2011-11-15T13:53:17-06:00 2010-12-31 HORNE LLP 1020 HIGHLAND COLONY PKWY STE 400 RIDGELAND MS 39157 990 2010-01-01 640324402 MAGEE BENEVOLENT ASSOCIATION MAGE 6018495070 300 THIRD AVENUE SE MAGEE MS 39111 ALTHEA H CRUMPTON 6018495070 2011-11-14 1 MARSHA H DIECKMAN CPA 6013261000 2011-11-14 2010 2016-03-07 17:11:31Z MAGEE GENERAL HOSPITAL ALTHEA H CRUMPTON 300 THIRD AVENUE SE MAGEE MS 39111 27728420 0 X WWW.MGHOSP.ORG X 1942 MS MAGEE GENERAL HOSPITAL SHALL CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THOSE THAT PRESENT THEMSELVES FOR OUR SERVICES. WE ARE DEDICATED TO MEET THE CHALLENGES OF THE FUTURE TO ASSURE THAT PEOPLE OF THIS COMMUNITY RECEIVE QUALITY HEALTHCARE AT A REASONABLE COST. 8 4 423 30 329619 0 94112 67114 24705526 27276968 34296 54719 267712 329619 25101646 27728420 0 0 0 0 9632477 11388684 0 0 0 14937097 15649944 24569574 27038628 532072 689792 25342520 26489423 8877877 9247240 16464643 17242183 X MAGEE GENERAL HOSPITAL SHALL CONTINUE TO PROVIDE QUALITY HEALTHCARE TO THOSE THAT PRESENT THEMSELVES FOR OUR SERVICES. WE ARE DEDICATED TO MEET THE CHALLENGES OF THE FUTURE TO ASSURE THAT PEOPLE OF THIS COMMUNITY RECEIVE QUALITY HEALTHCARE AT A REASONABLE COST. WE ARE COMMITTED TO MAINTAIN PATIENT CONFIDENTIALITY AND TO COMFORT AND RESPECT PATIENTS, FAMILIES, AND FRIENDS. 0 0 24378281 27276968 MAGEE GENERAL HOSPITAL OFFERS A VARIETY OF MEDICAL SERVICES THAT ARE DESIGNED TO MEET HEALTHCARE NEEDS OF THE SURROUNDING COMMUNITY. THIS SERVICE IS ACCOMPLISHED THROUGH THE OPERATION OF A FULL SERVICE INPATIENT, OUTPATIENT, AND EMERGENCY CARE FACILITY. 24378281 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 1 1 0 0 0 1 61 0 1 423 1 0 0 0 0 0 0 0 0 0 0 X 8 4 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ALTHEA CRUMPTON 6018495070 300 3RD AVENUE SE MAGEE MS 39111 CHARLES PRUITT III MD 1.00 X 37750 0 0 JOE STEPHENS 1.00 X 250 0 0 ALTHEA H CRUMPTON 40.00 X X 103919 0 2945 LYN LAMPHERE 1.00 X 250 0 0 RS RUNNELS SR MD 1.00 X 250 0 0 BETTY C WADE RN 1.00 X 250 0 0 PJ PASCO DO 1.00 X 250 0 0 KELLI SMITH MD 1.00 X 250 0 0 MELISSA D BRUNTLETT 40.00 X 94452 0 1923 SHARON SCRUGGS 40.00 X 160290 0 2305 MARTHA SMITH 40.00 X 165399 0 3343 DR GENE CATHEY 40.00 X 182460 0 3508 745770 0 14024 4 0 1 0 KEYSTONE HEALTHCARE MANAGEMENT 6075 POPLAR AVENUE STE 727 MEMPHIS TN 38119 ER COVERAGE 1386727 TALBOT CONSTRUCTION 5000 RESEARCH COURT STE 750 SUWANEE GA 30024 CONSTRUCTION 685700 SOUTHERN ANESTESIA SERVICES 135 PEARCE ROAD MT OLIVE MS 39119 ANESTHESIA SERVICES 520114 MAGEE RADIOLOGY 104 HICKORY HILLS DR CLINTON MS 39056 RADIOLOGY SERVICES 346831 MEDICOMP PO BOX 426 MAGEE MS 39111 PHYSICAL THERAPY 332585 12 56310 10804 67114 PATIENT SERVICE REVENU 621990 27276968 27276968 27276968 54719 54719 OTHER HOSPITAL SERVICE 621990 329619 329619 329619 27728420 27276968 329619 54719 237621 237621 9028757 8050850 977907 80831 54925 25906 1394143 1212904 181239 647332 480465 166867 81921 81921 78163 78163 9449 9449 342482 342482 45450 8353 37097 273204 273204 1220658 1220658 456312 450665 5647 FEES 5111799 4853962 257837 BAD DEBTS 3681146 3681146 SUPPLIES 2328798 2283827 44971 EQUIPMENT RENTAL & MAIN 1484434 1166095 318339 OTHER EXPENSE 283891 218069 65822 252237 71227 181010 27038628 24378281 2660347 0 116285 2028 2280279 1564570 4026037 4294707 617223 597400 300082 328672 119155 209132 27678459 12728412 13378789 14950047 3460319 3155465 1044351 1387402 25342520 26489423 1621050 1728724 7186687 6883534 70140 634982 8877877 9247240 X 16012198 16898098 452445 344085 16464643 17242183 25342520 26489423 X 689792 87748 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3105 3105 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE ORGANIZATION PAYS AN ANNUAL MEMBERSHIP FEE TO BE A MEMBER OF THE MISSISSIPPI HOSPITAL ASSOCIATION (MHA). THE ORGANIZATION WAS NOTIFIED BY MHA THAT 23.66% OF THE 2010 MEMBERSHIP FEE WAS RELATED TO MHA'S LOBBYING ACTIVITIES. 1390341 1390341 11249504 3005507 8243997 188556 19647 168909 14850058 9703258 5146800 14950047 TRUSTMARK FINANCIAL SERVICES 1971384 F MHA INVESTMENT POOL 1184081 F 3155465 OTHER RECEIVABLES 1118338 BOND COST OF ISSUANCE LESS ACCUMULATED AMORTIZATION 162403 COST REPORT RECEIVABLE 106661 1387402 OBLIGATIONS UNDER CAPITAL LEASE 50446 LINE OF CREDIT 584536 634982 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FASB ISSUED NEW GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE HOSPITAL ADOPTED THIS NEW GUIDANCE FOR THE YEAR ENDED DECEMBER 31, 2009. MANAGEMENT EVALUATED THE HOSPITAL'S TAX POSITIONS AND CONCLUDED THAT THE HOSPITAL HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. TAX PERIODS FOR ALL FISCAL YEARS AFTER 2007 REMAIN OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT. 1 1 1 X 125.000000000000 0 0 1 0 0 276231 116605 159626 0.00680 4940063 5021446 -81383 0.00000 117503 93687 23816 0.00100 5333797 5231738 102059 0.00780 101775 101775 0.00440 2093141 898805 1194336 0.05110 2194916 898805 1296111 0.05550 7528713 6130543 1398170 0.06330 1 825119 412560 7451277 7119336 331941 X 1 1 1 1 MAGEE GENERAL HOSPITAL

300 THIRD AVENUE SE MAGEE MS 39111

X X X SKILLED NURSING; OUTPATIENT CLINIC NOT REQUIRED 1 4 GENE CATHEY MD CLINIC

360 SIMPSON HWY 149 MAGEE MS 39111

PHYSICIAN CLINIC PEDIATRIC CLINIC OF MAGEE

360 SIMPSON HWY 149 MAGEE MS 39111

PHYSICIAN CLINIC MGH CLINIC

360 SIMPSON HWY 149 MAGEE MS 39111

PHYSICIAN CLINIC MEDICAL PAVILION

234 MAGNOLIA DR RALEIGH MS 39153

PHYSICIAN CLINIC PART I, LINE 3C: IN ORDER FOR PATIENTS TO QUALIFY FOR CHARITY CARE, THEY MUST MEET THE FOLLOWING CRITERIA: PATIENT HAS NO INSURANCE; PATIENT SUBMITS DOCUMENTATION SHOWING THEY EARN LESS THAN 125% OF FEDERAL POVERTY LEVEL; PATIENT MAY QUALIFY IF THEY HAVE EXHAUSTED THEIR MEDICAID DAYS. PART I, LINE 7: COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART I, LINE 7G: COSTS ASSOCIATED WITH PHYSICIAN CLINICS INCLUDED IN THE SUBSIDIZED HEALTH COST ARE $349,221. 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 $ 3681146. PART III, LINE 4: COSTING METHODOLOGY IS COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2. THE FOOTNOTE IN THE FINANCIAL STATEMENTS REFLECTS- THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON HISTORICAL LOSSES AND AN ANALYSIS OF CURRENTLY OUTSTANDING AMOUNTS. THIS ACCOUNT IS GENERALLY INCREASED BY CHARGES TO A PROVISION FOR DOUBTFUL ACCOUNTS, AND DECREASED BY WRITE-OFFS OF ACCOUNTS DETERMINED BY MANAGEMENT TO BE UNCOLLECTIBLE. THE AMOUNT INCLUDED ON LINE 3 IS AN ESTIMATED GUESS AT 50%. THIS IS LIKELY HIGHER BUT INSUFFICIENT INFORMATION EXISTS TO DETERMINE THAT AMOUNT. A MAJORITY OF PATIENTS DO NOT SEEK CHARITY CARE ASSISTANCE THROUGH THE PROPER CHANNELS, THUS THE HOSPITAL NOW HAS 3 FINANCIAL COUNSELORS ON STAFF TO BETTER SERVE PATIENTS IN THIS PROCESS. PART III, LINE 9B: MAGEE GENERAL HOSPITAL DOES NOT SEEK COLLECTIONS FROM PATIENTS WHO QUALIFY FOR CHARITY CARE. PART VI, LINE 2: MAGEE GENERAL HOSPITAL ENGAGES AN OUTSIDE CONSULTING GROUP, STROUDWATER & ASSOCIATES, TO ANAYLZE COMMUNITY NEEDS. THIS ASSESSMENT INCLUDES DETERMINING HOW MANY AND WHAT TYPES OF SERVICES AND/OR PHYSICIANS ARE NEEDED TO SERVE THE POPULATION. PART VI, LINE 3: PATIENTS WHO MAY QUALIFY FOR CHARITY CARE ASSISTANCE ARE INFORMED BY AN ON-SITE FINANCIAL COUNSELOR OR ANOTHER STAFF MEMBER OF THE AVAILABILITY OF THE PROGRAM. PART VI, LINE 4: MAGEE GENERAL HOSPITAL SERVES THE MAGEE/SIMPSON COUNTY AND SURROUNDING AREAS. MGH IS THE LARGEST MEDICAL FACILITY ALONG HWY 49 BETWEEN JACKSON AND HATTIESBURG. MGH IS SETTLED IN A RURAL AREA, WITH ONLY ONE OTHER SMALLER HOSPITAL IN SIMPSON COUNTY. MAGEE HAS AN APPROXIMATE POPULATION OF 4,200 RESIDENTS. PART VI, LINE 6: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY AND DIRECTORS ARE CITIZENS OF SIMPSON OR SURROUNDING COUNTIES. MAGEE GENERAL HOSPITAL IS COMMITTED TO PROVIDE EXCELLENT HEALTHCARE FOR THE AREA BY ENSURING THE BEST QUALITY SERVICES AND CONTINUING TO EXPAND THE PROFESSIONAL SERVICES OF NUMEROUS GENERAL PRACTITIONERS AND SPECIALTY PHYSICIANS. MAGEE GENERAL HOSPITAL HAS RECENTLY EXPANDED TO INCLUDE AN UPDATED LAB, NEW LABOR AND DELIVERY SECTION, AND ADDITIONAL PHYSICIANS AND STAFF. THE NEW MEDICAL TOWERS OF TUSCAN COURT IS NEXT DOOR TO THE HOSPITAL AND INCLUDES MULTIPLE MEDICAL CLINICS AND PROVIDERS. NUMEROUS SERVICES HAVE BEEN ADDED TO SERVE THE COMMUNITY AND SURROUNDING AREAS. X 0 0 0 0 0 0 0 0 0 SHARON SCRUGGS 160290 0 0 0 0 0 2305 0 0 0 162595 0 0 0 MARTHA SMITH 165399 0 0 0 0 0 3343 0 0 0 168742 0 0 0 DR GENE CATHEY 182460 0 0 0 0 0 3508 0 0 0 185968 0 0 0 CITY OF MAGEE HOSPITAL REVENUE BOND SERIES 2007A 646000664 2007-05-29 5500000 HOSPITAL CONSTRUCTION AND RENOVATION 0 1 0 CITY OF MAGEE HOSPITAL REVENUE BOND SERIES 2007B 646000664 2007-05-29 2000000 REFINANCING EXISTING HOSPITAL DEBT 0 1 0 5500000 169149 5330851 2009 0 0 1 1 2000000 61509 1938491 2007 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHARLES PRUITT III MD CONSTRUCTION OF MEDICAL TOWERS AT TUSCAN COURT, LLC., DR. PRUITT OWNS 50%. X 989972 597400 0 1 1 597400 CHARLES PRUITT BOARD CHAIRMAN 19446 RENTAL PAYMENTS PAID BY THE ORGANIZATION TO MED PROPERTIES OF MAGEE, LLC. MED PROPERTIES OF MAGEE, LLC IS WHOLLY OWNED BY 3 BOARD MEMBERS. CHARLES PRUITT IS ONE OF THE OWNERS. 0 CHARLES PRUITT BOARD CHAIRMAN 164030 PAYMENTS RECEIVED FROM MEDICAL SURGICAL, PLLC FOR MANAGEMENT AND HOUSEKEEPING SERVICES PROVIDED BY THE ORGANIZATION. MEDICAL SURGICAL, PLLC IS WHOLLY OWNED BY 2 BOARD MEMBERS. CHARLES PRUITT IS ONE OF THE OWNERS. 0 PATRICK PASCO BOARD MEMBER 19446 RENTAL PAYMENTS PAID BY THE ORGANIZATION TO MED PROPERTIES OF MAGEE, LLC. MED PROPERTIES OF MAGEE, LLC IS WHOLLY OWNED BY 3 BOARD MEMBERS. PATRICK PASCO IS ON OF THE OWNERS. 0 PATRICK PASCO BOARD MEMBER 164030 PAYMENTS RECEIVED FROM MEDICAL SURGICAL, PLLC FOR MANAGEMENT AND HOUSEKEEPING SERVICES PROVIDED BY THE ORGANIZATION. MEDICAL SURGICAL, PLLC IS WHOLLY OWNED BY 2 BOARD MEMBERS. PATRICK PASCO IS ONE OF THE OWNERS. 0 R S RUNNELS BOARD MEMBER 19446 RENTAL PAYMENTS PAID BY THE ORGANIZATION TO MED PROPERTIES OF MAGEE, LLC. MED PROPERTIES OF MAGEE, LLC IS WHOLLY OWNED BY 3 BOARD MEMBERS. R. S. RUNNELS IS ON OF THE OWNERS. 0 FORM 990, PART VI, SECTION A, LINE 2 R.S. RUNNELS, SR, M.D. (VICE-PRESIDENT), DR. PATRICK PASCO (BOARD MEMBER), AND DR. CHARLES PRUITT (BOARD CHAIRMAN) ARE BUSINESS PARTNERS IN MAGEE AFTER HOURS CLINIC, PLLC, AND MED PROPERTIES OF MAGEE, LLC. THEY ALSO ARE OWNERS OF MEDICAL SURGICAL, INC. FORM 990, PART VI, SECTION A, LINE 2 DR. PATRICK PASCO (BOARD MEMBER), AND DR. CHARLES PRUITT (BOARD CHAIRMAN) ARE BUSINESS PARTNERS IN MEDICAL SURGICAL, PLLC. FORM 990, PART VI, SECTION A, LINE 2 DR. CHARLES PRUITT (BOARD CHAIRMAN) AND LYNN LAMPHERE (BOARD MEMBER) ARE SIBLINGS. FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN WILL BE REVIEWED BY THE ORGANIZATION'S CHIEF EXECUTIVE AND CHIEF FINANCIAL OFFICERS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C PRIOR TO ANY GOVERNING BOARD ASSEMBLY DURING WHICH DECIDING VOTES WILL BE CAST REGARDING NEW FINANCIAL RELATIONSHIPS OR ARRANGEMENTS, THE CEO OF THE ORGANIZATION WILL REVIEW AND CONSIDER EACH MEMBER OF THE VOTING ASSEMBLY FOR ANY POTENTIAL CONFLICT OF INTEREST IN RELATION TO THE TRANSACTION OR ARRANGEMENT IN QUESTION. THE CEO WILL ASK ANY INDIVIDUAL WHOSE RELATIONSHIP MAY PRESENT A CONFLICT OF INTEREST TO ABSTAIN FROM CASTING A VOTE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS OR THE COMPENSATION COMMITTEE APPROVES THE COMPENSATION OF THE ORGANIZATION'S CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS AT THE ADMINISTRATION OFFICES OF THE ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 87,748. AUDIT COMMITTEE FORM 990, PART XI, LINE 2C THE ORGANIZATION DOES HAVE AN AUDIT COMMITTEE AND THE PROCESS FOR SELECTING AND OVERSEEING THE INDEPENDENT AUDITORS HAS NOT CHANGED FROM PRIOR YEAR. SERVING ON THIS COMMITTEE ARE: ALTHEA CRUMPTON, MELISSA BRUNTLETT, AND DR. CHARLES PRUITT,III,MD. MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST 300 THIRD AVENUE SE MAGEE MS 39111 270031018 SUPPORT MAGEE GENERAL HOSPITAL MS 501(C)(3) 509(A)(2) N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST C 56310 CASH MAGEE BENEVOLENT FOUNDATION DBA HEALTHTRUST P 109722 CASH