Community Benefit Insight - Tax-exempt hospital

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Scott Regional Medical Center Inc

Scott Regional Hospital

317 Highway 13 South
Morton, MS 39117

Bed count	30	Medicare provider number	251323	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 260792328

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

2.8%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 136,951 0.93 %
Medicaid as % of operating expenses	$ 263,828 1.79 %
Costs of other means-tested government programs as % of operating expenses	$ 8,954 0.06 %
Health professions education as % of operating expenses	$ 427 0.00 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 720 0.00 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 155 0.00 %
Community building* as % of operating expenses	$ 2,183 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 2,183 0.01 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 2,183 100 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 374,450 2.55 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 12605764 including grants of $ 0) (Revenue $ 14689071)
SCOTT REGIONAL HOSPITAL OPENED IN JUNE 1993, PROVING QUALITY HEALTH CARE TO THE PEOPLE OF MORTON, MISSISSIPPI, AND THE SURROUNDING AREA. ON SEPTEMBER 1, 2007, SCOTT REGIONAL HOSPITAL BECAME A DIVISION OF RUSH HEALTH SYSTEMS IN MERIDIAN, MISSISSIPPI, BRINGING MEDICAL EXPERTISE AND THE OPPORTUNITY FOR GROWTH AND DEVELOPMENT TO THE HOSPITAL.A 25-BED ACUTE-CARE HOSPITAL, SCOTT REGIONAL HOSPITAL PROVIDES A WIDE RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. PATIENTS CAN BE ADMITTED TO THE HOSPITAL IF THEIR MEDICAL NEEDS MAKE THAT THE BEST OPTION. A VARIETY OF OTHER SERVICES ARE AVAILABLE ON AN INPATIENT AND OUTPATIENT BASIS THROUGH THE HOSPITAL'S IMAGING, LABORATORY AND REHABILITATIVE SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY.SCOTT REGIONAL HOSPITAL HAS SPECIALIZED PROGRAMS FOR SENIOR ADULTS EXPERIENCING PROBLEMS COPING WITH EVERYDAY LIVING DUE TO ANXIETY, GRIEF AND/OR DEPRESSION. SENIOR CARE IS AN INTENSIVE OUTPATIENT PROGRAM THAT HAS HELPED MANY INDIVIDUALS. SENIOR CARE OFFERS FREE ASSESSMENTS BY A NURSE IN THE HOME, AND TRANSPORTATION CAN BE PROVIDED. PATIENTS ARE CARED FOR UNDER THE DIRECTION OF THEIR PHYSICIAN BY A LICENSED HEALTH CARE TEAM INCLUDING REGISTERED NURSES, PHYSICAL THERAPISTS, SOCIAL WORKERS, DIETITIANS, PHARMACISTS AND OTHER ANCILLARY STAFF, DEPENDING ON THE PATIENT'S MEDICAL NEEDS.AN EMERGENCY DEPARTMENT IS STAFFED WITH QUALIFIED EMERGENCY ROOM HOSPITALISTS AND FAMILY NURSE PRACTITIONERS AND IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK. THE HOSPITALISTS ALSO ACT AS HOSPITAL PHYSICIANS, WHICH MEANS THEY CAN ADMIT AND CARE FOR PATIENTS WHO DO NOT HAVE A PHYSICIAN WHO REGULARLY ADMITS PATIENTS AT THE HOSPITAL.SKILLED NURSING AND REHABILITATIVE CARE ARE AVAILABLE AT SCOTT REGIONAL HOSPITAL THROUGH THE SWING BED PROGRAM. THOSE RECOVERING FROM SURGERY, A STROKE, A FRACTURE OR AN EXTENDED MEDICAL ILLNESS AND HOSPITALIZATION CAN CHOOSE TO REHABILITATE AT SCOTT REGIONAL HOSPITAL, WHETHER OR NOT THEY WERE HOSPITALIZED IN ANOTHER LOCATION.IN 2021, SCOTT REGIONAL HOSPITAL PROVIDED FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AS SHOWN ON SCHEDULE H AT A COST OF $411,035. ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, SCOTT REGIONAL HOSPITAL RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, SCOTT REGIONAL HOSPITAL PROVIDES FREE CARE AND SUBSIDIZED CARE WITHIN EXISTING RESOURCES WHERE THE NEED FOR SUCH CARE EXISTS. ALONG WITH BEING THE ONE OF THE COUNTY'S LARGEST EMPLOYERS AND A MAJOR ECONOMIC STIMULUS BY VIRTUE OF ITS PAYROLL, SCOTT REGIONAL HOSPITAL ALSO PROVIDES MANY BENEFITS TO THE BROADER COMMUNITY IN THE AREAS OF CIVIC INVOLVEMENT AND GIVING INCLUDING ACTIVELY SUPPORTING THE AMERICAN CANCER SOCIETY, SUPPORTING THE COMMUNITY WITH ITS ANNUAL FORESTRY DAY PROGRAM, CONDUCTING AND ATTENDING COMMUNITY HEALTH FAIRS AND PROVIDING FREE MEDICAL SCREENING TESTS AND DISSEMINATION OF HEALTH INFORMATION AT CIVIC CLUB MEETINGS, SCHOOLS AND OTHER COMMUNITY FUNCTIONS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

PART V, SECTION A:
PART V, LINE 7A: THE HOSPITAL WEBSITE IS HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/SCOTT-REGIONAL-HOSPITAL/. PART V, LINE 10A: THE IMPLEMENTATION PLAN CAN BE FOUND ON THE HOSPITAL WEBSITE AT HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/SCOTT-REGIONAL-HOSPITAL/.

SCOTT REGIONAL MEDICAL CENTER
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=12F8E548-DAA1-457E-8E62FF235C138357

SCOTT REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY:HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=DFC94EBD-B64A-4339-A3F853AE25B69E73

PART V, SECTION B, LINE 7A
THE CHNA CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/SCOTT-REGIONAL-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LINK.

PART V, SECTION B, LINE 10A
THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/SCOTT-REGIONAL-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN LINK.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
COSTING METHODOLOGY USED IN THE TABLE ON LINE 7 IS THE RATIO OF PATIENTCARE COST TO CHARGES DERIVED FROM WORKSHEET 2.

PART II, COMMUNITY BUILDING ACTIVITIES:
ALL ACTIVITIES ENGAGED IN BY SCOTT HOSPITAL ARE GEARED TOWARD PROMOTIONAND IMPROVEMENT OF THE WELLBEING OF THE CITIZENS OF OUR PRIMARY SERVICEAREA. SCOTT PROMOTES HEALTH EDUCATION THROUGH SUPPORT OF ITS COMMUNITYBASED NURSING AND ALLIED HEALTH PROGRAMS AS WELL AS COMMUNITY HEALTHEDUCATION AND TRAINING SESSIONS. SCOTT ALSO SUPPORTS THE COMMUNITY BYENSURING THE PROVISION OF MUCH NEEDED EMERGENCY MEDICINE.

PART III, LINE 4:
BAD DEBT EXPENSE IS AS AMOUNT OF CHARGES PER TRIAL BALANCE, THIS AMOUNT ISNETTED 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 AREREPORTED AT ESTIMATED NET REALIZABLE VALUE TAKING INTO ACCOUNT ESTIMATEDIMPLICIT AND EXPLICIT PRICE CONCESSIONS. THE ESTIMATED IMPLICIT PRICECONCESSIONS ARE BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OFHISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERALECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE,AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICESPROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDESPATIENTS WITH DEDUCTIBLE AND PAYMENT BALANCES FOR WHICH THIRD-PARTYCOVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM ANALYZESCONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR EXPLICIT PRICECONCESSIONS, IF NECESSARY. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THEADEQUACY OF THE PRICE CONCESSIONS BASED UPON ITS REVIEW OF ACCOUNTSRECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENTEXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHERFACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONSTO PATIENT SERVICE REVENUE AND TO ESTABLISH AN APPROPRIATE ESTIMATE FORPRICE CONCESSIONS. THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTIONAGENCIES.

PART III, LINE 9B:
THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITSCHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAT ITS ESTABLISHEDRATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTSDETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE.ADDITIONALLY, THE HOSPITAL MAY UTILIZE OUTSIDE AGENCIES AS APPROPRIATE TOASSIST IN DETERMINING ACCOUNTS THAT QUALIFY AS CHARITY CARE. ANY ACCOUNTSDETERMINED TO BE CHARITY BASED ON AN AGENCY'S RECOMMENDATION ARE REPORTEDAS CHARITY CARE AND REVENUE REDUCED BY THIS AMOUNT AS OPPOSED TO BEINGREPORTED AS BAD DEBT EXPENSE.

PART VI, LINE 2:
OUTSIDE CONSULTANTS ARE HIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENTPERIODICALLY.THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=12F8E548-DAA1-457E-8E62FF235C138357

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:
SCOTT HOSPITAL IS A CRITICAL ACCESS ACUTE-CARE MEDICAL CENTER THAT SERVESINPATIENTS AND OUTPATIENTS, PRIMARILY IN THE MORTON, MISSISSIPPI AREA. ASA CRITICAL ACCESS HOSPITAL, SCOTT TRANSFERS THE EMERGENT AND MORECOMPLICATED CASES THAT REQUIRE SPECIALISTS PRIMARILY TO THE LARGER ACUTECARE HOSPITALS IN THE MERIDIAN, MS AREA. OF THE COUNTIES SERVED, THEFOLLOWING ARE COUNTIES IDENTIFIED BY HEALTH RESOURCES AND SERVICESADMINISTRATION OF THE US DEPT OF HEALTH AND HUMAN SERVICES AS HEALTHPROFESSIONAL SHORTAGE AREAS: CHOCTAW AND SUMTER COUNTIES IN ALABAMA;CLARKE, KEMPER, LAUDERDALE, NESHOBA, NEWTON AND SCOTT COUNTIES INMISSISSIPPI.FURTHER INFORMATION ON THE COMMUNITY 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=12F8E548-DAA1-457E-8E62FF235C138357

PART VI, LINE 5:
ALL MEMBERS OF SCOTT HOSPITAL'S BOARD RESIDE IN SCOTT'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. NEUROSURGERY, MIDWIFERY, ETC.), FUNDING OFLOCAL AREA HEALTHCARE WORKFORCE TRAINING AND ECONOMIC DEVELOPMENT.

PART VI, LINE 6:
SCOTT HOSPITAL IS WHOLLY OWNED BY RUSH HEALTH SYSTEMS, A NON-PROFITORGAINIZATION. WITHIN RUSH HEALTH SYSTEMS ARE THE SPECIALTY HOSPITAL OFMERIDIAN (A LONG TERM ACUTE CARE FACILITY), SCOTT 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.

Operating expenses	$ 14,703,425
Total amount spent on community benefits as % of operating expenses	$ 411,035 2.80 %