH CARE INC 640833381 3 1 15004245 0 MEDICAL FOUNDATION INC 640834532 3 1 0 0 RUSH HOSPITAL - BUTLER INC 640655993 3 1 2422969 0 RUSH HOME CARE INC 640670314 3 1 40305 0 SCOTT REGIONAL MEDICAL CENTER INC 260792328 3 1 2540921 0 KEMPER CAH INC 271757642 3 1 0 0 NEWCA CAH INC 201254928 3 1 0 0 MERIDIAN SPEECH AND HEARING CENTER 640529831 3 1 0 0 11 25383954 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SCHEDULE A, PART IV, SECTION A, QUESTION 1 ALTHOUGH NOT SPECIFICALLY REFERENCED, THE GOVERNING DOCUMENTS DO REFERENCE THAT RUSH HEALTH SYSTEMS, INC. IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF AND TO CARRY OUT THE PURPOSES OF RUSH MEDICAL FOUNDATION AND SUCH OTHER HEALTH CARE ORGANIZATIONS WHICH ARE DESCRIBED IN SECTION 501(C)(3) AND ARE AFFILIATED WITH, OR AN INTEGRAL PART OF RUSH MEDICAL FOUNDATION. SCHEDULE A, PART IV, SECTION A, QUESTION 6 AS PART OF THEIR COMMUNITY BENEFIT MISSION, RUSH HEALTH SYSTEMS PROVIDES CHARITABLE SUPPORT TO TAX EXEMPT CHARITIES IN THE SAME GEOGRAPHIC AREA AS THE HOSPITALS IT SUPPORTS. THE ORGANIZATION ALSO PROVIDES AFFILIATE SUPPORT TO OTHER RELATED FOR PROFIT ENTITIES. THESE FOR PROFITS ARE PRIMARILY CLINICS AND OTHER HEALTH FACILITIES THAT ALSO SERVE THE PATIENTS OF THE EXEMPT HOSPITALS, SUPPORTED BY RUSH HEALTH SYSTEMS. PER THE ORGANIZING DOCUMENTS, RUSH HEALTH SYSTEMS' PURPOSE IS TO SUPPORT RUSH MEDICAL FOUNDATION OR AFFILIATED OR NON-AFFILIATED ENTITIES THAT PROVIDE HEALTH CARE SERVICES. SCHEDULE A, PART IV, SECTION E, QUESTION 3A THE RUSH HEALTH SYSTEMS BOARD APPOINTS ALL MEMBER COMPANIES DIRECTORS AND OFFICERS IN JANUARY OF EACH YEAR. NORMALLY THE OFFICERS AND DIRECTORS ARE REAPPOINTED EACH YEAR EXCEPT IN CASES OF DEATH OR SOMEONE ELECTING TO RESIGN AND WHERE NEW INDIVIDUALS ARE APPOINTED. SCHEDULE A, PART IV, SECTION E, QUESTION 3B THE RUSH HEALTH SYSTEMS BOARD RATIFIES THE ACTIONS OF EACH ORGANIZATION ON A MONTHLY BASIS. THE POLICIES, PROGRAMS AND ACTIVITIES ARE APPROVED BY THE PARENT BOARD IN ORDER TO MAINTAIN CONSISTENCY AND ADHERENCE TO OVERALL PURPOSE OF THE HEALTH SYSTEM. RUSH HEALTH SYSTEMS IS COMPOSED OF A NUMBER OF ENTITIES WITH THE OVERALL PURPOSE OF PROVIDING QUALITY HEALTH CARE TO EAST CENTRAL MISSISSIPPI AND WEST CENTRAL ALABAMA. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 229935 229935 0 PART II-B, LINE 1: RUSH HEALTH SYSTEMS PAYS THE FOLLOWING FOR ALL OF THE HOSPITAL ENTITIES THEY OWN: DUES TO AMERICAN HOSPITAL ASSOCIATION TOTALING $27,955, OF WHICH 22.80% ($6,374) IS ATTRIBUTABLE TO LOBBYING. FEES PAID TO REGISTERED LOBBYISTS AND OTHER FIRMS, TOTALING $223,561, THAT USED A COMBINATION OF ABOVE METHODS TO KEEP THE HOSPITALS WITHIN RUSH HEALTH SYSTEMS ABREAST OF ANY HOSPITAL LEGISLATION. 1329460 1329460 11091345 5404960 5686385 43019 31475 11544 1218333 1105985 112348 38536 36609 1927 7141664 INVESTMENT - RUSH SERVICE COMPANY 1805137 F 457 B TRUST 6057386 F INVESMENT - RAYMOND JAMES 21198690 F INVESTMENT - POOL A & B -1 F INVESTMENT - LAIRD HOSPITAL, INC. 2441266 F INVESTMENT - HPIC 2110504 F INVESTMENT - LAIRD HOSPITAL (NURSING HOME) 4403682 F INVESTMENT - SCOTT REGIONAL HOSPITAL 2442760 F CHARLES SCHWAB INVESTMENTS 42841383 F INVESTMENT - BUTLER CAH 34443 F EQUITABLE INVESTMENT ACCOUNT 69214 F POWERTEN INVESTMENTS 500000 F INVESMENT - SPLIT DOLLAR LIFE INSURANCE 72356 F 83976820 AFFILIATE RECEIVABLES 32314251 32314251 457B TRUST LIABILITIES 6057386 AFFILIATE PAYABLES 86622286 92679672 X PART X, LINE 2: RUSH HEALTH SYSTEMS, INC. AND THE AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE SUBSIDIARIES, HOWEVER, ARE TAXABLE CORPORATIONS AND FILE CORPORATE INCOME TAX RETURNS. THE HEALTH SYSTEM FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE HAD NO MATERIAL EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE HEALTH SYSTEM'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN GENERAL AND ADMINISTRATIVE EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR YEARS ENDED DECEMBER 31, 2012, 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 RUSH CARE INC 1314 19TH AVENUE MERIDIAN MS 39301 640833381 501(C)(3) 15004245 AFFILIATE SUPPORT LAIRD HOSPITAL 25117 HWY 15 UNION MS 39365 201835779 501(C)(3) 5068869 AFFILIATE SUPPORT RUSH HOSPITAL - BUTLER INC 1314 19TH AVENUE MERIDIAN MS 39301 640655993 501(C)(3) 2422969 AFFILIATE SUPPORT EAST CENTRAL COMMUNITY COLLEGE PO BOX 129 DECATUR MS 39327 640869444 501(C)(3) 7500 CHARITABLE SUPPORT MERIDIAN COMMUNITY COLLEGE FOUNDATION 910 HWY 19 NORTH MERIDIAN MS 39307 237086275 501(C)(3) 195000 CHARITABLE SUPPORT MERIDIAN SYMPHONY ASSOCIATION PO BOX 2171 MERIDIAN MS 39302 646025769 501(C)(3) 10000 CHARITABLE SUPPORT MERIDIAN YOUTH SOCCER ORGANIZATION PO BOX 385 MERIDIAN MS 39302 640747190 501(C)(3) 6000 CHARITABLE SUPPORT MERIDIAN MAIN STREET FOUNDATION 2120 A 5TH STREET MERIDIAN MS 39301 462710822 501(C)(3) 5000 CHARITABLE SUPPORT RUSH HOME CARE INC 1314 19TH AVENUE MERIDIAN MS 39301 640833381 501(C)(3) 40305 AFFILIATE SUPPORT RUSH MEDICAL GROUP NEWTON PA 1314 19TH AVENUE MERIDIAN MS 39301 640783323 501(C)(3) 306645 AFFILIATE SUPPORT SCOTT REGIONAL MEDICAL CENTER INC 1314 19TH AVENUE MERIDIAN MS 39301 260792328 501(C)(3) 2540921 AFFILIATE SUPPORT 11 0 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 1 1 X X X X X X 0 1 0 0 0 1 1 0 0 WALLACE STRICKLAND PRESIDENT/BOARD MEMBER 441254 0 300903 0 28214 0 52000 0 98951 0 921322 0 0 0 DR L VAUGHN RUSH JR VICE CHAIRMAN 212543 0 80978 0 4800 0 2323 0 13653 0 314297 0 0 0 CHUCK REECE EVP/COO 312574 0 210900 0 12502 0 52000 0 64371 0 652347 0 0 0 CATHY ROBINSON CORP COMP OFFICER 143942 0 57870 0 7522 0 4728 0 16391 0 230453 0 0 0 DARRELL WILDMAN TREASURER 227414 0 120983 0 10717 0 7100 0 37721 0 403935 0 0 0 FRED ROGERS CHIEF RESOURCE OFFICER 136042 0 49152 0 6580 0 4428 0 28271 0 224473 0 0 0 ELIZABETH MITCHELL SHM ADMINISTRATOR 198720 0 0 0 0 0 4885 0 20156 0 223761 0 0 0 JAMES M NESTER JCSH ADMINISTRATOR 161665 0 0 0 0 0 0 0 20156 0 181821 0 0 0 MICHAEL J PAYNE VICE PRESIDENT 159960 0 38627 0 5445 0 0 0 15603 0 219635 0 0 0 WALTER L WILLIS EMERGENCY SERVICES 0 423448 0 0 0 0 6364 1286 0 20156 6364 444890 0 0 MIKE EDWARDS SRH ADMINISTRATOR 180097 0 0 0 0 0 0 0 1395 0 181492 0 0 0 CHRIS RUSH CFO 185898 0 72409 0 5445 0 2637 0 21283 0 287672 0 0 0 DONALD K SMITH DIRECTOR - HUMAN RESOURCES 189583 0 56840 0 7648 0 7800 0 16952 0 278823 0 0 0 JAMES D ARMOUR EVP/COO MFI 200874 0 72409 0 8341 0 6316 0 14070 0 302010 0 0 0 ANGELA S SHERRILL CIO 163557 0 0 0 8055 0 5412 0 110342 0 287366 0 0 0 LARKIN KENNEDY EVP/COO 184432 0 72409 0 6481 0 2854 0 21283 0 287459 0 0 0 EDWARD CARRUTH PHYSICIAN LIASON 0 160000 0 0 0 0 0 0 0 0 0 160000 0 0 SUSAN B STEGALL CLINIC ADMINSTRATOR 159233 0 0 0 0 0 3798 0 9893 0 172924 0 0 0 DUSTIN S ALLEN CMIO 0 508244 0 0 0 0 0 0 0 20156 0 528400 0 0 TOMMY G BARTLETT LAIRD ADMINISTRATOR 144242 0 0 0 0 0 3455 0 8040 0 155737 0 0 0 PART I, LINE 1A DISCRETIONARY SPENDING ACCOUNT PROVIDED FOR EXECUTIVES AND INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 4B RUSH HEALTH SYSTEMS PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). THERE WERE NO CONTRIBUTIONS OR DISTRIBUTIONS FOR 2015. PART I, LINE 6 BASE COMPENSATION IS DETERMINED BASED ON MARKET STUDY BY AN INDEPENDENT BENEFITS CONSULTANT AND THE INCENTIVE PLAN COMPENSATION GOALS ARE ALSO DEVELOPED BY THE CONSULTANT AND SUBSEQUENTLY REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND THE FULL BOARD. THE GOALS FOR OBTAINING AN INCENTIVE COMPENSATION PAYMENT ARE BASED ON VARIOUS COMPONENTS OF PATIENT CARE, QUALITY MEASURES, BOND COVENANTS AND THE NET EARNINGS OF THE SYSTEM. NET EARNINGS IS ONLY ONE OF THE GOALS THAT MUST BE MET IN ORDER TO RECEIVE THE INCENTIVE PAYMENT. WALLACE STRICKLAND OFFICER LIFE INSURANCE PAYMENTS - SEE SCHEDULE O FOR FURTHER INFORMATION X 1345945 1710163 0 1 1 CHUCK REECE OFFICER LIFE INSURANCE PAYMENTS - SEE SCHEDULE O FOR FURTHER INFORMATION X 1055917 1321261 0 1 1 FRED ROGERS HIGHEST COMPENSATED EMPLOYEE LIFE INSURANCE PAYMENTS - SEE SCHEDULE O FOR FURTHER INFORMATION X 138968 173387 0 1 1 ANGIE SHERRILL KEY EMPLOYEE LIFE INSURANCE PAYMENTS - SEE SCHEDULE O FOR FURTHER INFORMATION X 338393 483250 0 1 1 DONNIE SMITH KEY EMPLOYEE LIFE INSURANCE PAYMENTS - SEE SCHEDULE O FOR FURTHER INFORMATION X 126001 135338 0 1 1 DARRELL WILDMAN OFFICER LIFE INSURANCE PAYMENTS - SEE SCHEDULE O FOR FURTHER INFORMATION X 253310 320079 0 1 1 4143478 JASON STRICKLAND SON OF WALLACE STRICKLAND, PRESIDENT 77481 JASON STRICKLAND IS AN EMPLOYEE OF RUSH HEALTH SYSTEMS, INC. 0 JOSEPH M RAMIA SON OF JOE ANN RAMIA, BOARD MEMBER 43477 JOSEPH M. RAMIA IS AN EMPLOYEE OF RUSH HEALTH SYSTEMS, INC. 0 HAMMACK BARRY THAGGARD MAY LLP OFFICERS RICK BARRY AND KACEY BAILEY ARE PARTNERS IN HAMMACK, BARRY, THA 1695360 BOARD OFFICER RICK BARRY AND OFFICER KACEY BAILEY ARE PARTNERS IN THE LAW FIRM OF BARRY, PALMER, THAGGARD, MAY & BAILEY, LLP. HAMMACK, BARRY, THAGGARD & MAY, LLP IS LISTED AS A HIGHEST COMPENSATED CONTRACTOR FOR LEGAL SERVICES. HAMMACK, BARRY, THAGGARD & MAY, LLP ACTS AS GENERAL COUNSEL TO THE ORGANIZATION AND THE FIRM IS PAID FOR SUCH SERVICES. BARRY IS COMPENSATED BY HAMMACK, BARRY, THAGGARD & MAY, LLP. 0 CHERI BARRY WIFE OF RICK BARRY, BOARD OFFICER 57808 CHERI BARRY IS AN EMPLOYEE FOR RUSH HEALTH SYSTEMS, INC. 0 HUNTER MITCHELL SON OF ELIZABETH MITCHELL,KEY EMPLOYEE 4287 HUNTER MITCHELL IS AN EMPLOYEE FOR RUSH HEALTH SYSTEMS, INC. 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD OFFICER RICK BARRY & OFFICER KACEY BAILEY ARE PARTNERS IN THE LAW FIRM OF BARRY, PALMER, THAGGARD, MAY & BAILEY, LLP. ADDITIONALLY, THEY ARE CO-OWNERS IN REAL ESTATE. KEY EMPLOYEE CHRIS RUSH IS THE SON OF DR. L. VAUGHN RUSH, JR., VICE CHAIR OF THE BOARD FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF RUSH HEALTH SYSTEMS, INC. REVIEWED AND APPROVED THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. THE OFFICERS AND DIRECTORS OF THE ORGANIZATION REVIEW THE POLICY ANNUALLY AND SIGN A CONFLICT OF INTEREST STATEMENT STATING THEY HAVE READ AND UNDERSTAND THE POLICY AND ARE IN COMPLIANCE. EDUCATION IS GIVEN TO THE STAFF ON THE CONFLICT OF INTEREST POLICY WHICH INCLUDES DIRECTION TO VOICE ANY QUESTIONS OR CONCERNS THEY HAVE AND TO BRING FORTH ANY POTENTIAL CONFLICT OR CONCERN TO THE ATTENTION OF THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION FOR THE AFFILIATED GROUP OF RUSH HEALTH SYSTEMS (SOLE MEMBER OF THE ORGANIZATION) IS REVIEWED ANNUALLY BY INDEPENDENT CONSULTANTS. CONSULTANTS COMPARE COMPENSATION ORDINARILY PROVIDED BY SIMILAR ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES, AND ADJUSTED TO REFLECT CURRENT MARKET RATES. CONSULTANTS MEET WITH THE COMPENSATION COMMITTEE AND MAKE RECOMMENDATIONS WHICH ARE APPROVED AND RATIFIED BY THE BOARD. THE INDEPENDENT CONSULTANTS REGULARLY CONTRACTED TO PERFORM SUCH REVIEWS ARE HORNE LLP AND SULLIVAN, COTTER & ASSOCIATES, INC. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C THE AUDIT/COMPENSATION COMMITTEE OVERSEES RESPONSIBILITY FOR THE AUDITED FINANCIAL STATEMENTS FOR THE ORGANIZATION. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. SCHEDULE L, PART II THE LOAN AMOUNTS CONSIST OF LIFE INSURANCE PREMIUM PAYMENTS AS A PART OF THE RUSH HEALTH SYSTEMS SECURED EXECUTIVE BENEFIT PLAN ON BEHALF OF EMPLOYEES LISTED ON SCHEDULE L, PART II. THE LOANS ARE COLLATERALIZED BY THE DEATH BENEFIT OF THE LIFE INSURANCE POLICIES. ALLIANCE-LAIRD NURSING HOME LLC P O BOX 5187 MERIDIAN MS 39301 510560364 PROVIDING NURSING HOME CARE MS 300000 4479249 RUSH HEALTH SYSTEMS INC RUSH MANAGEMENT SERVICES LLC 1314 19TH AVENUE MERIDIAN MS 39301 271363785 PAYROLL ADMINISTRATION MS RUSH HEALTH SYSTEMS INC 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 1 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 1 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 1 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 1 RUSH CARE INC 1314 19TH AVENUE MERIDIAN MS 39301 640833381 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 1 MERIDIAN SPEECH AND HEARING CENTER 1314 19TH AVENUE MERIDIAN MS 39301 640529831 PROVIDING AUDIOLOGY SERVICES AND DYSLEXIA TESTING AND TREATMENT MS 501(C)(3) 509(A)(2) RUSH HEALTH SYSTEMS INC 1 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 1 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 1 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 1 NEWCA CAH INC 1314 19TH AVENUE MERIDIAN MS 39301 201254928 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) 170(B)(1)(A)(III) RUSH HEALTH SYSTEMS INC 1 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 1 FOUNDATION FOR RUSH INC 1314 19TH AVENUE MERIDIAN MS 39301 473716882 FOUNDATION/FUNDRAISING MS 501(C)(3) 170(B)(1)(A)(VI) RUSH HEALTH SYSTEMS INC 1 MERIDIAN SURGERY CENTER LLC 2100 13TH STREET MERIDIAN MS 39301 300160065 AMBULATORY SURGERY CENTER MS N/A RUSH SERVICE COMPANY INC PO BOX 5188 MERIDIAN MS 39302 640670493 PROPERTY RENTAL MS RUSH HEALTH SYSTEMS INC C 1974080 10429640 1.00000 1 MANAGED HEALTH CARE 1314 19TH AVENUE MERIDIAN MS 39301 640862241 MANAGE HEALTHCARE MS RUSH HEALTH SYSTEMS INC C 71941 1.00000 1 PHYSICIAN MANAGEMENT SERVICES INC 1314 19TH AVENUE MERIDIAN MS 39301 710927411 HEALTHCARE MANAGEMENT MS RUSH HEALTH SYSTEMS INC C 3189 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 RUSH MEDICAL FOUNDATION L 13719368 CASH MEDICAL FOUNDATION INC L 4583260 CASH LAIRD HOSPITAL INC L 2409717 CASH SCOTT REGIONAL MEDICAL CENTER INC L 1558824 CASH RUSH HOSPITAL-BUTLER INC L 1367573 CASH KEMPER CAH INC L 1689249 CASH RUSH HOME CARE INC L 73975 CASH RUSH MEDICAL GROUP - NEWTON L 94238 CASH LAIRD HOSPITAL INC B 5068869 CASH RUSH CARE INC L 3321694 CASH RUSH MEDICAL FOUNDATION C 25383954 CASH RUSH HOSPITAL-BUTLER INC B 2422969 CASH RUSH CARE INC B 15004245 CASH RUSH SERVICE COMPANY INC L 154880 CASH SCOTT REGIONAL MEDICAL CENTER INC B 2540921 CASH RUSH MEDICAL GROUP - NEWTON B 306645 CASH RUSH HOME CARE INC B 40305 CASH