2025-02-03T18:33:48-06:00 2023-12-31 994625061 CRI ADVISORS LLC 400 W PKWY PL SUITE 300 RIDGELAND MS 39157 990 2023-01-01 640345119 RUSH MEDICAL FOUNDATION RUSH 6017039992 1314 19TH AVENUE MERIDIAN MS 39301 JIM MOLLOY OCF EVP, CFO, TREASURER 5048424097 2025-02-03 0 WILLIAM IUPE P00073954 6018537050 2023 2025-03-06 01:10:19Z OCHSNER RUSH MEDICAL CENTER D LARKIN KENNEDY 1314 19TH AVENUE MERIDIAN MS 39301 174333487 0 X WWW.OCHSNERRUSH.ORG X 1947 MS PROVIDE HEALTH CARE 7 7 51 7 0 0 7955711 667759 157902875 172520133 1188895 998255 108529 -353133 167156010 173833014 92 0 0 0 65419871 74303488 0 0 111505 101578406 103754510 166998369 178057998 157641 -4224984 602252649 110048589 548895076 61363756 53357573 48684833 TO PROVIDE ACUTE, EMERGENCY AND OUTPATIENT HEALTH CARE TO PERSONS IN LAUDERDALE COUNTY, MISSISSIPI AND THE SURROUNDING AREA. 0 0 135581576 165986827 RUSH FOUNDATION HOSPITAL IS A 215-BED TERTIARY CARE FACILITY LOCATED IN MERIDIAN, MS IN LAUDERDALE COUNTY AND IS THE FLAGSHIP HOSPITAL FOR RUSH HEALTH SYSTEMS. WITH A 107-YEAR LEGACY OF MEDICAL INNOVATION, QUALITY CARE AND SERVICE TO OTHERS, RUSH HEALTH SYSTEMS IS COMPRISED OF 7 CARE HOSPITALS AND MORE THAN 30 CLINICS. WITH 250 STAFF AND CONTRACTED PHYSICIANS AND 95 ADVANCED-PRACTICE PROVIDERS, RUSH IS THE LARGEST NON-GOVERNMENTAL EMPLOYER IN THE REGION. 135581576 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 1 0 0 0 1 0 0 51 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JIM MOLLOY CFOTREASURER OCHSNER CLINIC FOUNDATION 5048424097 1514 JEFFERSON HWY BH 546 NEW ORLEANS LA 70121 ANN ALEXANDER BOARD MEMBER 1.00 1.00 X 0 0 0 BILLY PIERCE BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES K PURVIS BOARD MEMBER 1.00 1.00 X 0 0 0 FRED BLACKLEDGE BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES GRANGER BOARD MEMBER 1.00 1.00 X 0 0 0 CAROL SMITH BOARD MEMBER 1.00 1.00 X 0 0 0 BETTY VISE BOARD MEMBER 1.00 1.00 X 0 0 0 D LARKIN KENNEDY CEO - OCHSNER RUSH HEALTH 1.00 49.00 X 0 615803 54090 J ALLEN TYRA CEO - OCHSNER RUSH MEDICAL CENTER 1.00 49.00 X 0 350552 23546 DAVID BUTLER CFO - OCHSNER RUSH HEALTH 1.00 49.00 X 0 330322 21709 FREDERICK DUGGAN MD FORMER OFFICER 0.00 50.00 X 0 812720 27383 JAMES C MATTHEWS III MD FORMER HIGHEST COMP - PHYSICIAN 0.00 40.00 X 0 220035 22783 ANDREW WATSON MD FORMER HIGHEST COMP - PHYSICIAN 0.00 40.00 X 0 193397 26270 LAURA PERRY FORMER HIGHEST COMP - NP 0.00 40.00 X 0 184852 2800 AMBER BOYD GUNN FORMER HIGHEST COMP - NP 0.00 40.00 X 0 183938 3660 GARY ADAM MCPHERSON FORMER HIGHEST COMP - NP 0.00 40.00 X 0 119649 2431 0 3011268 184672 0 1 1 0 0 667759 667759 PATIENT SERVICE REVENUE 621990 172436718 166409793 6026925 RENTAL FROM AFFILIATE 531120 506381 506381 PROGRAM RELATED INVESTMENT 561000 -422966 -422966 172520133 57210 57210 147340 0 147340 147340 147340 941045 0 941045 941045 941045 500473 -500473 -500473 173833014 165986827 0 7178428 X 60624636 56596195 4009385 19056 1718898 1632219 86679 7588224 7164191 380487 43546 4371730 4043935 323615 4180 25865967 24140 25841827 7366 7366 490 490 18368235 17743185 623676 1374 4403 4403 1843433 1544093 287377 11963 31215 22931 7299 985 5933112 2661942 3271170 104539 92093 11013 1433 106781 31818 74963 6167878 6167878 6729424 3030956 3697661 807 1244250 1234315 9935 MED SUPPL, ORGANS, DRUG 30079070 29946008 132451 611 BLDG EQUIPMENT RPR MAIN 5346757 2361956 2984306 495 FOOD 1074373 1044411 29706 256 MBRSHIPS & SUBSCRIPTION 573354 17646 555708 273863 209895 37169 26799 178057998 135581576 42364917 111505 5972836 1491345 849926 938438 466898024 13712684 3306217 4165310 1498709 753486 82330590 9087532 76711150 73243058 13325 47015787 15730943 602252649 110048589 12132189 9455627 1778004 60832 1378185 533606698 51847297 548895076 61363756 X 53357573 48684833 53357573 48684833 602252649 110048589 X -4224984 -870722 422966 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4230000 4230000 67680053 5031820 62648233 55842 5568 50274 9013692 3763816 5249876 1351003 286328 1064675 73243058 REAL ESTATE LEASES 14044795 DEPOSITS 199747 EQUIPMENT LEASES 539821 COST REPORT SETTLEMENT 946580 15730943 OTHER LIABILITY 1529472 INTERCOMPANY PAYABLE 27868949 RE LEASE LIABILITY 13608256 SETTLEMENT 7693725 CAPITAL LEASE 494960 RE OPERATING LEASE 651935 51847297 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 2020 THROUGH 2023 IN OCHSNER'S MAIN TAX JURISDICTIONS. 1 1 X 1 X 0 1 0 0 8713667 8713667 0.04890 7916096 4955978 2960118 0.01660 16629763 4955978 11673785 0.06550 59686 59686 0.00030 1013169 1013169 0.00570 9399331 5796848 3602483 0.02020 10472186 5796848 4675338 0.02620 27101949 10752826 16349123 0.09170 2320 2320 0.00000 2320 2320 0.00000 1 13189436 36129096 37891135 -1762039 X 1 1 2 1 RUSH FOUNDATION HOSPITAL 1314 19TH AVENUE MERIDIAN MS 39301 HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/ 13-059 X X X A 2 HC WATKINS MEMORIAL HOSPITAL 605 S ARCHUSA AVE QUITMAN MS 39355 HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/ 13-282 X X X A FACILITY REPORTING GRP A (FACS 1-2) 0 0 1 X X X X X X X X X 22 1 1 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 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: RUSH FOUNDATION HOSPITAL, - FACILITY 2: H.C. WATKINS MEMORIAL HOSPITAL GROUP A-FACILITY 1 -- RUSH FOUNDATION HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS PROVIDED THROUGH COMMUNITY-WIDE SURVEYS, FOCUS GROUPS, AND INTERVIEWS. COMMUNITY MEMBERS PARTICIPATED DURING SEPTEMBER THROUGH NOVEMBER OF 2022 IN THE INPUT PROCESS. THE PARTICIPANTS 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. THESE INCLUDED MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.THE CHNA FOR EACH HOSPITAL WAS ADOPTED BY THE BOARD IN NOVEMBER 2022 AND THE RELATED IMPLEMENTATION STRATEGY WAS ADOPTED BY BOARD IN FEBRUARY 2023. GROUP A-FACILITY 1 -- RUSH FOUNDATION HOSPITAL PART V, SECTION B, LINE 11: DBA OCHSNER RUSH MEDICAL CENTER2023 UPDATE ON 2022 IMPLEMENTATION PLAN.PRIORITY AREA 1. PROSTATE HEALTH:*THROUGH OUR SOCIAL MEDIA PLATFORM, WE EDUCATED THE COMMUNITY DURING MEN'S HEALTH MONTH BY PROMOTING THE IMPORTANCE OF ROUTINE CHECKUPS, REGULAR EXERCISE, HEALTHY EATING, ADEQUATE SLEEP, AND EFFECTIVE STRESS MANAGEMENT. THIS INITIATIVE AIMED TO RAISE AWARENESS AND ENCOURAGE HEALTHIER LIFESTYLES AMONG MEN.PRIORITY AREA 2. HEART HEALTH:*DR. EESHA KHAN SHARED HEART HEALTH TIPS WITH WOMEN OF THE COMMUNITY AT A HEART HEALTH LUNCHEON*DR. DANIEL EVANS RAISED AWARENESS ABOUT HEART HEALTH AT THE "COFFEE WITH A CARDIOLOGIST" EVENT. HE HIGHLIGHTED THE IMPORTANCE OF CARDIOVASCULAR CARE, PREVENTION STRATEGIES, AND THE BENEFITS OF A HEART-HEALTHY LIFESTYLE.PRIORITY AREA 3. DISEASE MANAGEMENT:* DR. FRED DUGGAN RECENTLY SPOKE AT THE "WALK WITH A DOC" EVENT, DISCUSSING PULMONARY AND CRITICAL CARE. HE EMPHASIZED THE IMPORTANCE OF EARLY DIAGNOSIS, ADVANCED TREATMENT OPTIONS, AND ONGOING MANAGEMENT FOR RESPIRATORY AND CRITICAL HEALTH CONDITIONS.* THE HIRING OF TWO NEW PULMONOLOGISTS GREATLY BENEFITED THE COMMUNITY BY ENHANCING OUR ABILITY TO MANAGE AND TREAT COPD EFFECTIVELY. THEIR EXPERTISE HAS LED TO IMPROVED PATIENT CARE, REDUCED WAIT TIMES, AND BETTER OVERALL SUPPORT FOR INDIVIDUALS WITH RESPIRATORY CONDITIONS. GROUP A-FACILITY 2 -- H.C. WATKINS MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS PROVIDED THROUGH COMMUNITY-WIDE SURVEYS, FOCUS GROUPS, AND INTERVIEWS. COMMUNITY MEMBERS PARTICIPATED DURING SEPTEMBER THROUGH NOVEMBER OF 2022 IN THE INPUT PROCESS. THE PARTICIPANTS 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. THESE INCLUDED MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.THE CHNA FOR EACH HOSPITAL WAS ADOPTED BY THE BOARD IN NOVEMBER 2022 AND THE RELATED IMPLEMENTATION STRATEGY WAS ADOPTED BY BOARD IN FEBRUARY 2023. GROUP A-FACILITY 2 -- H.C. WATKINS MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: DBA OCHSNER WATKINS HOSPITAL2023 UPDATE ON 2022 IMPLEMENTATION PLAN.PRIORITY AREA 1. SAFETY:* EDUCATION GIVEN TO PATIENTS DURING ROUNDS ON FALL INTERVENTIONS AND WHY WE DO THEM. EDUCATION PROVIDED ON FALL PREVENTION AT HOME AND WHEN TO CONSULT A DOCTOR ABOUT YOUR FALL RISK.PRIORITY AREA 2. LIFESTYLES:* DR. CHRISTOPHER SWIFT, INTERNAL MEDICINE, SPOKE AT THE "WALK WITH A DOC" EVENT, WHERE HE SHARED VALUABLE INSIGHTS ON LIFESTYLE IMPROVEMENTS. HE EMPHASIZED THE IMPORTANCE OF REGULAR PHYSICAL ACTIVITY, BALANCED NUTRITION, AND STRESS MANAGEMENT FOR OVERALL WELL-BEING.PRIORITY AREA 3. CANCER AWARENESS:* OCHSNER RUSH HEALTH IS ADVANCING THE FIGHT AGAINST BREAST CANCER WITH BY OFFERING THE LATEST IN INNOVATIVE TECHNOLOGY WITH GENIUS 3D MAMMOGRAPHY EXAMS TO BRING HIGHER QUALITY CARE AND MORE ACCESS TO THE COMMUNITY. * DR. URELAINE' SIMON-HART RECENTLY SPOKE AT THE "WALK WITH A DOC" EVENT, WHERE SHE HIGHLIGHTED THE IMPORTANCE OF BREAST CANCER AWARENESS AND WOMEN'S HEALTH. SHE PROVIDED VALUABLE INFORMATION ON EARLY DETECTION, PREVENTION STRATEGIES, AND THE SIGNIFICANCE OF REGULAR SCREENINGS FOR MAINTAINING OVERALL HEALTH. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: RUSH FOUNDATION HOSPITAL, - FACILITY 2: H.C. WATKINS MEMORIAL HOSPITAL FACILITY REPORTING GRP A (FACS 1-2) PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. FACILITY REPORTING GRP A (FACS 1-2) 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-RUSH-MEDICAL-CENTER/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LINK. PART V, SECTION B, LINE 7A HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-WATKINS-HOSPITAL/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-WATKINS-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN LINK. PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-RUSH-MEDICAL-CENTER/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN LINK. 5 1 - OCHSNER HEALTH CENTER - NORTH MERIDIAN 2800 N HILLS ST MERIDIAN MS 39305 MEDICAL CLINIC 2 - OCHSNER HEALTH CENTER - RUSH 1800 12TH ST MERIDIAN MS 39301 MEDICAL CLINIC 3 - OCHSNER HEALTH CENTER - EC HEALTHNET 905 C SOUTH FRONTAGE ROAD MERIDIAN MS 39301 MEDICAL CLINIC 4 - OCHSNER HEALTH CENTER - QUITMAN 603 SOUTH ARCHUSA AVENUE QUITMAN MS 39355 MEDICAL CLINIC 5 - OCHSNER RUSH MEDICAL GROUP 1800 12TH STREET MERIDIAN MS 39301 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. PART II, COMMUNITY BUILDING ACTIVITIES: OCHSNER RUSH PLAYED A VITAL ROLE STRENGTHENING COMMUNITY AND GOVERNMENT PARTNERSHIPS ACROSS MISSISSIPPI, ALABAMA AND THE NATION AS WELL AS IMPROVED COMMUNITY HEALTH AND FOSTERED INCLUSIVITY. AS REGION OCHSNER RUSH WORKED TO BRING RESOURCES TO UNDERSERVED COMMUNITIES AND COLLABORATE WITH LOCAL ORGANIZATIONS TO PROVIDE HEART HEALTH INFORMATION TO SENIORS AND PROMOTED AWARENESS OF 988 HOTLINE FOR SUICIDE SUPPORT. FURTHER ECONOMIC DEVELOPMENT AND OPPORTUNITY WORK INCLUDED OCHSNER'S LEADERSHIP IN MEDICAL TECHNOLOGY WHICH BUILT OUR COMMUNITY'S UNDERSTANDING OF, ACCESS TO AND SURROUNDING BUSINESS INNOVATION RELATED TO DIGITAL MEDICINE. FINALLY, OCHSNER EDUCATED THE NEXT GENERATION AND TRAINED THE HEALTHCARE WORKFORCE INCLUDING OFFERING AREAS AND TIME FOR LOCAL STUDENTS TO COMPLETE CLINICAL ROTATIONS FROM VARIOUS DEGREE PROGRAMS. FINALLY, THERE IS ONGOING INTERNAL TRAINING ABOUT SOCIAL DETERMINANTS OF HEALTH METRICS IN THIS AREA IN ORDER TO PROVIDE EDUCATION AND SERVICE TO THE COMMUNITY. 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 THE LEGAL ENTITY IS RUSH FOUNDATION HOSPITAL D/B/A OCHSNER RUSH MEDICAL CENTER. THE LEGAL ENTITY IS H.C. WATKINS MEMORIAL HOSPITAL D/B/A OCHSNER WATKINS HOSPITAL. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENTS, OCHSNER RUSH ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH: OCHSNER COMMUNITY PARTNERSHIPS: BECAUSE MANY OF THE COMMUNITIES' NEEDS AND CHALLENGES REQUIRED COLLABORATIVE SOLUTIONS, OCHSNER TEAMED UP WITH BUSINESSES, CHURCHES, SCHOOLS, COMMUNITY GROUPS, ATHLETIC ORGANIZATIONS, STATE AND LOCAL GOVERNMENT PARTNERS, AND OTHER HEALTHCARE ORGANIZATIONS TO IMPROVE THE PHYSICAL, MENTAL, EMOTIONAL, EDUCATIONAL, AND ECONOMIC HEALTH OF THE PEOPLE. THE NEEDS IDENTIFIED THROUGH THESE PARTNER ORGANIZATIONS WAS INVALUABLE GIVEN THE DEPTH OF REACH INTO THE COMMUNITY AND THE DIVERSE ARRAY OF STAKEHOLDERS. OCHSNER PARTNERED ON TOPICS INCLUDING FLU VACCINES, SCREENINGS, TRAUMA INJURY PREVENTION, STROKE AND HEART DISEASE PREVENTION, SUICIDE AWARENESS. COMMUNITY NEEDS WERE ALSO IDENTIFIED THROUGH THE OCHSNERSERVES EMPLOYEE VOLUNTEERISM PROGRAM AS EMPLOYEES WORKED DIRECTLY WITH THE COMMUNITY DURING PAID COMMUNITY SERVICE TIME.HOSPITAL BOARDS WITH COMMUNITY MEMBER REPRESENTATION: THE OCHSNER RUSH BOARD FOR EACH HOSPITAL INCLUDES MEMBERS OF THE COMMUNITY AND COMMUNITY LEADERS ARE INVITED TO GIVE FEEDBACK DURING CHNA PERIODS. THIS IS A VALUABLE WAY TO GATHER EXPERIENCE AND INSIGHTS ON HOW OCHSNER RUSH CAN ACHIEVE ITS VISION OF INSPIRING HEALTHIER LIVES AND STRONGER COMMUNITIES. 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: RUSH MEDICAL CENTER* GEOGRAPHICAL REGION: LAUDERDALE COUNTY, MS; NESHOBA COUNTY, MS; JASPER COUNTY, MS; CHOCTAW COUNTY, AL; KEMPER COUNTY, MS; NEWTON COUNTY, MS; SUMTER COUNTY, AL; CLARKE COUNTY, MS* NUMBER OF BEDS: 215* APPROXIMATE POPULATION: 188,704* SERVICE AREA TYPE: RURAL* AVERAGE INCOME OF POPULATION: $61,390.88* PERCENTAGE OF PATIENTS UNINSURED OR MEDICAID RECIPIENTS: 34%* DESIGNATED MEDICALLY UNDERSERVED AREA: YESOCHSNER WATKINS HOSPITAL* GEOGRAPHICAL REGION: CLARKE COUNTY, MS; WAYNE COUNTY, MS; JASPER COUNTY, MS; CHOCTAW COUNTY, AL; NEWTON COUNTY, MS; LAUDERDALE COUNTY, MS* NUMBER OF BEDS: 25* APPROXIMATE POPULATION: 158,318 * SERVICE AREA TYPE: RURAL* AVERAGE INCOME OF POPULATION: $55,554.86* PERCENTAGE OF PATIENTS UNINSURED OR MEDICAID RECIPIENTS: 15 %* DESIGNATED MEDICALLY UNDERSERVED AREA: YES PART VI, LINE 5: IMPROVING COMMUNITY HEALTH AND FOSTERING INCLUSIVITY* COMMUNITY EVENTS FOCUSED ON LIFESTYLE IMPROVEMENTS INCLUDING PHYSICAL ACTIVITY, NUTRITION AND STRESS MANAGEMENT FOR OVERALL WELL-BEING.* OCHSNER RUSH CONTINUED DEVELOPMENT OF COMMUNITY HEALTH CENTERS IN UNDERSERVED AREAS ACROSS MISSISSIPPI AND ALABAMA.* DEI TEAM DEEPENED EMPLOYEE ENGAGEMENT AROUND DEI GOALS AND OBJECTIVES, AS WELL AS EXPANDED TRAINING PROGRAMS. * 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.STRENGTHENING COMMUNITY AND GOVERNMENT PARTNERSHIPS* OCHSNER PROVIDED FULL-TIME EMPLOYEES THE OPPORTUNITY TO WORK INSIDE OF THEIR COMMUNITIES THROUGH THE * OCHSNERSERVES EMPLOYEE VOLUNTEERISM PROGRAM WITH 8 HOURS OF PAID VOLUNTEER TIME. * THE HOSPITAL DOES MAINTAIN AN OPEN MEDICAL STAFF THUS ALLOWING IT TO OFFER A VARIETY OF SPECIALISTS AND * CONTINUES TO RECRUIT PHYSICIANS TO OUR AREA TO ENSURE THAT THE HOSPITAL WILL CONTINUE TO BE THE FULL-SERVICE HEALTHCARE PROVIDER THAT THE COMMUNITY EXPECTS.ECONOMIC DEVELOPMENT AND OPPORTUNITY* TO ADDRESS CRITICAL WORKFORCE SHORTAGE, OCHSNER RUSH CONTINUED TO CREATE OPPORTUNITIES TO DEVELOP AND SUPPORT HEALTHCARE PROFESSIONALS. 19 TEAM MEMBERS WERE CERTIFIED AS CERTIFIED CLINICAL MEDICAL ASSISTANTS AND CERTIFIED MEDICAL ADMINISTRATIVE ASSISTANTS THROUGH OCHSNER RUSH'S FIRST WORKFORCE DEVELOPMENT PROGRAMEDUCATING THE NEXT GENERATION AND TRAINING HEALTHCARE WORKFORCE* AIMED TO CURB VIOLENT CRIME AMONG AT-RISK YOUTH, OCHSNER RUSH HEALTH'S PROJECT INSPIRE IS A SEMESTER-LONG, HOSPITAL-BASED INJURY PREVENTION PROGRAM WHICH COMBINES TRAUMA CENTER EXPOSURE, MENTORSHIP AND CAREER DEVELOPMENT. IN PARTNERSHIP WITH THE LAUDERDALE COUNTY SCHOOL DISTRICT, MERIDIAN SCHOOL DISTRICT AND MISSISSIPPI DEPARTMENT OF REHABILITATION SERVICES, OCHSNER RUSH IS NOW IN ITS SECOND YEAR AS A PROJECT SEARCH HOST SITE. THE PROGRAM PROVIDES REAL LIFE WORK EXPERIENCES AND LIFE SKILLS TRAINING TO YOUNG PEOPLE WITH DISABILITIES. PART VI, LINE 6: 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 20 OTHER HOSPITALS ACROSS LOUISIANA, MISSISSIPPI, AND ALABAMA. OCHSNER EMPLOYS OVER 2,000 PHYSICIANS THAT HAVE OVER 1,600 BOARD CERTIFICATIONS IN APPROXIMATELY 90 SPECIALTIES, TRAINS OVER 900 MEDICAL RESIDENTS AND FELLOWS ANNUALLY. IN 2023, MORE THAN 1.5 MILLION PEOPLE FROM ALL 50 STATES AND 65 COUNTRIES VISITED OCHSNER. X 1 1 0 1 0 0 0 0 0 0 0 FREDERICK DUGGAN MD FORMER OFFICER 0 721364 0 79229 0 12127 0 3400 0 23983 0 840103 0 0 D LARKIN KENNEDY CEO - OCHSNER RUSH HEALTH 0 452051 0 149287 0 14465 0 30107 0 23983 0 669893 0 0 J ALLEN TYRA CEO - OCHSNER RUSH MEDICAL CENTER 0 279632 0 65667 0 5253 0 6800 0 16746 0 374098 0 0 DAVID BUTLER CFO - OCHSNER RUSH HEALTH 0 265002 0 63000 0 2320 0 3400 0 18309 0 352031 0 0 JAMES C MATTHEWS III MD FORMER HIGHEST COMP - PHYSICIAN 0 209587 0 1500 0 8948 0 1292 0 21491 0 242818 0 0 ANDREW WATSON MD FORMER HIGHEST COMP - PHYSICIAN 0 181265 0 1500 0 10632 0 2308 0 23962 0 219667 0 0 LAURA PERRY FORMER HIGHEST COMP - NP 0 148178 0 35680 0 994 0 1187 0 1613 0 187652 0 0 AMBER BOYD GUNN FORMER HIGHEST COMP - NP 0 150734 0 32420 0 784 0 2343 0 1317 0 187598 0 0 GARY ADAM MCPHERSON FORMER HIGHEST COMP - NP 0 109631 0 7540 0 2478 0 1531 0 900 0 122080 0 0 PART I, LINE 1A OCHSNER GROSSES UP NON-CASH COMPENSATION TO BOARD MEMBERS AND OFFICERS FOR THE FOLLOWING: THE CEO RECEIVED A GROSS-UP BENEFIT RELATED TO THE TAXABLE PORTION OF A BENEFIT PLAN. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATE IN A 457(F) NON-QUALIFIED, UNFUNDED, DEFERRED COMPENSATION PLAN, WHICH WAS ESTABLISHED IN 2013. THE PLAN ALLOWS FOR DISCRETIONARY INITIAL CONTRIBUTIONS, VESTING BEGINS AT AGE 55. THE MOST RECENT THREE YEARS ARE SUBJECT TO FORFEITURE UNTIL THE ATTAINMENT OF AGE 65. ANNUAL FIXED CONTRIBUTIONS ARE INDIVIDUALLY BASED AND ARE TARGETED TO REPLACE THE BENEFIT THAT WOULD HAVE BEEN RECEIVED FROM THE FROZEN OCHSNER CLINIC FOUNDATION RETIREMENT PLAN HAD THE PLAN CONTINUED UNTIL THE PARTICIPANT ATTAINED AGE 65. THE CONTRIBUTION IS OFFSET BY ACTUAL RETIREMENT BENEFIT AND BENEFIT RECEIVED IN THE OCF 401(K) PLAN. FOLLOWING IS A LIST OF PARTICIPANTS AND ANY DISTRIBUTIONS MADE IN 2023: D. LARKIN KENNEDY, CEO OCHSNER RUSH HEALTH; NO DISTRIBUTION RUSH HEALTH SYSTEMS' CHIEF EXECUTIVE OFFICER, LARKIN KENNEDY, IS PROVIDED WITH A LIFE INSURANCE POLICY WHEREBY PREMIUMS ARE PAID BY THE EMPLOYER, AND PREMIUMS WILL BE RECOVERED AT DEATH OR TERMINATION OF THE AGREEMENT. THE PREMIUMS ARE INCLUDED AS TAXABLE COMPENSATION. 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 15A - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL: ALL CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED AND APPROVED BY THE EXECUTIVE AND SENIOR PHYSICIAN COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMPENSATION COMMITTEE). NO SUBSTANTIVE CHANGE TO THE COMPENSATION OR BENEFITS PACKAGES IS MADE UNTIL COMMITTEE APPROVAL IS GRANTED IN ACCORDANCE WITH INTERMEDIATE SANCTIONS GUIDELINES. THE COMPENSATION COMMITTEE IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED. IN ORDER TO MEET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS, THE COMPENSATION COMMITTEE IDENTIFIED THE "DISQUALIFIED INDIVIDUALS" THAT ARE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE COMPANY'S OPERATIONS. THESE INDIVIDUALS ARE THE MEMBERS OF THE EXECUTIVE OFFICERS COMMITTEE (EOC), REGIONAL MEDICAL DIRECTORS, PHYSICIAN BOARD MEMBERS AND SECTION HEADS FOR KEY DEPARTMENTS. FOR DISQUALIFIED INDIVIDUALS, THE COMPENSATION REVIEW ALSO INCLUDES THE COST OF BENEFITS SUCH AS THE COMPANY PORTION OF MEDICAL AND DENTAL BENEFITS, MALPRACTICE INSURANCE, PAYMENTS FOR 401K MATCHING AND PENSION PAYMENTS. 15B - PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES: PT VI LN 15A DESCRIBES THE COMPENSATION PROCESS FOR MANY OF THE OFFICERS, KEY EMPLOYEES, AND SR PHYSICIAN BOARD MEMBERS. COMPENSATION FOR OTHER NON-OFFICER AND NON-PHYSICIAN KEY EMPLOYEES IS REVIEWED BY SENIOR EXECUTIVES WHO TAKE MARKET VALUE RESEARCH INTO CONSIDERATION WHEN DETERMINING COMPENSATION LEVELS. MANAGEMENT JOBS ARE ASSIGNED TO PAY RANGES WHERE THE MIDPOINT IS ALIGNED TO THE 50TH PERCENTILE OF SALARY SURVEY DATA. UPON HIRE, MANAGEMENT SALARIES ARE BASED UPON APPLICABLE SKILLS AND EXPERIENCE RELEVANT TO THE JOB AND PAY RANGE. MERIT INCREASES ARE AWARDED ANNUALLY THEREAFTER BASED UPON PERFORMANCE. OFF-CYCLE ADJUSTMENTS MAY BE PROVIDED DUE TO MARKET MOVEMENT TO ENSURE ALIGNMENT WITH THE COMPETITIVE MARKET. 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 PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,363,379. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,363,379. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,360,567. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,360,567. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,434,217. MANAGEMENT AND GENERAL EXPENSES 623,676. FUNDRAISING EXPENSES 1,374. TOTAL EXPENSES 7,059,267. LAUNDRY SVCS: PROGRAM SERVICE EXPENSES 585,022. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 585,022. FORM 990, PART XI, LINE 9: REALIZED GAIN/LOSS ON DISPOSITION 422,966. PART XII, LINE 2C RUSH MEDICAL FOUNDATION IS A 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 EM-3614-LA THE BOOKS ARE NOW IN THE CARE OF OCHSNER CLINIC FOUNDATION (72-0502505), WHICH IS LOCATED IN THE FEMA ZONE FOR TAXPAYERS AFFECTED BY FEMA DISASTER AREA FOR TROPICAL STORM FRANCINE (EM-3614-LA) WITH A FEBRUARY 3, 2025 DEADLINE FOR FILING THIS RETURN UNDER FEMA EM-3614-LA. 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